Pharma Pulse by Linu Mohan
MOVEMENT DISORDERS; ALTERNATIVE TO MUSCLE BIOPSY
The muscular
system is responsible for the movement of the human body.
Different types of muscles have different jobs.
Attached to the bones, there are about 700 muscles that account half the body
weight of a man.Muscle tissue is also found inside of the heart, digestive
organs, and blood vessels.
Muscles are
affected with many diseases. Muscle disorders can
cause weakness, pain or sometimes paralysis. Causes of muscle disorders include
sprains, cramps, muscular dystrophy, myositis, infections, cancers and certain
medicines also result in muscle injury.
Muscle
impairment is usual in diseases like, stroke, parkinsonism, spinal cord injury,
cerebral palsy etc. So it is important to diagnose the degree of muscle
impairment and its relationship with physical function and disease management.
To measure
the movement of sarcomeres, which generates muscle force is the existing method
for characterising human muscle health.
Recently the
scientists have come up with a minimally invasive, fiber-optic technique that
accurately measures the passive stretch and twitch contraction of living muscle
tissue. This technique can be used as an alternative to the painful muscle
biopsies used to diagnose and treat a wide range of movement disorders. In a
fraction of a millisecond, the tool measures the length of thousands of sarcomeres
making it possible to quickly identify issues and develop personalized
treatment plans for patients.
This
technique is based on a laser source
continuously sweeps across and illuminates muscle through a very thin fiber
optic probe, which is inserted directly into the muscle belly and positioned
parallel to sarcomeres. The same optical probe collects reflected light from
the muscle, and these data are then used to calculate sarcomere length.
The
scientists hope that, this new method can measure protein-scale interactions
during muscle movement, which lead to better understanding and maintenance of human muscle
health.
Diabetes mellitus is a group of metabolic
diseases characterized by hyperglycaemia resulting from defects in insulin
secretion, insulin action, or both. The origin and etiology of diabetes can
vary greatly but always include defects in either insulin secretion or response
or in both. The importance of regular follow-up of diabetic patients by the
health care provider is having great significance in averting any long term
complications.
It is recognised that, control of glycaemia
delays the onset and slows the progression of micro vascular complications,
including nephropathy, retinopathy, and neuropathy.
To successfully manage diabetes, a
monitoring system is needed to consistently check the glucose levels and the
most common glucose monitoring methods are blood glucose meters and continuous
glucose monitoring systems. FDA had recently given approval for such a system
whichconsists of an external glucose sensor that
continuously measures glucose levels and displays the values. In addition to
reporting glucose values in every 5 minutes, the system reports information in
time for up to one week.
This device uses a small flexible metal wire which acts as a sensor
that is inserted, below the skin and generates a small electrical signal in
response to sugar level of the blood. This electrical signal is converted into
a blood glucose reading and transmitted wirelessly every 5 minutes to a
receiver or compatible mobile device such a mobile phone or tablet.
This continuous glucose monitoring device also helps in the detection
of episodes of high and low blood sugar level facilitating both acute and
long-term therapy adjustments.
People with diabetes can use the information from this device to
make diabetes treatment decisions making and keep blood glucose levels in a safe
range. The system also alert users when glucose values are approaching
dangerously high or low levels.
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