title: Increased threshold sural amplitude after upper limb isometric contraction in complete paraplegics.
abstract: OBJECTIVE
  To determine whether the enhancement of threshold sural sensory nerve action potentials (SNAPs) occurred in patients with spinal cord injury after upper limb isometric contraction.
  
  
  METHODS
  This prospective study, in which ten paraplegic patients with spinal cord injury were recruited from the Harris County community and served as his/her own control, was performed in the electromyography laboratory at Harris County Hospital District Quentin Mease Hospital. The baseline SNAP was established using ten threshold, signal-averaged stimuli to the sural nerve. With the same stimulus strength, the SNAP was recorded while the subjects' arms were pulled apart against a force gauge at 50% and 100% maximum force. Responses were recorded every 4 min until the values returned to baseline.
  
  
  RESULTS
  Results showed an increase in the SNAP amplitude after 50% and 100% maximum force. The mean preexercise SNAP amplitude was 4.0 +/- 0.6 (SE) microV. At 50% force, the SNAP amplitude was 7.57 +/- 1.2 microV; at 100% force, it was 7.29 +/- 1.2 microV. The post hoc analysis of the data revealed P = 0.009 and P = 0.01 for 50% and 100% maximum force, respectively.
  
  
  CONCLUSIONS
  The threshold SNAP of the sural nerve was enhanced after isometric exercise in paraplegic patients with spinal cord injury.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas, USA.
authors.forename: T M
authors.initials: TM
authors.lastname: Tran
authors.forename: F
authors.initials: F
authors.lastname: Moss
authors.forename: L R
authors.initials: LR
authors.lastname: Robinson
authors.forename: F Y
authors.initials: FY
authors.lastname: Chiou-Tan
mesh_terms: D000200:Action Potentials; D000328:Adult; D000704:Analysis of Variance; D001132:Arm; D004576:Electromyography; D005260:Female; D006801:Humans; D007537:Isometric Contraction; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000294:innervation*; D010264:Paraplegia / Q000209:etiology / Q000534:rehabilitation*; D011446:Prospective Studies; D012684:Sensory Thresholds; D013119:Spinal Cord Injuries / Q000150:complications / Q000534:rehabilitation*; D013497:Sural Nerve / Q000503:physiopathology*