Javier Rodriguez-Falces

Muscle conduction velocity, strength, neural activity, and morphological changes after eccentric and concentric training

This study compared the effects of concentric and eccentric training on neuromuscular adaptations in young subjects. Twenty‐two men and women were assigned to one of two groups: concentric (CON, n = 11) and eccentric (ECC, n = 11) training. Training consisted of 6 weeks of isokinetic exercise, performed twice weekly, starting with two sets of eight repetitions, and progressing to five sets of 10 repetitions. Subjects were tested in strength variables [concentric, eccentric, and isometric peak torque (PT), and rate of force development (RFD)], muscle conduction velocity (CV), neuromuscular activity, vastus lateralis (VL) muscle thickness, and echo intensity as determined by ultrasonography. There were similar increases in the concentric and eccentric PTs in both the CON and ECC groups (P < 0.01), but only the ECC group showed an increase in isometric PT (P < 0.001). Similarly, both groups exhibited increased VL muscle thickness, CV, and RFD, and reduced VL echo intensity (P < 0.05). Significant correlations were observed among the relative changes in the neuromuscular outcomes and training variables (e.g., total work, average PT) (r = 0.68–0.75, P < 0.05). The results showed that both training types similarly improved dynamic PT, CV, RFD, and muscle thickness and quality during the early weeks of training.

Filter design for cancellation of baseline-fluctuation in needle EMG recordings

Appropriate cancellation of the baseline fluctuation (BLF) is an important issue when recording EMG signals as it may degrade signal quality and distort qualitative and quantitative analysis. We present a novel filter-design approach for automatic cancellation of the BLF based on several signal processing techniques used sequentially. The methodology is to estimate the spectral content of the BLF, and then to use this estimation to design a high-pass FIR filter that cancel the BLF present in the signal. Two merit figures are devised for measuring the degree of BLF present in an EMG record. These figures are used to compare our method with the conventional approach, which naively considers the baseline course to be of constant (without any fluctuation) potential shift. Applications of the technique on real and simulated EMG signals show the superior performance of our approach in terms of both visual inspection and the merit figures.

Spatial distribution of motor units recruited during electrical stimulation of the quadriceps muscle versus the femoral nerve

In this study we investigated differences in the spatial recruitment of motor units (MUs) in the quadriceps when electrical stimulation is applied over the quadriceps belly versus the femoral nerve.

M-wave potentiation after voluntary contractions of different durations and intensities in the tibialis anterior

The study was undertaken to provide insight into the mechanisms underlying the potentiation of the muscle compound action potential (M wave) after conditioning contractions. M waves were evoked in the tibialis anterior before and after isometric maximal voluntary contractions (MVC) of 1, 3, 6, 10, 30, and 60 s, and after 3-s contractions at 10, 30, 50, 70, 90, and 100% MVC. The amplitude, duration, and area of the first and second phases of the M wave, together with the median frequency (Fmedian) and muscle fiber conduction velocity (MFCV) were recorded. Furthermore, twitch force, muscle fascicle length, and pennation angle were measured at rest, before, and 1 s after the conditioning contractions. The results indicate that only the amplitude of the second phase of the M wave was significantly increased after conditioning contractions. The extent of this potentiation was similar for MVC durations ranging from 1 to 10 s and augmented progressively with contraction intensity from 30 to 70% MVC. After these conditioning contractions, the duration and area of the two M-wave phases decreased (P < 0.05), whereas MFCV and Fmedian increased (P < 0.05). For all of these parameters, the greatest changes occurred 1 s after the conditioning contraction. Changes in MFCV after the contractions were correlated with those in M-wave second-phase amplitude (r(2) = 0.42; P < 0.05) and Fmedian (r(2) = 0.53; P < 0.05). In contrast, fascicle length and pennation angle did not change after the conditioning contractions. It is concluded that the potentiation of the second phase of the M wave is mainly due to an increased MFCV.

Effects of muscle fibre shortening on the characteristics of surface motor unit potentials.

Traditionally, studies dealing with muscle shortening have concentrated on assessing its impact on conduction velocity, and to this end, electrodes have been located between the end-plate and tendon regions. Possible morphologic changes in surface motor unit potentials (MUPs) as a result of muscle shortening have not, as yet, been evaluated or characterized. Using a convolutional MUP model, we investigated the effects of muscle shortening on the shape, amplitude, and duration characteristics of MUPs for different electrode positions relative to the fibre–tendon junction and for different depths of the MU in the muscle (MU-to-electrode distance). It was found that the effects of muscle shortening on MUP morphology depended not only on whether the electrodes were between the end-plate and the tendon junction or beyond the tendon junction, but also on the specific distance to this junction. When the electrodes lie between the end-plate and tendon junction, it was found that (1) the muscle shortening effect is not important for superficial MUs, (2) the sensitivity of MUP amplitude to muscle shortening increases with MU-to-electrode distance, and (3) the amplitude of the MUP negative phase is not affected by muscle shortening. This study provides a basis for the interpretation of the changes in MUP characteristics in experiments where both physiological and geometrical aspects of the muscle are varied.

Twitch and M-wave potentiation induced by intermittent maximal voluntary quadriceps contractions: Differences between direct quadriceps and femoral nerve stimulation

Introduction: The aim of this study was to investigate differences in twitch and M‐wave potentiation in the quadriceps femoris when electrical stimulation is applied over the quadriceps muscle belly versus the femoral nerve trunk. Methods: M‐waves and mechanical twitches were evoked using direct quadriceps muscle and femoral nerve stimulation between 48 successive isometric maximal voluntary contractions (MVC) from 10 young, healthy subjects. Potentiation was investigated by analyzing the changes in M‐wave amplitude recorded from the vastus medialis (VM) and vastus lateralis (VL) muscles and in quadriceps peak twitch force. Results: Potentiation of twitch, VM M‐wave, and VL M‐wave were greater for femoral nerve than for direct quadriceps stimulation (P < 0.05). Despite a 50% decrease in MVC force, the amplitude of the M‐waves increased significantly during exercise. Conclusions: In addition to enhanced electrogenic Na+‐K+ pumping, other factors (such as synchronization in activation of muscle fibers and muscle architectural properties) may significantly influence the magnitude of M‐wave enlargement. Muscle Nerve 48: 920–929, 2013

New insights into the potentiation of the first and second phases of the M-wave after voluntary contractions in the quadriceps muscle.

Introduction: We investigated the mechanisms underlying the potentiation of the first and second phases of the compound action potential (M‐wave) after conditioning contractions. Methods: M‐waves were evoked in the knee extensors before and after isometric maximal voluntary contractions (MVCs) of 1 s, 3 s, 6 s, 10 s, 30 s, and 60 s. The amplitude, duration, and area of the M‐wave first and second phases were measured during the 10‐min period after each contraction. Results: The magnitude of the M‐wave first phase was enlarged only after MVCs of 30 s and 60 s, whereas the second phase increased after all MVCs, regardless of their duration. The enlargement of the first phase remained for longer than 2 min, whereas the potentiation of the second phase lasted only 20 s. Conclusions: Potentiation of the first phase is the result of fatigue‐induced membrane changes, whereas enlargement of the second phase is probably related to shortening of muscle fascicles. Muscle Nerve 55: 35–45, 2017

Differences in the recruitment curves obtained with monopolar and bipolar electrode configurations in the quadriceps femoris.

We sought to verify whether the stimulation intensity at which M‐wave amplitude reaches a plateau actually corresponds to full motor unit activation in monopolar and bipolar configurations.

Averaging methods for extracting representative waveforms from motor unit action potential trains

In the context of quantitative electromyography (EMG), it is of major interest to obtain a waveform that faithfully represents the set of potentials that constitute a motor unit action potential (MUAP) train. From this waveform, various parameters can be determined in order to characterize the MUAP for diagnostic analysis. The aim of this work was to conduct a thorough, in-depth review, evaluation and comparison of state-of-the-art methods for composing waveforms representative of MUAP trains. We evaluated nine averaging methods: Ensemble (EA), Median (MA), Weighted (WA), Five-closest (FCA), MultiMUP (MMA), Split-sweep median (SSMA), Sorted (SA), Trimmed (TA) and Robust (RA) in terms of three general-purpose signal processing figures of merit (SPMF) and seven clinically-used MUAP waveform parameters (MWP). The convergence rate of the methods was assessed as the number of potentials per MUAP train (NPM) required to reach a level of performance that was not significantly improved by increasing this number. Test material comprised 78 MUAP trains obtained from the tibialis anterioris of seven healthy subjects. Error measurements related to all SPMF and MWP parameters except MUAP amplitude descended asymptotically with increasing NPM for all methods. MUAP amplitude showed a consistent bias (around 4% for EA and SA and 1-2% for the rest). MA, TA and SSMA had the lowest SPMF and MWP error figures. Therefore, these methods most accurately preserve and represent MUAP physiological information of utility in clinical medical practice. The other methods, particularly WA, performed noticeably worse. Convergence rate was similar for all methods, with NPM values averaged among the nine methods, which ranged from 10 to 40, depending on the waveform parameter evaluated.

Comparison of the duration and power spectral changes of monopolar and bipolar M waves caused by alterations in muscle fibre conduction velocity

The muscle compound action potential (M wave) recorded under monopolar configuration reflects both the propagation of the action potentials along the muscle fibres and their extinction at the tendon. M waves recorded under a bipolar configuration contain less cross talk and noise than monopolar M waves, but they do not contain the entire informative content of the propagating potential. The objective of this study was to compare the effect of changes in muscle fibre conduction velocity (MFCV) on monopolar and bipolar M waves and how this effect depends on the distance between the recording electrodes and tendon. The study was based on a simulation approach and on an experimental investigation of the characteristics of surface M waves evoked in the vastus lateralis during 4-s step-wise isometric contractions in knee extension at 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, and 90% MVC. The peak-to-peak duration (Durpp) and median frequency (Fmedian) of the M waves were calculated. For monopolar M waves, changes in Durpp and Fmedian produced by MFCV depended on the distance from the electrode to the tendon, whereas, for bipolar M waves, changes in Durpp and Fmedian were largely independent of the electrode-to-tendon distance. When the distance between the detection point and tendon lay between approximately 15 and 40mm, changes in Durpp of bipolar M waves were more pronounced than those of distal monopolar M waves but less marked than those of proximal monopolar M waves, and the opposite occurred for Fmedian. Since, for bipolar M waves, changes in duration and power spectral features produced by alterations in MFCV are not influenced by the electrode-to-tendon distance, the bipolar electrode configuration is a preferable choice over monopolar arrangements to estimate changes in conduction velocity.