Falck B, Stålberg E, Bischoff C
Department of Clinical Neurophysiology, Uppsala University Hospital, Sweden.
Muscle Nerve. 1995 Dec;18(12):1385-9. doi: 10.1002/mus.880181207.
The influence of the recording site on the motor unit potentials (MUPs) was investigated in the brachial biceps muscle of 8 healthy subjects. The MUPs were recorded with a concentric needle electrode and analyzed with a new decomposition EMG program we call multi-MUP analysis. MUPs had shorter durations and smaller amplitudes at superficial recording sites than at deeper sites in the muscle. This is mainly due to the cannula of the concentric electrode, which records a higher potential at superficial recording sites and partially cancels the recorded potentials from the tip in a differential recording. The MUPs had longer durations and higher amplitudes distally than in the middle of the muscle. The longer durations and spike durations are probably due to increased temporal dispersion at a greater distance from the endplate zone. We do not have an adequate explanation for the larger amplitudes distally in the biceps, they may be due to anatomical factors. To increase the diagnostic sensitivity of quantitative MUP analysis the recordings should be obtained from standardized recording sites.
在8名健康受试者的肱二头肌中研究了记录部位对运动单位电位(MUPs)的影响。使用同心针电极记录MUPs,并使用我们称为多MUP分析的新分解肌电图程序进行分析。与肌肉较深部位相比,MUPs在浅表记录部位的持续时间更短,幅度更小。这主要是由于同心电极的套管,其在浅表记录部位记录到更高的电位,并在差分记录中部分抵消了从尖端记录的电位。MUPs在肌肉远端的持续时间比在肌肉中部更长,幅度更高。持续时间和波峰持续时间较长可能是由于距终板区较远时时间离散增加。我们对肱二头肌远端幅度较大没有充分的解释,可能是由于解剖学因素。为了提高定量MUP分析的诊断敏感性,记录应从标准化记录部位获取。