Abstract
One physiological method for estimating the motor unit number in a muscle depends on dividing into the maximum compound muscle action potential, the potential average of the first few motor unit potentials excited by a motor nerve stimulus above motor threshold. To be valid, such an average unit potential size must be representative of the whole motor unit population. This assumption may not be justified. The present study has shown that there are single motor units in healthy and abnormal, thenar, and EDB motor unit populations, many times larger than any motor unit excited close to the motor threshold. This finding suggests that previously reported motor unit estimates may not only be an overestimate of the true motor unit population number, but have excluded much larger motor units with higher thresholds. Low motor unit estimates in neuropathies may result from a change in the order of activation of motor units with the appearance of larger motor units, normally of higher threshold among the first few just above the motor threshold.
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Selected References
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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]
- ECCLES J. C., FATT P., KOKETSU K. Cholinergic and inhibitory synapses in a pathway from motor-axon collaterals to motoneurones. J Physiol. 1954 Dec 10;126(3):524–562. doi: 10.1113/jphysiol.1954.sp005226. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Eccles R. M., Phillips C. G., Chien-Ping W. Motor innervation, motor unit organization and afferent innervation of m. extensor digitorum communis of the baboon's forearm. J Physiol. 1968 Sep;198(1):179–192. doi: 10.1113/jphysiol.1968.sp008600. [DOI] [PMC free article] [PubMed] [Google Scholar]
- FULLERTON P. M., GILLIATT R. W. AXON REFLEXES IN HUMAN MOTOR NERVE FIBRES. J Neurol Neurosurg Psychiatry. 1965 Feb;28:1–11. doi: 10.1136/jnnp.28.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MCPHEDRAN A. M., WUERKER R. B., HENNEMAN E. PROPERTIES OF MOTOR UNITS IN A HETEROGENEOUS PALE MUSCLE (M. GASTROCNEMIUS) OF THE CAT. J Neurophysiol. 1965 Jan;28:85–99. doi: 10.1152/jn.1965.28.1.85. [DOI] [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]
- Milner-Brown H. S., Stein R. B., Yemm R. The orderly recruitment of human motor units during voluntary isometric contractions. J Physiol. 1973 Apr;230(2):359–370. doi: 10.1113/jphysiol.1973.sp010192. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stålberg E., Trontelj J. V. Demonstration of axon reflexes in human motor nerve fibres. J Neurol Neurosurg Psychiatry. 1970 Oct;33(5):571–579. doi: 10.1136/jnnp.33.5.571. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thorne J. Central responses to electrical activation of the peripheral nerves supplying the intrinsic hand muscles. J Neurol Neurosurg Psychiatry. 1965 Dec;28(6):482–495. doi: 10.1136/jnnp.28.6.482. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Trontelj J. V., Trontelj M. F-responses of human facial muscles. A single motoneurone study. J Neurol Sci. 1973 Oct;20(2):211–222. doi: 10.1016/0022-510x(73)90031-2. [DOI] [PubMed] [Google Scholar]
- Wray S. H. Innervation ratios for large and small limb muscles in the baboon. J Comp Neurol. 1969 Oct;137(2):227–250. doi: 10.1002/cne.901370207. [DOI] [PubMed] [Google Scholar]

