RESUMEN
In order to assess the central motor pathways of HIV-infected patients motor evoked potentials were recorded on the upper limbs after transcranial and cervical magnetic stimulations and compared with peripheral conduction velocities. Motor evoked potentials were measured on both sides of 28 patients, mostly at the AIDS stage. Our results showed that although peripheral neuropathy was often found, central motor pathways did not appear, at the level they were tested, to be directly or indirectly damaged by the virus. On the contrary, some hyperexcitability seemed to be present.
Asunto(s)
Síndrome de Inmunodeficiencia Adquirida/complicaciones , Enfermedades del Sistema Nervioso Central/fisiopatología , Conducción Nerviosa/fisiología , Enfermedades del Sistema Nervioso Periférico/fisiopatología , Adulto , Enfermedades del Sistema Nervioso Central/etiología , Electromiografía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neuronas Motoras/fisiología , Enfermedades del Sistema Nervioso Periférico/etiología , Tiempo de Reacción , Valores de Referencia , Estimulación Eléctrica Transcutánea del NervioRESUMEN
Nervous conduction was measured in 27 subjects before and after compression in ternary mixture (helium, nitrogen and oxygen) ranging from 5,5 to 12 ATA. Among the eleven parameters studied, three showed an acceleration of the nervous conduction in the distal part of the sensitive and motor fibers. Although no precise mechanism can be established, different factors, in particular the role of ischemia, are discussed.
Asunto(s)
Presión Atmosférica , Conducción Nerviosa , Adulto , Helio , Humanos , Persona de Mediana Edad , Nitrógeno , Oxígeno , Nervios Periféricos/irrigación sanguínea , Tiempo de Reacción/fisiologíaRESUMEN
Both, an analysis of the variation of the electromyographic signal with respect to the acceleration endured by flying personnel and an ergonomic evaluation of pilot activity, have been achieved. The authors show then the inadequacy of the muscular response to the high Gz with rapid on set and its functional incompatibility to provide simultaneously a correct bearning contraction and a good mobility of neck. Consequently, the authors propose an instruction of flying personnel about these risks and they determine a specific muscular training.
Asunto(s)
Aceleración , Ergonomía , Músculos del Cuello/fisiología , Medicina Aeroespacial , Aviación/educación , Vértebras Cervicales/fisiología , Electromiografía , Francia , Movimientos de la Cabeza , Humanos , Personal MilitarRESUMEN
The velocities of motor and sensory nervous conduction and of neuro-muscular transmission were measured in four subjects during a simulated dive at 4.6 MPa (46 bars). The results show an increase in motor distal latency in the ulnar nerve, especially during decompression, with reversibility of the effect on return to ambient conditions. The hypothesis of an interaction of dissolved gases with the membranes of ischaemic cells is proposed.