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Selective activation of neuromuscular compartments within the human trapezius muscle

机译:斜方肌内神经肌肉区室的选择性激活

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摘要

Task-dependent differences in relative activity between "functional" subdivisions within human muscles are well documented. Contrary, independent voluntary control of anatomical subdivisions, termed neuromuscular compartments is not observed in human muscles. Therefore, the main aim of this study was to investigate whether subdivisions within the human trapezius can be independently activated by voluntary command using biofeedback guidance. Bipolar electromyographical electrodes were situated on four subdivisions of the trapezius muscle. The threshold for "active" and "rest" for each subdivision was set to >12% and <1.5% of the maximal electromyographical amplitude recorded during a maximal voluntary contraction. After 1 h with biofeedback from each of the four trapezius subdivisions, 11 of 15 subjects learned selective activation of at least one of the four anatomical subdivisions of the trapezius muscle. All subjects managed to voluntarily activate the lower subdivisions independently from the upper subdivisions. Half of the subjects succeeded to voluntarily activate both upper subdivisions independently from the two lower subdivisions. These findings show that anatomical subdivisions of the human trapezius muscle can be independently activated by voluntary command, indicating neuromuscular compartmentalization of the trapezius muscle. The independent activation of the upper and lower subdivisions of the trapezius is in accordance with the selective innervation by the fine cranial and main branch of the accessory nerve to the upper and lower subdivisions. These findings provide new insight into motor control characteristics, learning possibilities, and function of the clinically relevant human trapezius muscle.
机译:充分记录了人类肌肉内“功能”细分之间相对活动的任务相关差异。相反,在人体肌肉中未观察到被称为神经肌肉隔室的解剖部分的独立自主控制。因此,这项研究的主要目的是调查是否可以通过使用生物反馈指导的自愿命令独立地激活人斜方肌内的各个细分。双极肌电图电极位于斜方肌的四个细分区域。每个细分的“活动”和“休息”阈值设置为最大自主收缩期间记录的最大肌电幅度的> 12%和<1.5%。在从四个斜方肌细分中的每一个进行生物反馈1小时后,15名受试者中的11人学会了选择性激活斜方肌四个解剖细分中的至少一个。所有对象都设法独立于上层分区自动激活下层分区。一半的受试者成功地独立于两个较低的分区主动激活了两个较高的分区。这些发现表明,人斜方肌的解剖细分可以通过自愿命令独立激活,表明斜方肌的神经肌肉区室化。斜方肌上部和下部的独立激活是通过附属神经的细小颅骨和主要分支对上部和下部的选择性神经支配来实现的。这些发现提供了对运动控制特性,学习可能性和临床相关的人斜方肌功能的新见解。

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