Abstract:
:The compound muscle action potential (M(MAX)) during a maximal voluntary contraction (MVC) may be measured to determine if the motor nerve has been supramaximally stimulated during the interpolated twitch technique (ITT). Ten males performed isometric knee extension MVCs. M(MAX) for the vastus medialis was recorded during MVC and rest. To examine the effect of stimulating electrode movement, the M(MAX) of the thenar group and antidromic sensory nerve action potentials (SNAPs) to the third digit were recorded in a separate experiment. M(MAX) during MVC was reduced by 18% (P < 0.0001) and 43% (p < 0.0001) for the quadriceps and thenar group, respectively. The SNAP amplitude was not different between rest and MVC (P = 0.18). Reduction of M(MAX) during MVC suggests that some motor axons are refractory and unable to respond to a superimposed maximal stimulus. These results have implications for the sensitivity of the interpolated twitch technique.
journal_name
Muscle Nervejournal_title
Muscle & nerveauthors
Berger MJ,Watson BV,Doherty TJdoi
10.1002/mus.21692subject
Has Abstractpub_date
2010-10-01 00:00:00pages
498-503issue
4eissn
0148-639Xissn
1097-4598journal_volume
42pub_type
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