scholarly journals Quantitative Electromyographic Analysis of Reaction Time to External Auditory Stimuli inDrug-NaïveParkinson’s Disease

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Do-Young Kwon ◽  
Byung Kyu Park ◽  
Ji Won Kim ◽  
Gwang-Moon Eom ◽  
Junghwa Hong ◽  
...  

Evaluation of motor symptoms in Parkinson’s disease (PD) is still based on clinical rating scales by clinicians. Reaction time (RT) is the time interval between a specific stimulus and the start of muscle response. The aim of this study was to identify the characteristics of RT responses in PD patients using electromyography (EMG) and to elucidate the relationship between RT and clinical features of PD. The EMG activity of 31 PD patients was recorded during isometric muscle contraction. RT was defined as the time latency between an auditory beep and responsive EMG activity. PD patients demonstrated significant delays in both initiation and termination of muscle contraction compared with controls. Cardinal motor symptoms of PD were closely correlated with RT. RT was longer in more-affected side and in more-advanced PD stages. Frontal cognitive function, which is indicative of motor programming and movement regulation and perseveration, was also closely related with RT. In conclusion, greater RT is the characteristic motor features of PD and it could be used as a sensitive tool for motor function assessment in PD patients. Further investigations are required to clarify the clinical impact of the RT on the activity of daily living of patients with PD.

2019 ◽  
Vol 69 (1) ◽  
pp. 17-27
Author(s):  
Agostina Casamento-Moran ◽  
Stefan Delmas ◽  
Seoung Hoon Park ◽  
Basma Yacoubi ◽  
Evangelos A. Christou

Abstract Reacting fast to visual stimuli is important for many activities of daily living and sports. It remains unknown whether the strategy used during the anticipatory period influences the speed of the reaction. The purpose of this study was to determine if reaction time (RT) differs following a steady and a dynamic anticipatory strategy. Twenty‐two young adults (21.0 ± 2.2 yrs, 13 women) participated in this study. Participants performed 15 trials of a reaction time task with ankle dorsiflexion using a steady (steady force at 15% MVC) and a dynamic (oscillating force from 10‐20% MVC) anticipatory strategy. We recorded primary agonist muscle (tibialis anterior; TA) electromyographic (EMG) activity. We quantified RT as the time interval from the onset of the stimulus to the onset of force. We found that a dynamic anticipatory strategy, compared to the steady anticipatory strategy, resulted in a longer RT (p = 0.04). We classified trials of the dynamic condition based on the level and direction of anticipatory force at the moment of the response. We found that RT was longer during the middle descending relative to the middle ascending and the steady conditions (p < 0.01). All together, these results suggest that RT is longer when preceded by a dynamic anticipatory strategy. Specifically, the longer RT is a consequence of the variable direction of force at which the response can occur, which challenges the motor planning process.


2017 ◽  
Vol 6 (2) ◽  
Author(s):  
Nursalbiah Nasir ◽  
Keisuke Hayashi ◽  
Ping Yeap Loh ◽  
Satoshi Muraki

This study investigated the responses of the agonist and antagonist muscles against assistive force during isometric muscle contraction. Participants performed isometric elbow flexion at 90º for 30 seconds under two workload conditions (20% and 40% of the maximal voluntary workload) with three levels of assistive force (0%, 50%, and 100% theoretical effectiveness) for 10 seconds. Electromyography (EMG) of the biceps (agonist muscle) and triceps (antagonist muscle) was measured during the task, and perceived exertion was obtained after the task. Assistive force significantly reduced EMG activity in the agonist muscle and the perceived exertion score only at 40% workload. However, the reduction of EMG activity and perceived exertion score were lower than that for the physical estimated effect. In addition, the EMG activity in the antagonist muscle was not influenced, irrespective of workload conditions and the level of assistive force. These results suggested that although the assistive force during isometric muscle contraction relieves exertion of the agonist muscle that accompanies the decrease in perceived exertion, their assistive effects are influenced by various human physiological and anatomical factors. 


1978 ◽  
Vol 21 (2) ◽  
pp. 276-284 ◽  
Author(s):  
Michael McClean

The purpose of this study was to examine variations in the amplitude of the perioral reflex that may occur during the reaction time interval before voluntary muscle contraction for speech. Four normal adults produced the syllable /wi/ as quickly as possible in response to a low level electric shock while electromyographic recordings of the orbicularis oris inferior muscle (OOI) were made. During the reaction time interval a precise mechanical stretch was applied at the corner of the mouth to elicit the first component of the perioral reflex. Analysis of the resulting data revealed a significant increase in perioral reflex amplitude occurring between 30 and 50 msec before the onset of voluntary OOI contraction. It is concluded that the observed increases in reflex amplitude were the result of increased excitability of brainstem interneurons and/or motoneurons mediating the perioral reflex. The central mechanisms underlying such excitability increases and their significance for understanding speech motor control are discussed.


2001 ◽  
Vol 17 (1) ◽  
pp. 25-35 ◽  
Author(s):  
G. Leonard Burns ◽  
James A. Walsh ◽  
David R. Patterson ◽  
Carol S. Holte ◽  
Rita Sommers-Flanagan ◽  
...  

Summary: Rating scales are commonly used to measure the symptoms of attention deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD). While these scales have positive psychometric properties, the scales share a potential weakness - the use of vague or subjective rating procedures to measure symptom occurrence (e. g., never, occasionally, often, and very often). Rating procedures based on frequency counts for a specific time interval (e. g., never, once, twice, once per month, once per week, once per day, more than once per day) are less subjective and provide a conceptually better assessment procedure for these symptoms. Such a frequency count procedure was used to obtain parent ratings on the ADHD, ODD, and CD symptoms in a normative (nonclinical) sample of 3,500 children and adolescents. Although the current study does not provide a direct comparison of the two types of rating procedures, the results suggest that the frequency count procedure provides a potentially more useful way to measure these symptoms. The implications of the results are noted for the construction of rating scales to measure the ADHD, ODD, and CD symptoms.


2004 ◽  
Vol 555 (1) ◽  
pp. 27-43 ◽  
Author(s):  
Timothy G. West ◽  
N. A. Curtin ◽  
Michael A. Ferenczi ◽  
Zhen-He He ◽  
Yin-Biao Sun ◽  
...  

Author(s):  
Fang Ba ◽  
Mona Obaid ◽  
Marguerite Wieler ◽  
Richard Camicioli ◽  
W.R. Wayne Martin

AbstractBackground: Parkinson disease (PD) presents with motor and non-motor symptoms (NMS). The NMS often precede the onset of motor symptoms, but may progress throughout the disease course. Tremor dominant, postural instability gait difficulty (PIGD), and indeterminate phenotypes can be distinguished using Unified PD Rating scales (UPDRS-III). We hypothesized that the PIGD phenotype would be more likely to develop NMS, and that the non-dopamine–responsive axial signs would correlate with NMS severity. Methods: We conducted a retrospective cross-sectional chart review to assess the relationship between NMS and PD motor phenotypes. PD patients were administered the NMS Questionnaire, the UPDRS-III, and the Mini-Mental State Examination score. The relationship between NMS burden and PD subtypes was examined using linear regression models. The prevalence of each NMS among difference PD motor subtypes was analyzed using chi-square test. Results: PD patients with more advanced disease based on their UPDRS-III had higher NMS Questionnaire scores. The axial component of UPDRS-III correlated with higher NMS. There was no correlation between NMS and tremor scores. There was a significant correlation between PIGD score and higher NMS burden. PIGD group had higher prevalence in most NMS domains when compared with tremor dominant and indeterminate groups independent of disease duration and severity. Conclusions: NMS profile and severity vary according to motor phenotype. We conclude that in the PD population, patients with a PIGD phenotype who have more axial involvement, associated with advanced disease and poor motor response, have a higher risk for a higher NMS burden.


2021 ◽  
pp. 1-10
Author(s):  
Mechelle M. Lewis ◽  
Richard M. Albertson ◽  
Guangwei Du ◽  
Lan Kong ◽  
Andrew Foy ◽  
...  

Background: Recent randomized clinical trials using hydrophobic statins reported no influence on Parkinson’s disease (PD) clinical progression. Hydrophobicity is a key determinant for blood-brain barrier penetrance. Objective: Investigate a potential effect of statins on PD progression. Methods: Statin use was determined at baseline and subtyped according to hydrophobicity in 125 PD patients participated PD Biomarker Program (PDBP, 2012–2015) at our site. Clinical (N = 125) and susceptibility MRI (N = 86) data were obtained at baseline and 18-months. Movement Disorders Society-Unified PD Rating Scales were used to track progression of non-motor (MDS-UPDRS-I) and motor (MDS-UPDRS-II) symptoms, and rater-based scores (MDS-UPDRS-III) of patients in the “on” drug state. R2 * values were used to capture pathological progression in the substantia nigra. Associations between statin use, its subtypes, and PD progression were evaluated with linear mixed effect regressions. Results: Compared to statin non-users, overall statin or lipophilic statin use did not significantly influence PD clinical or imaging progression. Hydrophilic statin users, however, demonstrated faster clinical progression of non-motor symptoms [MDS-UPDRS-I (β= 4.8, p = 0.010)] and nigral R2 * (β= 3.7, p = 0.043). A similar trend was found for MDS-UPDRS-II (β= 3.9, p = 0.10), but an opposite trend was observed for rater-based MDS-UPDRS-III (β= –7.3, p = 0.10). Compared to lipophilic statin users, hydrophilic statin users also showed significantly faster clinical progression of non-motor symptoms [MDS-UPDRS-I (β= 5.0, p = 0.020)], but R2 * did not reach statistical significance (β= 2.5, p = 0.24). Conclusion: This study suggests that hydrophilic, but not lipophilic, statins may be associated with faster PD progression. Future studies may have clinical and scientific implications.


1999 ◽  
Vol 82 (5) ◽  
pp. 2693-2704 ◽  
Author(s):  
Daniel W. Moran ◽  
Andrew B. Schwartz

Monkeys traced spirals on a planar surface as unitary activity was recorded from either premotor or primary motor cortex. Using the population vector algorithm, the hand's trajectory could be accurately visualized with the cortical activity throughout the task. The time interval between this prediction and the corresponding movement varied linearly with the instantaneous radius of curvature; the prediction interval was longer when the path of the finger was more curved (smaller radius). The intervals in the premotor cortex fell into two groups, whereas those in the primary motor cortex formed a single group. This suggests that the change in prediction interval is a property of a single population in primary motor cortex, with the possibility that this outcome is due to the different properties generated by the simultaneous action of separate subpopulations in premotor cortex. Electromyographic (EMG) activity and joint kinematics were also measured in this task. These parameters varied harmonically throughout the task with many of the same characteristics as those of single cortical cells. Neither the lags between joint-angular velocities and hand velocity nor the lags between EMG and hand velocity could explain the changes in prediction interval between cortical activity and hand velocity. The simple spatial and temporal relationship between cortical activity and finger trajectory suggests that the figural aspects of this task are major components of cortical activity.


1988 ◽  
Vol 64 (5) ◽  
pp. 1968-1978 ◽  
Author(s):  
P. C. Kosch ◽  
A. A. Hutchinson ◽  
J. A. Wozniak ◽  
W. A. Carlo ◽  
A. R. Stark

To investigate airflow regulation in newborn infants, we recorded airflow, volume, diaphragm (Di), and laryngeal electromyogram (EMG) during spontaneous breathing in eight supine unsedated sleeping full-term neonates. Using an esophageal catheter electrode, we recorded phasic respiratory activity consistent with that of the principal laryngeal abductors, the posterior cricoarytenoids (PCA). Sequential activation of PCA and Di preceded inspiration. PCA activity typically peaked early in inspiration followed by either a decrescendo or tonic EMG activity of variable amplitude during expiration. Expiratory airflow retardation, or braking, accompanied by expiratory prolongation and reduced ventilation, was commonly observed. In some subjects we observed a time interval between PCA onset and a sudden increase in expiratory airflow just before inspiration, suggesting that release of the brake involved an abrupt loss of antagonistic adductor activity. Our findings suggest that airflow in newborn infants is controlled throughout the breathing cycle by the coordinated action of the Di and the reciprocal action of PCA and laryngeal adductor activities. We conclude that braking mechanisms in infants interact with vagal reflex mechanisms that modulate respiratory cycle timing to influence both the dynamic maintenance of end-expiratory lung volume and ventilation.


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