Increased antagonist muscle activity in cervical SCI patients suggests altered reciprocal inhibition during elbow contractions

• Cremoux Sylvain
• Amarantini David
• Tallet Jessica
• Dal Maso Fabien
• Berton Eric

• Electromyography
• Elbow flexors and extensors
• Force level
• Isometric contractions
• Agonist and antagonist muscles

Objective: After spinal cord injury (SCI), the antagonist muscles activation is increased during voluntary contractions and reflex conditioning protocols. This increase can be the result of both muscle atrophy and reciprocal facilitation mechanism. It remains however unclear to what extent increased antagonist muscles activation could be rather attributable to central vs. peripheral changes during voluntary contractions achieved by SCI participants. Methods: We investigated the activations of elbow extensors and flexors during isometric elbow flexion and extension contractions performed at 3 force levels by 10 healthy participants and 8 participants with cervical SCI (cSCI). Results: At similar force level and absolute net torque in flexion, the antagonist muscles activation was increased for the participants with cSCI. At similar absolute net torque in extension, the activations of agonist and antagonist muscles were increased for the participants with cSCI. Conclusion: During flexion contractions, increased antagonist muscles activation may be explained by extensors atrophy or reciprocal facilitation. During extension contractions, increased antagonist muscles activation may reflect the importance of reciprocal facilitation as antagonist muscles were evaluated as intact by clinical testing and maximal net joint torque recording. Significance: These results in cSCI participants revealed an increased activation of antagonist muscles, which may reflect a reorganization of the spinal reflexes and their supraspinal control involved during isometric elbow contractions. (C) 2015 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.