[Macro EMG in neuromuscular diseases]. 1998

E Szmidt-Sałkowska, and K Rowińska-Marcińska, and A Kopeć, and A Wawro
Kliniki Neurologicznej A.M. w Warszawie.

The aim of this study is the introducing of macro-emg method as electrophysiological test used in diagnosis of neuromuscular diseases. The macro motor unit potentials (macro MUPs) obtained by recording macroelectrode (modified single-fibre electrode) represents temporal and spatial summation of individual single fiber action potentials belonging to whole motor unit territory--so the uptake area is larger for macroelectrode than for the concentric electrode, commonly used in emg routine work, when central main complex is generated only from less than 15 muscle fibers [10, 12, 13]. Additional information obtained by macro-emg method is spatial organisation of muscle fibers within the motor unit, so-called fiber density (F.D) In our study macro-emg examinations were performed in 20 healthy subjects, aged 21-55, without signs and symptoms of neuromuscular disorders. Macro MUPs were recorded using special programme for macro-emg and performed on electromyograph Counterpoint. 37 muscles (20 BB and 17 RF) were examined, and median values of amplitude, area of macro MUPs and F.D. in healthy subjects of different age were analyzed. Mean values of median for amplitude and area of macro MUPs in BB and RF muscles show respectively--148 microV, 382 microV x ms, and 319 microV, 763 microV x ms. Parameters of macro MUPs obtained in healthy subjects were compared to results obtained in 10 patients with myopathy and lower motor neuron lesion. Our results have confirmed the value of macro-emg method for investigating of the pathophysiological changes in motor units in neurogenic disorders, in myopathy the study should be continued.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009468 Neuromuscular Diseases A general term encompassing lower MOTOR NEURON DISEASE; PERIPHERAL NERVOUS SYSTEM DISEASES; and certain MUSCULAR DISEASES. Manifestations include MUSCLE WEAKNESS; FASCICULATION; muscle ATROPHY; SPASM; MYOKYMIA; MUSCLE HYPERTONIA, myalgias, and MUSCLE HYPOTONIA. Amyotonia Congenita,Oppenheim Disease,Cramp-Fasciculation Syndrome,Fasciculation-Cramp Syndrome, Benign,Foley-Denny-Brown Syndrome,Oppenheim's Disease,Benign Fasciculation-Cramp Syndrome,Benign Fasciculation-Cramp Syndromes,Cramp Fasciculation Syndrome,Cramp-Fasciculation Syndromes,Fasciculation Cramp Syndrome, Benign,Fasciculation-Cramp Syndromes, Benign,Foley Denny Brown Syndrome,Neuromuscular Disease,Oppenheims Disease,Syndrome, Cramp-Fasciculation,Syndrome, Foley-Denny-Brown,Syndromes, Cramp-Fasciculation
D004576 Electromyography Recording of the changes in electric potential of muscle by means of surface or needle electrodes. Electromyogram,Surface Electromyography,Electromyograms,Electromyographies,Electromyographies, Surface,Electromyography, Surface,Surface Electromyographies
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D018482 Muscle, Skeletal A subtype of striated muscle, attached by TENDONS to the SKELETON. Skeletal muscles are innervated and their movement can be consciously controlled. They are also called voluntary muscles. Anterior Tibial Muscle,Gastrocnemius Muscle,Muscle, Voluntary,Plantaris Muscle,Skeletal Muscle,Soleus Muscle,Muscle, Anterior Tibial,Muscle, Gastrocnemius,Muscle, Plantaris,Muscle, Soleus,Muscles, Skeletal,Muscles, Voluntary,Skeletal Muscles,Tibial Muscle, Anterior,Voluntary Muscle,Voluntary Muscles

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