Force control of quadriceps muscle is bilaterally impaired in subacute stroke

2011 ◽  
Vol 111 (5) ◽  
pp. 1290-1295 ◽  
Author(s):  
John W. Chow ◽  
Dobrivoje S. Stokic
Keyword(s):  
Force Control ◽  
Maximum Voluntary Contraction ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
Voluntary Contraction ◽  
Force Variability ◽  
Stroke Patients ◽  
Subacute Stroke ◽  
Peak Knee ◽  
Isometric Knee Extension

We tested the hypothesis that force variability and error during maintenance of submaximal isometric knee extension are greater in subacute stroke patients than in controls and are related to motor impairments. Contralesional (more-affected) and ipsilesional (less-affected) legs of 33 stroke patients with sufficiently high motor abilities (62 ± 13 yr, 16 ± 2 days postinjury) and the dominant leg of 20 controls (62 ± 10 yr) were tested in sitting position. After peak knee extension torque [maximum voluntary contraction (MVC)] was established, subjects maintained 10, 20, 30, and 50% of MVC as steady and accurate as possible for 10 s by matching voluntary force to the target level displayed on a monitor. Coefficient of variation (CV) and root-mean-square error (RMSE) were used to quantify force variability and error, respectively. The MVC was significantly smaller in the more-affected than less-affected leg, and both were significantly lower than in controls. The CV was significantly larger in the more-affected than less-affected leg at 20 and 50% MVC, whereas both were significantly larger compared with controls across all force levels. Both more-affected and less-affected legs of patients showed significantly greater RMSE than controls at 30 and 50% MVC. The CV and RMSE were not related to the Fugl-Meyer motor score or to the Rivermead Mobility Index. The CV negatively correlated with MVC in controls but only in the less-affected leg of patients. It is concluded that isometric knee extension strength and force control are bilaterally impaired soon after stroke but more so in the more-affected leg. Future studies should examine possible mechanisms and the evolution of these changes.

scholarly journals Post-Activation Potentiation and Fatigue of Quadriceps Muscle after Continuous Isometric Contractions at Maximal and Submaximal Intensities

2018 ◽  
Vol 4 (67) ◽  
Author(s):  
Nerijus Masiulis ◽  
Albertas Skurvydas ◽  
Sigitas Kamandulis ◽  
Jūratė Kudirkaitė ◽  
Vytautas Sukockas ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Recovery Period ◽  
Maximum Voluntary Contraction ◽  
Isometric Exercise ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
Voluntary Contraction ◽  
Contractile Properties ◽  
Contraction Time ◽  
Isometric Knee Extension

The dominance of fatigue or post-activation potentiation (PAP) depends on the type, intensity, and duration of exercise and duration of the recovery before contractility is tested. Although the decrease in PAP magnitude with decreased exercise intensity is well documented (Vandervoort et al., 1983; Behm et al., 2004), it is not clear how PAP and fatigue influences the contractile properties of skeletal muscle when exercise is of different intensity but with the same amount of work performed. Thus it is important to understand the manifestation of PAP and fatigue of skeletal muscle after continuous maximal and submaximal contractions but with the same amount of work performed. Eight healthy untrained men (age 23—27 years, mass 83.5 ± 5.4 kg) performed maximal sustained isometric knee extension for 30 s (MVC-30 s) and on the other occasion the same subject performed sustained isometric knee extension for 60 s at 50% of maximal (50% MVC-60 s). We assumed that the amount of performed work was the same during both MVC-30 s and 50% MVC-60 s exercises. The experimental order was randomized. The contractile properties of quadriceps muscle evoked by electrical stimulation at 1 Hz (P 1), 10 Hz (P 10), 20 Hz (P 20), and 50 Hz (P 50) as well as contraction time (CT) and relaxation time (RT) of single twitch (P 1) and EMGrms of v. lateralis muscle were recorded before and immediately after the exercises (0 min) and 1, 2, and 3 min following the exercises. A significantly greater potentiation (p < 0.05) of P1 was observed after 30-s MVC (MVC-30 s) compared with the 60-s MVC (50% MVC-60 s) immediately after exercise and at 1 min of recovery. No changes in P 1 contraction time (CT) were observed during 3 min recovery period, however half relaxation of P 1 (½ RT) was more prolonged (p < 0.05) immediately after 50% MVC-60 s exercises. Moreover, immediately and 1 min post exercise the P 10 force after MVC-30 s exercise was higher (p < 0.05) compared to 50% MVC-60 s exercise. No differences between MVC-30 s and 50% MVC-60 s exercises were observed at high stimulation frequencies, maximal voluntary contraction force (MVC) as well as for EMGrms values during 3 min recovery period. The main finding of the present study was that PAP was observed after both maximal and submaximal intensity exercises when the same amount of work was performed. The more intensively exercise is performed, the more PAP offsets fatigue straight after exercise (maximal intensity); while after submaximal exercise PAP becomes more evident only during the recovery period.Keywords: skeletal muscle, isometric exercise, maximum voluntary contraction, recovery.

scholarly journals Improvements in force variability and structure from vision- to memory-guided submaximal isometric knee extension in subacute stroke

2018 ◽  
Vol 124 (3) ◽  
pp. 592-603 ◽  
Author(s):  
John W. Chow ◽  
Dobrivoje S. Stokic
Keyword(s):  
Visual Feedback ◽  
Memory Retrieval ◽  
Spectral Power ◽  
Maximum Voluntary Contraction ◽  
Knee Extension ◽  
Force Variability ◽  
Median Frequency ◽  
Subacute Stroke ◽  
Isometric Knee Extension ◽  
Force Signal

We examined changes in variability, accuracy, frequency composition, and temporal regularity of force signal from vision-guided to memory-guided force-matching tasks in 17 subacute stroke and 17 age-matched healthy subjects. Subjects performed a unilateral isometric knee extension at 10, 30, and 50% of peak torque [maximum voluntary contraction (MVC)] for 10 s (3 trials each). Visual feedback was removed at the 5-s mark in the first two trials (feedback withdrawal), and 30 s after the second trial the subjects were asked to produce the target force without visual feedback (force recall). The coefficient of variation and constant error were used to quantify force variability and accuracy. Force structure was assessed by the median frequency, relative spectral power in the 0–3-Hz band, and sample entropy of the force signal. At 10% MVC, the force signal in subacute stroke subjects became steadier, more broadband, and temporally more irregular after the withdrawal of visual feedback, with progressively larger error at higher contraction levels. Also, the lack of modulation in the spectral frequency at higher force levels with visual feedback persisted in both the withdrawal and recall conditions. In terms of changes from the visual feedback condition, the feedback withdrawal produced a greater difference between the paretic, nonparetic, and control legs than the force recall. The overall results suggest improvements in force variability and structure from vision- to memory-guided force control in subacute stroke despite decreased accuracy. Different sensory-motor memory retrieval mechanisms seem to be involved in the feedback withdrawal and force recall conditions, which deserves further study. NEW & NOTEWORTHY We demonstrate that in the subacute phase of stroke, force signals during a low-level isometric knee extension become steadier, more broadband in spectral power, and more complex after removal of visual feedback. Larger force errors are produced when recalling target forces than immediately after withdrawing visual feedback. Although visual feedback offers better accuracy, it worsens force variability and structure in subacute stroke. The feedback withdrawal and force recall conditions seem to involve different memory retrieval mechanisms.

scholarly journals Motor control differs for increasing and releasing force

2016 ◽  
Vol 115 (6) ◽  
pp. 2924-2930 ◽  
Author(s):  
Seoung Hoon Park ◽  
MinHyuk Kwon ◽  
Danielle Solis ◽  
Neha Lodha ◽  
Evangelos A. Christou
Keyword(s):  
Older Adults ◽  
Force Control ◽  
Discharge Rate ◽  
Maximum Voluntary Contraction ◽  
Motor Units ◽  
Voluntary Contraction ◽  
Force Variability ◽  
Force Output ◽  
Force Increase ◽  
Change In Mean

Control of the motor output depends on our ability to precisely increase and release force. However, the influence of aging on force increase and release remains unknown. The purpose of this study, therefore, was to determine whether force control differs while increasing and releasing force in young and older adults. Sixteen young adults (22.5 ± 4 yr, 8 females) and 16 older adults (75.7 ± 6.4 yr, 8 females) increased and released force at a constant rate (10% maximum voluntary contraction force/s) during an ankle dorsiflexion isometric task. We recorded the force output and multiple motor unit activity from the tibialis anterior (TA) muscle and quantified the following outcomes: 1) variability of force using the SD of force; 2) mean discharge rate and variability of discharge rate of multiple motor units; and 3) power spectrum of the multiple motor units from 0–4, 4–10, 10–35, and 35–60 Hz. Participants exhibited greater force variability while releasing force, independent of age ( P < 0.001). Increased force variability during force release was associated with decreased modulation of multiple motor units from 35 to 60 Hz ( R2 = 0.38). Modulation of multiple motor units from 35 to 60 Hz was further correlated to the change in mean discharge rate of multiple motor units ( r = 0.66) and modulation from 0 to 4 Hz ( r = −0.64). In conclusion, these findings suggest that force control is altered while releasing due to an altered modulation of the motor units.

scholarly journals Characterizing rapid-onset vasodilation to single muscle contractions in the human leg

2015 ◽  
Vol 118 (4) ◽  
pp. 455-464 ◽  
Author(s):  
Daniel P. Credeur ◽  
Seth W. Holwerda ◽  
Robert M. Restaino ◽  
Phillip M. King ◽  
Kiera L. Crutcher ◽  
...  
Keyword(s):  
Maximum Voluntary Contraction ◽  
Knee Extensor ◽  
Rapid Onset ◽  
Knee Extension ◽  
Voluntary Contraction ◽  
Muscle Contractions ◽  
Isometric Contractions ◽  
Single Muscle ◽  
Isometric Knee Extension ◽  
Mechanical Factors

Rapid-onset vasodilation (ROV) following single muscle contractions has been examined in the forearm of humans, but has not yet been characterized in the leg. Given known vascular differences between the arm and leg, we sought to characterize ROV following single muscle contractions in the leg. Sixteen healthy men performed random ordered single contractions at 5, 10, 20, 40, and 60% of their maximum voluntary contraction (MVC) using isometric knee extension made with the leg above and below heart level, and these were compared with single isometric contractions of the forearm (handgrip). Single thigh cuff compressions (300 mmHg) were utilized to estimate the mechanical contribution to leg ROV. Continuous blood flow was determined by duplex-Doppler ultrasound and blood pressure via finger photoplethysmography (Finometer). Single isometric knee extensor contractions produced intensity-dependent increases in peak leg vascular conductance that were significantly greater than the forearm in both the above- and below-heart level positions (e.g., above heart level: leg 20% MVC, +138 ± 28% vs. arm 20% MVC, +89 ± 17%; P < 0.05). Thigh cuff compressions also produced a significant hyperemic response, but these were brief and smaller in magnitude compared with single isometric contractions in the leg. Collectively, these data demonstrate the presence of a rapid and robust vasodilation to single muscle contractions in the leg that is largely independent of mechanical factors, thus establishing the leg as a viable model to study ROV in humans.

Alternate muscle activity observed between knee extensor synergists during low-level sustained contractions

2002 ◽  
Vol 93 (2) ◽  
pp. 675-684 ◽  
Author(s):  
Motoki Kouzaki ◽  
Minoru Shinohara ◽  
Kei Masani ◽  
Hiroaki Kanehisa ◽  
Tetsuo Fukunaga
Keyword(s):  
Muscle Activity ◽  
Vastus Lateralis ◽  
Force Production ◽  
Knee Extensor ◽  
Rectus Femoris ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
Voluntary Contraction ◽  
Low Level ◽  
Integrated Emg

To determine quantitatively the features of alternate muscle activity between knee extensor synergists during low-level prolonged contraction, a surface electromyogram (EMG) was recorded from the rectus femoris (RF), vastus lateralis (VL), and vastus medialis (VM) in 11 subjects during isometric knee extension exercise at 2.5% of maximal voluntary contraction (MVC) for 60 min ( experiment 1). Furthermore, to examine the relation between alternate muscle activity and contraction levels, six of the subjects also performed sustained knee extension at 5.0, 7.5, and 10.0% of MVC ( experiment 2). Alternate muscle activity among the three muscles was assessed by quantitative analysis on the basis of the rate of integrated EMG sequences. In experiment 1, the number of alternations was significantly higher between RF and either VL or VM than between VL and VM. Moreover, the frequency of alternate muscle activity increased with time. In experiment 2, alternating muscle activity was found during contractions at 2.5 and 5.0% of MVC, although not at 7.5 and 10.0% of MVC, and the number of alternations was higher at 2.5 than at 5.0% of MVC. Thus the findings of the present study demonstrated that alternate muscle activity in the quadriceps muscle 1) appears only between biarticular RF muscle and monoarticular vasti muscles (VL and VM), and its frequency of alternations progressively increases with time, and 2) emerges under sustained contraction with force production levels ≤5.0% of MVC.

scholarly journals Post-Activation Potentiation and Fatigue in Quadriceps Femoral Muscle after a 5 s Maximal Voluntary Isometric Contraction

2018 ◽  
Vol 1 (68) ◽  
Author(s):  
Nerijus Masiulis ◽  
Albertas Skurvydas ◽  
Sigitas Kamandulis ◽  
Audrius Sniečkus ◽  
Marius Brazaitis ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Isometric Exercise ◽  
Low Frequency ◽  
Quadriceps Muscle ◽  
Knee Extension ◽  
Voluntary Contraction ◽  
Simultaneous Occurrence ◽  
Contraction Force ◽  
Maximal Voluntary Isometric Contraction ◽  
Low Frequency Fatigue

Following an acute physical exercise, both post-activation potentiation and fatigue of the neuromuscular apparatus may occur. The voluntary recruitment of motor units occurs with frequencies that elicit incompletely fused tetanic contractions and these frequencies are most susceptible for post-activation potentiation as well as low-frequency fatigue. Therefore, the goal of the present study was to investigate which of the processes post-activation potentiation or low-frequency fatigue will be prevalent after 5 s maximal voluntary contraction (MVC). Eight healthy untrained men (age 24—35 years, mass 81.2 ± 5.1 kg) performed maximal sustained isometric knee extension for 5 s at a knee angle of 90 degrees. The contractile properties of quadriceps muscle evoked by electrical stimulation at 1, 7, 10, 15, 20, 50 Hz and 100 Hz, were recorded before and immediately after the exercise and 3, 5, and 10 min following the exercise. The rest interval between muscle electrical stimulation was 3 s. A significant raise of force evoked by 1—15 Hz stimulation was observed immediately after the 5 s MVC exercise (p < 0.01). Later in recovery (at 10 min) the contraction force at 15 Hz and 20 Hz significantly decreased (p < 0.05). Tetanic force at 50 Hz and 100 Hz demonstrated a significant decrease immediately after the exercise and remained depressed up to 3 min (p < 0.01). The ratio of 20 / 50 Hz recorded immediately after the 5 s MVC increased significantly (p < 0.05), however 10 min after the exercise there was a significant decrease compared to its initial level (p < 0.05). The simultaneous occurrence of post-activation potentiation at low stimulation frequencies and suppressed forces at high stimulation frequencies suggests that potentiation and fatigue mechanisms were acting concurrently. Moreover, when post-activation potentiation is lost (in 10 min after the 5 s MVC exercise), the contraction force at low stimulation frequencies decreases resulting in significant low-frequency fatigue.Keywords: isometric exercise, electrical stimulation, low-frequency fatigue, recovery.

scholarly journals Effects of force level and task difficulty on force control performance in elderly people

2020 ◽  
Vol 238 (10) ◽  
pp. 2179-2188
Author(s):  
Caren Strote ◽  
Christian Gölz ◽  
Julia Kristin Stroehlein ◽  
Franziska Katharina Haase ◽  
Dirk Koester ◽  
...  
Keyword(s):  
Elderly People ◽  
Force Control ◽  
Task Difficulty ◽  
Negative Impact ◽  
Maximum Voluntary Contraction ◽  
Real Life ◽  
Voluntary Contraction ◽  
Fine Motor ◽  
Force Level ◽  
Control Performance

Abstract As the proportion of people over 60 years of age rises continuously in westernized societies, it becomes increasingly important to better understand aging processes and how to maintain independence in old age. Fine motor tasks are essential in daily living and, therefore, necessary to maintain. This paper extends the existing literature on fine motor control by manipulating the difficulty of a force maintenance task to characterize performance optima for elderly. Thirty-seven elderly (M = 68.00, SD = 4.65) performed a force control task at dynamically varying force levels, i.e. randomly changing every 3 s between 10%, 20%, and 30% of the individual’s maximum voluntary contraction (MVC). This task was performed alone or with one or two additional tasks to increase task difficulty. The force control characteristics accuracy, variability, and complexity were analyzed. Lowest variability was observed at 20%. Accuracy and complexity increased with increasing force level. Overall, increased task difficulty had a negative impact on task performance. Results support the assumption, that attention control has a major impact on force control performance in elderly people. We assume different parameters to have their optimum at different force levels, which remain comparably stable when additional tasks are performed. The study contributes to a better understanding of how force control is affected in real-life situations when it is performed simultaneously to other cognitive and sensory active and passive tasks.

Self–Myofascial Release: No Improvement of Functional Outcomes in “Tight” Hamstrings

2016 ◽  
Vol 11 (5) ◽  
pp. 658-663 ◽  
Author(s):  
Robert W. Morton ◽  
Sara Y. Oikawa ◽  
Stuart M. Phillips ◽  
Michaela C. Devries ◽  
Cameron J. Mitchell
Keyword(s):  
Maximum Voluntary Contraction ◽  
Knee Extension ◽  
Voluntary Contraction ◽  
Muscle Stiffness ◽  
Therapeutic Modality ◽  
Myofascial Release ◽  
Joint Range Of Motion ◽  
Joint Range ◽  
Torque Development

Purpose:Self–myofascial release (SMR) is a common exercise and therapeutic modality shown to induce acute improvements in joint range of motion (ROM) and recovery; however, no long-term studies have been conducted. Static stretching (SS) is the most common method used to increase joint ROM and decrease muscle stiffness. It was hypothesized that SMR paired with SS (SMR+SS) compared with SS alone over a 4-wk intervention would yield greater improvement in knee-extension ROM and hamstring stiffness.Methods:19 men (22 ± 3 y) with bilateral reduced hamstring ROM had each of their legs randomly assigned to either an SMR+SS or an SS-only group. The intervention consisted of 4 repetitions of SS each for 45 s or the identical amount of SS preceded by 4 repetitions of SMR each for 60 s and was performed on the respective leg twice daily for 4 wk. Passive ROM, hamstring stiffness, rate of torque development (RTD), and maximum voluntary contraction (MVC) were assessed pre- and postintervention.Results:Passive ROM (P < .001), RTD, and MVC (P < .05) all increased after the intervention. Hamstring stiffness toward end-ROM was reduced postintervention (P = .02). There were no differences between the intervention groups for any variable.Conclusion:The addition of SMR to SS did not enhance the efficacy of SS alone. SS increases joint ROM through a combination of decreased muscle stiffness and increased stretch tolerance.

scholarly journals Visual feedback improves bimanual force control performances at planning and execution levels

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hyun Joon Kim ◽  
Joon Ho Lee ◽  
Nyeonju Kang ◽  
James H. Cauraugh
Keyword(s):  
Visual Feedback ◽  
Force Control ◽  
Maximum Voluntary Contraction ◽  
Correlation Coefficients ◽  
Uncontrolled Manifold ◽  
Force Variability ◽  
Motor Synergies ◽  
Multiple Trials ◽  
Motor Synergy ◽  
Force Accuracy

AbstractThe purpose of this study was to determine the effect of different visual conditions and targeted force levels on bilateral motor synergies and bimanual force control performances. Fourteen healthy young participants performed bimanual isometric force control tasks by extending their wrists and fingers under two visual feedback conditions (i.e., vision and no-vision) and three targeted force levels (i.e., 5%, 25%, and 50% of maximum voluntary contraction: MVC). To estimate bilateral motor synergies across multiple trials, we calculated the proportion of good variability relative to bad variability using an uncontrolled manifold analysis. To assess bimanual force control performances within a trial, we used the accuracy, variability, and regularity of total forces produced by two hands. Further, analysis included correlation coefficients between forces from the left and right hands. In addition, we examined the correlations between altered bilateral motor synergies and force control performances from no-vision to vision conditions for each targeted force level. Importantly, our findings revealed that the presence of visual feedback increased bilateral motor synergies across multiple trials significantly with a reduction of bad variability as well as improved bimanual force control performances within a trial based on higher force accuracy, lower force variability, less force regularity, and decreased correlation coefficients between hands. Further, we found two significant correlations in (a) increased bilateral motor synergy versus higher force accuracy at 5% of MVC and (b) increased bilateral motor synergy versus lower force variability at 50% of MVC. Together, these results suggested that visual feedback effectively improved both synergetic coordination behaviors across multiple trials and stability of task performance within a trial across various submaximal force levels.

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