Reduced knee-extensor torque steadiness and higher motor unit discharge rate variability in individuals with patellofemoral pain

The rate of change in the fluctuations in motor output differs during the performance of fatiguing contractions that involve different types of loads. The purpose of this study was to examine the contribution of frequency modulation of motor unit discharge to the fluctuations in the motor output during sustained contractions with the force and position tasks. In separate tests with the upper arm vertical and the elbow flexed to 1.57 rad, the seated subjects maintained either a constant upward force at the wrist (force task) or a constant elbow angle (position task). The force and position tasks were performed in random order at a target force equal to 3.6 ± 2.1% (mean ± SD) of the maximal voluntary contraction (MVC) force above the recruitment threshold of an isolated motor unit from the biceps brachii. Each subject maintained the two tasks for an identical duration (161 ± 93 s) at a mean target force of 22.4 ± 13.6% MVC. As expected, the rate of increase in the fluctuations in motor output (force task: SD for detrended force; position task: SD for vertical acceleration) was greater for the position task than the force task ( P < 0.001). The amplitude of the coefficient of variation (CV) and the power spectra for motor unit discharge were similar between tasks ( P > 0.1) and did not change with time ( P > 0.1), and could not explain the different rates of increase in motor output fluctuations for the two tasks. Nonetheless, frequency modulation of motor unit discharge differed during the two tasks and predicted ( P < 0.001) both the CV for discharge rate (force task: 1–3, 12–13, and 14–15 Hz; position task: 0–1, and 1–2 Hz) and the fluctuations in motor output (force task: 5–6, 9–10, 12–13, and 14–15 Hz; position task: 6–7, 14–15, 17–19, 20–21, and 23–24 Hz). Frequency modulation of motor unit discharge rate differed for the force and position tasks and influenced the ability to sustain steady contractions.

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Blockade of 5-HT2 receptors suppresses rate of torque development and motor unit discharge rate during rapid contractions

Journal of Neurophysiology ◽

10.1152/jn.00470.2021 ◽

2021 ◽

Author(s):

Benjamin Ian Goodlich ◽

Sean A Horan ◽

Justin J Kavanagh

Keyword(s):

Motor Unit ◽

Unit Activity ◽

Repeated Measures ◽

Discharge Rate ◽

Voluntary Contraction ◽

Unit Discharge ◽

Motor Unit Activity ◽

Rate Of Torque Development ◽

Motor Unit Discharge ◽

Torque Development

Serotonin (5-HT) is a neuromodulator that is critical for regulating the excitability of spinal motoneurons and the generation of muscle torque. However, the role of 5-HT in modulating human motor unit activity during rapid contractions has yet to be assessed. Nine healthy participants (23.7 ± 2.2 yr) ingested 8 mg of the competitive 5-HT2 antagonist cyproheptadine in a double-blinded, placebo-controlled, repeated-measures experiment. Rapid dorsiflexion contractions were performed at 30%, 50% and 70% of maximal voluntary contraction (MVC), where motor unit activity was assessed by high-density surface electromyographic decomposition. A second protocol was performed where a sustained, fatigue-inducing dorsiflexion contraction was completed prior to undertaking the same 30%, 50% and 70% MVC rapid contractions and motor unit analysis. Motor unit discharge rate (p < 0.001) and rate of torque development (RTD; p = 0.019) for the unfatigued muscle were both significantly lower for the cyproheptadine condition. Following the fatigue inducing contraction, cyproheptadine reduced motor unit discharge rate (p < 0.001) and RTD (p = 0.024), where the effects of cyproheptadine on motor unit discharge rate and RTD increased with increasing contraction intensity. Overall, these results support the viewpoint that serotonergic effects in the central nervous system occur fast enough to regulate motor unit discharge rate during rapid powerful contractions.

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