Excitability tests using high-density surface-EMG: A novel approach to studying single motor units

Boudewijn T.H.M. Sleutjes*, Judith Drenthen, Ernest Boskovic, Leonard J. van Schelven, Maria O. Kovalchuk, Paul G.E. Lumens, Leonard H. van den Berg, Hessel Franssen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: To study excitability of single motor units (MUs) using high-density surface-EMG. Methods: Motor unit action potentials (MUAPs) were evoked by submaximal stimulation of the median nerve at the wrist and recorded with a 9 × 14 electrode grid on the skin overlying the thenar muscles. For excitability tests of single MUs, the most optimal specific single-channel surface-EMG signal was selected based on the spatiotemporal profile of single MUs. Results: Axonal excitability measures were successfully obtained from 14 single MUs derived from ten healthy subjects. Selecting the optimal single-channel surface-EMG signals minimized interference from other single MUs and improved signal-to-noise ratio. The muscle fiber conduction velocity (MFCV) could also be derived from the unique spatiotemporal profile of single MUs. Conclusion: High-density surface-EMG helps to isolate single MUAP responses, making it a suitable technique for assessing excitability in multiple single motor axons per nerve. Significance: Our method enables the reliable study of ion-channel dysfunction in single motor axons of nerves without any requirement for specific conditions, such as prominent MU loss or enlarged MUAPs due to collateral sprouting.

Original languageEnglish
Pages (from-to)1634-1641
Number of pages8
JournalClinical Neurophysiology
Volume129
Issue number8
DOIs
Publication statusPublished - 1 Aug 2018

Keywords

  • Excitability testing
  • High-density surface-EMG
  • Single human motor axons
  • Single motor unit action potentials

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