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Biomedical subjects

D F Stegeman

Publications and source records attributed to D F Stegeman.

At least 37 records · Page 2Linked to original sources
PubMed2001

pH heterogeneity in tibial anterior muscle during isometric activity studied by (31)P-NMR spectroscopy.

The occurrence of pH heterogeneity in human tibial anterior muscle during sustained isometric exercise is demonstrated by applying (31)P-nuclear magnetic resonance (NMR) spectroscopy in a study of seven healthy subjects. Exercise was performed at 30 and 60% of maximal voluntary contraction (MVC) until fatigue. The NMR spectra, as localized by a surface coil and improved by proton irradiation, were obtained at a high time resolution (16 s). They revealed the simultaneous presence of two pH pools during most experiments. Maximum difference in the two pH levels during exercise was 0.40 +/- 0.07 (30% MVC, n = 7) and 0.41 +/- 0.03 (60% MVC, n = 3). Complementary two-dimensional (31)P spectroscopic imaging experiments in one subject supported the supposition that the distinct pH pools reflect the metabolic status of the main muscle fiber types. The relative size of the P(i) peak in the spectrum attributed to the type II fiber pool increases with decreasing pH levels. This phenomenon is discussed in the context of the size principle stating that the smaller (type I) motor units are recruited first.

Adult↗
PubMed2001

Influence of motoneuron firing synchronization on SEMG characteristics in dependence of electrode position.

The frequency content of the surface electromyography (SEMG) signal, expressed as median frequency (MF), is often assumed to reflect the decline of muscle fiber conduction velocity in fatigue. MF also decreases when motor unit firings synchronize, and we hypothesized that this effect can explain the electrode-dependent pattern in our previous recordings from the trapezius muscle. An existing motoneuron (MN) model describes the afterhyperpolarization following a spike as an exponential function on which membrane noise is superimposed. Splitting the noise into a common and an individual component extended the model to a MN pool with a tunable level of firing synchrony. An analytical volume conduction model was used to generate motor unit action potentials to simulate SEMG. A realistic level of synchrony decreased the MF of the simulated bipolar SEMG by approximately 30% midway between endplate position and tendon but not above the endplate. This is in accordance with experimental data from the biceps brachii muscle. It was concluded that the pattern of decrease of MF during sustained contractions indeed reflects MN synchronization.

Adult↗
PubMed2000

Magnetic stimulation-induced modulations of motor unit firings extracted from multi-channel surface EMG.

The noninvasive assessment of motor unit (MU) firing patterns on the basis of topographical information from 128-channel high-density surface electromyography (SEMG) is reported. First, multi-channel MU action potential (MUAP) templates are obtained by clustering detected firing events according to the surface topography of the MUAP. Second, a template-matching algorithm is used to find all firings of a MU, including the superimpositions of MUAPs. From a single recording, the firing pattern of up to five MUs could be derived. The modulation of MU firing by transcranial magnetic stimulation was analyzed in peri-stimulus time histograms. The results are similar to previous results of transcranial magnetic stimulation (TMS) obtained by needle electromyographic (EMG) recordings. The method can be used to investigate MU firing patterns in patients with central motor disorders. An additional advantage of the technique, apart from its noninvasiveness, is the structural and functional information that it provides on the MUs, which is not obtained by needle EMG.

Action Potentials↗
PubMed2000

Recent progress in the diagnostic use of surface EMG for neurological diseases.

The different techniques to measure and analyze surface EMG are summarized with an emphasis on the clinician's point of view. The application of surface EMG in neurological disease is hampered by many inherent problems, especially the difficulties in extracting features of single motor units. However, the evolution of surface EMG from single bipolar recordings via a linear array of multiple electrodes to densely packed, multi-channel electrode arrays could in principle solve this problem. The added value of using multiple channels (up to 128) with an interelectrode distance of a few millimetres to obtain more spatial information is emphasized. At least for some muscles it is now possible to extract information from the surface EMG, conventionally thought to belong to the domain of needle EMG (for example the "electrical size" of motor units). The use of analysis techniques such as the estimation of muscle fiber conduction velocity has already proven to be of diagnostic value in several myopathies characterized by a disturbed membrane function and in metabolic myopathies with abnormal fatigue profiles. Future research should be directed at the development of analysis techniques enabling the extraction of more relevant motor unit variables from surface EMG signals.

Electromyography↗
PubMed2000

Surface EMG models: properties and applications.

After a general introduction on the kind of models and the use of models in the natural sciences, the main body of this paper reviews potential properties of structure based surface EMG (sEMG) models. The specific peculiarities of the categories (i) source description, (ii) motor unit structure, (iii) volume conduction, (iv) recording configurations and (v) recruitment and firing behaviour are discussed. For a specific goal, not all aspects conceivable have to be part of a model description. Therefore, finally an attempt is made to integrate the 'question level' and the 'model property level' in a matrix providing direction to the development and application of sEMG models with different characteristics and varying complexity. From this overview it appears that the least complex are models describing how the morphological muscle features are reflected in multi-channel EMG measurements. The most challenging questions in terms of model complexity are related to supporting the diagnosis of neuromuscular disorders.

Electromyography↗
PubMed2000

Surface EMG mapping of the human trapezius muscle: the topography of monopolar and bipolar surface EMG amplitude and spectrum parameters at varied forces and in fatigue.

OBJECTIVES: To investigate the factors affecting the topography of trapezius muscle EMG, multichannel recordings were made at different forces of isometric shoulder elevation and during fatiguing exercise. METHODS: Twenty-eight channels of monopolar EMG were recorded from an array of 4 x 7 electrodes placed on the upper trapezius muscle. From the monopolar EMG and the bipolar derivations the root mean square (RMS(monopolar), RMS(bipolar)) and power spectrum median frequency (MF(monopolar), MF(bipolar)) were calculated. RESULTS: The maximum RMS(monopolar) was located above the middle part of the trapezius muscle, where a minimum was found for RMS(bipolar). The cranial-caudal RMS distribution shifted upwards when the force was increased from 50 to 100% MVC and during fatigue. MF(bipolar) showed a peak above the endplate region, where the MF(monopolar) was low. During fatigue the normalized MF slope was independent of the cranial-caudal electrode position, but MF(monopolar) decreased most strongly at positions above the endplate region, where MF(bipolar) decreased less. CONCLUSIONS: While the changes in MF reflected metabolic properties and volume conduction phenomena in the muscle, changes in RMS reflected a compensation for the fatigue processes within the muscle. The RMS changes in fatigue can be explained by the direction of the fibres involved in shoulder elevation.

Adult↗
PubMed2000

The conductivity of the human skull: results of in vivo and in vitro measurements.

The conductivity of the human skull was measured both in vitro and in vivo. The in vitro measurement was performed on a sample of fresh skull placed within a saline environment. For the in vivo measurement a small current was passed through the head by means of two electrodes placed on the scalp. The potential distribution thus generated on the scalp was measured in two subjects for two locations of the current injecting electrodes. Both methods revealed a skull conductivity of about 0.015 [symbol: see text]/m. For the conductivities of the brain, the skull and the scalp a ratio of 1:1/15:1 was found. This is consistent with some of the reports on conductivities found in the literature, but differs considerably from the ratio 1:1/80:1 commonly used in neural source localization. An explanation is provided for this discrepancy, indicating that the correct ratio is 1:1/15:1.

Biomedical Engineering↗
PubMed2000

Possible mechanisms of muscle cramp from temporal and spatial surface EMG characteristics.

In this study, the initiation and development of muscle cramp are investigated. For this, we used a 64-channel surface electromyogram (EMG) to study the triceps surae muscle during both cramp and maximal voluntary contraction (MVC) in four cramp-prone subjects and during cramp only in another four cramp-prone subjects. The results show that cramp presents itself as a contraction of a slowly moving fraction of muscle fibers, indicating that either the spatial arrangement of the motoneurons and muscle fibers is highly related or that cramp spreads at a level close to the muscle. Spectral analyses of the EMG and peak-triggered average potentials show the presence of extremely short potentials during cramp compared with during MVC. These results can also be interpreted in two ways. Either the motoneurons fire with enlarged synchronization during MVC compared with cramp, or smaller units than motor units are active, indicating that cramp is initiated close to or even at the muscle fiber level. Further research is needed to draw final conclusions.

Adult↗
PubMed1999

Positive sharp wave and fibrillation potential modeling.

A finite muscle fiber simulation program which calculates the extracellular potential for any given intracellular action potential (IAP) was used to model a fibrillation potential and a positive sharp wave. This computer model employs the core conductor model assumptions for an active muscle fiber and allows two distinct types of end effects: a cut or a crush. A "cut end" is defined as a membrane segment with the termination of both active and passive ion channels. The "crush end" is simulated as a focal membrane segment which blocks action potential propagation, and is connected to a region of normal membrane on either side of it so that a normal transmembrane potential is maintained beyond the crush zone. A prototypical positive sharp wave of appropriate amplitude and duration could only be detected extracellularly by using an IAP of the configuration found in denervated rat muscle recorded from a muscle fiber terminating in a crush segment of membrane.

Action Potentials↗
PubMed1999

CMAP amplitude cartography of muscles innervated by the median, ulnar, peroneal, and tibial nerves.

The spatial and temporal distribution of compound muscle action potential (CMAP) amplitudes was mapped using 1 x 1-cm grids over thenar, hypothenar, dorsal foot, and foot sole muscles (seven maps each). The high-amplitude zone (HAZ, area where amplitudes were over 80% of the maximum amplitude) denoted susceptibility to changes in recording site. Thenar maps had one peak (spatially and temporally) with a HAZ of 3.5 +/- 2.3 cm2. Hypothenar maps had two peaks (spatially and temporally) with a HAZ of 7.7 +/- 3.6 cm2. Dorsal foot maps had one temporal peak, which could be split up spatially; the HAZ was smallest, at 1.7 +/- 1.7 cm2. Foot sole muscles had one peak (spatially and temporally), with the largest HAZ at 18.4 +/- 6.1 cm2. Wave-form differences were ascribed to differences in muscle anatomy, architecture, and variability. These explain differences in amplitude reproducibility between nerves and the differing effect that increasing electrode size has on reproducibility.

Action Potentials↗
PubMed1999

Intracellular contribution to extracellularly recorded waveforms: the 'membrane rent' hypothesis.

OBJECTIVE: This investigation uses simulation studies to account for single muscle fiber waveforms with complex configurations as arising from the simultaneous recording of a partial intracellular discharge and its associated extracellular manifestation by way of an electrode-induced 'rent' or tear in the sarcolemma. METHODS: Published material on intracellular action potentials from healthy and 7 day denervated rat skeletal muscle was used as the basis for calculations. A single muscle fiber computer simulation capable of formulating a cut or crush termination effect used the modeled action potentials to generate extracellular waveforms at different locations along the muscle fiber. These extracellular waveforms were then summated with a varied fraction of the intracellular action potential to yield a combined potential. These simulated waveforms were then compared to previously recorded single muscle fiber discharges in order to establish if a combined waveform could reproduce the clinically recorded potentials' configuration. RESULTS: It was not possible to simulate any of the previously detected innervated single muscle fiber discharges by combining the action potential's intracellular and extracellular configurations. However, 12 of the 14 clinically observed complex waveforms documented in denervated tissue could be simulated with morphologies similar to the clinical potentials. CONCLUSIONS: Presumed single muscle fiber discharges with complex configurations may result from the needle electrode simultaneously recording the action potential's intracellular and extracellular waveforms secondary to a 'rent' in the sarcolemma. This explanation may in part account for some of the complex appearing potentials detected in denervated tissue, but this 'rent' hypothesis is likely not the explanation for potentials observed in innervated muscle tissue. The apparent success of the 'rent' hypothesis in denervated tissue may be a result of the denervated action potential's unique morphology rather than an actual tear in the sarcolemma. Further investigations are necessary to determine if it is possible for a needle electromyographic electrode to actually record in part the intracellular action potential without disrupting the fiber.

Action Potentials↗
PubMed1999

Electrophysiological manifestations of open- and closed-class words in patients with Broca's aphasia with agrammatic comprehension. An event-related brain potential study.

This paper presents electrophysiological data on the on-line processing of open- and closed-class words in patients with Broca's aphasia with agrammatic comprehension. Event-related brain potentials were recorded from the scalp when Broca patients and non-aphasic control subjects were visually presented with a story in which the words appeared one at a time on the screen. Separate waveforms were computed for open- and closed-class words. The non-aphasic control subjects showed clear differences between the processing of open- and closed-class words in an early (210-375 ms) and a late (400-700 ms) time-window. The early electrophysiological differences reflect the first manifestation of the availability of word-category information from the mental lexicon. The late differences presumably relate to post-lexical semantic and syntactic processing. In contrast to the control subjects, the Broca patients showed no early vocabulary class effect and only a limited late effect. The results suggest that an important factor in the agrammatic comprehension deficit of Broca's aphasics is a delayed and/or incomplete availability of word-class information.

Adult↗
PubMed1998

Motor unit size estimation of enlarged motor units with surface electromyography.

Surface EMG is hardly used to estimate motor unit (MU) characteristics, while its non-invasiveness is less stressful for patients and allows multi-electrode recordings to investigate different sites of the muscle and MU. The present study compares motor unit potentials (MUPs) obtained with surface EMG and macro EMG during voluntary contraction of the biceps brachii muscle of patients with enlarged MUs caused by prior poliomyelitis. Averaged surface MUPs were obtained by means of needle EMG (SMUP1) and surface EMG (SMUP2) triggering. The MUPs area and peak amplitudes correlated well when comparing the macro MUP and SMUP1 of the same MUs. When MU populations of different patients were compared, the SMUP1s and SMUP2s were equally sensitive to pathology as macro MUPs. In this, the late non-propagating positive wave (only present in unipolar recordings) is more robust than the triphasic propagating wave. Therefore, surface EMG can be used for detecting enlarged MUs.

Adult↗
PubMed1998

Normal needle electromyographic insertional activity morphology: a clinical and simulation study.

Needle electromyographic insertional activity waveform morphology, and mechanisms of generation, have received little attention. This study analyzes the individual component waveforms that contribute to the burst of electrical activity known as insertional activity. One hundred monopolar needle insertions were slowly performed and high speed recorded to allow better separation of the contributing individual component waveforms. Analysis of the many waveforms recorded demonstrates several classes of potentials. All of these could be reconstructed by the summation of two basic or elementary waveform patterns: a biphasic initially negative spike with or without a "prepotential" similar to an end-plate spike, and the biphasic initially positive spike with a slowly declining negative phase, similar to a positive sharp wave, though shorter in duration. The relationship between these elementary waveforms and their hypothesized generator sources is discussed.

Action Potentials↗
PubMed1998

Endplate spike morphology: a clinical and simulation study.

OBJECTIVE: To describe the various morphologic appearances of endplate spikes, define the theoretical volume conduction basis of these waveforms' morphologies, and simulate "atypical" endplate spike waveforms documented by other investigators. DESIGN: Endplate spikes were recorded from the biceps brachii in healthy individuals using a monopolar needle electrode. The morphologies of these waveforms were compared with those obtained from a computer simulation. Previously documented endplate waveforms were simulated using two fundamental types of biphasic initially negative and positive waveform morphologies. SETTING: University clinic outpatient electrodiagnostic medicine facility. SUBJECTS: Five subjects without history or physical evidence of neuromuscular disease. MAIN OUTCOME MEASURES: Endplate potential morphologies were assessed with respect to overall waveform shape and number of phases. Computer-generated waveforms for individual endplate spike waveforms were qualitatively compared with those recorded from the subjects. RESULTS: Three fundamental waveforms were documented to arise from the endplate regions of all subjects and were successfully simulated: (1) biphasic initially negative potential from the endplate itself and up to 0.2mm from the endplate, (2) triphasic initially positive potential from within 0.2mm of the endplate up to 0.5mm from the musculotendinous junction, and (3) biphasic initially positive potential from the last 0.4mm of the fiber or from impulse blocking. Two biphasic endplate spike waveforms could be summated to generate all other endplate waveforms described in previously documented literature. CONCLUSION: The combination of clinical and simulation studies suggests that endplate spike potentials can have quite varied morphologies. Triphasic initially positive and biphasic initially positive endplate spikes may be mistaken for fibrillation potentials and positive sharp waves, respectively. The triphasic waveforms most likely arise from an action potential propagating past the recording electrode adjacent to the endplate, while the biphasic initially positive potential is simulated to arise from the needle electrode blocking action potential propagation.

Action Potentials↗
PubMed1998

Reliance on external cues for movement initiation in Parkinson's disease. Evidence from movement-related potentials.

The aim of this study was to investigate the neurophysiological mechanisms underlying Parkinson's disease patients' increased reliance on external cues for the initiation of movement. Lateralized movement-related cortical potentials were recorded in a noise-compatibility task with seven patients and seven age-matched control subjects. In this two-choice task, visual stimuli containing incompatible target and distractor elements, which simultaneously instructed for responses from both hands, initially caused activation of the motor cortex controlling the wrong response hand. The incorrect response activation was of higher amplitude in patients than in control subjects, causing a longer response delay relative to response times when target and distractors instructed the same hand. In addition, hand-specific motor cortex activation started earlier in patients than in control subjects. These results indicate that visual stimuli exerted an earlier and stronger influence on movement initiation in patients than in control subjects. We hypothesize that information from sensory stimuli relevant for the generation of a response can have rapid access to motor structures in Parkinson's disease patients, thereby facilitating the initiation of movement. The findings may reflect a compensatory mechanism, but could also be related to excitability changes in the motor cortex intrinsic to the pathophysiology of Parkinson's disease.

Aged↗