Afshin Samani

Changes in the spatio‐temporal organization of the trapezius muscle activity in response to eccentric contractions

We hypothesized changes in the spatial organization of the trapezius muscle electromyographic (EMG) activity after a shoulder eccentric exercise. The rate of perceived exertion (RPE), the size of the soreness area, maximum force and, EMG from the upper, middle and lower trapezius were recorded. Root mean square (RMS), mean frequency (MNF) and normalized mutual information (a measure of functional connectivity between muscle sub‐divisions) were computed during submaximal dynamic and static contractions performed before, immediately after and 24 h after exercise. Immediately after exercise, RPE, soreness area, RMS from the upper and middle trapezius and normalized mutual information among upper–middle sub‐divisions increased while MNF decreased for the middle trapezius (P<0.05). After 24 h, the maximum force decreased. RMS from the upper trapezius and normalized mutual information among upper–middle trapezius sub‐divisions were higher than before exercise. MNF values increased from immediately after to 24 h after for the upper and lower trapezius (P<0.05). The current results underlined changes in the spatio‐temporal organization of the trapezius in response to shoulder eccentric exercise. The observed changes in EMG temporal and spectral contents and the enhanced sub‐division coupling underlined the functional role of spatial variations of the EMG activity during muscle fatigue and in the presence of delayed‐onset muscle soreness.

Active pauses induce more variable electromyographic pattern of the trapezius muscle activity during computer work

The aim of this laboratory study was to evaluate effects of active and passive pauses and investigate the distribution of the trapezius surface electromyographic (SEMG) activity during computer mouse work. Twelve healthy male subjects performed four sessions of computer work for 10 min in one day, with passive (relax) and active (30% maximum voluntary contraction of shoulder elevation) pauses given every 2 min at two different work paces (low/high). Bipolar SEMG from four parts of the trapezius muscle was recorded. The relative rest time was higher for the lower parts compared with the upper of the trapezius (p<0.01). The centroid of exposure variation analysis (EVA) along the time axis was lower during the computer work with active pause compared with passive one (p<0.05). The results of this study revealed (i) lower rest time for the upper parts of trapezius compared with the lower parts, in line with previous clinical findings, (ii) active pauses contributed to a more variable muscle activity pattern during computer work that might have functional implications with respect to work-related musculoskeletal disorders.

Neuromuscular activity and knee kinematics in adolescents with patellofemoral pain

PURPOSE This study aimed to investigate the neuromuscular control of the knee during stair descent among female adolescents with patellofemoral pain (PFP) and to report its association with self-reported clinical status assessed by the Knee Injury and Osteoarthritis Outcome Score (KOOS). METHODS Fifty-seven previously untreated female adolescents diagnosed with PFP ages 15-19 yr were recruited from schools. The control group consisted of 29 age-matched healthy female adolescents. Bipolar surface electrodes were placed on vastus medialis and vastus lateralis, and an electronic knee goniometer was placed at the knee to collect knee flexion/extension kinematics. The participants walked down a stairway consisting of 24 steps at their normal pace. Sample entropy was used to quantify the complexity of the time series from surface electromyography and kinematics during the stance phase. Self-reported clinical status was assessed by the KOOS and the maximal quadriceps torque measured using strap-mounted handheld dynamometry. RESULTS Female adolescents with PFP were characterized by altered neuromuscular knee control during stair descent, lower maximal quadriceps torque, and poorer KOOS scores across all five domains. Furthermore, a positive association was found between the complexity of surface electromyography from vastus lateralis and self-reported pain determined by KOOSpain, indicating larger impairments in neuromuscular knee control among those with the highest pain levels. CONCLUSIONS The current findings show that female adolescents with PFP are characterized by altered neuromuscular control of the knee during stair descent and lower maximal quadriceps torque. These results suggest that rehabilitation is needed and should focus on restoring neuromuscular control and muscle strength.

Interactive effects of acute experimental pain in trapezius and sored wrist extensor on the electromyography of the forearm muscles during computer work

We investigated the interactive effects of shoulder pain and wrist extensor muscle soreness on surface electromyography (EMG) during computer mouse work. On day one, subjects (N = 12) performed computer work with/without acute muscle pain induced in the trapezius muscle. Subsequently, eccentric exercise was performed to induce delayed onset muscle soreness (DOMS) in wrist extensor muscles. In presence of DOMS on day two, computer work recordings with/without pain were repeated. EMG signals were recorded from the descending part of trapezius bilaterally, flexor carpi ulnaris and extensor carpi radialis brevis. Experimental muscle pain in trapezius led to a decrease in the muscular activity of the wrist extensor (P < 0.02) and decreased the relative rest time in the wrist flexor even in presence of DOMS (P < 0.01). The present result suggests that shoulder pain plays a role in the coordination of wrist flexors and extensors during computer work.

Effects of eccentric exercise on trapezius electromyography during computer work with active and passive pauses

BACKGROUND The aim of this laboratory study was to investigate the effects of eccentric exercises on the trapezius muscle spatial electromyographic (EMG) activity during computer work with active and passive pauses. METHODS Twelve healthy male subjects performed computer work with passive (relax) and active (30% maximum voluntary contraction of shoulder elevation) pauses given every 40s over 2 days, before, immediately and 24h after eccentric exercise. Surface EMG signals were recorded from four parts of the trapezius during computer work. FINDINGS EMG amplitude during computer work decreased immediately after exercise (P<0.05). In the clavicular and descending parts of the trapezius, the centroid of exposure variation analysis along the time axis was lower during computer work with active pauses compared with passive ones (P<0.05). Further, lower values of relative rest time was observed during active pause (P<0.05). INTERPRETATION Eccentric exercises had a short term effect on muscle activation pattern during computer work, and decreased the muscle activity immediately after the exercises. The results of this study showed a more variable trapezius activity pattern and a lower trapezius rest with active pauses compared with passive pauses. Moreover, eccentric exercises resulted in a less variable activation pattern, decreasing the effect of active pauses.

Assessing the Ability of a VR-Based Assembly Task Simulation to Evaluate PhysicalRisk Factors

Nowadays the process of workstation design tends to include assessment steps in a virtual environment (VE) to evaluate the ergonomic features. These approaches are cost-effective and convenient since working directly on the digital mock-up in a VE is preferable to constructing a real physical mock-up in a real environment (RE). This study aimed at understanding the ability of a VR-based assembly tasks simulator to evaluate physical risk factors in ergonomics. Sixteen subjects performed simplified assembly tasks in RE and VE. Motion of the upper body and five muscle electromyographic activities were recorded to compute normalized and averaged objective indicators of discomfort, that is, rapid upper limb assessment score, averaged muscle activations, and total task time. Rated perceived exertion (RPE) and a questionnaire were used as subjective indicators of discomfort. The timing regime and complexity of the assembly tasks were investigated as within-subject factors. The results revealed significant differences between measured indicators in RE and VE. While objective measures indicated lower activity and exposure in VE, the subjects experienced more discomfort than in RE. Fairly good correlation levels were found between RE and VE for six of the objective indicators. This study clearly demonstrates that ergonomic studies of assembly tasks using VR are still challenging. Indeed, objective and subjective measurements of discomfort that are usually used in ergonomics to minimize the risks of work-related musculoskeletal disorders development exhibit opposite trends in RE and VE. Nevertheless, the high level of correlation found during this study indicates that the VR-based simulator can be used for such assessments.

Inter-subject variability of muscle synergies during bench press in power lifters and untrained individuals

The purpose of the study was to elucidate the role of expertise on muscle synergies involved in bench press. Ten expert power lifters (EXP) and nine untrained participants (UNT) completed three sets of eight repetitions at 60% of three repetition maximum in bench press. Muscle synergies were extracted from surface electromyography data of 21 bench press cycles using non‐negative matrix factorization algorithm. The synergy activation coefficient represents the relative contribution of the muscle synergy to the overall muscle activity pattern, while the muscle synergy vector represents the relative weighting of each muscle within each synergy. Describing more than 90% of the variability, two muscle synergies reflected the eccentric and concentric phase. The cross‐correlations (ρmax) for synergy activation coefficient 2 (concentric phase) were 0.83 [0.71;0.88] and 0.59 [0.49;0.77] [Median ρmax (25th;75th percentile)] (P = 0.001) in UNT and EXP, respectively. Median correlation coefficient (ρ) for muscle synergy vector 2 was 0.15 [−0.08;0.46] and 0.48 [0.02;0.70] (P = 0.03) in UNT and EXP, respectively. Thus, EXP showed larger inter‐subject variability than UNT in the synergy activation coefficient during the concentric phase, while the muscle synergy vectors were less variable in EXP. This points at the importance of a specialized neural strategy in elite bench press performance.

Are forward bending of the trunk and low back pain associated among Danish blue-collar workers?: a cross- sectional field study based on objective measures

The aim of this cross-sectional study was to investigate the association between the duration of objectively measured forward bending of the trunk and low back pain (LBP) intensity among 198 Danish blue-collar workers (male = 115; female = 83). The duration of forward bending of ≥ 30°, ≥ 60° and ≥ 90° was divided into high (the highest tertile) and low–moderate (the remaining tertiles) categories. High (>5) and low ( ≤ 5) pain intensities were categorised from a self-reported 0–9 scale. Results of multi-adjusted logistic regressions indicated no significant positive associations between forward bending and LBP intensity. On the contrary, higher duration of forward bending of ≥ 30° was associated with lower LBP intensity during all day (OR = 0.40; 95% CI, 0.15–1.02; p = 0.05) and work (OR = 0.44; 95% CI, 0.17–1.15; p = 0.09). This indication of a negative association may be explained by fear-avoidance behaviour of the blue-collar worker, job crafting or healthy worker effect. Practitioner Summary: Ergonomics practice often relies on observations and subjective assessments. This study indicates that higher duration of forward bending of the trunk may be associated with lower low back pain intensity among blue-collar workers. Therefore, practitioners should take care in basing recommendations for action on concurrent measures of workload and pain.

Between-day reliability of a hand-held dynamometer and surface electromyography recordings during isometric submaximal contractions in different shoulder positions

Functional shoulder assessments require the use of objective and reliable standardized outcome measures. Therefore, the aim of this study was to examine the between-day reliability of a hand-held dynamometer when measuring muscle strength during flexion, abduction, and internal and external rotation as well as surface electromyography (EMG) when measuring muscle activity from m. trapezius superior and deltoideus anterior. Twenty-four healthy subjects participated and performed four isometric contractions measured with a hand-held dynamometer and EMG. Both relative and absolute reliability were calculated based on the mean of the last three of the four repetitions. EMG amplitude was assessed calculating both absolute and normalized root-mean-square (RMS) values. The reliability of the hand-held dynamometer was high (LOA=3.2-7.6% and ICC=0.89-0.98). The absolute reliability for EMG showed similar results for absolute RMS values (LOA=20.0-68.4%) and normalized RMS values (LOA=42.4-66.5%). However, the results concerning the relative reliability showed higher ICC for absolute RMS values (ICC=0.82-0.92) compared with normalized values (ICC=0.57-0.72).The outcome measurements of this study with healthy subjects were found reliable and, therefore, have the potential to detect changes in muscle strength and muscle activity.

The size and structure of arm movement variability decreased with work pace in a standardised repetitive precision task

Increased movement variability has been suggested to reduce the risk of developing musculoskeletal disorders caused by repetitive work. This study investigated the effects of work pace on arm movement variability in a standardised repetitive pipetting task performed by 35 healthy women. During pipetting at slow and fast paces differing by 15%, movements of arm, hand and pipette were tracked in 3D, and used to derive shoulder and elbow joint angles. The size of cycle-to-cycle motor variability was quantified using standard deviations of several kinematics properties, while the structure of variability was quantified using indices of sample entropy and recurrence quantification analysis. When pace increased, both the size and structure of motor variability in the shoulder and elbow decreased. These results suggest that motor variability drops when repetitive movements are performed at increased paces, which may in the long run lead to undesirable outcomes such as muscle fatigue or overuse. Practitioner Summary: The size and structure of motor variability are associated with important outcomes in repetitive work, such as fatigue, pain and the risk of developing musculoskeletal disorders. Motor variability decreased when the pace of repetitive work was increased, indicating higher risks of developing undesirable outcomes such as muscle fatigue or overuse.