Chie Yaguchi

Changes in muscle thickness of gastrocnemius and soleus associated with age and sex

Background and aims: Gastrocnemius and soleus in the triceps surae have functional and histological differences. We therefore investigated age-related changes in muscle thickness of these two muscles, as well as the difference in these changes between men and women. Methods: Participants comprised 847 healthy adults aged 20 to 79 years. A B-mode ultrasound scanner, with participants sitting on a chair, was used to measure muscle thickness from the midpoint of the gastrocnemius medialis muscle at the level of maximum girth (target point). The ratio of muscle thickness to height was calculated. The inter-rater and intra-rater reliability of measuring muscle thickness with the ultrasound scanner and the validity of the target point were demonstrated before the examination. Results: Gastrocnemius was significantly thinner in women aged 60 or older and in men aged 50 or older, compared with their counterparts in their 20s. For soleus, no significant differences in thickness were found among the age groups in either sex. Decline in muscle thickness from age 40–79 was greater for gastrocnemius than for soleus. Conclusions: These results confirm that gastrocnemius starts to deteriorate earlier and atrophies at a faster pace than soleus. A significant sex difference was found only in the onset age of gastrocnemius deterioration, which was earlier in men than in women.

Adaptation changes in dynamic postural control and contingent negative variation during backward disturbance by transient floor translation in the elderly

BackgroundWe investigated adaptation changes in dynamic postural control and contingent negative variation (CNV) in 13 young and 12 elderly adults. Subjects repeatedly underwent backward postural disturbance by a forward floor translation (S2) 2 s after an auditory warning signal (S1). Initial and second sets were conducted, each set with 20 trials. Posterior peak position of the center of pressure in the anteroposterior direction (CoPy) after S2 was identified. Electroencephalograms from Cz were averaged for each set, and the CNV negative peak was identified.ResultsCompared with the first trial, the posterior peak position of CoPy changed significantly forward from the 12th trial in the young and from the 19th trial in the elderly during the initial set. The mean of the posterior peak position was more forward in second set than in the initial set for both groups and was significantly backward in the elderly compared to the young for both sets. These findings indicate that subjects in both groups adapted better to the postural disturbance in the second set than in the initial set, and the adaptation was later in the elderly. Late CNV in the young started to increase negatively from the middle of the S1-S2 period and peaked just before S2. Peak CNV amplitude was larger in the second set than in the initial set. In contrast, late CNV in the elderly exhibited no negative increase as in the young and peaked in the middle of the S1-S2 period, which was followed by gradual decreasing toward S2. No adaptive changes were found in late CNV for the elderly.ConclusionsIt is conceivable that reduced activation of the frontal lobe may be one of the factors contributing to the decrease in postural adaptability in the elderly. The elderly may use various brain regions for the adaptation of dynamic postural control compared with the young.

Effects of experimentally induced low back pain on the sit-to-stand movement and electroencephalographic contingent negative variation

It is becoming increasingly evident that people with chronic, recurrent low back pain (LBP) exhibit changes in cerebrocortical activity that associate with altered postural coordination, suggesting a need for a better understanding of how the experience of LBP alters postural coordination and cerebrocortical activity. To characterize changes in postural coordination and pre-movement cerebrocortical activity related to the experience of acutely induced LBP, 14 healthy participants with no history of LBP performed sit-to-stand movements in 3 sequential conditions: (1) without experimentally induced LBP; NoPain1, (2) with movement-associated LBP induced by electrocutaneous stimulation; Pain, and (3) again without induced LBP; NoPain2. The Pain condition elicited altered muscle activation and redistributed forces under the seat and feet prior to movement, decreased peak vertical force exerted under the feet during weight transfer, longer movement times, as well as decreased and earlier peak hip extension. Stepwise regression models demonstrated that electroencephalographic amplitudes of contingent negative variation during the Pain condition significantly correlated with the participants’ change in sit-to-stand measures between the NoPain1 and Pain conditions, as well as with the subsequent difference in sit-to-stand measures between the NoPain1 and NoPain2 conditions. The results, therefore, identify the contingent negative variation as a correlate for the extent of an individual’s LBP-related movement modifications and to the subsequent change in movement patterns from before to after the experience of acutely induced LBP, thereby providing a direction for future studies aimed to understand the neural mechanisms underlying the development of altered movement patterns with LBP.

Adaptation changes in dynamic postural control and contingent negative variation during repeated transient forward translation in the elderly

BackgroundAdaptation changes in postural control and contingent negative variation (CNV) for the elderly were investigated during repeated forward floor translation.MethodsFifteen healthy elderly persons, living in the suburban area of Kanazawa City, Japan, underwent backward postural disturbance by a forward-floor translation (S2) 2 s after an auditory warning signal (S1). A set with 20 trials was repeated until a negative peak of late CNV was recognized in the 600-ms period before S2, and the last set was defined as the final set. Electroencephalograms, center of foot pressure in the anteroposterior direction (CoPap), and electromyograms of postural muscles were analyzed.ResultsCoPap displacement generated by the floor translation was significantly decreased until the twelfth trial in the first set, and mean CoPap displacement was smaller in the second and final sets than in the first set. The mean displacement was significantly smaller in the final set than the previous set. A late CNV with a negative peak was not recognized in the first and second sets. However, most subjects (13/15) showed a negative peak by the fourth set, when the late CNV started to increase negatively from about 1,000 ms after S1 and peaked at about 300 ms before S2. At about 160 ms before the CNV peak, the CoPap forward shift started. The increase in timing of the gastrocnemius activity related to the CoPap shift was significantly correlated with the CNV peak timing (r = 0.64). After S2, peak amplitudes of the anterior postural muscles were significantly decreased in the final set compared to the first set.ConclusionsIt was demonstrated that even for the elderly, with so many repetitions of postural disturbance, a late CNV with a negative peak was recognized, leading to accurate postural preparation. This suggests the improvement of frontal lobe function (e.g., anticipatory attention and motor preparation) in the elderly.

Effects of attentional dispersion on sensory-motor processing of anticipatory postural control during unilateral arm abduction

OBJECTIVE We investigated effects of attentional dispersion on sensory-motor processing of anticipatory postural control during unilateral arm abduction. METHODS Thirteen adults performed arm abduction under two types of attentional dispersion conditions. A target stimulus was presented with 30% probability in two- or three-positions. By cue signal presentation, subjects either focused their attention on one position or divided attention for two or three positions and abducted right arm for target stimulus. Event-related potentials and onset time of postural muscles were measured. RESULTS P1-N1 and N2 amplitudes decreased with attentional dispersion in both conditions, but P3 did not change. With attentional dispersion to three-positions, N2 latency increased and start of late CNV was delayed, and also the onset time of gluteus medius was late in correlation to the late CNV changings, with no changings in two-positions. CONCLUSIONS With attentional dispersion, brain activation decreased in the area related to the sensory processing and especially in the stimulus discrimination area. With increasing attentional dispersion, the delay in motor preparation or anticipatory attention to target stimuli was related to the delay in stimulus discrimination and onset time of postural muscle activation. SIGNIFICANCE Effects of attentional dispersion on sensory-motor processing of anticipatory postural control were experimentally demonstrated.

Activation timing of postural muscles during bilateral arm flexion in self-timing, oddball and simple-reaction tasks.

BACKGROUND We investigated the effect of time constraint on activation timing of postural muscles during bilateral arm flexion in self-timing, oddball and simple-reaction tasks. METHODS Thirteen healthy adults flexed their arms from a suspended position with maximum speed and stopped at the shoulder level. For erector spinae-longissimus (ES), biceps femoris (BF), and gastrocnemius (GcM), onset timing of burst activation with respect to the anterior deltoid (AD), and the displacement of the center of pressure in the anteroposterior direction (CoPy) were analyzed. RESULTS AD reaction time was significantly shorter in the simple-reaction task than oddball task, suggesting that time constraint would be lower in the task order noted above and affected the state of postural preparation. The following properties were found in the onset timing of postural muscle: (1) the onset timing of BF and GcM were earlier in the task order noted above, and (2) the earliest activated distal muscle in the self-timing task was activated later in the simple-reaction task. CoPy displacement was smaller in the same task order as the onset timing. CONCLUSIONS It appears that with sufficient postural preparation, the focus of postural control is on the reduction of postural disturbance and earlier lower leg muscle activation.

Effects of neck flexion on discriminative and cognitive processing in anticipatory postural control during bilateral arm movement

We investigated the effect of neck flexion on discriminative and cognitive processing in postural control during bilateral arm movement while standing, using event-related potential (ERP) and electromyogram. Fourteen healthy subjects flexed their arms to the target stimuli with a 20% probability in neck resting and flexion positions. Amplitude and latency of N2 and P3, anterior deltoid (AD) reaction time, onset time of postural muscles with respect to AD activation, and peak amplitude and latency of all muscles were measured. With neck flexion, N2 and P3 amplitudes increased, N2 and P3 latencies and AD reaction time shortened, and onset times of all postural muscles became earlier. No significant differences in peak amplitude and latency of each muscle were found between neck positions. Significant positive correlations were found in changes with neck flexion between P3 latency and AD reaction time, and between N2 latency and onset time of erector spinae. These suggest that with neck flexion, attention allocation to discriminative and cognitive processing increased, and the processing speed increased with shortening of reaction time in focal muscles. In addition, the onset time of postural muscles became earlier without changing the activation pattern, which was associated with the hastened discriminative processing.

Effects of limiting anterior displacement of the center of foot pressure on anticipatory postural control during bilateral shoulder flexion.

In bilateral shoulder flexion with the arms moving from the sides of the body to the horizontal level while standing, no preceding activation of the triceps surae (TS) with respect to focal muscles has been found. Considering that preceding activation would offer a useful indicator of anticipatory postural control, it was attempted to induce preceding activation by limiting the anterior displacement range of the center of foot pressure in the anteroposterior direction (CoPap). Subjects were 13 healthy young adults. The 50% anterior range of CoPap displacement caused by shoulder flexion was calculated, and the floor inclined by the subjects weight when CoPap extended beyond that range. Subjects were instructed not to incline the floor during shoulder flexion. Under the limitation condition, the ankle and knee joints plantarflexed and extended at 1.1°, respectively, with no hip movement; that is, the whole body inclined backward by pivoting at the ankle. This limitation resulted in preceding muscle activation of TS as well as erector spinae and biceps femoris, and no significant differences in onset time were seen between these muscles. These results demonstrated that by limiting CoPap anterior displacement, preceding activation of TS could be induced with backward inclination of the whole body.