Evidence map›Paper›PMID 31321803›Full record

ArticleNeurourology and urodynamics2019

Neural control properties of the external anal sphincter in young and elderly women.

Nicholas Dias, Chuan Zhang, Xuhong Li, Leila Neshatian, Francisco J Orejuela, Yingchun Zhang

Open access · greenAbstract read
In one paragraph

Article in Neurourology and urodynamics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Bidirectional Relationships between Sarcopenia and Pelvic Floor Disorders.International journal of environmental research and public health · 2024
    Review
  3. Research and application advances in rehabilitation assessment of stroke.Journal of Zhejiang University. Science. B · 2022
    Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Nicholas DiasDepartment of Biomedical Engineering, University of Houston, Houston, Texas.
Chuan ZhangDepartment of Biomedical Engineering, University of Houston, Houston, Texas.
Xuhong LiThe Third Xiangya Hospital, Central South University, Changsha, China.
Leila NeshatianGastroenterology & Hepatology, Stanford University School of Medicine, Stanford, California.
Francisco J OrejuelaObstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.
Yingchun ZhangDepartment of Biomedical Engineering, University of Houston, Houston, Texas.ORCID 0000-0002-1927-4103
University of Houston · USBaylor College of Medicine · USCentral South University · CNStanford Medicine · US

Funding

Electromechanical Modeling Approach in Assessing Female SUIR00DK082644 · NIDDK · UNIVERSITY OF HOUSTON · PI ZHANG, YINGCHUN · 2013 to 2015
$690k
High density Surface EMG Assessment of the Pelvic Muscle Hypertonicity Associated with Interstitial Cystitis/Bladder Pain SyndromeR21DK113525 · NIDDK · UNIVERSITY OF HOUSTON · PI ZHANG, YINGCHUN · 2017 to 2018
$433k
High-density Surface EMG Assessment of Motor Unit Alterations of the External Anal Sphincter Associated with AgingR56AG053778 · NIA · UNIVERSITY OF HOUSTON · PI ZHANG, YINGCHUN · 2017 to 2017
$205k
Electromechanical Modeling Approach in Assessing Female SUIK99DK082644 · NIDDK · UNIVERSITY OF MINNESOTA · PI ZHANG, YINGCHUN · 2010 to 2011
$180k
NIA NIH HHS R56 AG053778NIDDK NIH HHS K99 DK082644NIDDK NIH HHS R00 DK082644NIDDK NIH HHS R21 DK113525
6 · The paper itself

Abstract

aimsThe prevalence of fecal incontinence (FI) increases with age and affects more than 15% of the elderly population. Sarcopenia, skeletal muscle structural, and functional decline with aging, is known to be caused by neuromuscular dysfunction. However, age-related alterations of the neuromuscular function of the external anal sphincter (EAS) have not been studied. This study aims to quantitatively characterize the effect of aging on the EAS by assessing the firing patterns and size of motor unit action potential (MUAP) using high-density surface electromyography (HD-sEMG) recording and analysis techniques.

methodsThirteen young (31.0 ± 3.6 years) and 14 elderly (64.3 ± 6.2 years) healthy women were recruited for this study. EMG activity of the EAS during maximal voluntary contraction was recorded by a 64-Channel, HD-sEMG intra-rectal probe. HD-sEMG signals were decomposed into MUAP spike trains to extract the firing rate and amplitudes thereof.

resultsHD-sEMG decomposition was successfully performed. For the young and elderly groups, mean motor unit (MU) firing rates of 11.4 ± 2.1 pulses per second (PPS) and 9.6 ± 2.3 PPS, and mean MUAP amplitudes of 45.2 ± 14.3 µV and 61.9 ± 21.2 µV were respectively obtained. Both the MU firing rate and MUAP amplitude were significantly different between two groups (P < .05). Moreover, the MUAP firing rate and amplitude correlated with age with a linear regression model (P < .05).

conclusionsThis study represents the first effort to examine the effect of aging on the neuromuscular function of EAS. Results suggest an age-related impairment of lower motor neuron descending excitation to the EAS with a compensatory increase in mean MU size.

Indexed as

Action PotentialsAdultAgedAgingAnal CanalElectromyographyFemaleHumansMiddle AgedMotor NeuronsMuscle ContractionMuscle, Skeletalexternal anal sphinctermotor unit action potentialmotor unit controlmultichannel electromyography

Identifiers

PMID31321803
PMCPMC6706306
OpenAlexW2963501650

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.