Motor unit number estimation (MUNE) was shown to be useful in assessing the neurophysiological status of 18 subjects with congenital brachial palsy. This was especially so since conventional M‐wave measurements may give misleading impressions as to the extent of motor axon regeneration. In most subjects the involvement of sensory nerve fibers indicated that the traumatic lesions included postganglionic segments of the fibers, with or without preganglionic damage. In a minority the lesions were purely preganglionic. Digital sensory nerve involvement was more in a mediolateral direction, consistent with greater damage to the uppermost elements in the brachial plexus. In 5 individuals, MUNE and sensory testing showed that there had been trauma to the supposedly unaffected arm. Discrepancies between sensory and motor results suggested that reinnervation of the biceps brachii muscle was greater than that of the intrinsic muscles of the hand. In one subject examined serially, reinnervation of the hand muscles was detected by 10 months and continued in the hypothenar muscles for the next 6 years. © 1999 John Wiley & Sons, Inc. Muscle Nerve 22: 600–607, 1999

In human volunteers, lateral gastrocnemius muscles were stimulated electrically under ischemic conditions so as to produce fatigue. Recordings of electromyographic (EMG) activity were then made from those muscles and simultaneously from untreated medial gastrocnemius muscles during maximal voluntary efforts. In the lateral gastrocnemius the mean amount of EMG activity declined by 52% and was associated with a 35% reduction in the mean amplitude of the M wave (muscle compound action potential) and an insignificant change in M-wave area. In the medial gastrocnemius the EMG was also diminished, by 29%, but there were no significant changes in M-wave amplitude or area. The findings in the medial gastrocnemius are consistent with the existence of an inhibitory reflex effect which originates in the fatigued lateral gastrocnemius muscle and serves to depress excitation in motoneurons supplying that muscle and also in those innervating synergists. The inhibitory effect appears to be long-lasting, in that a significant reduction of the EMG could still be demonstrated 10 min after release of the arterial cuff. © 1997 John Wiley & Sons, Inc. Muscle Nerve 20, 710–717, 1997.

1. Human soleus muscles were fatigued under ischaemic conditions by intermittent stimulation at 15 Hz. When maximal voluntary plantarflexion was then attempted, the loss of torque was found to be associated with a reduction in voluntary EMG activity. 2. The decrease in EMG activity could not have been due to ‘exhaustion’ of descending motor drive in the central nervous system since fatigue had been induced by electrical stimulation of peripheral nerve fibres. Similarly, the decrease could not be explained by changes at the neuromuscular junction or muscle fibre membrane, since changes in the M wave (evoked muscle compound action potential) were relatively modest. 3. When the excitability of the soleus motoneurones was tested during fatigue, using the H (Hoffmann) reflex, it was found to be significantly reduced. Control experiments with ischaemia or electrical stimulation, but without fatigue, failed to demonstrate any significant effects on reflex excitability. 4. The findings in this study favour the concept of reflex inhibition of alpha‐motoneurones during fatigue.

Using a combination of single maximal stimuli and maximum voluntary contractions, a comparison has been made of muscle properties in pre- and post-pubertal male subjects. In the dorsiflexor and plantarflexor muscles of the ankle, the twitch and maximum voluntary torques were approximately twice as large in the older subjects; the mean height and mean weight increased by factors of 1.20 and 1.86 respectively. The only other muscle parameter that changed, as a function of age, was the contraction time of the ankle dorsiflexors; the mean value was significantly longer in the older subjects. In the younger subjects, there were already clear differences between the dorsiflexor and plantarflexor muscles, the former developing smaller torques and having shorter contraction and half-relaxation times, greater post-activation potentiation and more susceptibility to fatigue. Even in the youngest subject, motor unit activation was complete in the ankle dorsiflexors; although this was not always true of the plantarflexors, the difference between the two subject groups was not significant.

Measurements have been made of twitch amplitudes in human ankle dorsiflexor muscles during and following fatiguing electrical stimulation. In six subjects, studied with the arterial circulation occluded, the twitch was observed to undergo an early potentiation (mean, 99 ± 50%) followed by complete disappearance. A second, smaller phase of potentiation (mean, 25 ± 30%) occurred during recovery and gave way to prolonged depression of the twitch. A comparison of these results with those obtained with an intact circulation suggested that the four phases in the behavior of the twitch were the net result of two processes, potentiation and fatigue, with different time courses. Provided they are timed appropriately, observations of twitch amplitude can provide useful information concerning the de-development of, and recovery from, muscle fatigue.

1. After ischaemic ankle dorsiflexor muscles had been fatigued by repetitive stimulation of the peroneal nerve at 15 Hz, there was a reduction in voluntary EMG activity which persisted as long as the arterial cuff remained inflated. 2. The reduction in voluntary EMG activity could not have been due to loss of excitability at the neuromuscular junctions or muscle fibre membranes since the M-waves (muscle compound action potentials) evoked by peroneal nerve stimulation were well maintained. 3. The preceding observations were consistent with the view that the reduction in EMG activity was due to reflex inhibition of motoneurones by afferents from the fatigued muscle. 4. The absence of responses to stimuli interpolated among the voluntary activity indicated that any motor units which could not be recruited in the fatigued muscle were no longer capable of generating tension.

The possibility of a topographic relationship between the spinal cord and the longitudinal axis of a muscle has been explored in two mammalian hamstring muscles: the rat semitendinosus (ST) and biceps femoris (BF). In both muscles the fibers did not extend the full length of the respective muscles but were arranged in longitudinal arrays. There were two such arrays in BF and three in ST; monopolar recordings revealed that each array had a transverse band of endplates extending across the middle part. By stimulating ventral nerve roots in the lumbosacral outflow, it was found that L5 made the greatest contribution to the innervation of both ST or BF was there any evidence of a topographic relationship between the spinal cord and the muscle belly.

Histochemical and contractile properties of developing rat soleus (Sol) and plantaris (P) muscles were studied after hindlimb suspension to determine the effects of reduced activity levels on muscle development. Suspension (S) began at age 18 days and lasted for 14, 28, and 206 days, and results were compared with age-matched controls. Body weights were normal until 14 days and Sol growth was inhibited more than P, weighing 38 and 47% of controls at 46 and 224 days compared with 68 and 59% in P. The Sol did not develop into a slow-twitch (ST) muscle as evidenced by faster times to peak tension and half-relaxation times, faster times to develop 50% of maximum tetanic tension (Po) and a mean of 33% fewer ST fibers. Twitch tension and Po were lower in S-Sol and S-P, but force/cross-sectional area was unchanged. Fiber areas were smaller, but no structural changes characteristic of disuse atrophy were found. Fiber type populations were unchanged in P, and contractile properties were only minimally affected, demonstrating the greater importance of activity for ST muscles during development.

The effect of stimulus frequency on the rate of muscle fatigue has been studied on dorsiflexor muscles of the human ankle. It was found that significantly fewer stimuli were required to abolish twitch and tetanic torque when the stimuli were delivered at 15 Hz rather than 30 Hz. At both stimulus frequencies twitch torque disappeared before tetanic torque. The difference in numbers of stimuli required for fatigue was not due to impaired excitation of muscle fibers at either of the two frequencies. At both stimulating frequencies, twitch fatigue appeared to be due to a defect in excitation-contraction coupling and/or the contractile machinery.

The effects of aging on maximal voluntary strength and on the isometric twitch were determined in the ankle dorsiflexor and plantarflexor muscles of 111 healthy men and women aged 20-100 yr. Men were found to be stronger than women at all ages. In both sexes, the average values for maximum voluntary strength of the dorsiflexors and plantarflexors began to decline in the 6th decade. Although the absolute loss of strength was greater for the plantarflexor muscles, the relative losses were similar in the two muscle groups. During maximum voluntary effort, stimulation of motor nerves produced no additional torque in the majority of elderly men and women, indicating that these subjects remained able to utilize their descending motor pathways for optimal muscle activation. Comparisons of muscle compound action potentials, twitch torques, and muscle cross-sectional areas suggested that a decrease in excitable muscle mass was entirely responsible for the lower strength of the elderly. An additional effect of aging was the gradual prolongation of twitch contraction and half-relaxation times throughout the adult life-span.

Isometric twitch properties have been compared in two pairs of opposing human limb muscles; these were the brachial biceps and triceps, and the anterior tibial and plantarflexor muscles. All four muscles were examined in each of 24 healthy subjects (16 men and 8 women). The brachial triceps had the shortest contraction and half-relaxation times and the greatest twitch potentiation, while the plantarflexors had the most prolonged twitches and least potentiation; the anterior tibial and brachial biceps muscles had similar charateristics. Susceptibility to fatigue was less in the plantarflexors than in the other three muscles. When muscles were assessed without reference to their anatomical sites, a significant relationship was noted between contraction time and potentiation, but not between either of these features and fatiguability. There was no evidence that muscles were uniformly ‘faster’ or ‘slower’ in some subjects than in others.

A combination of electrophysiological techniques, including stimulus threshold measurements, coaxial needle recordings of voluntary EMG, and evoked response analysis, has been used to show that the motor innervation of the human biceps brachii has an extensive distribution in the long axis of the muscle. Impulse collision experiments, involving either excitation at two sites or the use of stimuli of graded intensity, have demonstrated that the diffuse muscle innervation is partly a consequence of individual muscle fibers having more than one end-plate

This study determined to what extent the hind limb muscles of hamsters resemble those of other mammals in undergoing changes in physiologic, morphologic, and histochemical properties as a function of age. Maximal isometric twitch and tetanic responses were evoked in soleus and plantaris muscles of hamsters aged 13 days to 6 months; all experiments were conducted in vivo under sodium pentobarbital anesthesia. In keeping with findings in the cat and rat, both hamster muscles had relatively prolonged twitches in the youngest animals; the twitches became briefer during development, that of plantaris having a minimum mean contraction time of 15.4 ± 2.4 ms at 20 days and that of soleus, 28.3 ± 3.5 ms at 46 days. In both muscles there was a subsequent slight prolongation of the twitch. The two muscles had similar masses at 13 and 20 days; thereafter the plantaris became considerably larger and stronger than the soleus and developed more tetanic tension per unit cross-sectional area. In keeping with its briefer contraction, plantaris had a more rapid rate of rise of tetanic tension than soleus and was more susceptible to fatigue; whereas the soleus developed depression of the twitch after a tetanus, the plantaris exhibited potentiation. Histological and histochemical studies showed that the plantaris had significantly more muscle fibers than the soleus and a much greater proportion of type II fibers (91 and 39%, respectively, in 120- to 180-day-old animals). Whereas the type II fibers had similar cross-sectional areas in the two muscles, the type I fibers were significantly smaller in plantaris than in soleus.

The contractile properties of plantaris and soleus muscles were studied in 46-day-old hamsters after 4 weeks of rear-end suspension; their controls were animals which had not been treated or else had been operated upon but not suspended. In the suspended hamsters the plantaris muscles, of which approximately 90% of fibers are normally type II, maintained the properties of fast-twitch muscles in terms of their contraction and half-relaxation times, maximum rates of rise of tetanic tension, and posttetanic potentiation of the twitch. The small reduction of mean tetanic tension, although not significant statistically, was compatible with relatively mild atrophy of the type II fibers; approximately half of the type I fibers appeared to have converted to type II. In contrast, the soleus muscles, normally slow-twitch with approximately 60% type I fibers, exhibited significant shortening of their contraction and half-relaxation times after suspension and the maximum rates of rise of tetanic tension were increased. These changes, and the greatly reduced twitch and tetanic tensions, were compatible with the finding of much greater atrophy of type I than type II fibers, together with the conversion of approximately 10% of fibers from type I to type II. Unlike other contractile variables, posttetanic depression of the soleus twitch was unaffected by suspension. Our findings have implications in relation to other models of disuse.

The physiological features of two antagonistic muscle groups, the dorsiflexors (DF) and plantarflexors (PF) of the ankle, have been compared in 46 healthy subjects (31 men and 15 women) aged 19–65 years. The DF muscles, of which tibialis anterior (TA) was studied most thoroughly, had relatively small twitches, with moderately fast contraction and relaxation phases, and had marked post-activation potentiation; they were susceptible to fatigue during isometric exercise. The PF muscles had comparatively large twitches, with slow contraction and relaxation phases, and poor post-activation potentiation; they were more resistant to fatigue. Women differed from men in having smaller TA twitches and slower PF twitches; PF twitches were also slower in older subjects. The marked differences in physiological properties between DF and PF muscles contrasted with relatively modest histochemical differences found by ourselves and others.

A male case of centronuclear myopathy is reported, with severe weakness at birth and death at 7 weeks. In all the muscles studied the fibres, despite their immature appearances, showed normal histochemical differentiation into type I and type II moieties. In contrast to the extrafusal fibres, the intrafusal fibres seemed to be normal in their development. Although the small centrally-nucleated muscle fibres were equipped with motor end-plates, the EMG revealed profuse fibrillation activity. The conflicting findings are postulated to arise from the presence of inexcitable neuromuscular junctions which nevertheless permitted a neurotrophic influence to be exerted on the muscle fibres.

Electrophysiologic measurements were made on the median-innervated thenar muscles and triceps surae in 17 weight-trainers (bodybuilders and weight-lifters) and in control subjects. In the median-innervated thenar muscles, the weight-trainers presented normal values for motor unit counts, reflex potentiation, and twitch contractile properties; however, the weight-trainers possessed a significantly greater (8%) median motor nerve conduction velocity. In the triceps surae, the weight-trainers exhibited significantly greater reflex potentiation (70%), which was interpreted as an increased ability to activate motor units during maximal voluntary contractions. Peak twitch tension (16%) and twitch contraction time (20%) of the triceps surae were significantly greater in the weight-trainers, whereas their twitch half-relaxation time and soleus motor unit counts were not significantly different from control values. The observed difference may reflect a combination of genetic endowment and the effects of training.