The complex structure of the neck musculoskeletal system poses challenges to understanding central nervous system (CNS) control strategies. Examining muscle activation patterns in relation to musculoskeletal geometry and three-dimensional mechanics may reveal organizing principles. We analyzed the spatial tuning of neck muscle electromyographic (EMG) activity while subjects generated moments in three dimensions. EMG tuning curves were characterized by their orientation (mean direction) and focus (spread of activity). For the four muscles that were studied (sternocleidomastoid, splenius capitis, semispinalis capitis and trapezius), EMG tuning curves exhibited directional preference, with consistent orientation and focus among 12 subjects. However, the directional preference (orientation) of three of the four neck muscles did not correspond to the muscle's moment arm, indicating that maximizing a muscle's mechanical advantage is not the only factor in determining muscle activation. The focus of muscle tuning did not change with moment magnitude, demonstrating that co-contraction did not increase with load. Axial rotation was found to have a strong influence on neck muscle spatial tuning. The uniform results among subjects indicate that the CNS has consistent strategies for selecting neck muscle activations to generate moments in specific directions; however, these strategies depend on three-dimensional mechanics in a complex manner.
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http://dx.doi.org/10.1007/s00221-002-1275-6 | DOI Listing |
J Voice
January 2025
Department of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Objective: To investigate the risk of obstructive sleep apnea (OSA) in patients with muscle tension dysphonia (MTD) in comparison to subjects with no dysphonia.
Study Design: Prospective cohort study.
Methods: Patients who were diagnosed with MTD at a tertiary referral center between October 2022 and October 2023 were invited to participate in this study, alongside a healthy control group matched by age and gender, with no history of dysphonia.
BMJ Case Rep
January 2025
Pathology and Lab Medicine, AIIMS Jodhpur, Jodhpur, Rajasthan, India.
Myoepithelial tumours are rare and distinct entities with uncertain histogenesis. They occur primarily in major salivary glands and soft tissue around the head and neck. Bony involvement predominantly occurs in facial bones.
View Article and Find Full Text PDFBarbed reposition pharyngoplasty (BRP) is a new technique to manage velo-pharyngeal obstruction and collapse in OSA patients. Tonsillectomy is a preliminary step of BRP surgery. Dissection of the PPM with monopolar or hot instruments is an essential step of the BRP technique.
View Article and Find Full Text PDFInt J Exerc Sci
December 2024
School of Allied Health Professions, Loma Linda University, Loma Linda, CA, USA.
Neck pain is a widespread problem in society with many variables influencing its cause. The angle of the hip may influence the kinematics of the neck in addition to the myoelectrical activation of the surrounding musculature that contributes to the development of neck pain. The purpose of this study was to investigate the changes in spinal inclination angles and muscle activity in the neck using a 10 deg wedge in a forward slope, neutral and rear slope seated position.
View Article and Find Full Text PDFNeurology
February 2025
From the Autonomic Medicine Section, Clinical Neurosciences Program, Division of Intramural Research, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, MD.
Background And Objectives: Lewy body diseases (LBDs) such as Parkinson disease (PD) feature increased deposition of α-synuclein (α-syn) in cutaneous sympathetic noradrenergic nerves. The pathophysiologic significance of sympathetic intraneuronal α-syn is unclear. We reviewed data about immunoreactive α-syn, tyrosine hydroxylase (TH, a marker of catecholaminergic fibers), and the sympathetic neurotransmitter norepinephrine (NE) in skin biopsies from control participants and patients with PD, the related LBD pure autonomic failure (PAF), the non-LBD synucleinopathy multiple system atrophy (MSA), or neurologic postacute sequelae of severe acute respiratory syndrome coronavirus 2 (neuro-PASC).
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