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Electrophysiologic evaluation of muscle fatigue development and recovery in late polio.

OBJECTIVES: To study aspects of fatigue in late-polio patients and healthy controls. We hypothesized that late-polio subjects would develop more peripheral fatigue, assessed with surface electromyography (EMG), and that no major differences would exist between the two groups in neuromuscular junction transmission. DESIGN: Case-control study. SETTING: University hospital laboratory. SUBJECTS: Ten patients with a history of polio (mean age, 54 yrs, SD = 5; mean time since polio onset, 49 yrs, SD = 7) and a matched control group (mean age, 52 yrs, SD = 8). METHODS: A protocol with a stepwise force increase up to 80% of maximal voluntary contraction ending with an 8-minute recovery period was performed twice, first with surface EMG and then with electrical stimulation and surface-recorded evoked M-response. MAIN OUTCOME MEASURES: Surface EMG analysis of voluntary activity and evoked M-response. RESULTS: No significant differences existed between groups in the relative decrease during the fatigue protocol. The recovery of force was slower in the late-polio subjects. A reduction in the root mean square (RMS) value during recovery was seen in the polio group, although a normalization of the mean power frequency (MPF) was seen in both groups. CONCLUSION: The weakness during the fatigue procedure was not caused by neuromuscular blockade, because electrical nerve stimulation evoked a normal response. The weakness after exercise was the result of a slow recovery that may reflect both central and peripheral fatigue.

Case-Control Studies↗

Remodeling of motor terminals during metamorphosis of the moth Manduca sexta: expression patterns of two distinct isoforms of Manduca fasciclin II.

During metamorphosis of the moth Manduca sexta, the neuromuscular system of the thoracic legs is reorganized dramatically. Larval leg muscles degenerate at the end of larval life, and new adult leg muscles develop during the ensuing pupal stage. Larval leg motoneurons persist, but undergo substantial remodeling of central and peripheral processes. As part of our on-going investigation of mechanisms underlying the remodeling of motor terminals, we have used antisera generated against Manduca-specific isoforms of the homophilic adhesion molecule fasciclin II (MFas II) to label motor terminals during metamorphosis. Antisera generated against the glycosyl-phosphatidylinositol (GPI) -linked isoform of MFas II (GPI-MFas II) labeled the motor nerves at all stages and seemed to be associated with glial cells ensheathing the peripheral nerves. In addition, the anti-GPI-MFas II antisera labeled regions associated with synaptic boutons at both larval and adult stages. In contrast, antisera generated against a transmembrane isoform of MFas II (TM-MFas II) only labeled specific neuronal processes at discrete intervals during remodeling. Identified leg motoneurons (such as the femoral depressor motoneuron) expressed detectable levels of TM-MFas II in their peripheral processes only during phases of motor-terminal retraction and initial stages of motor-terminal re-growth. Putative modulatory neurons (such as the unpaired median neurons), however, expressed TM-MFas II in their processes during larval stages as well as during remodeling. Use of the isoform-specific anti-MFas II antisera provided a novel method for visualizing remodeling of motor terminals during metamorphosis and helped distinguish different components of the motor nerves and neuromuscular junction.

Animals↗

Cell death in developing skeletal muscle: histochemistry and ultrastructure.

The histological, histochemical and ultrastructural features of cell death in the normal human foetus are described. The age range of the foetuses was 7 to 16 wk. Cell death was observed in all foetuses between 10 and 16 wk. On the basis of these findings it is suggested that disintegration of cell membrane may be a crucial factor in this process. Acid phosphatase activity and phagocytosis of cell debris are evidently not the main means of disposal of degenerate cell products. The possible relevance of cell death in embryogenesis for dystrophic processes is discussed.

Cell Membrane↗

Development of muscle fatigue during intermittent submaximal static contraction in an agonist heterogeneous muscle group.

A comparison of the mean power frequency (MPF) and the root mean square amplitude (rms) of the myo-electric signal of two agonist muscles [triceps brachii (fast; TB) and anconeus (slow; ANC)] has been made during repeated intermittent static contractions. Subjects were asked to maintain different extension torques at 50% of maximal voluntary contraction until this could no longer be maintained (endurance time). The interval between successive contractions was kept constant at 3 min. During the first six successive contractions, a decrease in MPF and an increase in rms were most pronounced, ANC and TB MPF recovered with subsequent overshoot. A marked decline in endurance time was also seen. The increase in rms was greater for TB than for ANC when the decrease in MPF was greater for ANC than for TB. The differences in power spectrum density function upper frequencies of the two muscles could explain the greater decrease of MPF in ANC. Our data would suggest a greater fatigability in TB relative to ANC. On and after the seventh contraction, a steady-state in duration, muscle temperature, MPF and rms was reached. These results suggested that a slow (ANC) and a fast (TB) muscle acted in a similar way during intermittent static contractions, when the intervening rest was not long enough to allow full recovery of the muscles.

Adolescent↗