Document Detail


Force overestimation during tourniquet-induced transient occlusion of the brachial artery and possible underlying neural mechanisms.
MedLine Citation:
PMID:  16290301     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A vascular occlusion by a tourniquet inflated at the proximal end of the upper arm is suggested to affect the estimation of exertion force level. In the first part of this study, subjects were asked to estimate the isometric force exerted by the occluded hand with that of the other hand (matching experiment). We found that the perceived force with arterial occlusion was always overestimated. To examine the underlying neural mechanism for this phenomenon, in the second part, the somatosensory evoked potentials (SEPs) and nerve action potential (NAP) were recorded following electrical median nerve stimulation with or without arterial occlusion. Moreover, the maximum motor response (M response) to median nerve stimuli at the axilla was recorded from the skin surface of the thenar eminence muscle of the hand during with arterial occlusion. The N20 of SEP and NAP at Erb's point were unaffected by the arterial occlusion, and the M response was also unchanged. These results suggest that the tourniquet-induced transient occlusion of the brachial artery does not seriously affect median nerve function. Thus, it is likely that the primary responsible factor for the overestimation of perceived force exertion during arterial occlusion is the centrally generated motor command as previously hypothesized by McCloskey [McCloskey, D.I., Ebeling, P., Goodwin, G.M., 1974. Estimation of weights and tensions and apparent involvement of a "sense of effort". Exp Neurol. 42, 220-232; McCloskey, D.I., 1978. Kinesthetic sensibility. Physiol. Rev. 58, 763-820; McCloskey, D.I., 1981. Corollary discharge and motor commands and perception. In: Brookhart, J.M., Mountcastle, V.B. (Eds.), Handbook of Physiology. American Physiological Society, Bethesda, pp. 1415-1447].
Authors:
Yudai Takarada; Daichi Nozaki; Masato Taira
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2005-11-14
Journal Detail:
Title:  Neuroscience research     Volume:  54     ISSN:  0168-0102     ISO Abbreviation:  Neurosci. Res.     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2005-12-19     Completed Date:  2006-03-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8500749     Medline TA:  Neurosci Res     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  38-42     Citation Subset:  IM    
Affiliation:
Faculty of Sport Sciences, Waseda University, Saitama 359-1192, Japan.
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MeSH Terms
Descriptor/Qualifier:
Action Potentials / physiology
Adult
Afferent Pathways / physiology
Brachial Artery / physiology*
Evoked Potentials, Somatosensory / physiology
Female
Hand Strength / physiology*
Humans
Male
Median Nerve / blood supply*
Perception / physiology*
Tourniquets

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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