Unique case study: Impact of single‐session neuromuscular biofeedback on motor unit properties following 12 days of Achilles tendon surgical repair

Abstract We explored the first evidence of a single‐session neuromuscular biofeedback effect on motor unit properties, neuromuscular activation, and the Achilles tendon (AT) length 12 days after undergoing AT surgical repair. We hypothesized that immediate neuromuscular biofeedback enhances motor un...

Full description

Bibliographic Details
Main Authors: Carlos De la Fuente, Rony Silvestre, Julio Botello, Alejandro Neira, Macarena Soldan, Felipe P. Carpes
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Physiological Reports
Subjects:
Online Access:https://doi.org/10.14814/phy2.15868
_version_ 1827378920648867840
author Carlos De la Fuente
Rony Silvestre
Julio Botello
Alejandro Neira
Macarena Soldan
Felipe P. Carpes
author_facet Carlos De la Fuente
Rony Silvestre
Julio Botello
Alejandro Neira
Macarena Soldan
Felipe P. Carpes
author_sort Carlos De la Fuente
collection DOAJ
description Abstract We explored the first evidence of a single‐session neuromuscular biofeedback effect on motor unit properties, neuromuscular activation, and the Achilles tendon (AT) length 12 days after undergoing AT surgical repair. We hypothesized that immediate neuromuscular biofeedback enhances motor unit properties and activation without causing AT lengthening. After 12 days AT surgical repair, Medial Gastrocnemius (MG) motor unit decomposition was performed on a 58‐year‐old male before and after a neuromuscular biofeedback intervention (surface electromyography (sEMG) and ultrasonography), involving unressited plantar flexion. The analysis included motor unit population properties, sEMG amplitude, force paradigm, and AT length. There were increased MG motor unit recruitment, peak and average firing rate, coefficient of variation, and sEMG amplitude, and decreased recruitment and derecruitment threshold in the repaired AT limb. The non‐injured limb increased the motor unit recruitment, and decreased the coefficient of variation, peak and average firing rate, inter‐pulse interval, derecruitment threshold and sEMG amplitude. The AT length experienced −0.4 and 0.3 cm changes in the repaired AT and non‐injured limb, respectively. This single‐session neuromuscular biofeedback 12 days after AT surgery shows evidence of enhanced motor unit properties and activation without signs of AT lengthening when unresisted plantar flexion is performed in the repaired AT limb.
first_indexed 2024-03-08T13:03:50Z
format Article
id doaj.art-f8f9a529c2f9422b9d3fe0a33a8d5913
institution Directory Open Access Journal
issn 2051-817X
language English
last_indexed 2024-03-08T13:03:50Z
publishDate 2024-01-01
publisher Wiley
record_format Article
series Physiological Reports
spelling doaj.art-f8f9a529c2f9422b9d3fe0a33a8d59132024-01-19T02:01:44ZengWileyPhysiological Reports2051-817X2024-01-01121n/an/a10.14814/phy2.15868Unique case study: Impact of single‐session neuromuscular biofeedback on motor unit properties following 12 days of Achilles tendon surgical repairCarlos De la Fuente0Rony Silvestre1Julio Botello2Alejandro Neira3Macarena Soldan4Felipe P. Carpes5Exercise and Rehabilitation Sciences Institute, Postgraduate, Faculty of Rehabilitation Sciences, Universidad Andres Bello Universidad Andres Bello Santiago de Chile ChileUnidad de Biomecánica, Centro de Innovación, Clínica MEDS Santiago ChileFoot and Ankle Surgery Department Clinica MEDS Santiago ChileEscuela de Kinesiología, Facultad de Medicina y Ciencias de la Salud Universidad Mayor Santiago ChileUnidad de Biomecánica, Centro de Innovación, Clínica MEDS Santiago ChileLaboratory of Neuromechanics Federal University of Pampa Uruguaiana RS BrazilAbstract We explored the first evidence of a single‐session neuromuscular biofeedback effect on motor unit properties, neuromuscular activation, and the Achilles tendon (AT) length 12 days after undergoing AT surgical repair. We hypothesized that immediate neuromuscular biofeedback enhances motor unit properties and activation without causing AT lengthening. After 12 days AT surgical repair, Medial Gastrocnemius (MG) motor unit decomposition was performed on a 58‐year‐old male before and after a neuromuscular biofeedback intervention (surface electromyography (sEMG) and ultrasonography), involving unressited plantar flexion. The analysis included motor unit population properties, sEMG amplitude, force paradigm, and AT length. There were increased MG motor unit recruitment, peak and average firing rate, coefficient of variation, and sEMG amplitude, and decreased recruitment and derecruitment threshold in the repaired AT limb. The non‐injured limb increased the motor unit recruitment, and decreased the coefficient of variation, peak and average firing rate, inter‐pulse interval, derecruitment threshold and sEMG amplitude. The AT length experienced −0.4 and 0.3 cm changes in the repaired AT and non‐injured limb, respectively. This single‐session neuromuscular biofeedback 12 days after AT surgery shows evidence of enhanced motor unit properties and activation without signs of AT lengthening when unresisted plantar flexion is performed in the repaired AT limb.https://doi.org/10.14814/phy2.15868case‐reportdecompositionneuromechanical adaptationsurface electromyographyrehabilitation
spellingShingle Carlos De la Fuente
Rony Silvestre
Julio Botello
Alejandro Neira
Macarena Soldan
Felipe P. Carpes
Unique case study: Impact of single‐session neuromuscular biofeedback on motor unit properties following 12 days of Achilles tendon surgical repair
Physiological Reports
case‐report
decomposition
neuromechanical adaptation
surface electromyography
rehabilitation
title Unique case study: Impact of single‐session neuromuscular biofeedback on motor unit properties following 12 days of Achilles tendon surgical repair
title_full Unique case study: Impact of single‐session neuromuscular biofeedback on motor unit properties following 12 days of Achilles tendon surgical repair
title_fullStr Unique case study: Impact of single‐session neuromuscular biofeedback on motor unit properties following 12 days of Achilles tendon surgical repair
title_full_unstemmed Unique case study: Impact of single‐session neuromuscular biofeedback on motor unit properties following 12 days of Achilles tendon surgical repair
title_short Unique case study: Impact of single‐session neuromuscular biofeedback on motor unit properties following 12 days of Achilles tendon surgical repair
title_sort unique case study impact of single session neuromuscular biofeedback on motor unit properties following 12 days of achilles tendon surgical repair
topic case‐report
decomposition
neuromechanical adaptation
surface electromyography
rehabilitation
url https://doi.org/10.14814/phy2.15868
work_keys_str_mv AT carlosdelafuente uniquecasestudyimpactofsinglesessionneuromuscularbiofeedbackonmotorunitpropertiesfollowing12daysofachillestendonsurgicalrepair
AT ronysilvestre uniquecasestudyimpactofsinglesessionneuromuscularbiofeedbackonmotorunitpropertiesfollowing12daysofachillestendonsurgicalrepair
AT juliobotello uniquecasestudyimpactofsinglesessionneuromuscularbiofeedbackonmotorunitpropertiesfollowing12daysofachillestendonsurgicalrepair
AT alejandroneira uniquecasestudyimpactofsinglesessionneuromuscularbiofeedbackonmotorunitpropertiesfollowing12daysofachillestendonsurgicalrepair
AT macarenasoldan uniquecasestudyimpactofsinglesessionneuromuscularbiofeedbackonmotorunitpropertiesfollowing12daysofachillestendonsurgicalrepair
AT felipepcarpes uniquecasestudyimpactofsinglesessionneuromuscularbiofeedbackonmotorunitpropertiesfollowing12daysofachillestendonsurgicalrepair