Effect of stimulation intensity on assessment of voluntary activation (original) (raw)
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Sensors (Basel, Switzerland), 2010
Interpolated twitch technique (ITT) is a non-invasive method for assessing the completeness of muscle activation in clinical settings. Voluntary activation level (VA), measured by ITT and estimated by a conventional linear model, was reported to have a non-linear relationship with true voluntary contraction force at higher activation levels. The relationship needs to be further clarified for the correct use by clinicians and researchers. This study was to established a modified voluntary activation (modified VA) and define a valid range by fitting a non-linear logistic growth model. Eight healthy male adults participated in this study. Each subject performed three sets of voluntary isometric ankle plantar flexions at 20, 40, 60, 80 and 100% maximal voluntary contraction (MVC) with real-time feedback on a computer screen. A supramaximal electrical stimulation was applied on tibia nerve at rest and during contractions. The estimated VA was calculated for each contraction. The relation...
Korean Journal of Sport Biomechanics, 2017
To investigate the effect of short-term vibration frequencies on muscle force generation capabilities. Method: Six healthy participants were recruited for this study and only their dominant leg was tested. The subjects were tested under five conditions of vibration frequencies with constant amplitude: 0 Hz (no vibration), 30 Hz, 60 Hz, and 90 Hz, and the vibration amplitude was 10 mm for all frequency conditions. The vibration was applied to the rectus femoris (RF). The subjects were then instructed to maintain a steadystate isometric knee joint torque (100 Nm) for the first 6 s. After the steady-state torque production, the subjects were required to produce isometric knee joint torque by leg extension as hard as possible with a start signal within the next 3 s. The vibration was applied for ~4 s starting from 1 s before initiation of the change in the steady-state knee joint torque. Results: The results showed that the maximum voluntary torque (MVT) of the knee joint increased with the vibration frequencies. On average, the MVTs were 756.47 Nm for 0 Hz (no vibration) and 809.61 Nm for 90 Hz. There was a significant positive correlation (r = 0.71) between the MVTs and integrated electromyograms (iEMGs). Further, the co-contraction indices (CCIs) were computed, which represent the ratio of the iEMGs of the antagonist muscle to the iEMGs of all involved muscles. There was a significant negative correlation (r = 0.62) between the CCIs and MVTs, which was accompanied by a significant positive correlation (r = 0.69) between the iEMGs of the vibrated muscle (RF). There was no significant correlation between the MVTs and iEMGs of the antagonist muscle. Conclusion: The results of this study suggest that the short-term vibration on the muscle increases the level of muscle activation possibly owing to the increased Ia afferent activities, which enhances the muscle force generation capability.
Assessing Voluntary Muscle Activation with the Twitch Interpolation Technique
Sports Medicine, 2004
The twitch interpolation technique is commonly employed to assess the completeness of skeletal muscle activation during voluntary contractions. Early applications of twitch interpolation suggested that healthy human subjects could fully activate most of the skeletal muscles to which the technique had been applied. More recently, however, highly sensitive twitch interpolation has revealed that even healthy adults routinely fail to fully activate a number of skeletal muscles despite apparently maximal effort. Unfortunately, some disagreement exists as to how the results of twitch interpolation should be employed to quantify voluntary activation. The negative linear relationship between evoked twitch force and voluntary force that has been observed by some researchers implies that voluntary activation can be quantified by scaling a single interpolated twitch to a control twitch evoked in relaxed muscle. Observations of non-linear evokedvoluntary force relationships have lead to the suggestion that the single interpolated twitch ratio can not accurately estimate voluntary activation. Instead it has been proposed that muscle activation is better determined by extrapolating the relationship between evoked and voluntary force to provide an estimate of true maximum force. However, criticism of the single interpolated twitch ratio typically fails to take into account the reasons for the non-linearity of the evoked-voluntary force relationship. When these reasons are examined it appears that most are even more challenging to the validity of extrapolation than they are to the linear equation. Furthermore, several factors that contribute to the observed non-linearity can be minimised or even eliminated with appropriate experimental technique. The detection of small activation deficits requires high resolution measurement of force and careful consideration of numerous experimental details such as the site of stimulation, stimulation intensity and the number of
Reliability of measurements of muscle strength and voluntary activation using twitch interpolation
Muscle & Nerve, 1995
We investigated the reproducibility of measurements of maximal voluntary torque and maximal voluntary activation using twitch interpolation. On 5 days, each of 5 subjects performed 10 maximal voluntary isometric contractions of their elbow flexors. Single supramaximal stimuli were delivered over biceps brachii at the measured peak torque during each effort, and in the relaxed muscle 5 s later. A voluntary activation score was calculated from the size of twitches evoked by the stimuli (resolution < 0.15 Nm). Although all subjects were able to drive the stimulated elbow flexor muscles maximally in some trials, they did not do so in 75% of all contractions. Maximal voluntary torques did not vary significantly within a subject between sessions. There were consistent differences in the level of maximal voluntary activation between subjects (P < 0.01), but no differences in voluntary activation within an individual across days in 4 of 5 subjects. Failure to drive the stimulated elbow flexor muscles maximally was not associated with inadvertent co-contraction of the antagonist muscles. o
Muscle activation assessment: Effects of method, stimulus number, and joint angle
Muscle & Nerve, 2006
Activation capacity has traditionally been assessed using the interpolated twitch technique (ITT) and central activation ratio (CAR). However, the quantitative agreement of the two methods and the physiological mechanisms underpinning any possible differences have not been fully elucidated. The aim of this study was to compare and assess the sensitivity of the ITT and CAR to potential errors introduced by (1) evoking inadequate force, by manipulating the number of stimuli, and (2) neglecting differences in series elasticity between conditions, by manipulating joint angle. Ten subjects performed knee extension contractions at 30° and 90° knee-joint angles during which the ITT and CAR methods were applied using 1, 2, 4, and 8 electrical stimuli. Joint angle influenced the ITT outcome with higher values taken at 90° (P < 0.05), while the number of stimuli influenced the CAR outcome with a higher number of stimuli yielding lower values (P < 0.05). For any given joint angle and stimulus number, the CAR method produced higher activation values than the ITT method by 8%–16%. Therefore, in the quantification of voluntary drive with the ITT and CAR methods consideration should be given not only to the number of stimuli applied but also to the effect of series elasticity due to joint-angle differences, since these factors may differently affect the outcome of the calculation, depending on the approach followed. Muscle Nerve, 2006
Improving the measurement of TMS-assessed voluntary activation in the knee extensors
The present study was designed to test the accuracy, validity, reliability and sensitivity of the main outcomes of alternative methods for the measure of TMS-assessed voluntary activation (VATMS) in the knee extensors. Ten healthy recreationally active males (24 ± 5 years) completed a neuromuscular assessment protocol (NMA) before and immediately after a fatiguing isometric exercise, consisting of two sets of five contractions (50%, 62.5%, 75%, 87.5%, and 100% of Maximal Voluntary Contraction; MVC) with superimposed TMS-evoked twitches (SITs) for calculation of VATMS (1x5C vs. 2x5C). The protocol was performed on two separate occasions for the measurement of between-day reliability. Where deemed appropriate, comparisons were made with a routinely used protocol [i.e. 50%, 75%, and 100% of MVC (1x3C) performed three times (3x3C)] from re-analysed data (Dekerle et al., 2018). Confidence intervals for the measure of a key determinant of VATMS (estimated resting twitch) were similar betw...
The Effect of Remote Voluntary Contractions on Knee Extensor Torque
Medicine and Science in Sports and Exercise, 2008
Purpose: Concurrent activation potentiation (CAP) is purported to enhance the force capabilities of muscles via the contraction of muscles remote to the prime mover. This phenomenon has been described as remote voluntary contractions (RVC). The objective of this study was to assess a variety of RVC and their effect on isometric knee extensor torque to evaluate the existence of CAP. Methods: Twelve males who regularly participated in lower body resistance training served as subjects. Subjects performed maximum voluntary isometric contractions (MVIC) of the knee extensors without RVC, as well as in a variety of conditions that included RVC, in a randomized order. The RVC conditions included jaw clenching, bilateral gripping, jaw clenching combined with contralateral gripping and the Valsalva maneuver, and the combination of jaw clenching, bilateral gripping, and the Valsalva maneuver. Results: A repeated-measures ANOVA revealed significant main effects (P = 0.001) for RVC condition. Bonferroni-adjusted post hoc analysis identified several differences in RVC compared with the NO-RVC condition (P G 0.05). The RVC condition including jaw clenching, bilateral gripping, and the Valsalva maneuver resulted in approximately 14.6% and 14.8% greater average and peak torque, respectively, compared with the NO-RVC condition. Conclusions: These findings indicate that RVC augment torque, which may be useful during the performance of resistance training as well as athletic tasks that require acute maximal strength. These findings support the existence of the CAP phenomenon.
Voluntary activation and central activation failure in the knee extensors in young women and men
Scandinavian Journal of Medicine and Science in Sports, 2006
Quadriceps muscle weakness is common after knee injuries. This weakness is caused, in part, by reduced voluntary activation (VA) because of central activation failure (CAF). Superimposed electrical stimulation techniques are used to assess VA and to detect CAF. The aim of this study was to assess VA during knee extension in young healthy women and men, and to evaluate subjective discomfort from the electrical stimulation. The quadriceps muscle in six young healthy women (mean age 22 years) and six young healthy men (mean age 29 years) was stimulated during maximal voluntary contractions using a 100 Hz pulse train. Data were collected from two test sessions separated by 6-8 days and each session comprised of two trials. A visual analog scale for pain (VAS-pain) was used to evaluate subjective discomfort. Overall, young healthy, moderately active men and women did have the ability to fully activate their knee extensors isometrically, but they did not achieve full activation on every trial. In those trials where a CAF was detected, the degree was small (mean less than 2%), and did not vary between the two test sessions. Subjective discomfort was generally moderate and tolerable (mean VAS-pain score 35 mm). These results will assist the clinical assessment of muscle weakness following a knee injury and facilitate the design and evaluation of appropriate rehabilitation interventions.
Potentiation increases peak twitch torque by enhancing rates of torque development and relaxation
Journal of human kinetics, 2013
The aim of this study was to measure the extent to which potentiation changes in response to an isometric maximal voluntary contraction. Eleven physically active subjects participated in two separate studies. Single stimulus of electrical stimulation of the femoral nerve was used to measure torque at rest in unpotentiated quadriceps muscles (study 1 and 2), and potentiated quadriceps muscles torque in a 10 min period after a 5 s isometric maximal voluntary contraction of the quadriceps muscles (study 1). Additionally, potentiated quadriceps muscles torque was measured every min after a further 10 maximal voluntary contractions repeated every min (study 2). Electrical stimulation repeated several times without previous maximal voluntary contraction showed similar peak twitch torque. Peak twitch torque 4 s after a 5 s maximal voluntary contraction increased by 45±13% (study 1) and by 56±10% (study 2), the rate of torque development by 53±13% and 82±29%, and the rate of relaxation by 5...