교감신경 피부반응에서 하루주기 리듬의 영향
The Effects of Circadian Rhythm on Sympathetic Skin Response
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Objectives: To determine the influence of circadian rhythm on amplitude and latency of SSR (sympathetic skin response) Methods: Thirty healthy adults who have no disease in sympathetic and other nerve systems participated in this study. We recorded the SSR 3 times, in the morning (7:30 am), afternoon (12:30 pm) and evening (5:30 pm). We attached the active electrode on the left palm and reference electrode on the back of the left hand and ground on the left forearm. We stimulated the right median nerve at wrist three times. To avoid habituation, intermission between stimuli were more than 1 min and we measured onset latency and peak to peak amplitude. Results: Average latency of SSR was recorded 1.49±0.12 sec in the morning, 1.48±0.13 sec in the afternoon and 1.46±0.14 sec in the evening. In addition, average amplitudes were recorded 1.97±1.25 mV, 1.68±0.99 mV and 1.61±0.93 mV respectively. The average latency and amplitude were greater in the morning compared to the result in the afternoon and evening, but not statistically significant. There was no significant difference between men and women. Conclusion: Latency of SSR was not affected by the change of circadian rhythm. However, not only amplitude has a tendency to be increased in the morning but also latency has a tendency to be shortened in the evening, which should be considered when analyzing the result of SSR.
Abstract
Objectives: To determine the influence of circadian rhythm on amplitude and latency of SSR (sympathetic skin response) Methods: Thirty healthy adults who have no disease in sympathetic and other nerve systems participated in this study. We recorded the SSR 3 times, in the morning (7:30 am), afternoon (12:30 pm) and evening (5:30 pm). We attached the active electrode on the left palm and reference electrode on the back of the left hand and ground on the left forearm. We stimulated the right median nerve at wrist three times. To avoid habituation, intermission between stimuli were more than 1 min and we measured onset latency and peak to peak amplitude. Results: Average latency of SSR was recorded 1.49±0.12 sec in the morning, 1.48±0.13 sec in the afternoon and 1.46±0.14 sec in the evening. In addition, average amplitudes were recorded 1.97±1.25 mV, 1.68±0.99 mV and 1.61±0.93 mV respectively. The average latency and amplitude were greater in the morning compared to the result in the afternoon and evening, but not statistically significant. There was no significant difference between men and women. Conclusion: Latency of SSR was not affected by the change of circadian rhythm. However, not only amplitude has a tendency to be increased in the morning but also latency has a tendency to be shortened in the evening, which should be considered when analyzing the result of SSR.
참고문헌 (27)
- Shahani BT, "Sympathetic skin response-a method of assessing unmyelinated axon dysfunction in peripheral neuropathies", J Neurol Neurosurg Psychiatry, 47, pp.536~542 (1984)
- Shaver BA, "Origin of the galvanic skin response", Proc Soc Exp Biol, 110, pp.559~564 (1962)
- Baba M, "Sympathetic skin resoponse in healthy man", Electormyorgr Clin Neurophysiol, 28, pp.277~283 (1988)
- Knezevic W, "Peripheral autonomic surface potential a quantitative technique for recording sympathetic conduction in man", J Neurol Sci, 67, pp.230~251 (1985)
- Brasil-Neto JP, "Circadian latency variability of sympathetic skin responses", Clin Auton Res, 8, pp.237~239 (1998)
- Soliven B, "Sympathetic skin response in diabetic neuropathy", Muscle Nerve, 10, pp.711~716 (1987)
- Niakan E, "Sympathetic skin response in∙diabetic peripheral neuropathy", Muscle Nerve, 11, pp.261~264 (1988)
- Soliven B, "Sympathetic skin response and reflex sweat response in diabetic neuropathy", Muscle Nerve, 10, pp.711~716 (1987)
- Ropper H, "Electrodiagnostic abnormalities in 113 consecutive patients with Guillain-Barre Syndrome", Arch Neurol, 47, pp.881~887 (1990)
- Yokota T, "Sympathetic skin response in patients with cerebellar degeneration", Arch Neurol, 50, pp.422~427 (1993)
- Gutrecht JA, "Sympathetic skin response in multiple sclerosis", J Neurol Sci, 118, pp.88~91 (1993)
- Korpelainen JT, "Suppressed Sympathetic skin response in brain infarction", Stroke, 24, pp.1389~1392 (1993)
- Shahani BT, "Sympathetic skin response-a method of assessing unmyelinated axon dysfunction in peripheral neuropathies", J Neurol Neurosurg Psychiatry, 47, pp.536~542 (1984)
- 정광익, "정상인에서의 교감신경피부반응의 전도속도", 대한재활의학회지, 22, pp.877~881 (1998)
- Refinetti R, "The circadian rhythm of body temperature", Physiol Behav, 51, pp.613~637 (1992)
- Kafka MS, "Circadian rhythms in rat brain neurotransmitter receptors", Fed Proc, 42, pp.2796~2801 (1983)
- 김종태, "교감신경피부반응에 대한 전기 진단적 연구", 대한재활의학회지, 13, pp.221~226 (1989)
- Uncini A, "The sympathetic skin response: normal values, elucidation of afferent components and application limits", J Neurol Sci, 87, pp.299~306 (1988)
- Moore RY, "Organization and function of a central nervous system circadian oscillator: the suprachiasmatic hypothalamic nucleus", Fed Proc, 42, pp.2783~2789 (1983)
- 김상규, "교감신경피부반응의 피부온도와 연령에 따른 변화", 대한재활의학회지, 23, pp.343~349 (1999)
- Yokota T, "Studies on the diphasic wave form of the GSR", Electroencephalogr Clin Neurophysiol, 11, pp.687~696 (1959)
- Maulsby RL, "The interrelationship between the galvanic skin response, basal resistance and temperature", J Comp Physiol Psychol, 53, pp.475~479 (1960)
- Deltombe T, "The influence of skin temperature on latency and amplitude of the sympathetic skin response in normal subjects", Muscle Nerve, 21, pp.34~39 (1998)
- Bolton CF, "Temperature effects on conduction studies of normal and abnormal nerve", Muscle Nerve, 5, pp.145~147 (1982)
- Dioszeghy P, "Changes in motor and sensory nerve conduction parameters with temperature in normal and abnormal nerve", Electroencephalogr Clin Neurophysiol, 85, pp.229~235 (1992)
- Dumitru D, "Electrodiagnostic medicine, 2nd ed", pp.252~253 (2002), Hanley&Belfus
- Aschoff J, "Phasenbeziehungen zwischen den circadianen Perioden der: Aktivit~t und der Kerntemperatur beim Menschen", Pfliigers Arch, 295, pp.173~183 (1967)