Single Muscle Fiber Potentials Research Articles

Influence of time shifting of single muscle fiber potentials (SFPs) on jitter values measured using concentric needle electrode – a simulation study

ObjectivesThe aim of this simulation study was to evaluate the resulting value of jitter measured from a simulated examination recording and to analyze its dependence on both the number of SFPs contributing either to the triggering peak or the non-triggered peak, and time shifting (delays of triggering at the end-plate) of individual SFPs in these paired potentials. MethodsWe simulated potentials recorded using a concentric needle electrode with two well separated peaks, and performed a simulated examination (consisting of 50 trains of 100 discharges) with an assumed number of fibers forming peaks. For each train, fiber diameters were chosen at random within the allowed ranges. For each discharge the delay of triggering for each fiber at the end-plate was selected at random from an assumed range. The mean jitter values were calculated, together with the median and 95% quantile. ResultsThe results suggest that jitter is related to the mean of the individual SFP shifts. ConclusionThese findings extend the understanding of reduced jitter measurements using a concentric needle electrode. If more than one fiber forms the peak, then jitter decreases due to averaging of individual time shifts of potentials constituting the peak, rather than due to detection of the SFP with the earliest peak.

Deriving muscle fiber diameter from recorded single fiber potential

The aim of the study was to estimate muscle fiber diameters through analysis of single muscle fiber potentials (SFPs) recorded in the frontalis muscle of a healthy subject. Our previously developed analytical and graphic method to derive fiber diameter from the analysis of the negative peak duration and the amplitude of SFP, was applied to a sample of ten SFPs recorded in vivo. Muscle fiber diameters derived from the simulation method for the sample of frontalis muscle SFPs are consistent with anatomical data for this muscle. The results confirm the utility of proposed simulation method. Outlying data could be considered as the result of a contribution of other fibers to the potential recorded using an SFEMG electrode. Our graphic tool provides a rapid estimation of muscle fiber diameter.

The morphology of single muscle fibre potentials – Part II: Experimental findings

Studies dealing with single fibre action potentials (SFAPs) have been more interested in obtaining quantitative data of certain parameters of the SFAP waveform than in the analysis of its morphologic features. The characterization of the SFAP morphology is highly valuable as it will allow to obtain information about in vivo intracellular action potentials (IAPs). However, the SFAP final portion is highly sensitive to distant electrical activity, as shown in Part I of this study. The present paper, Part II, is aimed at analysing the morphologies found in human SFAPs and deriving data of the associated IAPs. It was found that, for most SFAPs (97%), the declining negative phase starts decreasing steeply up to a certain point (slope-discontinuity point), from which it returns more slowly towards the baseline. This return may be further slowed down due to the contamination from distant potentials, but the slope-discontinuity point seems to be an intrinsic feature of human SFAPs. The third phase of SFAPs was, either absent (65%), or of rather small amplitude and prolonged duration. The slope-discontinuity point was apparent for the SFAPs of larger amplitude and vanished gradually as the SFAPs got smaller. Several lines of evidence strongly suggest that the spike duration of human IAPs should be about 1.0ms.

The morphology of single muscle fibre potentials – Part I: Simulation study of the distortion introduced by the distant-interfering potentials

Some morphologic aspects of human single fibre action potentials (SFAPs) are not sufficiently well-known. This uncertainty especially concerns the declining negative phase and the final positive phase (third phase) of SFAPs, as these parts are significantly affected by distant electrical activity. The incomplete characterisation of the SFAP shape is also explained by the limited knowledge of human intracellular action potentials (IAPs). The objectives of this study are to assess the morphologic features of human SFAPs and to derive information about the characteristics of human IAPs. To achieve this, the study has been divided into two parts. The present paper, Part I, aims to analyse the changes in the SFAP time-course introduced by distant-interfering potentials and to evaluate how these changes depend on the spike duration of the corresponding IAP. It was found that, for fibre-to-electrode distances shorter than about 0.2mm, SFAPs generated by short-spike IAPs have a declining negative phase with a steep approximately constant slope that is largely unaffected by the potentials from distant fibres. For the same distances, SFAPs resulting from wide-spike IAPs have a declining negative phase with a slow return towards the baseline that is highly sensitive to distant-interfering potentials. The third phase of an SFAP is considerably distorted by distant potentials irrespective of the spike duration of the IAP.

Effects of changes in the shape of the intracellular action potential on the peak-to-peak ratio of single muscle fibre potentials

In situ recording of the intracellular action potential (IAP) of human muscle fibres is not yet feasible, and consequently, knowledge about certain IAP characteristics of these IAPs is still limited. The ratio between the amplitudes of the second and first phases (the so-called peak-to-peak ratio, PPR) of a single fibre action potential (SFAP) is known to be closely related to the IAP profile. The PPR of experimentally recorded SFAPs has been found to be largely independent of changes in the fibre-to-electrode (radial) distance. The main goal of this paper is to analyze the effect of changes in different aspects of the IAP spike on the relationship between PPR and radial distance. Based on this analysis, we hypothesize about the characteristics of IAPs obtained experimentally. It was found that the sensitivity of the SFAP PPR to changes in radial distance is essentially governed by the duration of the IAP spike. Assuming that, for mammals, the duration of the IAP rising phase lies within the range 0.2–0.4 ms, we tentatively suggest that the duration of the IAP spike should be over approximately 0.75 ms, with the shape of the spike strongly asymmetric. These IAP characteristics broadly coincide with those observed in mammal IAPs.

Effect of head and neck position on outcome of quantitative neuromuscular diagnostic techniques in Warmblood riding horses directly following moderate exercise

There has been growing interest in training techniques with respect to the head and neck position (HNP) of the equine athlete. Little is known about the influence of HNP on neuromuscular transmission in neck muscles. To test the hypothesis that different HNPs have effect on single fibre (SF), quantitative electromyographic (QEMG) examination and muscle enzyme activity directly after moderate exercise. Seven Warmblood horses were studied using a standard exercise protocol in 5 HNPs: HNP1: unrestrained; HNP2: neck raised; bridge of nose around the vertical; HNP4: neck lowered and considerably flexed, bridge of nose pointing towards the chest; HNP5: neck raised and considerably extended; bridge of nose in front of the vertical; HNP7: neck lowered and flexed; bridge of nose pointing towards the carpus. Mean consecutive difference (MCD) of single muscle fibre potentials and motor unit action potential (MUP) variables (amplitude, duration, area, turns and phases) were recorded in each fixed position directly after exercise at rest using commercial EMG equipment. Muscle enzyme activity was measured before and 4, 6 and 24 h after exercise. Mean consecutive difference in all HNPs was higher than in HNP1 (22 µs, P < 0.001) of which HNP4 was highest with 39 µs compared to 30 µs in HNP2 (P = 0.04); MCD in HNP 5,7 was with 25 µs lower than in HNP 2 and 4 (P < 0.001). Odds ratio for MCD suggestive for conduction delay or block was 13.6 in HNP4 compared to HNP1 (P < 0.001). Motion unit action potential variables followed the same pattern as MCD. Lactate dehydrogenase (LDH) activity increased in HNP4 at 4 h (P = 0.014), 6 h (P = 0.017) and 24 h (P = 0.038) post exercise and in HNP5 and HNP7 at 4 h (P = 0.037; 0.029). HNP4 in particular leads to a higher rise in LDH activity, MCD and MUP variables, indicating that HNPs have effect on variables characterising neuromuscular functionality.

Hybrid fibrillation potentials and positive sharp waves.

Fibrillation potential configurations are characterized as initially positive triphasic waveforms, whereas positive sharp waves appear biphasic with an initial positive deflection. Careful observation of single muscle fiber discharges in denervated muscle, however, can reveal many different-appearing and stable firing waveforms that resemble a bifid positive sharp wave or some form of combined fibrillation potential and positive sharp wave. In this investigation, a number of atypical-appearing single muscle fiber discharges are hypothesized to arise from particular interactions between the muscle fiber and recording electrode. Single muscle fiber potentials are modeled as originating from a single denervated muscle fiber's former endplate and midfiber region as well as from the fiber's tendinous termination for both a compressed and sealed end effect. The modeled waveforms' appearance corresponds well to those obtained clinically and the necessary interpotential summated templates' temporal domains are feasible for action potential termination at the electrode with subsequent reinitiation beyond the proposed peri-electrode compressed region. It is hypothesized that the majority of hybrid waveforms are the result of a single muscle fiber action potential terminating at a recording electrode while also initiating a "skipped" activation of the muscle fiber past the electrode resulting in the summation of two distinct time-locked waveforms.

Endplate dysfunction in healthy muscle following a period of disuse.

The objective of this study was to test the hypothesis that muscle disuse can result in abnormal neuromuscular transmission. Six healthy volunteers (2 females, mean age = 33 years) participated in the study. Cast immobilization of one leg, for a period of 4 weeks, was used as a model of disuse; the contralateral leg was used as a control. Three testing sessions, consisting of stimulation single fiber electromyography of the soleus muscle bilaterally, were done before, immediately after, and 4 weeks after cast removal. The main outcome measure was neuromuscular jitter, measured as the mean of the consecutive differences (MCD) of single muscle fiber potentials. A mean MCD was calculated for each muscle, and the data from all subjects was pooled to calculate a sample mean MCD. The control side showed good reproducibility of results between testing sessions. The experimental side showed a significant increase of the sample mean MCD after casting when compared to: preimmobilization values (P < 0.001), and to the control side (P < 0.001). After 4 weeks of recovery, the sample mean MCD returned to preimmobilization values. This study presents evidence that muscle disuse, without any neuromuscular disease, can result in a reversible dysfunction of neuromuscular transmission.

Endplate dysfunction in healthy muscle following a period of disuse

The objective of this study was to test the hypothesis that muscle disuse can result in abnormal neuromuscular transmission. Six healthy volunteers (2 females, mean age = 33 years) participated in the study. Cast immobilization of one leg, for a period of 4 weeks, was used as a model of disuse; the contralateral leg was used as a control. Three testing sessions, consisting of stimulation single fiber electromyography of the soleus muscle bilaterally, were done before, immediately after, and 4 weeks after cast removal. The main outcome measure was neuromuscular jitter, measured as the mean of the consecutive differences (MCD) of single muscle fiber potentials. A mean MCD was calculated for each muscle, and the data from all subjects was pooled to calculate a sample mean MCD. The control side showed good reproducibility of results between testing sessions. The experimental side showed a significant increase of the sample mean MCD after casting when compared to: preimmobilization values (P < 0.001), and to the control side (P < 0.001). After 4 weeks of recovery, the sample mean MCD returned to preimmobilization values. This study presents evidence that muscle disuse, without any neuromuscular disease, can result in a reversible dysfunction of neuromuscular transmission. © 1996 John Wiley & Sons, Inc.

Changes in the parameters of human single muscle fiber potentials with consecutive discharges

The influence of the frequency of discharge and the duration of firing on the parameters of human single muscle fiber (SMF) potentials was studied. Thirty-five SMFs were investigated. We found that when the frequency increased, the depolarized area ( b) of the intracellular potentials lengthened due to the increase in the velocity of spreading ( v) of the potentials. The lengthened b caused a decrease in amplitude of the SMF potentials. During prolonged activity at a constant mean frequency the following phases of the changes were observed: (i) v decreased, b shortened, and the amplitude increased; (ii) v decreased further and the time for depolarization and repolarization ( T DR) increased, b lengthened, and the amplitude decreased; (iii) v became stable, T DR increased further, and the amplitude decreased additionally; and (iv) in three cases a last phase was observed, where v and T DR increased, b lengthened, and the amplitude decreased still more. With different muscle fibers, the consecutive phases had different time intervals.

Human single muscle fiber potentials at different radial distances from the fibers determined by a method of location

A method for location of human single muscle fibers (SMF) is proposed. The method is based on records of SMF potentials by a needle multielectrode. It was established that recording of potentials fulfilling the SMF criteria is possible only close to the fibers. When the multielectrode was placed at radial distances larger than 150 to 200 μm, only composite potentials were recorded. The peak to peak amplitude of the SMF standardized for a 100-μm radial distance showed a more than sixfold variance.

A study of the motor unit action potential by means of computer simulation.

In order to study the motor unit action potential a computer stimulation model was developed. It is based on the superposition of single muscle fibre potentials of the fibres belonging to the motor unit. The parameters which characterize each fibre (spatial position, diameter, and a dispersion of arrival time of the potential at the electrode) are chosen from statistical distributions which can be derived from anatomical and physiological data. The electrode type, position and dimensions can be specified. Simulated motor unit action potentials are presented in the time and frequency domain. The stimulation results refer to (1) the influence of the electrode position and dimensions with respect to the motor unit territory, (2) the meaning of this model for the study of pathological phenomena, (3) the variability of some parameters characterizing the motor unit, (4) the selectivity of uni- and bipolar electrodes and finally (5) the influence of the geometrical situation of the motor end-plates within the muscle, on the shape of motor unit action potentials.

Electromyography; a tool in ocular and neurologic diagnosis. II. Muscle palsies.

Electromyography (EMG) of the extraocular muscles has afforded insight into innervational patterns of common and uncommon diseases affecting ocular motility. The method has been described previously.1,2The following applications are of particular interest. A. Neurogenic Palsies of Extraocular Muscles 1. Third, fourth, and sixth nerve palsies are frequently encountered in ophthalmological and neurological practice. It is of diagnostic and prognostic importance to establish the site and character of the lesion. Electromyography has an important role to play in such studies. The following observations considerably amplify the findings of Bjork.3The presence of lower motor neuron denervation may be determined. The cardinal sign of denervation is fibrillation—the minute discharge of single muscle fiber potentials which occur spontaneously without relation to volition and indicate lower motor neuron damage. Characteristic fibrillations have been noted in oculomotor palsies.1Caution is necessary in the interpretation of ocular muscle potentials, since small, single