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J Appl Physiol (December 7, 2006). doi:10.1152/japplphysiol.00870.2006
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Submitted on August 7, 2006
Accepted on December 4, 2006

Changes in Expiratory Muscle Function Following Spinal Cord Section

Krzysztof E Kowalski1, Jaroslaw R Romaniuk1, and Anthony F DiMarco1*

1 Physiology and Biophysics, Case Western Reserve University, Cleveland, Ohio, United States; MetroHealth Medical Center, Cleveland, Ohio, United States

* To whom correspondence should be addressed. E-mail: afd3{at}cwru.edu.

Following spinal cord injury, muscles below the level of injury develop variable degrees of disuse atrophy. The present study assessed the physiologic changes of the expiratory muscles in a cat model of spinal cord injury. Muscle fiber typing, cross-sectional area, muscle weight and changes in pressure generating capacity were assessed in 5 cats spinalized at the T6 level. Airway pressure (P) generating capacity was monitored during lower thoracic spinal cord stimulation before and 6 months following spinalization. These parameters were also assessed in 5 acute animals, which served as controls. In spinalized animals, P fell from 41 ± l to 28 ± 3 cmH2O (SE) (p < 0.001). Muscle weight of the external oblique (EO), internal oblique (IO), transversus abdominis (TA) and internal intercostal (II) muscles decreased significantly (p < 0.05 for each). Muscle weight of the EO, IO, TA and II correlated linearly with P (r > 0.7 for each, p < 0.05 for each), but not rectus abdominis (RA). Mean muscle fiber cross-sectional area of these muscles was significantly smaller (p < 0.05 for each; except RA) and also correlated linearly with P (r > 0.55 for each, p < 0.05 for each; except RA). In spinalized animals, the expiratory muscles demonstrated a significant increase in the population of fast muscle fibers. These results indicate that following spinalization: a) the expiratory muscles undergo significant atrophy and fiber type transformation and b) the pressure generating capacity of the expiratory muscles falls significantly secondary to reductions in muscle mass.




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A. F. DiMarco and K. E. Kowalski
Effects of chronic electrical stimulation on paralyzed expiratory muscles
J Appl Physiol, June 1, 2008; 104(6): 1634 - 1640.
[Abstract] [Full Text] [PDF]




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