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多块前臂肌肉诱发的运动诱发电位的分化:一项高密度表面肌电图研究。

Differentiation of motor evoked potentials elicited from multiple forearm muscles: An investigation with high-density surface electromyography.

作者信息

Neva J L, Gallina A, Peters S, Garland S J, Boyd L A

机构信息

Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.

Graduate Program in Rehabilitation Sciences, Faculty of Medicine, University of British Columbia, Vancouver, Canada.

出版信息

Brain Res. 2017 Dec 1;1676:91-99. doi: 10.1016/j.brainres.2017.09.017. Epub 2017 Sep 18.

Abstract

Transcranial magnetic stimulation (TMS) is a non-invasive method to measure corticospinal excitability of the primary motor cortex. However, motor evoked potentials (MEPs) elicited by TMS in a target muscle are variable; inconsistent MEPs may be due to overlapping cortical muscle representations and/or volume conduction from neighbouring muscles. The source of variable muscle responses may not be apparent using conventional bipolar electromyography (EMG), particularly over areas with several distinct neighbouring muscles (e.g. the forearm). High-density surface EMG (HDsEMG) may provide a useful means to investigate the underlying variability in amplitude and spatial distribution of MEPs. Here, we investigated the spatial distribution of MEPs in the forearm extensors using HDsEMG. HDsEMG consisted of a 16×5 grid of surface electrodes placed on the right (dominant) dorsal forearm over the extensor carpi radialis (ECR), ulnaris (ECU) and extensor digitorum communis finger extensors (EDC). MEP amplitude and distribution were recorded from 100 to 170% of resting (RMT) and active motor threshold (AMT). The distribution of MEPs was correlated to the activity recorded during selective, isometric contractions of the ECR, ECU, middle (EDC-D3) and ring (EDC-D4) finger extensors to determine the spatial distribution of MEPs in the forearm extensors. Although ECR was the hotspot, resting MEP spatial distribution was primarily correlated to that of EDC-D4 and ECU. With background ECR activation, the spatial distribution of MEPs correlated strongly with ECR. Further, while holding a background ECR contraction, EDC-D4 and ECU MEPs increased with greater stimulation intensity. Our results suggest that HDsEMG provides a useful way to differentiate which wrist extensor muscles are activated by TMS.

摘要

经颅磁刺激(TMS)是一种测量初级运动皮质皮质脊髓兴奋性的非侵入性方法。然而,TMS在目标肌肉中诱发的运动诱发电位(MEP)是可变的;MEP不一致可能是由于皮质肌肉代表区重叠和/或来自相邻肌肉的容积传导。使用传统的双极肌电图(EMG)可能无法明确可变肌肉反应的来源,尤其是在有几个不同相邻肌肉的区域(如前臂)。高密度表面肌电图(HDsEMG)可能为研究MEP幅度和空间分布的潜在变异性提供一种有用的手段。在此,我们使用HDsEMG研究了前臂伸肌中MEP的空间分布。HDsEMG由16×5的表面电极网格组成,放置在右(优势)侧前臂背侧的桡侧腕伸肌(ECR)、尺侧腕伸肌(ECU)和指总伸肌(EDC)上。在静息运动阈值(RMT)和主动运动阈值(AMT)的100%至170%范围内记录MEP幅度和分布。将MEP的分布与ECR、ECU、中指(EDC-D3)和环指(EDC-D4)伸肌选择性等长收缩期间记录的活动相关联,以确定前臂伸肌中MEP的空间分布。尽管ECR是热点,但静息MEP空间分布主要与EDC-D4和ECU的分布相关。在背景ECR激活时,MEP的空间分布与ECR密切相关。此外,在保持背景ECR收缩的同时,EDC-D4和ECU的MEP随着刺激强度的增加而增加。我们的结果表明,HDsEMG为区分哪些腕伸肌被TMS激活提供了一种有用的方法。

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