Motor unit potential recruitment reference values in common upper and lower extremity muscles.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Motor unit potential recruitment reference values in common upper and lower extremity muscles.
Συγγραφείς: Rubin DI; Electromyography Laboratory, Department of Neurology, Mayo Clinic, Jacksonville, FL, USA. Electronic address: rubin.devon@mayo.edu., Lamb CJ; Electromyography Laboratory, Department of Neurology, Mayo Clinic, Jacksonville, FL, USA.
Πηγή: Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology [Clin Neurophysiol] 2026 May; Vol. 185, pp. 2010469. Date of Electronic Publication: 2024 May 10.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 100883319 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-8952 (Electronic) Linking ISSN: 13882457 NLM ISO Abbreviation: Clin Neurophysiol Subsets: MEDLINE
Imprint Name(s): Original Publication: Amsterdam : Elsevier, c1999-
Ιατρικοί όροι (MeSH): Recruitment, Neurophysiological*/physiology , Muscle, Skeletal*/physiology , Muscle, Skeletal*/innervation , Lower Extremity*/physiology , Lower Extremity*/innervation , Upper Extremity*/physiology , Upper Extremity*/innervation , Action Potentials*/physiology , Motor Neurons*/physiology, Electromyography/methods ; Muscle Contraction/physiology ; Humans ; Male ; Female ; Adult ; Reference Values ; Middle Aged ; Young Adult ; Aged
Περίληψη: Objective: To define reference values for motor unit (MU) recruitment during needle EMG of six commonly examined muscles at low to moderate contraction.
Methods: Needle examination was performed for each muscle in a total of 111 subjects without neuromuscular disorders. Fastest firing rates and recruitment ratios (RRs) were calculated in at least 5 sites within each muscle. Upper limits of normal based on 97th percentile for fastest MU firing rates and RRs were calculated for each muscle. The means of fastest firing rates were compared among muscles using the Friedman and Wilcoxon signed rank tests.
Results: The upper limits of normal were 12-15 Hz for fastest firing rates and were slightly higher in the deltoid and triceps than the other muscles.
Conclusion: Firing rates >15 Hz recorded at multiple sites within a single muscle exceed the 97th percentile of normal subjects and may suggest reduced MU recruitment. In some muscles, rates >12 Hz might support mildly reduced recruitment. Recruitment ratios varied depending on number of firing MUs, whereas the fastest firing MU rate did not.
Significance: The determination of reference values for fastest MU firing rates can help to identify mild reduction in recruitment with more accuracy.
(Copyright © 2024 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved.)
Contributed Indexing: Keywords: Firing frequency; Motor unit potential; Needle electromyography; Recruitment; Recruitment ratio; Reference values
Entry Date(s): Date Created: 20240522 Date Completed: 20260315 Latest Revision: 20260315
Update Code: 20260316
DOI: 10.1016/j.clinph.2024.05.001
PMID: 38777641
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1872-8952
DOI:10.1016/j.clinph.2024.05.001