Guiloff R J, Modarres-Sadeghi H
Department of Neurology, Charing Cross and Westminster Medical School, Westminster Hospital, London, UK.
Brain. 1991 Aug;114 ( Pt 4):1771-801. doi: 10.1093/brain/114.4.1771.
Conventionally recorded surface F waves over the abductor digiti minimi muscle sampled a wide range of conduction velocities (CVs). Single motor unit (MU) F responses to threshold stimulation of the ulnar nerve were recorded with bipolar needle electrodes (BNE); the mean latencies of their fastest associated surface single unit M and F potentials were similar to those of the compound muscle action potential and fastest F wave, indicating that the fastest F wave indexes adequately the fastest motor fibre of the ulnar nerve. The mean surface unit F amplitude of MUs recorded by a BNE was similar to that of voluntary MUs recorded with a spike-triggered averaging technique; an estimated mean of 2-3 MUs per F wave was found by two methods. The frequency distribution of estimated F wave CVs was shifted towards faster values than expected from available studies of the distribution of CVs in single peripheral nerves; it was also higher than predicted from the expected relation between this distribution and the number of MUs per F wave, if an equal chance of activation and recording is assumed for each MU. There was a significant positive correlation between the frequency of F responses and their CV in 81 single MUs recorded by a BNE and tested with 200 threshold stimuli. These findings are consistent with preferential generation of recurrent responses by larger MUs; it may relate to a lesser chance of antidromic discharge in the smaller motor neurons and to a greater chance of collision of orthodromic (reflex) and antidromic impulses in their axons. The higher than expected percentage of all F waves that were repeater shapes or waves, and the presence of several distinct peaks in the distribution of intervals between repeaters of the same shape, suggest special, and heterogeneous, functional and anatomical arrangements in the groups of motor neurons generating them. Repeaters had greater amplitude and area, but similar latency and duration, than F wave shapes that did not repeat, suggesting that the former have a larger number of component MUs.
传统记录的小指展肌表面F波采样了广泛的传导速度(CV)范围。使用双极针电极(BNE)记录尺神经阈刺激下的单个运动单位(MU)F反应;其最快相关表面单个单位M和F电位的平均潜伏期与复合肌肉动作电位和最快F波的平均潜伏期相似,表明最快F波充分反映了尺神经最快的运动纤维。BNE记录的运动单位表面单位F波平均振幅与使用棘波触发平均技术记录的自主运动单位相似;通过两种方法发现每个F波估计平均有2 - 3个运动单位。估计的F波CV频率分布向比单个周围神经CV分布现有研究预期更快的值偏移;如果假设每个运动单位有相等的激活和记录机会,它也高于根据该分布与每个F波运动单位数量之间的预期关系所预测的值。在BNE记录并用200次阈刺激测试的81个单个运动单位中,F反应频率与其CV之间存在显著正相关。这些发现与较大运动单位优先产生反复反应一致;这可能与较小运动神经元中逆行放电机会较少以及它们轴突中顺行(反射)和逆行冲动碰撞机会较大有关。所有F波中重复形状或波的百分比高于预期,并且相同形状重复波之间的间隔分布存在几个明显的峰值,这表明产生它们的运动神经元组存在特殊且异质的功能和解剖学排列。与不重复的F波形状相比,重复波具有更大的振幅和面积,但潜伏期和持续时间相似,这表明前者有更多的组成运动单位。