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1Laboratory of Applied Biology, Université Libre de Bruxelles, Brussels, Belgium; and 2Department of Physical Education and Sport Science, Aristotle University of Thessaloniki, Thessaloniki, Greece
Submitted 9 March 2005 ; accepted in final form 19 April 2005
| ABSTRACT |
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muscle fatigue; coactivation; electromyography; Hoffmann reflex; V-wave
These different adjustments indicate that the regulation of coactivation during a muscle action is continuously controlled by the nervous system (31, 32) and that it may be centrally mediated by a descending "common drive" (9). The common drive concept, supported by the study of Psek and Cafarelli (37), suggests that the central nervous system controls agonist and antagonist muscles as a single motoneuron pool. An alternative hypothesis, introduced by Nielsen and Kagamihara (31), proposes that a specific central program inhibits (at least partially) the interneurons of the reciprocal pathway during coactivation, which results in an increase in the excitability of the motoneurons of the antagonist muscles, leading thereby to coactivation.
Coactivation should be continuously adjusted by the nervous system during a fatiguing contraction so that the performance of the agonist muscle is not impeded. Although a decrease in coactivation during the course of a sustained contraction would extend the time to task failure, this would be accompanied by a decrease in joint stability. Conversely, an increase in coactivation may contribute to the loss of force-generating capacity associated with fatigue (12, 37, 44). Therefore, the purpose of this study was to examine the involvement of spinal mechanisms in the control of coactivation during a sustained voluntary contraction of the ankle dorsiflexor muscles performed at 50% maximal voluntary contraction (MVC) to task failure. To this end, we recorded the changes in electromyographic (EMG) activity and Hoffmann reflex (H-reflex) of two antagonist muscles, the soleus (Sol) and lateral gastrocnemius (LG).
| MATERIALS AND METHODS |
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Experimental setup and mechanical recording.
The subject was secured on an adjustable seat in a slightly reclined position with the right foot strapped to a footplate of an ankle ergometer. The plate was inclined at an angle of 45° to the floor, and the seat was adjusted so that the ankle and knee angles were at
90° (neutral position) and 120°, respectively. The foot was held in place by a heel block and secured to the plate via two straps. One strap was placed around the ankle and the second strap was placed around the foot, 12 cm proximal to the metatarsophalangeal joint of the toes. The isometric torques exerted by the plantarflexor or the dorsiflexor muscles were_recorded by a strain-gauge transducer (TC 2000500, linear range 0500 N, sensitivity 30 mV/N; Kulite, Basingstoke, UK), and the signal was amplified (AM 502, Tektronix, Beaverton, OR).
EMG recordings. Voluntary and electrically induced EMG activities in the Sol, LG, and tibialis anterior (TA) were obtained by means of bipolar surface electrodes (silver disk electrode of 8 mm in diameter). One electrode was positioned over the motor point, and a second electrode was placed 3 cm (center-to-center) distal to the first one. The ground electrodes (2 x 3 cm silver plate) were placed over the tibia. The location of the motor point was determined by electrical stimulation and defined as the point of stimulation at which a minimal stimulus evoked a barely perceptible muscle contraction. All EMG signals were amplified (x1,000) and filtered (10 Hz to 1 kHz) by a custom-made differential amplifier. The signals were acquired on a personal computer at a sampling rate of 2 kHz, by using a data-acquisition system and analyzed offline by using the AcqKnowledge analysis software (model MP 100, Biopac Systems, Santa Barbara, CA).
Electrical stimulation. The plantarflexor muscles were stimulated by delivering rectangular electrical pulses of 1-ms duration by means of a two-channel, custom-made stimulator that was triggered by a digital timer (model 4030, Digitimer, Welwyn Garden City, UK). The cathode (silver disk electrode of 8 mm in diameter) was located over the tibial nerve in the popliteal fossa, and the anode (silver plate of 2 x 3 cm) was fastened to the patella. The size of the H-reflex used during the fatigue task was determined during a sustained contraction of the dorsiflexors at 50% MVC. The output of the first channel of the stimulator was set at an intensity that was slightly above the threshold response for the motor fibers and produced a small M-wave [7.7 ± 4.4% of maximal M-wave (Mmax); mean ± SD] in the Sol muscle. The small M-wave was used to control that the electrical stimulation did not change during the experiment. The electrical stimulus, delivered by the second channel of the stimulator (same electrodes as for the H-reflex), was gradually increased until the M-wave of the Sol and LG reached a plateau while the subject was at rest. The level of stimulation was then set 1020% above this point to ensure a maximal activation (Mmax) of these muscles. In prefatigue conditions, the average size of the H-reflex superimposed to the 50% MVC was 34.2 ± 15.0 and 36.2 ± 22.1% of the maximal H-reflex (Hmax) and 22.0 ± 15.0 and 12.1 ± 15.9% of the Mmax for the Sol and LG, respectively.
In some subjects, the maximal stimulation, at the popliteal fossa, activated the common peroneal nerve that supplies the TA. As a consequence, the stimulus also triggered an H-wave in the TA during the sustained fatiguing contraction. This response, called the V-wave when obtained by intense electrical stimulation superimposed to a voluntary contraction (1, 36, 41), represents a reflex response to a volley of Ia impulses. Under resting conditions, maximal stimulation of a peripheral nerve will evoke an M-wave, but not an H-reflex, due to the collision of action potentials that travel antidromically along the
-axons with the action potentials generated by the incoming afferent volley. During a voluntary contraction, however, the antidromic potentials collide with the efferent potentials associated with the voluntary drive, which enables the reflex response generated by the afferent volley to pass along the
-axons and reach the muscle to produce the V-wave. Furthermore, the M-wave recorded in the TA in response to the electrical stimulation of the common peroneal nerve was used to determine the effect of fatigue on the excitability of the muscle membrane and to normalize the V-wave amplitude. The normalized amplitude of the V-wave was used to determine the change in the magnitude of the efferent motor neuronal output during the course of the fatigue task (1). Because the electrical stimulation was optimized for the Sol and LG responses, the TA M-wave was not maximal for all subjects and is therefore referred to as the M-wave, instead of Mmax as for the Sol and LG.
Muscle fatigue and testing procedure. Each experimental session began with the subject performing two MVCs with the plantarflexor muscles and two MVCs with the dorsiflexor muscles. Each MVC had a total duration of 45 s, and there were 23 min of rest between successive trials. The entire recruitment curve for the H-reflex and M-wave of the Sol and LG was determined at rest by increasing the electrical stimulus progressively at 5-s intervals (39). Thereafter, the intensity of the stimulation needed to evoke an H-reflex in the Sol, accompanied by a small M-wave, was determined during a 50% MVC of the ankle dorsiflexors. Control responses for H-reflexes and Mmax (3 responses each) were then recorded during two submaximal contractions sustained during 1012 s.
The fatigue task consisted in a sustained isometric contraction of the ankle dorsiflexor muscles at 50% MVC. The contraction ended when the subject was unable to maintain the required force level for a period of 510 s (task failure; Fig. 1). The subjects then immediately produced a 5-s MVC with the dorsiflexor muscles. Submaximal (H-reflex) and maximal (M-wave) electrical stimulation of the tibial nerve were induced every 30 s during the fatigue task. To assess the recovery from fatigue, H-reflexes and M-waves were elicited during a 3-s contraction at 50% MVC every 30 s during the first 3 min, every min between minutes 3 and 5, and after 7.5 and 10 min. In addition, the subject performed an MVC with the dorsiflexor muscles after 3 min of recovery and during the subsequent testing periods to assess the recovery of the maximal torque and TA average EMG (aEMG).
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| RESULTS |
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Voluntary EMG activities during the fatiguing task. As illustrated for one subject in Fig. 1, the EMG activity for TA increased progressively throughout the fatiguing contraction. The rise in aEMG amplitude was small during the first half of the task duration but more pronounced thereafter. It increased from 38.3 ± 11.1% (P < 0.05) at the beginning of the contraction to 45.9 ± 14.3% at 80% of the time to failure, before declining slightly thereafter (Fig. 2). At task failure, however, the aEMG normalized to the value recorded during the postfatigue MVC reached 93.3 ± 68.0% (P < 0.01). Similar to the TA, the aEMG of the antagonist muscles increased continuously throughout the fatiguing contraction (Figs. 1 and 2). At the start of the contraction, the antagonist aEMG for Sol and LG was 17.7 ± 14.2 and 14.5 ± 10.1%, respectively. At the end of the fatigue task, its value reached 30.9 ± 22.9% (P < 0.01) for the Sol and 22.1 ± 15.6% (P < 0.01) for the LG. Although the rate of increase in aEMG for LG was slightly less than that for Sol, the difference was not statistically significant (P > 0.05). At the end of the fatigue task, the agonist-to-antagonist ratio normalized to prefatigue value was reduced by 31.7 ± 22.4% (P < 0.01) and 21.9 ± 26.4% (P < 0.05) for the Sol and LG, respectively. When normalized relative to the EMGs during the postfatigue MVCs, however, the coactivation ratio increased slightly but not significantly (P > 0.05) compared with initial values, by 7.2 ± 43.5 and 21.5 ± 48.2% for the Sol and LG, respectively (Fig. 3).
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Recovery. The time course of recovery for the ankle dorsiflexors was quite rapid. The MVC torque and TA aEMG returned to their prefatigue values within 4 min. The M-wave amplitude and V-wave-to-M-wave ratio recovered their initial values after only 30 s of rest (Fig. 4). Similarly, the amplitude of the H reflex for the antagonist muscles (Sol and LG) recovered within 30 s after the end of the fatigue task (Fig. 5). Although H-reflex amplitude remained above control values during recovery, this increase was not statistically significant (P > 0.05). The normalized aEMG of the TA, Sol, and LG during the brief dorsiflexion contractions at 50% MVC force returned to control values within 30 s of rest (Fig. 2).
| DISCUSSION |
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Agonist fatigue.
The EMG activity of the agonist muscles increases progressively during a sustained submaximal contraction (11, 17, 37, 38). The increase in EMG activity during such tasks is usually considered to indicate an enhancement of the central drive to the motoneuron pool (3, 14, 15, 17, 24) despite the nonlinear summation of motor unit potentials in the EMG signal (8, 13, 20). In the present study, the aEMG for TA reached its maximum at
80% of the time to failure and then declined slightly. When voluntary aEMG was normalized to the aEMG recorded during the postfatigue MVC, however, which provides a more precise estimate of the neural adjustments during fatigue (see Ref. 20), the final value was 93.3% of the maximal capacity. Thus, in addition to possible alterations in neuromuscular transmission and central fatigue, the apparent decline in muscle activation at task failure was probably caused by the loss of signal due to the amplitude cancellation that occurs when overlapping positive and negative phases of muscle action potentials are summed (8, 13, 20). The enhanced muscle activation that occurs during a sustained submaximal contraction is attributable to the recruitment and modulation of discharge rate (3, 7, 15, 25, 26) and contributes to the maintenance of a constant contraction force. Because the modulation of discharge rate during such contractions is modest, the increase in aEMG is largely due to the recruitment of additional motor units (7, 15, 26, 28).
The progressive increase of TA aEMG during the course of the fatigue task was accompanied by a parallel augmentation of the V-wave-to-M-wave ratio. This adjustment results from increases in the number of motoneurons recruited and the number of voluntary motor impulses, which increases the incidence of antidromic collision and allows more motoneuron axons to be cleared for passage of the evoked reflex response (41). Consequently, the V-wave-to-M-wave ratio appears to reflect the magnitude of the efferent motor neuronal output during voluntary muscle activation (1). These results are consistent with the gradual increase of the H-reflex observed by Löscher et al. (24) during submaximal fatiguing contractions in the triceps surae but contrast with those reported by Walton et al. (43) in the same muscle and in hand muscles (10, 11). In hand muscles, a decreased spinal reflex response was consistently observed, regardless of the contraction intensity. This apparent discrepancy is likely due to differences in methodology and in particular because the V-waves and H-reflexes do not involve the same populations of motoneurons in the pool (see also Ref. 36). An additional explanation for the opposing behavior of the H-reflex in hand muscles (10, 11) and lower limb muscle (24) during fatiguing contractions may involve a difference in the cortical control of these muscles (27, 45). Despite the uncertainty regarding the mechanisms responsible for the difference in H-reflex modulation in hand and lower limb muscles, the increased V-wave amplitude is, however, consistent with a gradual enhancement of the excitatory drive to the TA motoneuron pool during the fatiguing task (10, 11, 18, 24).
Antagonist coactivation. At the beginning of the fatigue task, the antagonist coactivation was 17.7 ± 14.2 and 14.5 ± 10.1% for the Sol and LG, respectively. These values are similar to those observed in previous studies for comparable contraction levels and at different joints (21, 37). As previously reported (12, 17, 37), the EMG activity of the antagonist muscles increased progressively during a sustained submaximal contraction of the dorsiflexor muscles. As attested by the absence of change in the MVC torque and corresponding EMG activity (37) or M-wave amplitude (present study) at task failure, the enhanced coactivation occurred without any fatigue of the antagonist muscles. The comparable rate of increase in aEMG for the Sol and LG suggests a similar increase of the excitatory drive to the two motoneuron pools, despite the different characteristics and function of the mono- and biarticular muscles (42). These changes in coactivation were transient, and 30 s after the end of the task the aEMG of both muscles had already recovered to control values.
As a result of the slightly greater increase in EMG activity of the antagonist muscles compared with the agonist muscles, the coactivation ratio typically decreases during fatiguing contractions sustained at a submaximal intensity (12, 29, 37). This was also observed at task failure in the present study. As discussed above, however, the use of nonnormalized EMG activity to infer change in voluntary drive may be misleading (8, 19, 20). This is clearly shown in the present study, because when the TA aEMG was normalized to its EMG recorded during the postfatigue MVC, the coactivation ratio was found to increase slightly, but not significantly, at the end of the fatiguing contraction. Therefore, task failure cannot be attributed to the opposite action of the antagonist muscles as a consequence of a greater increase in activation compared with the agonist muscles.
Although short interelectrode distances were used in the present study to minimize cross talk, it may be argued that antagonist coactivation may be caused by volume conduction from the TA muscle. However, the opposite change in the aEMG amplitude between agonist and antagonist muscles at the end of the fatiguing contraction argues against this possibility. Furthermore, Carpentier et al. (6) previously used similar recording conditions and found that cross talk was quite small and cannot have influenced the results.
H-reflex behavior.
The potential contribution of spinal adjustments on the activity of the antagonist muscles during fatiguing contractions by the agonist muscles was analyzed by simultaneously recording the H-reflex in the Sol and LG. The data showed that the H-reflex amplitude of both muscles behaved differently compared with the voluntary EMG activity. The amplitude of the H-reflex was augmented significantly during the first part of the sustained contraction and then it declined so that, at task failure, the amplitude was below the control values for both muscles. After the fatigue task, H-reflex amplitude recovered within 30 s and remained slightly, but not significantly, above its control value before returning to the prefatigue level after
10 min of rest.
In the absence of Mmax impairment, the modulation of the H-reflex response may be attributed to a change in motoneuron excitability and Ia synaptic transmission (4, 30, 33, 40, 45). Because the changes in H-reflex amplitude were observed when the EMG was progressively increasing, they are presumably caused by a decrease in transmission along the neural elements located between the site of nerve stimulation and the motoneurons (10, 11, 23). The modulation of H-reflex amplitude in the antagonist muscles during a fatiguing contraction by the agonist muscles was likely caused by presynaptic inhibition (32, 40). This mechanism is under the influence of diverse afferent inputs and is closely controlled by central mechanisms (16, 27, 33, 34).
The different changes in antagonist aEMG activity and H-reflex amplitude discount a role for spinal mechanisms in controlling the level of antagonist coactivation during sustained contractions. The present data are thus consistent with the hypothesis of a supraspinal control of coactivation (31, 32, 38). The parallel increases in EMG of the agonist and antagonist muscles during fatiguing contractions (37) has led to the suggestion that coactivation is mediated by a central descending "common drive" (9). This hypothesis suggests that the central nervous system may control the motoneuron pool of each muscle of an agonist-antagonist pair by a single input when they are involved in a given task. The present results, however, include a biphasic behavior of the H-reflex in the antagonist muscles during the course of the fatigue task that is not consistent with coactivation being controlled by a common drive. Rather, the results suggest a more subtle regulation of the drive to the antagonist motoneurons pool. An alternative hypothesis is that there is a progressive depression of reciprocal inhibition of the antagonist muscles by the central nervous system, leading to an enhanced coactivation by increasing the excitability level of the antagonist motoneurons (31). The observation that the H-reflex in the antagonist muscles first increased and then decreased during the fatigue task, despite a gradual enhancement of the agonist activation (as tested by V-wave), indicates a role for presynaptic inhibition. Regulation of coactivation during a sustained submaximal contraction, therefore, appears to be centrally modulated at a presynaptic level.
In summary, the results show that the coactivation ratio remained constant during a sustained submaximal contraction of the dorsiflexor muscles and consequently does not contribute to task failure. The different changes in voluntary EMG activity and spinal reflex excitability in the antagonist muscles during the fatiguing contraction support the concept that the level of coactivation is controlled by supraspinal rather than spinal mechanisms. The findings further indicate that the level of coactivation cannot simply be mediated by a central descending common drive to the motoneuron pools of the agonist-antagonist muscle pairs but rather suggests a more subtle regulation of the drive to the motoneurons that innervate the antagonist muscles.
| GRANTS |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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