Does quantitative EMG differ myotonic dystrophy type 2 and type 1?

Genetic testing is considered the only reliable diagnostic approach in myotonic dystrophy. However it has recently been reported that a considerable number of patients with genetically proven types of the disease have unusual phenotypic presentation. The aim of our study was to evaluate motor unit reorganization reflected by various electrophysiological abnormalities in myotonic dystrophies and to compare findings between type 1 (DM 1) and type 2 myotonic dystrophy (DM2). Quantitative electromyography (EMG) recordings in 63 patients (33 with DM1 and 30 with DM2) from the biceps brachii (BB), rectus femoris (RF), first dorsal interosseus (FDI), and tibialis anterior (TA) muscles were analyzed. Mean amplitude and size index (SI) of motor unit potentials recorded in TA and RF muscles, mean potential duration in TA, and mean SI and the number of outliers with amplitude above the normal range in BB were significantly increased in DM2 as compared to DM1. Myotonic discharges were recorded more frequently in DM1 than in DM2. EMG findings significantly differ between DM1 and DM2. The presence of high amplitude potentials in lower limb muscles in DM2 patients, atypical for myogenic muscle lesions, could be explained by muscle fiber hypertrophy observed in muscle biopsies.     

Motor neurons loss in Parkinson Disease: An electrophysiological study (MUNE)

The aim of this study was to evaluate the involvement of a peripheral motor neuron in Parkinson Disease (PD) using the motor unit number estimation (MUNE) method, which reflects motor unit loss in motor neuron diseases. Multipoint incremental MUNE method was calculated in abductor pollicis brevis (APB) and abductor digiti minimi (ADM) in forty one (41) patients with PD and forty five (45) healthy volunteers. From the analysis, the MUNE of APB was lower in PD than in the control group, especially in the sub-group aged 60 years or older. MUNE was negatively correlated with the age of patients for APB, but not with the duration of the disease and advancement of PD. The loss of motor units in sporadic Parkinson's disease revealed by multipoint incremental MUNE method is considered a sign of lower motor neuron involvement, however, loss of motor neurons is slight and does not manifest equally in all muscles . Thus, the results from this experiment should be treated with concern, as it could be a landmark for further experiments.     

Recurrent inhibition of human firing motoneurons (experimental and modeling study)

Recurrent inhibition between tonically activated single human motoneurons was studied experimentally and by means of a computer simulation. Motor unit activity was recorded during weak isometric constant-force muscle contractions of brachial biceps (BB) and soleus (SOL) muscles. Three techniques (cross correlogram, frequencygram, and interspike interval analysis) were used to gauge the relations between single motor unit potential trains. Pure inhibition was detected in 5.6% of 54 BB motoneuron pairs and in 5.2% of 43 SOL motoneuron pairs. In 27.8% (BB) and 23.7% (SOL) presumed inhibition symptoms were accompanied by a synchrony peak; 37% (BB) and 48.8% (SOL) exhibited synchrony alone. The demonstrated inhibition was very weak, at the edge of detectability. Computer simulations were based on the threshold-crossing model of a tonically firing motoneuron. The model included synaptic noise as well as threshold and postsynaptic potential (PSP) amplitude change within interspike interval. Inhibition efficiency of the model neurons increased with IPSP amplitude and duration, and with increasing source firing rate. The efficiency depended on target motoneuron interspike interval in a manner similar to standard deviation of ISI. The minimum detectable amplitude estimated in the simulations was about 50V, which, compared with the experimental results, suggests that amplitudes of detectable recurrent IPSPs in human motoneurons during weak muscle contractions do not exceed this magnitude. Since recurrent inhibition is known to be progressively depressed with an increase in the force of voluntary contraction, it is concluded that the recurrent inhibition hardly plays any important role in the isometric muscle contractions of constant force.     

Electric activity of striated muscles of the cervical part of the rabbit esophagus under conditions of hunger, food intake and satiation

The experiments of free-moving rabbits have shown that the muscles of the proximal zone in the esophageal cervical part functions as the superior esophageal sphincter. In hunger stage the motor unit activity of the sphincter has regular low-amplitude discharge with monomodal distribution of interspike intervals. The process of food satisfaction leads to the appearance of burst-like unit activity with bimodal distribution of interspike intervals. During the food intake reorganization of the motor unit activity of the esophageal cervical part is manifested in characteristic patterns of interspike interval distribution.     

Double discharges in human motoneurons

Potentials of motor units from the trapezius and rectus femoris muscles were recorded with selective needle electrodes during weak and moderately strong voluntary isometric contraction. The sequence of interspike intervals was analyzed. Double discharges (interspike interval not exceeding 20 msec) were found most commonly during recruiting of the motor units, but also at its end. Intervals between double discharges arising while the motor units were firing at a mean rate of 10–18 spikes/sec were outside the limits of statistical scatter of the remaining intervals. Double discharges were recorded chiefly in high-threshold units. The mean interval between double discharges recorded from the trapezius muscle was significantly smaller and the double discharges appeared considerably more often than in the rectus femoris muscle. Comparison of the results of these experiments with those obtained by other workers showed correlation between the mean duration of the interval between the double discharges and the duration of delayed depolarization of the motoneuron; this fact probably plays an important role in the creation of double discharges.     

Neuronal adaptation of corticospinal mechanisms of muscle contraction regulation in athletes

Physiological mechanisms of neuronal adaptation of the human corticospinal pathways in response to long-term intense motor activity have been studied insufficiently. In this work, we investigated adaptational changes in corticospinal mechanisms of muscular contraction control in athletes. We measured parameters of motor evoked potentials of lower limb skeletal muscles under voluntary static loads of various intensity and duration, using the transcranial magnetic stimulation method. Elite athletes, as compared to the reference group, in the course of increased intensity and duration of isometric muscular contractions demonstrated more expressed increase in the maximum amplitude of the motor evoked potentials of lower limb skeletal muscles, smaller decrease in the time of central motor conduction of nervous pulses and the peripheral period in electromyograms, and less expressed increase in the cortical and segmental silent periods. Mechanisms of adaptation of corticospinal regulation of human muscular contraction to specific conditions of extreme motor activities are discussed.     

Reciprocal inhibition studied in discharging human motor units

The effect of excitation of group Ia afferents, evoked by stimulation of a mixed nerve, on the firing pattern of voluntarily activated single motor units of an antagonist muscle (biceps femoris, triceps surae, and tibialis anterior muscles) was studied. Poststimulus histograms were constructed for rhythmic sequences of motor unit potentials recorded by needle electrodes and the duration of interspike intervals was analyzed. Reciprocal inhibition and other effects accompanying nerve stimulation were discovered in the motoneurons of all three muscles. Distinguishing features of the manifestation of reciprocal inhibition in a discharging motoneuron were investigated; the effect was shown to depend on the time of occurrence of the inhibitory action in the interspike interval.Institute for Problems in Information Transmission, Academy of Sciences of the USSR, Moscow. Translated from Neirofiziologiya, Vol. 10, No. 6, pp. 626–636, November–December, 1978.     

The role of reflex mechanisms in postinhibitory rebound studied by analysis of human single motor unit activity

The mechanism of onset of rebound after inhibition induced by electrical stimulation of a nerve of maximal and submaximal strength for M-response was studied in single motor units of normal human soleus, rectus femoris, and hand muscles. Poststimulus histograms and changes in the duration of interspike intervals were compared with mechanical recordings of muscle contractions. In all muscles tested, during strong isotonic contraction, the increase in motor unit activity after a silent period was partly due to synchronization of their emergence from inhibition. However, it also contained a component of true facilitation of motoneurons, which was evidently a reflex response to lengthening of the muscle in the relaxation phase after evoked contraction. The latent period of this facilitation in the soleus and rectus femoris muscles coincided in value with the latent period of the monosynaptic spinal reflex, whereas in the hand muscles, in which a monosynaptic response to electrical nerve stimulation could not be evoked, the latent period of facilitation as a result of spindle activation during muscle relaxation was significantly longer than the latent period of the monosynaptic reflex. These findings support the hypothesis of presynaptic suppression of monosynaptic connections of Ia afferents with the motoneurons of some human muscles by descending tonic influences and of the use of information coming from spindles by supraspinal levels of the CNS.     

Effect of intense muscle exercise on motor responses to magnetic stimulation of the brain and spinal cord

The parameters of evoked motor responses of the muscles of the upper and lower extremities to magnetic stimulation of the motor zones of the cerebral cortex, spinal segments, and n. tibialis were estimated in athletes adapted to performance of different duration and intensity (short-and long-distance runners) and having different sports qualifications. It was shown that the maximum amplitude of event-related motor responses of m. gastrocnemius med. and m. soleus to transcranial magnetic stimulation of the brain was higher in the group of long-distance runners as compared with short-distance runners. Ski racers of high qualification differ from less qualified skiers in lower thresholds of excitation and a higher maximum amplitude of evoked motor responses of m. carpi radialis, m. biceps brachii, m. gastrocnemius med., and m. soleus. No statistically significant differences were found between the tested groups of subjects in the time of central motor transmission or the latent period of evoked motor responses.     

藜芦碱引起神经元放电峰峰间期慢波振荡

为了研究Na通道失活门与受损背根节神经元放电型式的关系,在大鼠背根节慢性压迫模型上记录单纤维自发放电,观察与分析了Na通道失活门抑制剂藜芦碱（veratridine）引起峰峰间期慢波振荡的型式的特征。结果表明：在阻断Na通道失活门之后,受损背根节神经元产生的慢波振荡具有变化幅度大和振荡时程长的特征,可分成Ⅴ,倒П,整数倍,弥散和复合等5种基本形式。     

Morphological Characteristics of Motor Neurons Do Not Determine Their Relative Susceptibility to Degeneration in a Mouse Model of Severe Spinal Muscular Atrophy

Spinal muscular atrophy (SMA) is a leading genetic cause of infant mortality, resulting primarily from the degeneration and loss of lower motor neurons. Studies using mouse models of SMA have revealed widespread heterogeneity in the susceptibility of individual motor neurons to neurodegeneration, but the underlying reasons remain unclear. Data from related motor neuron diseases, such as amyotrophic lateral sclerosis (ALS), suggest that morphological properties of motor neurons may regulate susceptibility: in ALS larger motor units innervating fast-twitch muscles degenerate first. We therefore set out to determine whether intrinsic morphological characteristics of motor neurons influenced their relative vulnerability to SMA. Motor neuron vulnerability was mapped across 10 muscle groups in SMA mice. Neither the position of the muscle in the body, nor the fibre type of the muscle innervated, influenced susceptibility. Morphological properties of vulnerable and disease-resistant motor neurons were then determined from single motor units reconstructed in Thy.1-YFP-H mice. None of the parameters we investigated in healthy young adult mice – including motor unit size, motor unit arbor length, branching patterns, motor endplate size, developmental pruning and numbers of terminal Schwann cells at neuromuscular junctions - correlated with vulnerability. We conclude that morphological characteristics of motor neurons are not a major determinant of disease-susceptibility in SMA, in stark contrast to related forms of motor neuron disease such as ALS. This suggests that subtle molecular differences between motor neurons, or extrinsic factors arising from other cell types, are more likely to determine relative susceptibility in SMA.     

Startle stimuli exert opposite effects on human cortical and spinal motor system excitability in leg muscles

Increased excitability of the spinal motor system has been observed after loud and unexpected acoustic stimuli (AS) preceding H-reflexes. The paradigm has been proposed as an electrophysiological marker of reticulospinal tract activity in humans. The brainstem reticular formation also maintains dense anatomical interconnections with the cortical motor system. When a startling AS is delivered, prior to transcranial magnetic stimulation (TMS), the AS produces a suppression of motor evoked potential (MEP) amplitude in hand and arm muscles of healthy subjects. Here we analyzed the conditioning effect of a startling AS on MEP amplitude evoked by TMS to the primary motor leg area. Ten healthy volunteers participated in two experiments that used a conditioning-test paradigm. In the first experiment, a startling AS preceded a suprathreshold transcranial test stimulus. The interstimulus interval (ISI) varied between 20 to 160 ms. When given alone, the test stimulus evoked a MEP amplitude of approximately 0.5 mV in the slightly preinervated soleus muscle (SOL). In the second experiment, the startling AS was used to condition the size of the H-reflex in SOL muscle. Mean MEP amplitude was calculated for each ISI. The conditioning AS suppressed MEP amplitude at ISIs of 30-80 ms. By contrast, H-reflex amplitude was augmented at ISIs of 100-200 ms. In conclusions, acoustic stimulation exerts opposite and ISI-specific effects on the amplitude of MEPs and H-reflex in the SOL muscle, indicating different mechanism of auditory-to-motor interactions at cortical and spinal level of motor system.     

State-Dependent Effects of Na Channel Noise on Neuronal Burst Generation

We explore the effects of stochastic sodium (Na) channel activation on the variability and dynamics of spiking and bursting in a model neuron. The complete model segregates Hodgin-Huxley-type currents into two compartments, and undergoes applied current-dependent bifurcations between regimes of periodic bursting, chaotic bursting, and tonic spiking. Noise is added to simulate variable, finite sizes of the population of Na channels in the fast spiking compartment.During tonic firing, Na channel noise causes variability in interspike intervals (ISIs). The variance, as well as the sensitivity to noise, depend on the model's biophysical complexity. They are smallest in an isolated spiking compartment; increase significantly upon coupling to a passive compartment; and increase again when the second compartment also includes slow-acting currents. In this full model, sufficient noise can convert tonic firing into bursting.During bursting, the actions of Na channel noise are state-dependent. The higher the noise level, the greater the jitter in spike timing within bursts. The noise makes the burst durations of periodic regimes variable, while decreasing burst length duration and variance in a chaotic regime. Na channel noise blurs the sharp transitions of spike time and burst length seen at the bifurcations of the noise-free model. Close to such a bifurcation, the burst behaviors of previously periodic and chaotic regimes become essentially indistinguishable.We discuss biophysical mechanisms, dynamical interpretations and physiological implications. We suggest that noise associated with finite populations of Na channels could evoke very different effects on the intrinsic variability of spiking and bursting discharges, depending on a biological neuron's complexity and applied current-dependent state. We find that simulated channel noise in the model neuron qualitatively replicates the observed variability in burst length and interburst interval in an isolated biological bursting neuron.     

Human motoneuron firing behavior and single motor unit F-wave

In motor control studies, the F-wave (a recurrent discharge evoked by an axonal antidromic volley) widely used for obtaining information on motoneuron pool behavior. However, such F-wave using is a matter of discussion and still has been not validated experimentally. The aim of the present study was investigation of F-wave properties of single firing motor units (MUs) in healthy humans, the properties, which could give evidence for F-wave origin in motoneuron soma and, therefore, could be used for estimation of a relation between MU firing and motoneuron firing behavior. In total, 91 MUs in five muscles of six healthy subjects, during gentle voluntary contractions, were studied. Peri-stimulus time histograms of single MUs were plotted. None of them revealed statistically significant increasing in MU firing probability at the F-wave latency. Analysis of relationships between characteristics of motoneuron firing behavior (mean firing frequency and target interspike interval duration) and properties of F-waves showed their independence. At the same time, it was found that F-waves were recorded in MUs, whose axons possessed the marked supernormal period in excitability recovery cycle after a discharge. Thus, the present results are in contrast to that which should be expected if the F-wave originated in the motoneuronal soma and could provide evidence for motoneuron firing behavior.     

Sexually dimorphic neuron number in lumbosacral dorsal root ganglia of the rat: Development and steroid regulation

Rats possess a sexually dimorphic neuromuscular system that controls penile reflexes critical for copulation. This system includes two motor nuclei in the lumbar cord and their target musculature in the perineum. The spinal nucleus of the bulbocavernosus (SNB) and the dorsolateral nucleus (DLN) motoneuron populations and their target perineal muscles are much larger in males than in females. The sex difference in motoneuron number develops via androgen-regulated differential cell death during the perinatal period; androgen also regulates retention of the target muscles. The developmental pattern and steroid sensitivity of peripheral afferents to the SNB/DLN motor nuclei were previously unknown. In order to characterize the peripheral sensory component of the dimorphic SNB/DLN system, the neurons of the relevant dorsal root ganglia (DRGs) were quantified in terms of number, size, and androgen sensitivity at various perinatal ages. DRG neuron number is greatest prenatally, then decreases in both sexes after birth; the timing and pattern of neuron number development are similar to those seen in the SNB and DLN. Postnatally, males have more DRG neurons than females, as a result of greater neuron death in the DRGs of females. Females treated with testosterone propionate during the perinatal period exhibit masculine development of DRG neuron number. Thus, the normal development of DRG neuron number parallels that of the SNB/DLN motor nuclei and target muscles in pattern and timing, is sexually dimorphic, and is regulated by androgen. © 1993 John Wiley & Sons, Inc.     

Dynamics from a time series: can we extract the phase resetting curve from a time series?

Recordings of the membrane potential from a bursting neuron were used to reconstruct the phase curve for that neuron for a limited set of perturbations. These perturbations were inhibitory synaptic conductance pulses able to shift the membrane potential below the most hyperpolarized level attained in the free running mode. The extraction of the phase resetting curve from such a one-dimensional time series requires reconstruction of the periodic activity in the form of a limit cycle attractor. Resetting was found to have two components. In the first component, if the pulse was applied during a burst, the burst was truncated, and the time until the next burst was shortened in a manner predicted by movement normal to the limit cycle. By movement normal to the limit cycle, we mean a switch between two well-defined solution branches of a relaxation-like oscillator in a hysteretic manner enabled by the existence of a singular dominant slow process (variable). In the second component, the onset of the burst was delayed until the end of the hyperpolarizing pulse. Thus, for the pulse amplitudes we studied, resetting was independent of amplitude but increased linearly with pulse duration. The predicted and the experimental phase resetting curves for a pyloric dilator neuron show satisfactory agreement. The method was applied to only one pulse per cycle, but our results suggest it could easily be generalized to accommodate multiple inputs.     

Neuronal adaptation of corticospinal mechanisms of muscle contraction regulation in athletes

Adaptation changes in the corticospinal mechanisms of muscle contraction control in athletes were investigated. Using the transcranial magnetic stimulation method, the parameters of motor evoked potentials of skeletal muscles of the lower limbs during voluntary static loads of various intensities and durations were measured. Athletes, as compared to the reference group, exhibited a greater increase in the maximal amplitude of the motor evoked potentials of the skeletal muscles of the lower limbs, a smaller decrease in the central motor conduction time of nerve pulses and the peripheral period in electromyograms, and a smaller increase in the cortical and segmental silent periods with increasing intensity and duration of isometric muscle contractions. The mechanisms of adaptation of corticospinal regulation of human muscle contraction to specific conditions of extreme motor activities are discussed.     

Cellular properties and modulation of the stomatogastric ganglion neurons of a stomatopod,Squilla oratoria

Cellular properties and modulation of the identified neurons of the posterior cardiac plate-pyloric system in the stomatogastric ganglion of a stomatopod, Squilla oratoria, were studied electrophysiologically. Each class of neurons involved in the cyclic bursting activity was able to trigger an endogenous, slow depolarizing potential (termed a driver potential) which sustained bursting. Endogenous oscillatory properties were demonstrated by the phase reset behavior in response to brief stimuli during ongoing rhythm. The driver potential was produced by membrane voltage-dependent activation and terminated by an active repolarization. Striking enhancement of bursting properties of all the cell types was induced by synaptic activation via extrinsic nerves, seen as increases in amplitude or duration of driver potentials, spiking rate during a burst, and bursting rate. The motor pattern produced under the influence of extrinsic modulatory inputs continued for a long time, relative to that in the absence of activation of modulatory inputs. Voltage-dependent conductance mechanisms underlying postinhibitory rebound and driver potential responses were modified by inputs. It is concluded that endogenous cellular properties, as well as synaptic circuitry and extrinsic inputs, contribute to generation of the rhythmic motor pattern, and that a motor system and its component neurons have been highly conserved during evolution between stomatopods and decapods.Abbreviations AB anterior burster neuron - CoG commissural ganglion - CPG central pattern generator - lvn lateral ventricular nerve - OG oesophageal ganglion - pcp posterior cardiac plate - PCP pcp constrictor neuron - PD pyloric dilator neuron - PY pyloric constrictor neuron - son superior oesophageal nerve - STG stomatogastric ganglion - stn stomatogastric nerve     

Effect of the tendon reflex on the silent period of motor units in man

The behavior of motor units functioning under different conditions was investigated during the patellar reflex. The reflex was elicited during regular firing of the motor units in connection with weak sustained voluntary effort without postural change. Under these conditions the firing rate of the motor units serves as a statistical characteristic of threshold: during the maintenance of an assigned level of contraction the mean firing rate of the low-threshold motor units was higher. The greater the mean spontaneous interspike interval of the motor units, the longer the duration of their silent period after reflex muscular contraction. The duration of the silent period of single motor units in many cases exceeded the longest duration of the aggregated silent period on the electromyogram. The instant frequency (the difference between the reciprocals of the mean interspike interval and silent period) was used as a measure of inhibitory action on the motoneuron. Positive correlation was observed between the change in the instant frequency and the spontaneous firing rate of the motor units. Within the population examined, those motoneurons whose frequency was higher (low-threshold) were more inhibited. The combination of spinal factors evoking inhibition of the motoneurons after the tendon reflex and the excitatory supraspinal influences causing recruiting of the motoneurons during voluntary contraction proved more effective under the conditions investigated for the same motoneurons.     

Effects of temperan a central synapse between identified motor neurons in the locust

Summary Changing the temperature from 10–40 °C modifies the transmission at an established monosynaptic connection between the fast extensor tibiae (FETi) and flexor tibiae motor neurons in the metathoracic ganglion of the locustSchistocerca gregaria (Forskål). Striking changes occur to the shape of the spikes, to membrane resistance, to the synaptic delay, and to the evoked synaptic potentials.In the presynaptic FETi motor neuron, raising the temperature reduces the amplitude of an antidromic spike recorded in the soma by a factor of 10 (40 mV to 4 mV), reduces the time taken to reach peak amplitude by 5 (3.5 to 0.7 ms) and decreases the duration at half maximum amplitude by 0.5. The conduction velocity of the spike in the axon is increased by 50% from 10 °C to 40 °C. Orthodromic spikes are affected by temperature in a similar way to the antidromic spikes.The membrane resistance of both pre- and postsynaptic motor neurons falls as the temperature is raised. The membrane resistance of FETi falls by a factor of 4 (about 4 M at 10 °C to 1 M at 40 °C). A contributory component to this fall could be the increase in the frequency of synaptic potentials generated as a result of inputs from other neurons. No temperature dependence could be demonstrated on the voltage threshold relative to resting potential for evoking orthodromic spikes, but because the resistance changes, the current needed to achieve this voltage must be increased at higher temperatures.The latency measured from the peak of the spike in the soma of FETi to the start of the EPSP in the soma of a flexor motor neuron decreases by a factor of 20 (10 ms at 10 °C to 0.5 ms at 40 °C).In a postsynaptic flexor tibiae motor neuron, the amplitude of the evoked synaptic potential increases by a factor of 3.4 (5 mV to 17 mV), its duration at half maximum amplitude decreases by 3 (7 ms at 12 °C to 2.3 ms at 32 °C) and its rate of rise increases by 3. An increased likelihood that spikes will occur in the flexor contributes to the enhanced amplitude of the compound EPSP at temperatures above 20 °C.Abbreviation FETi fast extensor tibiae motor neuron