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Biomedical subjects

A Eberstein

Publications and source records attributed to A Eberstein.

At least 19 recordsLinked to original sources
PubMed1996

Electrical stimulation of denervated muscle: is it worthwhile?

Research conducted over the past 25 years has demonstrated that muscle activity, not neurotrophic substances, is the most important factor in the regulation of specific physiological and biochemical properties of muscle fibers. Application of this knowledge has led to considerable experimentation with chronic electrical stimulation as a possible clinical tool for the treatment of denervated muscles. Evidence accumulated from animal studies has indicated that direct electrical stimulation of denervated muscles can to a large extent substitute for innervation and preserve or restore the normal properties of the muscles. Appropriate stimulation parameters were critical for a successful intervention, and the best results were obtained when the stimulation pattern resembled the firing pattern of the normal motoneuron. Thus, fast muscles required intermittent, brief, high frequency stimulation and slow muscles needed continuous, low frequency stimulation. For human denervated muscles, critical questions still remain to be resolved before electrical stimulation will yield the optimum benefit. Research must be performed in human subjects to define the appropriate stimulation parameters the stimulation current, and the type and placement of electrodes.

Animals↗
PubMed1992

Recovery and loss of muscle force of rat plantaris after partial denervation.

The isometric contractile characteristics of rat plantaris muscles were assessed 1, 3, 6, 9, and 12 months after resection of the L4 radicular nerve. After 1 month of partial denervation, twitch and tetanus were significantly lower (26.1 and 22.1%, respectively) than those of sham-operated rats. Plantaris muscle weight was reduced (22.5%), but twitch-to-tetanus ratio (TW/TT), time-to-peak, and one-half relaxation time were not changed significantly. At 3 months, average twitch force was normal but average tetanic force was significantly lower (27.1%) than control value. Muscle weight was reduced (28.9%), but TW/TT was increased by 31%. After 6 months, twitch, tetanus, and all other variables were similar to those of control rats. Normal twitch at 3 months indicates that all muscle fibers have been reinnervated by sprouting from L5 motor axons; however, the new synaptic contacts may not support the tetanic response. At 9 months, muscle force was again reduced and remained at about the same level at the 12-month interval. These results are consistent with the recovery and loss of function seen in poliomyelitis and the postpolio syndrome.

Animals↗
PubMed1992

Long-term effects of partial denervation on sprouting and muscle fiber area in rat plantaris.

The long-term effects of partial denervation on the muscle fiber cross-sectional area, degree of axonal sprouting, and end-plate morphology were examined 1, 3, 6, 9, and 12 months postsurgery in rat plantaris muscle. After 1 month of partial denervation, mean cross-sectional areas of type I and type II myofibers were significantly lower than that of sham-operated controls; fiber atrophy and hypertrophy was observed. After 3 months, we found no statistical difference in the mean cross-sectional fiber area between the two experimental groups. After 6 months, the fiber areas were now significantly larger than controls, possibly the result of compensatory work hypertrophy, due to the overuse of remaining hyperexpanded motor units. Preterminal, intranodal, and intraterminal sprouting were found to significantly increase from 1 to 6 months following partial denervation. While sprouting was enhanced, the number of terminal branch points per end plate did not change. Following 9 months of partial denervation and overuse, the mean fiber areas significantly decreased as compared to controls. The former muscles were found to contain angulated fibers, group atrophy, and increased levels of axonal sprouting. The number of terminal branches per end plate was now significantly increased over control values, possibly a compensatory response to reduced synthesis of neurotrophic factor(s) and/or transmitter-related components. At 12 months, fiber areas, axonal sprouting, and the number of terminal branches per end plate have all decreased. Degenerating end plates, denervated myofibers, angulated fibers, and group atrophy were observed. It would appear that aging-like changes are occurring earlier in chronically stressed, partially denervated muscles.

Animals↗
PubMed1991

Nerve sprouting and endplate growth induced in normal muscle by contralateral partial denervation of rat plantaris.

The incidence of motor nerve and terminal sprouting was quantitatively analyzed in normal unoperated muscles, in homologous muscles contralateral to muscles which have been partially denervated, in partially denervated muscles, and in sham-operated muscles. Muscles were studied by light microscopy after staining motor endplates by a combined silver-cholinesterase stain. In addition, the incidence of endplates containing terminal sprouts, the number of terminal branch points per endplate, and endplate, and endplate size were also assessed in the various groups examined. We observed that following section of the L4 spinal nerve, the incidence of sprouting (preterminal and intranodal) in the contralateral muscle exhibited a 2-fold increase over sham-operated controls. We also found a correlation between nerve terminal sprouting, terminal branch point number and endplate size. All of these parameters were significantly increased in the contralateral muscles as compared to the sham-operated control muscles. These findings suggest that normal muscles undergo sprouting which can be enhanced by contralateral partial denervation. The possible underlying mechanism may be the transneuronal induction of sprouting.

Animals↗
PubMed1991

A rat model of the post-polio motor unit.

We examined the long-term effects of muscle usage on a rat model of the post-polio motor unit. Isometric tensions, type I and type II muscle fiber areas, the incidence of collateral sprouting, and motor endplate morphology were examined following 1, 3, 6, and 9 months of partial denervation in rat plantaris muscle. Full morphologic and functional stability of the expanded motor units occurred at 6 months post-partial denervation. Fiber hypertrophy was observed, possibly the result of compensatory work hypertrophy due to muscle overuse. Following 9 months of partial denervation and muscle overuse, the twitch and tetanic tensions and type I and type II muscle fiber areas were significantly reduced as compared to sham controls; angulated myofibers and group atrophy also were seen. The percent collateral sprouting, the number of terminal branches per endplate, and the endplate area were all increased, possibly a compensatory response to a decreased synthesis of neurotrophic factor(s) and/or transmitter-related components. These aging-like changes seem to occur earlier in chronically stressed, overenlarged, and overworked motor units.

Animals↗
PubMed1989

Passive exercise and reinnervation of the rat denervated extensor digitorum longus muscle after nerve crush.

Denervated extensor digitorum longus muscles of Wistar rats were passively exercised for 4 days (2 h/day) after peroneal nerve crush 1 cm from the muscle. Isometric contractile properties and endplate ultrastructure were measured 11 days postcrush. No significant differences were observed in tension characteristics between the exercised and nonexercised muscles on day 11. However, the postsynaptic area of endplates for exercised muscles were closer in size to controls than those for the nonexercised ones. In addition, the endplates from the exercised muscles exhibited increased numbers of axonal sprouts and terminals than nonexercised muscles. These results demonstrate that denervated muscles exercised 4 days before reinnervation can preserve the structure of the endplate as well as enhance reinnervation and sprouting at these endplates after 11 days of denervation.

Animals↗
PubMed1987

A noninvasive technique to assess completeness of spinal cord lesions in humans.

The effect of scalp stimulation delivered through electrodes overlying the motor cortex was evaluated in five healthy subjects and six patients with traumatic spinal cord injury. The latency to the onset of the electromyographic response was measured in the biceps brachii and abductor pollicis brevis muscles. In all the patients, latencies to the muscle (biceps brachii) whose innervation originated above the lesion were in the normal range; whereas, latencies to the muscle (abductor pollicis brevis) whose innervation originated below the lesion were prolonged. Electromyographic signals were recorded in muscles which showed no voluntary motor activity. No lateral differences in latencies were found in healthy subjects; however, in the patients, significant differences were obtained between the right and left abductor pollicis brevis muscles. The results of this study demonstrate that the spinal cord of patients with a lesion deemed to be clinically complete, contains nerve fibers which descend through the lesion and are capable of conveying impulses leading to muscle contraction.

Adolescent↗
PubMed1986

The effect of electrical stimulation on reinnervation of rat muscle: contractile properties and endplate morphometry.

Denervated extensor digitorum longus muscles of Wistar rats were electrically stimulated in vivo for 4 days (2h per day) after peroneal nerve crush 1 cm from the muscle. Isometric contractile properties and endplate ultrastructure were measured on days 11 and 18. On day 11, the time to peak (116% of control) and 1/2-relaxation time (136% of control) for the twitch tensions of stimulated muscles measured in vivo were significantly less than those (127% and 157% of controls, respectively) of non-stimulated muscles. Peak twitch and tetanic tensions were not significantly different. The postsynaptic area of endplates for stimulated muscles were closer in size to controls than those for the non-stimulated ones. On day 18, no difference was found in the contractile responses between stimulated and non-stimulated groups. Similarly, the postsynaptic areas were the same for both groups. These results demonstrate that denervated muscle stimulated electrically for 4 days prior to reinnervation can preserve the structure of the endplate as well as accelerate recovery of normal function in reinnervated muscle fibers after 11 days of denervation.

Animals↗
PubMed1986

Motor endplate involvement in the extraocular muscles of the myotonic rat.

The motor endplates from the extraocular muscles of rats administered 20,25-diazacholesterol were examined by electron microscopy. Many anomalies were found at various levels of the junctional complex. Electron microscopy showed disrupted sole-plate nuclei, disruptions of the junctional sarcoplasm, atypical sarcoplasmic extensions, simplified postsynaptic areas, and interposition of Schwann cell cytoplasm between axonal terminal and muscle fiber with a reduplication of basement membrane, as well as atrophic and disrupted axonal terminals. These data indicate that the motor endplate is affected as well as the muscle fiber in myotonic dystrophy.

Animals↗
PubMed1986

Visually displayed EMG feedback: single case studies of hemiplegic upper extremity rehabilitation.

The efficacy of visually displayed EMG feedback in treating hemiplegic upper limb motor disorders was investigated in 5 patients (0.5-4 years poststroke). A single case experimental method "multiple-baseline across target behaviors" was used to compare performance during the feedback phase to that occurring in the monitored baseline phase. The nonfeedback baseline phase was followed by the staggered introduction of audiovisual feedback for each of the targeted pairs of muscles. EMG feedback obtained from muscle pairs (shoulder: anterior deltoid and upper trapezius; elbow: brachial triceps and biceps; digits: extensor digitorum communis and digit flexors) was displayed as two distinct waveforms on a videomonitor during therapy. Nonfeedback assessment of each of the three pairs was performed during each session. The effects of feedback were not uniformly distributed. Elbow control responded best, and statistical tests confirmed the effects of intervention observed clinically in all 5 patients. Clinical improvements in shoulder flexion were observed in 4 patients but could be statistically attributed to EMG gains in just 1. Improvement in finger extension observed clinically in 3 patients was statistically attributable to EMG gains in 2. All patients regained control of at least one target activity. EMG gains were accompanied by increases in active range of motion and by varying functional improvement. Marked functional gains in 3 patients were obtained with recovery of finger control.

Adult↗
PubMed1984

Neuromuscular plasticity following limb immobilization.

The effects of immobilization on the ultrastructure of the rat neuromuscular junction of type I and type II muscle fibres were studied both qualitatively and quantitatively. Muscle fibre areas were measured as well. The plantaris muscle was immobilized in a shortened position by applying a plaster cast for three weeks. Immobilized muscles were then compared to normal litter mates. Both type I and type II immobilized muscle fibres atrophied. Endplates from type II muscle fibres exhibited greater amounts of degeneration than type I endplates. Degeneration consisted of nerve terminal disruption, exposed junctional folds, postsynaptic areas which contained little or no postjunctional folds, and subjunctional sarcoplasmic masses. In addition to degeneration, the type II endplates also exhibited regeneration in the same endplate consisting of small terminals associated with large expanses of junctional folds, several small terminals occurring within the same primary synaptic cleft, and several axons wrapped by the same Schwann cell. These observations suggest terminal axonal regeneration. Our results demonstrate that limb immobilization produces muscle atrophy as well as denervation-like changes at the neuromuscular junctions which leads to terminal axonal sprouting and an ultrastructural remodelling.

Animals↗
PubMed1983

Endplate postsynaptic structure dependent upon muscle activity.

The influence of contractile activity on the preservation of the denervated postsynaptic region of the endplate was quantitatively assessed by electron microscopy. The extensor digitorum longus muscle of rats were denervated for 21 days. Denervated animals were divided into two groups, those receiving electrical stimulation treatment (1 h/day for 21 days) and those left untreated. The postsynaptic area of clefts and folds in endplates of type I and II muscle fibers from controls and denervated-stimulated animals were found to be comparable in size whereas the postsynaptic areas in the denervated-non-stimulated muscles were significantly reduced. The results show that electrically-induced contractile activity plays a significant role in the maintenance of the postsynaptic region of the endplate.

Animals↗
PubMed1982

Electrical stimulation effect on denervated skeletal myofibers in rats: a light and electron microscopic study.

The purpose of the present study was to determine morphologically the effect of electrical stimulation on denervated rat extensor digitorum longus (EDL) muscle. Fifteen adult male rats were divided in to 3 groups: control, denervated-nonstimulated, and denervated-stimulated. Electrical stimulation treatment (1 hr/day for 24 days) began 4 days postsurgery. All animals were sacrificed 28 days after surgery; the EDL muscle was fixed in situ, removed, and processed for light and electron microscopic examination. Fibers from sections taken from the middle third of the muscle were differentiated into types I and II; fiber diameters were obtained and compared for each experimental group. Although both types atrophied following denervation, type I atrophied to a lesser extent than type II. Electrical stimulation was beneficial in retarding denervation atrophy for both types. Membrane-glycogen complexes were found on electron microscopy to be in high proportion in type II stimulated fibers but were observed infrequently in denervated nonstimulated muscles and were not apparent in control muscles. These glycogen arrays may be expressions of sarcoplasmic reticulum anabolic functions, indicating a high degree of regenerative metabolic activity in treated fibers. This study indicates that electrical stimulation as a method to induce muscle activity, can retard denervation atrophy.

Animals↗