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Abstract
The analysis of the firing intervals of motor units has been suggested as a diagnostic
tool in patients with neuromuscular disorders. Part of the increase in number of turns
seen in patients with myopathy could be secondary to the decrease in motor unit firing
intervals at threshold force of the motor units, as noted in previous studies. In
the brachial biceps muscle we have studied the firing intervals of 164 motor units
in 14 controls, 140 motor units in 13 patients with myopathy and 86 motor units in
8 patients with neurogenic disorders, and related the findings to those of the turns
analysis and the analysis of properties of individual motor unit potentials. To ensure
comparable conditions we have examined motor unit firing intervals and turns at a
force of 10% of maximum. The average of motor unit firing intervals and of interval
variability was the same in controls and in patients, and the diagnostic yield of
the motor unit firing intervals analysis was none. Although the number of turns increased
with decreasing motor unit firing intervals, this relation was physiological rather
than pathophysiological. In patients with neurogenic disorders, interval variability
indicated unstable firing in severely affected muscles.
Keywords
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Article info
Publication history
Accepted:
September 12,
1986
Received in revised form:
September 11,
1986
Received:
June 10,
1986
Footnotes
☆This work was supported by grants from the Danish Medical Research Council and the Danish Muscular Dystrophy Association.
Identification
Copyright
© 1987 Published by Elsevier Inc.