DOI QR코드

DOI QR Code

A Study of Pre-application of Neuromuscular Electrical Stimulation on Atrophic Muscle Function

신경근 전기자극의 사전적용이 위축근 기능에 미치는 영향

  • 강종호 (남부대학교 물리치료학과) ;
  • 김용남 (남부대학교 물리치료학과)
  • Published : 2009.12.28

Abstract

The purpose of this study was to examine the effect of neuromuscular electrical stimulation(LFES) during hindlimb suspension on weight and function of rat hindlimb muscles. Sprague-Dawley rats(body weight 300-350g) were randomly assigned to five groups: a HLS(n=5) that were hindlimb suspended for 14 days, a WB(n=5) that kept as control, a ES14 that were hind limb suspended for 14days with pre-application of LFES for 14 days, ES11 that were hindlimb suspended for 14 days with pre-application of LFES for 11 days, a LFES 7 that were hindlimb suspended for 14 days with pre-application of LFES for 7 days. Gastrocnemius muscle weight, stride length were significantly decreased and toe out angle were significantly increased in HLS and ES7 groups, whereas muscle weight, stride length, toe out angle were maintained in ES14, ES11. this indicated that LFES for 14 days, LFES for 11 days could prevent muscle atrophy and retain function.

본 연구의 목적은 현수 기간 중 적용한 신경근 전기자극의 사전 적용이 흰쥐 뒷다리 근육의 무게와 후지 기능에 미치는 효과를 알아보는데 있다. 이를 위해서 25마리의 Sprague-Dawley계 흰쥐를 14일 동안 현수한 HLS군(n=5)과 14일 동안 자유롭게 사육한 WB군(n=5), 현수 기간 중 14일간 사전 전기자극을 실시한 ES14군(n=5), 현수 기간 중 11일간 사전 전기자극한 ES11군(n=5), 현수 기간 중 7일간 사전 전기자극한 ES7군(n=5)에 무작위 배치하여 실험을 진행하였다. 실험결과, HLS군과 ES7군에서 비복근의 근무게, 후지 활보장의 유의한 감소와 외향각의 유의한 증가가 관찰되었고, ES14군과 ES11군에서 비복근의 근무게와 후지 활보장, 외향각이 유의하게 유지되었음을 관찰하였다. 즉, 14일 및 11일의 사전 신경근 전기자극이 근위축 지연과 근기능 보존에 효과적임을 보여주고 있다. 이러한 결과는 근위축 예방 및 기능 유지를 위해서는 신경근 전기자극을 가능한 조기 적용해야함을 알려주고 있다.

Keywords

References

  1. L. Jorgensen, N. J. Crabtree, J. Reeve and B. K. Jacobsen, "Ambulatory level and asymmetrical weight bearing after stroke affects bone loss in the upper and lowedr part of the femoral neck differently: bone adaptation after decreased mechanical loading," Bone, Vol.27, pp.701-707, 2000. https://doi.org/10.1016/S8756-3282(00)00374-4
  2. N. Pace, "Weightlessness: a matter of gravity," New England Journal of Medicine, Vol.297, pp.32-37, 1977. https://doi.org/10.1056/NEJM197707072970106
  3. K. M. Baldwin and F. Haddad, "Skeletal Muscle Plasticity. Cellular and Molecular Responses to Altered Physical Activity Paradigms," Am J. Phys. Mecl. Rehabil., Vol.81, pp.40-51, 2000.
  4. F. R. Mulder, K. H. Genits, B. U. Kleine, J. Rittweger, D. Felsenberg, A. de Haan, and D. F. Stegeman, "High-density surface EMG study on the time course of central nervous and peripheral neuromuscular changes during 8 weeks of bed rest with or without resistive vibration exercise," J. Electromyogr. Kinesiol, Vol.19, No.2, pp.208-218, 2009. https://doi.org/10.1016/j.jelekin.2007.04.002
  5. R. L. Dunstan and C. H. Turner, "Mechanotransduction and the ftmctional response of bone to mechanical strain," Calcif. Tissue Int, Vol.57, No.5, pp.344-358, 1995. https://doi.org/10.1007/BF00302070
  6. G. S. Lynch, J. D. Schertzer, and J. G. Ryall, "Therapeutic approaches for muscle wasting disorders," Pharmacology & Therapeutics, Vol.13, No.3, pp.461-487, 2007.
  7. D. Paddon-Jones, M. Sheffield-Moore, M. G. Cree, S. J. Hewlings, A. Aarsland, R. R. Wolfe and A. A. Ferrando, "Atrophy and impaired muscle protein synthesis during prolonged inactivity and stress," J. Clin. Endocrinol. Metab., Vol.91, No.12, pp.4836-4841, 2006. https://doi.org/10.1210/jc.2006-0651
  8. H. Zemkova, J. Teisinger, R. R. Almon, R. Vejsada, P. Hnik, and F. Vyskocil, "Immobilization atrophy and membrane properties in rat skeletal muscle fibers," PfIugers Arch., Vol.416, No.1-2, pp.126-129, 1990. https://doi.org/10.1007/BF00370233
  9. D. Roberts and D. J. Smith, "Biochemical aspects of peripheral muscle fatigue," Sports Med., Vol.7, pp.125-138, 1989. https://doi.org/10.2165/00007256-198907020-00004
  10. H. W. Meredith and R. D. Michael, "The neuromuscular junction: anatomical features and adapotation to various forms of increased, or decreased neuromuscular activity," Int. J. Neurosci., Vol. 115, No.6, pp.803-828, 2005. https://doi.org/10.1080/00207450590882172
  11. Y. Kano, S. Shimegi, H. Takahashi, K. Masuda, and S. Katsuta, "Changes in capillary luminal diameter in rat soleus muscle after hind-limb suspension," Acta. Physiol. Scand., Vol.169, pp.271-276, 2000. https://doi.org/10.1046/j.1365-201x.2000.00743.x
  12. J. F. Desaphy, S. Piemo, A. Liantonio, A. De Luca, M. P. Didonna, A. Frigeri, G. P. Nicchia, M. Svelto, C. Camerino, A. Zallone, and D. C. Camerino, "Recovery of the soleus muscle after short- and long-term disuse induced by hindlimb unloading: effects on the electrical properties and myosin heavy chain profile," Neurobiol. Dis., Vol.18, No.2, pp.356-365, 2005. https://doi.org/10.1016/j.nbd.2004.09.016
  13. 남기원, 신경근전기자극과 수중운동이 흰쥐 위축근 신경근엽접부의 연접재형성에 미치는 영향, 대구대학교 대학원 박사학위 논문, 2003.
  14. Y. Shimada, T. Sakuraba, T. Matsunaga, A. Misawa, M. Kawatani, and E. Itoi, "Effects of therapeutic magnetic stimulation on acute muscle atrophy in rats after hindlimb suspension", Biomed. Res., Vol.27, No.1, pp.23-27, 2006. https://doi.org/10.2220/biomedres.27.23
  15. C. D. Markert, M. A. Merrick, T. E. Kirby and S. T. Devor, "Nontherrna1 ultrasound and exercise in skeletal muscle regeneration," Arch. Phys. Med. Rehabil., Vol.86, No.7, pp.1304-1310, 2005. https://doi.org/10.1016/j.apmr.2004.12.037
  16. J. E. Hurst and R. H. Fitts, "Hindlimb unloading-induced muscle atrophy and loss of function: protective effect of isometric exercise," J. Appl. Physiol. Vol.95, pp.1405-1417, 2003. https://doi.org/10.1152/japplphysiol.00516.2002
  17. G. A. S. Metz, M. E. Schwab, and H. Welzl, "The effects of acute and chronic stress on motor an dsensory perfonnance in male Lewisrats," Physiology & Behavior, Vol.72, pp.29-35, 2001. https://doi.org/10.1016/S0031-9384(00)00371-1
  18. M. Dauty, V. B. Perrouin, Y. Maugars, C. Dubois and J. F. Mathe, "Supralesional and sublesional bone mineral density in spinal cord-injured patients," Bone, Vol.27, pp.305-300, 2000. https://doi.org/10.1016/S8756-3282(00)00326-4
  19. V. Valderrabano,V., V. von Tschamer, B. M. Nigg, B. Hintermann, B. Goepfert, T. S. Fung, C. B. Frank and W. Herzog, "Lowerleg muscle atrophy in ankle osteoarthritis," J. Orthop. Res. Vol.24, No.12, pp.2159-2169, 2006. https://doi.org/10.1002/jor.20261
  20. Y. Kazunori and H. Kozaburo, "Changesin biomechanical properties of tendons and ligaments from joint disuse," Osteoarthritis and Cartilage, Vol.7, pp.122-129, 1999. https://doi.org/10.1053/joca.1998.0167
  21. B. J. Krawiec, R. A. Frost, T. C. Vary, L. S. Jefferson, and C. H. Lang, "Hindlimb casting decreases muscle mass In part by proteasome-dependent proteolysis but independent of protein synthesis," Am. J. Physiol Endocrinol Metab., Vol.289, No.6, pp.969-980, 2005. https://doi.org/10.1152/ajpendo.00126.2005
  22. L. V. Thompson, S. A. Johnson, and J. A. Shoernan, "Single soleus muscle fiber function after hindlimb unweighting in adult and aged rats," J. Appl Physiol, Vol.84, pp.1937-1942. 1998. https://doi.org/10.1152/jappl.1998.84.6.1937
  23. V. Harjola, H. Jankala, and M. Harkonen, "Myosin heavy chain mRNA and protein distribution in inmobilized rat skeletal muscleare not affected by testoseronestatus," Acta. Physiol Scan., Vol.169, No.4, pp.277-282, 2000. https://doi.org/10.1046/j.1365-201x.2000.00739.x
  24. M. Brown and R. Taylor, "Prehabilitation and rehabilitation for attenuating hindlimb unweighting effects on skeletal muscle and gait in adult and old rats," Archives of physical medicine and rehabilitation, Vol.86, No.12, pp.2261-2269, 2005. https://doi.org/10.1016/j.apmr.2005.06.020
  25. 김복조, 이성기, 김명기, "발목 강화 운동과 기능적 전기 자극치료가 뇌졸중 환자의 보행기능 및 균형능력에 미치는 영향", 한국사회체육학회지, VOL.31, No.2, pp.921-931, 2007.
  26. A. C. Dupont, F. J. Richmond, and G. E. Loeb, "Effects of muscle inmobilization at different lengths on tetrodotoxin-induced disuse atrophy," IEEE Trans Neural Syst Rehabil Eng., Vol.11, No.3, pp.209-217, 2003. https://doi.org/10.1109/TNSRE.2003.817675
  27. L. Qin, H. J. Appell, K. M. Chan, and N. Maffulli, "Electrical stimulation prevents inmobilization atrophy in skeletal muscle of rabbits," Arch. Phys. Med. Rehabil., Vol.78, No.5, pp.512-517, 1999.
  28. T. Arakawa, S. Nonaka, A. Katada, H. Shigyo, M. Adachi, and Y. Harabuchi, "Prevention of Muscle Atrophy by Functional Electrical Stimulation," Otolaryngology, Vol.133, No.2, p.107, 2005.
  29. Z. Ashley, S. Sahnons, S. Boncompagni, F. Protasi, M. Russold, H. LanmulIer, W. Mayr, H. Sutherland, and J. C. Jarvis, "Effects of chronic electrical stimulationon long-term denervated muscles of the rabbit hindlimb," J. Muscle Res. Cell Motil., Vol.28, No.4-5, pp.203-207, 2007. https://doi.org/10.1007/s10974-007-9119-4