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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1980 Apr;43(4):343–347. doi: 10.1136/jnnp.43.4.343

Increased motor unit fibre density in the external anal sphincter muscle in ano-rectal incontinence: a single fibre EMG study.

M E Neill, M Swash
PMCID: PMC490538  PMID: 6246210

Abstract

The motor unit fibre density in the external anal sphincter muscle has been measured in 13 normal subjects aged 18 to 78 years, and in 14 patients with ano-rectal incontinence, aged 17 to 72 years. The mean fibre density in the normal subjects was 1.5 +/- 0.16, and in the incontinent subjects it was 2.17 +/- 0.28 (p less than 0.001). These findings provide support for the suggestion that ano-rectal incontinence commonly has a neurogenic basis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beersiek F., Parks A. G., Swash M. Pathogenesis of ano-rectal incontinence. A histometric study of the anal sphincter musculature. J Neurol Sci. 1979 Jun;42(1):111–127. doi: 10.1016/0022-510x(79)90156-4. [DOI] [PubMed] [Google Scholar]
  2. Chantraine A., Lloyd K., Swinyard C. A. The sphincter ani externus in spina bifida and myelomeningocele. J Urol. 1966 Feb;95(2):250–256. doi: 10.1016/S0022-5347(17)63442-6. [DOI] [PubMed] [Google Scholar]
  3. Henry M. M., Swash M. Assessment of pelvic-floor disorders and incontinence by electrophysiological recording of the anal reflex. Lancet. 1978 Jun 17;1(8077):1290–1291. doi: 10.1016/s0140-6736(78)91271-0. [DOI] [PubMed] [Google Scholar]
  4. Parks A. G., Swash M., Urich H. Sphincter denervation in anorectal incontinence and rectal prolapse. Gut. 1977 Aug;18(8):656–665. doi: 10.1136/gut.18.8.656. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Parks A., Swash M. Denervation of the anal sphincter causing idiopathic anorectal incontinence. J R Coll Surg Edinb. 1979 Mar;24(2):94–96. [PubMed] [Google Scholar]
  6. Stålberg E., Thiele B. Motor unit fibre density in the extensor digitorum communis muscle. Single fibre electromyographic study in normal subjects at different ages. J Neurol Neurosurg Psychiatry. 1975 Sep;38(9):874–880. doi: 10.1136/jnnp.38.9.874. [DOI] [PMC free article] [PubMed] [Google Scholar]

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