Low-frequency electrically induced exercise after spinal cord injury: Physiologic challenge to skeletal muscle and feasibility for long-term use.

CONTEXT: Skeletal muscle has traditionally been considered a "force generator": necessary for purposes of locomotion, but expendable for non-ambulators who use wheelchairs, such as people with a spinal cord injury (SCI). Active skeletal muscle plays an indispensable role in regulating systemic metabolic functions, even in people with paralysis, but because of severe osteoporosis, high tetanic muscle forces induced with high frequency electrical stimulation may be risky for some individuals. The purpose of this study was to compare the physiologic muscle properties incurred by two low force/low frequency repetitive stimulation protocols (1 and 3 Hz); and, to assess the acceptability of each protocol among people with SCI. METHODS: Ten individuals with chronic SCI (12.9 years) and 11 individuals without SCI (NonSCI) participated in the study. Participants received either 1 or 3 Hz stimulation to the quadriceps muscle on Day 1, then the converse on Day 2. Each session consisted of 1000 stimulus pulses. RESULTS: The initial and maximum forces were similar for the 1 and 3 Hz frequencies. The fatigue index (FI) for SCI and NonSCI groups were lower (P < 0.007) for 3 Hz than for 1 Hz (0.34 ± 0.17 versus 0.65 ± 0.16 and 0.72 ± 0.14 versus 0.87 ± 0.07, respectively). CONCLUSION: The 3 Hz stimulation offered the greatest physiological challenge and was perceived as more acceptable for long term use among people with SCI.

Exercise Prescription Principles among Physicians and Physical Therapists for Patients with Impaired Glucose Control: A Cross-Sectional Study.

Exercise confers a multitude of benefits with limited adverse side effects, making it a powerful "medication" for a plethora of diseases. In people living with uncontrolled glucose levels, exercise can be an effective "medication" to assist in the management of hyperglycemia. We sought to survey healthcare providers (physicians and physical therapists) to determine the current state of exercise recommendation for people with glucose control issues. Healthcare providers were surveyed from six academic medical centers in the Midwest to determine the recommended exercise parameters (type, frequency, duration, intensity, and timing) for patients with glucose control issues. Data from 209 practitioners who completed the survey were used for analysis. Chi-square tests were used to determine differences in exercise recommendations between physical therapists (PTs) and physicians (MD/DOs). PTs and MD/DOs recommended similar exercise parameters. Of all respondents, 78.9% recommended exercise to patients with glucose control issues. Respondents who considered themselves to be active exercisers were more likely to recommend exercise than those who were not exercisers. Only 6.1% of all respondents recommended post-meal exercise. Healthcare providers overwhelmingly recommended exercise for people with glucose control issues, but the "timing" is not congruent with best practice recommendations.

Plant surface metabolites as potent antifungal agents.

Triunsaturated fatty acids are substrates for the synthesis of the defense hormone jasmonate which plays roles in resistance to numerous fungal pathogens. However, relatively little is known about other potential roles of di-unsaturated and triunsaturated fatty acids in resistance to fungal pathogens - in particular those that can attack plants at the seedling stage. We examined the roles of polyunsaturated fatty acids (PUFAs) in Arabidopsis thaliana during attack by the necrotrophic pathogen, Botrytis cinerea. We found that PUFA-deficient Arabidopsis mutants (fad2-1, fad2-3 and fad3-2 fad7-2 fad8 [fad trip]) displayed an unexpectedly strong resistance to B. cinerea at the cotyledon stage. Preliminary analyses revealed no changes in the expression of defense genes, however cuticle permeability defects were detected in both fad2-1 and fad trip mutants. Analysis of B. cinerea development on the surface of cotyledons revealed arrested hyphal growth on fad2-3 and fad trip mutants and 28% reduction in fungal adhesion on fad2-3 cotyledons. Surface metabolite analysis from the cotyledons of PUFA mutants led to the identification of 7-methylsulfonylheptyl glucosinolate (7MSOHG), which over-accumulated on the plant surface. We linked the appearance of 7MSOHG to defects in cuticle composition and permeability of mutants and show that its appearance correlates with resistance to B. cinerea.