Effects of Levodopa on Laryngeal Muscle Activity for Voice Onset and Offset in Parkinson Disease

2001 ◽  
Vol 44 (6) ◽  
pp. 1284-1299 ◽  
Author(s):  
Sally Gallena ◽  
Paul J. Smith ◽  
Thomas Zeffiro ◽  
Christy L. Ludlow
Keyword(s):  
Parkinson Disease ◽  
Muscle Activity ◽  
Vocal Fold ◽  
Muscle Activation ◽  
Activity Levels ◽  
Laryngeal Muscle ◽  
Idiopathic Parkinson Disease ◽  
Before And After ◽  
Research Volunteers ◽  
Thyroarytenoid Muscle

The laryngeal pathophysiology underlying the speech disorder in idiopathic Parkinson disease (IPD) was addressed in this electromyographic study of laryngeal muscle activity. This muscle activity was examined during voice onset and offset gestures in 6 persons in the early stages of IPD who were not receiving medication. The purpose was to determine (a) if impaired voice onset and offset control for speech and vocal fold bowing were related to abnormalities in laryngeal muscle activity in the nonmedicated state and (b) if these attributes change with levodopa. Blinded listeners rated the IPD participants' voice onset and offset control before and after levodopa was administered. In the nonmedi-cated state, the IPD participants' vocal fold bowing was examined on nasoendo-scopy, and laryngeal muscle activity levels were compared with normal research volunteers. The IPD participants were then administered a therapeutic dose of levodopa, and changes in laryngeal muscle activity for voice onset and offset gestures were measured during the same session. Significant differences were found between IPD participants in the nonmedicated state:those with higher levels of muscle activation had vocal fold bowing and greater impairment in voice onset and offset control for speech. Similarly, following levodopa administration, those with thyroarytenoid muscle activity reductions had greater improvements in voice onset and offset control for speech. In this study, voice onset and offset control ifficulties and vocal fold bowing were associated with increased levels of aryngeal muscle activity in the absence of medication.

Effects of Botulinum Toxin on Pathophysiology in Spasmodic Dysphonia

2000 ◽  
Vol 109 (2) ◽  
pp. 194-203 ◽  
Author(s):  
Steven Bielamowicz ◽  
Christy L. Ludlow
Keyword(s):  
Botulinum Toxin ◽  
Muscle Activity ◽  
Muscle Activation ◽  
Botulinum Toxin Injection ◽  
Symptom Relief ◽  
Spasmodic Dysphonia ◽  
Laryngeal Muscle ◽  
Adductor Spasmodic Dysphonia ◽  
Before And After ◽  
Thyroarytenoid Muscle

To determine the mechanism of symptom relief with treatment by botulinum toxin injection in persons with adductor spasmodic dysphonia (ADSD), we evaluated the effects of unilateral thyroarytenoid muscle injections on both injected and noninjected muscles in 10 subjects with ADSD, using electromyography on both sides of the larynx before and after treatment. The subjects' speech symptoms were reduced (p = .005) 2 weeks following injection, when the electromyographic study occurred. Muscle activation levels and the numbers of spasmodic muscle bursts decreased significantly (p ≤ .03) postinjection in both the injected and noninjected muscles. The reductions in laryngeal muscle bursts correlated with symptom reduction (r ≥ .7) in all muscles. Reductions in laryngeal muscle bursts did not relate to either absolute or normalized levels of muscle activity before or after botulinum toxin injection. The results suggest that changes in the central pathophysiology are responsible for changes in speech symptoms following treatment.

Function of the Thyroarytenoid Muscle in a Canine Laryngeal Model

1993 ◽  
Vol 102 (10) ◽  
pp. 769-776 ◽  
Author(s):  
Hong-Shik Choi ◽  
Ming Ye ◽  
Gerald S. Berke ◽  
Jody Kreiman
Keyword(s):  
Muscle Activity ◽  
High Frequency ◽  
Vocal Fold ◽  
Muscle Activation ◽  
Thyroid Cartilage ◽  
Vocal Folds ◽  
Vocal Fold Vibration ◽  
Thyroarytenoid Muscle

Fundamental frequency is controlled by contraction of the thyroarytenoid (TA) and cricothyroid (CT) muscles. While activity of the CT muscle is known to tense and thin the vocal folds, little is known about the effect of the TA muscle on vocal fold vibration. An in vivo canine laryngeal model was used to examine the role of the TA muscle in controlling phonation. Isolated TA muscle activation was obtained by stimulating sectioned terminal TA branches through small thyroid cartilage windows. Subglottic pressure measures, electroglottographic and photoglottographic signals, and acoustic signals were obtained in 5 mongrel dogs during dynamic and static variations in TA muscle activity. Results indicated that TA muscle activation is a major determinant in sudden shifts from high-frequency to modal phonation. Subglottic pressure increased and open quotient decreased gradually with increasing TA activation.

Validation and comparison of trunk muscle activities in male participants during exercise using an innovative device and abdominal bracing maneuvers

2021 ◽  
pp. 1-8
Author(s):  
Yuki Kurokawa ◽  
Satoshi Kato ◽  
Satoru Demura ◽  
Kazuya Shinmura ◽  
Noriaki Yokogawa ◽  
...  
Keyword(s):  
Muscle Activity ◽  
Muscle Activation ◽  
Voluntary Contraction ◽  
Trunk Muscle ◽  
Erector Spinae ◽  
Trunk Muscles ◽  
Activity Levels ◽  
Significant Difference ◽  
External Oblique ◽  
Internal Oblique

BACKGROUND: Abdominal bracing is effective in strengthening the trunk muscles; however, assessing performance can be challenging. We created a device for performing abdominal trunk muscle exercises. The effectiveness of this device has not yet been evaluated or compared OBJECTIVE: We aimed to quantify muscle activity levels during exercise using our innovative device and to compare them with muscle activation during abdominal bracing maneuvers. METHODS: This study included 10 men who performed abdominal bracing exercises and exercises using our device. We measured surface electromyogram (EMG) activities of the rectus abdominis (RA), external oblique, internal oblique (IO), and erector spinae (ES) muscles in each of the exercises. The EMG data were normalized to those recorded during maximal voluntary contraction (%EMGmax). RESULTS: During the bracing exercise, the %EMGmax of IO was significantly higher than that of RA and ES (p< 0.05), whereas during the exercises using the device, the %EMGmax of IO was significantly higher than that of ES (p< 0.05). No significant difference was observed in the %EMGmax of any muscle between bracing exercises and the exercises using the device (p= 0.13–0.95). CONCLUSIONS: The use of our innovative device results in comparable activation to that observed during abdominal bracing.

Laryngeal Muscle Activity and Vocal Fold Adduction During Chest, Chestmix, Headmix, and Head Registers in Females

2012 ◽  
Vol 26 (2) ◽  
pp. 182-193 ◽  
Author(s):  
Karen Ann Kochis-Jennings ◽  
Eileen M. Finnegan ◽  
Henry T. Hoffman ◽  
Sanyukta Jaiswal
Keyword(s):  
Muscle Activity ◽  
Vocal Fold ◽  
Laryngeal Muscle

scholarly journals Interaction Between the Thyroarytenoid and Lateral Cricoarytenoid Muscles in the Control of Vocal Fold Adduction and Eigenfrequencies

2014 ◽  
Vol 136 (11) ◽  
Author(s):  
Jun Yin ◽  
Zhaoyan Zhang
Keyword(s):  
Vocal Fold ◽  
Muscle Activation ◽  
Cricoid Cartilage ◽  
Voice Quality ◽  
Three Dimensional ◽  
Vocal Folds ◽  
Element Model ◽  
Anterior Portion ◽  
Posterior Portion ◽  
Laryngeal Muscle

Although it is known vocal fold adduction is achieved through laryngeal muscle activation, it is still unclear how interaction between individual laryngeal muscle activations affects vocal fold adduction and vocal fold stiffness, both of which are important factors determining vocal fold vibration and the resulting voice quality. In this study, a three-dimensional (3D) finite element model was developed to investigate vocal fold adduction and changes in vocal fold eigenfrequencies due to the interaction between the lateral cricoarytenoid (LCA) and thyroarytenoid (TA) muscles. The results showed that LCA contraction led to a medial and downward rocking motion of the arytenoid cartilage in the coronal plane about the long axis of the cricoid cartilage facet, which adducted the posterior portion of the glottis but had little influence on vocal fold eigenfrequencies. In contrast, TA activation caused a medial rotation of the vocal folds toward the glottal midline, resulting in adduction of the anterior portion of the glottis and significant increase in vocal fold eigenfrequencies. This vocal fold-stiffening effect of TA activation also reduced the posterior adductory effect of LCA activation. The implications of the results for phonation control are discussed.

Effect of Knee Joint Angle on Regional Hamstrings Activation During Isometric Knee-Flexion Exercise

2020 ◽  
pp. 1-6
Author(s):  
Raki Kawama ◽  
Masamichi Okudaira ◽  
David H. Fukuda ◽  
Hirohiko Maemura ◽  
Satoru Tanigawa
Keyword(s):  
Knee Joint ◽  
Muscle Activity ◽  
Repeated Measures ◽  
Knee Flexion ◽  
Muscle Activation ◽  
Joint Angle ◽  
Motor Nerve ◽  
Activity Level ◽  
Activity Levels ◽  
Knee Joint Angle

Context: Each hamstring muscle is subdivided into several regions by multiple motor nerve branches, which implies each region has different muscle activation properties. However, little is known about the muscle activation of each region with a change in the knee joint angle. Understanding of regional activation of the hamstrings could be helpful for designing rehabilitation and training programs targeted at strengthening a specific region. Objective: To investigate the effect of knee joint angle on the activity level of several regions within the individual hamstring muscles during isometric knee-flexion exercise with maximal effort (MVCKF). Design: Within-subjects repeated measures. Setting: University laboratory. Participants: Sixteen young males with previous participation in sports competition and resistance training experience. Intervention: The participants performed 2 MVCKF trials at each knee joint angle of 30°, 60°, and 90°. Outcome Measures: Surface electromyography was used to measure muscle activity in the proximal, middle, and distal regions of the biceps femoris long head (BFlh), semitendinosus, and semimembranosus of hamstrings at 30°, 60°, and 90° of knee flexion during MVCKF. Results: Muscle activity levels in the proximal and middle regions of the BFlh were higher at 30° and 60° of knee flexion than at 90° during MVCKF (all: P < .05). Meanwhile, the activity levels in the distal region of the BFlh were not different among all of the evaluated knee joint angles. In semitendinosus and semimembranosus, the activity levels were higher at 30° and 60° than at 90°, regardless of region (all: P < .05). Conclusion: These findings suggest that the effect of knee joint angle on muscle activity level differs between regions of the BFlh, whereas that is similar among regions of semitendinosus and semimembranosus during MVCKF.

Aerodynamic Mechanisms Underlying Treatment-Related Changes in Vocal Intensity in Patients With Parkinson Disease

1996 ◽  
Vol 39 (4) ◽  
pp. 798-807 ◽  
Author(s):  
Lorraine Olson Ramig ◽  
Christopher Dromey
Keyword(s):  
Parkinson Disease ◽  
Sound Pressure Level ◽  
Vocal Fold ◽  
Sound Pressure ◽  
Maximum Flow ◽  
Pressure Level ◽  
Syllable Repetition ◽  
Before And After ◽  
Subglottal Pressure ◽  
Vocal Intensity

The purpose of this study was to document changes in aerodynamic and glottographic aspects of vocal function in patients with Parkinson disease who received two forms of high effort treatment. Previous reports (Ramig, Countryman, Thompson, & Horii, 1995) have documented increased sound pressure level (SPL) following treatment that trained phonation and respiration (Lee Silverman Voice Treatment: LSVT), but not for treatment that trained respiration only (R). In order to examine the mechanisms underlying these differences, measures of maximum flow declination rate (MFDR) and estimated subglottal pressure (Psub) were made before and after treatment. A measure of relative vocal fold adduction (EGGW) was made from the electroglottographic signal during sustained vowel phonation. Sound pressure level data from syllable repetition, sustained vowel phonation, reading, and monologue tasks were also analyzed to allow a more detailed understanding of treatment-related change in several contexts. Consistent with increases in SPL, significant increases in MFDR, estimated Psub, and EGGW were measured posttreatment in patients who received the LSVT. Similar changes were not observed following R treatment. These findings suggest that the combination of increased vocal fold adduction and subglottal pressure is a key in generating posttreatment increases in vocal intensity in idiopathic Parkinson disease (IPD).

scholarly journals Vision fine-tunes preparation for landing in the cane toad, Rhinella marina

2018 ◽  
Vol 14 (9) ◽  
pp. 20180397 ◽  
Author(s):  
Laura J. Ekstrom ◽  
Chris Panzini ◽  
Gary B. Gillis
Keyword(s):  
Muscle Activity ◽  
Muscle Activation ◽  
Activity Patterns ◽  
Fine Tuning ◽  
Emg Activity ◽  
Activation Patterns ◽  
Muscle Activation Patterns ◽  
Impact Forces ◽  
Before And After ◽  
The Impact

In toad hopping, the hindlimbs generate the propulsive force for take-off while the forelimbs resist the impact forces associated with landing. Preparing to perform a safe landing, in which impact forces are managed appropriately, likely involves the integration of multiple types of sensory feedback. In toads, vestibular and/or proprioceptive feedback is critical for coordinated landing; however, the role of vision remains unclear. To clarify this, we compare pre-landing forelimb muscle activation patterns before and after removing vision. Specifically, we recorded EMG activity from two antagonistic forelimb muscles, the anconeus and coracoradialis, which demonstrate distance-dependent onset timing and recruitment intensity, respectively. Toads were first recorded hopping normally and then again after their optic nerves were severed to remove visual feedback. When blind, toads exhibited hop kinematics and pre-landing muscle activity similar to when sighted. However, distance-dependent relationships for muscle activity patterns were more variable, if present at all. This study demonstrates that blind toads are still able to perform coordinated landings, reinforcing the importance of proprioceptive and/or vestibular feedback during hopping. But the increased variability in distance-dependent activity patterns indicates that vision is more responsible for fine-tuning the motor control strategy for landing.

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