Activity patterns of wrist extensor muscles during wrist extensions and deviations

Wrist extensor muscles are prone to certain focal musculoskeletal disorders for which the activation pattern of the extensor carpi radialis (ECR) and ulnaris (ECU) muscles may be important risk factors. Surface and intramuscular EMG of these muscles were recorded during isometric low-force wrist extension in semipronation and pronation as well as for ulnar/radial deviation, and were analyzed using root mean square (RMS) and decomposition methods. Despite shorter ECR length at semipronation, higher amplitudes of intramuscular EMG and of motor unit action potentials (MUAPs) were found in pronation than in semipronation. However, these changes were not detectable in the surface EMG. Higher ECR activity levels were also found during wrist extension compared to ulnar/radial deviation, and differences in the motor unit (MU) properties were found during ulnar deviation compared to radial deviation and extension. Remarkably, the MUAPs of ECR were almost twice as large as those of the ECU. Overall, the ECR muscle did not respond as predicted from biomechanical considerations, and in general activity level was higher than expected. This may partly explain why the tendon of the ECR often is associated with lateral epicondylitis.