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In vivo31P NMR studies of paraplegics' muscles activated by functional electrical stimulation

✍ Scribed by M. Levy; Dr. T. Kushnir; J. Mizrahi; Y. Itzchak


Publisher
John Wiley and Sons
Year
1993
Tongue
English
Weight
645 KB
Volume
29
Category
Article
ISSN
0740-3194

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✦ Synopsis


Abstract

The bioenergetics of paralyzed muscles of spastic paraplegic patients under functional electrical stimulation (FES) was studied in vivo using ^31^P NMR. The protocol included rest, 3 min of induced tetanic isometric contraction through surface electrodes and 40 min of recovery. The continuous stimulation, the force recording and the ^31^P NMR measurements were sampled simultaneously inside the whole body imager. Normal values were found for the phosphorous metabolite ratios at rest. During contraction, prominent changes were detected including: a) accumulation of inorganic phosphate (P) accompanied by an unusually strong signal in the phosphomonoester (PME) region, b) phosphocreatine (PCr) decline, and c) a decrease in the intracellular pH. In the following recovery period the physiological state of the muscle was monitored and quantitated by ^31^P NMR. No metabolic and mechanical irreversible damage was detected in the paraplegics' muscles activated by FES under our experimental conditions.


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