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在传统肌电图记录中能否检测到大小原则?

Can the size principle be detected in conventional EMG recordings?

作者信息

Ertas M, Stålberg E, Falck B

机构信息

Department of Clinical Neurophysiology, University Hospital, Uppsala, Sweden.

出版信息

Muscle Nerve. 1995 Apr;18(4):435-9. doi: 10.1002/mus.880180410.

Abstract

According to Henneman's size principle, small motor units are recruited before large ones. It is commonly believed that this can be detected in routine conventional EMG recordings even among the earliest recruited motor units. That is, the MUP amplitude, area, and thickness should increase with recruitment order. We studied the first four motor unit potentials (MUPs) recruited within the pickup area of the electrodes. Data were obtained from 179 different sites in monopolar recordings and in 153 concentric recordings from 5 health subjects. In the pooled material, amplitude, area, and thickness increased slightly between consecutively recruited MUPs. However, at individual recording sites the size of consecutively recruited MUPs varied considerably. At some recording sites the first recruited MUP had the largest amplitude and the later MUPs has successively smaller amplitudes. We conclude that, at individual recording sites, the size principle cannot be detected in low threshold motor units with monopolar or concentric EMG electrodes. The reason for this is the small uptake area of these electrodes in relation to the motor unit territory.

摘要

根据亨内曼大小原则,小运动单位在大运动单位之前被募集。人们普遍认为,即使在最早被募集的运动单位中,这一点在常规肌电图记录中也能被检测到。也就是说,运动单位动作电位(MUP)的幅度、面积和厚度应随着募集顺序增加。我们研究了电极采集区域内最早募集的四个运动单位电位(MUP)。数据来自5名健康受试者的179个不同单极记录部位和153个同心针电极记录部位。在汇总资料中,连续募集的MUP之间,其幅度、面积和厚度略有增加。然而,在各个记录部位,连续募集的MUP大小差异很大。在一些记录部位,最早募集的MUP幅度最大,随后的MUP幅度逐渐变小。我们得出结论,在各个记录部位,使用单极或同心针电极无法在低阈值运动单位中检测到大小原则。原因在于这些电极相对于运动单位区域的采集面积较小。

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