Pii: S1388-2457(99)00100-5

نویسندگان

  • Zoia C. Lateva
  • Kevin C. McGill
چکیده

Objective: A satellite potential is a late component of the motor unit action potential (MUAP) that occurs both in pathologic and normal muscle. We investigated the physiological mechanisms responsible for satellite potentials in normal muscle by relating the latencies of MUAP features to the timing of the underlying electrical events. Methods: We analyzed 21 MUAPs with satellite potentials that had been recorded using a monopolar needle electrode from brachial biceps and tibialis anterior muscles in 10 normal subjects. We estimated the endplate-to-electrode, endplate-to-tendon, and satellite propagation times from the latencies, with respect to the MUAP onset, of the MUAP spike, terminal wave, and satellite. Results: Satellite latencies ranged from 8.8 to 32 ms, too long to be explained by mechanisms involving regenerating axons or atrophic muscle ®bers. The spike-to-satellite time intervals approximated either twice the spike-to-terminal-wave interval (17 MUAPs) or twice the terminal-wave latency (4 MUAPs). Conclusions: These results are consistent with the hypothesis that satellite potentials are due to retrograde propagation in a non-innervated muscle ®ber that is connected with an innervated muscle ®ber at one of the muscle/tendon junctions. Such a con®guration could arise as a result of longitudinal muscle-®ber splitting. q 1999 Elsevier Science Ireland Ltd. All rights reserved.

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تاریخ انتشار 1999