Surface detected potentials of normal and reinnervated motor units: a simulation study for muscles consisted of short fibres

We aimed to check whether the characteristics used up to now in macro EMG to distinguish between normal and reinnervated motor unit potentials (MUPs), were suitable for surface detected MUPs. MUPs produced by normal and reinnervated MUs were simulated with a fast and precise convolution model. An increased number of fibres in the MU territory enhanced the amplitude, area and RMS of the MUP proportionally irrespective of the MU-electrode distance. An increased scatter of the end-plates and greater desynchronization in the fibres' activation decreased the MUP amplitude and affected the temporal characteristics of the MUP (duration of the negative phase and its area to amplitude ratio). The effects were more pronounced at shorter distances. At larger distances, the effect of the MU-electrode distance on temporal and amplitude characteristics of MUPs was much stronger than that of the parameters changed with reinnervation. We conclude that reinnervated MUs consisting of short fibres can not be distinguished from the normal ones by means of characteristics of MUP used in macro EMG. To discriminate reinnervated MUs non-invasively, the MUP amplitude should be normalized in respect of the MU-electrode distance or other MUP characteristics (independent of MU-electrode distance and sensitive to reinnervation) should be used.     

Peculiarities of extracellular potentials produced by deep muscles. Part 2: motor unit potentials

The potential fields generated by single fibres far from the sources are non-propagating. This suggests that there should be differences in the features of surface motor unit (MU) potentials (MUPs) detected from deep and superficial muscles. We explored the features using a simulation approach. We have shown that the non-propagating character and similar shapes among surface MUPs recorded over a wide area above deep muscles with monopolar or longitudinal single differential (LSD) electrodes are natural. Contrary to close distances, at large radial distances single differentiation did not emphasize MUP main phase relative weight. The position of the end plate area could be estimated with LSD detections only for MUs with long (123 mm) almost symmetric fibres. With short fibres, the LSD main phase was masked by the outlined terminal phases. This could be misleading in MUP analysis since the terminal phases reflect standing sources. The highly asymmetric fibres could yield peculiar MUP shapes resembling MUPs of two distinct MUs. We have shown that the relative weight of terminal phases at large fibre-electrode distance decreases under abnormal peripheral conditions. However, the changes in membrane depolarization due to fatigue or pathology could be assessed non-invasively also from deep muscles.     

Evaluation of motor unit firing rates by standard concentric needle electromyography.

Motor unit firing rates at slight voluntary contraction were studied by standard concentric needle electromyography. Employing digital signal analysis techniques firing rates of motor units (MU) could be evaluated as long as four or less different MUs were activated in the vicinity of the concentric needle electrode. The extension of the recording area is defined by the recording properties of the electrode and the upper limit of rise-time for all MUPs being evaluated. Distant MUs, generating volume conducted potentials with rise-times greater than 0.8 ms, were excluded. In biceps muscles of 15 healthy controls the firing rate of the MU activated first was evaluated at that moment, when a second MU was recruited and was found to be 12.1 +/- 2.1 Hz (mean +/- S.D., n = 40). The firing rate of the fastest MU out of 2, 3, or 4 simultaneously active MUs was 10.7 +/- 2.5 Hz, 10.9 +/- 2.5 Hz and 10.6 +/- 2.4 Hz respectively. Hence at low innervation level there is no increase of firing rate with rising number of activated MUs. The upper normal limit of MU firing rate (3 sigma interval) is calculated as 17 Hz, irrespective whether 1, 2, 3 or 4 MUs are active within the recording area. Fifteen patients with partially denervated biceps muscles were investigated. Maximal firing rates were increased in 10 patients, all showing moderate or severe paresis (grade 1-3). In 10 patients suffering from myopathies firing rates always were normal. The presented data may serve as an additional criterion in evaluating MU firing rates during standard clinical EMG.     

Proportional enlargement of motor units after partial denervation of cat triceps surae muscles.

1. To determine the capacity of motoneurons to increase their motor unit (MU) size by collateral sprouting and to assess this capacity in relation to the size of the motor nerve, we partially denervated soleus, lateral gastrocnemius (LG), and medial gastrocnemius (MG) muscles in adult and neonatal cats. Isometric force and extracellular nerve potentials were recorded from > or = 7% of the remaining MUs, 2.5-18 mo later. S1 or L7 roots were sectioned unilaterally and the number of remaining MUs was quantified by use of charge and force measurements. 2. The mean unit force increased inversely with MU number in partially denervated muscles, but the increase was less than predicted for extensive denervations (> or = 90%). The same enlargement of MU size occurred whether muscles were partially denervated in neonatal or adult animals. 3. The force distribution of MUs in partially denervated muscles was similar to normal but was shifted to larger force values in direct proportion to the extent of partial denervation (PD). All MUs increased in size by the same factor to preserve the normal force distribution. 4. Normal size relationships among force, contractile speed, and axon potential amplitude were observed for MUs in partially denervated muscles. Because changes in muscle fiber size could not account for the increase in unit force, these data show that increase in MU size, with respect to unit force and innervation ratio (muscle fibers per motoneuron), is proportional to the size of the motor nerve. 5. Enlargement of MU size in partially denervated muscles did not have a retrograde effect on nerve fiber caliber because axon potential amplitude and conduction velocity were not changed after PD. 6. Under conditions of extensive PD (> 85%), regenerated nerves from the cut spinal root reinnervated the gastrocnemius muscles. It is likely that nerves supplied muscle fibers that were not innervated by sprouts from nerves in the uncut root as well as displacing sprouts from terminals in extensively enlarged MUs. 7. We conclude that all motoneurons within a motor pool compensate for partial nerve injuries by collateral sprouting and that enlargement of MU size is a function of motor nerve size, consistent with Henneman's size principle.     

Effect of electrode dimensions on motor unit potentials

Different effects of longitudinal and transversal electrode dimensions on nerve or muscle single fibre action potentials detected monopolarly, were reported in the literature. The results were contradictory. We studied motor unit potentials (MUPs) detected at a large distance (typical of surface recording) on the basis of a mathematical model without source simplification. The MUPs were calculated as a single convolution of the first temporal derivative of a realistic intracellular action potential and MU impulse response. The spatial averaging of the MUPs by rectangular plate electrodes was performed through analytical integration of the MU impulse response over the electrode area. The effects of longitudinal dimension of the electrode were stronger than those of a transversal one. The effects were distance dependent. The longitudinal dimension of the electrode influenced the main phases (that reflected the excitation origin and propagation) more than the terminal phases (that reflected the excitation extinction at the muscle fibers' ends). This was due to differences in the character of the potential fields (quadrupole or dipole) during generation of individual MUP phases. It was shown that the relative weight of the individual MUP phases could be stressed or suppressed by a proper choice of electrode dimensions, position and orientation.     

Localization and contractile properties of intrinsic longitudinal motor units of the rat tongue

Tongue dysfunction is a hallmark of many human clinical disorders, yet we lack even a rudimentary understanding of tongue neural control. Here, the location and contractile properties of intrinsic longitudinal motor units (MUs) of the rat tongue body are described to provide a foundation for developing and testing theories of tongue motor control. One hundred and sixty-five MUs were studied by microelectrode penetration and stimulation of individual motor axons coursing in the terminal portion of the lateral (retrusor) branch of the hypoglossal nerve in the rat. Uniaxial MU force was recorded by a transducer attached to the protruded tongue tip, and MU location was estimated by electromyographic (EMG) electrodes implanted into the anterior, middle, and posterior portions of the tongue body. All MUs produced retrusive force. MU twitch force ranged from 2-129 mg (mean = 35 mg) and tetanic force ranged from 9-394 mg (mean = 95 mg). MUs reached maximal twitch force in 8-33 ms (mean = 15 ms) and were resistant to fatigue; following 2 min of stimulation, MUs (n = 11) produced 78-131% of initial force. EMG data were collected for 105 MUs. For 65 of these MUs, the EMG response was confined to a single electrode location: for 26 MUs to the anterior, 21 MUs to the middle, and 18 MUs to the posterior portion of the tongue. Of the remaining MUs, EMG responses were observed in two (38/40) or all three (2/40) tongue regions. These data provide the first contractile measures of identified intrinsic tongue body MUs and the first evidence that intrinsic longitudinal MUs are restricted to a portion of tongue length. Localization of MU territory suggests a role for intrinsic MU in the regional control of the mammalian tongue observed during feeding and speech.     

Effects of muscle fibre shortening on the characteristics of surface motor unit potentials

Traditionally, studies dealing with muscle shortening have concentrated on assessing its impact on conduction velocity, and to this end, electrodes have been located between the end-plate and tendon regions. Possible morphologic changes in surface motor unit potentials (MUPs) as a result of muscle shortening have not, as yet, been evaluated or characterized. Using a convolutional MUP model, we investigated the effects of muscle shortening on the shape, amplitude, and duration characteristics of MUPs for different electrode positions relative to the fibre–tendon junction and for different depths of the MU in the muscle (MU-to-electrode distance). It was found that the effects of muscle shortening on MUP morphology depended not only on whether the electrodes were between the end-plate and the tendon junction or beyond the tendon junction, but also on the specific distance to this junction. When the electrodes lie between the end-plate and tendon junction, it was found that (1) the muscle shortening effect is not important for superficial MUs, (2) the sensitivity of MUP amplitude to muscle shortening increases with MU-to-electrode distance, and (3) the amplitude of the MUP negative phase is not affected by muscle shortening. This study provides a basis for the interpretation of the changes in MUP characteristics in experiments where both physiological and geometrical aspects of the muscle are varied.     

Mechanomyograms recorded during evoked contractions of single motor units in the rat medial gastrocnemius muscle

Acoustic phenomena accompanying contractions of single motor units (MUs) have previously received little attention. Therefore, in the present study, the mechanomyographic (MMG) signals during evoked contractions of single MUs have been recorded from the medial gastrocnemius muscle of the rat. A piezoelectric transducer immersed in a paraffin-oil pool was used for the measurement of these signals. Muscle fibre action potentials, tension and MMG were recorded in parallel during twitch (the weakest) and fused tetanic (the strongest) MU contractions. It was observed that the onset of the MMG signals was coincident with the beginning of the increase in tension for both the twitch and tetanus. Weaker MMG signals than those accompanying the beginning of the first phase of the fused tetanus were seen during the beginning of the relaxation after tetanic contraction. During contraction and relaxation, MMG signals were characterised by the reverse-direction of the first extreme phase, positive and negative, respectively. No MMG signals were observed when the tension was constant during the fused tetanus. The amplitude of MMG signals was correlated with both the tension increase and the velocity of tension increase during both the twitch and the fused tetanus. The strongest MUs (fast fatiguable) generated MMG signals of the highest amplitude. MMG signals were not detected for some of the weakest slow MUs (with tension increases of < or = 2 mN). These results indicate a strong correlation between the MMG and the change of tension. Therefore, we believe that MMG signals are generated by muscle deformation that occurs during the contraction of MU muscle fibres. We conclude that the number of active muscle fibres, their topography, and their localisation in relation to the muscle surface (which is variable for different types of MUs) influence these MMG phenomena.     

Mechanomyograms recorded during evoked contractions of single motor units in the rat medial gastrocnemius muscle

Acoustic phenomena accompanying contractions of single motor units (MUs) have previously received little attention. Therefore, in the present study, the mechanomyographic (MMG) signals during evoked contractions of single MUs have been recorded from the medial gastrocnemius muscle of the rat. A piezoelectric transducer immersed in a paraffin-oil pool was used for the measurement of these signals. Muscle fibre action potentials, tension and MMG were recorded in parallel during twitch (the weakest) and fused tetanic (the strongest) MU contractions. It was observed that the onset of the MMG signals was coincident with the beginning of the increase in tension for both the twitch and tetanus. Weaker MMG signals than those accompanying the beginning of the first phase of the fused tetanus were seen during the beginning of the relaxation after tetanic contraction. During contraction and relaxation, MMG signals were characterised by the reverse-direction of the first extreme phase, positive and negative, respectively. No MMG signals were observed when the tension was constant during the fused tetanus. The amplitude of MMG signals was correlated with both the tension increase and the velocity of tension increase during both the twitch and the fused tetanus. The strongest MUs (fast fatiguable) generated MMG signals of the highest amplitude. MMG signals were not detected for some of the weakest slow MUs (with tension increases of ≤2 mN). These results indicate a strong correlation between the MMG and the change of tension. Therefore, we believe that MMG signals are generated by muscle deformation that occurs during the contraction of MU muscle fibres. We conclude that the number of active muscle fibres, their topography, and their localisation in relation to the muscle surface (which is variable for different types of MUs) influence these MMG phenomena. Accepted: 29 May 2000     

Number and size of motor units in thenar muscles

The number and size of motor units (MUs) in the thenar muscles of 10 fresh adult cadavers (33-74 years old) were estimated by histological methods. The average number of MUs was 161 +/- 26 and the MU size was 93 +/- 11.5. Adductor pollicis showed a significantly greater MU size. The number of MUs in our histological study was in agreement with the number reported in previous studies using multiple point stimulation, the method currently used in the clinical investigation of neuromuscular disorders.     

The presence of unknown layer of skin and fat is an obstacle to a correct estimation of the motor unit size from surface detected potentials

To overcome problems with a strong distance-dependence of the motor unit potentials (MUPs), different methods to estimate the MU location and size have been proposed. Distance-independence of the exponent of the power function, that describes the MUP distance decline, and homogeneity of the volume conductor, are assumed in all methods. Some of them consider the exponent value as unique, irrespective of persons, muscles and their functional state. One method estimates the current exponent value. We evaluate this method by computer simulation of MUPs in infinite and semi-infinite volume conductor. Our results show that although the first assumption is not fulfilled, it does not affect considerably the estimate of the MU location and size obtained for infinite or semi-infinite homogeneous volume conductor. The errors of the MU location can be insignificant even in inhomogeneous volume conductor with a layer of lower conductivity (skin and fat) between the muscle tissue and electrode. The accurate location of the MU electrical axis is, however, not a sufficient condition for a correct MU size estimation that depends considerably on actual parameters of the layer. Thus, the surface EMG could hardly be considered as non-invasive alternative to macro EMG for detection of the enlarged MUs.     

Preferential motor unit loss in the SOD1 G93A transgenic mouse model of amyotrophic lateral sclerosis

The present study investigated motor unit (MU) loss in a murine model of familial amyotrophic lateral sclerosis (ALS). The fast-twitch tibialis anterior (TA) and medial gastrocnemius (MG) muscles of transgenic SOD1(G93A) and SOD1(WT) mice were studied during the presymptomatic phase of disease progression at 60 days of age. Whole muscle maximum isometric twitch and tetanic forces were 80% lower (P < 0.01) in the TA muscles of SOD1(G93A) compared to SOD1(WT) mice. Enumeration of total MU numbers within TA muscles showed a 60% reduction (P < 0.01) within SOD1(G93A) mice (38 +/- 7) compared with SOD1(WT) controls (95 +/- 12); this was attributed to a lower proportion of the most forceful fast-fatigable (FF) MU in SOD1(G93A) mice, as seen by a significant (P < 0.01) leftward shift in the cumulative frequency histogram of single MU forces. Similar patterns of MU loss and corresponding decreases in isometric twitch force were observed in the MG. Immunocytochemical analyses of the entire cross-sectional area (CSA) of serial sections of TA muscles stained with anti-neural cell adhesion molecule (NCAM) and various monoclonal antibodies for myosin heavy chain (MHC) isoforms showed respective 65% (P < 0.01) and 28% (P < 0.05) decreases in the number of innervated IIB and IID/X muscle fibres in SOD1(G93A), which paralleled the 60% decrease (P < 0.01) in the force generating capacity of individual fibres. The loss of fast MUs was partially compensated by activity-dependent fast-to-slower fibre type transitions, as determined by increases (P < 0.04) in the CSA and proportion of IIA fibres (from 4% to 14%) and IID/X fibres (from 31% to 39%), and decreases (P < 0.001) in the CSA and proportion of type IIB fibres (from 65% to 44%). We conclude that preferential loss of IIB fibres is incomplete at 60 days of age, and is consistent with a selective albeit gradual loss of FF MUs that is not fully compensated by sprouting of the remaining motoneurons that innervate type IIA or IID/X muscle fibres. Our findings indicate that disease progression in fast-twitch muscles of SOD1(G93A) mice involves parallel processes: (1) gradual selective motor axon die-back of the FF motor units that contain large type IIB muscle fibres, and of fatigue-intermediate motor units that innervate type IID/X muscle fibres, and (2) activity-dependent conversion of motor units to those innervated by smaller motor axons innervating type IIA fatigue-resistant muscle fibres.     

Correlation of recruitment order with axonal conduction velocity for supraspinally driven diaphragmatic motor units

Spontaneous activities of pairs of single diaphragmatic motor units (MUs) were recorded via two electrodes in anesthetized cats, ventilated with CO2 added to the inspired gas, which slightly enhanced respiratory drive (endtidal CO2 less than 6%). These MUs were characterized by their axonal conduction velocities (CVs) and relative onset times (defined as the time after onset of phrenic nerve activity until the MU began discharging divided by the duration of inspiration). Motor unit axonal CV was estimated by the conduction time and the distance between two points on the phrenic nerve. Results were compared from two experimental preparations: one with dorsal roots intact and the other with dorsal roots transected bilaterally between fourth (C4) and seventh (C7) cervical segments. Estimated mean CV for phrenic MUs was 46.2 m/s(n = 180 MU). Motor units were classified as early and late recruited MUs depending on their relative onset times. We correlated MU axonal CV with its relative recruitment time. A highly significant (P less than 0.0001), positive correlation between axonal CV and relative recruitment time was established for those diaphragmatic MUs recruited with this respiratory drive. Correlation coefficients were r = 0.70 for intact animals, r = 0.72 for dorsal rhizotomized animals, and r = 0.72 overall population. For pairs of MUs, the CV of the earlier recruited unit was compared with the CV of the later recruited unit. In 96% of pairs from intact animals and 92% of pairs from dorsal rhizotomized animals, the first MU had a lower CV than the MU recruited later. Difference in relative times of recruitment was directly related to difference in axonal CVs. However, a portion of the motor pool with high-axonal CVs was not sampled. Under conditions of these experiments, afferent input in cervical dorsal roots, including that from diaphragmatic receptors, did not influence the distribution of MU relative onset times. Further, a similar proportion of MU pairs wherein the earlier recruited MU had a CV lower than the later recruited unit was observed in intact and dorsal rhizotomized animals. We also cross-correlated 31 pairs of simultaneously recorded MUs to assess common input onto phrenic motoneurons. Common input was characterized by the presence of peaks having widths of greater than or equal to 3 ms in the cross-correlation histograms (CCHs) and occurring within 20 ms of the trigger event. Peaks were judged significant if the bin with the largest number of occurrences was significantly greater than base line and if neighboring bins were above base line.(ABSTRACT TRUNCATED AT 400 WORDS)     

Influence of the interimpulse interval on the propagation velocity of the motor unit potentials

The influence of the rate of firing of separate human motor units (MUs) from m. biceps brachii on the propagation velocity of the extraterritorial MU potentials was investigated. The experiments were carried out under normal physiological conditions--different level of isometric voluntary activity and different rate of firing--respectively. The subjects succeeded to keep 3-5 different levels of relatively constant rate of firing with mean value of the interimpulse intervals ranging from 67.8 to 183.2 ms. Wire subcutaneous branched electrodes and conventional bipolar wire electrodes were used to separate potentials from single motor units and as a trigger to average surface electromyographic (EMG) signals. MUs with superficially and deep lying muscle fibers were investigated. The propagation velocity of the potentials of superficially lying MUs was calculated from the time shift between the EMG signals picked up by means of two monopolar surface electrodes placed along the direction of the muscle fibers. For deep lying MUs the changes in the propagation velocity were estimated indirectly by the changes in the duration of the extraterritorial MU potentials. No systematic relationship between the rate of firing and the velocity of propagation was found.     

EMG activation patterns during force production in precision grip. III. Synchronisation of single motor units

Motor unit (MU) synchronisation during isometric force production in the precision grip was analysed in five subjects performing a visually guided steptracking motor task with three different force levels. With this aim multi-unit electromyographic (EMG) activity of 14 intrinsic and extrinsic finger muscles from 15 experimental sessions was decomposed into the potentials of single MUs. The behaviour of 62 intrinsic and 30 extrinsic MUs in the motor task was quantified. Most MUs displayed a positive correlation between firing rate and grip force. Compared to MUs in extrinsic muscles, intrinsic MUs had steeper regression lines with negative intercepts indicating higher force sensitivity and higher recruitment thresholds. A cross-correlation analysis was performed for 69 intra- and 166 intermuscular MU pairs while steady grip force was exerted at the three force levels. Synchronisation, for at least one force level, was found in 78% of the intra- and 45% of the intermuscular pairs. The occurrence of synchronisation was not stable over the force range tested. Factors influencing the fluctuations in occurrence and strength of synchronisation were investigated. Force increase was not paralleled by increased synchronisation; in contrast, in most MU pairs, especially intermuscular pairs, synchronisation occurred preferentially at the lower force levels. The recruitment threshold appeared to play a determining role in synchronisation: the more similar the thresholds of two MUs, the greater the probability of them being synchronised at this force level. Synchronised MUs fired on average at a lower frequency than non-synchronised ones. Finally, synchronisation at the multi-unit EMG level does not indicate that all underlying MUs are synchronised, nor does the absence of temporal coupling at the multi-unit level indicate that none of the MUs is synchronised.     

Task-related behaviour of motor units in the human temporalis muscle

Muscle activity patterns in some complex human jaw muscles appear to be task sensitive. However, it is presently uncertain how changes in motor task affect motor unit (MU) behaviour in the human temporalis muscle. In this study, activity was recorded from 40 MUs in the anterior region of the muscle. The lowest sustainable firing frequency (LSFF) was reached by slow increases and decreases in firing rate, then firing was maintained at the lowest possible rate without significant pauses. An array of consecutive interspike intervals (ISI) were sampled digitally and used to measure the LSFF for each task associated with the MU. In a controlled paradigm, MU reflex inhibition was measured during the performance of different tasks. Single electrical pulses of non-noxious intensity were delivered to the gingiva near the maxillary canine tooth. During continuous MU firing at a controlled firing frequency of 10 Hz, series of pulses were delivered with increasing delays, after preselected spikes. The MUs fired continuously during the performance of 1–4 postural and tooth-contact tasks. There were significant differences in LSFFs between tasks in those MUs associated with multiple tasks. In the reflex study, all MUs were inhibited, but the magnitude of the inhibition was highly task dependent. Thus, both LSFF and reflex inhibition of temporalis MUs appear to vary with the motor task and are sensitive to the position of the jaw and the direction and location of tooth contact along the tooth row. This behaviour most likely reflects task-related changes in output from orofacial and muscle afferents.     

Relation between the motor units recruitment threshold and their potentials propagation velocity at isometric activity.

The relationship between the propagation velocity of the excitation along the muscle fibers of the motor units (MUs) and their threshold of recruitment at different level of isometric voluntary contraction was investigated. The threshold of recruitment was measured by the value of the muscle force, expressed in percents from the maximal voluntary contraction (MVC) at which the first impulse of the MU appeared. A wire subcutaneous branched electrode was used to select the potentials from a single MU. The selected in this way MU impulses were used as a trigger to average two electromyographic (EMG) signals picked up by means of two monopolar surface electrodes with small leading-off areas mounted on a common plate at a distance of 10 mm from one another. The propagation velocity of the extraterritorial potentials of the MUs increased non-linearly with the increase of the recruitment threshold. The relationship was fitted as V = square root of a+b.theta, where v is the propagation velocity, theta is the threshold of recruitment and a and b are constants. The consideration of the velocity of propagation as a "size principle parameter" was discussed and the limitations of the latter are pointed out.     

Collateral nerve sprouting and twitch forces of single motor units in conditions with partial denervation in man

Single motor units (MUs) were studied in the first dorsal interosseus muscle of 7 patients with slight partial denervation and in 10 controls. MU action potentials were recorded using the macro-EMG technique and their size was taken to assess collateral nerve sprouting. Simultaneously, the muscle force was monitored to determine the voluntary recruitment thresholds of the MUs and spike-triggered-averaging was applied to measure their twitch forces. At comparable force recruitment thresholds, both macro-EMG potentials and twitch forces were increased in the patients. We conclude, that collateral nerve sprouting increases MU force and can compensate for MU loss.     

Motor unit changes in inflammatory myopathy and progressive muscular dystrophy

The aim of present study was to analyse the motor unit (MU) changes in progressive muscle dystrophy (PMD) and in inflammatory myopathy (IM) and to evaluate eventual neurogenic factors in MU reorganisation. The material consisted of 20 patients with (PMD), 20 patients with (IM) and 20 healthy age-matched volunteers. The shape of concentric needle motor unit potentials (cn MUPs), including their duration, amplitude, area, size index and number of phases, the interference pattern and the amplitude and area of macro MUPs were evaluated. The cn emg data satisfied the classical criteria for myopathy in all examined patients, at least in one of the tested muscles. A decreased amplitude and/or area of macro MUPs, compatible with myopathy, were observed in 32 of the 40 patients. In some cases of chronic IM and PDM the long duration polyphasic potentials were recorded. The size index (SI) value of long polyphasic MUPs was usually decreased or normal. This feature indicated that desynchronisation of "myopathic" MUPs results from a reduced number of muscle fibers and their degeneration and regeneration. The results indicated no difference in MU reorganization between PMD and IM and no evidence of neurogenic factors in MU changes.     

Discharge behavior of motor units in knee extensors during the initial stage of constant-force isometric contraction at low force level

Abstract. To elucidate the strategy of the activity of motor units (MUs) to maintain a constant-force isometric contraction, I examined the behavior of MUs in knee extensor muscles [(vastus medialis (VM), vastus lateralis (VL) and rectus femoris (RF)] during a sustained contraction at 5% of maximal voluntary contraction for 5 min. In all cases, the spike interval exhibited an elongating trend, and two discharge patterns were observed, continuous discharge and decruitment. In continuous-discharge MUs, the trend slope was steep immediately after the onset of constant force (steep phase), and then became gentle (gentle phase). Decruitments were observed frequently during each phase, and additional MU recruitment was observed throughout the contraction. The mean value of recruitment threshold force did not differ among the extensors. The mean spike interval at the onset of constant-force isometric contractions was shorter in RF than in VL. However, there were no differences in the duration and extent of the elongating trend, decruitment time and recruitment time among the extensors. The electromyogram of the antagonist biceps femoris muscle revealed no compensatory change for extensor activity. These results indicated that at a low force level, the strategy employed by the central nervous system to maintain constant force appears to involve cooperation among elongating trends in the spike interval, decruitment following elongation, and additional MU recruitment in synergistic muscles. Electronic Publication