Neuromuscular responses of patients with multiple sclerosis

作者: Charles L. Rice , Timothy L. Vollmer , Brenda Bigland-Ritchie

DOI: 10.1002/MUS.880151011

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摘要: Muscle weakness, studied in 4 patients with multiple sclerosis (MS), was compared values from normal subjects. Twitch occlusion showed that subjects could activate their muscles maximally, but rarely achieved greater than 60% activation. In both groups, motoneuron firing rates increased linearly force. Consistent the reduced level of activation, MCV MS exceeded 17 Hz (compared approximately 24 for normals). However, right and left one patient, mean maximum were 14.2 +/- 2 8.0 Hz, her muscles, be activated to levels 92% 60%, respectively. This patient's ability achieve higher expected forces at low probably due slow muscle contractile speeds, especially 1/2-relaxation time (75 115 ms, cf. 60 ms normals), high twitch/tetanus ratio (0.4, 0.2).

参考文章(17)
R. H. T. Edwards, A. Young, G. P. Hosking, D. A. Jones, Human Skeletal Muscle Function: Description of Tests and Normal Values Clinical Science. ,vol. 52, pp. 283- 290 ,(1977) , 10.1042/CS0520283
C. K. Thomas, R. S. Johansson, G. Westling, B. Bigland-Ritchie, Twitch properties of human thenar motor units measured in response to intraneural motor-axon stimulation. Journal of Neurophysiology. ,vol. 64, pp. 1339- 1346 ,(1990) , 10.1152/JN.1990.64.4.1339
Marco Mumenthaler, Jean-Marc Burgunder, Reto Olgiati, Increased energy cost of walking in multiple sclerosis: effect of spasticity, ataxia, and weakness. Archives of Physical Medicine and Rehabilitation. ,vol. 69, pp. 846- 849 ,(1988) , 10.5555/URI:PII:0003999388900068
B. Bigland-Ritchie, R. Johansson, O. C. Lippold, J. J. Woods, Contractile speed and EMG changes during fatigue of sustained maximal voluntary contractions Journal of Neurophysiology. ,vol. 50, pp. 313- 324 ,(1983) , 10.1152/JN.1983.50.1.313
B. Bigland-Ritchie, F. Furbush, J. J. Woods, Fatigue of intermittent submaximal voluntary contractions: central and peripheral factors Journal of Applied Physiology. ,vol. 61, pp. 421- 429 ,(1986) , 10.1152/JAPPL.1986.61.2.421
J. J. Woods, F. Furbush, B. Bigland-Ritchie, Evidence for a fatigue-induced reflex inhibition of motoneuron firing rates Journal of Neurophysiology. ,vol. 58, pp. 125- 137 ,(1987) , 10.1152/JN.1987.58.1.125
P. A. Merton, Voluntary strength and fatigue The Journal of Physiology. ,vol. 123, pp. 553- 564 ,(1954) , 10.1113/JPHYSIOL.1954.SP005070
W. van der Kamp, A. Maertens de Noordhout, P. D. Thompson, J. C. Rothwell, B. L. Day, C. D. Marsden, Correlation of phasic muscle strength and corticomotoneuron conduction time in multiple sclerosis. Annals of Neurology. ,vol. 29, pp. 6- 12 ,(1991) , 10.1002/ANA.410290104
J. E. Riggs, S. S. Schochet, T. A. Kopitnik, L. Gutmann, Target fibers in multiple sclerosis: implications for pathogenesis. Neurology. ,vol. 36, pp. 297- 297 ,(1986) , 10.1212/WNL.36.2.297