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Introduction Maximal force is decreased when the homologous contralateral limb is activated Recognized for a century (Mosso, 1892) Bilateral deficit (BD, Ohtsuki 1983) occurs with maximum voluntary bilateral activation of contralateral limb muscles BD = bilateral force < sum of unilateral
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Introduction Maximal force is decreased when the homologous contralateral limb is activated Recognized for a century (Mosso, 1892) Bilateral deficit.

Dec 15, 2015

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Page 1: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

IntroductionMaximal force is decreased when the

homologous contralateral limb is activated

Recognized for a century (Mosso, 1892)Bilateral deficit (BD, Ohtsuki 1983)

occurs with maximum voluntary bilateral activation of contralateral limb muscles

BD = bilateral force < sum of unilateral

Page 2: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Literature Review Ohtsuki, grip strength finger max unilat (1981) Isometric vs. dynamic contractions with males

Coyle, DKE no change w/velocity, (1981) Vandervoort, DLP increase in BD w/vel, (1984) Secher, ILP no change with angle, (1988) Schantz, IKE facilitation , (1989)

EMG decline vs. no-decline Vandervoort, decline with BD increase (1984) Schantz, no decline with BD (1989)

Page 3: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Literature Review Cont... Fast vs slow twitch muscle fibers Vandervoort, DLP, (FT) (1984) Grabiner, IKE, (FT) rate of torque (1993) Secher, ILP, (ST) pharmacological (1978) Brown, DKE, (ST) BD & vel (1994)

-20

-15

-10

-5

0

5

BD%

60 120 180 240 360

Velocity

ExtFlex

Page 4: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Literature Review Cont... Facilitation = bilateral force > sum of

unilateral Homologous facilitation maximally (Brown,

1994) Nonhomologous facilitation sub-maximally

w/speech and finger amplitude (Kelso, Tuller and Harris, 1983)

Limited resources or inability to activate?

Page 5: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Maximum Bilateral Contractions Are Modified By Neurally Mediated Interlimb Effects

J.D. Howard and R.M. Enoka, J. Appl. Physiol. 70(1): 306-316, 1991.

Page 6: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Purpose Is BD due to neural mechanisms?Does EMG decline during BD? Is BD exhibited with nonhomologous

muscles?Does the effect of e-stim on

contralateral limb differ between subjects with different degrees of BD?

Page 7: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Subjects22 males (19 to 39 yrs of age)2 experiments (18 in exp. 1 & 12 in exp.

2)Exp. 1 (3 groups of 6 )

weightlifters (WL) (1 year bilateral) cyclists (CY) (1 year competition) untrained (UN) (no training)

Exp. 2 (all subjects naive)

Page 8: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

MethodsR and L knee extension (1100) and L

elbow flexion (900) max forceSupine position with either arm/leg or

leg/leg isometric contractions

Page 9: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

ApparatusE-stim - four 3x6 electrodes over R

quadsEMG - bipolar electrodes over belly of

VL and BF of R legEMG - over biceps and triceps of L arm

Page 10: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

ProtocolAll trials - 3s max force with 30s rest

(1:10)Exp. 1 - unil and bilat max L & R knee

ext and max R elbow flex Exp. 2

- max R knee - max L knee w/ R leg e-stim - max L knee w/o R leg

Page 11: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Data AnalysisBilateral Index (BI) =

[100 x (bilateral)] - 100

RU+LULeg/leg & arm/leg BI for force (BIf) and

EMG (BIe)EMG filtered and rectifiedForce from single max repetition

Page 12: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

EMG Analysis (typical)

Force

EMG

Filter

L only R onlyBilateral

Page 13: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Exp. 1 ResultsLeg/leg task exhibited

WL BIf = +6.2+4.7% ^ / BIe= +13.7+12.0% ^ CY BIf = -6.6+7.1% * / BIe= -11.5+4.9% * ^ UN BIf = -9.5+6.8% * ^ / BIe= +1.2+22.9%

0

200

400

600

800

1000

1200

1400

N

WL CY UN

FORCE

LL BiRR Bi

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

N

WL CY UN

EMG

LL BiRR Bi

Page 14: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Exp. 1 Results Cont...•Arm/leg task exhibited

WL BIf = -6.9+8.0% / BIe= -0.3+4.1%CY BIf = -1.4+15.1% / BIe= -11.7+11.3%UN BIf = -4.8+7.5% / BIe= -7.1+16.3%

0

200

400

600

800

1000

1200

1400

N

WL CY UN

FORCE

ArmBiLegBi

Page 15: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Exp. 2 Results

-9.7-4.2

42

6.2 5.8

25.5

54.6

16.2

-10

0

10

20

30

40

50

60

N

Deficit Facilitation

BI forceBI emgR ELL FL

• 2 groups (n=6) either deficit or facilitation•L leg MVC (w or w/o) R leg e-stim

• L leg EMG was equal w or w/o R leg e-stim

Page 16: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Discussion BD is reliable for untrained subjects BD is not always present in trained subjects Some subjects exhibit facilitation Interlimb interactions exist on a continuum

BD BFNull

Page 17: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Purpose Is BD due to neural mechanisms?Does EMG decline during BD? Is BD exhibited with nonhomologous

muscles?Does the effect of e-stim on

contralateral limb differ between subjects with different degrees of BD?

Page 18: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Does EMG decline w/Bie?

• leg dataEMG & force = parallel

• r - EMG & force is variable

• EMG on only one muscle of quads

Page 19: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Nonhomologous Muscles BD? Inability to activate a large muscle

mass?Division of attention between arm/leg?BD not associated with nonhomologous

muscles

Page 20: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

ElectromyostimulationE-stim of contralateral limb causes facilitation of MVCSubjects were unable to voluntarily

exert maximal forceNeural integration from contralateral

feedback causes facilitationAmount of facilitation mediated by BD

or BF group

Page 21: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

ConclusionsBD is a local neural phenomenon that is

influenced by afferent feedbackBD exhibition depends on neural

integration between peripheral and central sources

Page 22: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Related InvestigationsBD is greatest in dominant limb

(Ohtsuki, 1983)BD is greater in paired proximal than

paired distal limbs (Asanuma, 1989)Specificity of BF to the limbs practiced

(Thorstensson, 1979)Multiple degrees of freedom act as a co-

ordinative structure (Kelso, 1979)

Page 23: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Homotopic inhibition of mirror image in motor cortex at high levels of activation, (Asanuma, 1962)

Inhibition:1 Mirror image2 Within hemis3 Non-homol in diff hemis (model by Archontides, 1992)

Related Investigations

Page 24: Introduction  Maximal force is decreased when the homologous contralateral limb is activated  Recognized for a century (Mosso, 1892)  Bilateral deficit.

Future Research Include females

Perform dynamic movements

Change velocities

Monitor EMG from whole muscle group

Pair different limbs