SUMMARY On the day after the removal of a long leg cast, when the patient could just bend his knee, the electrical activity in the disused quadriceps muscle showed changes that indicated a reduction in the number of motor units. At 10 to 75%/, of maximum force the number of turns and the mean amplitude of the needle-recorded EMG were reduced in the disused muscle. Eight days later, when half the initial loss of force had been regained, the electrical activity was normal. The electrical activity produced during a constant force of 5 kg did not differ in the disused and in the contralateral muscle. From the findings in normal subjects it was deduced that the compensatory increase in turns in the EMG pattern to be expected from the decrease in cross-sectional area of the muscle fibres was within the error of the method. The transient decrease in the number of turns and in mean amplitude of the EMG of the disused muscle are an indication of the plasticity of the motor system.Inactivity of a muscle results in a diminished force usually attributed to atrophy of the muscle fibres (Adams, 1975). Our study was initiated by the observation that the force of the atrophic quadriceps muscle increased from 40% to 80% of the force of the contralateral muscle within one week after immobilisation. This rate of increase did not seem compatible with the time required for recovery of the cross-sectional area of the muscle fibres. To distinguish between a diminished cross-sectional area of muscle fibres and a reduced number of activated motor units, we analysed the pattern of electrical activity in the muscles of eight patients during recovery after immobilisation. The difference in the EMG pattern obtained during a force adjusted relative to the maximum force and during a standard force allows this differentiation to be made (Fuglsang-Frederiksen and MWnsson, 1975;Fuglsang-Frederiksen et al., 1977).
Patients and methodEight patients, six men aged 20-32 years and two women aged 20 and 42 years, were investigated. The right or the left leg was immobilised in a long