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  4. Altered mRNA expression after long-term soleus electrical stimulation training in humans with paralysis

Altered mRNA expression after long-term soleus electrical stimulation training in humans with paralysis

Muscle Nerve, 2011 · DOI: 10.1002/mus.21831 · Published: January 1, 2011

Spinal Cord InjuryNeurologyMusculoskeletal Medicine

Simple Explanation

Spinal cord injury can cause muscle atrophy and changes in muscle function. Electrical stimulation training can help prevent or reverse these changes. Researchers studied two individuals with spinal cord injuries who had been receiving electrical stimulation to their soleus muscles for over six years. The study found that electrical stimulation training altered the expression of genes in the trained muscles, leading to improved muscle mass and function.

Study Duration
>6 Years
Participants
Two males with T4 complete paraplegia
Evidence Level
Not specified

Key Findings

  • 1
    Long-term electrical stimulation training preserved torque, fatigue index, contractile speed, and cross-sectional area in the trained leg compared to the untrained leg.
  • 2
    Training decreased the expression of mRNAs required for fast-twitch contractions and myostatin, a hormone that inhibits muscle growth.
  • 3
    Training increased the expression of mRNAs that mediate the slow-twitch, oxidative phenotype, including PGC-1α, which inhibits muscle atrophy.

Research Summary

This study investigated the molecular mechanisms underlying muscle stimulation training in individuals with spinal cord injury (SCI). Two SCI subjects who received >6 years of electrical stimulation training to their right soleus muscles were studied. The results showed that training induced localized and long-lasting changes in skeletal muscle mRNA expression, improving muscle mass and function, and these effects diminished slowly after training was discontinued.

Practical Implications

Rehabilitation Strategies

Electrical stimulation training can be used to prevent or reverse muscle atrophy and improve muscle function in individuals with SCI.

Targeted Therapies

Understanding the molecular mechanisms of muscle stimulation training can lead to the development of targeted therapies to promote muscle growth and prevent atrophy.

Personalized Training

Optimizing electrical stimulation protocols based on individual needs can maximize the benefits of training and improve outcomes for individuals with SCI.

Study Limitations

  • 1
    Small sample size (two subjects).
  • 2
    The deep flexor group contributed to the physiologic variables observed.
  • 3
    More subjects with various SCI durations must be studied before the molecular adaptations to electrical stimulation training can be completely characterized.

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