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Effects of massage on alpha motoneuron excitability.

The purpose of this study was to investigate the specificity of the effects of massage (petrissage) on spinal motoneuron excitability as measured by changes in the peak-to-peak amplitude of H-reflex recordings. H-reflexes (and M-responses) were recorded from the distal aspects of the right triceps surae muscle of 8 men and 8 women, aged 20 to 37 years, with no neuromuscular impairments of the lower extremities. The H-reflexes were recorded during five control and four experimental conditions (20 trials at each condition). The control conditions (C1-C5) preceded and followed each experimental condition, providing a measure of the stability of the H-reflex. Each experimental condition consisted of a 4-minute period of massage of the ipsilateral and contralateral triceps surae and hamstring muscle groups (ITS, CTS, IHS, and CHS, respectively). The mean peak-to-peak amplitude of the H-reflex was found to be stable (range = 1.91-1.95 mV) across the five control conditions. H-reflex amplitudes recorded during the experimental conditions indicate that massage of the ITS resulted in a reduction of the H-reflex (0.83 mV) in comparison with the pretest control condition (C1) and the remaining experimental conditions (range = 1.77-2.23 mV). This difference was significant, and subsequent Newman-Keuls tests indicated a specificity of the effects of massage on the muscle group being massaged. [Sullivan SJ, Williams LRT, Seaborne DE, Morelli M. Effects of massage on alpha motoneuron excitability.

Adult↗

Neuromuscular function during therapeutic knee exercise under water and on dry land.

OBJECTIVES: To compare muscle activity and resistive drag force during knee extension-flexion exercises while barefoot and while wearing a Hydro Boot (increased frontal area) both under water and on dry land. DESIGN: Participants performed the exercises while seated on an elevator chair under water. SETTING: A hydrotherapy pool. PARTICIPANTS: Eighteen healthy persons (10 women, 8 men). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Isokinetic and isometric forces were measured with a dynamometer. The electromyographic activity of the quadriceps (vastus medialis, vastus lateralis) and hamstring muscles (biceps femoris) was recorded. The underwater drag for the range of motion was calculated by using the general fluid equation. RESULTS: The underwater electromyographic patterns showed an early decrease in the concentric activity of the agonists with coincidental activation of the antagonists. In addition, the electromyographic amplitudes were similar between the 2 underwater conditions, but the Hydro Boot produced a higher level (p < .001) of drag than did the barefoot condition. As expected, in most cases the forces on dry land were higher (p < .001) than underwater drag. In flexion, however, the peak drag with Hydro Boot and isokinetic force did not differ. CONCLUSIONS: Increasing the frontal area of the lower leg with a Hydro Boot significantly increased the level of water resistance, thus, providing flexion forces that approach those measured on dry land. This type of water training offers stimulation to enhance the functional capacity and performance of the neuromuscular system. In addition, hydrodynamic principles and forces that influence the exercising limb must be considered to ensure appropriate progression.

Adult↗

Isokinetic muscle performance after anterior cruciate ligament surgery. Long-term results and outcome predicting factors after primary surgery and late-phase reconstruction.

The purpose of this study was to evaluate the long-term isokinetic muscle performance after ACL surgery and to analyze by a multiple stepwise regression which factors (if any) predict the overall outcome. The study subjects were 119 patients who had a complete rupture of the ACL and had been treated surgically at the Tampere University Hospital between 1981 and 1990. They were divided into the acute group (N = 62) and into the chronic group (N = 57) according to the time delay between the injury and the ACL surgery. The isokinetic strength measurements of the quadriceps and hamstring muscles were performed on average 4 years after the operation using Cybex II and Cybex 6000 dynamometers (Lumex Inc., Ronkokoma, NY, USA). The peak torques were determined at speeds of 60 and 180 degrees/s and the peak work at speed of 180 degrees/s. The measurements revealed that after the ACL surgery there was still a considerable thigh muscle strength deficit especially in extension of the injured extremity, the average extension strength deficit ranging from 9 to 20%. The extension strength deficit was significantly more prominent in the chronic (18-20%) than in the acute group (9-15%). The extension strength deficit was significantly greater ar the slower (15-20%) than higher (9-18%) speed of the isokinetic movement. In both the acute and chronic groups, a multiple stepwise regression analysis indicated that patellofemoral pain and flexion deficit of the knee were the factors that most frequently and significantly associated with the strength deficits. At the higher speed of the isokinetic movement, these two factors accounted 20% and 21% for the variation seen in the quadriceps strength deficit of the acute group and the chronic group. No correlation could be found between age, sex, height, weight, body mass index, length of the follow-up time, injury type, athletic activity level, immobilization method, knee stability, and the isokinetic muscular performance.

Acute Disease↗

Is the hyperpnea of muscular contractions critically dependent on spinal afferents?

We studied the role of spinal afferent pathways in the hyperpnea of electrically induced muscle contractions (ExE). The ventilatory (VE) and arterial CO2 partial pressure (PaCO2) responses were measured at rest and during two levels of ExE in awake human paraplegic subjects with clinically complete lesions of the spinal cord (range T4-T11). We hypothesized that if peripheral neural drive is critical to a normal ventilatory response, then ExE in the absence of intact pathways should cause a lower ventilatory response resulting in hypercapnia at the onset of ExE. ExE was induced by stimulation of the quadriceps and hamstring muscles that approximately doubled the resting level of CO2 production (VCO2). PaCO2 during work transitions and in the latter stages of ExE did not differ significantly from that at rest. Arterial pH progressively declined over time during ExE (P less than 0.01) as a result of increased lactate concentration (P less than 0.01). The linear relationship between VE and VCO2 was similar to that found for normal human subjects during ExE (P = 0.73). These data suggest that VE and presumably alveolar ventilation (VA) can be appropriately matched to VCO2 during low-intensity muscle contractions of the lower extremities in the absence of intact spinal afferent pathways. Moreover, since it is unlikely that postulated "central command" mechanisms were initiated during ExE in these paraplegic subjects, the data provide support for our previous conclusion that central command is not obligatory for matching VA to VCO2 (J. Appl. Physiol. 64: 218-225, 1988).

Adult↗

Six-week improvements in muscle mass and strength during androgen therapy in older men.

BACKGROUND: The purpose of our study was to assess the early effects of a potent anabolic androgen on muscle mass and strength, lower extremity power, and functional performance in older men. METHODS: Thirty-two men 72 +/- 6 years of age were randomized to receive oxandrolone (10 mg twice daily) or matching placebo in a 2:1 manner for 12 weeks. Total and appendicular lean body mass (LBM) were assessed by dual-energy x-ray absorptiometry (DEXA). Lower extremity muscle volume was determined by magnetic resonance imaging to validate DEXA changes. RESULTS: Total LBM increased by 2.7 +/- 1.6 kg after 6 weeks with oxandrolone (p <.001), which was greater (p <.001) than the decline in LBM (-0.5 +/- 0.9 kg) with placebo. Appendicular LBM increased by 1.2 +/- 0.9 kg after just 6 weeks with oxandrolone (p <.001), which was greater (p <.001) than the decline in LBM (-0.4 +/- 0.5 kg) with placebo. These changes were >90% of the gains in total and appendicular LBM (3.0 +/- 1.5 kg and 1.3 +/- 0.9 kg, respectively) after 12 weeks. Total thigh and hamstring muscle volume increased by 111 +/- 29 mm(3) (p =.001) and 75 +/- 18 mm(3) (p =.001), respectively, after 12 weeks. Maximal strength increased for the leg press 6.3 +/- 5.6% (p =.003), leg curl 6.7 +/- 8.6% (p =.01), chest press 6.9 +/- 6.5% (p =.001), and latissimus pull-down 4.8 +/- 6.3% (p =.009) with oxandrolone after 6 weeks; these increases were different than those with placebo (p <.001) and were 93%, 96%, 74%, and 94% of the respective gains at week 12. There were no improvements in functional measures. CONCLUSION: Treatment with a potent anabolic androgen may produce significant increases in muscle mass and strength after only 6 weeks in healthy older men. However, such treatment did not improve leg muscle power or walking speed.

Aged↗

Effects of rest interval on isokinetic strength and functional performance after short-term high intensity training.

OBJECTIVES: The ability to maximally generate active muscle tension during resistance training has been established to be a primary determinant for strength development. The influence of intrasession rest intervals may have a profound effect on strength gains subsequent to short-term high intensity training. The purpose of this study was to examine the effects of rest interval on strength and functional performance after four weeks of isokinetic training. METHODS: Fifteen healthy college aged individuals were randomly assigned to either a short rest interval group (group 1, n = 8) or a long rest interval group (group 2, n = 7). Subjects were evaluated for quadriceps and hamstring isokinetic strength at 60 (five repetitions) and 180 (30 repetitions) degrees/second and functional performance with the single leg hop for distance test. One leg of each subject was randomly assigned to a four week, three days/week isokinetic strength training programme for concentric knee extension and flexion performed at 90 degrees/second. Subjects in group 1 received a 40 second rest interval in between exercise sets, whereas subjects in group 2 received a 160 second rest period. RESULTS: A two factor analysis of variance for the pre-test--post-test gain scores (%) showed significantly greater improvements for isokinetic hamstring total work and average power at 180 degrees/second for the trained limb of subjects in group 2 than their contralateral non-trained limb and the subjects in group 1. Significantly greater improvements for the single leg hop for distance were also found for the trained limbs of subjects in both groups as compared with the non-trained limbs. CONCLUSIONS: The findings indicate that a relatively longer intrasession rest period resulted in a greater improvement in hamstring muscle strength during short term high intensity training.

Adult↗

Functional coupling of motor units is modulated during walking in human subjects.

Time- and frequency-domain analysis of the coupling between pairs of electromyograms (EMG) recorded from leg muscles was investigated during walking in healthy human subjects. For two independent surface EMG signals from the tibialis anterior (TA) muscle, coupling estimated from coherence measurements was observed at frequencies </=50 Hz, with identifiable peaks occurring in two frequency bands ranging approximately from 8 to 15 and 15 to 20 Hz. The coherence between TA recordings was greatest toward the end of swing, reduced in early swing, and largely absent in midswing. In time-domain estimates constructed from paired TA EMG recordings, a short-lasting central peak indicative of motor-unit synchronization was observed. This feature of motor-unit coupling was also reduced in mid swing. In paired recordings made among triceps surae, quadriceps, and hamstring muscles, a similar pattern of correlation to that for paired TA recordings was observed. However, no significant coupling was observed in recordings for which one EMG recording was made from an ankle flexor/extensor muscle and the other from a knee extensor/flexor muscle. These results demonstrate that for TA a modulation exists in the functional coupling of motor units recruited during swing. The data also indicate that human motoneurons belonging to different muscles are only weakly coupled during walking. This absence of widespread short-term synchronization between the activities of muscles of the leg may provide a basis for the highly adaptive nature of human gait patterns.

Adult↗

Intrathecal baclofen normalizes motor strategy for squatting in familial spastic paraplegia: a case study.

We aimed to assess whether intrathecal baclofen could alter the motor strategy for squatting of a patient with pure familial spastic paraplegia. Before baclofen injection and two, four and six hours after it, the patient was evaluated as follows: self-report of walking stiffness and movement initiation; muscle tone with the Ashworth scale; and kinematic and electromyographic analysis of the squatting movement using the opto-electronic ELITE system. The patient's subjective improvement and decrease in muscle tone were dramatic after baclofen injection. Kinematic analysis of squatting showed gradual improvement. Before the injection, the movement was performed with loss of trunk verticality, backward shift of the hip, multiphasic ascending phase of the knee angular velocity and dynamic ankle stiffening. After baclofen injection, the movement was made with vertical translation of body segments and monophasic ascending phase of the knee angular velocity. The effect was maximal six hours after the injection. Electromyographic activities showed a non-specific co-contraction pattern before the injection, and a reciprocal pattern two hours after it. Moreover, a physiological anticipatory deactivation of the hamstring muscles appeared two hours after the injection. In this study of a single patient with familial spastic paraplegia, intrathecal baclofen has facilitated the emergence of normal, supraspinally determined movement patterns.

Adult↗

The effect of anaesthesia on the assessment of hamstring length in spastic cerebral palsy.

The decision to surgically lengthen the hamstring muscle group in a child with spastic cerebral palsy is based, in part, on the range of motion measurements made in the clinic, particularly, the popliteal angle. This measurement is often repeated when the child is under anaesthesia, before surgery. We were interested to know whether a systematic difference exists between the popliteal angles measured under these conditions, and to understand under which condition the measurement is more reliable. The effect of anaesthesia on the measurement of range of motion has not been reported previously. We repeated the measurement of popliteal angle in 15 children with spastic cerebral palsy (30 limbs, mean age: 8 years 3 months), on the evening before surgery when they were conscious, and again when they were under anaesthesia. The means of measurements made under the two conditions were not significantly different (p=0.17, paired t-test). Repeated measurements of popliteal angle when the patient was conscious were, however, less reliable than those made under anaesthesia (standard error of 15 and 5 degrees, respectively). This resulted in poor agreement between measurements made on the same patient under the two conditions (95% limits of agreement were -19 and 25 degrees). Our study supports the common practice of surgeons of reassessing hamstring length under anaesthesia before single level and multilevel surgeries and incorporation of these measurements into their decision-making.

Adolescent↗

The cutaneous contribution to the hamstring flexor reflex in the rat: an electrophysiological and anatomical study.

The location and properties of the cutaneous receptive fields responsible for detecting the flexor withdrawal reflex in the posterior head of biceps femoris (pBF) and semitendinosus (ST) components of the hamstring muscle have been examined in unanaesthetized decerebrate rats, spinalized at T10-T11. Single alpha-motoneurone efferents were recorded from the nerve to pBF and the principal head of ST and their responses to ipsi- and contralateral hindlimb skin stimulation investigated. The efferents to both muscles characteristically had a low or absent background discharge and they all had mechanoreceptive fields on the ipsilateral foot. The mechanical threshold of these fields was high with no response to light touch or brush. Fifty-four percent of these units also had a smaller and weaker contralateral mechanoreceptive field. The only apparent difference between ST and pBF efferents was that more ST efferents had contralateral fields than pBF units. Noxious, hot and cold thermal stimuli applied to the ipsilateral foot activated 56% of the efferents. Mustard oil, a chemical irritant, produced a long-lasting flexor response when applied to the ipsilateral foot. The responses of these efferents to stimulation of A beta, A delta and C cutaneous afferents in the sural nerve were also studied. Short latency reflexes were elicited in all efferents by A beta inputs, longer latency reflexes were elicited in 64% by A delta inputs and very long latency responses with long afterdischarges were found in 73% of the units to C inputs. Retrograde labelling of the hamstring motoneurones with WGA-HRP indicated that they lay in ventrolateral lamina IX extending from the caudal portion of the third lumbar segment to the junction of the 5th and 6th lumbar segments. Transganglionic labelling of small diameter primary afferent terminals in the dorsal horn of cutaneous nerves innervating the foot revealed that the longitudinal distribution corresponded closely with that of the hamstring motor nucleus. The flex-or reflex in the spinal rat provides a useful model therefore, for studying how the input in nociceptive afferents is processed and transformed within the spinal cord, to produce appropriate outputs.

Afferent Pathways↗

The effects of a 10-kilometer run on muscle strength and power.

Recovery of maximal force and power following a 10-km race has not been widely studied in the scientific literature. Ten healthy men who were experienced distance runners participated in this investigation. Data were collected prerace, immediate postrace, and 48 hours postrace to examine the effect of a 10-km race on muscle force production in the lower body. Maximal peak torque was measured via an isokinetic dynamometer at 30 degrees, 180 degrees, and 300 degrees.s-1. A significant (p <or= 0.05) reduction in peak torque for knee flexion was observed at 30 degrees.s-1 immediately postrace. Average power of the knee flexors were significantly decreased immediately postrace. Total work (J) flexion performed over the last 17 repetitions of the 50-repetition test were significantly reduced from baseline values during both the immediate and 48-hour postrace tests. Significant reductions in peak vertical jump force remained reduced 48 hours postrace testing. No changes were observed for jump power after the race. These data indicate that only the hamstring muscle group was not fully recovered to perform the 50-repetition test and that force production in the vertical jump test was compromised 48 hours after a 10-km race. Nevertheless, it appears that strength and power capabilities of the 10-km runner are for the most part restored 48 hours after an all-out 10-km race effort. From a practical perspective, it appears that a minimum of 48 hours should be utilized between multiple trials in 10-km races at track and field meets.

Adolescent↗

Electromyographic and kinetic analysis of traditional, chain, and elastic band squats.

This study examined mean integrated electromyography (I-EMG) for the quadriceps and hamstring muscle groups, as well as mean and peak vertical ground reaction forces (GRFs), for 3 conditions of the back squat. Conditions included (a) squat with barbell and weight plates, (b) squat with barbell and weight plates plus chains hung on each end of the barbell to replace approximately 10% of the squat load, and (c) squat with barbell and weight plates plus elastic bands offering resistance equivalent to approximately 10% of the squat load. Weight plates equal to the load added by either the chains or elastic bands were removed for the latter 2 squat conditions. Vertical GRFs were obtained during a single testing session for all 3 squat conditions. The tests were performed on a 2-cm thick aluminum platform (0.76 x 1.0 m) bolted directly to a force plate (OR6-5-2000, AMTI, Watertown, MA). Surface electrode I-EMG data from the quadriceps and hamstrings were recorded at 500 Hz. The exercise order was randomly determined for 11 NCAA Division I athletes who had experience using these types of squats. A repeated measures analysis of covariance revealed no differences in I-EMG and GRF during the eccentric or concentric phase for any of the 3 squat conditions. Analyses showed that mean GRF and I-EMG was significantly different between eccentric and concentric phases for all groups. The results question the usefulness of performing squats combining barbell and weight plates with chain and elastic resistance.

Adolescent↗

Perturbation training improves knee kinematics and reduces muscle co-contraction after complete unilateral anterior cruciate ligament rupture.

BACKGROUND AND PURPOSE: Dynamic knee stabilization strategies of people who successfully compensate for the absence of an anterior cruciate ligament (ACL) ("copers") are different from those of people who do not compensate well for the injury ("noncopers"). Early after injury, certain patients ("potential copers") can increase the likelihood of successfully compensating for the injury by participating in 10 sessions of perturbation training. The purpose of this study was to determine how perturbation training alters muscle co-contraction and knee kinematics in potential copers. SUBJECTS: Seventeen individuals with acute, unilateral ACL rupture who were categorized as potential copers and 17 subjects without injuries who were matched by age, sex, and activity level were recruited for this study. METHODS: Motion analysis and electromyographic data were collected as subjects walked across a stationary or moving platform (horizontal translation) before and after perturbation training. RESULTS: Before training, potential copers had higher co-contraction indexes and lower peak knee flexion angles than subjects without injuries. After training, potential copers' movement patterns more closely resembled those of subjects without injuries (ie, they showed reduced co-contraction indexes and increased peak knee flexion angles during stance). DISCUSSION AND CONCLUSION: Perturbation training reduced quadriceps femoris-hamstring muscle and quadriceps femoris-gastrocnemius muscle co-contractions and normalized knee kinematics in individuals with ACL rupture who were classified as potential copers. Findings from this study provide evidence for a mechanism by which perturbation training acts as an effective intervention for promoting coordinated muscle activity in a select population of people with ACL rupture.

Adult↗

Self-reported hamstring injuries in student-dancers.

Dancing involves powerful movements as well as flexibility exercises, both of which may be related to specific injuries to the musculo-tendinosus tissue, e.g., the hamstring muscle complex. In this study, the occurrence of acute and overuse injuries to the rear thigh in dancers was investigated retrospectively by means of a questionnaire. All but one (n = 98) of the student-dancers (age 17-25 years) at the Ballet Academy in Stockholm participated. The results demonstrated that, during the past 10 years, every third dancer (34%) reported that they had acute injuries and every sixth dancer (17%) had overuse injuries to the rear thigh. Most (91%) of the acute injuries were subjectively located to an area close to tuber ischiadicum. The majority (88%) stated that the acute injury occurred during slow activities in flexibility training, e.g., splits, and only a few (12%) in powerful movements. Continuing problems were reported by 70% of the acutely injured dancers. Many of the dancers neglected their acute injury (14 did not even stop the ongoing dance activity) and they also greatly underestimated the recovery time. Only 4 dancers (12%) received acute medical assistance. Thus the results, based on the recollection of the subjects, indicated that stretching could induce severe strain injuries to the proximal hamstrings in dancers. Extrapolating these results to the practice, it can be recommended that stretching exercises be executed with caution in connection with dancing sessions and training, and that, information about the seriousness and acute treatment of such injuries be added to the student-dancers' curriculum.

Acute Disease↗

Myocellular enzyme leakage, polymorphonuclear neutrophil activation and delayed onset muscle soreness induced by isokinetic eccentric exercise.

To address the question of whether delayed onset muscular soreness (DOMS) following intense eccentric muscle contraction could be due to increased production of the arachidonic acid derived product prostaglandin E2 (PGE2). 10 healthy male subjects were submitted to eccentric and concentric isokinetic exercises on a Kin Trex device at 60 degrees/s angular velocity. Exercise consisted of 8 stages of 5 maximal contractions of the knee extensor and flexor muscle groups of both legs separated by 1 min rest phases. There was an interval of at least 30 days between eccentric and concentric testing, and the order of the two exercise sessions was randomly assigned. The subjective presence and intensity of DOMS was evaluated using a visual analogue scale, immediately, following 24 h and 48 h after each test. Five blood samples were drawn from an antecubital vein: at rest before exercise, immediately after, after 30 min recovery, 24 h and 48 h after the tests. The magnitude of the acute inflammatory response to exercise was assessed by measuring plasma levels of polymorphonuclear elastase ([EL]), myeloperoxidase ([MPO]) and PGE2 ([PGE2]). Using two way analysis of variance, it appeared that only eccentric exercise significantly increased [EL] and DOMS, especially of the hamstring muscles. Furthermore, a significant decrease in eccentric peak torque of this muscle group only was observed on day 2 after eccentric work (- 21%; P < 0.002). Serum activity of creatine kinase and serum concentration of myoglobin increased significantly 24 and 48 h after both exercise tests. However, these variables reached significantly higher values following eccentric contractions 48 h after exercise. Mean [PGE2] in the two exercise modes remained unchanged over time and were practically equal at each time point. On the basis of these findings, we conclude that the magnitude of polymorphonuclear (PMN) activation, muscle damage, and DOMS are greater after eccentric than after concentric muscle contractions. However, the hypothesized interplay between muscle damage, increased PGE2 production, DOMS sensations, and reduced isokinetic muscle performance was not substantiated by the present results.

Adult↗

Standing and Supine Hamstring Stretching Are Equally Effective.

OBJECTIVE: To evaluate the relative effectiveness of standing and supine hamstring stretching in increasing hamstring flexibility as measured by increasing range of motion at the knee. DESIGN AND SETTING: The trial was randomized, and the setting was local academic physical therapy and physical therapist assistant programs. SUBJECTS: Twenty-nine healthy subjects who exhibited limited hamstring muscle flexibility bilaterally (22 women, 7 men, 25.9 +/- 6.13 years of age) volunteered to participate in this study. Subjects were randomly assigned a different stretch for each leg. Each leg was stretched 3 days per week for 3 weeks (3 x 30 seconds). Stretching sessions were supervised. MEASUREMENTS: We measured supine active knee extension. Measurements were taken before and after the 3-week stretching phase by the same investigator, who was blind to limb assignment. We calculated a 2-way mixed-design analysis of variance and Tukey Honestly Significant Difference post hoc tests to analyze data. An independent t test was performed to determine whether the change scores in the stretching groups differed by sex. RESULTS: Prestretching and poststretching measurements were significantly different for both the standing and supine stretch (<0.05). No significant difference (P > .05) in change score existed between the 2 stretches or between the sexes. CONCLUSIONS: The standing and supine hamstring stretches were comparably effective in improving flexibility.

Journal Article↗

Fusimotor outflow to pretibial flexors during fatiguing contractions of the triceps surae in decerebrate cats.

Changes in discharge rate of fusimotor neurones to pretibial flexor muscles were recorded during and after long-lasting fatiguing isometric and/or isotonic contractions of triceps surae in decerebrate cats. The contractions were elicited by electrical stimulation of the nerves to triceps. Fusimotor spikes were recorded from nerve filaments dissected free from the peroneal nerve. Responses of the fusimotor neurones were diverse. In isometric regime, 22 out of 40 units recorded exhibited an initial increase at the onset of muscle contraction, different in amplitude and duration among the units. In seven of these units an additional brisk burst of spike discharges, of different duration, occurred at the end of the contraction. In 15 fusimotor neurones (14 units with the initial response and an additional unit without it) a slow increase in discharge rate developed, starting during the contraction and outlasting it. In another eleven units the initial response was a decrease in discharge rate, lasting in six of them throughout the contraction. Another six units exhibited a sustained increase in discharge rate throughout the contraction, as well as, at a lower level, but still above the spontaneous one, thereafter. Similar patterns of changes in discharge rate, recorded in 31 of the units, were encountered during isotonic triceps contractions. It should be mentioned that many (about 20) additional silent neurones, responding to manipulating the skin and paw and/or stroking the fur, but not to triceps contractions were encountered. The majority of changes in discharge rate of fusimotor neurones to pretibial flexors differed markedly from those found previously in fusimotor neurones to triceps and hamstring muscles.(ABSTRACT TRUNCATED AT 250 WORDS)

Action Potentials↗

Growth hormone, insulin, and somatostatin therapy of cancer cachexia.

BACKGROUND: Cancer cachexia is associated with a decreased insulin:glucagon ratio. The authors hypothesized that the decrease in this anabolic hormone index is largely responsible for the progressive catabolism characteristic of cancer cachexia. Previous studies of insulin therapy alone in treating cancer cachexia have yielded limited success due to insulin-induced hypoglycemia and subsequent glucagon secretion. The current study was performed to determine the effect of combined hormone therapy (growth hormone, insulin, and somatostatin) on tumor growth, metastasis, and host metabolism. METHODS: Twenty-four female Lewis/Wistar rats (175-200 g) were subcutaneously inoculated on the flank with the MAC-33 tumor, a spontaneously metastasizing mammary adenocarcinoma. Thirty days after tumor implantation, animals were randomized to receive combined hormone therapy or saline (control) injections. Hormone therapy consisted of recombinant growth hormone (1000 U/kg/day intraperitoneally [IP]), somatostatin analogue (SMS 201-995; 150 micrograms/kg twice daily IP) and NPH humulin insulin (5 U/kg twice daily subcutaneously). RESULTS: Triple hormone therapy with growth hormone, insulin, and somatostatin significantly increased host carcass weight (211 +/- 4 g versus 179 +/- 6 g; P < 0.01) and decreased tumor:carcass ratio (0.25 +/- 0.03 versus 0.35 +/- 0.05; P < 0.01). Hamstring muscle weight and protein content were significantly increased and tumor cellular protein content was decreased in animals receiving triple hormone therapy. A significant decrease in S-phase tumor cell cycle kinetics occurred in hormone-treated versus control animals. CONCLUSIONS: Thus, combined therapy of growth hormone, insulin, and somatostatin selectively supports host anabolism and inhibits tumor growth kinetics. Combined hormone therapy specifically improves skeletal muscle protein content and reduces tumor protein incorporation. This innovative metabolic therapy for cancer cachexia may be useful in the future to prevent the progressive catabolism present in the tumor-bearing host.

Adenocarcinoma↗