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Souza de Oliveira, D.

Publications and source records attributed to Souza de Oliveira, D..

4 recordsLinked to original sources

Physiological and pathological motor unit phenotypes coexist within single motor pools after cervical SCI

Individuals with chronic cervical spinal cord injury (SCI) retain voluntary motor unit (MU) activation below the level of the lesion despite profound impairments in muscle relaxation, yet the MU-level mechanisms underlying this dissociation remain unclear. Here, we investigated MU recruitment and derecruitment dynamics using high-density surface EMG (HD-sEMG) and intramuscular EMG (iEMG), in functionally paralyzed muscles across open- and closed-loop tasks in four participants with chronic cervical SCI. Building on prior work that distinguished task-modulated from non-modulated MUs, we combined closed-loop MU feedback with targeted intramuscular implants to determine whether tonic units remain accessible to voluntary control and whether distinct firing phenotypes coexist within individual motor pools. Participants voluntarily recruited MUs and modulated discharge rates (45.2%), but a significant fraction (54.8%) of active MUs could not be derecruited during attempted relaxation. Quantitative analysis of 409 MUs revealed that derecruitment impairment spans a graded continuum rather than the binary distinction between modulated and non-modulated units reported previously. Three phenotypes, controllable (45.2%), modulated-tonic (42.8%), and tonic (12%), partition this spectrum based on derecruitment timing, discharge regularity, and firing persistence and coexist within the same motor pools, including within single muscle compartments sampled intramuscularly. Kaplan-Meier survival analysis confirmed graded derecruitment dynamics: controllable units ceased firing within 500 ms of rest onset, whereas most tonic units persisted throughout the observation window (log-rank{chi} 2= 164.10, P < 0.001). Tonic units displayed highly regular discharge consistent with intrinsic motoneuron excitation via persistent inward currents (PIC). Phenotypes were consistent across recording modalities and task contexts, and phenotype effects on derecruitment metrics exceeded movement-type effects by an order of magnitude. These findings identify impaired MU derecruitment as a core feature of spastic paralysis, driven by maladaptive motoneuron and spinal network properties that preserved descending drive cannot fully counteract. A proof-of-concept spike-train-level temporal filter selectively suppressed tonic firing while preserving voluntary modulation (>94% correlation retained), demonstrating a physiologically grounded strategy for improving neural interfacing after SCI.

neuroscience↗

Mechanical Hand Synergies during Dynamic Hand Movements are Mostly Controlled in a Non-Synergistic Way by Spinal Motor Neurons

Precise control of spinal motor neurons is crucial for voluntary hand and digit movements. However, the specific mechanisms by which motor unit ensembles govern dynamic synergistic and individual digit tasks remain poorly understood. We recorded synchronized 3D hand kinematics and high-density surface EMG (HD-sEMG) data from extrinsic hand muscles of twelve participants during 13 dynamic hand and digit movement tasks, consisting of single-digit flexion/extension and mechanically synergistic grasping tasks. We extracted single motor unit (MU) activity and identified identical MUs across tasks. We extracted 7.8 {+/-} 1.8 MUs per task and participant and found 182 out of 554 total MUs active during multiple movements. Analysis of the MU discharge patterns revealed two groups of motor units that were categorized into prime mover MUs, showing strong correlation between firing rate modulation and digit kinematics, and postural MUs with little modulated activity. We found these motor units could switch between the two modes, showing either postural or movement encoding activation depending on the task. However, MUs acted as prime mover only for one specific digit. We further observed highly task specific recruitment of prime mover MUs. Across participants, we found only 9 {+/-} 8.2 % of prime mover MUs active during a grasp task and any single digit task involved in the grasp motion. We draw three conclusions: (1) Single digits are controlled by distinct groups of MUs. (2) Unexpectedly, mechanically synergistic grasp movements are mostly controlled in a non-synergistic way by distinct groups of MUs. 3) Multiple manifolds construct the movement of the human hand, and each motor unit can flexibly switch between postural and dynamic modes. Significance StatementWe investigated the neural control of motor unit ensembles during single-digit and synergistic grasping tasks in dynamic conditions. We found that motor units exhibited strong movement-correlated activity only for one specific digit. We further observed highly task specific recruitment of motor units during mechanically synergistic grasp movements, showing that on a motor unit level, mechanically synergistic movements are controlled in a non-synergistic way. The findings extend the knowledge of motor unit recruitment strategies in natural movements and have strong implications in the field of neurorehabilitation and control of assistive devices.

neuroscience↗

Mental fatigue impairs physical performance but not the neural drive to the muscle

Mental fatigue (MF) does not only affect cognitive but also physical performance. This study aimed to explore the effects of MF on muscle endurance, rate of perceived exertion (RPE), and motor units activity. Ten healthy males participated in a randomised crossover study. The subjects attended two identical experimental sessions separated by three days with the only difference of a cognitive task (incongruent Stroop task [ST]) and a control condition (watching a documentary). Perceived MF and motivation were measured for each session at baseline and after each cognitive task. Four contractions at 20% of maximal voluntary contraction (MVIC) were performed at baseline, after each cognitive and after muscle endurance task while measuring motor units by high-density surface electromyography. Muscle endurance until failure at 50% of MVIC was measured after each cognitive task and the RPE was measured right after failure. ST significantly increased MF (p = 0.001) reduced the motivation (p = 0.008) for the subsequent physical task and also impaired physical performance (p = 0.044). However, estimates of common synaptic inputs and motor unit discharge rates as well as RPE were not affected by MF (p> 0.11). In conclusion, MF impairs muscle endurance and motivation for the physical task but not the neural drive to the muscle at any frequency bands. Although it is physiologically possible for mentally fatigued subjects to generate an optimal neuromuscular function, the altered perception and motivation seems to limit physical performance. Our results suggest that the corticospinal pathways are not affected by MF.

physiology↗

Neural decoding from surface high-density EMG signals: influence of anatomy and synchronization on the number of identified motor units

ObjectiveHigh-density surface electromyography (HD-sEMG) allows the reliable identification of individual motor unit (MU) action potentials. Despite the accuracy in decomposition, there is a large variability in the number of identified MUs across individuals and exerted forces. Here we present a systematic investigation of the anatomical and neural factors that determine this variability. ApproachWe investigated factors of influence on HD-sEMG decomposition, such as synchronization of MU discharges, distribution of MU territories, muscle-electrode distance (MED - subcutaneous fat thickness), maximum anatomical cross-sectional area (ACSAmax), and fiber CSA. For this purpose, we recorded HD-sEMG signals, ultrasound, magnetic resonance imaging, and muscle biopsy of the biceps brachii muscle from two groups of participants - untrained-controls (UT=14) and strength-trained (>3 years of training, ST=16) - while they performed isometric ramp contractions with elbow flexors (at 15, 35, 50 and 70% maximum voluntary torque - MVT). We assessed the correlation between the number of accurately detected MUs by HD-sEMG decomposition and each measured parameter, for each target force level. Multiple regression analysis was then applied. Main resultsST subjects showed lower MED (UT: 4.8 {+/-} 1.4 vs. ST: 3.7 {+/-} 0.8 mm) associated to a greater number of identified motor units (UT: 21.3 {+/-} 10.2 vs. ST: 29.2 {+/-} 11.8 MUs/subject). Both groups showed a negative correlation between MED and the number of identified MUs at low forces (r= -0.6, p=0.002 at 15% MVT). Moreover, the number of identified MUs was positively correlated to the distribution of MU territories (r=0.56, p=0.01) and ACSAmax (r=0.48, p=0.03) at 15% MVT. By accounting for all anatomical parameters, we were able to partly predict the number of decomposed MUs at low but not at high forces. SignificanceOur results confirmed the influence of subcutaneous tissue on the quality of HD-sEMG signals and demonstrated that MU spatial distribution and ACSAmax are also relevant parameters of influence for current decomposition algorithms.

bioengineering↗