Department of Neurology Martin-Luther-University Halle-Wittenberg Halle (Saale) Germany.
Brain Behav. 2017 Feb 16;7(3):e00627. doi: 10.1002/brb3.627. eCollection 2017 Mar.
The needle electromyography (EMG) serves to supply additional information in patients with suspected neuromuscular disorders. We aimed to provide motor unit potential (MUP) data by concentric needle EMG in the erector spinae (ES) in comparison with biceps brachii (BB) and lateral vastus (LV).
Electromyography MUP data () were obtained in ES (517), BB (539), and LV (627) in 32 healthy volunteers (16f).
Motor unit potential data: amplitude (μV) 393 ± 174 (ES), 375 ± 162 (BB), and 577 ± 304 (LV); duration (ms) 10.4 ± 2.4 (ES), 10.1 ± 2.1 (BB), and 11.1 ± 2.3 (LV), area (μV × ms) 585 ± 327 (ES), 538 ± 267 (BB), and 881 ± 492 (LV); phase number 3.23 ± 0.94 (ES), 2.98 ± 0.76 (BB), and 3.19 ± 0.81 (LV); size index 0.60 ± 0.56 (ES), 0.51 ± 0.53 (BB), and 0.96 ± 0.55 (LV). LV displayed higher values ( at least <.001) for MUP amplitude, duration, area, and size index as compared to both, BB and ES.
Concentric needle EMG investigations in healthy adult human subjects revealed similar MUP parameters in the ES and BB muscles, while in the LV muscle MUP amplitude, duration, area, and size index were significantly larger. Different neuromuscular disorders display a predominant involvement of proximally located muscles such as truncal muscles. The present results given here may facilitate the diagnosis of neuromuscular disorders.
针肌电图(EMG)可提供疑似神经肌肉疾病患者的额外信息。我们旨在通过同心针 EMG 提供竖脊肌(ES)的运动单位电位(MUP)数据,并与肱二头肌(BB)和外侧股四头肌(LV)进行比较。
在 32 名健康志愿者(16 名女性)中,分别在 ES(517 个)、BB(539 个)和 LV(627 个)中获得肌电图 MUP 数据()。
运动单位电位数据:振幅(μV)393±174(ES)、375±162(BB)和 577±304(LV);持续时间(ms)10.4±2.4(ES)、10.1±2.1(BB)和 11.1±2.3(LV);面积(μV×ms)585±327(ES)、538±267(BB)和 881±492(LV);相数 3.23±0.94(ES)、2.98±0.76(BB)和 3.19±0.81(LV);大小指数 0.60±0.56(ES)、0.51±0.53(BB)和 0.96±0.55(LV)。与 BB 和 ES 相比,LV 的 MUP 振幅、持续时间、面积和大小指数均显示出更高的值(至少<.001)。
在健康成年人体中进行的同心针 EMG 研究显示 ES 和 BB 肌肉中的 MUP 参数相似,而 LV 肌肉中的 MUP 振幅、持续时间、面积和大小指数显著更大。不同的神经肌肉疾病表现出对近端肌肉(如躯干肌肉)的主要累及。这里给出的结果可能有助于神经肌肉疾病的诊断。