Abstract
In motor neurone disease changes in the functional properties of motor units, including the surface voltage, latency, conduction velocity, and response to repetitive stimulation, were investigated. Progression was marked by motor unit loss, increase in the proportion of larger motor unit potentials, and inclusion of motor unit potentials larger than normal in the remaining motor unit population. Even late in the disease, motor unit potentials with a low surface voltage persisted. The relationship between motor unit potentials, surface voltage, and latency, present in control subjects, broke down in motor neurone disease, large motor unit potentials having abnormally long latencies and small motor unit potentials unexpectedly short latencies. Amplitude decrements were more frequent and severe in motor unit potentials at later stages in the disease, particularly in those units with lower surface voltages. In one surviving motor unit potential there was evidence suggestive of functional recovery. The observations point to complex changes in the functional properties of motor units in motor neurone disease.
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- Brown W. F. A method for estimating the number of motor units in thenar muscles and the changes in motor unit count with ageing. J Neurol Neurosurg Psychiatry. 1972 Dec;35(6):845–852. doi: 10.1136/jnnp.35.6.845. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brown W. F. Functional compensation of human motor units in health and disease. J Neurol Sci. 1973 Oct;20(2):199–209. doi: 10.1016/0022-510x(73)90030-0. [DOI] [PubMed] [Google Scholar]
- Brown W. F., Jaatoul N. Amyotrophic lateral sclerosis. Electrophysiologic study (number of motor units and rate of decay of motor units). Arch Neurol. 1974 Mar;30(3):242–248. doi: 10.1001/archneur.1974.00490330050008. [DOI] [PubMed] [Google Scholar]
- Campbell M. J., McComas A. J., Petito F. Physiological changes in ageing muscles. J Neurol Neurosurg Psychiatry. 1973 Apr;36(2):174–182. doi: 10.1136/jnnp.36.2.174. [DOI] [PMC free article] [PubMed] [Google Scholar]
- ERMINIO F., BUCHTHAL F., ROSENFALCK P. Motor unit territory and muscle fiber concentration in paresis due to peripheral nerve injury and anterior horn cell involvement. Neurology. 1959 Oct;9:657–671. doi: 10.1212/wnl.9.10.657. [DOI] [PubMed] [Google Scholar]
- Freund H. J., Büdingen H. J., Dietz V. Activity of single motor units from human forearm muscles during voluntary isometric contractions. J Neurophysiol. 1975 Jul;38(4):933–946. doi: 10.1152/jn.1975.38.4.933. [DOI] [PubMed] [Google Scholar]
- Gertler R. A., Robbins N. Differences in neuromuscular transmission in red and white muscles. Brain Res. 1978 Feb 17;142(1):160–164. doi: 10.1016/0006-8993(78)90186-5. [DOI] [PubMed] [Google Scholar]
- Kadrie H. A., Brown W. F. Neuromuscular transmission in human single motor units. J Neurol Neurosurg Psychiatry. 1978 Mar;41(3):193–204. doi: 10.1136/jnnp.41.3.193. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kadrie H. A., Brown W. F. Neuromuscular transmission in myasthenic single motor units. J Neurol Neurosurg Psychiatry. 1978 Mar;41(3):205–214. doi: 10.1136/jnnp.41.3.205. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kadrie H. A., Yates S. K., Milner-Brown H. S., Brown W. F. Multiple point electrical stimulation of ulnar and median nerves. J Neurol Neurosurg Psychiatry. 1976 Oct;39(10):973–985. doi: 10.1136/jnnp.39.10.973. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Katz B., Schmitt O. H. Electric interaction between two adjacent nerve fibres. J Physiol. 1940 Feb 14;97(4):471–488. doi: 10.1113/jphysiol.1940.sp003823. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kernell D., Ducati A., Sjöholm H. Properties of motor units in the first deep lumbrical muscle of the cat's foot. Brain Res. 1975 Nov 7;98(1):37–55. doi: 10.1016/0006-8993(75)90508-9. [DOI] [PubMed] [Google Scholar]
- LAMBERT E. H., MULDER D. W. Electromyographic studies in amyotrophic lateral sclerosis. Proc Staff Meet Mayo Clin. 1957 Aug 21;32(17):441–446. [PubMed] [Google Scholar]
- MULDER D. W., LAMBERT E. H., EATON L. M. Myasthenic syndrome in patients with amyotrophic lateral sclerosis. Neurology. 1959 Oct;9:627–631. doi: 10.1212/wnl.9.10.627. [DOI] [PubMed] [Google Scholar]
- McComas A. J., Sica R. E., Campbell M. J., Upton A. R. Functional compensation in partially denervated muscles. J Neurol Neurosurg Psychiatry. 1971 Aug;34(4):453–460. doi: 10.1136/jnnp.34.4.453. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Miglietta O. E. Myasthenic-like response in patients with neuropathy. Am J Phys Med. 1971 Feb;50(1):1–16. [PubMed] [Google Scholar]
- Milner-Brown H. S., Brown W. F. New methods of estimating the number of motor units in a muscle. J Neurol Neurosurg Psychiatry. 1976 Mar;39(3):258–265. doi: 10.1136/jnnp.39.3.258. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Milner-Brown H. S., Stein R. B., Lee R. G. Contractile and electrical properties of human motor units in neuropathies and motor neurone disease. J Neurol Neurosurg Psychiatry. 1974 Jun;37(6):670–676. doi: 10.1136/jnnp.37.6.670. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Milner-Brown H. S., Stein R. B. The relation between the surface electromyogram and muscular force. J Physiol. 1975 Apr;246(3):549–569. doi: 10.1113/jphysiol.1975.sp010904. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mulder D. W., Howard F. M., Jr Patient resistance and prognosis in amyotrophic lateral sclerosis. Mayo Clin Proc. 1976 Sep;51(9):537–541. [PubMed] [Google Scholar]
- Schwartz M. S., Stålberg E., Schiller H. H., Thiele B. The reinnervated motor unit in man. A single fibre EMG multielectrode investigation. J Neurol Sci. 1976 Mar;27(3):303–312. doi: 10.1016/0022-510x(76)90003-4. [DOI] [PubMed] [Google Scholar]
- Simpson J. A. Applied electrophysiology in nerve and muscle disease. Disorders of neuromuscular transmission. Proc R Soc Med. 1966 Oct;59(10):993–998. [PMC free article] [PubMed] [Google Scholar]
- Stålberg E., Schwartz M. S., Trontelj J. V. Single fibre electromyography in various processes affecting the anterior horn cell. J Neurol Sci. 1975 Apr;24(4):403–415. doi: 10.1016/0022-510x(75)90166-5. [DOI] [PubMed] [Google Scholar]