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Open-Biopsy ElectromyographyI. Correlation of Motor Unit Behavior With Histochemical Muscle Fiber Type in Human Limb Muscle
John R. Warmolts, MD;
W. King Engel, MD
Arch Neurol. 1972;27(6):512-517.
Abstract
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Electromyographic correlation of behavior of motor units with histochemical (HC) type of their muscle fibers is difficult in normal human muscle, because muscle fibers of different HC type belonging to different motor units are closely interspersed. An open-biopsy electromyography technique was developed to record from extensive, nearly homogeneous populations of muscle fibers of either major HC type in normal strength limb muscles in patients with chronic low-grade ordinary motor neuropathies and from a patient with rod neuromuscular disease.
Motor-unit potentials recorded from large, nearly uniform fields of muscle fibers low in pH 9.4 myofibrillar ATPase activity (type 1 muscle fibers) have been activated on mild voluntary contraction as relatively rhythmic, low-frequency discharges capable of sustained firing. Potentials recorded from large, nearly homogeneous fields of muscle fibers high in pH 9.4 myofibrillar ATPase activity (type 2 muscle fibers) have been activated only by vigorous or sudden contraction as brief bursts, or as single or double discharges.
Author Affiliations
Bethesda, Md
From the Medical Neurology Branch, National Institute of Neurological Diseases and Stroke, National Institutes of Health, Public Health Service, US Department of Health, Education and Welfare, Bethesda, Md.
Footnotes
Accepted for publication July 17, 1972.
Read in part before the 96th Annual Meeting of the American Neurological Association, Washington, DC, June 14, 1971.
Reprint requests to Medical Neurology Branch, National Institute of Neurological Diseases and Stroke, National Institutes of Health, Public Health Service, US Department of Health, Education and Welfare, Bethesda, Md 20014 (Dr. Warmolts).
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