In cat medial gastrocnemius (MG), fibres supplied by individual motoneurones (muscle units) distribute extensively along the muscle longitudinal axis. In the human MG, the size of motor unit territory is unknown. It is uncertain if the absolute size of muscle unit territory or the size relative to the whole muscle is most comparable with the cat. By comparing intramuscular and surface electromyograms we tested whether muscle units extend narrowly or widely along the human MG muscle. Due to the pennation of the MG, if individual motoneurones supply fibres scattered along the muscle, then action potentials of single motor units are expected to appear sparsely on the surface of the skin. In nine healthy subjects, pairs of wire electrodes were inserted in three locations along the MG muscle (MG60%, MG75% and MG90%). A longitudinal array of 16 surface electrodes was positioned alongside the intramuscular electrodes. While subjects stood quietly, 55 motor units were identified, of which, significantly more units were detected in the most distal sites. The surface action potentials had maximum amplitude at 4.40 ±1.67 (mean±S.D.), 8.02±2.16 and 11.63±2.09 cm (P <0.001) from the most proximal surface electrode, for motor units in the MG60%, MG75% and MG90% locations, respectively. Single motor unit potentials were recorded by five consecutive surface electrodes, at most, indicating that muscle units extend shortly along the MG longitudinal axis. It is concluded that relative to the whole muscle, and compared with the cat, muscle units in human MG are localised. The localisation of muscle units might have implications for the regional control of muscle activity.
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http://dx.doi.org/10.1113/jphysiol.2010.201806 | DOI Listing |
BMJ
January 2025
Laboratory and Clinical Department of Intensive Care Medicine, KU Leuven, Leuven, Belgium.
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Section on Cardiovascular Medicine, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
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Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
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Department of Neurology, Hospital of The University of Pennsylvania and Penn Presbyterian Medical Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Purpose Of Review: Mobilization in the Neurological Intensive Care Unit (NICU) significantly improves outcomes and functional recovery while preventing immobility-related complications. The heterogeneity of neurologic conditions necessitates tailored, interdisciplinary mobilization strategies. This article reviews recent research on enhancing the feasibility and effectiveness of mobilization interventions in NICU settings.
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