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Motor Unit Action Potentials (motor + unit_action_potential)
Selected AbstractsQuantitative Electromyographic Examination in Myogenic Disorders of 6 HorsesJOURNAL OF VETERINARY INTERNAL MEDICINE, Issue 2 2003I.D. Wijnberg Electromyographic needle examination (EMG), including the semiautomatic quantitative analysis of motor unit action potential (MUAP), is an important diagnostic tool for myopathy in humans. The diagnostic possibilities of this technique have not been fully explored in horses; however, recent studies have shown that MUAP analysis can be performed in conscious horses. To determine the diagnostic possibilities of EMG in horses, we compared the EMG results of the subclavian muscle, the triceps, and the lateral vastus muscle in 6 equine patients thought to have myogenic disorders with those in 7 normal control horses. The EMG results were compared with the results of the histopathologic examination of the lateral vastus muscle in patients and controls. Histopathologic examination showed muscle disease in 3 patients. In the patient group, several types of abnormal spontaneous activities were observed (mainly fibrillation potentials and positive sharp waves), and the MUAPs of the patient group had a markedly shorter duration and lower amplitude than those of the control group. In the subclavian muscle, triceps, and lateral vastus muscle of affected horses, the MUAP duration was 5.0 ± 0.4 (mean ± SD), 3.9 ± 0.3, and 4.7 ± 1.1 milliseconds, respectively. The MUAP amplitude was 217 ± 55, 150 ± 74, and 180 ± 54 MV; the number of phases was 2.4 ± 0.2, 2.5 ± 0.3, and 2.3 ± 0.1; and the number of turns was 2.6 ± 0.2, 2.4 ± 0.2, and 2.8 ± 0.5, respectively. In conclusion, it appears that the EMG may be a more sensitive method than other techniques for examining muscle biopsies for diagnosis of early-stage myopathy in horses. [source] On the applicability of two different stimulation techniques for intra-operative peroneal nerve conduction testingJOURNAL OF ORTHOPAEDIC RESEARCH, Issue 1 2001W. Nebelung Dysfunction of the peroneal nerve is an important complication of knee surgery. We compared two monitoring procedures of peroneal nerve function during a standardized operation, a closing wedge high tibial osteotomy. For two types of stimulation the evoked compound motor unit action potentials (CMAPs) were recorded on the tibialis anterior muscle. We used direct perineural electrical stimulation of the common peroneal nerve distal to the cuff (dCMAPs) after nerve identification in the surgical field. Additionally, magnetic stimulation of the sacral plexus proximal to the cuff (pCMAPs) was performed. It was found that dCMAPs were recorded during almost one hour of tourniquet time whereas the pCMAPs were blocked after 25,30 min in 9 out of 11 cases. On the other hand, the CMAP obtained after proximal stimulation exhibited a latency shift with tourniquet yielding an indicator of ischaemic changes present beneath and distal to the tourniquet cuff. In conclusion, different applicabilities of both stimulation techniques under tourniquet conditions were demonstrated. © 2001 Orthopaedic Research Society. Published by Elsevier Science Ltd. All rights reserved. [source] Motor unit number estimation using reversible jump Markov chain Monte Carlo methodsJOURNAL OF THE ROYAL STATISTICAL SOCIETY: SERIES C (APPLIED STATISTICS), Issue 3 2007P. G. Ridall Summary., We present an application of reversible jump Markov chain Monte Carlo sampling from the field of neurophysiology where we seek to estimate the number of motor units within a single muscle. Such an estimate is needed for monitoring the progression of neuromuscular diseases such as amyotrophic lateral sclerosis. Our data consist of action potentials that were recorded from the surface of a muscle in response to stimuli of different intensities applied to the nerve supplying the muscle. During the gradual increase in intensity of the stimulus from the threshold to supramaximal, all motor units are progressively excited. However, at any given submaximal intensity of stimulus, the number of units that are excited is variable, because of random fluctuations in axonal excitability. Furthermore, the individual motor unit action potentials exhibit variability. To account for these biological properties, Ridall and co-workers developed a model of motor unit activation that is capable of describing the response where the number of motor units, N, is fixed. The purpose of this paper is to extend that model so that the possible number of motor units, N, is a stochastic variable. We illustrate the elements of our model, show that the results are reproducible and show that our model can measure the decline in motor unit numbers during the course of amyotrophic lateral sclerosis. Our method holds promise of being useful in the study of neurogenic diseases. [source] Prolonged vastus lateralis denervation after botulinum toxin type A injectionMOVEMENT DISORDERS, Issue 3 2010FRACP, John W Dunne MBBS (Hons) Abstract Intramuscular injection of botulinum toxin (BoNT) produces reversible blockade of neuromuscular transmission. In animal experimental models, recovery begins within four weeks and is usually complete by twelve weeks. We present evidence of prolonged denervation following BoNT injection of the vastus lateralis (VL) muscle to correct quadriceps muscle imbalance in patients with chronic anterior knee pain. Needle electromyography data were obtained from 10 subjects who had received a single BoNT treatment 5 to 19 months earlier as part of a clinical trial. Insertional and spontaneous activity, recruitment, and motor unit action potentials were examined. Clear differences between the injected and non-injected VL muscles, which correlated with the time since injection, were identified in all subjects. All 10 subjects studied with needle EMG showed evidence of persisting denervation in the BoNT-A injected VL muscle beyond the period of neuromotor recovery expected from animal experimental studies. © 2010 Movement Disorder Society [source] Electrophysiological studies in a mouse model of Schwartz,Jampel syndrome demonstrate muscle fiber hyperactivity of peripheral nerve originMUSCLE AND NERVE, Issue 1 2009Andoni Echaniz-Laguna MD Abstract Schwartz,Jampel syndrome (SJS) is an autosomal-recessive condition characterized by muscle stiffness and chondrodysplasia. It is due to loss-of-function hypomorphic mutations in the HSPG2 gene that encodes for perlecan, a proteoglycan secreted into the basement membrane. The origin of muscle stiffness in SJS is debated. To resolve this issue, we performed an electrophysiological investigation of an SJS mouse model with a missense mutation in the HSPG2 gene. Compound muscle action potential amplitudes, distal motor latencies, repetitive nerve stimulation tests, and sensory nerve conduction velocities of SJS mice were normal. On electromyography (EMG), neuromyotonic discharges, that is, bursts of motor unit action potentials firing at high rates (120,300 HZ), were constantly observed in SJS mice in all muscles, except in the diaphragm. Neuromyotonic discharges were not influenced by general anesthesia and disappeared with curare administration. They persisted after complete motor nerve section, terminating only with Wallerian degeneration. These results demonstrate that perlecan deficiency in SJS provokes a neuromyotonic syndrome. The findings further suggest a distal axonal localization of the generator of neuromyotonic discharges. SJS should now be considered as an inherited disorder with peripheral nerve hyperexcitability. Muscle Nerve, 2009 [source] Motor unit recruitment and bursts of activity in the surface electromyogram during a sustained contractionMUSCLE AND NERVE, Issue 6 2008Zachary A. Riley MS Abstract Bursts of activity in the surface electromyogram (EMG) during a sustained contraction have been interpreted as corresponding to the transient recruitment of motor units, but this association has never been confirmed. The current study compared the timing of trains of action potentials discharged by single motor units during a sustained contraction with the bursts of activity detected in the surface EMG signal. The 20 motor units from 6 subjects [recruitment threshold, 35.3 ± 11.3% maximal voluntary contraction (MVC) force] that were detected with fine wire electrodes discharged 2,9 trains of action potentials (7.2 ± 5.6 s in duration) when recruited during a contraction that was sustained at a force below its recruitment threshold (target force, 25.4 ± 10.6% MVC force). High-pass filtering the bipolar surface EMG signal improved its correlation with the single motor unit signal. An algorithm applied to the surface EMG was able to detect 75% of the trains of motor unit action potentials. The results indicate that bursts of activity in the surface EMG during a constant-force contraction correspond to the transient recruitment of higher-threshold motor units in healthy individuals, and these results could assist in the diagnosis and design of treatment in individuals who demonstrate deficits in motor unit activation. Muscle Nerve, 2008 [source] What do we learn from motor unit action potentials in surface electromyography?MUSCLE AND NERVE, Issue S11 2002Karin Roeleveld PhD Abstract This article gives an overview of what multichannel surface electromyography can teach us about a motor unit. Background information is given about the generation of surface electromyography in general and surface motor unit potentials in particular. Furthermore, we describe how surface motor unit potentials are related to several motor unit characteristics, such as size, location, neuromuscular junction position, fiber length, fiber type, and metabolic fiber properties. In addition, we show how the spatial characteristics of multichannel surface electromyography can be used to obtain single-surface motor unit potentials. The possibilities, challenges, and problems are discussed. Finally, several examples of surface motor unit potential analyses are given. © 2002 Wiley Periodicals, Inc. Muscle Nerve Supplement 11: S92,S97, 2002 [source] | ||||||||||