Changes in Segmental and Motor Cortical Output With Contralateral Muscle Contractions and Altered Sensory Inputs in Humans

2003 ◽  
Vol 90 (4) ◽  
pp. 2451-2459 ◽  
Author(s):  
Tibor Hortobágyi ◽  
Janet L. Taylor ◽  
Nicolas T. Petersen ◽  
Gabrielle Russell ◽  
Simon C. Gandevia
Keyword(s):  
Muscle Contraction ◽  
Nerve Stimulation ◽  
Motor Evoked Potentials ◽  
Muscle Spindles ◽  
Voluntary Contraction ◽  
H Reflex ◽  
Tendon Vibration ◽  
Wrist Flexion ◽  
Median Nerve Stimulation ◽  
Voluntary Contractions

Motor or sensory activity in one arm can affect the other arm. We tested the hypothesis that a voluntary contraction can affect the motor pathway to the contralateral homologous muscle and investigated whether alterations in sensory input might mediate such effects. Responses to transcranial magnetic stimulation [motor-evoked potentials (MEPs)], stimulation of the descending tracts [cervicomedullary MEPs (CMEPs)], and peripheral nerve stimulation (H-reflex) were recorded from the relaxed right flexor carpi radialis (FCR), while the left arm underwent unilateral interventions (5 s duration) that included voluntary contraction, muscle contraction evoked through percutaneous stimulation, tendon vibration, and cutaneous and mixed nerve stimulation. During moderate to strong voluntary wrist flexion on the left, MEPs in the right FCR increased, CMEPs were unaffected, and the H-reflex was depressed. These results are consistent with an increase in excitability of the motor cortex, no effect on the motoneuron pool, and presynaptic inhibition of Ia afferents. In contrast, percutaneous muscle stimulation facilitated both MEPs and the H-reflex. However, muscle contraction produced by a combination of voluntary effort and electrical stimulation also reduced the contralateral H-reflex. After voluntary contractions, the H-reflex remained depressed for 35 s, but after stimulationevoked contractions, it rapidly returned to baseline. Under both conditions, MEPs recovered rapidly. After voluntary contractions, CMEPs were also depressed for approximately 10 s despite their lack of change during contractions. Wrist tendon vibration (100 Hz) did not affect, and 20-Hz median nerve stimulation or forearm medial cutaneous nerve stimulation mildly facilitated, the H-reflex without affecting MEPs. Voluntary wrist extension, similarly to wrist flexion, increased MEPs and depressed H-reflexes. However, ankle dorsiflexion facilitated the H-reflex akin to the Jendrassik maneuver. These data suggest that a unilateral voluntary muscle contraction has contralateral effects at both cortical and segmental levels and that the segmental effects are not replicated by stimulated muscle contraction or by input from muscle spindles or non-nociceptive cutaneous afferents.

scholarly journals Intensity Sensitive Modulation Effect of Theta Burst Form of Median Nerve Stimulation on the Monosynaptic Spinal Reflex

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Kuei-Lin Yeh ◽  
Po-Yu Fong ◽  
Ying-Zu Huang
Keyword(s):  
Median Nerve ◽  
Amplitude Ratio ◽  
Motor Evoked Potentials ◽  
Short Interval ◽  
H Reflex ◽  
Spinal Reflex ◽  
M Wave ◽  
Therapeutic Benefits ◽  
Median Nerve Stimulation ◽  
Theta Burst

The effects of electrical stimulation of median nerve with a continuous theta burst pattern (EcTBS) on the spinal H-reflex were studied. Different intensities and durations of EcTBS were given to the median nerve to 11 healthy individuals. The amplitude ratio of the H-reflex to maximum M wave (H/M ratio), corticospinal excitability and inhibition measured using motor evoked potentials (MEPs), short-interval intracortical inhibition and facilitation (SICI/ICF), spinal reciprocal inhibition (RI), and postactivation depression (PAD) were measured before and after EcTBS. In result, the H/M ratio was reduced followed by EcTBS at 90% H-reflex threshold, and the effect lasted longer after 1200 pulses than after 600 pulses of EcTBS. In contrast, EcTBS at 110% threshold facilitated the H/M ratio, while at 80% threshold it had no effect. Maximum M wave, MEPs, SICI/ICF, RI, and PAD all remained unchanged after EcTBS. In conclusion, EcTBS produced lasting effects purely on the H-reflex, probably, through effects on postsynaptic plasticity. The effect of EcTBS depends on the intensity and duration of stimulation. EcTBS is beneficial to research on mechanisms of human plasticity. Moreover, its ability to modulate spinal excitability is expected to have therapeutic benefits on neurological disorders involving spinal cord dysfunction.

scholarly journals A common neural element receiving rhythmic arm and leg activity as assessed by reflex modulation in arm muscles

2016 ◽  
Vol 115 (4) ◽  
pp. 2065-2075 ◽  
Author(s):  
Syusaku Sasada ◽  
Toshiki Tazoe ◽  
Tsuyoshi Nakajima ◽  
Genki Futatsubashi ◽  
Hiroyuki Ohtsuka ◽  
...  
Keyword(s):  
Nerve Stimulation ◽  
Motor Evoked Potentials ◽  
Cervical Spinal Cord ◽  
Voluntary Contraction ◽  
Reflex Modulation ◽  
Neural Element ◽  
Single Motor Unit ◽  
Arm Cycling ◽  
Leg Cycling ◽  
Arm Muscles

Neural interactions between regulatory systems for rhythmic arm and leg movements are an intriguing issue in locomotor neuroscience. Amplitudes of early latency cutaneous reflexes (ELCRs) in stationary arm muscles are modulated during rhythmic leg or arm cycling but not during limb positioning or voluntary contraction. This suggests that interneurons mediating ELCRs to arm muscles integrate outputs from neural systems controlling rhythmic limb movements. Alternatively, outputs could be integrated at the motoneuron and/or supraspinal levels. We examined whether a separate effect on the ELCR pathways and cortico-motoneuronal excitability during arm and leg cycling is integrated by neural elements common to the lumbo-sacral and cervical spinal cord. The subjects performed bilateral leg cycling (LEG), contralateral arm cycling (ARM), and simultaneous contralateral arm and bilateral leg cycling (A&L), while ELCRs in the wrist flexor and shoulder flexor muscles were evoked by superficial radial (SR) nerve stimulation. ELCR amplitudes were facilitated by cycling tasks and were larger during A&L than during ARM and LEG. A low stimulus intensity during ARM or LEG generated a larger ELCR during A&L than the sum of ELCRs during ARM and LEG. We confirmed this nonlinear increase in single motor unit firing probability following SR nerve stimulation during A&L. Furthermore, motor-evoked potentials following transcranial magnetic and electrical stimulation did not show nonlinear potentiation during A&L. These findings suggest the existence of a common neural element of the ELCR reflex pathway that is active only during rhythmic arm and leg movement and receives convergent input from contralateral arms and legs.

Dynamic imaging of skeletal muscle contraction in three orthogonal directions

2010 ◽  
Vol 109 (3) ◽  
pp. 906-915 ◽  
Author(s):  
Richard G. P. Lopata ◽  
Johannes P. van Dijk ◽  
Sigrid Pillen ◽  
Maartje M. Nillesen ◽  
Huub Maas ◽  
...  
Keyword(s):  
Muscle Contraction ◽  
Biceps Brachii ◽  
Estimation Method ◽  
Vertical Direction ◽  
Local Strain ◽  
Local Deformation ◽  
Voluntary Contraction ◽  
Dynamic Imaging ◽  
Relative Deformation ◽  
Voluntary Contractions

In this study, a multidimensional strain estimation method using biplane ultrasound is presented to assess local relative deformation (i.e., local strain) in three orthogonal directions in skeletal muscles during induced and voluntary contractions. The method was tested in the musculus biceps brachii of five healthy subjects for three different types of muscle contraction: 1) excitation of the muscle with a single electrical pulse via the musculocutaneous nerve, resulting in a so-called “twitch” contraction; 2) a train of five pulses at 10 Hz and 20 Hz, respectively, to obtain a submaximum tetanic contraction; and 3) voluntary contractions at 30, 60, and 100% of maximum contraction force. Results show that biplane ultrasound strain imaging is feasible. The method yielded adequate performance using the radio frequency data in tracking the tissue motion and enabled the measurement of local deformation in both the vertical direction (orthogonal to the arm) and in the horizontal directions (parallel and perpendicular to direction of the arm) in two orthogonal cross sections of the muscle. The twitch experiments appeared to be reproducible in all three directions, and high strains in vertical (25 to 30%) and horizontal (−20% to −10%) directions were measured. Visual inspection of both the ultrasound data, as well as the strain data, revealed a relaxation that was significantly slower than the force decay. The pulse train experiments nicely illustrated the performance of our technique: 1) similar patterns of force and strain waveforms were found; and 2) each stimulation frequency yielded a different strain pattern, e.g., peak vertical strain was 40% during 10-Hz stimulation and 60% during 20-Hz stimulation. The voluntary contraction patterns were found to be both practically feasible and reproducible, which will enable muscles and more natural contraction patterns to be examined without the need of electrical stimulation.

Somatosensory-Evoked Potential Study in Headache Patients

Cephalalgia ◽  
1988 ◽  
Vol 8 (3) ◽  
pp. 157-162 ◽  
Author(s):  
Caterina Firenze ◽  
Frances Del Gatto ◽  
Giovanni Mazzotta ◽  
Virgilio Gallai
Keyword(s):  
Cluster Headache ◽  
Muscle Contraction ◽  
Nerve Stimulation ◽  
Somatosensory Evoked Potentials ◽  
Evoked Potential ◽  
Histamine Stimulation ◽  
Median Nerve Stimulation ◽  
Before And After ◽  
Headache Patients ◽  
Pathophysiologic Mechanisms

Somatosensory-evoked potentials (SEPs) after median nerve stimulation were studied in 34 patients with common migraine, in 30 patients with muscle-contraction headache, and in 10 cluster headache patients. The SEPs were registered before and after histamine administration. Latency values in common migraineurs showed no variation when compared with those in controls. Although not statistically significant, the N1-P2 amplitude was increased in 14 (41.1%) of these patients after histamine stimulation. No changes were observed in muscle-contraction headache patients either with or without histamine administration. In all cluster headache patients, the N1-P2 amplitude decreased after histamine stimulation. These results are discussed in the light of current hypotheses concerning the pathophysiologic mechanisms of headache.

Output of Human Motoneuron Pools to Corticospinal Inputs During Voluntary Contractions

2006 ◽  
Vol 95 (6) ◽  
pp. 3512-3518 ◽  
Author(s):  
P. G. Martin ◽  
S. C. Gandevia ◽  
J. L. Taylor
Keyword(s):  
Evoked Potentials ◽  
Biceps Brachii ◽  
Motor Evoked Potentials ◽  
Voluntary Contraction ◽  
Flexor Muscle ◽  
Spinal Level ◽  
Motoneuron Pool ◽  
Wide Range ◽  
Voluntary Contractions ◽  
Stimulation Of

This study investigated transmission of corticospinal output through motoneurons over a wide range of voluntary contraction strengths in humans. During voluntary contraction of biceps brachii, motor evoked potentials (MEPs) to transcranial magnetic stimulation of the motor cortex grow up to about 50% maximal force and then decrease. To determine whether the decrease reflects events at a cortical or spinal level, responses to stimulation of the cortex and corticospinal tract (cervicomedullary motor evoked potentials, CMEPs) as well as maximal M-waves (Mmax) were recorded during strong contractions at 50 to 100% maximum. In biceps and brachioradialis, MEPs and CMEPs (normalized to Mmax) evoked by strong stimuli decreased during strong elbow flexions. Responses were largest during contractions at 75% maximum and both potentials decreased by about 25% Mmax during maximal efforts ( P < 0.001). Reductions were smaller with weaker stimuli, but again similar for MEPs and CMEPs. Thus the reduction in MEPs during strong voluntary contractions can be accounted for by reduced responsiveness of the motoneuron pool to stimulation. During strong contractions of the first dorsal interosseous, a muscle that increases voluntary force largely by frequency modulation, MEPs declined more than in either elbow flexor muscle (35% Mmax, P < 0.001). This suggests that motoneuron firing rates are important determinants of evoked output from the motoneuron pool. However, motor cortical output does not appear to be limited at high contraction strengths.

scholarly journals Motoneuron excitability of the quadriceps decreases during a fatiguing submaximal isometric contraction

2018 ◽  
Vol 124 (4) ◽  
pp. 970-979 ◽  
Author(s):  
Harrison T. Finn ◽  
David M. Rouffet ◽  
David S. Kennedy ◽  
Simon Green ◽  
Janet L. Taylor
Keyword(s):  
Motor Evoked Potentials ◽  
Femoral Nerve ◽  
Silent Period ◽  
Knee Extension ◽  
Voluntary Contraction ◽  
Knee Extensors ◽  
Cortical Input ◽  
Motoneuron Excitability ◽  
Before And After ◽  
Voluntary Contractions

During fatiguing voluntary contractions, the excitability of motoneurons innervating arm muscles decreases. However, the behavior of motoneurons innervating quadriceps muscles is unclear. Findings may be inconsistent because descending cortical input influences motoneuron excitability and confounds measures during exercise. To overcome this limitation, we examined effects of fatigue on quadriceps motoneuron excitability tested during brief pauses in descending cortical drive after transcranial magnetic stimulation (TMS). Participants ( n = 14) performed brief (~5-s) isometric knee extension contractions before and after a 10-min sustained contraction at ~25% maximal electromyogram (EMG) of vastus medialis (VM) on one ( n = 5) or two ( n = 9) days. Electrical stimulation over thoracic spine elicited thoracic motor evoked potentials (TMEP) in quadriceps muscles during ongoing voluntary drive and 100 ms into the silent period following TMS (TMS-TMEP). Femoral nerve stimulation elicited maximal M-waves (Mmax). On the 2 days, either large (~50% Mmax) or small (~15% Mmax) TMS-TMEPs were elicited. During the 10-min contraction, VM EMG was maintained ( P = 0.39), whereas force decreased by 52% (SD 13%) ( P < 0.001). TMEP area remained unchanged ( P = 0.9), whereas large TMS-TMEPs decreased by 49% (SD 28%) ( P = 0.001) and small TMS-TMEPs by 71% (SD 22%) ( P < 0.001). This decline was greater for small TMS-TMEPs ( P = 0.019; n = 9). Therefore, without the influence of descending drive, quadriceps TMS-TMEPs decreased during fatigue. The greater reduction for smaller responses, which tested motoneurons that were most active during the contraction, suggests a mechanism related to repetitive activity contributes to reduced quadriceps motoneuron excitability during fatigue. By contrast, the unchanged TMEP suggests that ongoing drive compensates for altered motoneuron excitability. NEW & NOTEWORTHY We provide evidence that the excitability of quadriceps motoneurons decreases with fatigue. Our results suggest that altered intrinsic properties brought about by repetitive activation of the motoneurons underlie their decreased excitability. Furthermore, we note that testing during voluntary contraction may not reflect the underlying depression of motoneuron excitability because of compensatory changes in ongoing voluntary drive. Thus, this study provides evidence that processes intrinsic to the motoneuron contribute to muscle fatigue of the knee extensors.

Central nervous adaptations following 1 wk of wrist and hand immobilization

2008 ◽  
Vol 105 (1) ◽  
pp. 139-151 ◽  
Author(s):  
Jesper Lundbye-Jensen ◽  
Jens Bo Nielsen
Keyword(s):  
Physical Activity ◽  
Motor Cortex ◽  
Motor Evoked Potentials ◽  
Afferent Input ◽  
Voluntary Contraction ◽  
H Reflex ◽  
Abductor Pollicis Brevis ◽  
Corticomuscular Coherence ◽  
Reduced Physical Activity ◽  
Static Contractions

Plastic neural changes have been documented in relation to different types of physical activity, but little is known about central nervous system plasticity accompanying reduced physical activity and immobilization. In the present study we investigated whether plastic neural changes occur in relation to 1 wk of immobilization of the nondominant wrist and hand and a corresponding period of recovery in 10 able-bodied volunteers. After immobilization, maximal voluntary contraction torque decreased and the variability of submaximal static contractions increased significantly without evidence of changes in muscle contractile properties. Hoffmann (H)-reflex amplitudes and the ratios of H-slope to M-slope increased significantly in flexor carpi radialis and abductor pollicis brevis at rest and during contraction without changes in corticospinal excitability, estimated from motor-evoked potentials (MEPs) elicited by transcranial magnetic stimulation. Corticomuscular coherence measures were derived from EEG and EMG obtained during static contractions. After immobilization, corticomuscular coherence in the 15- to 35-Hz range associated with maximum negative cumulant values at lags corresponding to MEP latencies decreased. One week after cast removal, all measurements returned to preimmobilization levels. The increased H-reflex amplitudes without changes in MEPs may suggest that presynaptic inhibition or postactivation depression of Ia afferents is reduced following immobilization. Reduced corticomuscular coherence may be caused by changes in afferent input at spinal and cortical levels or by changes in the descending drive from motor cortex. Further studies are needed to elucidate the mechanisms underlying the observed increased spinal excitability and reduced coupling between motor cortex and spinal motoneuronal activity following immobilization.

scholarly journals New evidence of corticospinal network modulation induced by motor imagery

2016 ◽  
Vol 115 (3) ◽  
pp. 1279-1288 ◽  
Author(s):  
Sidney Grosprêtre ◽  
Florent Lebon ◽  
Charalambos Papaxanthis ◽  
Alain Martin
Keyword(s):  
Evoked Potentials ◽  
Motor Imagery ◽  
Motor Evoked Potentials ◽  
Static Condition ◽  
Mental Simulation ◽  
Voluntary Contraction ◽  
H Reflex ◽  
Triceps Surae ◽  
Subcortical Structures ◽  
Reflex Amplitude

Motor imagery (MI) is the mental simulation of movement, without the corresponding muscle contraction. Whereas the activation of cortical motor areas during MI is established, the involvement of spinal structures is still under debate. We used original and complementary techniques to probe the influence of MI on spinal structures. Amplitude of motor-evoked potentials (MEPs), cervico-medullary-evoked potentials (CMEPs), and Hoffmann (H)-reflexes of the flexor carpi radialis (FCR) muscle and of the triceps surae muscles was measured in young, healthy subjects at rest and during MI. Participants were asked to imagine maximal voluntary contraction of the wrist and ankle, while the targeted limb was fixed (static condition). We confirmed previous studies with an increase of FCR MEPs during MI compared with rest. Interestingly, CMEPs, but not H-reflexes, also increased during MI, revealing a possible activation of subcortical structures. Then, to investigate the effect of MI on the spinal network, we used two techniques: 1) passive lengthening of the targeted muscle via an isokinetic dynamometer and 2) conditioning of H-reflexes with stimulation of the antagonistic nerve. Both techniques activate spinal inhibitory presynaptic circuitry, reducing the H-reflex amplitude at rest. In contrast, no reduction of H-reflex amplitude was observed during MI. These findings suggest that MI has modulatory effects on the spinal neuronal network. Specifically, the activation of low-threshold spinal structures during specific conditions (lengthening and H-reflex conditioning) highlights the possible generation of subliminal cortical output during MI.

scholarly journals Sustained Isometric Wrist Flexion and Extension Maximal Voluntary Contractions on Corticospinal Excitability to Forearm Muscles during Low-Intensity Hand-Gripping

2020 ◽  
Vol 10 (7) ◽  
pp. 445
Author(s):  
Davis A. Forman ◽  
Garrick N. Forman ◽  
Bernadette A. Murphy ◽  
Michael W. R. Holmes
Keyword(s):  
Muscle Activity ◽  
Motor Evoked Potentials ◽  
Corticospinal Excitability ◽  
Wrist Flexion ◽  
Wrist Extension ◽  
Flexion Extension ◽  
Before And After ◽  
Muscle Groups ◽  
Voluntary Contractions ◽  
Wrist Flexors

The wrist extensors demonstrate an earlier fatigue onset than the wrist flexors. However, it is currently unclear whether fatigue induces unique changes in muscle activity or corticospinal excitability between these muscle groups. The purpose of this study was to examine how sustained isometric wrist extension/flexion maximal voluntary contractions (MVCs) influence muscle activity and corticospinal excitability of the forearm. Corticospinal excitability to three wrist flexors and three wrist extensors were measured using motor evoked potentials (MEPs) elicited via transcranial magnetic stimulation. Responses were elicited while participants exerted 10% of their maximal handgrip force, before and after a sustained wrist flexion or extension MVC (performed on separate sessions). Post-fatigue measures were collected up to 10-min post-fatigue. Immediately post-fatigue, extensor muscle activity was significantly greater following the wrist flexion fatigue session, although corticospinal excitability (normalized to muscle activity) was greater on the wrist extension day. Responses were largely unchanged in the wrist flexors. However, for the flexor carpi ulnaris, normalized MEP amplitudes were significantly larger following wrist extension fatigue. These findings demonstrate that sustained isometric flexion/extension MVCs result in a complex reorganization of forearm muscle recruitment strategies during hand-gripping. Based on these findings, previously observed corticospinal behaviour following fatigue may not apply when the fatiguing task and measurement task are different.

Mechanisms modulating spinal excitability after nerve stimulation inducing extra torque

2021 ◽  
Author(s):  
Florian Vitry ◽  
Maria Papaiordanidou ◽  
Alain Martin
Keyword(s):  
Nerve Stimulation ◽  
Presynaptic Inhibition ◽  
Motor Evoked Potentials ◽  
Femoral Nerve ◽  
Common Peroneal Nerve ◽  
H Reflex ◽  
Ia Afferents ◽  
Thoracic Level ◽  
The Common ◽  
Spinal Excitability

The study included 3 experiments aiming to examine the mechanisms responsible for spinal excitability modulation, as assessed by the H-reflex, following stimulation trains delivered at two different frequencies (20 and 100Hz) inducing extra torque (ET). A first experiment (n=15) was conducted to evaluate changes in presynaptic inhibition acting on Ia afferents induced by these electrical stimulation trains, assessed by conditioning the soleus H-reflex (tibial nerve stimulation) with stimulation of the common peroneal nerve (D1 inhibition) and of the femoral nerve (heteronymous Ia facilitation, HF). A second experiment (n=12) permitted to investigate homosynaptic post-activation depression (HPAD) changes after the stimulation trains. A third experiment (n=14) analysed changes in motoneuron intrinsic properties after the stimulation trains, by electrically stimulating the descending corticospinal tract at the thoracic level, evoking thoracic motor evoked potentials (TMEP). Main results showed that in all experiments spinal excitability decreased after the 20-Hz train (P<0.05), while this parameter significantly increased after the 100-Hz stimulation (P<0.05). D1 and HF were not significantly modified after either stimulation. HPAD was significantly decreased only after the 20-Hz train, while TMEP was significantly increased only after the 100-Hz train (P<0.05). It is concluded that the decreased spinal excitability observed after the 20-Hz train cannot be attributed to D1 presynaptic inhibition but rather to increased HPAD of the Ia afferents terminals, while the increase of this parameter obtained after the 100-Hz train can be assigned to changes in intrinsic motoneuron properties allowing to maintain Ia - alpha motoneurons transmission efficacy.

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