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Biomedical subjects

J Hannerz

Publications and source records attributed to J Hannerz.

At least 55 records · Page 3Linked to original sources
PubMed1983

Neurological and neuroradiological examination of chronic cannabis smokers.

Twelve subjects, eight male and four female, who had smoked on average more than 1 gm of cannabis daily for 10 years, were investigated with a clinical neurological examination and computed tomography (CT) of the brain. No subject had a history of major head trauma or cerebral infection, and just one abused alcohol. Only the subject with a history of alcoholism showed any abnormal cerebral function on clinical tests or any abnormality in the CT scan, compared with normal controls.

Adult↗
PubMed1983

The fatigue of voluntary contraction and the peripheral electrical propagation of single motor units in man.

1. Single human motor units from the short extensors of the toes were classified by their voluntary threshold and axonal conduction velocity. The voluntary discharge intervals, and the shortest discharge intervals at which action potentials were conducted to the muscle fibres, were studied during maximal voluntary effort maintained for 1 min, and were compared with the intervals calculated to be necessary for full fusion.2. Electromyographic techniques were used. High selectivity of the recordings was obtained after blocking of the main motor nerve with lidocaine in subjects with an accessory innervation of just a few motor units or 6 months after lesions to intramuscular nerve twigs, when the muscle-fibre density within the motor units was increased.3. For a whole minute of maximal voluntary effort, motor units with low threshold and low conduction velocity fired tonically at a rate that should have been sufficient for maximal tension. These intervals were longer than the intervals at which blocking occurred.4. In ordinarily motivated and untrained subjects, motor units with high threshold and high conduction velocity fired tonically at intervals sufficient for full tension for some seconds. Under these circumstances the voluntary intervals were longer than the critical ones.5. Through extraordinary motivation and training, motor units with high threshold and high conduction velocity could also be driven tonically for 20-60 s at the high rates required for full tension. The critical intervals then approached the voluntary ones. Blockings occurred and increased in frequency as the contraction continued.6. When motor units with high threshold and high conduction velocity were tetanized electrically at 20 Hz, which was the lowest discharge rate of these units in tonic voluntary contraction, blockings occurred within 60 s.7. The role of the peripheral block is discussed in relation to loss of tension in prolonged voluntary contraction.

Action Potentials↗
PubMed1983

Experience with iohexol in lumbar myelography.

An open phase II clinical trial of iohexol for lumbar myelography in 17 patients is reported. The overall frequency of adverse reactions was exceedingly low. Special attention was paid to psychic reactions and no such were recorded. The CSF analyses and EEG recordings before and after myelography did not differ significantly. The CSF protein content could not be evaluated as the contrast medium interfered with the reagents.

Adult↗
PubMed1981

Firing properties of single human motor units on maintained maximal voluntary effort.

The discharge properties on maintained maximal voluntary effort, axonal conduction velocity (a.c.v.) and contraction time (c.t.) of single human motor units were studied. Electromyographic (EMG) techniques were used and sufficient selectivity was obtained after repeated lesions to the terminal nerve twigs and consequent collateral sprouting, or by blocking the main muscle nerve in subjects with an accessory nerve supplying just one or a few units, or using high impedance wire electrodes. Most units with a.c.v. above 45 m/s and c.t. below 50 ms had maximal voluntary firing rates of about 50 Hz. On prolonged maximal effort, however, their rates rapidly decreased and after some seconds to a minute they ceased to respond tonically. As long as their motoneurons fired their EMG potentials were mainly intact and their twitch tension was significant. Most units with a.c.v. below 40 m/s and c.t. above 60 ms fired initially at 30 Hz, decreased slowly in firing rate and continued at 20 Hz for some minutes. We conclude that there is a central fatigue of units with short c.t. and high a.c.v. which protects their peripheral regions from severe exhaustion, but that there is no significant central fatigue of units with long c.t. and low a.c.v. We emphasize, however, that most units are intermediate in their properties.

Action Potentials↗
PubMed1981

The fatigue and voluntary discharge properties of single motor units in man.

1. The discharge properties of single motor units during prolonged maximal voluntary effort have been studied using electromyographic recordings, mainly in the short big toe extensor muscle but also in the anterior tibial muscle.2. The required selectivity of the e.m.g. recordings was achieved in the short big toe extensor muscle after previous mechanical lesions to the terminal nerve twigs and muscle fibres and consequent collateral sprouting, and in the anterior tibial muscle with the use of a high impedance wire electrode.3. During the first few hundred milliseconds of sustained maximal effort the motor units fired at rates ranging from about 30-60 Hz, and the tension was the same as that obtained on electrical tetanization of the nerve to the toe extensor muscles above 50 Hz.4. During prolonged maximal effort the firing rates and the proportion of motor units firing successively decreased. Motor units initially firing at 30 Hz continued to fire tonically but at 15-20 Hz. Motor units initially firing at 60 Hz ceased to fire tonically but could still be made to discharge phasically. The period of time during which all motor units responded tonically could be increased from some seconds up to 20 sec by long-term training.5. Motor units with a limited endurance fired at a lower tension in the early than in the late stages of maintained contraction.6. It is suggested that motoneurones innervating slow twitch muscle fibres respond continuously to prolonged voluntary drive at rates sufficient for full fusion but that the threshold of motoneurones innervating fast twitch muscle fibres increases so that they finally mainly fire phasically thus protecting the peripheral excitation and contractile mechanisms from excessive exhaustion.

Action Potentials↗
PubMed1979

Contraction time and voluntary discharge properties of individual short toe extensor motor units in man.

1. The contraction time and the voluntary discharge properties of forty-five short toe extensor motor units were studied in man. 2. The contraction time of the individual motor unit was studied by using selective electrical nerve stimulation or by averaging the increase in force related to its electromyographic potential in tonic voluntary contraction. 3. Both methods showed a range of contraction times from 40 to 90 ms. 4. The discharge properties of the individual motor unit were studied with e.m.g. techniques, permitting the identification of its potentials during maximum voluntary effort. 5. A motor unit which could be driven continously and had a minimum rate of about 10/s and a maximum rate of about 30/s had a contraction time between 60 and 90 ms. 6. A motor unit which could not be driven continously and had a minimum rate of about 20/s and a maximum rate above 40/s had a contraction time between 40 and 55 ms. 7. A motor unit with intermediate voluntary discharge properties had an intermediate contraction time. 8. It is concluded that each motor unit fires at its fusion frequency in voluntary contraction and that the voluntary discharge frequency range of a motor unit can be used as an indication of its contraction time.

Action Potentials↗
PubMed1978

Axonal conduction velocity and voluntary discharge properties of individual short toe extensor motor units in man.

1. The axonal conduction velocity and the voluntary discharge properties of 120 short toe extensor motor units were studied in man. 2. Electromyographic techniques were used which permitted the identification of individual motor unit potentials after proximal and distal electrical nerve stimulation and during maximum voluntary effort. 3. The necessary selectivity of the e.m.g. recordings was achieved in two circumstances. In some subjects, previous motor nerve lesions distal to the point of stimulation had led to collateral sprouting with larger motor unit potentials. In other subjects an accessory deep peroneal nerve was present, so that lidocaine block of the main motor nerve left a small number of innervated motor units. 4. The axonal conduction velocities of the individual motor units ranged from 30 to 54 m/sec with most motor units between 35 and 45 m/sec. 5. Motor units which voluntarily could be driven continuously at frequencies below 10/sec had axonal conduction velocities between 30 and 45 m/sec. 6. Motor units which on voluntary drive responded only in high frequency bursts had axonal conduction velocities between 40 and 54 m/sec. 7. Motor units with intermediate voluntary discharge properties had intermediate axonal conduction velocities. 8. Thus a relationship was established between voluntary discharge properties and axonal conduction velocity.

Action Potentials↗
PubMed1977

Firing rate and recruitment order of toe extensor motor units in different modes of voluntary conraction.

1. The discharge properties of individual motor units in different modes of voluntary contraction were studied with electromyographic techniques in the short toe extensor muscle of normal man. 2. The short toe extensor muscle consisted of type I and type II muscle fibres in about equal proportion. In some subjects there was type-grouping so that recordings with sufficient selectivity could easily be obtained. 3. Certain motor units could be driven continuously, attained regular firing intervals even at a firing rate of 10/sec, increased slowly in firing rate with increase in contraction strength, had maximum firing rate below 30/sec during sustained contraction but above 60/sec in twitch contraction. 4. Other motor units could not be dirven continuously, did not fire repeatedly at rates below 20/sec, increased rapidly in firing rate with increase in contraction strength and attained firing rates above 100/sec. 5. There were intermediate forms between continuously firing low frequency motor units and intermittently firing high frequency motor units. 6. In a prolonged contraction of constant strength only continuously firing motor units were active. 7. On rapid accelerations, however, both continuously and intermittently firing motor units were active and played about the same role. 8. This applied also to prolonged series of accelerations as in rhythmically alternating movements. 9. In twitch contractions selective activation of intermittently firing motor units occurred if the muscle was relaxed prior to the twitch and great effort was used to elicit the twitch and minimum duration of the twitch was intended. 10. It is suggested that continuously firing low frequency motor units have type I muscle fibres and intermittently firing high frequency units have type II muscle fibres and that the order of recruitment and the relative roles of the two motor unit types are adapted to the mode of contraction.

Action Potentials↗
PubMed1976

Disturbances in voluntary recruitment order of low and high frequency motor units on blockades of proprioceptive afferent activity.

The voluntary recruitment order of anterior tibial motor units was studied in electromyographic recordings using both low and high impedance electrodes. It was shown in previous papers, that the recruitment order in sustained voluntary contraction is normally stable and that motor units with low thresholds discharge at low, regular frequencies and that motor units with high thresholds discharge at higher and more irregular frequencies. In this paper the consequences for the discharge properties of reduced afferent inflow in sustained voluntary contraction were studied, using partial ischemic or lidocain blockades of the muscle nerve and local cooling of the muscle belly. 1. The recruitment order of certain low and certain high frequency units was reversed. 2. The muscle tension and sense of effort necessary for tonic firing were increased for certain low frequency units but decreased for certain high frequency units. 3. On severe reduction of the afferent inflow, the differences in discharge pattern between low and high frequency units were decreased. It is concluded that the recruitment of low frequency units before high frequency units in sustained voluntary contraction is partly due to proprioceptive afferent activity favouring low frequency units and disfavouring high frequency units. It is also concluded that the afferent inflow is involved in restricting certain units to low frequency discharge and others to high frequency discharge.

Action Potentials↗
PubMed1975

Disturbances in the voluntary recruitment order of anterior tibial motor units in ataxia.

The recruitment order of motor units was studied with an electromyographic technique for secure identification of single motor unit potentials. It has been shown in previous studies of normal subjects that the recruitment order in sustained voluntary contraction is predominantly stable, and that motor units which increase slowly in discharge rate with increasing contraction strength and which already attain regular discharge intervals at low frequencies are always recruited before motor units which increase more rapidly in discharge rate and which do not attain regular discharge intervals until at higher frequencies. In this study 15 patients with severe cerebellar ataxia were examined. It was shown that the recruitment order in sustained voluntary contraction in attaxia is unstable and that low- and high-frequency motor units may alternate as the unit of lowest threshold.

Cerebellar Ataxia↗
PubMed1974

Disturbances in the voluntary recruitment order of anterior tibial motor units in spastic paraparesis upon fatigue.

The recruitment order of motor units in the tibialis anterior muscle upon fatigue of tonic voluntary contraction was studied in 20 patients with severe spastic paraparesis. An electromyographic technique for secure identification of single motor units was used. Before fatigue the recruitment order is stable and low-frequency units are recruited before high-frequency units; this recruitment pattern agrees with that in normal voluntary activity. When fatigue appears, however, the recruitment order becomes indefinite and high-frequency units can be recruited before low-frequency units; this recruitment pattern agrees with that in normal phasic voluntary activity. Finally, all voluntary activation power disappears, even in the case of units which have never been active. Contraction ability and original recruitment order are restored upon rest but also upon tonic reflex support of the voluntary drive. Whether the fatigue reaction may be due to insufficient gamma motoneurone innervation and whether it is related to spasticity are discussed. The practical physiotherapeutic implications are reviewed.

Electromyography↗
PubMed1974

Disturbances in the voluntary recruitment order of anterior tibial motor units in bradykinesia of Parkinsonism.

The recruitment of motor units is studied with an electromyographic technique for secure identification of single motor unit potentials. It has been shown in previous studies that the recruitment order is different in tonic and in phasic activities; in tonic activity the recruitment order is stable and low frequency units are always recruited before high frequency units; in phasic activity, however, the recruitment order is unstable and units with a higher frequency range may be recruited before units with lower frequency range. In this investigation the shifts between tonic and phasic recruitment order in voluntary contraction were compared in normal subjects and in patients with severe bradykinesia of Parkinsonism. Upon initiation of a voluntary contraction in a normal subject, phasic recruitment order may be used for a few 100 msec but tonic recruitment order then takes over. In bradykinetic patients, however, this shift from phasic to tonic recruitment order is delayed. After termination of tonic voluntary contraction in a normal subject, phasic recruitment order can again be used after a few seconds. In bradykinetic patients, however, the shift back from tonic to phasic recruitment order is also delayed. In favourable experimental situations the shift from phasic to tonic recruitment order can be normalized by passive stretch of the muscle and the shift from tonic to phasic recruitment pattern by unloading the muscle. It is discussed whether the pathological recruitment in bradykinesia might be due to disturbed gamma loop function.

Action Potentials↗
PubMed1973

Recruitment order of motor units in man: significance of pre-existing state of facilitation.

It has been shown in previous investigations that the recruitment order of motor units is different in tonic and in phasic voluntary activity. The significance of the pre-existing state of facilitation in the motoneurone pool for the recruitment of units is studied, using the phasic flexion reflex in the anterior tibial muscle as test reflex. It is shown that the recruitment order of units in a series of reflexes (1) is unstable if the subject does not expect the stimulus; (2) is stable and identical with that in tonic activity if the subject subliminally facilitates the motoneurone pool before the reflex activation; (3) is stable and almost identical with that in tonic activity if the subject expects the stimulus and therefore involuntarily influences the motoneurone pool; (4) is stable and similar to that in phasic voluntary activity if the subject inhibits the motoneurone pool before the activation and the stimulus strength thus consequentially is increased; and (5) is influenced by blockade of the proprioceptive afferent impulses from the muscle. It is concluded that normal man can select in advance the recruitment order of motor units most appropriate for the work intended.

Action Potentials↗