Kurt Jørgensen

Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms.

Standardised questionnaires for the analysis of musculoskeletal symptoms in an ergonomic or occupational health context are presented. The questions are forced choice variants and may be either self-administered or used in interviews. They concentrate on symptoms most often encountered in an occupational setting. The reliability of the questionnaires has been shown to be acceptable. Specific characteristics of work strain are reflected in the frequency of responses to the questionnaires.

Motor unit recruitment during prolonged isometric contractions

SummaryMotor unit recruitment patterns were studied during prolonged isometric contraction using fine wire electrodes. Single motor unit potentials were recorded from the brachial biceps muscle of eight male subjects, during isometric endurance experiments conducted at relative workloads corresponding to 10% and 40% of maximal voluntary contraction (MVC), respectively. The recordings from the 10% MVC experiment demonstrated a characteristic time-dependent recruitment. As the contraction progressed both the mean number of motor unit spikes counted and the mean amplitude of the spikes increased significantly (P<0.01). This progressive increase in spike activity was the result of a discontinuous process with periods of increasing and decreasing activity. The phenomenon in which newly recruited motor units replace previously active units is termed “motor unit rotation” and appeared to be an important characteristic of motor control during a prolonged low level contraction. In contrast to the 10% MVC experiment, there was no indication of de novo recruitment in the 40% MVC experiment. Near the point of exhaustion a marked change in action potential shape and duration dominated the recordings. These findings demonstrate a conspicuous difference in the patterns of motor unit recruitment during a 10% and a 40% MVC sustained contraction. It is suggested that there is a close relationship between intrinsic muscle properties and central nervous system recruitment strategies which is entirely different in fatiguing high and low level isometric contractions.

Electromyography and fatigue during prolonged, low-level static contractions

SummaryFindings from five separate studies of EMG changes and muscle fatigue during prolonged low-level static contractions are summarized, and the possible mechanisms behind the changes are briefly discussed. Sustained static contractions (10%, 7% and 5% MVC) of up to 1 h duration were performed by finger flexors, elbow flexors and extensors, and knee extensors. In one experiment, intermittent static arm pulling (triceps) (10 s contraction and 5 s rest, average work load 14% and 10% MVC) was performed for 7 h. The endurance time for thesustained contractions was around one hour for 10% MVC, and it was shown — all in all — that the concept of “indefinite” endurance times at contractions below 15–20% MVC cannot be maintained. After 5% MVCsustained contractions for one hour a 12% reduction in MVC was seen, and significant increases in EMG amplitude and decreases in the mean spectral frequency of the EMG-power spectrum were found. Marked differences were also seen in the EMG changes in the elbow flexors and extensors, and transcutanous electrical stimulation of the knee extensors showed that low frequency fatigue was present after the contraction. Withintermittent contractions similar changes in the EMG parameters were seen after 2–3 h of contractions at 14% MVC. On average, during contractions of 10% MVC no EMG changes were detected. Increased extracellular potassium concentration in the contracting muscles is suggested as a possible explanation of these findings.

Anaerobic power and muscle strength characteristics of 11 years old elite and non-elite boys and girls from gymnastics, team handball, tennis and swimming

The aim of the present investigation was to study the possible effects of specificity of training on muscle strength and anaerobic power in children from different sports and at different performance levels in relation to growth and maturation status. Hundred and eighty‐four children of both gender participating either in swimming, tennis, team handball or gymnastics were recruited from the best clubs in Denmark. Within each sport, the coach had divided the children into an elite (E) and non‐elite (NE) group according to performance level and talent. Tanner stage assessment and body weight and height measurements were performed by a physician. The anaerobic performances were assessed by Wingate tests and jumping performance in squat jump (SJ), countermovement jump (CMJ) and drop jump (DJ) from two heights. Most of the differences between groups in Wingate performance disappeared when the data were normalised to body mass. The gymnasts were the best jumpers and their superiority were increased in the more complex motor coordination tasks like DJ. The results may indicate some influence of training specificity, especially on the more complex motor tasks as DJ and there may be an effect of training before puberty. The performance in the less complex motor tasks like cycling and SJ and CMJ may also be influenced by specific training, but not to the same extent, and heritance may be an important factor for performance in these anaerobic tasks.

Trunk extensor endurance: determination and relation to low-back trouble

The strength and endurance of the trunk extensors were studied in relation to the extent of earlier low-back trouble (LBT) in a homogeneous, and occupationally active group consisting of 53 male postmen (occupational seniority > 2 years). The isometric endurance was measured (1) prone with the unsupported trunk in a horizontal position and the legs and hips fixated to a couch (couch method) and (2) standing, at 60% MVC (pulling test). The participants were divided into three groups according to the extent of previous LBT Group I, LBT to a degree that made work impossible; Group II, LBT experienced but not to the degree that work was hindered, and Group HI, LBT never experienced. The main findings were that isometric endurance time of the trunk extensors was shorter in Group I than in Groups II and III, while the strength of the trunk extensors was independent of the persons earlier low-back episodes The two methods for the determination of trunk extensor endurance were compared. It was shown that Method ...

Evaluation of foot swelling and lower-limb temperatures in relation to leg activity during long-term seated office work

Seven healthy females were studied during three experimental days, each comprising 8 hours of seated office work at different well-defined levels of leg activity. The mean foot swelling was 4·8% in the case of no leg activity (‘inactive sitting’), 2·3% when the legs were moved freely (‘ semi-active sitting’) and 0·8% at the highest activity level (‘active sitting’). The activity of the soleus muscle was evaluated by EMG and discussed in relation to the function of the musculovenous pump. The decrease in skin temperature (Tsk ) of the foot and lower leg was completed after half the working day, and on average it was 4·6°C/2·8°C (foot) and 3·3°C/l·6°C (lower leg) during ‘inactive sitting’/‘active sitting’. The mean temperature in the flexor hallucis longus muscle (Tm ) decreased by 3·7°C during the 8 hours of ‘inactive sitting’, but was almost constant during ‘active sitting’. The discomfort of the lower leg and foot was significantly correlated to foot swelling and Tm , but not to Tsk . The mean heart rate...

Significance of mat and shoe softness during prolonged work in upright position: based on measurements of low back muscle EMG, foot volume changes, discomfort and ground force reactions

The aim of the investigation was to study the significance of mat and shoe softness during prolonged work in an upright position based on some physiological, biomechanical and comfort measurements related to the lower extremities and the low back. Eight healthy female volunteers performed 2 h of simulated standing and 2 h of standing/walking work tasks in the laboratory using four combinations of soft shoes, clogs, soft mat and concrete. Thus, each subject performed a total of eight 2 h work tests. The following parameters were measured pre-experimentally and one or more times during 2 h: total foot volume, vascular volume and interstitial volume of the left foot, EMG from the lumbar paraspinals, movement of centre of gravity (only during standing), biomechanical heel impact (only during standing/walking), perceived discomfort in lumbar back, legs and feet, whole body oxygen uptake, arterial blood pressure and heart rate. Using soft shoes rather than clogs during standing/walking work implies approximately a halving of the foot oedema formation and the heel impact. The effects due to the introduction of the soft mat are negligible. The local circulatory responses in the feet and the EMG-signs of paravertebral muscle fatigue are larger during standing compared to standing/walking work. The two investigated work types in this study differ regarding exposures as well as responses. Thus, it is recommended to shift between these postures and seated work during the working hours to improve job exposures.

Changes in conduction velocity, median frequency, and root mean square-amplitude of the electromyogram during 25% maximal voluntary contraction of the triceps brachii muscle, to limit of endurance

SummaryThe objective of the present study was to investigate whether isometric contraction of the right triceps brachii muscle, of maximal duration and at 25% of the maximal voluntary contraction (MVC), would reduce mean fibre conduction velocity (CV) for the active motor units (MU). In addition to the cross-correlation of surface electromyograms (EMG) for CV determination, median frequency (fm) and root-mean-square amplitude (rms-amplitude) were calculated. The initial 5 min of the recovery of the three parameters was also investigated. The MVC were performed before and after the sustained contraction. Seven males — six in their twenties and one aged 43 - participated in the investigation. Mean CV for the unfatigued muscle was 4.5 m·s−1, SD 0.38. On average, CV decreased less than 10% during the sustained contraction (P<0.05). Thefm decreased almost linearly (46%) during the endurance time, while three quarters of the 250% increase in rms-amplitude took place during the last 50% of the contraction (P<0.001, both parameters). The MVC was reduced by 39% immediately after exhaustion (P<0.05). During the 1st min of recovery the rms-amplitude decreased by 50%, and the fm increased from 54% to 82% of the initial value (bothP<0.05. No measurable simultaneous CV restitution occurred. A parallel 15% increase infm and CV took place during the last 4 min of recovery (bothP<0.001), while the amplitude remained constant. Since mean CV was essentially unchanged during the last 50% of the endurance time where large changes infm and rms-amplitude occurred, factors supplementary to CV probably caused the striking changes in fatigue EMG, notably —MU recruitment, synchronization of MU activity, and lowering of MU firing frequencies. Nevertheless, during the last 4 min of recovery the entire increase infm could be accounted for by the simultaneous increase in CV.

Myo-electric fatigue manifestations revisited: power spectrum, conduction velocity, and amplitude of human elbow flexor muscles during isolated and repetitive endurance contractions at 30% maximal voluntary contraction.

SummaryA brief survey of the literature on manifestations of myo-electric fatigue has disclosed a surprisingly sharp conflict between early studies, focusing on neuromotor regulatory mechanisms, and more recent studies which stress the determinant influence of local metabolism and skewed homeostasis. Favoured explanations concerning changes in the electromyographic (EMG) spectrum were synchronization/grouping of motor unit (MU) firing and conduction velocity (CV) decreases of the action potential propagation. The notion of mutual exclusivity interwoven with these theories prompted us to reinvestigate the EMG of moderate level, static endurance contraction. Ten men in their twenties performed isometric elbow flexion (elbow angle 135°) at 30%6 maximal voluntary contraction (MVC), and the surface EMG of the brachioradialis (BR) and biceps brachii (BB) muscles was recorded. Initially the CV — determined by cross-correlation — was 4.3 m · s−1 (BR) and 4.6 m · s−1 (BB). At exhaustion the CV of the BR muscle had declined by 33%, roughly twice the decrease of the BB CV. Substantially larger relative median frequency (fm) reductions of 50% (BR) and 43% (BB) were found. Simultaneously, the root-mean-square amplitudes grew by 150% (BR) and 120% (BB). All changes during contraction reached the same level of significance (P<0.001, both muscles). From the largely uniform relative increases infm and CV during the last 4 min of a 5-min recovery period, variations in CV were suggested to produce equivalent shifts infm. The gradually increasing discrepancies between relative decreases infm and CV during contraction presumably reflected centrally mediated regulation of MU firing patterns (notably synchronization). After the 5-min recovery another 11 endurance contractions at 30% MVC were executed, separated by 5-min intervals. The series of contractions reduced the endurance time to one-third of the 153 s initially sustained, while the terminal CV recordings increased by 1.0 (BR) and 0.6 (BB) m · s−1, and the terminalfm increased by 24 (BR) and 14 (BB) Hz. The relative CV decreased in direct proportion to the endurance time and thefm decreases varied with the CV; the findings did not support a causal link between CV decrease (signifying impaired fibre excitability) and the force failure of exhaustion.

Significance of skin temperature changes in surface electromyography

SummaryDiffering results have been reported concerning the direction and quantity of the electromyogram (EMG) amplitude response to changes in tissue temperature. The EMG signals from the soleus muscle of six healthy human subjects were therefore recorded during dynamic exercise (concentric contractions) at ambient temperatures of 30°C and 14°C. The mean skin temperature