Effect of Social Stress on Motor Function in Older Adults: an fNIRS Investigation

Author(s):  
Joohyun Rhee ◽  
Taylor Dillards ◽  
Michelle Nzoiwu ◽  
Ranjana K. Mehta

Stress has adverse impacts on mental and physical health and quality of life, especially in older adults. Stress can impair cognitive function including short and long-term memory, and this functional declines can further be associated with decreased neuromuscular performance (Mehta & Parasuraman, 2014) and increased fatigability (Keller-Ross et al., 2014). Since older adults are more susceptible to the effect of stress because their limited mobility caused by aging can worsen under stress (Noven at al., 2014), it is important to examine the effect of acute stress on neuromuscular function in older adults. In the present study, we tested the effect of social stress on neuromuscular function of both upper and lower extremity in older adults before and after a short bout of social stress. Thirty participants (15 males, 15 females, mean age: 73.3 (5.6) yrs) performed ten trials of submaximal voluntary contraction at 30% of their maximum voluntary contraction force level before and after the Trier Social Stress Test (TSST) session. Handgrip and knee extension motor performance was measured on separate days. TSST consisted of five minutes speech and five minutes serial arithmetic subtraction tasks. We measured force steadiness and electromyography (EMG) of working muscles to evaluate motor function. Additionally, electrocardiogram (ECG), the Visual Analogue Scale of Stress (VAS), and salivary cortisol were collected to evaluate the effect of the TSST. Neural activation pattern changes of prefrontal and sensorimotor area during exercise and TSST sessions was recorded using functional Near Infrared Spectroscopy (fNIRS). To confirm whether the TSST session increased stress level in our participants, we first analysed the stress metrics. Heart rate increased during the TSST and returned to prestress level instantly after the TSST session. Perceived stress level using the VAS increased after TSST. While not significant, salivary cortisol level increased after the TSST session. Findings indicate that handgrip force steadiness improved after the TSST session, whereas knee extension force steadiness remained unchanged. On the other hand, handgrip EMG root mean square (RMS) did not change after stress while knee extension EMG RMS was found to increase. Neural activation during handgrip exercise increased at the left motor area, and neural activation during knee extension increased at the left sensory area after the TSST session. Change of heart rate and VAS indicates that participants’ stress level was increased after stress and the improved motor performance during handgrip exercise after the stress is consistent with a previous study that reported increased memory function after stress in older adults (Pulopulos et al., 2015). However, the differential effects of stress based on upper or lower extremity indicates increased sensitivity of certain motor tasks to social stress than other. While social stress is known to affect response time but not memory function (Guez et al., 2016), different spatial activation pattern between handgrip and knee extension exercises observed in the present study suggest that different neural strategies were adapted to compensate for the effects of acute social stress to maintain motor performance.

2006 ◽  
Vol 101 (3) ◽  
pp. 715-720 ◽  
Author(s):  
Motoki Kouzaki ◽  
Minoru Shinohara

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.


2014 ◽  
Vol 29 (6) ◽  
pp. 1143-1148 ◽  
Author(s):  
Jessica W. Smith ◽  
Robin L. Marcus ◽  
Christopher L. Peters ◽  
Christopher E. Pelt ◽  
Brian L. Tracy ◽  
...  

2000 ◽  
Vol 89 (4) ◽  
pp. 1420-1424 ◽  
Author(s):  
Motoki Kouzaki ◽  
Minoru Shinohara ◽  
Tetsuo Fukunaga

The purpose of the study was to examine the effect of prolonged tonic vibration applied to a single synergist muscle on maximal voluntary contraction (MVC) and maximal rate of force development (dF/d t max). The knee extension MVC force and surface electromyogram (EMG) from the rectus femoris (RF), vastus lateralis (VL), and vastus medialis (VM) during MVC were recorded before and after vibration of RF muscle at 30 Hz for 30 min. MVC, dF/d t max, and the integrated EMG (iEMG) of RF decreased significantly after prolonged tonic vibration in spite of no changes in iEMG of VL and VM. The present results indicate that MVC and dF/d t max may be influenced by the attenuated Ia afferent functions of a single synergist muscle.


2018 ◽  
Vol 124 (4) ◽  
pp. 970-979 ◽  
Author(s):  
Harrison T. Finn ◽  
David M. Rouffet ◽  
David S. Kennedy ◽  
Simon Green ◽  
Janet L. Taylor

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.


2009 ◽  
Vol 106 (2) ◽  
pp. 412-417 ◽  
Author(s):  
Keitaro Kubo ◽  
Toshihiro Ikebukuro ◽  
Katsutoshi Yaeshima ◽  
Hideaki Yata ◽  
Naoya Tsunoda ◽  
...  

The purpose of this study was to investigate the effects of static and dynamic training on the stiffness and blood volume of the human tendon in vivo. Ten subjects completed 12 wk (4 days/wk) of a unilateral training program for knee extensors. They performed static training on one side [ST; 70% of maximum voluntary contraction (MVC)] and dynamic training on the other side (DT; 80% of one repetition maximum). Before and after training, MVC, neural activation level (by interpolated twitch), muscle volume (by magnetic resonance imaging), stiffness of tendon-aponeurosis complex and patella tendon (by ultrasonography), and blood volume of patella tendon (by red laser lights) were measured. Both protocols significantly increased MVC (49% for ST, 32% for DT; both P < 0.001), neural activation level (9.5% for ST, 7.6% for DT; both P < 0.01), and muscle volume (4.5% for ST, 5.6% for DT; both P < 0.01). The stiffness of tendon-aponeurosis complex increased significantly after ST (55%; P = 0.003) and DT (30%; P = 0.033), while the stiffness of patella tendon increased significantly after ST (83%; P < 0.001), but not for DT ( P = 0.110). The blood volume of patella tendon increased significantly after DT (47%; P = 0.016), but not for ST ( P = 0.205). These results implied that the changes in the blood volume of tendon would be related to differences in the effects of resistance training on the tendon properties.


1992 ◽  
Vol 73 (6) ◽  
pp. 2517-2523 ◽  
Author(s):  
G. Grimby ◽  
A. Aniansson ◽  
M. Hedberg ◽  
G. B. Henning ◽  
U. Grangard ◽  
...  

Nine men, 78–84 yr of age, participated in a dynamometer training program 2–3 times/wk, totaling 25 sessions, using voluntary maximal isometric, concentric, and eccentric right knee–extension actions (30 and 180 degrees/s). Measurements of muscle strength with a Kin-Com dynamometer and simultaneous electromyograms (EMG) were performed of both sides before and after the training period. Muscle biopsies were taken from the right vastus lateralis muscle. The total quadriceps cross-sectional area was measured with computerized tomography. Training led to an increase in maximal torque for concentric (10% at 30 degrees/s) and eccentric (13–19%) actions in the trained leg. The EMG activity increased at maximal eccentric activities. The total cross-sectional quadriceps area of the trained leg increased by 3%, but no changes were recorded in muscle fiber areas in these subjects, who already had large mean fiber areas (5.15 microns 2 x 10(3)). The fatigue index measured from 50 consecutive concentric contractions at 180 degrees/s decreased and the citrate synthase activity increased in all but one subject. The results demonstrate that increased neural activation accompanies an increase in muscle strength at least during eccentric action in already rather active elderly men and that muscle endurance may also be improved with training.


1989 ◽  
Vol 67 (2) ◽  
pp. 648-654 ◽  
Author(s):  
K. Sahlin ◽  
J. M. Ren

The relationship between changes in muscle metabolites and the contraction capacity was investigated in humans. Subjects (n = 13) contracted (knee extension) at a target force of 66% of the maximal voluntary contraction force (MVC) to fatigue, and the recovery in MVC and endurance (time to fatigue) were measured. Force recovered rapidly [half-time (t 1/2) less than 15 s] and after 2 min of recovery was not significantly different (P greater than 0.05) from the precontraction value. Endurance recovered more slowly (t 1/2 approximately 1.2 min) and was still significantly depressed after 2 and 4 min of recovery (P less than 0.05). In separate experiments (n = 10) muscle biopsy specimens were taken from the quadriceps femoris muscle before and after two successive contractions to fatigue at 66% of MVC with a recovery period of 2 or 4 min in between. The muscle content of high-energy phosphates and lactate was similar at fatigue after both contractions, whereas glucose 6-phosphate was lower after the second contraction (P less than 0.05). During recovery, muscle lactate decreased and was 74 and 43% of the value at fatigue after an elapsed period of 2 and 4 min, respectively. The decline in H+ due to lactate disappearance is balanced, however, by a release of H+ due to resynthesis of phosphocreatine, and after 2 min of recovery calculated muscle pH was found to remain at a low level similar to that at fatigue.(ABSTRACT TRUNCATED AT 250 WORDS)


2004 ◽  
Vol 10 (6) ◽  
pp. 668-674 ◽  
Author(s):  
L J White ◽  
S C McCoy ◽  
V Castellano ◽  
G Gutierrez ◽  
J E Stevens ◽  
...  

The purpose of this study was to evaluate the effect of an eight-week progressive resistance training programme on lower extremity strength, ambulatory function, fatigue and self-reported disability in multiple sclerosis (MS) patients (mean disability score 3.79-0.8). Eight MS subjects volunteered for twice weekly training sessions. During the first two weeks, subjects completed one set of 8 -10 reps at 50% of maximal voluntary contraction (MVC) of knee flexion, knee extension and plantarflexion exercises. In subsequent sessions, the subjects completed one set of 10 -15 repetitions at 70% of MVC. The resistance was increased by 2 -5% when subjects completed 15 repetitions in consecutive sessions. Isometric strength of the quadriceps, hamstring, plantarflexor and dorsiflexor muscle groups was assessed before and after the training programme using an isokinetic dynamometer. Magnetic resonance images of the thigh were acquired before and after the exercise programme as were walking speed (25-ft), number of steps in 3 min, and self-reported fatigue and disability. Knee extension (7.4%), plantarflexion (52%) and stepping performance (8.7%) increased significantly (PB-0.05). Self-reported fatigue decreased (PB-0.05) and disability tended to decrease (P -0.07) following the training programme. MS patients are capable of making positive adaptations to resistance training that are associated with improved ambulation and decreased fatigue.


2021 ◽  
Author(s):  
Justin W Andrushko ◽  
Jacob M Levenstein ◽  
Catharina Zich ◽  
Evan C Edmond ◽  
Jon Campbell ◽  
...  

In humans, motor learning is underpinned by changes in functional connectivity (FC) across the sensorimotor network. Unilateral exercise-induced fatigue increases FC in the ipsilateral primary motor cortex (M1) and supplementary motor area (SMA); areas involved in motor planning and execution of the contralateral hand. Unilateral fatiguing exercise is therefore a promising potential approach to augment motor performance in the non-fatigued, contralateral, hand. In a within-participant, controlled, randomized, cross-over design, 15 right-handed adults had two magnetic resonance imaging (MRI) sessions, where functional MRI and MR Spectroscopic Imaging were acquired before and after repeated right-hand contractions at either 5% or 50% maximum voluntary contraction (MVC). Before and after scanning, response times (RTs) were determined in both hands, and after scanning, participants performed a serial reaction time task (SRTT) with their left, unfatigued, hand. Nine minutes of 50% MVC contractions resulted in fatigue. This unimanual fatigue improved motor performance, as indexed by decreased RTs, in the contralateral hand. Although fatigue had no significant effects on sequence learning, fatigue led to a significant increase in the transfer of the learned skill to the untrained hand. These behavioural effects were supported by significant neural changes: an increase in SMA-SMA functional connectivity, and increased connectivity between right M1 and right Orbitofrontal Cortex. At a neurochemical level, the degree of fatigue-induced decrease in GABA in left M1, left and right SMA correlated with subsequent behavioural improvements in the left-hand. These results support unilateral fatiguing exercise as a potential therapeutic intervention in a range of neurological and orthopedic conditions.


2019 ◽  
Vol 62 (5) ◽  
pp. 1258-1277 ◽  
Author(s):  
Megan K. MacPherson

PurposeThe aim of this study was to determine the impact of cognitive load imposed by a speech production task on the speech motor performance of healthy older and younger adults. Response inhibition, selective attention, and working memory were the primary cognitive processes of interest.MethodTwelve healthy older and 12 healthy younger adults produced multiple repetitions of 4 sentences containing an embedded Stroop task in 2 cognitive load conditions: congruent and incongruent. The incongruent condition, which required participants to suppress orthographic information to say the font colors in which color words were written, represented an increase in cognitive load relative to the congruent condition in which word text and font color matched. Kinematic measures of articulatory coordination variability and movement duration as well as a behavioral measure of sentence production accuracy were compared between groups and conditions and across 3 sentence segments (pre-, during-, and post-Stroop).ResultsIncreased cognitive load in the incongruent condition was associated with increased articulatory coordination variability and movement duration, compared to the congruent Stroop condition, for both age groups. Overall, the effect of increased cognitive load was greater for older adults than younger adults and was greatest in the portion of the sentence in which cognitive load was manipulated (during-Stroop), followed by the pre-Stroop segment. Sentence production accuracy was reduced for older adults in the incongruent condition.ConclusionsIncreased cognitive load involving response inhibition, selective attention, and working memory processes within a speech production task disrupted both the stability and timing with which speech was produced by both age groups. Older adults' speech motor performance may have been more affected due to age-related changes in cognitive and motoric functions that result in altered motor cognition.


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