Individuals with chronic ankle instability (CAI) show reduced peroneus longus (PL) activity during dynamic actions such as walking, running, and jumping. The strategy by which motor units (MUs) are activated in this dysfunction remains unclear, hindering targeted rehabilitation. We assessed PL electromyographic (EMG) activity during submaximal and maximal isometric foot pronation and plantar flexion (IFPPF), mimicking the biomechanical function of the PL during dynamic actions. Seventeen male athletes with CAI and 17 control athletes without CAI (CO) participated. From 1-s EMG signals recorded at 30 % and 100 % of maximal voluntary contraction (MVC) while performing IFPPF, traditional EMG parameters [root mean square (RMS), median frequency (MdF), and mean frequency (MF)] and spike shape analysis metrics [mean spike amplitude (MSA), mean spike frequency (MSF), mean spike duration (MSD), mean spike slope (MSS), and mean number of peaks per spike (MNPPS)] were analyzed. Compared with control athletes, those with CAI exhibited lower MdF, MF, and MSF and higher MSD and MNPPS at both 30 % and 100 % MVC-IFPPF, whereas MSS was reduced in CAI athletes only at 100 % MVC (p < 0.05). The observed decreases in MSF, along with higher MSD values in male athletes with CAI, may correspond to a reduced firing rate of PL motor units, which requires future verification using decomposition-based methods.

BACKGROUND:Myotonometry is a noninvasive method for assessing the mechanical properties of soft tissues, including muscles and skin. The L-shaped probe, designed specifically for skin assessment, may be useful for evaluating caesarean section (C-section) scars. However, reliability data for MyotonPRO measurements of C-section scars with this probe are limited. This study aimed to evaluate the inter-rater and intra-rater reliability of measuring the mechanical properties of C-section scar skin using the MyotonPRO with the L-shaped probe. MATERIALS AND METHODS:Twenty-five women (23-42 years) with C-section scars were examined. Two raters conducted the myotonometric assessments over two consecutive days. Measurements were taken with the participant supine, using the L-shaped probe at six points around the scar (three above, three below; positioned at the scar's endpoints and centre), each tested in three directions (right, left and upward/downward). Reliability was analysed using the intraclass correlation coefficient (ICC) with 95% confidence intervals (CIs), the standard error of measurement (SEM), minimal detectable change (MDC), coefficient of variation (CV) and Bland-Altman plots. RESULTS:Inter-rater reliability was good to excellent (ICC = 0.75-0.90), while intra-rater reliability was moderate to good, with slightly lower ICCs for consecutive-day measurements. SEM, MDC and CV values supported these findings, showing lower measurement error and narrower variability ranges between raters than within repeated measurements by the same rater. CONCLUSION:The MyotonPRO with the L-shaped probe provides reliable inter- and intra-rater measurements of C-section scar skin mechanical properties, making it a valuable tool for scar evaluation.

BackgroundAnimal models suggest that intensive physical training may promote neuroplasticity in Parkinson's disease (PD), but its effects in humans remain underexplored.ObjectivesTo investigate the effects of aerobic interval training (AIT) on brain-derived neurotrophic factor (BDNF) levels, striatal [18F]fluorodopa positron emission tomography/computed tomography (PET/CT) uptake ([18F]DOPAPET/CT), electroencephalography (EEG), and motor function, and to explore their interrelations.MethodsThirty PD patients were randomly assigned to a 12-week moderate-intensity AIT group (PD Training Group [PD-TR], n = 15) or a non-training group (PD Non-Training Group, n = 15). Pre- and post-intervention assessments included BDNF levels, striatal [18F]DOPAPET/CT, EEG during motor task-evoked desynchronization (ERDMT) and rest-evoked synchronization (ERSREST) in primary motor cortex (M1) and supplementary motor area (SMA), and motor function assessed using the Unified PD Rating Scale (UPDRS) Part III and the Manual Bradykinesia Score for the Affected Upper Extremity (MBS-AUE) calculated as the sum of UPDRS items 3.4 to 3.6.ResultsThe PD-TR group showed increased BDNF levels (P < .001) and improved motor scores (UPDRS III and MBS-AUE; P < .05). Both groups exhibited increased EEG-ERSREST M1 (P < .05) over time, with no changes in striatal [18F]DOPAPET/CT uptake. Significant group differences were observed in correlations between changes (Δ = POST minus PRE) in: ΔBDNF with Δ[18F] DOPAPET/CT uptake in the putamen and ΔEEG-ERDMT M1 (P < .001); Δ[18F]DOPAPET/CT uptake in the putamen with Δ[18F]DOPAPET/CT uptake in the caudate and ΔEEG-ERSREST SMA (P < .05); ΔMBS-AUE scores with ΔEEG-ERSREST SMA (P < .001).ConclusionsTwelve-week AIT enhanced BDNF levels and motor function in PD-TR, with central nervous system neuroplasticity supporting motor recovery.

Background: Aerobic interval training (AIT) shows potential for treating Parkinson's disease (PD), promoting neuroplasticity, and alleviating PD symptoms. This study explores the 8-week AIT cycle impact on motor control, anticipating improvements in bimanual tasks, motor unit activation, and bradykinesia in PD patients.

INTRODUCTION:Parkinson's disease (PD) presents with a progressive decline in manual dexterity, attributed to dysfunction in the basal ganglia-thalamus-cortex loop, influenced by dopaminergic deficits in the striatum. Recent research suggests that the motor cortex may play a pivotal role in mediating the relationship between striatal dopamine depletion and motor function in PD. Understanding this connection is crucial for comprehending the origins of manual dexterity impairments in PD. Therefore, our study aimed to explore how motor cortex activation mediates the association between striatal dopamine depletion and manual dexterity in PD. MATERIALS AND METHODS:We enrolled 26 mildly affected PD patients in their off-medication phase to undergo [18F]FDOPA PET/CT scans for evaluating striatal dopaminergic function. EEG recordings were conducted during bimanual anti-phase finger tapping tasks to evaluate motor cortex activity, specifically focusing on Event-Related Desynchronization in the beta band. Manual dexterity was assessed using the Purdue Pegboard Test. Regression-based mediation analysis was conducted to examine whether motor cortex activation mediates the association between striatal dopamine depletion and manual dexterity in PD. RESULTS:Mediation analysis revealed a significant direct effect of putamen dopamine depletion on manual dexterity for the affected hand and assembly tasks (performed with two hands), with motor cortex activity mediating this association. In contrast, while caudate nucleus dopamine depletion showed a significant direct effect on manual dexterity, motor cortex mediation on this association was not observed. CONCLUSION:Our study confirms the association between striatum dopamine depletion and impaired manual dexterity in PD, with motor cortex activity mediating this relationship.

Brain-derived neurotrophic factor (BDNF) is involved in the maintenance of dopamine level and the survival of dopaminergic neurons, which may affect the functionality of brain structures responsible for motor and cognitive function. The aim of the study was to assess the association of individual and combined single nucleotide polymorphism (SNP) in the rs6265 BDNF (Val66Met), rs397595 DAT (SLC6A3), and rs4680 COMT (Val158Met) genes with early‑onset of Parkinson’s disease (PD) patients. Moreover, we assessed the association between the BDNF Val66Met polymorphism and the level of BDNF protein in the serum of patients with PD and controls. The study involved 163 patients with idiopathic PD divided into early onset (<55 years) and late‑onset (>55 years) groups and 91 healthy age‑matched people (Control). The SNP were determined using the TaqMan Real‑Time PCR method. Serum BDNF levels were determined by ELISA assay. The risk of developing early PD in people with the BDNF genotype AG increases threefold in comparison with the carriers of the BDNF genotype GG. In PD patients and healthy people with the BDNF genotypes AG and AA, a lower serum BDNF level was found compared to those with the BDNF genotype GG in both groups. The results of our study indicate that the presence of the Val66Met BDNF gene polymorphism is associated with reduced blood BDNF levels and an elevated risk of developing early‑onset PD. This effect appears to be more pronounced in men.

Our recent findings in athletes with chronic ankle instability (CAI) revealed increased tone and stiffness alongside reduced elasticity in the peroneus longus (PL) during myotonometric (MYO) measurements at rest, suggesting diagnostic relevance. MYO recordings during muscle contraction in healthy subjects showed an active muscle stiffness influence on MYO parameters, suggesting its potential impact on CAI-related MYO findings. However, it remains unknown whether PL stiffening observed recently in CAI athletes at rest can also be detected while PL muscle contraction. This study, using myotonometry, examines the PL mechanical properties during a motor task mimicking PL's biomechanical function, i.e., simultaneous isometric foot pronation and plantar flexion (IFPPF) at 30 % and 100 % of maximal voluntary contraction (MVC) in athletes with CAI. Nineteen adult male athletes with CAI (per International Ankle Consortium criteria) and 19 control (CO) athletes without lateral ankle sprain incidents comprised the study groups. Both groups had similar anthropometric parameters and training volume. Simultaneous force and MYO measurements were performed at 30 % and 100 % of MVC-IFPPF, using a MyotonPRO® device. Five MYO parameters were recorded in the PL: frequency, stiffness, decrement, relaxation time, and creep. No significant inter-group differences were observed in MYO parameters and force values measured during the 30 % and 100 % of MVC-IFPPF. This study, employing myotonometry, is the first to demonstrate the lack of significant differences between CAI and CO athletes in the MYO parameters measured in the PL muscle at submaximal and maximal contraction during simultaneous IFPPF, contrasting with our previous MYO results in CAI at rest.

Parkinson's disease (PD) research on specific neuroimaging and neurophysiological biomarkers revealing executive dysfunction mechanisms is limited, necessitating validation. Thus, our study aimed to assess associations between electroencephalographic power spectral density (PSD-EEG), striatal [18 F]Fluorodopa uptake and neuropsychological executive function (EF) testing parameters in PD, while also estimating their diagnostic accuracy. We compared resting PSD-EEG, striatal [18 F]Fluorodopa uptake ratios based on positron emission computed tomography ([18 F]FDOPA PET/CT) and neuropsychological EF tests outcomes [Trail Making Test (TMT) and Stroop Test (ST)] between PD patients and healthy controls (HCO) and then calculated correlations among these measures separately for each group. Additionally, we estimated PD diagnostic accuracy of the PSD-EEG and [18 F]FDOPA PET/CT parameters. In PD patients, we observed the following: (i) slower EEG waves, reflected in increased power of the EEG theta and lower-alpha bands in frontal lobe areas; (ii) reduced [18 F]FDOPA PET/CT uptake in the putaminal and caudate nuclei, along with a decreased putamen-to-caudate ratio ([18 F]FDOPA PET/CT PCR); and (iii) longer performance times evident in nearly all EF tests' parameters. Slower EEG waves correlated negatively with [18 F]FDOPA PET/CT PCR and positively with most of the EF test parameters. Furthermore, we found negative correlations between [18 F]FDOPA PET/CT PCR and certain EF measures related to ST. [18 F]FDOPA PET/CT ratios and several PSD-EEG parameters, particularly those from the prefrontal cortex, demonstrated clinically reasonable diagnostic accuracy for PD. In conclusion, EEG waves slowing in the frontal lobe were correlated with striatal dopaminergic deficiency and impaired executive function in mild PD patients and showed promise as a biomarker of PD-related executive dysfunction.

BACKGROUND:Migraine is a primary headache disorder. Studies have shown that 93% of people with migraine have an increased number of active Ischemic Compression Myofascial Trigger Points (IC-MTrPs) therapy.OBJECTIVE:To examine the effects of the IC-MTrPs therapy on: (1) mechanical properties of the upper trapezius muscle (UTM), (2) shoulder girdle and neck (SGN) muscles pain and (3) headaches characteristics in episodic migraine patients without aura.METHODS:Thirty-one adult, female, migraine patients without aura underwent seven IC-MTrPs therapy sessions and were tested during maximally five measurement sessions (pre- and post-1'st, post-4'th, post-7'th therapy and 1-month follow-up). Myotonometric measurements of the UTM's tone, stiffness and elasticity, subjective SGN muscles pain, as well as headache's level, frequency and duration were analyzed.RESULTS:Myotonometric tone and stiffness of the UTM significantly decreased in post-1'st, post-4'th therapy and in 1-month follow-up measurements versus pre-1'st therapy testing session. The scores for the SGN muscles' pain significantly decreased: (i) in post-4'th and post-7'th therapy versus post-1'st therapy session, and (ii) in post-7'th versus post-4'th therapy measurements. Headache's level, frequency and duration significantly decreased in post-7'th therapy versus pre-1'st therapy measurement session.CONCLUSION:IC-MTrPs therapy resulted in a decrease of upper trapezius muscle tone and stiffness, with simultaneous alleviation of shoulder girdle and neck muscle pain and the headaches characteristics in episodic migraine patients without aura.

The study aimed to determine whether four weeks of motor imagery training (MIT) of goal-directed reaching (reaching to grasp task) would affect the cortical activity during motor imagery of reaching (MIR) and grasping (MIG) in the same way. We examined cortical activity regarding event-related potentials (ERPs) in healthy young participants. Our study also evaluated the subjective vividness of the imagery. Furthermore, we aimed to determine the relationship between the subjective assessment of motor imagery (MI) ability to reach and grasp and the cortical activity during those tasks before and after training to understand the underlying neuroplasticity mechanisms. Twenty-seven volunteers participated in MIT of goal-directed reaching and two measurement sessions before and after MIT. During the sessions 128-channel electroencephalography (EEG) was recorded during MIR and MIG. Also, participants assessed the vividness of the MI tasks using a visual analog scale (VAS). The vividness of imagination improved significantly ( P < .05) after MIT. A repeated measures ANOVA showed that the task (MIR/MIG) and the location of electrodes had a significant effect on the ERP's amplitude ( P < .05). The interaction between the task, location, and session (before/after MIT) also had a significant effect on the ERP's amplitude ( P < .05). Finally, the location of electrodes and the interaction between location and session had a significant effect on the ERP's latency ( P < .05). We found that MIT influenced the EEG signal associated with reaching differently than grasping. The effect was more pronounced for MIR than for MIG. Correlation analysis showed that changes in the assessed parameters due to MIT reduced the relationship between the subjective evaluation of imagining and the EEG signal. This finding means that the subjective evaluation of imagining cannot be a simple, functional insight into the bioelectrical activity of the cerebral cortex expressed by the ERPs in mental training. The changes we noted in ERPs after MIT may benefit the use of non-invasive EEG in the brain-computer interface (BCI) context. Trial registration: NCT04048083.

TATA-binding protein (TBP), a central component for transcriptional regulation, forms complexes with various transcription regulators. We have isolated a novel human cDNA for a 49-kD TBP-interacting protein (TIP49). The human TIP49 was highly homologous to bacterial RuvB proteins that function as a DNA helicase to promote branch migration of the Holliday junction. Immunofluorescence analysis using anti-TIP49 antibody showed a typical dot-shaped nuclear staining pattern, suggesting that TIP49 is included in a macromolecular structure in the nucleus and may participate in nuclear events such as transcription and recombination. Moreover, glycerol gradient analysis demonstrated that TIP49 is present in a macromolecular complex in nuclear extracts. Interestingly, we detected a high level of autoantibodies against TIP49 in sera of patients with autoimmune diseases such as polymyositis/dermatomyositis and autoimmune hepatitis. This indicates that the autoantibody against this protein is a new marker for particular connective tissue diseases. These findings provide further evidence that the macromolecular structures described above are targeted by an autoimmune mechanism. The anti-TIP49 antibodies can be useful probes for clinical diagnosis and for investigation of intranuclear structure.

Background:There is numerous literature on mechanisms underlying variability of practice advantages. Literature includes both behavioral and neuroimaging studies. Unfortunately, no studies are focusing on practice in constant conditions to the best of our knowledge. Hence it is essential to assess possible differences in mechanisms of neuroplasticity between constant vs. variable practice conditions. The primary objectives of the study described in this protocol will be: (1) to determine the brain's structural and functional changes following constant and variable practice conditions in motor learning (structural and functional magnetic resonance imaging, MRI); (2) to determine the EEG activation and connectivity between cognitive, sensory, and motor cerebral cortex areas (central, temporal, parietal, occipital) in constant and variable practice conditions and as a function of practice time.Methods:The study will follow the interventional (experimental) design with two arms (parallel groups). Fifty participants will be randomly assigned to two groups practicing in constant (CG) and variable conditions (VG). CG will be practicing only one pattern of step isometric contractions during unimanual index finger abduction, i.e., 90 trials in all training sessions, whereas VG will practice three different patterns. Each will be practiced 30 times per session in variable conditions. Resting-state fMRI, EEG (cortical networking), and motor task proficiency will be examined before (pre-) and after practice (post- and retentions tests).Discussion:Findings will enhance our understanding of structural and functional neural changes following practice in constant and variable conditions. Therefore, the study can be considered pure (basic) research (clinical research in healthy individuals).Clinical Trial Registration:Study registered at clinicaltrials.gov (ID# NCT04921072) on 9 June 2021. Last version update: 21 December 2021.The protocol has been prepared according to the complete SPIRIT checklist (http://www.spirit-statement.org/), although the item order has been modified in order to comply with the manuscript structure.

Background Recent discoveries show that high-intensity interval training (HIIT) can bring many positive effects such as decreases in fat tissue, lower blood sugar levels, improved learning and memory, and lower risk of cardiac disease. Parkinson’s disease (PD) is a neurodegenerative disorder characterized by loss of the dopaminergic neurons, accompanied by chronic inflammation and neuroinflammation. Previous research shows that interval training can bring a beneficial effect on the inflammation and neuroplasticity in PD. Objectives The objective of this study was to investigate the effect of 12 weeks of HIIT on the inflammation levels and antioxidant capacity in the serum of PD patients. Methods Twenty-eight people diagnosed with PD were enrolled in this study. Fifteen PD patients performed 12 weeks of HIIT on a cycloergometer. Thirteen non-exercised PD patients constitute the control group. Concentrations of inflammation markers and antioxidants’ capacity in the serum were measured at 3 sampling points (a week before, a week after, and 3 months after the HIIT). Results Twelve weeks of HIIT decreases the level of TNF-α ( p = 0.034) and increases the level of IL-10 ( p = 0.024). Those changes were accompanied by a decreased level of neutrophils ( p = 0.03), neutrophil/lymphocyte ratio ( p = 0.048) and neutrophil/monocyte ratio ( p = 0.0049) with increases in superoxide dismutase levels ( p = 0.04). Conclusions Twelve weeks of HIIT can decrease systemic inflammation in PD patients and improve the antioxidant capacity in their serum, which can slow down the progression of the disease.

Background.The aim of this study was to assess to what extent changing the measurement point affected the results of myometric parameters describing muscle mechanical properties assessed by a MyotonPRO ® device in three skeletal muscles: the biceps brachii (BB), tibialis anterior (TA) and rectus femoris (RF).We hypothesised that muscle mechanical properties would change differently as the myometry probe was moved towards the proximal or distal part of a muscle.Methods.Sixteen untrained, healthy, young male students participated in the study.Myometric frequency, stiffness, decrement, relaxation and creep parameters were measured in the BB, RF and TA of the right and left sides of the body at five measurement points: the central point of a muscle, and points shifted by 10% and 20% of the muscle length proximally and distally from the central point.A multivariate: 5 (measurement points) × 3 (muscle) analysis of variance (MANOVA) for each of the parameters separately was used for the main analysis.Results.MANOVA showed that measurement point (the location), muscle and interaction between measurement point and muscle have an impact on all measured parameters (P < 0.05) except interaction between measurement point and muscle in relaxation parameter (P > 0.05).Differences in myometric values were shown for both measurement points located distant from each other, as well as for those located adjacent to each other.Conclusions Our results emphasized the variation in muscle properties along the long axis of chosen skeletal muscles expressed by myometry outcomes.

This study explored the effect of kinesthetic motor imagery training on reaching-to-grasp movement supplemented by a virtual environment in a patient with congenital bilateral transverse upper-limb deficiency. Based on a theoretical assumption, it is possible to conduct such training in this patient. The aim of this study was to evaluate whether cortical activity related to motor imagery of reaching and motor imagery of grasping of the right upper limb was changed by computer-aided imagery training (CAIT) in a patient who was born without upper limbs compared to a healthy control subject, as characterized by multi-channel electroencephalography (EEG) signals recorded before and 4, 8, and 12 weeks after CAIT. The main task during CAIT was to kinesthetically imagine the execution of reaching-to-grasp movements without any muscle activation, supplemented by computer visualization of movements provided by a special headset. Our experiment showed that CAIT can be conducted in the patient with higher vividness of imagery for reaching than grasping tasks. Our results confirm that CAIT can change brain activation patterns in areas related to motor planning and the execution of reaching and grasping movements, and that the effect was more pronounced in the patient than in the healthy control subject. The results show that CAIT has a different effect on the cortical activity related to the motor imagery of a reaching task than on the cortical activity related to the motor imagery of a grasping task. The change observed in the activation patterns could indicate CAIT-induced neuroplasticity, which could potentially be useful in rehabilitation or brain-computer interface purposes for such patients, especially before and after transplantation. This study was part of a registered experiment (ID: NCT04048083).

Badania naukowe wskazują, że aktywność fizyczna wpływa nie tylko na polepszenie ogólnego stanu zdrowia u ludzi, ale dowodzą również specyficznego wpływu ćwiczeń fizycznych na "zdrowie mózgu". Doniesienia ostatnich lat pokazują, że uprawianie aktywności fizycznej w młodym wieku obniża ryzyko zachorowania na choroby neurodegeneracyjne, np. na chorobę Parkinsona. Jednocześnie istnieje wiele badań naukowych, prowadzonych na zwierzętach i ludziach wskazujących, że ćwiczenia fizyczne wywołują korzystne zmiany neuroplastyczne w mózgu zarówno u ludzi zdrowych jak i u chorujących na choroby neurodegeneracyjne. Niniejszy artykuł przedstawia dowody naukowe na zmiany neuroprotekcyjne i neuronaprawcze w mózgu wywołane ćwiczeniami fizycznymi. Zagadnieniem które szerzej podjęto w niniejszym artykule jest wpływ ćwiczeń fizycznych o wysokiej intensywności na zmiany neuroplastyczne i mechanizmy neurofizjologiczne ośrodkowego układu nerwowego oraz na zachowania psychomotoryczne w chorobie Parkinsona. Przedstawione w niniejszym artykule dowody naukowe na pozytywne efekty wysiłku fizycznego na ośrodkowy układ nerwowy to: (i) wzrost wydzielania czynników neurotroficznych, (ii) wzrost ekspresji receptorów dopaminergicznych D2 w prążkowiu, (iii) spadek aktywności transportera dopaminergicznego, (iv) wydłużenie korowo-rdzeniowego okresu ciszy u pacjentów z chorobą Parkinsona zbadanego za pomocą metody przezczaszkowej stymulacji magnetycznej, (v) poprawa sprawności czynności ruchowych oburęcznych, (vi) poprawa funkcji kognitywnych oraz (viii) złagodzenie symptomów ruchowych i pozaruchowych choroby Parkinsona. Wiedza ta jest ważna dla fizjoterapeutów poszukujących skutecznych metod terapii ruchem opartych na dowodach naukowych, wskazujących na wpływ odpowiednio dozowanego wysiłku na patomechanizm choroby Parkinsona, jak również dla modyfikacji systemu opieki zdrowotnej. Niniejszy artykuł ma również uświadomić każdemu z nas, jak wielki wpływ mamy na nasze "zdrowie mózgu" gdy regularnie uprawiamy aktywność fizyczną na każdym etapie naszego życia.

Background The aim of the study was to compare the mechanical properties of three human skeletal muscles: biceps brachii (BB), rectus femoris (RF), and tibialis anterior (TA) at rest measured by myoton device in males (n = 16, mean age 21.2 ± 0.6 years) and females (n = 16; 21.2 ± 0.9 years) and to investigate the influence of skin and subcutaneous tissue thickness (skinfold thickness, SFT) and gender on myometric parameters of the three skeletal muscles. Methods We measured the following mechanical and viscoelastic muscle properties using MyotonPRO®: frequency (F [Hz]), decrement (D [log]), stiffness (S [N/m]), relaxation time (R [ms]) and creepability (C [De]). The values of SFT for all selected muscles were assessed by caliper. A mixed-design analysis of variance with gender as between subject comparison was used for assessing the differences between gender and muscles in SFT and each of the myometric parameters separately (F, D, S, R and C). Pearson correlation coefficient or Spearman’s rank correlation coefficient between SFT and myometric parameters was conducted for males, females and males and females together. The level of statistical significance was set at α ≤ 0.05 with Bonferroni correction for multiple comparisons. Results The SFT over the RF, TA, and BB muscles in women was statistically significantly larger compared with that of males. In females and males, the SFT over the RF was larger than over the TA and BB, and the SFT over the TA was larger compared with over the BB. The values of F and S recorded for the TA muscle were the highest among the three muscles, while D, C, and R were lowest in TA but highest in the RF muscle in men and women. The values of F and S were smaller in females than in males. Gender comparison of D, C, and R values showed that only D for the RF was significantly lower in females than in males, and C for the RF and TA was significantly larger in females than in males. Some correlation between SFT and myometric parameters were different between males and females. For example, there was a significant, negative correlation between SFT and F for all muscles in females, and a significant, positive correlation between these parameters for BB and TA (not for RF) in males. For pooled data (males and females together), a negative significant correlation between SFT and F was observed for RF and TA (not significant for BB muscle). Discussion It is concluded that the TA compared with the BB and RF has significantly greater F and S but the smallest D and C and the shortest R. Gender and muscle differences in the SFT may affect the measurements of muscle properties using MyotonPRO®. The relationship between SFT and myometric parameters is different in males and females in the RF, TA, and BB muscles. Therefore, the myometric data should be analyzed in males and females separately.

Background The aim of this study was to determine whether computer-aided training (CAT) of motor tasks would increase muscle activity and change its spatial distribution in a patient with a bilateral upper-limb congenital transverse deficiency. We believe that our study makes a significant contribution to the literature because it demonstrates the usefulness of CAT in promoting the neuromuscular adaptation in people with congenital limb deficiencies and altered body image. Case presentation The patient with bilateral upper-limb congenital transverse deficiency and the healthy control subject performed 12 weeks of the CAT. The subject’s task was to imagine reaching and grasping a book with the hand. Subjects were provided a visual animation of that movement and sensory feedback to facilitate the mental engagement to accomplish the task. High-density electromyography (HD-EMG; 64-electrode) were collected from the trapezius muscle during a shrug isometric contraction before and after 4, 8, 12 weeks of the training. After training, we observed in our patient changes in the spatial distribution of the activation, and the increased average intensity of the EMG maps and maximal force. Conclusions These results, although from only one patient, suggest that mental training supported by computer-generated visual and sensory stimuli leads to beneficial changes in muscle strength and activity. The increased muscle activation and changed spatial distribution of the EMG activity after mental training may indicate the training-induced functional plasticity of the motor activation strategy within the trapezius muscle in individual with bilateral upper-limb congenital transverse deficiency. Marked changes in spatial distribution during the submaximal contraction in the patient after training could be associated with changes of the neural drive to the muscle, which corresponds with specific (unfamiliar for patient) motor task. These findings are relevant to neuromuscular functional rehabilitation in patients with a bilateral upper-limb congenital transverse deficiency especially before and after upper limb transplantation and to development of the EMG based prostheses.