Ar. Hughes et Jg. Colebatch, SURFACE-POTENTIALS GENERATED BY SYNCHRONOUS ACTIVATION OF DIFFERENT FRACTIONS OF THE MOTOR POOL, Muscle & nerve, 19(7), 1996, pp. 836-842
Surface electromyogram potentials were recorded from the abductor poll
icis brevis, abductor digiti minimi, and extensor digitorum brevis mus
cles in response to finely graded nerve stimuli. Successive potentials
were subtracted to obtain intermediate potentials 2%, 5%, 10%, 20%, a
nd 50% of the maximal compound muscle action potential (mCMAP). The av
erage latency of the onset and negative and positive peaks, and the av
erage duration of the negative phase and whole potential were similar
for all degrees of fractionation, although smaller fractionation was a
ssociated with increasing variability. An initial positivity occurred
with some of the smaller fractions of the CMAP, particularly those wit
h the lowest stimulus threshold, Submaximal CMAPs closely resembled th
e mCMAP once their amplitude was greater than 5-10% of the mCMAP. Our
results support the common practice of expressing H-reflex amplitudes
as a percentage of the M wave and may partly explain why reflexes ''sc
ale'' in response to tonic activation. (C) 1996 John Wiley & Sons, Inc
.