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Falla, D.

Publications and source records attributed to Falla, D..

3 recordsLinked to original sources

A transition to a more efficient attentional strategy facilitates motor learning in the presence and absence of movement-evoked experimental pain. A cross-sectional experimental study.

Pain demands attention and can disrupt task-related goals. Attention allocation is a key cognitive process supporting motor learning and disruption of internal schemas associated with attentional control during motor learning can result in interference in improvements in performance. Movement-contingent pain is an important characteristic of persistent musculoskeletal pain. Despite this, research exploring pain interference with motor learning and attention has exclusively utilised tonic pain paradigms. Understanding the impacts of movement-contingent pain on motor learning and attention may provide important insights into the interaction between pain and motor learning. The aim of this study was to; 1) explore the robustness of a movement-contingent pain paradigm across an extended period of training, 2) explore the impact of movement-contingent pain on improvements in performance and attentional allocation during motor learning. Three groups (healthy non-pain, healthy experimental-pain and persistent pain experimental-pain) completed ten trials of a motor sequence learning task while experiencing a movement-contingent electrical stimulation. Three task performance measures and five gaze indices, previously associated with attentional control, were collected. Results showed that; 1) low frequency electro-cutaneous stimulation could produce a valid and consistent pain experience across a sustained period of training, 2) attentional allocation becomes more efficient across learning, accompanied by improvements in task performance, 3) changes in task performance and attentional measures across training were similar in all groups despite the presence of pain, 4) movement-contingent experimental pain enhanced spatial performance at all time points in healthy participants but was not accompanied by a different pattern of attentional allocation. This study demonstrates that the impact of movement-contingent pain on motor learning is comparable to the impacts of tonic experimental pain and provides interesting insights into patterns of attentional allocation across time but little evidence that these attentional allocations are impacted by the presence of pain or a past history of pain.

neuroscience↗

Concurrent assessment of motor unit firing properties and fascicle length changes with high-density surface electromyography ultrasound-transparent electrodes

The integration of electromyography (EMG) and ultrasound imaging has provided important information about the mechanisms of muscle activation and contraction. Unfortunately, EMG does not allow an accurate assessment of the interplay between the neural drive received by muscles, changes in fascicle length (FL) and the force/torque produced. We aimed to assess the relationship between modulations in tibialis anterior (TA) motor unit (MU) firing rate, FL and dorsiflexion torque (DT) using ultrasound-transparent high-density EMG electrodes. EMG and ultrasound images were recorded simultaneously from TA, using a 32-electrode silicon matrix, while performing isometric dorsiflexion, at diverse ankle joint positions (0{degrees} and 30{degrees} plantar flexion) and torques (20% and 40% of maximum). EMG signals were decomposed into individual MUs and changes in FL were assessed with a fascicle-tracking algorithm. MU firings were converted into a cumulative spike train (CST) that was cross-correlated with DT (CST-DT) and FL (CST-FL). High cross-correlations were found for CST-FL, 0.60 (range: 0.31-0.85) and CST-DT 0.71 (range: 0.31-0.88). Cross-correlation lags revealed that the delay between CST-FL (~75ms) was significantly smaller than CST-DT (~150ms, p<0.001). These delays affected the interpretation of MU recruitment/de-recruitment thresholds, with FL showing similar lengths for both recruitment and de-recruitment. This study is the first to demonstrate that changes in TA FL are closely related to both modulations in MU firing frequency and DT. These relationships allow assessment of the interplay between neural drive, muscle contraction and resultant torque, thereby providing a better understanding of the mechanisms responsible for the generation of muscle force. NEW AND NOTEWORTHYBy employing ultrasound-transparent high-density surface EMG electrodes, we show that modulations in tibialis anterior motor unit discharge rate were closely related to both changes in its fascicle length and resultant torque. These relationships allowed quantifying delays between neural drive and muscle shortening as well as muscle shortening and torque during submaximal isometric contractions, providing an accurate estimation of the time required to generate muscle force and subsequent production of torque via the tendon.

physiology↗

Why humans are stronger but not faster after isometric strength training: specific neural, not muscular, motor unit adaptations

While maximal force increases following short-term isometric strength training, the rate of force development (RFD) may remain relatively unaffected. The underlying neural and muscular mechanisms during rapid contractions after strength training are largely unknown. Since strength training increases the neural drive to muscles, it may be hypothesized that there are distinct neural or muscular adaptations determining the change in RFD independently of an increase in maximal force. Therefore, we examined motor unit population data during the rapid generation of force before and after four weeks of strength training. We observed that strength training did not change the RFD because it did not influence the number of motor units recruited per second or their initial discharge rate during rapid contractions. While strength training did not change motoneuron behaviour in the force increase phase of rapid contractions, it increased the discharge rate of motoneurons (by [~]4 spikes/s) when reaching the plateau phase ([~]150 ms) of the rapid contractions, determining an increase in maximal force production. Computer simulations with a motor unit model that included neural and muscular properties, closely matched the experimental observations and demonstrated that the lack of change in RFD following training is primarily mediated by an unchanged maximal recruitment speed of motoneurons. These results demonstrate that maximal force and contraction speed are determined by different adaptations in motoneuron behaviour following strength training and indicate that increases in the recruitment speed of motoneurons are required to evoke training-induced increases in RFD.

neuroscience↗