1. Pathological Spontaneous Activity in Different Thoracic Paraspinal Muscles in Amyotrophic Lateral Sclerosis.
- Author
-
Ren, Yuting, Chen, Na, Zhang, Kang, Chen, Bin, Niu, Songtao, Wang, Xingao, Jian, Fan, Zhang, Zaiqiang, Pan, Hua, and Sala, Gessica
- Subjects
- *
AMYOTROPHIC lateral sclerosis , *VITAL capacity (Respiration) , *LINEAR statistical models , *STATISTICAL correlation - Abstract
Objective: The aim of our study was to compare the clinical value of pathological spontaneous activity (PSA) in different thoracic paraspinal muscles (TPMs) in amyotrophic lateral sclerosis (ALS). Methods: A total of 116 ALS patients were retrospectively analyzed over 31 ± 8 months concerning the occurrence of PSA in T9–T11 TPM. The occurrence of PSA was correlated with pulmonary function and clinical disability. Results: The positive sharp wave (PSW) potentials were more frequently observed than fibrillation (fib) in T9–T11 segments. The PSA positive frequency of bulbar‐onset ALS (B‐ALS) is less than upper limb‐onset ALS (U‐ALS) and lower limb‐onset ALS (L‐ALS) at the levels of T10 and T11 TPM (p = 0.050, p = 0.001). The fibs/PSWs in TPM indicated high sensitivity and negative predictive value for forced vital capacity (FVC) < 80%. Linear correlation analysis indicated that PSA of TPM was associated with pulmonary ventilation function (PVF). Associations also exist between clinical parameters and PVF as well as the disease severity. Conclusions: The occurrence of T9‐TPM fibs/PSWs was correlated with clinical disability and is extremely helpful in implying an involvement of PVF. The T9‐TPM typically provided a good practical indicator for comprehensive disease evaluation, which was irrelevant to the site of onset. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF