• 제목/요약/키워드: Denervation

검색결과 127건 처리시간 0.021초

근전도검사에서 나타나는 탈신경전위와 종판전위와의 구별을 위한 변수추출 (Parameter Extraction for the Distinction between Denervation Potentials and Endplate Spikes on EMG Diagnosis)

  • 황윤성;최현배;임재중;박인선
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1996년도 추계학술대회
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    • pp.203-206
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    • 1996
  • During the electromyographic evaluation, the presence and site of lession may be predicted by a detection of denervation potentials such as fibrllation potentials or positive sharp waves in the group of muscles. Currently, clinicians diagnose the neuropathy by detecting fibrillation potentials during EMG tests, and sometimes it is not easy to distinguish between denervation potentials and endplate spikes. The purpose of this study was to find statistically significant parameters for the quantitative distinction between denervation potentials and endplate spikes. Endplate spikes and denervation potentials from the EDB muscle of 10 patients were extracted. Also, EMG signals were classified by experienced clinicians, and were collected using a 12 bit ADC with a sampling rate of 20KHz for the duration of 400msec. In order to find statistically significant parameters, positive and negative peaks were used for analysis. As a results, standard deviation of the endplate spikes and denervation potentials showed more significant difference than others specially for the positive sharp waves. It was concluded that the results of this study could be used to develope an automated system of a EMG analysis.

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Korean red ginseng suppresses mitochondrial apoptotic pathway in denervation-induced skeletal muscle atrophy

  • Ji-Soo Jeong;Jeong-Won Kim;Jin-Hwa Kim;Chang-Yeop Kim;Je-Won Ko;Tae-Won Kim
    • Journal of Ginseng Research
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    • 제48권1호
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    • pp.52-58
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    • 2024
  • Background: Skeletal muscle denervation leads to motor neuron degeneration, which in turn reduces muscle fiber volumes. Recent studies have revealed that apoptosis plays a role in regulating denervation-associated pathologic muscle wasting. Korean red ginseng (KRG) has various biological activities and is currently widely consumed as a medicinal product worldwide. Among them, ginseng has protective effects against muscle atrophy in in vivo and in vitro. However, the effects of KRG on denervation-induced muscle damage have not been fully elucidated. Methods: We induced skeletal muscle atrophy in mice by dissecting the sciatic nerves, administered KRG, and then analyzed the muscles. KRG was administered to the mice once daily for 3 weeks at 100 and 400 mg/kg/day doses after operation. Results: KRG treatment significantly increased skeletal muscle weight and tibialis anterior (TA) muscle fiber volume in injured areas and reduced histological alterations in TA muscle. In addition, KRG treatment reduced denervation-induced apoptotic changes in TA muscle. KRG attenuated p53/Bax/cytochrome c/Caspase 3 signaling induced by nerve injury in a dose-dependent manner. Also, KRG decreases protein kinase B/mammalian target of rapamycin pathway, reducing restorative myogenesis. Conclusion: Thus, KRG has potential protective role against denervation-induced muscle atrophy. The effect of KRG treatment was accompanied by reduced levels of mitochondria-associated apoptosis.

Sympathetic and parasympathetic regulation of sodium transporters and water channels in rat submandibular gland

  • Jung, Hyun;Ryu, Sun-Youl
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제32권1호
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    • pp.1-7
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    • 2006
  • The present study was aimed to explore the role of sympathetic and parasympathetic nerves in the regulation of sodium transporters and water channels in the salivary gland. Rats were denervated of their sympathetic and parasympathetic nerves to the submandibular gland, and the glandular expression of sodium transporters and water channels was determined by Western blot analysis. The expression of either ${\alpha}1$ or ${\beta}1$ subunit of Na, K-ATPase was not significantly affected either by the sympathetic or by the parasympathetic denervation. The expression of subunits of epithelial sodium channels was significantly increased both in the denervated and contralateral glands either by the sympathetic or by the parasympathetic denervation. Neither the sympathetic nor the parasympathetic denervation significantly altered the expression of aquaporin-1 (AQP1). Nor was the expression of AQP4 affected significantly by the parasympathetic or the sympathetic denervation. On the contrary, the expression of AQP5 was significantly increased not only by the parasympathetic but also by the sympathetic denervation. These results suggest that sympathetic and parasympathetic nerves have tonic regulatory effects on the regulation of certain sodium transporters and AQP water channels in the salivary gland.

Autonomic Neural Regulation of Sodium Transporters and Water Channels in Rat Submandibular Gland

  • Ryu, Sun-Yeol;Jung, Hyun;Kim, Ki-Yung;Kim, Mi-Won;Lee, Jong-Un
    • The Korean Journal of Physiology and Pharmacology
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    • 제10권2호
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    • pp.65-69
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    • 2006
  • The present study was undertaken to explore the role of autonomic nerves in the regulation of sodium transporters and water channels in the salivary gland. Rats were denervated of their sympathetic or parasympathetic nerves to the submandibular gland. One week later, the expression of Na,K-ATPase, epithelial sodium channels (ENaC), and aquaporins (AQP) was examined in the denervated and contralateral glands. The sympathetic denervation slightly but significantly decreased the expression of ${\alpha}1$ subunit of Na,K-ATPase, whereas the parasympathetic denervation increased it. The expression of ${\alpha}$-subunit of ENaC was significantly increased in both the denervated and contralateral glands either by the sympathetic or parasympathetic denervation. The sympathetic denervation significantly increased the expression of AQP5 in both the denervated and contralateral glands, whereas the parasympathetic denervation decreased it. It is suggested that the autonomic nerves have a tonic effect on the regulation of sodium transporters and AQP water channels in the salivary gland.

Selective Peripheral Denervation for the Treatment of Spasmodic Torticollis

  • Jang, Kyung-Sool;Park, Hea-Kwan;Joo, Won-Il;Ji, Chul;Lee, Kyung-Jin;Choi, Chang-Rak
    • Journal of Korean Neurosurgical Society
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    • 제37권5호
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    • pp.350-353
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    • 2005
  • Objective: Various methods of treatment for idiopathic cervical dystonia have been tried in the past with unsatisfactory results. The authors report cases of five patients who underwent selective peripheral denervation for spasmodic torticollis. Methods: Between July 2002 and December 2003, 5 patients underwent surgery at St. Mary's Hospital for spasmodic torticollis. Age of the patient at the onset of symptoms ranged from 29 to 56years (mean 43.75years). Selective peripheral denervation(SPD) was performed at 7 to 11 months after the onset of symptoms (mean 8.75 months). A patient was considered to be the candidate for surgery if conservative methods were unsuccessful and symptoms persisted for longer than 7months. In addition, 2patients who refused treatment with botulinum toxin were also enrolled in this study. Results: Although one patient underwent reoperation, all of the five patients' symptoms were improved after the operation. Clinically, patients with retrocollis showed better improvement than laterocollis patients. Conclusion: Although injection of botulinum toxin is the first-choice in treatment modality, when surgery is required, selective peripheral denervation provides good results with minimum side effects.

Effect of Denervation on Glucose and Glycogen of Skeletal Muscle of Uromastix hardwickii

  • Javed, Masood H.;Shaikh, Hilal A.
    • The Korean Journal of Physiology
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    • 제21권2호
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    • pp.323-325
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    • 1987
  • The concentrations of glucose and glycogen in the normal gastrocnemius muscles of Uromastix hardwickii were $88.82{\pm}4.52\;mg/100\;gm$ and $158.98{\pm}23.19\;mg/100gm$ of wet weight of the muscle, respectively. 14-days denervation period has no any effect on glucose contents while the glycogen concentration was decreased to 1/3 of the normal control innervated muscles.

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$K^+$ Channel 개방제인 SKP-450의 신장작용에 대한 신장 신경제거와 ATP-의존성 $K^+$ Channel 차단제인 Glibenclamide의 영향 (Effect of Renal Denervation and Glibenclamlde, ATP-dependent $K^+$ Channel Blocker, on Renal Action of SKP-450, $K^+$ Channel Opener, in Dog)

  • 고석태;정지영
    • Biomolecules & Therapeutics
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    • 제8권1호
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    • pp.53-63
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    • 2000
  • This study was performed to elucited the mechanisms of the antidiuretic action by SKP-450, a $K^+$ channel opener, given into the vein, and of the diuretic action observed only in the ipsilateral kidney, when given into a renal artery, in dog. The antidiuretic action of SKP-450 was not affected by renal denervation or pretreatment with glibenclamide, a ATP-dependent $K^+$ channel blocker. The diuretic action of SKP-450 was inhibited by renal denervation or pretreatment with glibenclamide. SKP-450 given into carotid artery had little effect on renal function. These results suggest that the antidiuretic action of SKP-450 given into the vein is caused by some endogenous substances probably not related to $K^+$ channel, whereas the diuretic action of SKP-450 observed only in ipsilateral kidney, when given into a renal artery, is provoked through $K^+$ channel related to renal nerves.

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$K^+$ Channel 개방제인 BRL 34915의 신장작용에 대한 신장 신경제거 와 선택성 ATP-의존성 $K^+$Channel 차단제인 Glibenclamide의 영향 (Effect of Renal Denervation and Glibenclamide, a selective ATP-sensitive $K^+$ Channel Blocker, on Renal Action of BRL 34915, a ATP-sensitive $K^+$ Channel Opener, in Dog)

  • 고석태;최홍석
    • 약학회지
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    • 제44권4호
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    • pp.362-370
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    • 2000
  • In anesthetized dogs, antidiuretic action of intravenously administered BRL 34915 (10.0~30.0 $\mu$/kg) was blocked by renal denervation, whereas it was not affected by glibenclamide, a selective $K_{ATP}$ blocker, given into renal artery. Diuretic action in ipsilateral kidney produced by intrarenal administration of BRL 34915 was not influenced by renal denervation, but blocked completely by glibenclamide given into the vein. Above results suggest that the antidiuretic action of BRL 34915 is mediated by renal sympathetic nerves and the diuretic action is caused by opening of $K^+$ channel within kidney.

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좌골신경손상 쥐 모델을 이용한 미세전류 자극의 근위축 억제 효과 확인 및 자극 세기 별 비교 (The Effect of Microcurrent Electrical Stimulation on Muscle Atrophy Suppression in a Sciatic Nerve Injured Rat Model; Comparative Study by Current Intensity)

  • 황동현;김서현;이한아;장승준;김세빈;김택중;최수임;곽호영;김한성
    • 대한의용생체공학회:의공학회지
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    • 제38권4호
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    • pp.175-182
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    • 2017
  • Microcurrent electrical stimulation(MES) has been used to accelerate recovery of atrophied skeletal muscle. However, convincing stimulation parameters for suppressing muscle atrophy due to injured sciatic nerve remains unclear. The objective of this study was to investigate the effective intensity of MES on restraining muscle atrophy with rat model underwent sciatic nerve injury(SNI). Twenty-5-week-old Sprague Dawley male rats were equally assigned to five groups : Control group(Control, CON, n = 4), Denervation group(Denervation, D, n = 4), Denervation with MES of $22{\mu}A$ group(Denervation + $22{\mu}A$, D+22, n = 4), Denervation with MES of $100{\mu}A$ group (Denervation + $100{\mu}A$, D+100 n = 4), Denervation with MES of $400{\mu}A$ group(Denervation + $400{\mu}A$, D+400, n = 4). To induce muscle atrophy, all rats in the D, D+22, D+100, and D+400 groups, were subjected to sciatic nerve injury on their right hindlimb and allowed to have 1 week of resting period. Following this period, rats underwent daily MES(60 min/ a day, 5times/1week) for 4 weeks. After that, we investigate morphological changes in muscle volume by using in vivo micro-computed tomography at week 0, 1, 3 and 5. After 5 weeks, the muscle volume had the highest value in D+400 group, and also noticeably increased in D+100 group compared to it in D group. The results of this study imply that MES with current intensities between $100-400{\mu}A$ can suppress muscle atrophy effectively.

신경질환의 진단을 위한 탈신경 전위와 종판 전위의 구별에 관한 연구 (A Study for the Distinction between Denervation Potentials and Endplate Spikes for the Diagnosis of Neuropathy)

  • 임재중;김남균;황윤성;박인선
    • 대한의용생체공학회:의공학회지
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    • 제20권4호
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    • pp.451-459
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    • 1999
  • 신경질환의 진단에 있어서 근육군에서의 세동전위나 양성예각파와 같은 탈신경전위를 관찰함으로써 신경의 이상유무와 손상부위를 예측할수 있는데 이는 임상의의 주관적인 경험에만 의존하여 구별되고 있으며 검사과정 중 정상인에게서도 나타날 수 있는 종판전위가 탈신경전위로 오인되어 진단에 혼선을초래할 수 있다. 따라서 본 연구는 탈신경전위와 종판전위를 정량적으로 구별할 수 있는 알고리듬을 수립하는데 필요한 매개변수들을 추출함으로써 신경손상의 진단과 병변의 국소화에 정확성을 향상시키고자 하였다. 본 연구에서는 여러 종류의 신경손상을 보이는 10명의 환자들에 대한 근전도 검사를 실시하여 탈신경전위인 양성예각파나 세동전위, 그리고 종판전위를 검출하였다. 이들 신호로부터 지속시간, 면적, 기울기, 첨두시간 진폭, 양첨두지 진폭, 음첨두치 진폭 및 첨두치 비율 그리고 상(phase)의 여덟가지 매개변수를 구하고 각 파형에서의 값들을 비교하였다. 그 결과, 두 종류의 탈신경전위와 종판전위의 구분에 공통적으로 좋은 결과를 제공하는 매개변수는 기울기, 첨두치간 진폭, 양첨두치 진폭 그리고 첨두치간의 비율로 나타났다. 본 연구를 통해 구해진 매개변수들의 특성은 근전도 분석의 자동화를 위한 알고리듬의 수립에 응용되어질 수 있을 것이며 보다 정량화된 근전도 분석을 통해 진단의 정확성을 향상시켜 줄 것이다.

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