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January 28, 2021Clinical NeurophysiologyOpen Access

Motor unit reserve capacity in spinal muscular atrophy during fatiguing endurance performance

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Key result

Patients with spinal muscular atrophy exhibited significantly higher normalized sEMG amplitudes at onset of upper body endurance tests compared to controls, revealing motor unit reserve capacity.

Why the study?

To investigate whether patients with spinal muscular atrophy have motor unit reserve capacity available during fatiguing endurance testing.

Is motor unit reserve capacity available during fatiguing endurance testing in patients with spinal muscular atrophy compared to healthy controls?

Population

70 patients with SMA types 2-4 and 19 healthy controls

Comparison

Patients with SMA types 2-4 vs healthy controls during endurance shuttle tests

Authors

LHLaura E. HabetsBBBart BartelsJGJanke F. de Groot

Discussion

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Overview

Supports motor unit reserve in SMA; hypothesis-generating for fatigability interventions.

Study Design

Type

Observational (n=89)

Structured PICO

Is motor unit reserve capacity available during fatiguing endurance testing in patients with spinal muscular atrophy compared to healthy controls?

P
Population
89 participants, comprising 70 patients with spinal muscular atrophy types 2-4 and 19 healthy controls, who performed endurance shuttle tests of arms and legs.
E
Exposure
Endurance shuttle tests (ESTs) of arm and legs with surface electromyography (sEMG) recording
C
Comparator
19 healthy controls performing the same tests
O
Outcome
Development of fatigability and motor unit recruitment evaluated using time courses of median frequencies and amplitudes of sEMG signalssurrogate

Patients with SMA demonstrate motor unit reserve capacity during submaximal endurance tasks, suggesting a potential therapeutic target to reduce fatigability.

Cite This Study

Habets et al. (2021) conducted an observational in Spinal muscular atrophy (n=89). Spinal muscular atrophy (SMA) types 2-4 vs. Healthy controls was evaluated on Development of fatigability and motor unit recruitment using time courses of median frequencies and amplitudes of sEMG signals. Patients with spinal muscular atrophy exhibited significantly higher normalized sEMG amplitudes at onset of upper body endurance tests compared to controls, revealing motor unit reserve capacity.

synapsesocial.com/papers/6a957b2b2273404a50fa6bedhttps://doi.org/10.1016/j.clinph.2020.11.044
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impaired Muscle Mitochondrial Biogenesis and Myogenesis in Spinal Muscular Atrophy2015 · 136 citations
  2. 2Dysfunction of the neuromuscular junction in spinal muscular atrophy types 2 and 32012 · 111 citations
  3. 3Shifts in EMG spectral power during fatiguing dynamic contractions2013 · 41 citations
  4. 4Fatigue and fatigability in neurologic illnesses2013 · 1,058 citations