Distribution Of fasciculations in healthy adults after exercise: An ultrasound study

Neuromuscular ultrasound protocols: First steps, future challenges

See article on pages 375–379 in this issue.

Computer-Assisted Quantitative Analysis of Skeletal Muscles of Snowboarding Parallel Giant Slalom Athletes after Exercise Based on Artificial Intelligence and Complex Networks

The snowboarding project has the characteristics of high risk and high technical level. The current publicity level is not high, and the number of participants is also very limited. Another potential advantage medal breakthrough project that is expected to be achieved in the Winter Olympics has received a lot of attention, creating favorable opportunities for the promotion and development of this project in China. The event requires good special physical support, skeletal muscle contraction is the body to produce motor function, and special physical training and recovery are key factors for athletes to obtain excellent results in the competition. This article is aimed at performing ultrasonic quantitative analysis on the skeletal muscles of skiers after exercise based on artificial intelligence and complex networks and at studying the skeletal muscle conditions of snowboarders after exercise, so as to provide a certain theoretical basis for coaches in future scientific training. Based on a large amount of literature, this paper uses variational optical flow calculation and split Bregman method to solve the typical HS model, L1-L2 model, and L1-high-order model, respectively, and uses the motion estimation method to describe the movement of muscles. An experiment was designed to collect ultrasound images of the gastrocnemius and quadriceps muscles during contraction. In addition, a motion target positioning algorithm was used to obtain some motion parameters, which provided direct help for athletes in rationally arranging training load and scientific training. The experimental results in this paper show that the muscle motion features extracted from the ultrasound sequence images can quantitatively express a lot of important information about the skeletal muscle motion form and function and have potential practical application value. And the different invariants of each type of ski trajectory vary greatly, floating between 1.5429 and 7.6759.

[Brivaracetam-A good alternative for the treatment of muscle cramps]

BACKGROUND

Muscle cramps are suddenly occurring involuntary, mostly painful contractions of a single muscle, rarely of a muscle group. They can be idiopathic or occur in various neuromuscular diseases and can sometimes substantially impair the quality of life due to the frequency and strength. Only a few drugs are available for the effective treatment of cramps.

RESULTS

In this case series we report on five patients with cramps of different origin who responded well to treatment with brivaracetam.

DISCUSSION

Brivaracetam is actually used for the treatment of epileptic seizures. It binds to the synaptic vesicle protein 2A (SV2A), which also occurs in nerves and nerve roots. The SV2A regulates the exocytotic release of neurotransmitters, which could explain the effect of brivaracetam on muscle cramps.

CONCLUSION

Further studies are needed to demonstrate the effect of brivaracetam on muscle cramps.

Fasciculation in amyotrophic lateral sclerosis: origin and pathophysiological relevance

This review considers the origin and significance of fasciculations in neurological practice, with an emphasis on fasciculations in amyotrophic lateral sclerosis (ALS), and in benign fasciculation syndromes. Fasciculation represents a brief spontaneous contraction that affects a small number of muscle fibres, causing a flicker of movement under the skin. While an understanding of the role of fasciculation in ALS remains incomplete, fasciculations derive from ectopic activity generated in the motor system. A proximal origin seems likely to contribute to the generation of fasciculation in the early stages of ALS, while distal sites of origin become more prominent later in the disease, associated with distal motor axonal sprouting as part of the reinnervation response that develops secondary to loss of motor neurons. Fasciculations are distinct from the recurrent trains of axonal firing described in neuromyotonia. Fasciculation without weakness, muscle atrophy or increased tendon reflexes suggests a benign fasciculation syndrome, even when of sudden onset. Regardless of origin, fasciculations often present as the initial abnormality in ALS, an early harbinger of dysfunction and aberrant firing of motor neurons.