Abstract
Long train (50) electrical pulses were applied to the ulnar, median, and deep peroneal nerves. The probability of firing, or firing index, of the first motor units (MU) recorded by surface and needle electrodes in the first dorsal interosseous, thenar, and extensor digitorum brevis muscles varied from 0-100% as the stimulus was increased from a minimum threshold voltage (V) to V + delta V (delta V = 2-4 volts). The voltage interval, delta V (firing level range), of even the first few MU recruited greatly overlapped in normal subjects, but may overlap less in some neuromuscular disorders such as amyotrophic lateral sclerosis. The mean size of the single MU isolated by (1) isometric voluntary contraction method, (2) F recurrent discharge method, and (3) stimulation at multiple locations along the nerve, were more than twice as large as the mean size of the incremental steps evoked by graded electrical stimulation. These results suggest that methods of estimating the number of MU in a muscle should incorporate a correction for the fluctuations in excitability and overlap in firing levels of MU, and in addition should include larger MU in the estimation of the mean MU potential.
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Selected References
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- Ballantyne J. P., Hansen S. A new method for the estimation of the number of motor units in a muscle. I. Control subjects and patients with myasthenia gravis. J Neurol Neurosurg Psychiatry. 1974 Aug;37(8):907–915. doi: 10.1136/jnnp.37.8.907. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 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., Feasby T. E. Estimates of functional motor axon loss in diabetics. J Neurol Sci. 1974 Oct;23(2):275–293. doi: 10.1016/0022-510x(74)90231-7. [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]
- Brown W. F. Thenar motor unit count estimates in the carpal tunnel syndrome. J Neurol Neurosurg Psychiatry. 1973 Apr;36(2):194–198. doi: 10.1136/jnnp.36.2.194. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McComas A. J., Campbell M. J., Sica R. E. Electrophysiological study of dystrophia myotonica. J Neurol Neurosurg Psychiatry. 1971 Apr;34(2):132–139. [PMC free article] [PubMed] [Google Scholar]
- McComas A. J., Fawcett P. R., Campbell M. J., Sica R. E. Electrophysiological estimation of the number of motor units within a human muscle. J Neurol Neurosurg Psychiatry. 1971 Apr;34(2):121–131. doi: 10.1136/jnnp.34.2.121. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McComas A. J., Sica R. E., Currie S. An electrophysiological study of Duchenne dystrophy. J Neurol Neurosurg Psychiatry. 1971 Aug;34(4):461–468. doi: 10.1136/jnnp.34.4.461. [DOI] [PMC free article] [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]
- Milner-Brown H. S., Stein R. B., Yemm R. The contractile properties of human motor units during voluntary isometric contractions. J Physiol. 1973 Jan;228(2):285–306. doi: 10.1113/jphysiol.1973.sp010087. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Panayiotopoulos C. P., Scarpalezos S., Papapetropoulos T. Electrophysiological estimation of motor units in Duchenne muscular dystrophy. J Neurol Sci. 1974 Sep;23(1):89–98. doi: 10.1016/0022-510x(74)90145-2. [DOI] [PubMed] [Google Scholar]
- Sica R. E., McComas A. J. An electrophysiological investigation of limb-girdle and facioscapulohumeral dystrophy. J Neurol Neurosurg Psychiatry. 1971 Aug;34(4):469–474. doi: 10.1136/jnnp.34.4.469. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sica R. E., McComas A. J., Upton A. R., Longmire D. Motor unit estimations in small muscles of the hand. J Neurol Neurosurg Psychiatry. 1974 Jan;37(1):55–67. doi: 10.1136/jnnp.37.1.55. [DOI] [PMC free article] [PubMed] [Google Scholar]