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J Neurophysiol 107: 336 –345, 2012.
First published October 5, 2011; doi:10.1152/jn.00049.2011.
Wickham JB, Brown JM. The function of neuromuscular com- length of their moment arms and the direction of their fiber
partments in human shoulder muscles. J Neurophysiol 107: 336 –345, orientation (lines of action) determining its subsequent func-
2012. First published October 5, 2011; doi:10.1152/jn.00049.2011.— tion at that joint (Ackland et al. 2008; Ettema et al. 1998).
The aim of this study was to use a surface electromyographic (sEMG)
technique with a ballistic isotonic shoulder joint adduction movement Furthermore, it has been hypothesized that a neural basis for
to determine the function of the neuromuscular compartments the independent control of NMCs may be that the descending
(NMCs) within the pectoralis major, deltoid, and latissimus dorsi supraspinal motor commands are directed to portions of a
muscles. Sixteen male subjects (mean age 22 yr) with no known muscle’s spinal motoneuronal pool as seen in the flexor digi-
history of shoulder pathologies volunteered to participate. Timing and torum superficialis in humans (Butler et al. 2005) and in the
intensity of muscle contraction, recorded with 15 pairs of bipolar hand muscles of the monkey (Buys et al. 1986; Lemon and
sEMG electrodes, were compared during performance of 40° coronal-
Muir 1983; Maier et al. 1993).
plane ballistic [movement time (MT) ⬍ 400 ms] shoulder joint
adduction movements. The results suggested that heterogeneous Although evidence of the spatial location of NMCs is accu-
mulating in muscles such as the masseter (Widmer et al. 2003),
complex intermuscular coordinations, are required to complete possible.” Trials that were not within ⫾5° of the target angle of 50°
ballistic motor tasks in a total movement time (MT) of ⬍400 of abduction (⬃50% of attempted trials) were rejected from the
ms (Brown and Gilleard 1991; Brown and Cooke 1981). It was analysis.
expected that if NMCs within the muscles investigated were
independently controlled by the CNS, then significant (P ⬍ Electromyographic Technique
0.05) variations in the timing and intensity of NMC sEMG To minimize electrode cross talk, miniature gold-plated bipolar
activity would occur as each NMC was recruited to play its surface electrodes (6.5-mm interelectrode distance; 1.6-mm active
unique functional role, as determined by its moment arm, in the plates) were manufactured by the authors. Fifteen pairs of bipolar
ballistic shoulder adduction task. surface electrodes were applied to each subject: four over the deltoid,
five over the latissimus dorsi, and six over the pectoralis major
METHODS (Fig. 2). The anatomical criteria utilized to position each bipolar
surface electrode, as determined by anatomical dissection, were
Experimental Procedures guided by evidence of NMC location suggested in previous studies
(Wickham et al. 2004b). Briefly, these criteria included distinctive
The work described in this study was approved by the Human origins and/or insertions, architectural differences within the muscle
Ethics Committee of the University of Wollongong. mass (strap vs. pennated segments), and intramuscular facial thicken-
Sixteen right-hand-dominant male subjects (mean age 22 yr; range ings within the muscle mass (Johnson et al. 1994). Where broad
18 –30 yr), with no known history of shoulder pathologies, volun- expanses of seemingly homogeneous tissue were evident, muscle
teered to participate in this study after signing an informed consent fascicles with a ⬎10° difference in angle, compared with adjacent
approved by the University of Wollongong Human Ethics Committee. fascicles, were considered potentially independent (Wickham and
Each subject was seated in a dental chair with his 90° abducted right Brown 1998).
upper limb resting on a padded arm rest just distal to the elbow joint The miniature surface electrodes were secured to the subject by
to eliminate excessive valgus forces at the elbow (Fig. 1). The arm rest double-sided tape after the skin had been shaved, abraded, and washed
was attached by lightweight rope that ran through an overhead with alcohol to reduce skin resistance. Electrode gel was utilized to
Data Analysis
Data analysis utilized Digital Signal Processing (DSP) software for
assessment of the timing and intensity of sEMG (Fig. 3) within each
NMC.
Fig. 1. Experimental setup. The right arm was firmly secured within an arm rest Timing analysis. For each trial the beginning (OnD) and end of
that was connected to an overhead electrogoniometer and then to a floor GHJ motion (PkD) were determined (Fig. 3) as well as measures of
weight, which was adjusted to equilibrate the weight of the abducted upper
GHJ peak velocity (PkV) and peak acceleration (PkA) (Fig. 4).
limb. Muscle activity within each neuromuscular compartment (NMC), during
each ballistic 40° glenohumeral joint (GHJ) adduction movement (90° to 50° To determine the timing of muscle activity within each NMC, the
of abduction), was detected through 15 pairs of miniature surface electromyo- raw EMG waveforms were rectified and smoothed with a 20-Hz
graphic (sEMG) bipolar electrodes. Subject feedback on movement accuracy low-pass filter. Threshold detectors (10% peak amplitude), combined
was provided by a cathode ray oscilloscope (not illustrated). Movement time with visual analysis, were used to identify the onset (On), peak (Pk),
was ⬍400 ms. and cessation (Off) of activity within each muscle segment in relation
Fig. 3. Raw sEMG waveforms derived from NMCs within the pectoralis
major (P), deltoid (D), and latissimus dorsi (L). The timing (ms) of each
muscle burst (ON, OFF) was determined in relation to the onset of
displacement (OnD) of the adduction movement. Duration (Dur) was the
difference between ON and OFF. Movement time (MT) was the difference
between the beginning (OnD) and end (PkD) of the GHJ adduction move-
ment. A typical triphasic EMG pattern showing a first antagonist burst
(Ag1), an antagonist burst (Ant), and a second agonist burst (Ag2) was
most obvious between the primary agonist (e.g., L6, P6) and primary
antagonist (e.g., D3) NMCs.
and the time between peak NMC intensity (Pk) and PkV (r2 ⫽
0.42), PkA (r2 ⫽ 0.50), and PkDc (r2 ⫽ 0.38).
DISCUSSION
Overview of Aims
The first aim of the present study was to utilize a multichan-
nel sEMG technique to locate individual NMCs by detecting
heterogeneous sEMG activity across the surface of three su-
perficial muscles controlling movements of the GHJ. The
second aim of the study was to determine the function of each
identified NMC by correlating its timing and intensity of
activation to movement variables such as NMC moment arm
length and the timing of the movement’s peak displacement,
peak velocity, peak acceleration, and peak deceleration.
On Pk Dur
Mean SD Mean SD Mean SD
Fig. 5. Timing of NMC myoelectric activity in the pectoralis major (P), deltoid
(D), and latissimus dorsi (L). Vertical dotted lines indicate the onset (0 ms) and P6 ⫺118 20 ⫺10 27 185 33
end (354 ms) of the GHJ adduction movement as measured by an electrogo- P5 ⫺116 22 ⫺26 20 176 35
niometer. Heavy lines between diamonds indicate Ag1; light unbroken arrows P4 ⫺104 21 ⫺18 23 161 32
indicate Ag2; dotted lines between diamonds indicate Ant; triangles indicate P3 ⫺96 20 ⫺17 15 150 38
peak of myoelectric activity in that NMC. Ag2 activity was highly variable and P2 ⫺87‡ 17 2 34 163 62
is only shown if present in ⬎50% of trials examined. Group mean data from P1 ⫺88‡ 14 15 31 178 49
16 subjects are shown. D1 ⫺23*‡ 84 103‡ 51 205* 113
D3 40*‡ 27 114‡ 23 177* 41
moment arm) had a significantly (P ⬍ 0.05) higher intensity of D5 ⫺21*‡ 51 103‡ 62 277*‡ 85
activation (46%) compared with NMCs D1, P1, and P6. D7 ⫺86‡ 32 135‡ 108 390‡ 160
L1 ⫺108 23 67 80 257 80
Within the deltoid, the intensity of NMC activation (as % of L2 ⫺107 18 25 58 216 50
total muscle intensity) was moderately correlated to moment L3 ⫺120 17 5 71 215 80
arm (r2 ⫽ 0.62) although not related to the time between peak L5 ⫺130 18 ⫺6 82 193 27
NMC intensity (Pk) and PkV (r2 ⫽ 0.17), PkA (r2 ⫽ 0.15), or L6 ⫺135 27 19 94 201 50
PkDc (r2 ⫽ 0.16). In the agonist pectoralis major, the intensity
Values (in ms) are means and SD of group mean data from 16 subjects for
of NMC activation was not related to moment arm (r2 ⫽ 0.16), activation (On), time of peak intensity (Pk), and duration (Dur) of surface
although stronger relationships existed between moment arm electromyographic (sEMG) activity within each neuromuscular compartment
and the time between peak NMC intensity (Pk) and PkV (r2 ⫽ [NMC; pectoralis major (P), deltoid (D), and latissimus dorsi (L)]. For both On
0.71), PkA (r2 ⫽ 0.79), and PkDc (r2 ⫽ 0.71). Finally, the and Pk, values represent time either before (negative values) or after (positive
values) the movement onset, with duration representing the length of the first
intensity of NMC activation within the agonist latissimus dorsi EMG burst. Within-muscle analysis significant difference (P ⬍ 0.05): *to
muscle was not related to moment arm length (r2 ⫽ 0.22), NMC D7. Between-muscle analysis significant difference (P ⬍ 0.05): ‡to
while only weak relationships existed between moment arm NMC L6. Average movement time approximated 354 ms.
Table 2. NMC intensity time between peak intensity and the three kinematic variables of peak velocity, peak acceleration, and peak
deceleration
NMC Intensity, %total Peak Intensity to Peak Peak Intensity to Peak Peak Intensity to Peak
muscle intensity Velocity, ms Acceleration, ms Deceleration, ms
Mean SD Mean SD Mean SD Mean SD
Values are means and SD of group mean data from 16 subjects for NMC intensity (as % of total muscle intensity for each of the 3 muscles) and the time
between peak intensity (Pk) and the 3 kinematic variables of peak velocity, peak acceleration, and peak deceleration. Note that a negative value signifies that
the segment’s peak intensity occurred before the kinematic variable (peak velocity, peak acceleration, or peak deceleration) and a positive value indicates that
Identification of Individual NMCs NMC onset times also appeared to reflect the magnitude and
direction of their antagonist moment arms. Together, these data
Evidence was found that individual NMCs were present, in suggest heterogeneous sEMG activity across all three investi-
a parallel spatial arrangement, across the breadth of the three gated muscles consistent with the presence of individual NMCs
muscles investigated based upon the presence of heterogeneous (Staudenmann et al. 2009).
sEMG (Table 2). Of most importance were the results of the
linear regression analysis, which indicated that the onset (On) Function of Individual Muscles
of NMC activation was highly coordinated. As seen in Fig. 6,
a strong relationship existed between the onset (On) of NMCs, The data suggested that each GHJ muscle had a unique role
in producing the ballistic shoulder adduction movement. The
in both the pectoralis major (r2 ⫽ 0.94) and the latissimus dorsi
(r2 ⫽ 0.93), and their anatomical position on the thorax. As strong correlation (r2 ⫽ 0.84) between agonist muscle moment
arm length and NMC onset time in the latissimus dorsi com-
shown by the regression analyses the ballistic adduction GHJ
bined with early NMC activation (Table 1), and a lack of a
movement was initiated by two synchronous waves of mo-
relationship between its timing and intensity and PkV, PkA, or
toneuron activation, both anterior and posterior, that com-
PkDc, suggested that its primary role was to strongly initiate
menced at the lower NMCs of P6 and L6 and then proceeded
the movement. In contrast, the pectoralis major, with its
to the upper NMCs of P1 and L1. Furthermore, the posterior
slightly later onsets (Table 1) and stronger temporal relation-
wave of activation then continued onto the antagonist deltoid
ships with PkV, PkA, and PkDc, appeared better suited to
muscle (D7), which seemingly acted more like a seventh NMC
contribute to the control of the adduction movement after its
of the latissimus dorsi. The caudal initiation of the movement
initiation. In contrast, most of the deltoid muscle, with its
in both muscles coincides with the more “optimal” lines of
antagonist moment arms (except NMC D7), acted to decelerate
action apparent in the lower segments of both these agonist
the upper limb at the target angle.
muscles (Wickham et al. 2004b). Specifically, NMCs P6 and
L6 have the most vertically oriented lines of action, compared
Function of Individual NMCs
with the abducted humerus, and would be well suited to
effectively adduct (rotate) the humerus, with less translation Prime movers. It has been shown, both within single muscles
(stabilization) typical of the more horizontal upper fibers, at (Wickham and Brown 1998) and across a muscle group
movement initiation. In support of this assumption were the (Brown et al. 2007), that individual NMCs may be classified
results of Brown et al. (2007), which showed that at 20° of according to their function during a motor task. Prime mover
shoulder abduction, performing a similar adduction task, NMC NMCs have been shown to have agonist moment arms and
L3 was now the first to be activated. The early involvement of early activations to initiate and drive the motor task (Brown et
NMC L3, and not NMC L6, can also be explained by a more al. 2007; Wickham and Brown 1998) and, from the results of
efficient rotatory component to its moment arm at this partic- this study (Table 3), to have a relatively high contribution to
ular position of shoulder abduction. the development of the adductor force impulse at the shoulder.
In regard to the NMCs of the deltoid muscle, significant This assertion is consistent with the findings of other authors
(P ⬍ 0.05) differences in onsets (On) were much more appar- who have reported that the first “peak” of muscle activation
ent than those seen within the two agonist muscles. These was always within motor units close to the optimal line of
J Neurophysiol • doi:10.1152/jn.00049.2011 • www.jn.org
342 NEUROMUSCULAR COMPARTMENTS
Table 3. Architectural measures and moment arm data gathered from one cadaver for each NMC of pectoralis major, deltoid, and
latissimus dorsi as determined from cadaveric dissection
MA at 50°
Abduction, mm
ADD ABD Volume, cm3 Muscle Length, cm CSA, cm2 Proportion Total Muscle CSA, % CSA Adjusted, cm2 Force, N
position (Berardelli et al. 1996; Brown and Cooke 1990; Roles in accessory movements. It is also interesting to
MacKinnon and Rothwell 2000). However, the significant speculate upon the role of the individual NMCs in controlling
(P ⬍ 0.05) difference in onset times between NMCs D1 and the small accessory movements (e.g., gliding, translations) that
D5, as opposed to NMC D3, suggested a contrast in function. occur whenever the shoulder joint rotates. For example, shoul-
It is clear that NMC D3 played the “primary antagonist” role der abduction and adduction are accompanied by lateral and
(Wickham et al. 2004a) in that its late activation and large medial humeral rotations that in part help to minimize com-
antagonist moment arm provided the major braking force for pression under the coracohumeral ligament (Yanai et al. 2006).
the movement, the true “Ant” component of the triphasic EMG On the basis of their moment arms, NMCs D4 –D7 (lateral
pattern (MacKinnon and Rothwell 2000). Its lower standard rotators) and D1, D2, and those within the latissimus dorsi and
deviations (Table 1) also indicate a more defined role with less pectoralis major (medial rotators) appear well suited to assist in
flexibility in timing, compared with other antagonist segments, these complementary motions. Likewise, the posterior glide of
if it is to play this important role. Differences in reciprocal the humeral head during shoulder extension/lateral rotation
innervation among the antagonist NMCs of the deltoid suggest would be promoted by NMCs D4 –D6, which all combine
that certain NMCs of the antagonist deltoid (ones with optimal moment arms for shoulder extension with the capacity to draw
lines of action and large moment arms) may receive “stronger” the humerus posteriorly. It seems probable that the presence of
neural inhibition that delayed the onset of the primary antag- independent NMCs, within shoulder muscles like the deltoid,
onist NMC of D3 (Wickham et al. 2004a). The smaller antag- each with unique moment arms, provide the necessary motive
onist moment arms, and earlier onsets for NMCs D1 and D5 drive to accomplish both the pure and accessory motions of the
(Table 1), indicated a “secondary antagonist” role to help guide shoulder joint.
the limb during the adduction motion. In this way, NMCs D1 Clearly, our results show that NMCs within three super-
and D5 appeared to be working as “synergistic antagonists” to ficial shoulder joint muscles may be functionally classified
help D3 control the adduction motor task. as prime mover, synergist, primary antagonist, and second-
In contrast to onset time (On), the antagonist NMCs ary antagonist segments on the basis of their timing of
within the deltoid (D1, D3, D5) all reached maximal activity activation, moment arms, and relative contribution to the
(Pk) significantly (P ⬍ 0.05) later, or ⬎100 ms after move- production of joint torque around the joint. It was apparent
ment onset, and within one electromechanical delay period that the “function” of each muscle NMC determined its
of peak movement deceleration. This finding was consistent “pattern” of activation and that each NMC’s function was
with other results (Karst and Hasan 1987; MacKinnon and determined by its moment arm, its spatial location on the
Rothwell 2000) that have suggested that the antagonist trunk and shoulder girdle, and its ability to contribute to, or
(Ant) muscle burst is always activated after the initial ago- resist, the adductor force moment around the shoulder joint.
nist (Ag1). The results of this study suggest that the CNS controls
J Neurophysiol • doi:10.1152/jn.00049.2011 • www.jn.org
344 NEUROMUSCULAR COMPARTMENTS
individual NMCs, rather than whole muscles. Whether that Our findings are important in that they show, for the first
level of fine control is present in all human skeletal muscles time, how the CNS controls multiple NMCs within a group of
and how that level of fine muscle control is controlled (e.g., GHJ muscles, how they are temporally activated, and how their
through the intensity and spatial distribution of local muscle intensity of activation is modulated in relation to their moment
spindle populations) are questions that remain unanswered arms and consequent functional role in the movement.
at this time.
ACKNOWLEDGMENTS
Limitations
The authors thank Prof. Brian Key for thoughtful suggestions regarding the
Several limitations in the experimental design need to be manuscript. The authors also thank Monty Brown and Annette Wickham for
recognized and discussed. First, our analysis of NMC function assistance with preparation of the illustrations.
relied upon moment arm data that were available only for the
final position of the shoulder (50° of abduction) (Wickham et DISCLOSURES
al. 2004b) because of technical difficulties related to joint No conflicts of interest, financial or otherwise, are declared by the author(s).
integrity at higher angles of shoulder abduction.
We do not believe that this limitation would influence the
AUTHOR CONTRIBUTIONS
primary outcomes detailed here as, on the basis of previous
work at 20° and 50° of shoulder abduction (Wickham 2002), Author contributions: J.B.W. and M.J.B. conception and design of research;
J.B.W. performed experiments; J.B.W. analyzed data; J.B.W. and M.J.B.
only moment arm length, rather than direction, changes at interpreted results of experiments; J.B.W. prepared figures; J.B.W. and M.J.B.
greater angles of shoulder elevation. drafted manuscript; J.B.W. and M.J.B. edited and revised manuscript; J.B.W.
Second, while the utilization of a ballistic task was generally and M.J.B. approved final version of manuscript.
advantageous, the compressed nature of the subsequent NMC
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