RT Journal Article SR Electronic T1 Effects of age, temperature, and disease on the refractoriness of human nerve and muscle. JF Journal of Neurology, Neurosurgery & Psychiatry JO J Neurol Neurosurg Psychiatry FD BMJ Publishing Group Ltd SP 65 OP 71 DO 10.1136/jnnp.41.1.65 VO 41 IS 1 A1 Delbeke, J A1 Kopec, J A1 McComas, A J YR 1978 UL http://jnnp.bmj.com/content/41/1/65.abstract AB Absolutely and relatively refractory periods have been investigated in terminal median nerve axons and in thenar muscle fibres in a variety of pathophysiological conditions. Marked increased in refractoriness were produced by cooling to 20 degrees C. Nerve fibre refractoriness was more pronounced in older subjects and diminished in myotonic dystrophy. In contrast, no significant changes in muscle fibre excitability could be demonstrated in either condition or in patients with renal failure or motor neuropathies.