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Related Concept Videos

Alterations in Muscle Tone lll01:11

Alterations in Muscle Tone lll

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Rigidity and myotonia are distinct abnormalities of muscle tone that affect resistance and relaxation during movement. Although both involve altered muscle contraction, they arise from different neurological and muscular mechanisms.CharacteristicsRigidity is characterized by uniform resistance to passive movement across the entire range, independent of speed, affecting flexors and extensors equally. It may appear as lead-pipe rigidity (smooth, constant resistance) or cogwheel rigidity...
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Related Experiment Video

Updated: Apr 25, 2026

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Autonomic Function in Fragile X Syndrome: A Systematic Review.

Sydni Weissgold1, Sarah E A Eley1, Damien Wright1

  • 1Patrick Wild Centre, Division of Psychiatry, University of Edinburgh, Edinburgh, UK.

Journal of Intellectual Disability Research : JIDR
|April 24, 2026
PubMed
Summary
This summary is machine-generated.

Fragile X syndrome (FXS) is linked to autonomic hyperarousal, a key clinical feature across all ages. Further research is needed to connect this sympathetic nervous system overactivation to specific symptoms in FXS.

Keywords:
autonomic functionelectrodermal activityfragile X syndromeheart rate variabilitypupillometry

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Area of Science:

  • Neuroscience
  • Genetics
  • Developmental Biology

Background:

  • Fragile X syndrome (FXS) is a primary genetic cause of intellectual disability and autism spectrum disorder.
  • Individuals with FXS frequently exhibit anxiety and behavioral challenges, potentially linked to autonomic dysfunction.
  • Autonomic nervous system function in FXS requires systematic investigation.

Purpose of the Study:

  • To systematically review existing evidence on autonomic function in individuals with Fragile X syndrome.
  • To consolidate findings on physiological measures of autonomic activity in FXS.
  • To identify patterns and variations in autonomic function across the lifespan in FXS.

Main Methods:

  • Conducted an electronic literature search across major databases (Medline, Embase, PsycINFO, Web of Knowledge).
  • Included studies published before April 22, 2025, that physiologically measured autonomic function in FXS.
  • Utilized a preregistered search strategy focusing on the autonomic nervous system in FXS.

Main Results:

  • 28 studies met inclusion criteria, analyzing individuals aged <1 to 71 years.
  • 75% of studies reported significant differences in autonomic function metrics between groups.
  • Autonomic hyperarousal was observed in 86% of FXS participants, suggesting a consistent phenotype.

Conclusions:

  • Autonomic hyperarousal is a prevalent clinical phenotype in Fragile X syndrome across all age groups.
  • Further research should explore the link between sympathetic nervous system overactivation and clinical symptoms in FXS.
  • Methodological variations and sample demographics currently limit direct comparison of study findings.