Nandedkar S D, Sanders D B
Electromyography Laboratory, Duke University Medical Center, Durham, North Carolina.
Muscle Nerve. 1991 Feb;14(2):108-12. doi: 10.1002/mus.880140204.
Motor unit action potentials (MUAPs) and the electromyographic (EMG) interference pattern (IP) were recorded from the biceps muscle of 5 normal subjects using both a concentric needle (CN) and a disposable monopolar needle (MN) electrode. The MUAPs recorded by the MN electrode had higher amplitude and area and were more frequently complex than those recorded with the CN electrode. The MUAP duration and area: amplitude ratio were similar for both electrodes. Although the MN electrode had a larger recording surface, its dimensions (maximum diameter and length of the cone shaped tip) were similar to those of the CN electrode (minor and major axes of the elliptical recording tip). Based on these observations, we infer that the MN electrode may be more selective than the CN electrode, ie, the AP amplitude recorded by the MN electrode decreases faster than the AP amplitude recorded by a CN electrode when the distance of the muscle fiber from the recording electrode increases. Photomicrographs of the MN electrode after use demonstrated no evidence that the insulating material had peeled off. There was also no evidence that MUAP measurement values changed during the recordings as would be expected if the recording surface changed due to peeling of the insulating material.
使用同心针电极(CN)和一次性单极针电极(MN),从5名正常受试者的肱二头肌记录运动单位动作电位(MUAPs)和肌电图(EMG)干扰图(IP)。MN电极记录的MUAPs具有更高的幅度和面积,并且比CN电极记录的MUAPs更频繁地出现复杂情况。两种电极记录的MUAP持续时间和面积与幅度之比相似。尽管MN电极的记录表面较大,但其尺寸(锥形尖端的最大直径和长度)与CN电极(椭圆形记录尖端的短轴和长轴)相似。基于这些观察结果,我们推断MN电极可能比CN电极更具选择性,即当肌肉纤维与记录电极之间的距离增加时,MN电极记录的动作电位幅度比CN电极记录的动作电位幅度下降得更快。使用后的MN电极的显微照片显示没有证据表明绝缘材料已经剥落。也没有证据表明记录过程中MUAP测量值发生了变化,而如果记录表面因绝缘材料剥落而发生变化,预计会出现这种情况。