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Marsh, R.

Publications and source records attributed to Marsh, R..

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The interaction of compliance and activation on the force-length operating range and force generating capacity of skeletal muscle

Muscle performance is influenced by where it operates on its force-length curve. Here we explore how activation and tendon compliance interact to influence muscle operating lengths and force-generating capacity. To study this, we built a musculoskeletal model of the lower limb of the guinea fowl and simulated the force-length operating range during fixed-end fixed-posture contractions for 39 actuators under thousands of combinations of activation and posture using three different muscle models: Muscles with non-compliant tendons, muscles with compliant tendons but no activation dependent shift in optimal fiber length (L0), and muscles with both compliant tendons and activation-dependent shifts in L0. We found that activation dependent effects altered muscle fiber lengths up to 40% and increased or decreased force capacity by up to 50% during fixed-end contractions. Typically, activation-compliance effects reduce muscle force and are dominated by the effects of tendon compliance at high activations. At low activation, however, activation-dependent shifts in L0 are equally important and can result in relative force changes for low compliance muscles of up to 60%. There are regions of the force-length curve in which muscles are most sensitive to compliance and there are troughs of influence where these factors have little effect. These regions are hard to predict, though, because the magnitude and location of these areas of high and low sensitivity shift with compliance level. Here we provide a map for when these effects will meaningfully influence force capacity and an example of their contributions to force production during a static task, namely standing.

physiology

Non-motor effects of subthalamic nucleus stimulation in Parkinson's patients

IntroductionThe existing white matter connectivity analyses of the subthalamic region have mainly included the motor effects of deep brain stimulation. We investigate white matter connectivity associated with the stimulation-induced non-motor acute clinical effects in three domains: mood changes, dizziness and sweating. MethodsUsing whole brain probabilistic tractography and seeding from the volumes of tissue activation, connectivity maps were generated and statistically compared across patients. The cortical voxels associated with each non-motor domain were compared with stimulation-induced motor improvements in a multivariate model. The resulting voxels maps were thresholded for false discovery (FDR q<0.05) and clustered using a multimodal atlas. To understand the role of local pathways in the subthalamic region, a group level parcellation was performed for each non-motor domain. ResultsThe non-motor effects are rarely observed during stimulation titration: from 1100 acute clinical effects, mood change was observed in 14, dizziness in 23, and sweating in 20. Distinct cortical clusters were associated with each domain, notably mood change was associated with voxels in salience network and dizziness with voxels in visual association cortex. The subthalamic parcellation yielded a medio-lateral gradient with motor parcel being lateral and the non-motor parcels being medial. We also observed an antero-posterior organization in the medial non-motor clusters with mood changes (anterior), dizziness and sweating (posterior). ConclusionWe interpret these findings based on the literature and foresee these to be useful for shaping the electrical field with the imminent use of steerable DBS electrodes.

neuroscience