Electrical impedance myography discriminates congenital muscular dystrophy from controls

Muscle Nerve. 2016 Mar;53(3):402-6. doi: 10.1002/mus.24770. Epub 2015 Aug 13.

Abstract

Introduction: Electrical impedance myography (EIM) is an emerging non-invasive, highly reproducible electrophysiological technique that objectively characterizes muscle structure and composition by measuring bioimpedance. We assessed the ability of EIM ability to discriminate 2 forms of congenital muscular dystrophy (CMD), laminin α2 (LAMA2)-deficient CMD and collagen VI-deficient (COL6) CMD, from a group of healthy children. We also investigated correlations between subcutaneous fat thickness and EIM parameters.

Methods: Twenty-eight children with LAMA2 CMD (n = 12) or COL6 (n = 16) CMD and 18 normal children underwent EIM testing.

Results: The EIM 50-kHz phase was decreased in LAMA2 and COL6 CMD when compared with controls (P < 0.001). Reactance, however, was decreased in COL6 but not LAMA2 CMD compared with controls (P < 0.001).

Conclusions: Our findings suggest that EIM may be useful in discriminating CMD from controls and may serve as a useful biomarker to follow disease progression in clinical trials.

Keywords: congenital muscular dystrophy; electrical impedance myography; handheld array; pediatric; subcutaneous fat.

Publication types

  • Research Support, N.I.H., Intramural

MeSH terms

  • Adipose Tissue / pathology
  • Adolescent
  • Analysis of Variance
  • Child
  • Collagen / genetics
  • Electric Impedance*
  • Electromyography
  • Female
  • Humans
  • Laminin / genetics
  • Male
  • Muscle, Skeletal / pathology
  • Muscular Dystrophies / diagnosis*
  • Muscular Dystrophies / genetics
  • Muscular Dystrophies / physiopathology*
  • Skin / pathology

Substances

  • COL16A1 protein, human
  • Laminin
  • laminin alpha 2
  • Collagen