Neural Agonist-Antagonist Coupling in the Absence of Mechanical Coupling after Targeted Muscle Reinnervation

Abstract: Following limb amputation and targeted muscle reinnervation (TMR), nerves supplying agonist and antagonist muscles are rerouted into separate targeted muscles, disrupting natural neuromechanical coupling between muscle groups. Using high-density intramuscular microelectrode arrays in reinnervated muscles, we show that neural signals for agonist and antagonist tasks remain functionally coupled: motor units active during agonist tasks were also recruited during corresponding antagonist tasks, despite no visual feedback on coactivation being provided.