Motor unit number estimation in transected peripheral nerves
A E Oge1, E Kocasoy-Orhan, V Yayla
1Department of Neurology, Istanbul Faculty of Medicine, Istanbul University, Turkey. aemreoge@superonline.com
Neurological Research
|September 3, 2010
Summary
Motor unit number estimation (MUNE) revealed higher ratios on injured nerves compared to compound muscle action potential (CMAP) size, indicating asynchronous neuromuscular junction dysfunction during Wallerian degeneration.
Area of Science:
- Neuroscience
- Electrophysiology
- Peripheral Nerve Injury
Background:
- Wallerian degeneration is a process of peripheral nerve breakdown after injury.
- Previous studies suggested a discrepancy between compound muscle action potential (CMAP) size and motor unit number estimation (MUNE) during this degeneration.
Purpose of the Study:
- To investigate motor unit number estimation (MUNE) in acutely transected peripheral nerves.
- To re-evaluate the observed discordance between CMAP amplitude and MUNE during Wallerian degeneration.
Main Methods:
- Electrophysiological studies were conducted on nine transected median or ulnar nerves in eight patients.
- Compound muscle action potential (CMAP) recordings and incremental MUNE studies were performed via wrist stimulation and hand muscle recording.
- Studies were repeated on the contralateral, intact nerves for comparison.
Main Results:
- Ratios of MUNEs between the injured and intact sides were significantly higher than CMAP ratios.
- Mean step areas in MUNE studies were reduced on the transected nerve sides by 72 hours post-injury.
Conclusions:
- Findings support the presence of electrophysiologically detectable asynchrony in neuromuscular synapse function during Wallerian degeneration.
- This asynchrony contributes to the observed discordance between CMAP and MUNE during nerve degeneration.
Related Concept Videos
00:46Motor Units
A motor unit consists of two main components: a single efferent motor neuron (i.e., a neuron that carries impulses away from the central nervous system) and all of the muscle fibers it innervates. The motor neuron may innervate multiple muscle fibers, which are single cells, but only one motor neuron innervates a single muscle fiber.
01:13Motor Units
The motor unit is a fundamental component of the neuromuscular system and plays a crucial role in coordinating muscle contractions. It consists of a somatic motor neuron, which connects and controls multiple skeletal muscle fibers, forming a single functional segment. The axon of the motor neuron branches out and establishes synaptic connections known as neuromuscular junctions with individual muscle fibers within the motor unit.
Motor units come in different sizes, with smaller units...
Motor units come in different sizes, with smaller units...