scholarly journals Pallidotomy Increases Cortical Inhibition in Parkinson's Disease

1997 ◽  
Vol 24 (2) ◽  
pp. 133-136 ◽  
Author(s):  
A. Strafella ◽  
P. Ashby ◽  
A. Lozano ◽  
A.E. Lang
Keyword(s):  
Motor Cortex ◽  
Muscle Activity ◽  
Magnetic Stimulation ◽  
Maximum Voluntary Contraction ◽  
Voluntary Contraction ◽  
Short Latency ◽  
Cortical Inhibition ◽  
First Dorsal Interosseus ◽  
Before And After ◽  
Posteroventral Pallidotomy

ABSTRACT:Background:Pallidotomy helps parkinsonian symptoms. We tested the hypothesis that this might be due to changes in inhibition in the motor cortex.Methods:We examined 15 patients with parkinsonism before and after posteroventral pallidotomy. Magnetic stimuli were delivered over the motor cortex, while subjects maintained a 30% maximum voluntary contraction of the contralateral first dorsal interosseus (FDI).Results:Weak stimuli inhibited voluntary muscle activity, while slightly stronger stimuli caused short latency facilitation from activation of the corticospinal neurons. After pallidotomy magnetic stimulation, at the threshold for the short latency facilitation, resulted in more inhibition than before.Conclusions:Pallidotomy increases cortical inhibition. This may be associated with improved control of movements.

Reorganisation in human motor cortex

1995 ◽  
Vol 73 (2) ◽  
pp. 218-222 ◽  
Author(s):  
M. C. Ridding ◽  
J. C Rothwell
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Motor Cortex ◽  
Magnetic Stimulation ◽  
Voluntary Contraction ◽  
Short Latency ◽  
Human Motor Cortex ◽  
Amputation Stump ◽  
Human Motor

Transcranial magnetic stimulation over the motor cortex was used to construct a map of the effective sites on the scalp from which short-latency electromyogram responses could be evoked in muscles proximal to either an amputation stump (two subjects) or an ischemically anesthetized forearm (two subjects). At rest, the maps were larger and the responses bigger when stimulating contralateral to the amputated arm or after anesthesia than they were in the intact arm or before anesthesia. However, this difference disappeared when the maps were constructed during a small tonic voluntary contraction of the target muscle. We conclude that reorganisation of the corticospinal projection to a muscle at rest may no longer be present during activity. If so, this calls into question the possible functional benefits of such reorganisation in the control of movement after peripheral damage.Key words: motor cortex, magnetic stimulation, amputation, ischemia.

scholarly journals Voluntary movement and repetitive transcranial magnetic stimulation over human motor cortex

2009 ◽  
Vol 106 (5) ◽  
pp. 1593-1603 ◽  
Author(s):  
Gabrielle Todd ◽  
Nigel C. Rogasch ◽  
Stanley C. Flavel ◽  
Michael C. Ridding
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Motor Cortex ◽  
Magnetic Stimulation ◽  
Voluntary Movement ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Voluntary Contraction ◽  
Human Motor Cortex ◽  
Before And After ◽  
Human Motor ◽  
Voluntary Contractions

Repetitive transcranial magnetic stimulation (rTMS) can induce short-term reorganization of human motor cortex. Here, we investigated the effect of rTMS during relaxation and weak voluntary muscle contraction on motor cortex excitability and hand function. Subjects ( n = 60) participated in one of four studies. Single transcranial magnetic stimuli were delivered over the motor area of the first dorsal interosseus for measurement of motor evoked potential (MEP) size before and after real or sham rTMS delivered at an intensity of 80% of active motor threshold. rTMS involved trains of stimuli applied at 6 Hz for 5 s and repeated every 30 s for 10 min. Resting MEP size was suppressed for 15 min after rTMS during relaxation. However, MEP suppression was abolished when additional brief voluntary contractions were performed before and after rTMS ( study 1). Resting MEP size was suppressed for 30 min after rTMS during weak voluntary contraction. MEP suppression was present even though voluntary contractions were performed before and after rTMS ( study 2). The MEP suppression most likely reflects a decrease in motor cortical excitability. Surprisingly, rTMS during voluntary contraction did not alter maximal finger tapping speed or performance on a grooved pegboard test, object grip and lift task ( study 3), and visuomotor tracking task ( study 4). These studies document the complex relationship between voluntary movement and rTMS-induced plasticity in motor cortex. This work has implications for the optimization of rTMS parameters for improved efficacy and potential therapeutic applications.

scholarly journals Recruitment Curves during Different Types of Muscle Activity in Non-dominant Hand: A Transcranial Magnetic Stimulation Study

2020 ◽  
Vol 24 (4) ◽  
pp. 393-402
Author(s):  
Kapka Mancheva ◽  
◽  
Teodora Vukova ◽  
Georgi Atanasov ◽  
Andon Kossev ◽  
...  
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Muscle Activity ◽  
Magnetic Stimulation ◽  
Motor Evoked Potentials ◽  
Maximum Voluntary Contraction ◽  
Voluntary Contraction ◽  
Dominant Hand ◽  
Antagonist Muscles ◽  
Co Activation ◽  
Different Types

Motor evoked potentials (MEPs) were recorded from first dorsal interosseous muscle of non-dominant hand in response to contralateral transcranial magnetic stimulation (TMS) in seven right-handed healthy volunteers during relaxed muscles (without electromyorgaphic activity and zero force production), isometric index finger abduction (20% of individual measured maximum voluntary contraction in direction of abduction) and co-activation of antagonist muscles (simultaneously activated antagonist muscles, matching level equal to 20% of individual measured maximum voluntary contraction in direction of abduction by increasing the angle stiffness without producing of external force). The excitability of motor cortex was assessed by the amplitudes of MEPs recorded in response to increasing stimulation intensity: 100%, 110%, 120%, 130%, 140% of individually measured motor threshold at relax. The aim of the present study was using the method of transcranial magnetic stimulation to investigate the effect of different types of muscle activity in non-dominant hand. The secondary purpose was to compare new collected data with our previous data about dominant hand. At non-dominant hand we found significant changes between relax condition and each of the two active motor tasks almost at all five investigated TMS intensities. Also, we found that MEP amplitudes during abduction were significantly bigger than MEP amplitudes during co-activation of antagonist muscles, both in non-dominant hand and in dominant hand. We observed changes between MEP amplitudes of non-dominant and dominant hand during the performance of the same motor task.

Index finger position and force of the human first dorsal interosseus and its ulnar nerve antagonist

1994 ◽  
Vol 77 (2) ◽  
pp. 987-997 ◽  
Author(s):  
I. Zijdewind ◽  
D. Kernell
Keyword(s):  
Ulnar Nerve ◽  
Index Finger ◽  
Maximum Voluntary Contraction ◽  
Normal Subjects ◽  
Voluntary Contraction ◽  
Abduction Angle ◽  
Hand Position ◽  
First Dorsal Interosseus ◽  
Length Analysis ◽  
Neutral Angle

In normal subjects, maximum voluntary contraction (MVC) and electrical ulnar nerve stimulation (UNS; 30-Hz bursts of 0.33 s) were systematically compared with regard to the forces generated in different directions (abduction/adduction and flexion) and at different degrees of index finger abduction. With a “resting” hand position in which there was no index finger abduction, UNS produced about one-half of the abduction force elicited by an MVC (mean ratio 51%). Qualitatively, such a discrepancy would be expected, because UNS activates two index finger muscles with opposing actions in the abduction/adduction plane of torques: the first dorsal interosseus (FDI) and the first palmar interosseus (FPI). The abduction forces produced by MVC and UNS were very sensitive to index finger abduction angle: at a maximum degree of abduction, the UNS-generated force even reversed its direction of action to adduction (with FPI dominating) and the abduction MVC declined to 37% of that in the resting hand position. Inasmuch as these declines in MVC- and UNS-generated abduction force could not be explained by a change in moment arm, the main alternative seemed to be abduction-associated alterations in FDI fiber length (analysis by previously published biomechanical data). The FDI and FPI were further compared by application of a UNS-generated fatigue test (5-min burst stimulation), with the index finger kept at a "neutral" angle, i.e., the abduction angle at which, in the unfatigued state, the forces of the FDI and FPI were in balance (zero net UNS-generated abduction/adduction force).(ABSTRACT TRUNCATED AT 250 WORDS)

Upper extremity muscle activity during household floor vacuuming with upright cleaners

2018 ◽  
Vol 62 (1) ◽  
pp. 1018-1021
Author(s):  
Haerim Bak ◽  
Clive D’Souza ◽  
Gwanseob Shin
Keyword(s):  
Upper Extremity ◽  
Muscle Activity ◽  
Maximum Voluntary Contraction ◽  
Voluntary Contraction ◽  
Activity Levels ◽  
Physical Demands ◽  
Study Results ◽  
Musculoskeletal Problems ◽  
Muscle Groups ◽  
Intensive Work

Physical demands of household carpet vacuuming and associated risks for musculoskeletal problems have received little attention although the level of muscle exertions is often assumed to be similar to that of occupational vacuuming. The aim of this study was to quantitatively assess the level of muscle activities of the upper extremity during carpeted floor vacuuming with household upright vacuum cleaners. Eighteen participants conducted four different carpet vacuuming tasks with two different cleaner models. Electromyography data from seven upper extremity muscles were collected. Median muscle activity ranged from 4.5% to 47.5% of the maximum voluntary contraction capacity for female participants and from 2.7% to 23.6% for male participants. Normalized muscle activity levels were significantly higher in women compared to men across tasks and muscle groups. Study results suggest that home vacuuming with upright vacuum cleaners is physically intensive work, especially for female users who are less physically capable.

Whole-hand water flow stimulation increases motor cortical excitability: a study of transcranial magnetic stimulation and movement-related cortical potentials

2015 ◽  
Vol 113 (3) ◽  
pp. 822-833 ◽  
Author(s):  
Daisuke Sato ◽  
Koya Yamashiro ◽  
Hideaki Onishi ◽  
Baba Yasuhiro ◽  
Yoshimitsu Shimoyama ◽  
...  
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Motor Cortex ◽  
Water Flow ◽  
Magnetic Stimulation ◽  
Cortical Activity ◽  
Corticospinal Excitability ◽  
Afferent Stimulation ◽  
Intracortical Circuits ◽  
Before And After ◽  
Flow Stimulation

Previous studies examining the influence of afferent stimulation on corticospinal excitability have demonstrated that the intensity of afferent stimulation and the nature of the afferents targeted (cutaneous/proprioceptive) determine the effects. In this study, we assessed the effects of whole-hand water immersion (WI) and water flow stimulation (WF) on corticospinal excitability and intracortical circuits by measuring motor evoked potential (MEP) recruitment curves and conditioned MEP amplitudes. We further investigated whether whole-hand WF modulated movement-related cortical activity. Ten healthy subjects participated in three experiments, comprising the immersion of participants' right hands with (whole-hand WF) or without (whole-hand WI) water flow, and no immersion (control). We evaluated MEP recruitment curves produced by a single transcranial magnetic stimulation (TMS) pulse at increasing stimulus intensities, short-interval intracortical inhibition (SICI), and intracortical facilitation (ICF) using the paired TMS technique before and after 15 min of intervention. Movement-related cortical potentials (MRCPs) were evaluated to examine primary motor cortex, supplementary motor area, and somatosensory cortex excitability upon movement before and after whole-hand WF. After whole-hand WF, the slope of the MEP recruitment curve significantly increased, whereas SICI decreased and ICF increased in the contralateral motor cortex. The amplitude of the Bereitschaftspotential, negative slope, and motor potential of MRCPs significantly increased after whole-hand WF. We demonstrated that whole-hand WF increased corticospinal excitability, decreased SICI, and increased ICF, although whole-hand WI did not change corticospinal excitability and intracortical circuits. Whole-hand WF modulated movement-related cortical activity, increasing motor cortex activation for the planning and execution of voluntary movements.

The frequency of alternate muscle activity is associated with the attenuation in muscle fatigue

2006 ◽  
Vol 101 (3) ◽  
pp. 715-720 ◽  
Author(s):  
Motoki Kouzaki ◽  
Minoru Shinohara
Keyword(s):  
Muscle Fatigue ◽  
Muscle Activity ◽  
Healthy Subjects ◽  
Vastus Lateralis ◽  
Rectus Femoris ◽  
Knee Extension ◽  
Voluntary Contraction ◽  
Sustained Contraction ◽  
Low Level ◽  
Before And After

Alternate muscle activity between synergist muscles has been demonstrated during low-level sustained contractions [≤5% of maximal voluntary contraction (MVC) force]. To determine the functional significance of the alternate muscle activity, the association between the frequency of alternate muscle activity during a low-level sustained knee extension and the reduction in knee extension MVC force was studied. Forty-one healthy subjects performed a sustained knee extension at 2.5% MVC force for 1 h. Before and after the sustained knee extension, MVC force was measured. The surface electromyogram was recorded from the rectus femoris (RF), vastus lateralis (VL), and vastus medialis (VM) muscles. The frequency of alternate muscle activity for RF-VL, RF-VM, and VL-VM pairs was determined during the sustained contraction. The frequency of alternate muscle activity ranged from 4 to 11 times/h for RF-VL (7.0 ± 2.0 times/h) and RF-VM (7.0 ± 1.9 times/h) pairs, but it was only 0 to 2 times/h for the VL-VM pair (0.5 ± 0.7 times/h). MVC force after the sustained contraction decreased by 14% ( P < 0.01) from 573.6 ± 145.2 N to 483.3 ± 130.5 N. The amount of reduction in MVC force was negatively correlated with the frequency of alternate muscle activity for the RF-VL and RF-VM pairs ( P < 0.001 and r = 0.65 for both) but not for the VL-VM pair. The results demonstrate that subjects with more frequent alternate muscle activity experience less muscle fatigue. We conclude that the alternate muscle activity between synergist muscles attenuates muscle fatigue.

Wrist and Shoulder Muscle Activity Changes Across Computer Tasks

2002 ◽  
Vol 46 (13) ◽  
pp. 1129-1132 ◽  
Author(s):  
Jack Dennerlein ◽  
Maria-Helena DiMarino ◽  
Ted Becker ◽  
Peter Johnson
Keyword(s):  
Muscle Activity ◽  
Maximum Voluntary Contraction ◽  
Trapezius Muscle ◽  
Surface Emg ◽  
Voluntary Contraction ◽  
Office Work ◽  
Shoulder Muscle ◽  
Physical Risk Factors ◽  
Computer Workstation ◽  
Muscle Groups

The computer workstation is a ubiquitous tool in the office work environment; however, its use varies across many different tasks from surfing the Internet to typing. The question, therefore, is how does exposure to different physical risk factors for musculoskeletal disorders vary across tasks? Fifteen adults (10 females, 5 males) completed tasks simulating work at a computer workstation. The tasks were typing text, completing an html-based form, editing a document, a graphics task, and finally navigating through a series of web pages. During these tasks the muscle activity of the wrist prime movers and three shoulder muscle groups were recorded using surface EMG. For the wrist, the extensors were the most active ranging on average from 8 to 25 percent of Maximum Voluntary Contraction amplitude, with the greatest activity occurring in the typing task. The wrist activity decreased when the work changed from a keyboard-based activity to predominantly mouse-based activity. For the shoulder, the greatest activity was in the Trapezius muscle. The shoulder muscles were most active when both the mouse and the keyboard were required by the task. in summary, wrist and shoulder muscle activities at a computer workstation depend upon the type of task at hand.

FORCE SUMMATION AND TWITCH POTENTIATION CAPACITY IN HUMAN ANKLE PLANTAR- AND DORSI-FLEXOR MUSCLES

2014 ◽  
Vol 17 (04) ◽  
pp. 1450015
Author(s):  
Yoichi Ohta ◽  
Kengo Yotani
Keyword(s):  
Muscle Function ◽  
Pulse Train ◽  
Maximum Voluntary Contraction ◽  
Voluntary Contraction ◽  
Twitch Potentiation ◽  
Flexor Muscles ◽  
Human Ankle ◽  
Before And After ◽  
Isometric Torque ◽  
Plantar Flexor Muscles

Purpose: The present study aimed to clarify inter-individual correlation between the magnitudes of force summation and the post-activation potentiation (PAP), in human ankle plantar- and dorsi-flexor muscles. Methods: We analyzed 10 male participants plantar-flexor muscles and the 12 male participants dorsi-flexor muscles using a database from a previous study. Before and after maximum voluntary contraction, we measured the amount of isometric torque evoked by a single, double- and triple-pulse train stimulus. Results: The magnitude of PAP was significantly positively correlated with the magnitude of force summation in both the plantar- and dorsi-flexor muscles. Conclusions: The present study confirmed the correlation between the magnitudes of force summation and PAP in human ankle plantar- and dorsi-flexor muscles. This suggests that muscle characteristics affecting the force summation capacity depend on the PAP, to some degree. These results suggest that the combination of both parameters might enhance the usefulness of evaluating changes in muscle function using intrinsic contractile properties.

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