Discharge of human muscle spindle afferents innervating ankle dorsiflexors during target isometric contractions

Influence of Proprioceptive Inputs and Force Feedback Modality on Force Reproduction Performance

The sense of force can be assessed using a force reproduction task (FRT), which consists of matching a target force with visual feedback (TARGET phase) and reproducing it without visual feedback (REPRODUCTION phase). We investigated the relevance of muscle proprioception during the TARGET phase (EXP1) and the influence of the sensory source used for the force feedback (EXP2). Accordingly, EXP1 compared the force reproduction error (RE) between trials with (LV) and without (NoLV) local tendon vibration applied on the first dorsal interosseous during the TARGET phase, while EXP2 compared RE between trials performed with visual (VISIO) or auditory (AUDIO) feedback. The FRT was performed with the index finger at 5% and 20% of the maximal force (MVC). RE was greater with LV compared with NoLV at 5% (p = 0.004) but not 20% MVC (p = 0.65). The involvement of muscle proprioception in RFT was further supported by the increase in RE with LV frequency (supplementary experiment). RE was greater for VISIO than AUDIO at 5% (p < 0.001) but not 20% MVC (p = 0.054). This study evidences the relevance of proprioceptive inputs during the target PHASE and the influence of the force feedback modality on RE, and thereby on the assessment of the sense of force.

What if muscle spindles were also involved in the sense of effort?

Effort perception is widely acknowledged to originate from central processes within the brain, mediated by the integration of an efference copy of motor commands in sensory areas. However, in this topical review, we aim to challenge this perspective by presenting evidence from neural mechanisms and empirical studies that suggest that reafferent signals from muscle spindles also play a significant role in effort perception. It is now imperative for future research (a) to investigate the precise mechanisms underlying the interactions between the efference copy and reafferent spindle signals in the generation of effort perception, and (b) to explore the potential for altering spindle sensitivity to affect perceived effort during ecological physical exercise and, subsequently, influence physical activity behaviours.

Encoding force modulation in two electrotactile feedback parameters strengthens sensory integration according to maximum likelihood estimation

Bidirectional human-machine interfaces involve commands from the central nervous system to an external device and feedback characterizing device state. Such feedback may be elicited by electrical stimulation of somatosensory nerves, where a task-relevant variable is encoded in stimulation amplitude or frequency. Recently, concurrent modulation in amplitude and frequency (multimodal encoding) was proposed. We hypothesized that feedback with multimodal encoding may effectively be processed by the central nervous system as two independent inputs encoded in amplitude and frequency, respectively, thereby increasing state estimate quality in accordance with maximum-likelihood estimation. Using an adaptation paradigm, we tested this hypothesis during a grasp force matching task where subjects received electrotactile feedback encoding instantaneous force in amplitude, frequency, or both, in addition to their natural force feedback. The results showed that adaptations in grasp force with multimodal encoding could be accurately predicted as the integration of three independent inputs according to maximum-likelihood estimation: amplitude modulated electrotactile feedback, frequency modulated electrotactile feedback, and natural force feedback (r² = 0.73). These findings show that multimodal electrotactile feedback carries an intrinsic advantage for state estimation accuracy with respect to single-variable modulation and suggest that this scheme should be the preferred strategy for bidirectional human-machine interfaces with electrotactile feedback.

Effects of tendon vibration and age on force reproduction task performed with wrist flexors

The sense of force is suggested to rely in part on proprioceptive inputs when assessed with a force reproduction task. The age-related alterations in proprioceptive system could, therefore, alter the sense of force. This study investigated the effects of tendon vibration on a force reproduction task performed with the wrist flexors in 18 young (20-40 year) and 18 older adults (60-90 year). Participants matched a target force (5% or 20% of their maximal force) with visual feedback of the force produced (target phase), and reproduced the target force without visual feedback (reproduction phase) after a 5-s rest period with or without vibration. The force reproduction error was expressed as the ratio between the force produced during the reproduction and the target phases. For the trials with vibration, the error was expressed as the ratio between the force produced during the reproduction phase performed with and without vibration. Tactile acuity was assessed with a two-point discrimination test. The error was greater at 5% than at 20% contraction intensity (p < 0.001), and in older [56.5 (32.2)%; mean (SD)] than in young adults [33.5 (13.6)%] at 5% (p = 0.002) but not 20% target (p = 0.46). Tendon vibration had a greater effect at 5% than 20% contraction intensity, and in older [41.7 (32.4)%, p < 0.001] than young adults [20.0 (16.1)%]. Tactile acuity was lesser in older than young adults (p < 0.001). The results support the contribution of proprioception in the sense of force, and highlight a decrease in performance with ageing restricted to low-force contractions.

Local exercise based on voluntary contractions produces greater warm-up effects on balance control than electro-induced contractions

On the one hand, while general (involving the whole body) warm-up exercises have been extensively used to optimize motor and postural performance, the effect of a local (involving a particular muscular group) warm-up has not yet been addressed. On the other hand, voluntary (VOL) and electro-induced (EI) contractions produce different physiological effects likely to differently affect motor and postural performance. The aim was to analyze and compare the effects of two local warm-up modalities, voluntary and electro-induced (VOL or EI warm-up) on balance control. Balance control was evaluated with a force platform (recording the displacement of the centre of foot pressure - COP) in 27 healthy young subjects before (PRE), immediately after (POST), 5 minutes after (POST5), and 10 minutes after (POST10) either warm-up. Each warm-up included 6 sets of 5 contractions at 10% of maximal voluntary contraction of the quadriceps femoris. The results showed that the VOL warm-up improved balance control at POST, POST5 and POST10 while the EI warm-up improved it only at POST10. In addition, balance control was significantly better after the VOL warm-up than after the EI warm-up at POST5 and POST10. A short and local VOL warm-up improved balance control immediately after its completion and for, at least, ten minutes, while the EI warm-up required some minutes of recovery before producing its improving effects.

Remodeling of Rat M. Gastrocnemius Medialis During Recovery From Aponeurotomy

Aponeurotomy is a surgical intervention by which the aponeurosis is transsected perpendicularly to its longitudinal direction, halfway along its length. This surgical principle of aponeurotomy has been applied also to intramuscular lengthening and fibrotomia. In clinics, this intervention is performed in patients with cerebral palsy in order to lengthen or weaken spastic and/or short muscles. If the aponeurotomy is performed on the proximal aponeurosis, as is the case in the present study, muscle fibers located distally from the aponeurosis gap that develops lose their myotendinous connection to the origin. During recovery from this intervention, new connective (scar) tissue repairs the gap in the aponeurosis, as well as within the muscle belly. As a consequence, the aponeurosis is longer during and after recovery. In addition, the new connective tissue is more compliant than regular aponeurosis material. The aim of this study was to investigate changes in muscle geometry and adaptation of the number of sarcomeres in series after recovery from aponeurotomy of the proximal gastrocnemius medialis (GM) aponeurosis, as well as to relate these results to possible changes in the muscle length-force characteristics. Aponeurotomy was performed on the proximal aponeurosis of rat muscle GM and followed by 6 weeks of recovery. Results were compared to muscles of a control group and those of a sham-operated group. After recovery from aponeurotomy, proximal and distal muscle fiber lengths were similar to that of the control group. The mean sarcomere length from fibers located proximally relative to the aponeurosis gap remained unchanged. In contrast, fibers located distally showed 16–20% lower mean sarcomere lengths at different muscle lengths. The number of sarcomeres in series within the proximal as well as distal muscle fibers was unchanged. After recovery, muscle length-force characteristics were similar to those of the control group. A reversal of proximal-distal difference of fibers mean sarcomere lengths within muscles during recovery from aponeurotomy is hypothesized to be responsible for the lack of an effect. These results indicate that after recovery from aponeurotomy, geometrical adaptations preserved the muscle function. Moreover, it seems that the generally accepted rules of adaptation of serial sarcomere numbers are not applicable in this situation.

Muscle thixotropy-where are we now?

Relaxed skeletal muscle has an inbuilt resistance to movement. In particular, the resistance manifests itself as a substantial stiffness for small movements. The stiffness is impermanent, because it forms only when the muscle is stationary for some time and is reduced upon active or passive movement. Because the resistance to movement increases with time at rest and is reduced by movement, this behavior has become known as muscle thixotropy. In this short review, we describe the phenomenon of thixotropy and illustrate its significance in postural control with particular emphasis on human standing. We show how thixotropy came to be unambiguously associated with muscle mechanics and we review present knowledge of the molecular basis of thixotropic behavior. Specifically, we examine how recent knowledge about titin, and about the control of cross-bridge cycling, has impacted on the role of non-cross-bridge mechanisms and cross-bridge mechanisms in explaining thixotropy. We describe how thixotropic changes in muscle stiffness that occur during transitions from posture to movement can be tracked by analyzing physiological tremor. Finally, because skeletal muscle contains sensory receptors, and because some of these receptors are themselves thixotropic, we outline some of the consequences of muscle thixotropy for proprioception.

Functional properties of human muscle spindles

Muscle spindles are ubiquitous encapsulated mechanoreceptors found in most mammalian muscles. There are two types of endings, primary and secondary, and both are sensitive to changes in muscle length and velocity, with the primary endings having a greater dynamic sensitivity. Unlike other mechanoreceptors in the somatosensory system, muscle spindles are unique in possessing motor innervation, via γ-motoneurons (fusimotor neurons), that control their sensitivity to stretch. Much of what we know about human muscles spindles comes from studying the behavior of their afferents via intraneural microelectrodes (microneurography) inserted into accessible peripheral nerves. We review the functional properties of human muscle spindles, comparing and contrasting with what we know about the functions of muscle spindles studied in experimental animals. As in the cat, many human muscle spindles possess a background discharge that is related to the degree of muscle stretch, but mean firing rates are much lower (~10 Hz). They can faithfully encode changes in muscle fascicle length in passive conditions, but higher level extraction of information is required by the central nervous system to measure changes in muscle length during muscle contraction. Moreover, although there is some evidence supporting independent control of human muscle spindles via fusimotor neurons, any effects are modest compared with the clearly independent control of fusimotor neurons observed in the cat.

Intramuscular Electrical Stimulation for Muscle Activation of the Tibialis Anterior After Surgical Repair: A Case Report

Background Loss of voluntary activation of musculature can result in muscle weakness. External neuromuscular stimulation can be utilized to improve voluntary activation but is often poorly tolerated because of pain associated with required stimulus level. Intramuscular electrical stimulation requires much lower voltage and may be better tolerated, and therefore more effective at restoring voluntary muscle activation. Case Description A 71-year-old man sustained a rupture of the distal attachment of the tibialis anterior tendon. Thirty-two weeks after surgical repair, there was no palpable or visible tension development in the muscle belly or tendon. Dorsiflexion was dependent on toe extensors. Electrical stimulation applied via a dry needling placement in the muscle belly was utilized to induce an isometric contraction. Outcomes Five sessions of intramuscular electrical stimulation were delivered. By day 4 (second visit), the patient was able to dorsiflex without prominent use of the extensor hallucis longus. By day 6 (third visit), active-range-of-motion dorsiflexion with toes flexed increased 20° (-10° to 10°). Eighteen days after the initial treatment, the patient walked without his previous high-step gait pattern, and the tibialis anterior muscle test improved to withstanding moderate resistance (manual muscle test score, 4/5). Discussion The rapid change in muscle function observed suggests that intramuscular electrical stimulation may facilitate voluntary muscle activation. Level of Evidence Therapy, level 5. J Orthop Sports Phys Ther 2017;47(12):965-969. Epub 15 Oct 2017. doi:10.2519/jospt.2017.7368.

Emotions alter muscle proprioceptive coding of movements in humans

Emotions can evoke strong reactions that have profound influences, from gross changes in our internal environment to small fluctuations in facial muscles, and reveal our feelings overtly. Muscles contain proprioceptive afferents, informing us about our movements and regulating motor activities. Their firing reflects changes in muscle length, yet their sensitivity can be modified by the fusimotor system, as found in animals. In humans, the sensitivity of muscle afferents is modulated by cognitive processes, such as attention; however, it is unknown if emotional processes can modulate muscle feedback. Presently, we explored whether muscle afferent sensitivity adapts to the emotional situation. We recorded from single muscle afferents in the leg, using microneurography, and moved the ankle joint of participants, while they listened to evocative classical music to induce sad, neutral, or happy emotions, or sat passively (no music). We further monitored their physiological responses using skin conductance, heart rate, and electromyography measures. We found that muscle afferent firing was modified by the emotional context, especially for sad emotions, where the muscle spindle dynamic response increased. We suggest that this allows us to prime movements, where the emotional state prepares the body for consequent behaviour-appropriate reactions.

Sensory control of normal movement and of movement aided by neural prostheses

Signals from sensory receptors in muscles and skin enter the central nervous system (CNS), where they contribute to kinaesthesia and the generation of motor commands. Many lines of evidence indicate that sensory input from skin receptors, muscle spindles and Golgi tendon organs play the predominant role in this regard. Yet in spite of over 100 years of research on this topic, some quite fundamental questions remain unresolved. How does the CNS choose to use the ability to control muscle spindle sensitivity during voluntary movements? Do spinal reflexes contribute usefully to load compensation, given that the feedback gain must be quite low to avoid instability? To what extent do signals from skin stretch receptors contribute? This article provides a brief review of various theories, past and present, that address these questions. To what extent has the knowledge gained resulted in clinical applications? Muscles paralyzed as a result of spinal cord injury or stroke can be activated by electrical stimulation delivered by neuroprostheses. In practice, at most two or three sensors can be deployed on the human body, providing only a small fraction of the information supplied by the tens of thousands of sensory receptors in animals. Most of the neuroprostheses developed so far do not provide continuous feedback control. Instead, they switch from one state to another when signals from their one or two sensors meet pre-set thresholds (finite state control). The inherent springiness of electrically activated muscle provides a crucial form of feedback control that helps smooth the resulting movements. In spite of the dissimilarities, parallels can be found between feedback control in neuroprostheses and in animals and this can provide surprising insights in both directions.

How Weight Affects the Perceived Spacing between the Thumb and Fingers during Grasping

We know much about mechanisms determining the perceived size and weight of lifted objects, but little about how these properties of size and weight affect the body representation (e.g. grasp aperture of the hand). Without vision, subjects (n = 16) estimated spacing between fingers and thumb (perceived grasp aperture) while lifting canisters of the same width (6.6cm) but varied weights (300, 600, 900, and 1200 g). Lifts were performed by movement of either the wrist, elbow or shoulder to examine whether lifting with different muscle groups affects the judgement of grasp aperture. Results for perceived grasp aperture were compared with changes in perceived weight of objects of different sizes (5.2, 6.6, and 10 cm) but the same weight (600 g). When canisters of the same width but different weights were lifted, perceived grasp aperture decreased 4.8% [2.2 ‒ 7.4] (mean [95% CI]; P < 0.001) from the lightest to the heaviest canister, no matter how they were lifted. For objects of the same weight but different widths, perceived weight decreased 42.3% [38.2 ‒ 46.4] from narrowest to widest (P < 0.001), as expected from the size-weight illusion. Thus, despite a highly distorted perception of the weight of objects based on their size, we conclude that proprioceptive afferents maintain a reasonably stable perception of the aperture of the grasping hand over a wide range of object weights. Given the small magnitude of this 'weight-grasp aperture' illusion, we propose the brain has access to a relatively stable 'perceptual ruler' to aid the manipulation of different objects.

Tndon vibration does not alter recovery time following fatigue

PURPOSE

Tendon vibration has been shown to enhance muscle activity and to increase muscular endurance times. The impact of vibration on recovery from fatigue, however, is not known. This study aims to determine whether tendon vibration reduces recovery time following fatiguing contractions.

METHODS

Eight sedentary males (22 ± 2.8 yr) performed a fatiguing protocol of ankle dorsiflexor muscles on two separate days, with a minimum of 48 h between visits. Surface EMG was recorded from the tibialis anterior muscle while participants were performing 25 maximal voluntary contractions (MVCs), each lasting 5 s and separated by 2 s. Following the fatiguing protocol, recovery was assessed with 3-s MVC each minute over a 10-min period. Recovery time was defined as the time at which force had returned to 90% of baseline values. At one visit, vibration was applied to the distal tendon of the tibialis anterior muscle between MVCs (throughout recovery). The alternate visit involved a sham condition in which no vibration was applied.

RESULTS

MVC force (P = 0.48) and EMG amplitude (P = 0.26) were not significantly different across testing days. Both MVC force (P < 0.001) and EMG amplitude (P < 0.001) declined significantly at the end of the fatigue protocol. However, there were no significant interaction effects for MVC force (P = 0.82) or EMG amplitude (P = 0.09), indicating similar levels of fatigue across days. With tendon vibration, MVC force recovered within 4.0 ± 2.5 min, which was not different from the sham condition (5.3 ± 1.8 min; P = 0.42). Similarly, EMG recovery time was not different between vibration condition (3.9 ± 3.8 min) and sham condition (4.9 ± 2.5 min) (P = 0.41).

CONCLUSIONS

These results suggest that activation of excitatory group Ia afferents through tendon vibration does not substantially alter recovery time following fatigue.

Sensory systems in the control of movement

Animal movement is immensely varied, from the simplest reflexive responses to the most complex, dexterous voluntary tasks. Here, we focus on the control of movement in mammals, including humans. First, the sensory inputs most closely implicated in controlling movement are reviewed, with a focus on somatosensory receptors. The response properties of the large muscle receptors are examined in detail. The role of sensory input in the control of movement is then discussed, with an emphasis on the control of locomotion. The interaction between central pattern generators and sensory input, in particular in relation to stretch reflexes, timing, and pattern forming neuronal networks is examined. It is proposed that neural signals related to bodily velocity form the basic descending command that controls locomotion through specific and well-characterized relationships between muscle activation, step cycle phase durations, and biomechanical outcomes. Sensory input is crucial in modulating both the timing and pattern forming parts of this mechanism.

The proprioceptive senses: their roles in signaling body shape, body position and movement, and muscle force

This is a review of the proprioceptive senses generated as a result of our own actions. They include the senses of position and movement of our limbs and trunk, the sense of effort, the sense of force, and the sense of heaviness. Receptors involved in proprioception are located in skin, muscles, and joints. Information about limb position and movement is not generated by individual receptors, but by populations of afferents. Afferent signals generated during a movement are processed to code for endpoint position of a limb. The afferent input is referred to a central body map to determine the location of the limbs in space. Experimental phantom limbs, produced by blocking peripheral nerves, have shown that motor areas in the brain are able to generate conscious sensations of limb displacement and movement in the absence of any sensory input. In the normal limb tendon organs and possibly also muscle spindles contribute to the senses of force and heaviness. Exercise can disturb proprioception, and this has implications for musculoskeletal injuries. Proprioceptive senses, particularly of limb position and movement, deteriorate with age and are associated with an increased risk of falls in the elderly. The more recent information available on proprioception has given a better understanding of the mechanisms underlying these senses as well as providing new insight into a range of clinical conditions.

Depression and recovery of reflex amplitude during electrical stimulation after spinal cord injury

OBJECTIVE

The aim of this study was to quantify, for the first time, H-reflexes evoked during prolonged trains of wide-pulse neuromuscular electrical stimulation (WP-NMES) in individuals with chronic spinal cord injury (SCI). We hypothesised that after the first H-reflex, reflex amplitudes would be depressed (due to post-activation depression), but would recover and this recovery would be enhanced after a "burst" of 100 Hz WP-NMES.

METHODS

Soleus M-waves and H-reflexes evoked during WP-NMES (1 ms pulse width) of the tibial nerve were quantified in nine individuals with SCI. WP-NMES was delivered in two patterns: "constant-frequency" (15 or 20 Hz for 12 s) and "burst-like" (15-100-15 Hz or 20-100-20 Hz; 4 s each phase) at an intensity that evoked an M-wave between 10% and 15% of the maximal M-wave (M(max)).

RESULTS

During constant frequency stimulation, after the initial depression from the first to the second H-reflex (1st: 57% M(max); 2nd: 25% M(max)), H-reflexes did not recover significantly and were 37% M(max) at the end of the stimulus train. During the burst-like pattern, after the initial depression (1st: 62% M(max); 2nd: 30%), reflexes recovered completely by the end of the stimulation (to 55% M(max)) as they were not significantly different from the first H-reflex. M-waves were initially depressed (1st: 12% M(max); 2nd: 7% M(max)) then did not change throughout the stimulation and were not significantly different between stimulation patterns. An analysis of covariance indicated that the depression in M-wave amplitude did not account for the depression in H-reflex amplitude.

CONCLUSIONS

Relatively large H-reflexes were recorded during both patterns of NMES. The brief burst of 100 Hz stimulation restored H-reflexes to their initial amplitudes, effectively reversing the effects of post-activation depression.

SIGNIFICANCE

For individuals with chronic SCI, generating contractions through central pathways may help reduce muscle atrophy and produce contractions that are more fatigue-resistant for rehabilitation, exercise programs, or to perform activities of daily living.

Ultrasonography as a tool to study afferent feedback from the muscle-tendon complex during human walking

In humans, one of the most common tasks in everyday life is walking, and sensory afferent feedback from peripheral receptors, particularly the muscle spindles and Golgi tendon organs (GTO), makes an important contribution to the motor control of this task. One factor that can complicate the ability of these receptors to act as length, velocity and force transducers is the complex pattern of interaction between muscle and tendinous tissues, as tendon length is often considerably greater than muscle fibre length in the human lower limb. In essence, changes in muscle-tendon mechanics can influence the firing behaviour of afferent receptors, which may in turn affect the motor control. In this review we first summarise research that has incorporated the use of ultrasound-based techniques to study muscle-tendon interaction, predominantly during walking. We then review recent research that has combined this method with an examination of muscle activation to give a broader insight to neuromuscular interaction during walking. Despite the advances in understanding that these techniques have brought, there is clearly still a need for more direct methods to study both neural and mechanical parameters during human walking in order to unravel the vast complexity of this seemingly simple task.

Trigeminal electrophysiology: a 2 x 2 matrix model for differential diagnosis between temporomandibular disorders and orofacial pain

Background

Pain due to temporomandibular disorders (TMDs) often has the same clinical symptoms and signs as other types of orofacial pain (OP). The possible presence of serious neurological and/or systemic organic pathologies makes differential diagnosis difficult, especially in early disease stages. In the present study, we performed a qualitative and quantitative electrophysiological evaluation of the neuromuscular responses of the trigeminal nervous system. Using the jaw jerk reflex (JJ) and the motor evoked potentials of the trigeminal roots (_bR-MEPs) tests, we investigated the functional and organic responses of healthy subjects (control group) and patients with TMD symptoms (TMD group).

Method

Thirty-three patients with temporomandibular disorder (TMD) symptoms and 36 control subjects underwent two electromyographic (EMG) tests: the jaw jerk reflex test and the motor evoked potentials of the trigeminal roots test using bilateral electrical transcranial stimulation. The mean, standard deviation, median, minimum, and maximum values were computed for the EMG absolute values. The ratio between the EMG values obtained on each side was always computed with the reference side as the numerator. For the TMD group, this side was identified as the painful side (pain side), while for the control group this was taken as the non-preferred masticatory side (non-preferred side). The 5th, 10th, 25th, 50th, 75th, 90th, and 95th percentiles were also calculated.

Results

Analysis of the ratios (expressed as percentages) between the values obtained on both sides revealed a high degree of symmetry in the _bR-MEPs ^% in the control (0.93 ± 0.12%) and TMD (0.91 ± 0.22%) groups. This symmetry indicated organic integrity of the trigeminal root motor fibers and correct electrode arrangement.

A degree of asymmetry of the jaw jerk's amplitude between sides (_ipJJ%), when the mandible was kept in the intercuspal position, was found in the TMD group (0.24% ± 0.14%) with a statistically significant difference in relation to the control group (0.61% ± 0.2%). This asymmetry seemed to be primarily due to a failure to facilitate the reflex on the painful side in intercuspal position.

Conclusions

In this 2 × 2 matrix diagnostic model, three different types of headache may be identified: 1) those due to organic pathologies directly and indirectly involving the trigeminal nervous system denoted as "Organic Damage"; 2) those in TMD patients; 3) other types of orofacial pain in subjects who could erroneously be considered healthy, denoted as Orofacial Pain "OP". This category of patient should be considered at risk, as organic neurological pathologies could be present and yet not directly affect the trigeminal system, at least in the early stages of the disease.

Effects of prolonged walking on neural and mechanical components of stretch responses in the human soleus muscle

After repeated passive stretching, tendinous tissue compliance increases in the human soleus (SOL) muscle-tendon unit. During movement, such changes would have important consequences for neural and mechanical stretch responses. This study examined the existence of such effects in response to a 75 min walking intervention. Eleven healthy subjects walked on a treadmill at 4 km h(1) with a robotic stretch device attached to the left leg. Ultrasonography was used to measure SOL fascicle lengths, and surface EMG activity was recorded in the SOL and tibialis anterior (TA) muscles. Perturbations of 6 deg were imposed at three different measurement intervals: Pre (immediately before the walking intervention), Mid (after approximately 30 min of walking) and Post (immediately after the intervention). Between the Pre-Mid and Mid-Post intervals, subjects walked for 30 min at a gradient of 3%. After the intervention, the amplitude and velocity of fascicle stretch both decreased (by 46 and 59%, respectively; P < 0.001) in response to a constant external perturbation, as did short (33%; P < 0.01) and medium (25%; P < 0.01) latency stretch reflex amplitudes. A faster perturbation elicited at the end of the protocol resulted in a recovery of fascicle stretch velocities and short latency reflex amplitudes to the pre-exercise values. These findings suggest that repeated stretching and shortening of a muscle-tendon unit can induce short-term structural changes in the tendinous tissues during human walking. The data also highlight the effect of these changes on neural feedback from muscle sensory afferents.

Acute effects of static and dynamic stretching on leg flexor and extensor isokinetic strength in elite women athletes

The aim of this study was to explore the effects of static and dynamic stretching of the leg flexors and extensors on concentric and eccentric peak torque (PT) and electromyography (EMG) amplitude of the leg extensors and flexors in women athletes. Ten elite women athletes completed the following intervention protocol in a randomized order on separate days: (a) non-stretching (control), (b) static stretching, and (c) dynamic stretching. Stretched muscles were the quadriceps and hamstring muscles. Before and after the stretching or control intervention, concentric and eccentric isokinetic PT and EMG activity of the leg extensors and flexors were measured at 60 and 180 degrees/s. Concentric and eccentric quadriceps and hamstring muscle strength at both test speeds displayed a significant decrease following static stretching (P<0.01-0.001). In contrast, a significant increase was observed after dynamic stretching for these strength parameters (P<0.05-0.001). Parallel to this, normalized EMG amplitude parameters exhibited significant decreases following static (P<0.05-0.001) and significant increases following dynamic stretching (P<0.05-0.001) during quadriceps and hamstring muscle actions at both concentric and eccentric testing modes. Our findings suggest that dynamic stretching, as opposed to static or no stretching, may be an effective technique for enhancing muscle performance during the pre-competition warm-up routine in elite women athletes.

Effects of contraction intensity on muscle fascicle and stretch reflex behavior in the human triceps surae

The aims of this study were to examine changes in the distribution of a stretch to the muscle fascicles with changes in contraction intensity in the human triceps surae and to relate fascicle stretch responses to short-latency stretch reflex behavior. Thirteen healthy subjects were seated in an ankle ergometer, and dorsiflexion stretches (8°; 250°/s) were applied to the triceps surae at different moment levels (0–100% of maximal voluntary contraction). Surface EMG was recorded in the medial gastrocnemius, soleus, and tibialis anterior muscles, and ultrasound was used to measure medial gastrocnemius and soleus fascicle lengths. At low forces, reflex amplitudes increased despite a lack of change or even a decrease in fascicle stretch velocities. At high forces, lower fascicle stretch velocities coincided with smaller stretch reflexes. The results revealed a decline in fascicle stretch velocity of over 50% between passive conditions and maximal force levels in the major muscles of the triceps surae. This is likely to be an important factor related to the decline in stretch reflex amplitudes at high forces. Because short-latency stretch reflexes contribute to force production and stiffness regulation of human muscle fibers, a reduction in afferent feedback from muscle spindles could decrease the efficacy of human movements involving the triceps surae, particularly where high force production is required.

Changes in human muscle spindle sensitivity during a proprioceptive attention task

The aim of the present study was to test whether fusimotor control of human muscle spindle sensitivity changed when attention was selectively directed to the recognition of an imposed two-dimensional movement in the form of a written symbol. The unitary activities of 32 muscle spindle afferents (26 Ia, 6 II) were recorded by microneurography at the level of the common peroneal nerve. The patterns of firing rate in response to passive movements of the ankle, forming different letters or numbers, were compared in two conditions: control and recognition. No visual cues were given in either condition, but subjects had to recognize and name the character in one condition compared with not paying attention in the control condition. The results showed that 58% of the tested Ia afferents presented modified responses to movements when these had to be recognized. Changes in Ia afferent responses included decreased depth of modulation, increased variability of discharge, and changes in spontaneous activity. Not all changes were evident in the same afferent. Furthermore, the percentage of correctly recognized movements amounted to 63% when changes were observed, but it was only 48% when the primary ending sensitivity was unaltered. The responses of group II afferents were only weakly changed or unchanged. It is suggested that the altered muscle spindle sensitivity is because of selective changes in fusimotor control, the consequence of which might be to feed the brain movement trajectory information that is more accurate.

Specific modulation of motor unit discharge for a similar change in fascicle length during shortening and lengthening contractions in humans

This study examines the effect of a change in fascicle length on motor unit recruitment and discharge rate in the human tibialis anterior during shortening and lengthening contractions that involved a similar change in torque. The dorsiflexor torque and the surface and intramuscular electromyograms (EMGs) from the tibialis anterior were recorded in eight subjects. The behaviour of the same motor unit (n=63) was compared during submaximal shortening and lengthening contractions performed at a constant velocity (10 deg s-1) with the dorsiflexor muscles over a 20 deg range of motion around the ankle neutral position. Muscle fascicle length was measured non-invasively using ultrasonography. Motor units that were active during a shortening contraction were always active during the subsequent lengthening contraction. Furthermore, additional motor units (n=18) of higher force threshold that were recruited during the shortening contraction to maintain the required torque were derecruited first during the following lengthening contraction. Although the change in fascicle length was linear (r2>0.99), and similar for both shortening and lengthening contractions, modulation of discharge rate differed during the two contractions. Compared with an initial isometric contraction at short (11.9+/-2.4 Hz) or long (11.7+/-2.2 Hz) muscle length, discharge rate increased only slightly and stayed nearly constant throughout the lengthening contraction (12.6+/-2.0 Hz; P<0.05) whereas it augmented progressively and more substantially during the shortening contraction, reaching 14.5+/-2.5 Hz (P<0.001) at the end of the movement. In conclusion, these observations indicate a clear difference in motor unit discharge rate modulation with no change in their recruitment order between shortening and lengthening contractions when performed with a similar change in muscle fascicle length and torque.

Kinesthesia: The role of muscle receptors

The kinesthetic sense, the sense of position and movement of our limbs, has been the subject of speculation for more than 400 years. The present-day view is that it is signaled principally by muscle spindles, with a subsidiary role played by skin and joint receptors. The problem with muscle spindles as position sensors is that they are able to generate impulses in response to muscle length changes as well as from fusimotor activity. The central nervous system must be able to distinguish between activity from the two sources. Recent observations on position sense after fatigue and during load-bearing suggest that an additional source of kinesthetic information comes from a centrally generated sensation, the sense of effort. This has consequences for kinesthesia in the presence of the force of gravity. A contribution from central feedback mechanisms to the sense of effort is relevant to certain clinical conditions.

Force fluctuations are modulated by alternate muscle activity of knee extensor synergists during low-level sustained contraction

The study examined the hypothesis that altered synergistic activation of the knee extensors leads to cyclic modulation of the force fluctuations. To test this hypothesis, the force fluctuations were investigated during sustained knee extension at 2.5% of maximal voluntary contraction force for 60 min in 11 men. Surface electromyograms (EMG) were recorded from the rectus femoris (RF), vastus lateralis (VL), and vastus medialis (VM) muscles. The SD of force and average EMG (AEMG) of each muscle were calculated for 30-s periods during alternate muscle activity. Power spectrum of force was calculated for the low- (≤3 Hz), middle- (4–6 Hz), and high-frequency (8–12 Hz) components. Alternate muscle activity was observed between RF and the set of VL and VM muscles. The SD of force was not constant but variable due to the alternate muscle activity. The SD was significantly greater during high RF activity compared with high VL and VM activity ( P < 0.05), and the correlation coefficient between the SD and AEMG was significantly greater in RF [0.736 (SD 0.095), P < 0.05] compared with VL and VM. Large changes were found in the high-frequency component. During high RF activity, the correlation coefficient between the SD and high-frequency component [0.832 (SD 0.087)] was significantly ( P < 0.05) greater compared with other frequency components. It is suggested that modulations in knee extension force fluctuations are caused by the unique muscle activity in RF during the alternate muscle activity, which augments the high-frequency component of the fluctuations.

Influence of fingertip contact on illusory arm movements

Recent evidence suggests that reaching movements are more accurate when end point contact occurs, suggesting that fingertip contact contributes to a final estimation of arm position. In the present study we tested two hypotheses: 1). that fingertip contact influences illusions of arm movement produced by muscle vibration and 2). that this influence depends on the a priori context of the stability of the contact surface. Subjects sat with their elbows on a table and eyes closed. They demonstrated the perceived orientation of the left (cue) arm by mirroring the location with the right (report) arm. We manipulated deep proprioceptive cues by vibrating the left biceps brachia, causing illusions of elbow extension, and tested whether these illusions were altered when the fingertip remained in contact with a stable external surface. The context at this point represents a prior assumption that the external contact surface is stable. Midway through the experiment, the context was changed by challenging the prior assumption that the contact surface was stable by demonstrating that it could move. Unbeknownst to the subject, the external contact surface remained stable during data collection throughout the experiment. As expected, without tactile cues, biceps vibration caused illusory elbow extension. Conditions with fingertip contact and biceps vibration in the stable context demonstrated that contact largely eliminated the overestimation of cue arm elbow angle. However, in the context of a possibly unstable (movable) contact surface, the reports of elbow extension returned. Thus a priori notions about the stability context of an external contact surface influence how this tactile cue is integrated with proprioceptive sensory modalities to generate an estimate of arm location in space. These findings support the notion that tactile cues are used to calibrate proprioception against external spatial frameworks.

Gradual increment/decrement of isometric force modulates soleus stretch reflex response in humans

We investigated how a gradual isometric force-increment and -decrement task modulates the behavior of a soleus stretch reflex. Six healthy subjects performed isometric plantar-flexion torque exertion tasks in which they adjusted the torque level to a target changing triangularly (3 s/cycle; the amplitude is 15% of maximal voluntary isometric contraction (MVC)) or to constant targets (3.75, 7.5, and 11.25% of MVC). The magnitude of the short latency stretch reflex evoked by dorsi-flexing mechanical perturbation was strongly modulated by the muscle contraction states; it was the largest and the smallest for the torque-increment and -decrement phases, respectively. On the other hand, within each muscle contraction, the magnitude was independent of the torque level. Similar results were observed for the medium latency stretch reflex. These results indicate that when the central nervous system increases or decreases the muscular force, it simultaneously regulates the sensitivity of the stretch reflex.

Latency of saccadic eye movement during contraction of bilateral and unilateral shoulder girdle elevators

We compared the timed latencies of saccadic eye movement during isometric contraction of the bilateral and unilateral shoulder girdle elevators in a sitting posture. Muscle contraction force was increased in 10% increments from 0% to 60% of the maximal voluntary contraction (MVC) of each side. Saccadic latency was measured as the latency to the beginning of eye movement toward the lateral target that was moved at random intervals in 20 degree amplitude jumps. Eye movement was measured using the electro-oculogram technique. During bilateral contraction, saccadic latency decreased until 30% MVC and then began to increase at 40% MVC. During unilateral contraction, saccadic latency decreased until 30% MVC in a similar pattern as in bilateral condition, was constant from 30% MVC to 50% MVC, followed by a slight increase at 60% MVC. The saccadic latencies at 10% and 40-60% MVC were significantly shorter during unilateral contraction than bilateral contraction. Thus, the relative force for producing a marked shortening of saccadic latency is observed within a wider range during unilateral contraction than bilateral contraction.

The role of weightbearing in the clinical assessment of knee joint position sense

Knee joint position sense was assessed by active tests with active limb matching responses in supine lying and in unilateral weightbearing (WB) stance using (re)positioning of the whole limb whilst focusing on the knee, and in supine lying using (re)positioning confined to the knee. Following five tests at approximately 45 degrees knee flexion in all three test conditions, position sense was found to be significantly more accurate and reliable following the WB procedure. Possible explanations are, first, that during WB the subjects were more able to assist identification of the test positions using cues obtained during movement of the knee to and from these positions. Second, a larger volume of proprioceptive afferent information may have been derived from sources outside the examined knee, and even outside the examined limb. Whilst WB joint position sense assessments are more functional, the obtained results may not characterise the capacity of the proprioceptors in and around the examined (knee) joint. Since the WB and NWB results were not correlated, one procedure cannot be used to predict results from the others. Also, predominantly unilateral WB stance is often impractical for subjects with limited balance or WB pain.

Spinal and supraspinal factors in human muscle fatigue

Muscle fatigue is an exercise-induced reduction in maximal voluntary muscle force. It may arise not only because of peripheral changes at the level of the muscle, but also because the central nervous system fails to drive the motoneurons adequately. Evidence for "central" fatigue and the neural mechanisms underlying it are reviewed, together with its terminology and the methods used to reveal it. Much data suggest that voluntary activation of human motoneurons and muscle fibers is suboptimal and thus maximal voluntary force is commonly less than true maximal force. Hence, maximal voluntary strength can often be below true maximal muscle force. The technique of twitch interpolation has helped to reveal the changes in drive to motoneurons during fatigue. Voluntary activation usually diminishes during maximal voluntary isometric tasks, that is central fatigue develops, and motor unit firing rates decline. Transcranial magnetic stimulation over the motor cortex during fatiguing exercise has revealed focal changes in cortical excitability and inhibitability based on electromyographic (EMG) recordings, and a decline in supraspinal "drive" based on force recordings. Some of the changes in motor cortical behavior can be dissociated from the development of this "supraspinal" fatigue. Central changes also occur at a spinal level due to the altered input from muscle spindle, tendon organ, and group III and IV muscle afferents innervating the fatiguing muscle. Some intrinsic adaptive properties of the motoneurons help to minimize fatigue. A number of other central changes occur during fatigue and affect, for example, proprioception, tremor, and postural control. Human muscle fatigue does not simply reside in the muscle.

Modulation of triceps surae H-reflexes as a function of the reflex activation history during standing and stepping

The facilitatory effectiveness of spindle afferent feedback is controlled by modulation of segmental reflex excitability such that the level of muscle activation is appropriate for the task. Phase-dependent modes of reflex modulation have been well-characterized. We hypothesized that segmental reflex excitability of the triceps surae was also modulated in a manner associated with the activation history of the spindle afferents and the segmental reflex pathway during isometric contractions, standing and stepping. In the first experiment. pairs of soleus (S) H-reflexes were evoked 80 ms apart with equal strength stimuli at rest and while subjects isometrically contracted their S against loads of 10%. 20%. and 50% of their maximum voluntary efforts. The percent depression of the second H-reflex relative to the first was used as a measure of the effect of reflex activation history. At rest, the second H-reflexes were depressed an average of 73% relative to the first. The degree of depression was progressively reduced as the plantarflexion torque increased. In the second experiment, paired H-reflexes were obtained from the S and medial (MG) and lateral gastrocnemii (LG) muscles while subjects were standing and during the stance phase of step initiation. The degree of depression of the second H-reflex during standing ( > 78%) was similar in magnitude to that produced at rest in Experiment I. At the end of the stance phase of stepping. depression of the second H-reflex of all three muscles was reduced to less than 25%. We conclude that the segmental reflex excitability is modulated as a function of the reflex activation history during these tasks.

Increased muscle spindle sensitivity to movement during reinforcement manoeuvres in relaxed human subjects

1. The effects of reinforcement manoeuvres, such as mental computation and the Jendrassik manoeuvre, on muscle spindle sensitivity to passively imposed sinusoidal stretching (1.5 deg, 2 Hz) in relaxed subjects were analysed. 2. The unitary activity of 26 muscle spindle afferents (23 Ia, 3 II) originating from ankle muscles was recorded using the microneurographic method. Particular care was paid to the subjects' state of physical and mental relaxation. 3. The results showed that the activity of 54 % of the Ia afferents was modified during mental computation. The modifications took the form of either an increase in the number of spikes (mean, 26 % among 11 Ia fibres) or a shortening in the latency of the response to sinusoidal stretching (mean, 13 ms among 3 Ia fibres), or both. They were sometimes accompanied by an enhanced variability in the instantaneous discharge frequency. The three secondary endings tested exhibited no change in their sensitivity to stretch during mental computation. 4. The increased sensitivity to passive movements sometimes began as soon as the instructions were given to the subjects and sometimes increased during mental computation. In addition, the increased sensitivity either stopped after the subjects gave the right answer or continued for several minutes. 5. During the performance of a Jendrassik manoeuvre, the Ia units underwent changes similar to those described above for mental computation. 6. It was concluded that muscle spindle sensitivity to movement can be modified in relaxed human subjects. The results reinforce the idea that the fusimotor system plays a role in arousal and expectancy, and contribute to narrowing the gap between human and behaving animal data.

The role of muscle receptors in the detection of movements

This review discusses the role of muscle receptors, in particular, that of muscle spindles, in the detection of movements, both passive and active. Emphasis is placed on the importance of conditioning the muscles acting at a joint before making measurements of thresholds to passive movements, to take into account muscle's thixotropic property. The detection threshold:movement velocity relation is discussed and described for a number of different joints. Implications for muscle spindles are considered from the generalisation that, when expressed in terms of proportion of muscle fascicle length change, detection thresholds are about the same at different joints. It is concluded that the available data supports the view that muscle spindles lie in parallel with only a portion of a muscle fascicle and not the whole fascicle. At the elbow joint, where it has been tested, movement detection threshold is lower during passive movements than during contraction of elbow muscles. Both peripheral mechanisms and mechanisms operating within the central nervous system may be responsible for the rise in threshold. The signalling of movements by spindles during a contraction raises the question of how the central nervous system is able to extract the length signal under such circumstances, given that there is likely to be co-activation of alpha and gamma motoneurones. The evidence for a central subtraction of fusimotor-evoked impulses and some recent experiments relevant to this idea are described. In conclusion, a number of points of uncertainly have been revealed in this area and these should be the subject of future experiments.

Muscle spindle activity in the affected upper limb after a unilateral stroke

Weakness, loss of dexterity and exaggerated reflex responses to proprioceptive and cutaneous stimuli are typical features of hemiparetic stroke. Since the extent to which altered fusimotor drive contributes to these deficits has not been established, this study was designed to assess fusimotor function in stroke patients by comparing three aspects of muscle spindle afferent behaviour (background discharge rate, responses to reflex inputs and responses to voluntary contractions) in 11 subjects affected by recent cerebrovascular lesions, with those in 18 healthy volunteers. The mean background discharge rates of muscle spindle afferents in the radial nerve when subjects attempted to relax the recorded limb completely were 6.6 +/- 5.3 Hz (n = 26) in patients and 6.4 +/- 6.1 Hz (n = 76) in control subjects. The variability of discharge rate of active afferents was also similar (0.12 +/- 0.07 and 0.09 +/- 0. 10, respectively). Reflex activation of fusimotor neurons was assessed using trains of electrical stimuli to the superficial radial nerve or to the palm of the hand, and using natural skin stimuli. Neither type of cutaneous stimulation affected muscle spindle afferent discharge in the absence of an EMG response. During deliberate voluntary contractions muscle spindle discharge rates were enhanced similarly in both the control and patient groups, indicating that volitional drives could access fusimotor neurons in the patients. Qualitatively, spindle behaviour was similar in patients and control subjects. These findings suggest that fusimotor function is not disturbed any more or less than skeletomotor function in hemiparetic patients and it is concluded that fusimotor dysfunction probably contributes little to their deficit.

Starting position of movement and perception of angle of trunk flexion while standing with eyes closed

The present study attempted to investigate the effect of position on the perception of angle of trunk flexion while standing. For this purpose, the range effect was factored out by setting the constant target angle at 10 degrees, with varied starting positions of trunk flexion. We found that subjects underestimated angle of trunk flexion when the starting position was close to a quiet standing posture, overestimated when close to maximum trunk flexion, and correctly perceived it when at the middle position. Less perceptual distortion was observed at the positions close to maximum trunk flexion in the present study than in our previous one, in which various target angles of trunk flexion were reproduced from a quiet standing posture. The reduced distortion in the present study was believed to have resulted from factoring out the range effect. The flexion angle of the hip joint changed in tandem with that of the trunk, while very little movement was observed in the ankle, knee, and neck joints. Judging from the changing pattern of hip-joint angle, the muscle activity of the erector spinae and biceps femoris increased gradually to 90 degrees trunk flexion. In contrast, the actual increment of muscle activity reached zero or a minimum value at the middle angles as the angle of trunk flexion increased. It was assumed that the abrupt change in kinesthetic information associated with muscle activity exerted a great influence on the perception of trunk flexion.

Perceptibility of body position in anteroposterior direction while standing with eyes closed

The perception of body position in the anteroposterior direction was investigated by evaluating the reproducibility of the position from a quiet standing posture to forward or backward leaning posture with eyes closed. The subjects were 10 healthy male undergraduates, aged 20 to 28 years. The standing position was represented by the pressure center of the foot, which was shown by the relative distance (%) from the heel to the length of the foot. The reference positions of the pressure center of the foot were set at 10% increments from 20 to 80% of the length of the foot. The subjects attempted to reproduce each reference position 10 times, and the absolute and constant errors of the reproduced position were analyzed. The absolute errors at reference positions of 30 to 60% were distinctly larger than those at the other reference positions. This indicated that the perception of standing positions from 30 to 60% was less accurate. The constant errors at the reference positions of 40 to 60% were significantly positive, which meant that the reproduced position was located farther forward than the reference position.

The responses of muscle spindles to small, slow movements in passive muscle and during fusimotor activity

We have previously shown that movement detection thresholds at the human elbow joint were less than a degree of joint rotation in the passive limb but were higher if they were measured while subjects co-contracted elbow muscles [A.K. Wise, J.E. Gregory, U. Proske, J. Physiol., 508 (1998) 325-330]. Here we report observations on the responses of muscle spindles of the soleus muscle of the anaesthetised cat to determine their ability to signal small length changes in the passive muscle and during a contraction, under conditions resembling those of the human experiments. After appropriate conditioning of the muscle to control for history effects, primary endings of muscle spindles showed thresholds to ramp stretch at 20 micrometers s-1 of between less than 5 micrometers and 15 micrometers, which translates to 0.05 degrees -0.15 degrees of human elbow joint rotation. Thresholds were much higher following conditioning to introduce slack in the muscle. Since during a voluntary contraction there is likely to be alpha:gamma co-activation, responses of spindles were also recorded during slow stretches (100 micrometers at 20 micrometers s-1) during static fusimotor stimulation, dynamic fusimotor stimulation, combined fusimotor stimulation and fusimotor plus skeletomotor stimulation. Invariably, responses to passive stretch were larger than during motor stimulation. It is concluded that spindles are sensitive enough to signal fractions of a degree of elbow joint rotation and that the rise in threshold observed during a voluntary contraction may be accounted for by the actions of fusimotor and skeletomotor axons on spindle stretch responses.

Muscle history, fusimotor activity and the human stretch reflex

1. The previous history of contraction and length changes of a muscle influences the size of the stretch reflex and H reflex. Here we ask, is this dependence due to changes in mechanical properties of extrafusal fibres, intrafusal fibres of spindles, or both? 2. The soleus muscle of human subjects was conditioned using either a voluntary contraction or a contraction evoked by low-strength electrical stimulation, in the range 0-25 % of maximum. Following conditioning, reflexes were increased by more than twofold above the no-contraction value by a voluntary contraction of 5 % of maximum, or more, but not by electrical stimulation which presumably did not contract the intrafusal fibres of spindles. 3. When the muscle was conditioned with a contraction at a length shorter than the test length, rather than at the test length, a depressing effect on reflexes was attributed to both the burst of impulses generated in spindles when the muscle was stretched back to the test length and to a reduced stretch sensitivity of muscle spindles. 4. The experiments demonstrate the importance of keeping the muscle and its spindles in a defined mechanical state when measuring reflexes. They also point to the powerful facilitating influences of conditioning muscle contractions provided they recruit the intrafusal fibres of spindles.

Dynamic response of human muscle spindle afferents to stretch during voluntary contraction

1. The response of twenty-eight human muscle spindle afferents from m. extensor carpi radialis brevis to large amplitude ramp stretch and release at the wrist joint was recorded. The dynamic index was calculated as the difference in firing rate between that just before the end of stretch and that during the subsequent static phase of stretch. The value during steady voluntary contraction was compared with that during relaxation. 2. In twenty-three primary afferents, the dynamic index increased in eleven and decreased in twelve afferents with a range of -8 to +25 impulses s-1. In five secondary afferents the change was less than 2 impulses s-1. 3. The primary afferents abruptly stopped firing when the stretch was released in the relaxed muscle. This cessation was prevented during contraction in seventeen primary afferents. 4. The results suggest the presence of dynamic and static fusimotor actions on the human muscle spindles during voluntary contraction.

Absence of viscerosomatic inhibition with injections of lobeline designed to activate human pulmonary C fibres

1. Activation of pulmonary C fibres (J receptors) in animals produces inhibition of spinal motoneurones. Intravenous bolus injections of lobeline are believed to activate pulmonary C fibres (J receptors) in human subjects and to produce characteristic sensations and cardiorespiratory responses. This study quantified the respiratory sensations evoked by such injections and then used a range of suprathreshold doses of lobeline and tested for the presence of reflex or descending inhibition of motoneuronal output. 2. Injections of lobeline produced dose-dependent sensations of respiratory discomfort referred to the throat and upper chest beginning within about 10 s and often associated with coughing. As the dose increased the latency for the sensations decreased while their duration and intensity increased. Reflex changes in blood pressure, heart rate and ventilation also occurred. 3. Injections of lobeline at doses sufficient to evoke respiratory discomfort lasting 25-32 s (37-73 microgram kg-1) increased the size of the H reflex in soleus with an onset latency of about 10 s and lasting about 20 s. 4. The size of EMG responses evoked in upper limb muscles by transcranial magnetic stimulation of the motor cortex increased shortly after injections and remained elevated for about 30-35 s. 5. Injections of lobeline during sustained voluntary contractions of the elbow flexors at submaximal or maximal levels did not impair the ability to produce force. 6. Walking was not disrupted by repeated suprathreshold doses of lobeline. 7. It is concluded that injections of lobeline sufficient to evoke cardiorespiratory reflexes and sensations of severe respiratory discomfort are not associated with functionally important inhibition of motor performance. The results cast doubt on the ability of the J reflex to limit exercise in humans.