PubMed HealthSearch

Biomedical subjects

U Scheel

Publications and source records attributed to U Scheel.

3 recordsLinked to original sources

Transient decrease in number of motor units after immobilisation in man.

On the day after the removal of a long leg cast, when the patient could just bend his knee, the electrical activity in the disused quadriceps muscle showed changes that indicated a reduction in the number of motor units. At 10 to 75% of maximum force the number of turns and the mean amplitude of the needle-recorded EMG were reduced in the disused muscle. Eight days later, when half the initial loss of force had been regained, the electrical activity was normal. The electrical activity produced during a constant force of 5 kg did not differ in the disused and in the contralateral muscle. From the findings in normal subjects it was deduced that the compensatory increase in turns in the EMG pattern to be expected from the decrease in cross-sectional area of the muscle fibres was within the error of the method. The transient decrease in the number of turns and in mean amplitude of the EMG of the disused muscle are an indication of the plasticity of the motor system.

Adult

Diagnostic yield of the analysis of the pattern of electrical activity of muscle and of individual motor unit potentials in neurogenic involvement.

The pattern of electrical activity and the properties of individual motor unit potentials were analysed in the flexor muscles of the forearm of 15 patients with motor neurone disease and 15 patients with a lesion of the brachial plexus. The best diagnostic yield from the pattern of electrical activity was obtained when the force was 30% of maximum: The number of spikes (turns/15 s) was diminished in 70% of the patients; none showed the increase in turns characteristic of myopathy. The decrease in the number of turns was often associated with an increased incidence of long time intervals between turns and with an increased amplitude between turns. The mean duration of individual motor unit potentials was prolonged in 78% of the patients; none showed the decrease in mean duration characteristic of myopathy. Prolongation of the mean duration of motor unit potentials produced by cooling of normal muscle, led to a decrease in the number of turns. This suggested that the diminished number of turns in neurogenic involvement was due mainly to the prolonged duration of motor unit potentials.

Adolescent

Diagnostic yield of analysis of the pattern of electrical activity and of individual motor unit potentials in myopathy.

The analysis of the pattern of electrical activity and of individual motor unit potentials in the same muscle both identified about 90% of 41 patients as having a myopathy. The pattern of electrical activity was analysed during a force which was a fixed fraction of maximum; individual motor unit potentials were analysed during weak effort. The two methods supplement each other as some of the patients were identified only by one or by the other of the two procedures. The parameter of the pattern of electrical activity which was most often abnormal was the ratio: numbers of turns to mean amplitude between turns.

Action Potentials