Electrical Stimulation of Denervated Muscle

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Questions and Answers

Which of the following is the primary rationale for electrically stimulating denervated muscle?

  • To impede the regeneration of injured axons
  • To facilitate functional recovery following reinnervation (correct)
  • To accelerate the degeneration of neuromuscular junctions
  • To prevent muscle atrophy

What is a physiological change that occurs in muscles following denervation?

  • Alteration in electrical properties of the membrane (correct)
  • Increase in neuromuscular junctions integrity
  • Decrease in subsarcolemmal nuclei
  • Reduction in synthesis of the sarcoplasmic reticulum

What is a biochemical change that occurs in muscles following denervation?

  • Decrease in synthesis of the sarcoplasm (correct)
  • Transient decrease in the subsarcolemmal nuclei
  • Reduction in lysosomes
  • Increase in trophic substances supply from motoneurons

What change occurs in muscle contraction time following denervation?

<p>Increase (A)</p> Signup and view all the answers

Prior to denervation, what maintains the physiologic integrity of muscle fibers?

<p>Continuous supply of trophic substances from the motoneurons (C)</p> Signup and view all the answers

What is the rationale behind exercising denervated muscle?

<p>To facilitate functional recovery following reinnervation (C)</p> Signup and view all the answers

Which of the following is a potential benefit of electrical stimulation of denervated muscle?

<p>Delays muscle fiber degeneration and fibrosis (D)</p> Signup and view all the answers

What is the most obvious change observed following denervation?

<p>Reduction in the diameter of individual muscle fibers (B)</p> Signup and view all the answers

Why may intense stimuli (i.e., 25 mA) cause limited reinnervation in some studies?

<p>It causes local trauma to the newly forming neuromuscular junctions (A)</p> Signup and view all the answers

What happens if reinnervation has not occurred within 2 years following denervation?

<p>All contractile elements of the muscle are replaced by fibrous connective tissue (B)</p> Signup and view all the answers

Why did many investigators and clinicians report that electrical stimulation only retarded the atrophy and did not prevent it?

<p>The intensity of the stimuli may have left deeper fibers unaffected (C)</p> Signup and view all the answers

What is a possible reason for lack of success in facilitating reinnervation using electrical stimulation in some studies?

<p>Intensity of the stimuli causing local trauma to newly forming neuromuscular junctions (B)</p> Signup and view all the answers

What may disrupt regenerating neuromuscular junctions and subsequently delay reinnervation?

<p>Contraction of the denervated muscle (B)</p> Signup and view all the answers

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