Observation of others’ actions during limb immobilization prevents the subsequent decay of motor performance

There is rich clinical evidence that observing normally executed actions promotes the recovery of the corresponding action execution in patients with motor deficits. In this study, we assessed the ability of action observation to prevent the decay of healthy individuals’ motor abilities following upper-limb immobilization. To this end, upper-limb kinematics was recorded in healthy participants while they performed three reach-to-grasp movements before immobilization and the same movements after 16 h of immobilization. The participants were subdivided into two groups; the experimental group observed, during the immobilization, the same reach-to-grasp movements they had performed before immobilization, whereas the control group observed natural scenarios. After bandage removal, motor impairment in performing reach-to-grasp movements was milder in the experimental group. These findings support the hypothesis that action observation, via the mirror mechanism, plays a protective role against the decline of motor performance induced by limb nonuse. From this perspective, action observation therapy is a promising tool for anticipating rehabilitation onset in clinical conditions involving limb nonuse, thus reducing the burden of further rehabilitation.

Responses of cutaneous C-fiber afferents and spinal microglia after hindlimb cast immobilization in rats

Previous studies have shown that persistent limb immobilization using a cast increases nociceptive behavior to somatic stimuli in rats. However, the peripheral neural mechanisms of nociception remain unclear. Using single-fiber electrophysiological recordings in vitro, we examined the general characteristics of cutaneous C-fiber afferents in the saphenous nerve and their responsiveness to mechanical and heat stimuli in a rat model of immobilization-induced pain by subjecting the rats to hindlimb cast immobilization for 4 weeks. The mechanical response of C-fibers appeared to increase in the model; however, statistical analysis revealed that neither the response threshold nor the response magnitude was altered. The general characteristics and heat responses of the C-fibers were not altered. The number of microglia and cell diameters significantly increased in the superficial dorsal horn of the lumbar spinal cord. Thus, activated microglia-mediated spinal mechanisms are associated with the induction of nociceptive hypersensitivity in rats after persistent cast immobilization.

Mitochondrial Bioenergetics and Turnover during Chronic Muscle Disuse

Periods of muscle disuse promote marked mitochondrial alterations that contribute to the impaired metabolic health and degree of atrophy in the muscle. Thus, understanding the molecular underpinnings of muscle mitochondrial decline with prolonged inactivity is of considerable interest. There are translational applications to patients subjected to limb immobilization following injury, illness-induced bed rest, neuropathies, and even microgravity. Studies in these patients, as well as on various pre-clinical rodent models have elucidated the pathways involved in mitochondrial quality control, such as mitochondrial biogenesis, mitophagy, fission and fusion, and the corresponding mitochondrial derangements that underlie the muscle atrophy that ensues from inactivity. Defective organelles display altered respiratory function concurrent with increased accumulation of reactive oxygen species, which exacerbate myofiber atrophy via degradative pathways. The preservation of muscle quality and function is critical for maintaining mobility throughout the lifespan, and for the prevention of inactivity-related diseases. Exercise training is effective in preserving muscle mass by promoting favourable mitochondrial adaptations that offset the mitochondrial dysfunction, which contributes to the declines in muscle and whole-body metabolic health. This highlights the need for further investigation of the mechanisms in which mitochondria contribute to disuse-induced atrophy, as well as the specific molecular targets that can be exploited therapeutically.

Short-Term Immobilization Promotes a Rapid Loss of Motor Evoked Potentials and Strength That Is Not Rescued by rTMS Treatment

Short-term limb immobilization results in skeletal muscle decline, but the underlying mechanisms are incompletely understood. This study aimed to determine the neurophysiologic basis of immobilization-induced skeletal muscle decline, and whether repetitive Transcranial Magnetic Stimulation (rTMS) could prevent any decline. Twenty-four healthy young males (20 ± 0.5 years) underwent unilateral limb immobilization for 72 h. Subjects were randomized between daily rTMS (n = 12) using six 20 Hz pulse trains of 1.5 s duration with a 60 s inter-train-interval delivered at 90% resting Motor Threshold (rMT), or Sham rTMS (n = 12) throughout immobilization. Maximal grip strength, EMG activity, arm volume, and composition were determined at 0 and 72 h. Motor Evoked Potentials (MEPs) were determined daily throughout immobilization to index motor excitability. Immobilization induced a significant reduction in motor excitability across time (−30% at 72 h; p < 0.05). The rTMS intervention increased motor excitability at 0 h (+13%, p < 0.05). Despite daily rTMS treatment, there was still a significant reduction in motor excitability (−33% at 72 h, p < 0.05), loss in EMG activity (−23.5% at 72 h; p < 0.05), and a loss of maximal grip strength (−22%, p < 0.001) after immobilization. Interestingly, the increase in biceps (Sham vs. rTMS) (+0.8 vs. +0.1 mm, p < 0.01) and posterior forearm (+0.3 vs. +0.0 mm, p < 0.05) skinfold thickness with immobilization in Sham treatment was not observed following rTMS treatment. Reduced MEPs drive the loss of strength with immobilization. Repetitive Transcranial Magnetic Stimulation cannot prevent this loss of strength but further investigation and optimization of neuroplasticity protocols may have therapeutic benefit.

Two weeks of single-leg immobilization alters intramyocellular lipid storage characteristics in healthy, young women

We report that the subcellular storage location of IMCL is altered by limb immobilization, highlighting the need to evaluate IMCL storage location when assessing the effects of disuse on IMCL content. We also found that AKT content increased during immobilization in our female population, contrary to studies in males finding that AKT decreases during disuse, highlighting that men and women may respond differently to disuse and the necessity to include women in all research.

Short-term upper limb immobilization and the embodied view of memory: A pilot study

The present study aimed to explore the contribution of the manual sensorimotor system to the memory of graspable objects. Participants in the experimental group underwent a short-term upper limb immobilization design to decrease arousal to their dominant hand. Such designs are known to elicit updating of sensorimotor representations and to hardened use of implicit motor simulation, a process that occurs when observing graspable objects. Subsequently, a free recall and a recognition task of graspable and non-graspable objects took place. We found slower recognition for graspable than for non-graspable objects in the control group, while no differences appeared for the immobilized group. Moreover, the recognition latency for graspable objects tended to be slower for the control than for the immobilized group. These results suggest that a time demanding reactivation of motor simulation is elicited when a graspable object is correctly recognized by control participants. The effect of immobilization could prevent this reactivation, leading to faster recognition. Hence, immobilization selectively affects graspable object memory, showing a close relationship with the manual sphere of the sensorimotor system. We suggest that recognition accuracy would probably be affected in cases of stronger disruption of sensorimotor arousal.

Effects of Power-Oriented Resistance Training With Heavy vs. Light Loads on Muscle-Tendon Function in Older Adults: A Study Protocol for a Randomized Controlled Trial

BackgroundPower-oriented resistance training (PRT) is one of the most effective exercise programs to counteract neuromuscular and physical function age-related declines. However, the optimal load that maximizes these outcomes or the load-specific adaptations induced on muscle power determinants remain to be better understood. Furthermore, to investigate whether these adaptations are potentially transferred to an untrained limb (i.e., cross-education phenomenon) could be especially relevant during limb-immobilization frequently observed in older people (e.g., after hip fracture).MethodsAt least 30 well-functioning older participants (>65 years) will participate in a within-person randomized controlled trial. After an 8-week control period, the effects of two 12-week PRT programs using light vs. heavy loads will be compared using an unilateral exercise model through three study arms (light-load PRT vs. non-exercise; heavy-load PRT vs. non-exercise; and light- vs. heavy- load PRT). Muscle-tendon function, muscle excitation and morphology and physical function will be evaluated to analyze the load-specific effects of PRT in older people. Additionally, the effects of PRT will be examined on a non-exercised contralateral limb.DiscussionTailored exercise programs are largely demanded given their potentially greater efficiency preventing age-related negative consequences, especially during limb-immobilization. This trial will provide evidence supporting the use of light- or heavy-load PRT on older adults depending on individual needs, improving decision making and exercise program efficacy.Clinical Trial RegistrationNCT03724461 registration data: October 30, 2018.

Hibiscus sabdariffa L. Extract Improved Plasma Catalase Activity but not Malondialdehyde Level in Hind Limb Immobilized Rats

Disused muscle atrophy (DMA) causes severe problems in aging society especially bedridden people. Oxidative stress is proposed to be involved in the pathogenesis of DMA. Hibiscus sabdariffa L. (HS) or roselle contains high flavonoids, a compound previously shown to be an effective antioxidant, antihypertensive and antidiabetic agent. Thus, the present study investigated the protective effects of HS against oxidative stress in the hind limb of immobilized rats. Twenty-eight male Sprague-Dawley rats were randomly divided into four groups (n=6 per group): Control group received no intervention; Immobilized group received unilateral hind limb immobilization for five days; HS group received 100 mg/kg/bw through oral force feeding for 28 days; Immobilized + HS group received unilateral hind limb immobilization for five days followed by 28-days HS treatment with the same dosage. Blood samples were collected and analysed for DNA damage, lipid peroxidation and oxidative enzyme. Data were presented as mean ± SEM and statistically analysed by ANOVA. The results showed a significant increase in percentage of mild DNA damage after HS treatment in hind limb immobilized rat (Control: 86.5±1.4%; Immobilized: 25.0±5.5%; HS: 37.0±3.5%; Immobilized + HS: 56.7±7.9%, P=0.003). There was also significant increase in plasma catalase activity after HS treatment (plasma [hydrogen peroxide] in Control: 72.5±0.3 µg/ml; Immobilized: 65.1±1.3 µg/ml; HS: 68.3±3.2 µg/ml; Immobilized + HS: 56.5±4.9 µg/ml, P=0.006) but not in plasma malondialdehyde (MDA) level. In conclusion, these findings suggested that HS treatment may prevent oxidative stress-induced DMA in the rats' hind limb immobilization model.