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Muscle Velocity Recovery Cycles to Examine Muscle Membrane Properties

Witt, A; Bostock, H; Z'Graggen, WJ; Tan, SV; Kristensen, AG; Kristensen, RS; Larsen, LH; ... Tankisi, H; + view all (2020) Muscle Velocity Recovery Cycles to Examine Muscle Membrane Properties. Journal of Visualized Experiments , 156 , Article e60788. 10.3791/60788. Green open access

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Abstract

Although conventional nerve conduction studies (NCS) and electromyography (EMG) are suitable for the diagnosis of neuromuscular disorders, they provide limited information about muscle fiber membrane properties and underlying disease mechanisms. Muscle velocity recovery cycles (MVRCs) illustrate how the velocity of a muscle action potential depends on the time after a preceding action potential. MVRCs are closely related to changes in membrane potential that follow an action potential, thereby providing information about muscle fiber membrane properties. MVRCs may be recorded quickly and easily by direct stimulation and recording from multi-fiber bundles in vivo. MVRCs have been helpful in understanding disease mechanisms in several neuromuscular disorders. Studies in patients with channelopathies have demonstrated the different effects of specific ion channel mutations on muscle excitability. MVRCs have been previously tested in patients with neurogenic muscles. In this prior study, muscle relative refraction period (MRRP) was prolonged, and early supernormality (ESN) and late supernormality (LSN) were reduced in patients compared to healthy controls. Thereby, MVRCs can provide in vivo evidence of membrane depolarization in intact human muscle fibers that underlie their reduced excitability. The protocol presented here describes how to record MVRCs and analyze the recordings. MVRCs can serve as a fast, simple, and useful method for revealing disease mechanisms across a broad range of neuromuscular disorders.

Type: Article
Title: Muscle Velocity Recovery Cycles to Examine Muscle Membrane Properties
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.3791/60788
Publisher version: http://dx.doi.org/10.3791/60788
Language: English
Additional information: © 2020 Creative Commons Attribution-NonCommercial 3.0 License (https://creativecommons.org/licenses/by-nc/3.0/).
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10093923
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