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Translations of the Humeral Head Elicit Reflexes in Rotator Cuff Muscles That Are Larger Than Those in the Primary Shoulder Movers Open Access (recommended)

Descriptions

Resource type(s)
Research Paper
Keyword
shoulder
reflex
neuromuscular control
Rights
All rights reserved
Creator
Nicolozakes, Constantine Paul
Coats-Thomas, Margaret Sarah
Ludvig, Daniel
Seitz, Amee L.
Perreault, Eric
Abstract
Muscle activation helps stabilize the glenohumeral joint and prevent dislocations, which are more common at the shoulder than at any other human joint. Feedforward control of shoulder muscles is important for protecting the glenohumeral joint from harm caused by anticipated external perturbations. However, dislocations are frequently caused by unexpected perturbations for which feedback control is essential. Stretch-evoked reflexes elicited by translations of the glenohumeral joint may therefore be an important mechanism for maintaining joint integrity, yet little is known about them. Specifically, reflexes elicited by glenohumeral translations have only been studied under passive conditions, and there have been no investigations of how responses are coordinated across the functional groupings of muscles found at the shoulder. Our objective was to characterize stretch-evoked reflexes elicited by translations of the glenohumeral joint while shoulder muscles are active. We aimed to determine how these responses differ between the rotator cuff muscles, which are essential for maintaining glenohumeral stability, and the primary shoulder movers, which are essential for the large mobility of this joint. We evoked reflexes using anterior and posterior translations of the humeral head while participants produced voluntary isometric torque in six directions spanning the three rotational degrees-of-freedom about the shoulder. Electromyograms were used to measure the stretch-evoked reflexes elicited in nine shoulder muscles. We found that reflex amplitudes were larger in the rotator cuff muscles than in the primary shoulder movers, in part due to increased background activation during torque generation but more so due to an increased scaling of reflex responses with background activation. The reflexes we observed likely arose from the diversity of proprioceptors within the muscles and in the passive structures surrounding the shoulder. The large reflexes observed in the rotator cuff muscles suggest that feedback control of the rotator cuff augments the feedforward control that serves to compress the humeral head into the glenoid. This coordination may serve to stabilize the shoulder rapidly when preparing for and responding to unexpected disturbances.
Original Bibliographic Citation
Nicolozakes CP, Coats-Thomas MS, Ludvig D, Seitz AL and Perreault EJ (2022) Translations of the Humeral Head Elicit Reflexes in Rotator Cuff Muscles That Are Larger Than Those in the Primary Shoulder Movers. Front. Integr. Neurosci. 15:796472. doi: 10.3389/fnint.2021.796472
Publisher
DigitalHub. Galter Health Sciences Library & Learning Center
Date Created
2022-02-02
Original Identifier
(DOI)10.3389/fnint.2021.796472
Language
English
Subject: MESH
Reflex, Stretch
Electromyography
Shoulder Joint
Acknowledgments
We would like to acknowledge Timothy Haswell and Julia Schmulewitz for their assistance with designing the experimental setup and collecting data.
Grants and funding
This work was supported in part by the National Institutes of Health (NIAMS F31AR074288, NIGMS T32GM008152, NCATS UL1TR001422), The American Society of Biomechanics Graduate Student Grant-in-Aid, and Northwestern University.
DOI
10.3389/fnint.2021.796472
10.18131/g3-nrtc-af90

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