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  • Shrinking twitches

    Thanks to those who replied to my questions regarding shrinking twitches. Here is the original question and the replies;


    Dear all;

    We have been assessing the completeness of quadriceps activation via the interpolated twitch technique. We typically superimpose a supramaximal doublet (twin 50-100 microsecond stimuli 10 ms apart) over the top of the MVC and then evoke a twitch-like control response five seconds afterwards in relaxed muscle. In our 'long-rest' protocol, two minutes rest is allowed between MVCs. We have noticed that for most subjects successive control twitches decline in size, typically by 5-10% over the course of 3-5 MVCs.

    We find this perplexing given that;

    1. MVC force typically does not decline at all in successive MVCs using this protocol. (The duration of each MVC is held constant by a 3 second buzzer).
    2. We have not observed any progressive decline when doublet evoked responses are delivered once every 10 seconds to relaxed muscles over a two minute period.
    3. The same decline does not occur during a much more demanding 'short-rest' protocol which requires subjects to perform 3- 5 * five second MVCs with ten seconds between them. (In this case the control responses, delivered five seconds after each
    contraction, remain remarkably constant although a significant decline (15-25%) in MVC force is evident).

    We employ self-adhesive and reusable rubber-gel electrodes and this effect seems to occur whether we have new or used (1-6 uses) ones. Our stimulator is a constant-current unit (Digitimer, DS7AH).

    We initially thought of dodgy electrodes, anodal block and high frequency fatigue but can't understand why any of these would influence the long-rest protocol more than the short-rest protocol. The responses evoked in relaxed muscle are typically 3-4%larger after 5 second MVCs than after 3 second ones, so perhaps the extra potentiation compensates for whatever effect occurs during the long-rest protocol?

    If anyone has any clues as to the mechanism of this phenomenon we would appreciate hearing from you. We will post all replies.

    Thanks in advance


    Tony Shield
    Southern Cross University
    NSW, Australia.




    Dear Tony,
    I am not on Biomech-L, but a colleage has forwarded your interesting
    query to me. I work with Dr. Stuart Binder-Macleod and some of your
    findings may be consistent with findings from our laboratory. Please see
    responses interspersed below.


    First, recent work suggests that the twitch interpolation technique is not
    sufficient to assess maximum quadriceps activation. Please see Kent-Braun
    and Le Blanc, Muscle and Nerve, 19:861-869,1996 among others.
    Additionally, work in our lab that is in preparation for submission
    suggests a 13-pulse, 100pps train was the easiest tolerated by our
    subjects and best assesses completeness of activation (typically we use
    600 microsecond pulses). We find that the additional pulses are needed
    because of the time dependent rate of rise of force in response to
    stimulation.

    Second, it does not sound that the intent of your MVC protocols are to
    avoid fatiuge. Anecdotally, we find that if we want to avoid fatigue, we
    wait 5 minutes between MVC attempts and limit are attempts to 4 or 5 at
    the maximum. It sounds however, that you are studing fatigue and central
    activation?

    Third, the time occurance of your attenuated twitch responses are
    interesting. We find that after fatigue is produced with a modifed
    Burke's fatigue protocol, recovery responses to low-frequency trains
    vs. high frequencies are
    the most attenuated at the 2 minute recovery period. That is we see
    inital recovery of responses, then maximum depression at 2 minutes, and
    then further recovery. Our observations support others in that there are
    two components to LFF...i.e, a rapidly recovering metabolite-dependent
    portion and a slow-recovering component. Please see Binder-Macleod and
    Russ. J. Appl. Physiol. 86(4):1337-1346, 1999. and look for Russ and
    Binder-Macleod Muscle and Nerve in Press, August 1999.



    Part of the phenomena you may be observing may also be related to the
    catchlike property of skeletal muscle that would be elicitited by your
    doublet pulses. In fresh, unpotentiatied muscle, and in fatigued muscle,
    doublet initiated trains are highly effective in augmenting peak force and
    force-time integrals when compared to comparable consant-frequency trains.
    In fresh, but highly potentiated muscle, no difference in peak force or
    force-time integrals are generally observed. Please see Bevan et al., J.
    Physiol., 449:85-108, 1992. You might find that the discussion sections
    of some of our work may be interesting to you, for example, Binder-Macleod
    and Lee, J. Appl. Physiol 80(6):2051-2059, 1996; Binder-Macleod, Lee, et
    al. J. Neurophysiol. 79:1858-1868, 1998; Binder-Macleod, Lee, Baadte,
    Arch. Phys. Med. and Rehabil 78:1129-1137, 1997.


    Anodal block and high-frequency fatigue are unlikely. High-freqeuncy
    fatige may become an issue using a 100-pps train at very long
    durations...i.e, seconds, or at much higher frequencies.

    Greater responses after 5 second MVCs than after 3 second ones may indeed
    be due to greater potentiation. We used to potentiate the muscle using
    MVCs. If I am not mistaken, pilot work for those studies suggested that
    10 s long contractions were needed to maximally potentiate the muscle.
    Additionally, present work in our laboratory is investigating the time
    dependant development of potentiation. Please see the following for an
    interesting perspective on potentiation mechanisms. Sweeney et al., Am.
    J. Physiol. 264 (cell physiol. 33):C1085-C1095, 1993.

    I hope some of this information is helpful.
    Sincerely,
    Samuel C.K. Lee, PhD, PT
    Interdiciplinary Program in Biomechanics and Movement Sciences
    University of Delaware



    I'm not sure what the mechanism could be. Perhaps an acute
    increase in tissue compliance (due to the MVCs) occurs during
    both protocols but greater potentiation in the short-rest protocol
    prevents the twitch from decreasing. You could repeat the long rest
    protocol at different joint angles to investigate this possibility.

    Cliff Klein
    Ph.D candidate
    Kinesiology, University of Western Ontario
    London, Ontario










    Thanks to those who replied to my questions
    regarding shrinking twitches. Here is the original question and the
    replies;
     
     

    Dear all;
     
    We have been assessing the
    completeness of quadriceps activation via the interpolated twitch
    technique. We typically superimpose a supramaximal doublet (twin
    50-100 microsecond stimuli 10 ms apart) over the top of the MVC and then evoke a
    twitch-like control response five seconds afterwards in relaxed muscle. In our
    'long-rest' protocol, two minutes rest is allowed between MVCs. We have
    noticed that for most subjects successive control twitches decline in size,
    typically by 5-10% over the course of 3-5 MVCs. 
     
    We find this perplexing given
    that; 
     
    1. MVC force typically does not
    decline at all in successive MVCs using this protocol. (The duration of
    each MVC is held            
    constant by a 3 second buzzer).
    2. We have not observed
    any progressive decline when doublet evoked responses are
    delivered once every 10 seconds to        
        relaxed muscles over a two minute period.

    3. The same decline does not occur during a
    much more demanding 'short-rest' protocol which requires subjects to perform
    3-        5 * five second MVCs
    with ten seconds between them. (In this case the control responses,
    delivered five seconds after each  
        contraction, remai n
    remarkably constant although a significant decline (15-25%) in MVC
    force is evident).
     
    We employ self-adhesive and reusable rubber-gel
    electrodes and this effect seems to occur whether we have new or used (1-6 uses)
    ones. Our stimulator is a constant-current unit (Digitimer,
    DS7AH).
     
    We initially thought of dodgy electrodes,
    anodal block and high frequency fatigue but can't understand why any of these
    would influence the long-rest protocol more than the short-rest protocol. The
    responses evoked in relaxed muscle are typically 3-4%larger after 5
    second MVCs than after 3 second ones, so perhaps the extra
    potentiation compensates for whatever effect occurs during the long-rest
    protocol?
     
    If anyone has any clues as to the mechanism
    of this phenomenon we would appreciate hearing from you. We will post all
    replies.
     
    Thanks in advance
     
     
    Tony Shield
    Southern Cross University
    NSW, Australia.
     
     
     
     
    Dear Tony,    I am not on
    Biomech-L, but a colleage has forwarded your interestingquery to me.  I
    work with Dr. Stuart Binder-Macleod and some of yourfindings may be
    consistent with findings from our laboratory.  Please seeresponses
    interspersed below. First, recent work suggests that the twitch
    interpolation technique is notsufficient to assess maximum quadriceps
    activation.  Please see Kent-Braunand Le Blanc, Muscle and Nerve,
    19:861-869,1996 among others.Additionally, work in our lab that is in
    preparation for submissionsuggests a 13-pulse, 100pps train was the easiest
    tolerated by oursubjects and best assesses completeness of activation
    (typically we use600 microsecond pulses). We find that the additional pulses
    are neededbecause of the time dependent rate of rise of force in response
    tostimulation.Second, it does not sound that the intent of your MVC
    protocols are toavoid fatiuge.  Anecdotally, we find that if we want to
    avoid fatigue, wewait 5 minutes between MVC attempts and limit are attempts
    to 4 or 5 atthe maximum.  It sounds however, that you are studing
    fatigue and centralactivation?Third, the time occurance of your
    attenuated twitch responses areinteresting.  We find that after fatigue
    is produced with a modifedBurke's fatigue protocol, recovery responses to
    low-frequency trainsvs. high frequencies arethe most attenuated at the 2
    minute recovery period.  That is we seeinital recovery of responses,
    then maximum depression at 2 minutes, andthen further recovery.  Our
    observations support others in that there aretwo components to LFF...i.e, a
    rapidly recovering metabolite-dependentportion and a slow-recovering
    component.  Please see Binder-Macleod andRuss. J. Appl. Physiol.
    86(4):1337-1346, 1999.  and look for Russ andBinder-Macleod Muscle and
    Nerve in Press, August 1999. Part of the phenomena you may
    be observing may also be related to thecatchlike property of skeletal muscle
    that would be elicitited by yourdoublet pulses.  In fresh,
    unpotentiatied muscle, and in fatigued muscle,doublet initiated trains are
    highly effective in augmenting peak force andforce-time integrals when
    compared to comparable consant-frequency trains.In fresh, but highly
    potentiated muscle, no difference in peak force orforce-time integrals are
    generally observed.  Please see Bevan et al., J.Physiol., 449:85-108,
    1992.  You might find that the discussion sectionsof some of our work
    may be interesting to you, for example, Binder-Macleodand Lee, J. Appl.
    Physiol 80(6):2051-2059, 1996; Binder-Macleod, Lee, etal. J. Neurophysiol.
    79:1858-1868, 1998; Binder-Macleod, Lee, Baadte,Arch. Phys. Med. and Rehabil
    78:1129-1137, 1997.Anodal block and high-frequency fatigue are
    unlikely.  High-freqeuncyfatige may become an issue using a 100-pps
    train at very longdurations...i.e, seconds, or at much higher
    frequencies.Greater responses after 5 second MVCs than after 3 second
    ones may indeedbe due to greater potentiation.  We used to potentiate
    the muscle usingMVCs.  If I am not mistaken, pilot work for those
    studies suggested that10 s long contractions were needed to maximally
    potentiate the muscle.Additionally, present work in our laboratory is
    investigating the timedependant development of potentiation.  Please
    see the following for aninteresting perspective on potentiation
    mechanisms.  Sweeney et al., Am.J. Physiol. 264 (cell physiol.
    33):C1085-C1095, 1993.I hope some of this information is
    helpful.Sincerely,Samuel C.K. Lee, PhD, PTInterdiciplinary Program
    in Biomechanics and Movement SciencesUniversity of Delaware
     
     
    I'm not sure what the mechanism could be.
    Perhaps an acute increase in tissue compliance (due to the MVCs) occurs
    during both protocols but greater potentiation in the short-rest protocol
    prevents the twitch from decreasing. You could repeat the long rest
    protocol at different joint angles to investigate this
    possibility.Cliff KleinPh.D candidateKinesiology, University of
    Western OntarioLondon, Ontario
     

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