muscle synergy stroke

muscle synergy stroke
November 1, 2020


Neurorehabilitation and Neural Repair,22(6), 697–705. Each of the two synergies (red and green bars) has activation components across three model muscles identified as M1, M2, and M3.

The more you move your affected muscles, the more your brain can create new neural pathways that will reestablish communication with muscle groups. Muscle synergies have been described as a neural strategy to simplify the control of the redundant motor actuators leading human movement and have been used to investigate motor coordination in healthy subjects and patients with neurological disorders. Schieber MH, Lang CE, Reilly KT, McNulty P, Sirigu A. Adv Exp Med Biol.

Journal of Neurophysiology,100(3), 1433–1454.
Roh, J., Rymer, W. Z., Perreault, E. J., Yoo, S. B., & Beer, R. F. (2012). The Brunnstrom Approach, on the other hand, teaches patients how to use the abnormal synergy patterns … 215-223, J Neurophysiol, 103 (2) (2009), pp. Directional control of reaching is preserved following mild/moderate stroke and stochastically constrained following severe stroke.

These patterns varied as a function of both the severity of functional impairment and the temporal distance from stroke onset. 19563-19568. Furthermore, the extent of merging and fractionation depended on motor function and gait dynamics. Holland, A. E., Hill, C. J., Nehez, E., & Ntoumenopoulos, G. (2004). After we recorded EMGs of 12–16 upper arm and shoulder muscles from both arms of the subjects, we performed a series of EMG analyses to systematically compare the muscle synergies expressed by the unaffected and stroke-affected arms of the patients that we recruited. Muscle & Nerve: Official Journal of the American Association of Electrodiagnostic Medicine,39(2), 177–185. Thank you for your interest in spreading the word on PNAS. Learn more about Institutional subscriptions. RC1 NS068103/NS/NINDS NIH HHS/United States, RC1-NS068103-01/NS/NINDS NIH HHS/United States. TrLat, lateral head of triceps brachii; TrMed, medial head of triceps brachii; BicShort, short head of biceps brachii; BicLong, long head of biceps brachii; DeltA, anterior part of deltoid; DeltM, medial part of deltoid; DeltP, posterior part of deltoid; TrapSup, superior trapezius; RhombMaj, rhomboid major; BrRad, brachioradialis; Supin, supinator; Brac, brachialis; PronTer, pronator teres; PectClav, calvicular head of pectoralis major; Infrasp, infraspinatus; TeresMaj, teres major. To test this hypothesis, we recorded electromyograms (EMGs) from 12–16 upper arm and shoulder muscles from both the unaffected and the stroke-affected arms of stroke patients having moderate-to-severe unilateral ischemic lesions in the frontal motor cortical areas. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. A follow-up gait measurement was also performed in the same motion analysis laboratory. Assessing Wolf motor function test as outcome measure for research in patients after stroke. Michaelsen, S. M., & Levin, M. F. (2004). We then define the “cusp” of the original R2 curve to be the point at which the curve's slope drops below 75% of the slope of the baseline R2 curve. In particular, some patients had delayed activation of the synergy and they could only stood up after they moved their center of mass on their feet. Comparable results were obtained from six healthy subjects with no stroke lesions (left arm, 6.17 ± 1.47; right arm, 6.67 ± 1.03; shared, 3.83 ± 0.75). motion, although stroke patients had inadequate muscle synergy structure. The fractionation index was associated with duration after stroke in a previous study [22]. In this patient, the lateral head of triceps brachii, medial head of triceps brachii, long head of biceps brachii, and posterior part of deltoid displayed more activations in the stroke-affected arm in the reaching-with-single-constraint task, but fewer activations in shoulder circumduction. The majority observed three to four muscle synergies. (2014).

ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. Dickinson M.H., Farley C.T., Full R.J., Koehl M., Kram R., Lehman S. (1st English ed. - 192.169.218.22. As the subject performed each task, EMG activities were collected at 1,000 Hz from 12–16 upper arm and shoulder muscles of each arm (Biopac Systems). J. Precis. 956-961, Ann N Y Acad Sci, 1279 (1) (2013), pp. The EMG waveforms resulting from the activations of individual synergies are then summed together to reconstruct the recorded EMGs (black lines). Our results from stroke patients in this article further demonstrate that in humans, spinal or brainstem modules may be activated and combined by descending cortical signals for achieving purposeful actions. This suggested that the fractionation of synergy was influenced by the complexity of several movements in ADL during the recovery process. Despite our observation of interarm similarity of muscle synergies, the EMGs displayed by the two arms were very different (Fig. The decrease in amount of … 114-126. The stage-II analysis enables NMF to fully use the data variability present in the EMGs of both arms for discovering the maximum number of shared synergies while allowing arm-specific synergies to be extracted. The method that we used here, described in Cheung et al. In both stages of our analyses, we found that in most patients the muscle synergies for the unaffected arm and those for the stroke-affected arm were strikingly similar. Contributions of altered stretch reflex coordination to arm impairments following stroke. Merging was often seen in hip/knee extensors with plantar flexors and hip/knee extensors with knee flexors.

Clin Neurophysiol, 124 (7) (2013), pp. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Motor unit properties of biceps brachii in chronic stroke patients assessed with high-density surface EMG. S548-S559. Stability of muscle synergies for voluntary actions after cortical stroke in humans. Furthermore, the change in the parameters of motor function (Δ speed, Δ TUG, Δ SFBBS, Δ BI, and Δ strength) was represented by the ratio of change among trials involving the value of the first measurement.

Coscia M., Monaco V., Martelloni C., Rossi B., Chisari C., Micera S. Gizzi L., Nielsen J.F., Felici F., Ivanenko Y.P., Farina D. Cheung V.C., Piron L., Agostini M., Silvoni S., Turolla A., Bizzi E. Proc Natl Acad Sci USA, 106 (46) (2009), pp. A massive volcanic eruption in Alaska in 43 BCE coincided with the fall of the Roman Republic and the subsequent rise of the Roman empire. Proceedings of the National Academy of Sciences,106(46), 19563–19568. Abnormal spatial patterns of elbow muscle activation in hemiparetic human subjects. Kent, T. A., Soukup, V. M., & Fabian, R. H. (2001). Only Tibialis Anterior, Soleus, Gastrocnemius and Rectus Femoris were assessed in all studies. 3555-3565, J Spinal Cord Med, 35 (5) (2012), pp. Electrical or chemical stimulation of different loci of the spinal premotor neuronal circuitry imposes different balances of muscle activations, generating different patterns of end point force representable as force fields across the workspace. Nat Commun. J Neurophysiol, 109 (3) (2013), pp. We demonstrate here, with several examples from patient 5 (Fig. Frontiers in Computational Neuroscience,12, 69. Department of Information and Communications Engineering, Tokyo Institute of Technology, Yokohama, Japan, Department of Clinical Engineering, Faculty of Health Sciences, Komatsu University, Komatsu, Japan, Department of Mechanical and Control Engineering, Handong Global University, 558 Handong-ro Buk-gu, Pohang, Gyeongbuk, 37554, Republic of Korea, You can also search for this author in For every trial, data collected from 0.5 s before movement onset to 1.0 s after movement offset were stored in a computer and subsequently analyzed offline using customized software written in Matlab (The MathWorks). 2C), the cosines of four were greater than the threshold value that we selected for dimensionality determination (see Materials and Methods), indicating that the subspace shared between the two synergy sets could be spanned by at least four synergies common to both arms. J Neurophysiol. Furthermore, the ranges of hip and knee joints had increased since the first measurement; however, the ankle joint range did not show a consistent change. Lukács, M. (2005). Heterogeneity affecting outcome from acute stroke therapy: Making reperfusion worse. Therefore, future studies should also measure the muscle synergy and motor function at more time points to clarify the long-term changes in muscle synergy in patients after stroke. (2009).

 |  designed research; V.C.K.C., L.P., M.A., S.S., and A.T. performed research; V.C.K.C. Muscle Synergy Analysis for Stroke During Two Degrees of Freedom Reaching Task on Horizontal Plane. Experimental Brain Research,151(3), 289–300.

Int. Lencioni T., Jonsdottir J., Cattaneo D., Crippa A., Gervasoni E., Rovaris M.. Jo H.J., Mattos D., Lucassen E.B., Huang X., Latash M.L. Production of voluntary movements relies critically on the functional integration of several motor cortical areas, such as the primary motor cortex, and the spinal circuitries. We investigated this question with muscle recordings from stroke patients having unilateral lesions in the frontal lobe, which severely impair motor performance by interfering with descending neural commands for the spinal cord or brainstem. The figures show the merging (solid line) and fractionation (dotted line) of the synergies at the first (gray) and second measurements (black). 1158–1161). Magnetic resonance imaging was used to verify lesion extent and location in every patient (Table 1).

The 2.5th percentile of the resulting set of 1,000 minimum cosine values then was selected as the threshold for determining the dimensionality of the shared subspace. Muscle synergy patterns as physiological markers of motor cortical damage. This is a schematic illustrating how the recorded electromyograms (EMGs) can be reconstructed by linearly combining several time-invariant muscle synergies, each activated by a distinct time-dependent coefficient waveform. The tacit assumption over the last 40 years had been, and to a certain extent still is, that one could discern the functions of cortical neurons, and particularly M1 neurons, based on the correlation of their activities with some parameters of movement. The nonnegative matrix factorization (NMF) method (15) was used to decompose the recorded EMGs into a linear combination of nonnegative synergies (Fig. Image credit: Kerry Key (Columbia University, New York, NY).

The sum of the five muscle strengths represented the parameter for all the muscles. Plasticity of muscle synergies through fractionation and merging during development and training of human runners.


J Neurophysiol. We thank Robert Ajemian for reading versions of this manuscript, Andrea d'Avella and Matthew Tresch for their many helpful suggestions, and Charlotte Potak for administrative assistance. Differences in coordinated muscle activity was seen in the paretic and non-paretic side. However, in this study, a consistent increase or decrease of the number of synergies was not found in subacute stroke patients with improved motor function. To learn about our use of cookies and how you can manage your cookie settings, please see our Cookie Policy. All other similarity values were < 0.8. Forced use of hemiplegic upper extremities to reverse the effect of learned nonuse among chronic stroke and head-injured patients. We used a factorization algorithm to identify the muscle synergies. Liu, J., Kang, S. H., Xu, D., Ren, Y., Lee, S. J., & Zhang, L. Q. Disability and Rehabilitation,28(13–14), 891–897. In J. Kreutzet, J. DeLuca, & B. Caplan (Eds.

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