Spectral analysis of peri-pharyngeal muscles' EMG in patients with OSA and healthy subjects.


Journal

Respiratory physiology & neurobiology
ISSN: 1878-1519
Titre abrégé: Respir Physiol Neurobiol
Pays: Netherlands
ID NLM: 101140022

Informations de publication

Date de publication:
02 2019
Historique:
received: 01 10 2018
revised: 09 11 2018
accepted: 13 12 2018
pubmed: 17 12 2018
medline: 4 4 2019
entrez: 17 12 2018
Statut: ppublish

Résumé

In addition to dyscoordination of upper airway dilator muscles activity, sleep may also alter the pattern of intra-muscular activation of single motor units (SMUs). Such changes should be identifiable by a state dependent change in EMG power spectrum, i.e., a shift in centroid frequency (ƒc) during sleep. EMGs of the genioglossus and four other peri-pharyngeal muscles were recorded in OSA patients (n = 8), age-matched healthy subjects (n = 7), and 5 young healthy subjects, and ƒc was calculated for wakefulness and sleep periods. ƒc decreased with the onset of sleep and returned to baseline levels after arousal. ƒc of all muscles decreased similarly and significantly during sleep in the OSA and the age-matched healthy subjects, but not in the young subjects. The pattern of decrease in ƒc is compatible with altered synchronization of SMUs during sleep. We speculate that these changes may contribute to the failure of dilator muscles to improve flow limitation during sleep in older subjects.

Identifiants

pubmed: 30553943
pii: S1569-9048(18)30310-0
doi: 10.1016/j.resp.2018.12.002
pmc: PMC7422933
mid: NIHMS1589855
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

53-57

Subventions

Organisme : NHLBI NIH HHS
ID : R01 HL144859
Pays : United States

Informations de copyright

Copyright © 2018 Elsevier B.V. All rights reserved.

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Auteurs

Ron Oliven (R)

Department of Medicine, Bnai-Zion Medical Centre, Haifa, Israel.

Guy Cohen (G)

Rappaport School of Medicine, Technion Institute of Technology, Haifa, Israel.

Mostafa Somri (M)

Rappaport School of Medicine, Technion Institute of Technology, Haifa, Israel; Department of Anesthesiology, Bnai Zion Medical Center, Haifa, Israel.

Alan R Schwartz (AR)

Sleep Disorders Center, Johns Hopkins School of Medicine, Baltimore, MD, United States.

Arie Oliven (A)

Department of Medicine, Bnai-Zion Medical Centre, Haifa, Israel; Rappaport School of Medicine, Technion Institute of Technology, Haifa, Israel. Electronic address: oliven@technion.ac.il.

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Classifications MeSH