TY - JOUR
T1 - Voluntary activation of human knee extensors measured using transcranial magnetic stimulation
AU - Goodall, Stuart
AU - Romer, Lee
AU - Ross, Emma
N1 - This is the peer reviewed version of the following article: Voluntary activation of human knee extensors measured using transcranial magnetic stimulation, September 1, 2009 Experimental Physiology, 94, 995-1004 which has been published in final form at [http://dx.doi.org/10.1113/expphysiol.2009.047902]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for self-archiving'.
PY - 2009
Y1 - 2009
N2 - The aim of this study was to determine the applicability and reliability of a transcranial magnetic stimulation twitch interpolation technique for measuring voluntary activation of a lower limb muscle group. Cortical voluntary activation of the knee extensors was determined in nine healthy men on two separate visits by measuring superimposed twitch torques evoked by transcranial magnetic stimulation during isometric knee extensions of varying intensity. Superimposed twitch amplitude decreased linearly with increasing voluntary torque between 50 and 100% of mean maximal torque, allowing estimation of resting twitch amplitude and subsequent calculation of voluntary activation. There were no systematic differences for maximal voluntary activation within day (mean ± S.D. 90.9 ± 6.2 versus 90.7 ± 5.9%; P = 0.98) or between days (90.8 ± 6.0 versus 91.2 ± 5.7%; P = 0.92). Systematic bias and random error components of the 95% limits of agreement were 0.23 and 9.3% within day versus −0.38 and 7.5% between days. Voluntary activation was also determined immediately after a 2 min maximal voluntary isometric contraction; in four of these subjects, voluntary activation was determined 30 min after the sustained contraction. Immediately after the sustained isometric contraction, maximal voluntary activation was reduced from 91.2 ± 5.7 to 74.2 ± 12.0% (P <0.001), indicating supraspinal fatigue. After 30 min, voluntary activation had recovered to 85.4 ± 8.8% (P = 0.39 versus baseline). These results demonstrate that transcranial magnetic stimulation enables reliable measurement of maximal voluntary activation and assessment of supraspinal fatigue of the knee extensors.
AB - The aim of this study was to determine the applicability and reliability of a transcranial magnetic stimulation twitch interpolation technique for measuring voluntary activation of a lower limb muscle group. Cortical voluntary activation of the knee extensors was determined in nine healthy men on two separate visits by measuring superimposed twitch torques evoked by transcranial magnetic stimulation during isometric knee extensions of varying intensity. Superimposed twitch amplitude decreased linearly with increasing voluntary torque between 50 and 100% of mean maximal torque, allowing estimation of resting twitch amplitude and subsequent calculation of voluntary activation. There were no systematic differences for maximal voluntary activation within day (mean ± S.D. 90.9 ± 6.2 versus 90.7 ± 5.9%; P = 0.98) or between days (90.8 ± 6.0 versus 91.2 ± 5.7%; P = 0.92). Systematic bias and random error components of the 95% limits of agreement were 0.23 and 9.3% within day versus −0.38 and 7.5% between days. Voluntary activation was also determined immediately after a 2 min maximal voluntary isometric contraction; in four of these subjects, voluntary activation was determined 30 min after the sustained contraction. Immediately after the sustained isometric contraction, maximal voluntary activation was reduced from 91.2 ± 5.7 to 74.2 ± 12.0% (P <0.001), indicating supraspinal fatigue. After 30 min, voluntary activation had recovered to 85.4 ± 8.8% (P = 0.39 versus baseline). These results demonstrate that transcranial magnetic stimulation enables reliable measurement of maximal voluntary activation and assessment of supraspinal fatigue of the knee extensors.
U2 - 10.1113/expphysiol.2009.047902
DO - 10.1113/expphysiol.2009.047902
M3 - Article
VL - 94
SP - 995
EP - 1004
JO - Experimental Physiology
JF - Experimental Physiology
SN - 0958-0670
IS - 9
ER -