Author/Editor     Stalberg, Erik V; Trontelj, Jože V
Title     Single-fiber electromyography and other electrophysiologic techniques for the study of the motor unit
Type     članek
Source     In: Dyck PJ, Thomas PK, editors. Peripheral neuropathy. Vol 1. 4th ed. Philadelphia: Elsevier,
Publication year     2005
Volume     str. 985-1001
Language     eng
Abstract     The functional organization aud physiology of the motor unit can be studied with different electrophysiologic methods. Even seven decades after its development, classic needle electromyography (EMG) with the conventional coaxial clectrode is still the one most widely used. A number of other methods have been developed, and they have contributed important new knowledge, but their clinical use remains more or Iess restricted to special indications and complementary to conventional needle EMG. This chapter describes three of these methods. Each focuses on 3 different apecct of the motor unit: single-fiber electromyography (SFEMG) is well suited for highly selective studies od individual muscle fibers and motor eng plates, as well as single motor neurons; scanning EMG provides infomation on internal topography of the motor unit presented as an electrophysiologic cross section through its territory; and macro EMG is designed to give the summated electrical activity of the whole motor unit. Each of the three methods is described briefly, and the findings in some selected disorders highlight their use for the study of the motor unit.
Descriptors     MOTOR NEURONS
ELECTROMYOGRAPHY
MUSCLE FIBERS
NEUROMUSCULAR JUNCTION
NEURAL CONDUCTION
AXONS
REFLEX
MUSCLE DENERVATION
MYASTHENIA GRAVIS
AMYOTROPHIC LATERAL SCLEROSIS
POSTPOLIOMYELITIS SYNDROME
SYRINGOMYELIA
POLYRADICULONEURITIS
DIABETIC NEUROPATHIES
CHARCOT-MARIE DISEASE