전기자극을 이용한 등척성 수축훈련이 뇌허혈 유발 쥐의 환측 Type I, II 근육에 미치는 영향

Effects of Isometric Contraction Training by Electrostimulation on Type I and II Hindlimb Muscles in Cerebral Ischemia Model Rats

  • 이윤경 (서울대학교 간호대학) ;
  • 최명애 (서울대학교 간호대학) ;
  • 안경주 (대구가톨릭대학교 간호학과)
  • 발행 : 2006.12.31

초록

Purpose: The purpose of this study was to examine the effects of cerebral ischemia on Type I(soleus) and Type II(plantaris, gastrocnemius) muscles, and to determine the effects of isometric contraction training by electro- stimulation on Type I and II muscles in cerebral ischemia model rats. Method: Twenty-five male Sprague-Dawley rats were randomly divided into four groups: ST(stroke), STES(stroke+electrostimulation), SH(sham) and SHES (sham+electrostimulation). The ST and STES groups received a transient right middle cerebral artery occlusion operation. The SH and SHES groups received a sham operation. The STES and SHES groups had daily isometric contraction training by electrostimulation(100Hz, 45mA, 7.5V) on hindlimb muscles for 7days. Result: Plantaris and gastrocenmius muscle weight, myofibrillar protein contents of soleus and gastrocnemius, and the muscle fiber cross-sectional area of gastrocnemius in the ST group significantly decreased compared with the SH group. Soleus, plantaris, gastrocnemius muscle weight, myofibrillar protein contents of soleus and gastrocnemius, and the Type I muscle fiber cross-sectional area of soleus and the Type II muscle fiber cross-sectional area of gastrocnemius in the STES group significantly increased compared with the 57 group. Conclusion: Hindlimb muscle atrophy occurs after acute stroke and isometric contraction training by electrostimulation during early stages of a stroke attenuates muscle atrophy of Type I and Type II muscles.

키워드

참고문헌

  1. Al-Majid, S., & McCarthy, D. O. (2001). Resistance exercise training attenuates wasting of the extensor digitorum longus muscle in mice bearing the colon-26 adenocarcinoma. Bioi Res Nurs, 2(3), 155-166 https://doi.org/10.1177/109980040100200301
  2. An, G. J., Lee, Y. K., Im, J. H., Choi, S. M., & Choe, M. A. (2000). Effect of endurance exercise on hindlime muscle mass of acute stroke rat. J Korean Bioi Nurs Sci, 2(2), 67-80
  3. An, G. J. (2004). Effect of DHEA on hindlimb muscles in a transient ischemia model rat. J Korean Acad Nurs, 34(1), 150-159 https://doi.org/10.4040/jkan.2004.34.1.150
  4. Axelsson K., Aplund, K., Norberg, A., & Alafuzoff, I. (1988). Nutritional status in patients with acute stroke. Acta Med Scand, 224, 217-224
  5. Canon, F., Bigard, A. X., Merino, D., Lienhard, F., & Geuzennec, C. Y. (1995). Effect of chronic low frequency stimulation on structural & metabolic properties of hindlimb suspended rat soleus muscle. Eur J Appl Physiol Occup physiol, 70, 528-535 https://doi.org/10.1007/BF00634382
  6. Choe, M. A, An, G. J., Lee, Y. K., Im, J. H., Khoi-Kwon, S., Heitkemper, M. (2004). Effect of inactivity and undernutrition after acute ischemic stroke in a rat hindlimb muscle model. Nursing Research, 53(5), 283-292 https://doi.org/10.1097/00006199-200409000-00001
  7. Choe, M. A. (1997). Effect of endurance exercise prior to occurrence of muscle atrophy on the mass, myofibrillar protein content and fiber crossectional area of atrophied hindlimb muscles of rats. J Korean Acad Nurs, 27(1), 96-108
  8. Cozean, C. D., Pease, W. S., & Hubbell, S. L. (1998). Biofeedback and functional electric stimulation in stroke rehabilitation. Arch Physical Med Rehab, 69, 401-405
  9. Dattola, R., Girlanda, P., Vita, G., Santoro, M., Roberto, M. L., Toscano, A., Venuto, C., Baradello, A., & Messina, C. (1993). Muscle rearrangement in patients with hemiparesis after stroke: an electrophysiological and morphological study. Eur Neurol, 33(2), 109-114 https://doi.org/10.1159/000116915
  10. Davalos, A., Ricart, W., Gonzalez, F., Soler, S., Marrugat, J., Molins, A., Suner, R., & Genis, D. (1996). Effect of malnutrition after acute stroke on clinical outcome. Stroke, 27(6), 1028-1032 https://doi.org/10.1161/01.STR.27.6.1028
  11. Duncan, P. W. (1994). Stroke disability. Physical Ther, 74(5), 399-406 https://doi.org/10.1093/ptj/74.5.399
  12. Glanz, M., Klawansky S., Stason W., Berkey, C., & Chalmers, T, C. (1996). Functional electro stimulation in poststroke rehabilitation: a meta-analysis of the randomized controlled trials. Arch Physical Med Rehab, 77(6), 549-553 https://doi.org/10.1016/S0003-9993(96)90293-2
  13. Hachisuka. K., Umezu, Y., & Ogata H. (1997). Disuse muscle atrophy of lower limbs in hemiplegic patients. Arch Physical Med Rehab, 78, 13-18 https://doi.org/10.1016/S0003-9993(97)90003-4
  14. Kasper, C. E, McNulty, A. L, Otto, A. J., & Thomas, D. P. (1993). Alterations in skeletal muscle related to impaired physical mobility: an empirical model. Res Nurs Health, 16(4), 265-273 https://doi.org/10.1002/nur.4770160405
  15. Kenji, H., Yuichi, U., & Hajime, O. (1997). Disuse muscle atrophy of lower limbs in hemiplegic patients. Arch Physical Med Rehab, 78, 13-18 https://doi.org/10.1016/S0003-9993(97)90003-4
  16. Kots, Y. (1977). Notes from lectures and laboratory periods. Canadian-Soviet Exchange Symposium on Electrostimulation of skeletal muscles. Concordia University, Montreal, Quebec, December 6-15
  17. Lee, J. H. (1995). Electrotherapy. Daehakseorim: Seoul
  18. Lieu, F., Pwers, S. K.,. Herb, R. A., Crisswell, D., Martin, D., Wood, C., Stainsby, W., & Chen, C. (1993). Exercise and glucocorticoid-induced diaphragmatic myopathy. J Appl Physiol, 75(2), 763-771 https://doi.org/10.1152/jappl.1993.75.2.763
  19. Millward, D. J., Garlick, P. J., Stewart, R. J., Nnanyelugo, D. O., & Waterlow, J. C. (1975). Skeletal muscle growth and protein turnover. J Biochemistry, 150, 235-243 https://doi.org/10.1042/bj1500235
  20. Nagaraj R. Y, Nosek, C. M., Brotto, M. A., Nishi, M., Takeshim, H., Nosek, T. M., & Ma, J. (2000). Increased susceptibility to fatigue of slow- and fast-twitch muscles from mice lacking the MG29 gene. Physiol Genomics, 4(1), 43-49 https://doi.org/10.1152/physiolgenomics.2000.4.1.43
  21. Nagasawa, H., & Kogure, K. (1989) Correlation between cerebral blood flow and histologic changes in a new rat model of middle cerebral artery occlusion. Stroke, 20, 1037-043 https://doi.org/10.1161/01.STR.20.8.1037
  22. Powell, J., Pandyan, D., Granat, M., Cameron, M., & Stott, D. J. (1999). Electrical stimulation of wrist extensions in poststroke hemiplegia. Stroke, 30, 1384-1389 https://doi.org/10.1161/01.STR.30.7.1384
  23. Quin, L., Appell, H. J., Chan, K. M., & Maffulli, N. (1997). Electrical stimulation prevents immobilization atrophy in skeletal muscle of rabbits. Arch Physical Med Rehab, 78, 512-517 https://doi.org/10.1016/S0003-9993(97)90166-0
  24. Salvatori, S., Ernesto, D., Francesco, Z., Pompeo, Dandra, P., Daniela, Q., Giovanni, S., & Alfredo, M. (1989). Denervation-induced proliferative changes of triads in rabbit skeletal muscle. Muscle Nerve, 11, 1246-1259 https://doi.org/10.1002/mus.880111209
  25. Scelsi, R., Lotta, G., Lommi, P., & Marchetti, C. (1984). Hemiplegic atrophy. Acta Neuropathol(Berl), 62, 324-331 https://doi.org/10.1007/BF00687615
  26. Schneider, R., & Gautier, J. C. (1994). Leg weakness due to stroke. site of lesions, weakness patterns and causes. Brain, 117(2), 347-354 https://doi.org/10.1093/brain/117.2.347
  27. Sharp, S. A., & Brouwer, B. J. (1997). Isokinetic strength training of the hemiplegic knee: Effect on function an spasticity. Arch Physical Med Rehab, 78, 1231-1236 https://doi.org/10.1016/S0003-9993(97)90337-3
  28. Shizgal, H. M. (1990). Validation of the measurement of body composition from whole body bioelectric impedance. Infusions Ther, 17(Suppl 3), 67-74
  29. Starnes, J. W., Beyer., R. E., Farrar, R. P., & Edington, D. W. (1987). Protein synthesis in skeletal muscle from normal and diabetic rats following increased contractile activity in situ. Res Commun Chem Pathol Pharmacol, 58, 339-353
  30. Teixeira-Salmela, L. F., Olney, S. J., Nadeau, S., & Brouwer, B. (1999). Muscle strengthening and physical conditioning to reduce impairment and disability in chronic stroke survivors. Arch Physical Med Rehab, 80, 1211-1218 https://doi.org/10.1016/S0003-9993(99)90018-7
  31. Vinge, O., Edvardsen, L., Jensen, F., Jensen, F. G., Wernerman, J., & Kehlet, H. (1996). Effect of transcutaneous electrical muscle stimulation on postoperative muscle mass and protein synthesis. Br J Surg, 83(3), 360-363 https://doi.org/10.1002/bjs.1800830320