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INFORMATION SHEET FOR VOLUNTEERS
REFLEX CONTROL OF THE HUMAN MUSCLES


Background to the laboratory:
This laboratory investigates the control of human muscles.  Muscles are controlled by two fundamental mechanisms: (1) the central pattern generator (CPG) that sets the pattern of contraction by sending electrical impulses to muscles; and (2) the peripheral control that modulates the output of the CPG. The peripheral modulation of the CPG ensures that optimum forces are developed. The peripheral control mechanisms originate from the receptors within the skin and muscles.  These receptors monitor contraction forces and modify the activity of muscles in order to facilitate movement of the limb and prevent damage to tissues. To investigate their connections to motoneurons (the nerves that innervate muscles), we stimulate these receptors electrically and/or mechanically in consenting adult volunteers. The responses of the muscles to the stimulus are recorded using intramuscular fine wire and surface electrodes. These studies contribute to a better understanding of the neuronal circuitry of the neuromuscular system. 

Significance of the experiments:  Movement is one of the most fundamental functions of humans. Despite its fundamental importance, the neurological mechanisms that control movement are not yet understood.  Once these mechanisms are well understood, they can be used for the diagnosis and treatment of muscle / joint disorders, fatigue, and tremor. 

EXPERIMENTAL PROTOCOL:  You will be asked to take part in one of the four experiments that are taking place in the laboratory at present. 
Jaw experiments; Leg experiments; Hand experiments
Jaw experiments:  In these experiments you will be asked to bite on bite bars.  Your teeth, skin or oral mucosa will be stimulated using mechanical and/or electrical stimuli.  The mechanical stimulus is applied via a probe attached to a vibrator, and the electrical stimulus is delivered using intramuscular or surface electrodes.  The electrical activity of your jaw muscles is recorded using surface and intramuscular electrodes. In experiments where mechanical tooth stimulation is used, local anaesthetic block is applied around the stimulated tooth to study the dispersion of the stimulus to neighbouring tissues.  Once the static part of the experiment has finished the dynamic part will be initiated.  The participant will open or close his/her mouth while the bite bars either do not resist the action (simulation of simple jaw movement) or resist the movement with a defined force (simulating biting on a piece of food).  In other experiments, the lower bite bar will occasionally apply very small and defined opening or closing perturbations to the lower jaw so that the stretch or unloading reflex can be studied.
Leg experiments: In these experiments you will be asked to push against a transducer (foot plate) with your foot.  One or two of your leg muscles will then be stimulated using mechanical and/or electrical means.  While mechanical stimulus is applied via a probe attached to a vibrator, electrical stimulus is delivered using surface electrodes.  The electrical activity of your leg muscles will be recorded using surface and intramuscular electrodes.
Hand experiments In these experiments you will be asked to move your index finger slightly so that one of the muscles that move your finger is activated.  We would then apply laser, electrical or magnetic brain stimulation while you are moving your finger. 
General procedures that applies to all experiments: 

  • Surface recording involves the cleaning of your skin over the muscles and taping electrodes onto the skin surface. 
  • The intramuscular electrodes are very fine wires that are inserted into the muscle with the help of a thin surgical needle (23 - 25G).  Once the electrode is in place, the needle is withdrawn from the muscle leaving the wires in the muscle.  These wires do not cause pain during the experiment and they are withdrawn at the end of the experiment. 
  • Mechanical stimuli will be applied using a vibrator.  The force of the stimulus is so arranged that it feels like a tap.
  • Electrical stimulus to the muscle will be applied either by surface electrodes or by tungsten wire electrodes.  The stimulus strength is so adjusted that it can only stimulate some of the nerve fibres in the muscle.  This stimulus feels like a contraction of your muscle without involving pain.
  • Laser stimulation will be applied on the skin surface and most subjects describe the sensation developed by the laser pulse as a small prick. 
  • Magnetic brain stimulation involves application of a magnetic pulse onto your head.  This stimulus used to activate some of your muscles without you consciously taking part in the contraction.
  • Possible risks are:
  • There is a small possibility that you may break your teeth during the bite task.  To overcome this possibility your teeth will be examined by a registered dentist.  This process excludes from the study any participant who has had major restoration on, or have done, major damage to, their teeth.  Furthermore, the dental impression of your teeth is built on the bite bars to reduce the risk of damage.  Despite all the above-mentioned precautions, if any damage to your teeth does occur during the experiment, your teeth will be repaired at no cost to you.  It may be comforting to know that in over 500 experiments to date there has been no damage to any teeth reported.
  • The experiments using intramuscular electrodes may cause minor bleeding and tenderness of the muscle for up to a couple of days.
  • There is a low risk of infection. Again it may be comforting to know that in over 500 to date, no one has developed any form of infection.
  • When the local anaesthetic block is administered (by a registered dentist) some discomfort may result.
  • Laser stimulation induces slight pain on the skin surface and most subjects describe this feeling as a small prick. 
  • Magnetic brain stimulation involves application of a magnetic pulse onto your head.  This stimulus does not cause any pain or any sensations in the brain or any other tissue and is completely harmless.
  • The force of the mechanical stimulation that is applied on the teeth will feel like a tap on your teeth. There is no risk of damaging the teeth and support structure.
  • Electrical stimulation of your muscle may produce a sharp sensation to begin, but does not cause pain and does not have any side effects.
  • With the exception of the low risks mentioned above, there appears to be no risk of permanent damage.
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  • PARTICIPANTS SHOULD NOT TAKE ASPIRIN OR BLOOD THINNING MEDICATION FOR 72 HOURS BEFORE THEIR EXPERIMENT.
  • YOU ARE WARNED ABOUT THE POSSIBLE RISKS ABOVE
  • YOU CAN WITHDRAW FROM THE EXPERIMENTS AT ANY TIME AND WITHOUT EXPLANATION.