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Updated: Mar 16, 2026

Measuring Neuromuscular Junction Functionality
Published on: August 6, 2017
Skeletal muscle fiber-type specific succinate dehydrogenase activity in cerebral palsy
Andrew M Zogby1, Sudarshan Dayanidhi2,3, Henry G Chambers2,4
1School of Medicine, University of California, San Diego, California, USA.
Insights
Children with cerebral palsy (CP) have similar skeletal muscle mitochondrial oxidative capacity compared to typically developing (TD) children. This indicates that increased energy expenditure in CP is not due to impaired mitochondrial function.
Area of Science:
- Skeletal muscle physiology
- Mitochondrial function
- Cerebral palsy research
Background:
- Children with cerebral palsy (CP) demonstrate elevated energy expenditure during movement.
- The underlying cause for this increased energy expenditure, specifically concerning skeletal muscle mitochondrial oxidative capacity, remains unclear.
Purpose of the Study:
- To investigate and compare fiber-type specific succinate dehydrogenase (SDH) activity in children with CP versus typically developing (TD) children.
- To determine if decrements in skeletal muscle mitochondrial oxidative capacity contribute to increased energy expenditure in children with CP.
Main Methods:
- Biopsies of the semitendinosus muscle were obtained from children with CP and TD children (n=5 per group).
- Succinate dehydrogenase (SDH) activity and myofiber areas were measured for type 1 and type 2A fibers.
Main Results:
- SDH activity was approximately 35% higher in type 1 fibers compared to type 2A fibers within both groups.
- No significant differences in SDH activity were found between children with CP and TD children.
- Average myofiber area was 45% smaller in children with CP compared to TD children, with type 2A fibers being 32% larger than type 1 fibers exclusively in TD children.
Conclusions:
- Skeletal muscle mitochondrial oxidative capacity, assessed by fiber-type specific SDH activity, is comparable between children with CP and TD children.
- The findings suggest that the increased energy expenditure observed in children with CP is unlikely to be a result of impaired mitochondrial oxidative capacity.
Introduction:
Children with cerebral palsy (CP) exhibit increased energy expenditure during movement, but whether this is due in part to decrements in skeletal muscle mitochondrial oxidative capacity is unknown. Accordingly, we compared fiber-type specific succinate dehydrogenase (SDH) activity in children with CP with typically developing (TD) children.
Methods:
SDH activity and myofiber areas of type 1 and 2A fibers were measured in semitendinosus biopsies of both groups (n = 5/group).
Results:
SDH activity was ∼35% higher in type 1 compared with type 2A fibers, but there were no differences between groups. Average myofiber area was 45% smaller in CP versus TD (P < 0.05), and type 2A fibers were 32% larger than type 1 fibers (P < 0.05) only in TD children.
Conclusions:
Fiber-type specific SDH activity is similar between TD children and children with CP. This suggests that increased energy expenditure in children with CP is not related to impaired mitochondrial oxidative capacity. Muscle Nerve, 2016 Muscle Nerve 55: 122-124, 2017.
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