Howard J E, McGill K C, Dorfman L J
Department of Neurology, Stanford University School of Medicine, CA 94305.
Muscle Nerve. 1988 Oct;11(10):1051-5. doi: 10.1002/mus.880111007.
We compared the configurational and firing properties of 7270 motor unit action potentials (MUAPs) recorded with either concentric (CNE) or monopolar (MNE) needle electrodes from the brachial biceps and anterior tibial muscles of 10 healthy young adults (mean age 27 +/- 4.5 years) using automatic decomposition electromyography (ADEMG). In both muscles, mean MUAP amplitude, rise rate, and number of turns were significantly greater when recorded with MNE (paired t-test, P less than 0.001 in each case). Similar findings were observed at all three tested levels of isometric contractile force: threshold, 10% of maximum voluntary contraction (MVC), and 30% MVC. In contrast, there was no significant difference between electrode types on measurements of mean MUAP duration or firing rate (P greater than 0.05 in each case). These findings indicate that it is acceptable to generalize normative data on MUAP duration and firing rate from one electrode type to another, but that measures of MUAP amplitude and complexity require independent normative databases.
我们使用自动分解肌电图(ADEMG),比较了从10名健康年轻成年人(平均年龄27±4.5岁)的肱二头肌和胫前肌中,用同心针电极(CNE)或单极针电极(MNE)记录的7270个运动单位动作电位(MUAPs)的构型和放电特性。在这两块肌肉中,用MNE记录时,平均MUAP波幅、上升速率和转折次数均显著更大(配对t检验,每种情况P均小于0.001)。在等长收缩力的所有三个测试水平:阈值、最大自主收缩(MVC)的10%和30%MVC时,均观察到类似结果。相比之下,电极类型在平均MUAP持续时间或放电频率的测量上没有显著差异(每种情况P均大于0.05)。这些发现表明,将一种电极类型的MUAP持续时间和放电频率的标准数据推广到另一种电极类型是可以接受的,但MUAP波幅和复杂性的测量需要独立的标准数据库。