Motor unit firing pattern, synchrony and coherence in a deafferented patient

International audienceThe firing of spinal motoneurons (MNs) is controlled continuously by inputs from muscle, joint and skin receptors. Besides altering MN synaptic drive, the removal of these inputs is liable to alter the synaptic noise and, thus, the variability of their tonic activity. Sensory afferents, which are a major source of common and/or synchronized inputs shared by several MNs, may also contribute to the coupling in the time and frequency domains (synchrony and coherence, respectively) observed when cross-correlation and coherence analyses are applied to the discharges of MN pairs. Surprisingly, no consistent changes in firing frequency, nor in synchrony and coherence were reported to affect the activity of 3 pairs of motor units (MUs) tested in a case of sensory polyradiculoneuropathy (SPRNP), leading to an irreversible loss of large diameter sensory afferents (Farmer et al., 1993). Such a limited sample, however, precludes a definite conclusion about the actual impact that a chronic loss of muscle and cutaneous afferents may have on the firing properties of human MUs. To address this issue, the firing pattern of 92 MU pairs was analyzed at low contraction force in a case of SPRNP leading similarly to a permanent loss of proprioceptive inputs. Compared with 8 control subjects, MNs in this patient tended to discharge with slightly shorter inter-spike intervals but with greater variability. Synchronous firing tended to occur more frequently with a tighter coupling in the patient. There was no consistent change in coherence in the 15–30 Hz frequency range attributed to the MN corticospinal drive, but a greater coherence was observed below 5 Hz and between 30 and 60 Hz in the patient. The possible origins of the greater irregularity in MN tonic discharges, the tighter coupling of the synchronous firing and the changes in coherence observed in the absence of proprioceptive inputs are discussed

Mechanisms underlying firing in healthy and sick human motoneurons

International audienceIn an address to the British Association for the Advancement of Science in Cambridge, Professor Sherrington introduced the terms " motor neurone " and " the final common path, " the latter term implying that all motor commands converge onto the motoneuron which integrates the incoming information and passes the net information to the muscle for contraction (Sherrington, 1904). The relative ease of access of the spinal motoneuron made it feasible to set up techniques for investigating the physiological, biophysical and molecular properties of these neurons. It became the most investigated neuron of the CNS in the twentieth century and the information gained from studies on motoneurons formed the basis for examining the other neurons of the CNS. Since the compound action potential of a muscle unit is strictly related one-to-one to the action potential arriving from the innervating motoneuron, the statistical analysis of muscle unit action potentials provides an investigator with an elegant way to probe the properties of motoneurons in behaving humans. In the following review the terms motoneuron and motor unit might be used interchangeably. Different aspects of human motoneuron investigations in health and disease are presented in 16 articles of this topic which are summarized below. An increase in the net excitatory synaptic input to the motoneuron pool results in an increase in the level of muscle contraction by recruitment of additional motor units (MUs) and an increase in firing rates of the already recruited units (Milner-Brown et al., 1973; Henneman et al., 1974). The principle of orderly recruitment of motoneurons by size was originally proposed by Henneman (1957) but was later questioned by other researchers presenting examples of selective, rather than orderly recruitment (e.g., Smith et al., 1980). These controversies are assessed by Bawa et al. (2014), and the opinion unifying the concept of orderly recruitment is presented. In humans, increases in firing rates of motor units have been shown to follow the " onion skin " pattern at lower levels of contraction, meaning that the lower-threshold motor units discharge with higher rates than higher-threshold ones. However, studies performed on the whole range of muscle forces indicated that for higher force levels the motor unit firing rate follows a " reverse onion skin " pattern. Hu et al. (2014) decided to approach this problem using small surface electrodes and step increases in force instead of the " ramp and hold " protocols used by previous authors. They showed that the " onion skin " pattern was preserved until 15% of maximal voluntary contraction, and from their results predict this pattern to be valid for the whole range of muscle forces, which is not supported by the previous published works. However, the reported rate saturation of the MUs discharging with higher rates implies that at the higher forces the " reverse onion skin " pattern may be expected. In another paper, Duchateau and Baudry (2014) show that during ballistic contractions the maximal discharge rates are higher than those observed in ramp contractions. It should be noted, however, that during ballistic contractions one deals with instantaneous rates, while during ramp and hold contractions one refers to tonic firing rates defined as the averag

La Sclérose latérale amyotrophique (investigation micro-électromyographique longitudinale des atteintes spinales et corticales)

AIX-MARSEILLE2-BU Méd/Odontol. (130552103) / SudocSudocFranceF

Periodontal mechanoreceptor input reduces synchronous discharge of voluntarily activated masseter motor units in man

Copyright © 2001 Taylor & Francis LtdAnnie Schmied, Kemal S. Türke

'Get alongside us', women's experiences of being overweight and pregnant in Sydney, Australia

Studies of women's experiences of being overweight and pregnant are limited in the literature. Given the increasing rates of obesity in pregnant women, and the impact of being overweight on the health of the mother and the child, this qualitative descriptive study aimed to explore the perceptions and experiences of overweight pregnant women attending two maternity units in Sydney, Australia. Fourteen women aged between 25 and 42 years with a body mass index greater than 30kg/m2 participated in a face-to-face interview in their third trimester of pregnancy or in the early post-natal period. All interviews were recorded and transcribed. Field notes were also recorded following each interview. Data were analysed using thematic analysis. Four themes were identified in the data: 'being overweight and pregnant', 'being on a continuum of change', 'get alongside us' and finally 'wanting the same treatment as everyone else'. Most women recognised their weight as an issue both for their own health and well-being and for its impact on the baby. Women believed health professionals should address the issue of obesity with them but do so in a supportive and positive way that recognised their individual needs and expectations. Health professionals need to consider new approaches or models of care for overweight women that give them support and enable individual needs and expectations to be met. Culturally specific programs may also need to be developed

Anticipatory changes in human motoneuron discharge patterns during motor preparation. (London),

The influence of motor preparation on human motoneuron activity was studied by combining single motor unit recording techniques with reaction-time (RT) methods. The tonic activity of wrist extensor motor units associated with voluntary isometric contractions was analysed during preparation for a ballistic wrist extensor muscle contraction, using a time preparation procedure. Two durations of the preparatory period elapsing between the warning signal and the response signal were used in separate blocks of trials: a short preparatory period (1 s) allowing optimum time preparation, and a longer, non-optimum one (3 s). Changes in motoneuron tonic discharge patterns not associated with any changes in the force output were observed during the preparatory period, which suggests that these changes were subtle enough to prevent any changes in muscle contraction from occurring before the forthcoming movement. The changes observed were a lengthening of the mean interspike interval (ISI) and a decrease in the ISI variability. These data confirm that inhibitory mechanisms are activated during motor preparation and suggest that spinal inhibitory mechanisms are involved in the preparatory processes. The mechanisms possibly involved, such as presynaptic inhibition, dysfacilitation processes or AHP conductance changes, are discussed. The fact that the preparation-induced effects on motoneuron activity were particularly prominent during the last part of the 3 s preparatory period suggests that they were probably related to the neural processes underlying temporal estimation. The anticipatory changes in motoneuron activity observed here during preparation for action provide evidence that central influences act on spinal motoneurons well before it is time to act