Is there a reliable and invariant set of muscle synergy during isometric biaxial trunk exertion in the sagittal and transverse planes by healthy subjects?

Evaluation of the trunk modules in the symmetrical and three-dimensional asymmetrical trunk positions

Modularity (Muscle synergy) is the concept that has been used to answer the question of how the central nervous system (CNS) coordinates the body's high degrees of freedom. This study aimed to investigate the trunk muscle synergies in symmetrical and asymmetrical positions. Fourteen healthy males participated. Electromyographical activities of 16 muscles were recorded during maximum voluntary isometric contraction (MVIC) in six main directions with two repetitions and maximum voluntary isometric extension (MVIE) of the trunk in 23 different three-dimensional trunk positions. Muscle synergies were extracted separately using non-negative matrix factorization during MVIC (with one/two repetitions) and MVIE. The effect of position changes on synergies was investigated using response surface models and the Pearson correlation coefficient. The findings show that 6 synergies for 6 directions MVIC and 2 synergies for MVIE are suitable with the variance accounted for of 99.65 ± 0.65 96 and 94.14 ± 1.59, respectively. Trial repetition does not affect the synergies. In Conclusion, during the same activity in different positions and trials, the synergy of the main activity is preserved. These show the stability of synergies and their dependence on the activity type. This stability may help to determine the main damage caused and provide appropriate treatment protocol for trunk injuries.

Evaluation of the maximum voluntary isometric lumbar extension in three-dimensional positions

Objective. Asymmetrical trunk positions to perform daily tasks are known as risk factors for back injuries. This study aimed to investigate the lumbar extension (main activity for lifting) in symmetrical, asymmetrical and combined positions. Methods. Sixteen lumbar and abdominal muscle activities during maximum voluntary contraction in six main directions and the isometric extension in 24 different positions were recorded for 14 healthy men. The co-contraction index was calculated between all the muscle pairs for each trial (120 pairs per trial). The relationship between uniaxial and combined positions was investigated using Pearson's correlation and the response surface methodology model. Results. Pearson's correlation between the combined positions and extension was 0.482-0.588 and for the other five main directions was <0.3. According to the models, a significant relationship was observed for extension. Conclusions. Secondary activities due to asymmetrical position reduce the subject ability to apply maximum extension. The optimal asymmetrical lifting mode is when it is accompanied by flexion and avoids side bending as much as possible. To reduce back injuries, and increase ergonomics and occupational safety, the work environment should be designed in such a way that the spine is not exposed to excessive loads.

Assessment of Muscle Synergies in Chronic Ankle Instability Patients During Unanticipated and Anticipated Landing

Ankle sprains are a common injury among athletes and the general population, with chronic ankle instability (CAI) being a frequent complication. CAI patients often display altered neuromuscular control adaptations. This study analyzed muscle synergy patterns in 20 CAI patients during anticipated and unanticipated landing tasks to understand their neuromuscular adaptation strategies. Using Nesterov non-negative matrix factorization and K-means clustering, the study identified distinct muscle activation patterns. Results indicated that during unanticipated landings, the gluteus maximus and vastus lateralis showed increased activation weight, while the medial gastrocnemius was more active in anticipated landings. This study highlights that CAI patients display unique muscle synergy patterns during unanticipated landings, relying more on proximal muscles such as the gluteus maximus and vastus lateralis. This adaptation reflects the proximal muscle strategy to enhance stability and compensate for impaired ankle function in unpredictable situations.

Generalizability of muscle synergies in isometric force generation versus point-to-point reaching in the human upper extremity workspace

Isometric force generation and kinematic reaching in the upper extremity has been found to be represented by a limited number of muscle synergies, even across task-specific variations. However, the extent of the generalizability of muscle synergies between these two motor tasks within the arm workspace remains unknown. In this study, we recorded electromyographic (EMG) signals from 13 different arm, shoulder, and back muscles of ten healthy individuals while they performed isometric and kinematic center-out target matches to one of 12 equidistant directional targets in the horizontal plane and at each of four starting arm positions. Non-negative matrix factorization was applied to the EMG data to identify the muscle synergies. Five and six muscle synergies were found to represent the isometric force generation and point-to-point reaches. We also found that the number and composition of muscle synergies were conserved across the arm workspace per motor task. Similar tuning directions of muscle synergy activation profiles were observed at different starting arm locations. Between the isometric and kinematic motor tasks, we found that two to four out of five muscle synergies were common in the composition and activation profiles across the starting arm locations. The greater number of muscle synergies that were involved in achieving a target match in the reaching task compared to the isometric task may explain the complexity of neuromotor control in arm reaching movements. Overall, our results may provide further insight into the neuromotor compartmentalization of shared muscle synergies between two different arm motor tasks and can be utilized to assess motor disabilities in individuals with upper limb motor impairments.

Synergy Analysis of Back Muscle Activities in Patients with Adolescent Idiopathic Scoliosis Based on High-Density Electromyogram

Adolescent idiopathic scoliosis (AIS) is a common structural spinal deformity and is typically associated with altered muscle properties. However, it is still unclear how muscle activities and the underlying neuromuscular control are changed in the entire scoliotic zone, restricting the corresponding pathology investigation and treatment enhancements. In this study, high-density electromyogram (HD-EMG) was utilized to explore the neuromuscular synergy of back muscle activities. For each of ten AIS patients and ten healthy subjects for comparison, a high-density electrode array was placed on their back from T8 to L4 to record EMG signals when performing five spinal motions (flexion/extension, lateral bending, axial rotation, siting, and standing). From the HD-EMG recordings, muscle synergies were extracted using the non-negative matrix factorization method and the topographical maps of EMG root-mean-square were constructed. For both the AIS and healthy subjects, the experimental results indicated that two muscle synergy groups could explain over 90% of recorded muscle activities for all five motions. During flexion/extension, the patients presented statistically significant higher activations on the convex side in the entire root-mean-square maps and synergy vector maps (p <0.05). During lateral bending and axial rotation, the patients exhibited less activated muscles on the dominant actuating side relative to the contralateral side and their synergy vector maps showed a less homogenous and more diffuse distribution of muscle contraction with statistically different centers of gravity. The findings suggest that a scoliotic spine might adopt an altered modular muscular coordination strategy to actuate different dominant muscles as adapted compensations for the deformation.

Estimation of Trunk Muscle Forces Using a Bio-Inspired Control Strategy Implemented in a Neuro-Osteo-Ligamentous Finite Element Model of the Lumbar Spine

Low back pain (LBP), the leading cause of disability worldwide, remains one of the most common and challenging problems in occupational musculoskeletal disorders. The effective assessment of LBP injury risk, and the design of appropriate treatment modalities and rehabilitation protocols, require accurate estimation of the mechanical spinal loads during different activities. This study aimed to: (1) develop a novel 2D beam-column finite element control-based model of the lumbar spine and compare its predictions for muscle forces and spinal loads to those resulting from a geometrically matched equilibrium-based model; (2) test, using the foregoing control-based finite element model, the validity of the follower load (FL) concept suggested in the geometrically matched model; and (3) investigate the effect of change in the magnitude of the external load on trunk muscle activation patterns. A simple 2D continuous beam-column model of the human lumbar spine, incorporating five pairs of Hill's muscle models, was developed in the frontal plane. Bio-inspired fuzzy neuro-controllers were used to maintain a laterally bent posture under five different external loading conditions. Muscle forces were assigned based on minimizing the kinematic error between target and actual postures, while imposing a penalty on muscular activation levels. As compared to the geometrically matched model, our control-based model predicted similar patterns for muscle forces, but at considerably lower values. Moreover, irrespective of the external loading conditions, a near (<3°) optimal FL on the spine was generated by the control-based predicted muscle forces. The variation of the muscle forces with the magnitude of the external load within the simulated range at the L1 level was found linear. This work presents a novel methodology, based on a bio-inspired control strategy, that can be used to estimate trunk muscle forces for various clinical and occupational applications toward shedding light on the ever-elusive LBP etiology.

The influence of musculoskeletal pain disorders on muscle synergies-A systematic review

Background

Musculoskeletal (MSK) pain disorders represent a group of highly prevalent and often disabling conditions. Investigating the structure of motor variability in response to pain may reveal novel motor impairment mechanisms that may lead to enhanced management of motor dysfunction associated with MSK pain disorders. This review aims to systematically synthesize the evidence on the influence of MSK pain disorders on muscle synergies.

Methods

Nine electronic databases were searched using Medical Subject Headings and keywords describing pain, electromyography and synergies. Relevant characteristics of included studies were extracted and assessed for generalizability and risk of bias. Due to the significant heterogeneity, a qualitative synthesis of the results was performed.

Results

The search resulted in a total of 1312 hits, of which seven articles were deemed eligible. There was unclear consistency that pain reduced the number of muscle synergies. There were low consistencies of evidence that the synergy vector (W weights) and activation coefficient (C weights) differed in painful compared to asymptomatic conditions. There was a high consistency that muscle synergies were dissimilar between painful and asymptomatic conditions.

Conclusions

MSK pain alters the structure of variability in muscle control, although its specific nature remains unclear. Greater consistency in muscle synergy analysis may be achieved with appropriate selection of muscles assessed and ensuring consistent achievement of motor task outcomes. Synergy analysis is a promising method to reveal novel understandings of altered motor control, which may facilitate the assessment and treatment of MSK pain disorders.

Do Older Adults and Those Recovered from Low Back Injury Share Common Muscle Activation Adaptations?

Theoretical models suggest trunk muscle activation compensates for spinal systems impairments. The purpose of this study was to determine if two populations (older adults and those recovered from a lower back injury (rLBI)) with spinal system impairments have similar muscle activation patterns to each other, but differ from controls. Trunk electromyograms collected from 12 older adults, 16 rLBI, and 19 controls during two dynamic tasks showed that older adults and rLBI had higher activation amplitudes, sustained temporal and more synergistic activation relative to controls. However, differences found between older adults and rLBI suggest that spinal system impairments differed between groups or that recent pain (rLBI) uniquely influenced muscle activation. This sheds light on our understanding of the relationship between spinal system impairments and muscle activation.

The effect of parameters of equilibrium-based 3-D biomechanical models on extracted muscle synergies during isometric lumbar exertion

A hallmark of more advanced models is their higher details of trunk muscles represented by a larger number of muscles. The question is if in reality we control these muscles individually as independent agents or we control groups of them called "synergy". To address this, we employed a 3-D biomechanical model of the spine with 18 trunk muscles that satisfied equilibrium conditions at L4/5, with different cost functions. The solutions of several 2-D and 3-D tasks were arranged in a data matrix and the synergies were computed by using non-negative matrix factorization (NMF) algorithms. Variance accounted for (VAF) was used to evaluate the number of synergies that emerged by the analysis, which were used to reconstruct the original muscle activations. It was showed that four and six muscle synergies were adequate to reconstruct the input data of 2-D and 3-D torque space analysis. The synergies were different by choosing alternative cost functions as expected. The constraints affected the extracted muscle synergies, particularly muscles that participated in more than one functional tasks were influenced substantially. The compositions of extracted muscle synergies were in agreement with experimental studies on healthy participants. The following computational methods show that the synergies can reduce the complexity of load distributions and allow reduced dimensional space to be used in clinical settings.