Journal of Applied Physiology  AJP: Regulatory, Integrative and Comparative Physiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


J Appl Physiol (November 20, 2008). doi:10.1152/japplphysiol.90435.2008
This Article
Right arrow Full Text (PDF) Free
Right arrow All Versions of this Article:
106/1/268    most recent
90435.2008v1
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Wielopolski, Ph.D., L.
Right arrow Articles by Bauman, W. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Wielopolski, Ph.D., L.
Right arrow Articles by Bauman, W. A.
Submitted on March 21, 2008
Revised on October 24, 2008
Accepted on November 12, 2008

Measuring Partial Body Potassium in the Legs of Patients with Spinal Cord Injury: A New Approach

Lucian Wielopolski, Ph.D.1*, Lisa Marie Ramirez1, Ann M. Spungen2, Shevana Swaby3, Pierre Asselin3, and William A. Bauman4

1 Brookhaven National Laboratory
2 James J Peters VA Medical Center
3 Veterans Affairs Medical Center
4 James J. Peters VA Medical Center

* To whom correspondence should be addressed. E-mail: lwielo{at}bnl.gov.

Patients with acute spinal cord injury (SCI) with paralysis experience rapid and marked muscle atrophy below the level of the lesion. Muscle is lost above the lesion due to enforced bed rest associated with immobilization. Presently, there is no viable method to quantify muscle loss between the time of injury to the initiation of rehabilitation and re-mobilization. Furthermore, to assess the efficacy of any physical- or pharmacological-intervention necessitates the ability to accurately determine the impact of these treatments on muscle mass and function. Our results are presented from measurements of regional potassium (K) in the legs of persons with chronic SCI. The intracellular body K, comprising about 97% of the total body K, is indicative of the metabolically active cell mass, of which over 50% is located in the skeletal muscle (SM). To assess regional variations in SM mass in the legs, a partial body K (PBK) system designed for this purpose was placed on a potentially mobile cart. The SM mass measured by PBK in an able-bodied control cohort (n=17) and in patients with chronic SCI (n=21) was 17.6±0.86 kg, and 11.0±0.65 kg, respectively, a difference of about 37.5%. However, the difference in the lean tissue mass of the legs obtained by dual-energy absorptiometry (DXA) in the same cohorts was 20.5±0.86 kg and 15.5±0.88 kg, or about 24.4%. PBK offers a novel approach to obtain regional K measurements in the legs, thus allowing the potential for early and serial assessment of muscle loss in SCI subjects during the acute and sub-acute periods following paralysis. The basic characteristics and performance of our PBK system, and our calibration procedure are described in this preliminary report.







HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Visit Other APS Journals Online
Copyright © 1948 by the American Physiological Society.