The effects of stimulation of the A5 cell group of the caudal ventrolateral pons electrically or with L-glutamate on heart rate and blood pressure were determined in rabbits. Electrical stimulation caused blood pressure increases and reflex bradycardia. L-glutamate caused decreases in blood pressure and heart rate which were blocked by the L-glutamate antagonist aminophosphoheptanoic acid. Transection of the brainstem at the level of the midbrain did not alter the effects of either electrical or chemical stimulation. Lesions of the nucleus and tractus solitarius (NTS) attenuated the effects of L-glutamate, but did not change the effectiveness electrical stimulation. Injections of 6-hydroxydopamine three to four weeks before the experiments blocked the effects of electrical stimulation but only reduced the effects of L-glutamate injection. The A5 group may have two functional subdivisions. Some A5 cells may produce blood pressure depressor and bradycardiac effects by means of projections to the NTS and the spinal cord. Other A5 cells may produce blood pressure presser effects by means of projections to the spinal cord.

Background: Functional Electrical Stimulation (FES) stimulates peripheral nerves via electrical current to evoke muscle contractions and when combined with lower extremity cycling (LE), creates patterned leg movements. Previous studies demonstrated FES cycling is safe and effective in the spinal cord injury and stroke populations with improvements seen in walking speed, muscle mass, and bone density. Few studies have applied FES cycling to a neurodegenerative disorder, such as multiple sclerosis (MS). The aim of this study is to assess the effect of an 8-week training program using FES cycling, compared to Cycling Only, in people with MS (PWMS). Methods: Using a sample of convenience, PWMS were recruited to participate and randomized to the FES Cycling group or the Cycling Only group. Both groups received training three-times per week for 8- weeks using a LE ergometer. Scores on the 6 Minute Walk Test (6MWT), Times 25-Foot Walk Test (T25FW), Five Times Sit-to-Stand (5XSST), and Timed Up and Go (TUG), and spatiotemporal measure of gait were collected at baseline, (before the 1st session), 4-weeks (before the 13th session), 8-weeks (after the 24th training session), and at 4-week follow-up. Scores on the MS Quality of Life-54 (MSQOL), Modified Fatigue Impact Scale (MFIS), Multiple Sclerosis Walking Scale-12 (MSWS-12), and Activities-specific Balance Confidence Scale (ABC) were collected at baseline, 8-weeks, and at 4-week follow-up. Results: Fourteen participants (8 female, 6 male, mean age = 53.64 ± 10.16 years; Patient Determined Disease Steps (PDDS) mean = 3.71 ± .091) completed the training. Cycling power output significantly increased in both groups over time (FES Cycling, p = 0.03; Cycling only p = 0.004), but no differences were found between groups (p = 0.08). The Cycling Only group demonstrated a slightly larger effect size for power output than the FES Group (d = 0.72 vs. 0.66). Immediately after the intervention period, scores on the 6MWT, 5XSST, and MFIS, and subscores of the MSQOL-54 improved significantly, but changes did not consistently favor one group over the other (p >0.05). There were no significant differences between groups on any of the outcome measures. Conclusions: FES Cycling or Cycling Only may be an effective intervention for improving walking endurance, sit-to-stand, and QOL in PWMS. This unique pilot study compared FES cycling versus Cycling Only for PWMS using a customized progression protocol. Further research with larger sample sizes are needed to better understand the effects of FES Cycling on PWMS.

京都大学 / 0048 / 新制・論文博士 / 博士(医学) / 乙第12817号 / 論医博第2079号 / 新制||医||1004(附属図書館) / 31304 / 京都大学大学院医学研究科脳統御医科学系専攻 / (主査)教授 河野 憲二, 教授 金子 武嗣, 教授 大森 治紀 / 学位規則第4条第2項該当 / Doctor of Medical Science / Kyoto University / DFAM

Spinal cord injury (SCI) results in persistent neurological deficits and significant long-term disability. Stimulation of peripheral afferents by epidural electrical stimulation (EES) has been reported to reduce spasticity by reorganizing spared and disrupted descending pathways and local circuits. However, a current barrier to the field is that the plasticity mechanisms that underly improved recovery is unknown. Using the power of hM3Dq Designer Receptors Exclusively Activated by Designer Drugs (DREADDs), we aim to accelerate the dissection of the mechanisms underlying enhanced recovery. In these studies, we identified the effect of clozapine-N-oxide (CNO) on the H-reflex of naïve animals; investigated the baseline influence of hM3Dq DREADDs in peripheral afferents in the intact animal using a novel behavioral tool, an addition of angled rungs to the horizontal ladder walking task; and began to uncover the neural and behavioral changes that accompany hM3Dq DREADDs activation in peripheral afferents after SCI. We observed no significant differences in the H-reflex with 4 mg/kg dosage of CNO administration (pre-CNO vs. CNO-active: p=0.82; CNO-active vs. CNO wash-out: p=0.98; n=6). On our novel ladder, we found significant differences in correct hind paw placement (p=0.0002, n=7) and incorrect placement (p=0.01) when DREADDs were activated with CNO (4 mg/kg). In our SCI study, we report that acute and chronic DREADDs activation may activate extensor muscles about the hip (32 cm/s: p=0.047; controls: n=6; DREADDs: n=8 and hereafter unless otherwise stated) as well as induce sprouting and synaptogenesis within motor pools and Clarke’s column in the lumbar spinal cord (motor pool: p=0.00053; Clarke’s column: p=0.021; controls: n=4; DREADDs: n=6). This muscle recruitment may have long-term effects such as increased hindquarter heights (e.g., 16 cm/s: p=0.017) and more frequent hindlimb coordination (p=0.002). Results from this study suggest hM3Dq DREADDs may have the potential to recapitulate EES-activation of afferents as well as provide a platform with which to functionally map changes that occur both within targeted afferents and second order neurons they effect. Future work, such as using C-Fos to examine and map changes in interneuronal networks, could seek to more directly tie changes in kinematics to observed changes in plasticity. / Bioengineering

The effects of electrical stimulation of the A5 noradrenergic cell group of the ventrolateral pons was assessed in rabbits. Stimulation administered through either concentric bipolar or monopolar electrodes produced current-intensity related increases in mean arterial pressure (MAP). Decreases in heart rate (HR) accompanied the increases in MAP, but were essentially eliminated by bilateral vagotomy or destruction of the nucleus and tractus solitarii (NTS), thereby indicating that the HR decelerations were secondary to activation of baroreceptor reflexes. Neither vagotomy nor midcollicular section of the brainstem altered the MAP response to A5 stimulation. Bilateral destruction of the NTS slightly enhanced the response. Several rabbits received microinjections of 6-hydroxydopamine (6-OHDA) into the A5 region 2 weeks before the experiment. Other rabbits received vehicle injections and served as control subjects for the non-specific effects of the 6-OHDA injections. 6-OHDA injections, but not vehicle injections, prevented the vasopressor effects of A5 stimulation. However, stimulation of the A1 noradrenergic nucleus of the ventrolateral medulla produced decreases in MAP in rabbits given prior microinjections of 6-OHDA into A5. These observations are interpreted to indicate that the 6-OHDA injections produced neurotoxic effects which were relatively restricted to the A5 region. Furthermore, the data from all of these experiments are interpreted as indicating that the vasopressor effects observed as a consequence of electrical stimulation of A5 are due to excitation of the noradrenaline-containing neuron cell bodies of this region and that this effect is mediated via pathways arising from this region and terminating in the intermediolateral cell column of the spinal cord.

No description available.

Context: Electrodes play an important role in interfacing tissue with electrical stimulation devices. Manufacturers recommend that adhesive metallic mesh cloth electrodes be used no more than 10 times before they are discarded, however, clinically the electrodes are often used up to 30 times. Another concern is sanitation. When electrodes are used on different patients, there is a chance for cross-contamination and bacterial growth on the electrode. Objective: To compare amplitudes of perceived sensation, motor twitch and force produced at specific amplitudes using single-use electrodes that run no risk of cross-contamination, and multiple-use electrodes. Design: Mixed model ANOVA with the subject blocked. Setting: Therapeutic modalities research laboratory. Patients or Other Participants: 20 subjects comprised of 7 males (age 24.7 yrs ± 2.3 yrs, skin fold thickness 5.9 mm ± 2.4 mm) and 13 females (age 21.5 yrs ± 2.3 yrs, skin fold thickness 10.7 mm ± 4.1 mm) recruited by volunteer sample mainly from athletic and athletic training populations. They drew random numbers to determine which group they were assigned to. Interventions: Each subject had electrodes placed on their wrist extensors muscles. Measures were recorded of what intensity it took to achieve perceived sensation, motor twitch, and force produced at a specific intensity. To determine decay, multiple use electrodes were tested initially and on the 10th use. After the multiple use electrodes were tested initially, they were leached out. After eight uses, pretest procedures were repeated (10th use electrode) as the final trial on the subjects. Single use electrodes were tested one time. Main Outcome Measures: The dependent variables were sensation, motor twitch and force production. The experiment was a repeated measures study, using mixed models ANOVA with subjects blocked. Alpha was set at p<0.05. Data was analyzed using a SAS proc mixed 9.1. Results: There was no statistical difference between the measures taken during the initial trial and final trial of the multiple use electrodes for muscle twitch (FMUI MUF muscle twitch= 107.3, p= 0.09) and force production (FMUI MUF force production=28.7, p= 0.11). There was a significant difference between the single use and the multiple use electrodes for the initial and final trial. Average values in mA for perceived sensory were: single use 9.73, multiple use initial 16.70 , multiple use final 21.03; observed muscle twitch: single use 15.87, multiple use initial 29.16, multiple use final 31.78; and force produced: single use 22.8 Newtons, multiple use initial 10.0 Newtons, multiple use final 5.0 Newtons. Conclusion: Single-use electrodes produce more conductive power with fewer milliamps compared to multiple-use electrodes. Single use electrodes are just as, or more efficient as the multiple use electrodes and have the added advantage of eliminating the possibility of cross-contamination of bacteria from patient to patient.

This study examined the effects of electrical stimulation on water-soluble flavor compounds in beef semimembranosus muscle, collected immediately after exsanguination (PRE), immediately after stimulation (POST), and 24 h postmortem (H24) from both stimulated (ES) and non-stimulated (CON) carcasses. Short-chained peptides were greater in ES at H24 (P = 0.007). Glutamic acid concentration was above its taste threshold (0.044 mmol/kg) and was less in ES at PRE and POST by 0.030 mmol/kg (P ≤ 0.028) but was similar in both ES and CON by H24 (P = 0.142). Lysine, a Strecker amino acid, was greater in ES at H24 by 0.138 mmol/kg (P = 0.002). Adenosine triphosphate and adenosine 5’-monophosphate were greater in CON at both POST and H24 (P < 0.001). Inosine 5’-monophosphate was greater at H24 in CON (P < 0.001) than in ES. Electrical stimulation may negatively impact beef flavor by increasing bitter peptides and decreasing umami-enhancing nucleotides.

No description available.

No description available.