Avtor/Urednik     Podnar, Simon; Zalewska, Ewa; Hausmanowa-Petrusewicz, Irena
Naslov     Evaluation of the complexity of motor unit potentials in anal sphincter electromyography
Tip     članek
Vir     Clin Neurophysiol
Vol. in št.     Letnik 116
Leto izdaje     2005
Obseg     str. 948-56
Jezik     eng
Abstrakt     Objective: Motor unit potential (MUP) morphology can be quantified using parameters describing electrophysiological size and shape (complexity). Traditionally, MUP complexity has been estimated using porameters number of phases and turns. Recently, "irregularity coeficient" (IR), measuring the Iength of the MUP curve normalized with its amplitude, has been introduced. The aim of this study was to evaluate IR in the extemal anal sphincter muscle. Methods: Sensitivity was examined in 61 patients with chronic cauda equina lesions, and specificity in 75 controls using a standard concentric EMG needle and EMG system with multi-MUP analysis. Results: When evaluated separately the sensitivity of IR was 16% lower, and specilicity 5% higher compared to number of turnes, with both differences decreasing to only 2 and 1%, respectively, when each of these parameters was added m MUP area und duration. Conclusions: Our present results suggest that IR provides a similar diagnostic usefulness, but a more appropriate description of MUP complexity compared to traditional MUP parameters. Significance: IR scems to be suitable to complement one of MUP parameters measuring electrophysiological MUP size in the future quantitative EMG.
Deskriptorji     ANUS
MOTOR NEURONS
ELECTROMYOGRAPHY
POLYRADICULITIS
SPINAL CORD COMPRESSION
ACTION POTENTIALS
SENSITIVITY AND SPECIFICITY