Publications by authors named "Rinaldo A Mezzarane"

A number of H-reflex studies used a moderate steady voluntary contraction in an attempt to keep the motoneuron pool excitability relatively constant. However, it is not clear whether the voluntary muscle activation itself represents a confounding factor for the elderly, as a few ongoing mechanisms of reflex modulation might be compromised. Further, it is well-known that the amount of either inhibition or facilitation from a given conditioning depends on the size of the test H-reflex.

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Purpose: The central nervous system adapts strategies to compensate the decreased motor capacities of a fatigued muscle. However, data on neurophysiological adaptations of muscles other than those under fatigue are scarce. The present study was designed to evaluate the effects of submaximal fatiguing contraction (leading to a task failure) induced in ankle dorsiflexors muscles on the excitability of the Hoffmann reflex (H-reflex) of an ankle plantarflexor (soleus muscle).

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Objectives: We used objective assessment tools to detect subtle neurological deficits that accompany repetitive and mild head impacts in contact sport across a season.

Methods: Female participants (n=13, 21±1.8 years old; 167.

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Remote limb ischemic preconditioning (RIPC) has shown to improve dynamic postural control in humans. However, studies on the underlying adaptations of spinal cord networks have never been performed. The present work addresses this issue by investigating parameters from the soleus H-reflex recruitment curve (RC), presynaptic mechanisms of reflex modulation (presynaptic inhibition-PSI, and post activation depression-PAD), and the excursion of the center of pressure (CP) recorded during 1 min in upright stance over a compliant surface.

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Context: Elastic taping has been widely used for either to facilitate or to inhibit muscle contraction. The efficacy of elastic taping is allegedly ascribed to physiological mechanisms related to subcutaneous tissue and muscle stimulation as a result of tape tension and direction. However, the underlying mechanisms that support the use of elastic taping are still unclear.

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Article Synopsis
  • The study investigates how spinal cord excitability changes during rhythmic movements of the arms and legs, which helps understand coordination between limbs.
  • By measuring Hoffmann (H-) reflexes in both limbs, researchers looked at how reflex responses vary and whether they are synchronized or delayed between the arms and legs.
  • Findings show that arm movements tend to have more independent reflex control compared to leg movements, suggesting distinct strategies in managing limb coordination during rhythmic activities.
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Article Synopsis
  • - The study investigates how corticospinal excitation works in human subjects by measuring single motor unit activities in the biceps brachii during different stimulation methods, including transcranial electrical stimulation (TES) and cervicomedullary stimulation (CMS).
  • - Both TES and CMS produced short-latency excitatory responses in the motor units, showing similar response durations and multiple peaks, which were less common in finger muscles and during isolated tasks.
  • - A simulation correlated with experimental findings suggested that the variability in input from the pyramidal tract to motor neurons is task-dependent, indicating the presence of interneurons in the spinal cord that influence motor output.
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During bipedal locomotor activities, humans use elements of quadrupedal neuronal limb control. Evolutionary constraints can help inform the historical ancestry for preservation of these core control elements support transfer of the huge body of quadrupedal non-human animal literature to human rehabilitation. In particular, this has translational applications for neurological rehabilitation after neurotrauma where interlimb coordination is lost or compromised.

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Introduction: Investigations on the effects of KT on human performance have been increasing in the last few years. However, there is a paucity of studies investigating its effects on neuromuscular efficiency (NME) and rate of force development (RFD).

Objective: To evaluate the NME and RFD of the soleus and gastrocnemius muscles in physically active individuals under KT application.

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Article Synopsis
  • Researchers studied how different areas of the foot sole affect muscle reflexes in the tibialis anterior (TA) during walking, finding that the reflexes change from facilitation to suppression throughout the walking phase.
  • The study revealed that stimulation of the medial and lateral parts of the forefoot enhances reflexes during specific walking phases, but stimulation at the heel leads to suppression as the foot prepares to strike the ground.
  • Overall, the findings indicate that the reflex reversals in the TA muscle during walking depend on specific pathways triggered by different areas of the foot sole's nerve endings.
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Electrical stimulation of cutaneous nerves innervating heteronymous limbs (the arms or contralateral leg) modifies the excitability of soleus Hoffmann (H-) reflexes. The differences in the sensitivities of the H-reflex pathway to cutaneous afferents from different limbs and their modulation during the performance of motor tasks (i.e.

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Article Synopsis
  • The study investigates how non-painful electrical stimulation of a nerve in one foot affects the reflex response (H-reflex) in the calf muscle (soleus) of the opposite leg during different phases of walking.
  • Results show that stimulating the nerve in the left foot suppressed the H-reflex during the early phase of standing and facilitated it during the late phase, indicating a phase-dependent modulation.
  • This suggests that the interaction between sensory signals from one foot and reflexes in the opposite leg could be important for coordinating leg movements while walking.
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Mechanically evoked reflexes have been postulated to be less sensitive to presynaptic inhibition (PSI) than the H-reflex. This has implications on investigations of spinal cord neurophysiology that are based on the T-reflex. Preceding studies have shown an enhanced effect of PSI on the H-reflex when a train of ~10 conditioning stimuli at 1 Hz was applied to the nerve of the antagonist muscle.

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Article Synopsis
  • The study investigates how non-noxious electrical stimulation applied to specific areas on the sole of the foot affects muscle activity and joint movement during walking, as previous research mostly focused on whole nerve stimulation.
  • It involved using EMG to record muscle activity at the hip, knee, and ankle, while force sensors measured pressure changes at the heel and midfoot locations during treadmill walking.
  • Results indicate that stimulation causes meaningful changes in muscle reflexes, joint movement, and foot pressure, with variations depending on the stimulation site and walking phase.
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Neural output from the locomotor system for each arm and leg influences the spinal motoneuronal pools directly and indirectly through interneuronal (IN) reflex networks. While well documented in other species, less is known about the functions and features of convergence in common IN reflex system from cutaneous afferents innervating different foot regions during remote arm and leg movement in humans. The purpose of the present study was to use spatial facilitation to examine possible convergence in common reflex pathways during rhythmic locomotor limb movements.

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Article Synopsis
  • The study examined how sensory inputs from a nerve in the opposite foot influence the H-reflex of the soleus muscle during static posture and walking.
  • During standing, non-noxious electrical stimulation of the contralateral nerve significantly enhanced the soleus H-reflex, indicating increased excitability at specific intervals.
  • However, during walking, similar stimulation led to a suppression of the soleus H-reflex, highlighting that sensory inputs can modulate reflexes differently depending on the activity context (standing vs. walking).
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Objectives: after stroke a typical presentation is exaggerated stretch reflexes (SRs) on the more affected (MA) side. The present study evaluated the contribution of presynaptic inhibition (PSI) induced by arm cycling and homosynaptic depression (HD) to the modulation of hyperreflexia at the ankle after stroke. Possible asymmetry of these effects between the MA and less affected (LA) legs was also assessed.

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Presynaptic inhibition of transmission between Ia afferent terminals and alpha motoneurons (Ia PSI) is a major control mechanism associated with soleus H-reflex modulation during human locomotion. Rhythmic arm cycling suppresses soleus H-reflex amplitude by increasing segmental Ia PSI. There is a reciprocal organization in the human nervous system such that arm cycling modulates H-reflexes in leg muscles and leg cycling modulates H-reflexes in forearm muscles.

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Crossed effects from group I afferents on reflex excitability and their mechanisms of action are not yet well understood. The current view is that the influence is weak and takes place indirectly via oligosynaptic pathways. We examined possible contralateral effects from group I afferents on presynaptic inhibition of Ia terminals in humans and cats.

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Introduction: Changes in gait cadence caused by challenging situations in daily life might induce higher demand for strength and propulsion in diabetic neuropathic (DN) subjects.

Methods: Forty-six subjects (healthy and DN) walked at two cadences (self-selected and 25% higher). Kinematic and electromyographic data were obtained from lower limbs and compared across the gait cycle.

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Introduction: In this study we investigate the influence of diabetic neuropathy (DN) on lower limb electromyography (EMG) and kinematics during stair negotiation.

Methods: Forty-six adults (healthy and DN) performed stair ascent and descent tasks. Kinematic and EMG data were assessed unilaterally.

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Recent experiments have identified neuromechanical interactions between the arms and legs during human locomotor movement. Previous work reported that during the rhythmic movement of all four limbs, the influence of the arms on reflex expression in the legs was superimposed on the dominant effect of the legs. This evidence was based upon studies using cutaneous and H-reflex modulation as indices of neuronal activity related to locomotion.

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The crosstalk phenomenon consists in recording the volume-conducted electromyographic activity of muscles other than that under study. This interference may impair the correct interpretation of the results in a variety of experiments. A new protocol is presented here for crosstalk assessment between two muscles based on changes in their electrical activity following a reflex discharge in one of the muscles in response to nerve stimulation.

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Postural control was studied when the subject was kneeling with erect trunk in a quiet posture and compared to that obtained during quiet standing. The analysis was based on the center of pressure motion in the sagittal plane (CPx), both in the time and in the frequency domains. One could assume that postural control during kneeling would be poorer than in standing because it is a less natural posture.

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The present work investigated the control of upright posture on inclined surfaces (14 degrees). Such conditions could, for example, change the contributions of muscle spindles resulting in alterations in postural sway. Subjects stood in quiet stance over a force platform positioned in one of three different fixed positions: horizontal (H), toes-up (ankle dorsi-flexion, D) and toes-down (ankle plantar-flexion, P).

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