PMID- 11932969 OWN - NLM STAT- MEDLINE DCOM- 20020503 LR - 20190916 IS - 0148-639X (Print) IS - 0148-639X (Linking) VI - 25 IP - 4 DP - 2002 Apr TI - Longitudinal study of functional spinal alpha motor neuron loss in amyotrophic lateral sclerosis. PG - 520-6 AB - Using a microstimulation technique for obtaining motor unit number estimates (MUNEs) of the hypothenar and extensor digitorum brevis (EDB) muscles, we performed a longitudinal study on the natural course of change in the clinical rating scale (Appel score) and of loss of functional spinal alpha motor neurons in amyotrophic lateral sclerosis. The Appel score increased to about 150% of normal at 12 months after onset, about 225% at 18 months after onset, and about 370% at 24 months after onset. By contrast, MUNEs decreased to about 27% of normal at 12 months after onset, about 12% at 18 months after onset, and about 5% at 24 months after onset. The relative merits of these different approaches in detecting changes in the disease process in its early phase are discussed. FAU - Arasaki, K AU - Arasaki K AD - Department of Neurology, NTT East Kanto Medical Center, 5-9-22 Higashi-Gotanda, Shinagawa-ku, Tokyo 141-0022, Japan. arasaki@kmc.mhc.east.ntt.co.jp FAU - Kato, Y AU - Kato Y FAU - Hyodo, A AU - Hyodo A FAU - Ushijima, R AU - Ushijima R FAU - Tamaki, M AU - Tamaki M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Muscle Nerve JT - Muscle & nerve JID - 7803146 SB - IM MH - Action Potentials/physiology MH - Adult MH - Aged MH - Aged, 80 and over MH - Amyotrophic Lateral Sclerosis/*pathology/physiopathology MH - Anterior Horn Cells/*pathology/physiopathology MH - Electromyography MH - Hand/innervation/physiopathology MH - Humans MH - Longitudinal Studies MH - Middle Aged MH - Muscle Contraction/physiology MH - Muscle Weakness/etiology/*physiopathology MH - Muscle, Skeletal/*physiopathology MH - Nerve Degeneration/*pathology/physiopathology EDAT- 2002/04/05 10:00 MHDA- 2002/05/04 10:01 CRDT- 2002/04/05 10:00 PHST- 2002/04/05 10:00 [pubmed] PHST- 2002/05/04 10:01 [medline] PHST- 2002/04/05 10:00 [entrez] AID - 10.1002/mus.10067 [pii] AID - 10.1002/mus.10067 [doi] PST - ppublish SO - Muscle Nerve. 2002 Apr;25(4):520-6. doi: 10.1002/mus.10067.