Estimating motor unit numbers from a CMAP scan: Repeatability study on three muscles at 15 centres

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  • D. M. Sørensen
  • H. Bostock
  • A. Abrahao
  • A. Alaamel
  • H. C. Alaydin
  • E. Boran
  • B. Cengiz
  • M. de Carvalho
  • Dunker
  • A. Fuglsang-Frederiksen
  • C. C. Graffe
  • K. E. Jones
  • M. Kallio
  • S. Kalra
  • T. Krøigård
  • R. Liguori
  • T. Lupescu
  • S. Maitland
  • J. M. Matamala
  • J. Moreno-Roco
  • K. B. Nilsen
  • L. Phung
  • M. O. Santos
  • A. C. Themistocleous
  • H. Uysal
  • V. Vacchiano
  • R. G. Whittaker
  • L. Zinman
  • H. Tankisi

Objective: To assess the repeatability and suitability for multicentre studies of MScanFit motor unit number estimation (MUNE), which involves modelling compound muscle action potential (CMAP) scans. Methods: Fifteen groups in 9 countries recorded CMAP scans twice, 1–2 weeks apart in healthy subjects from abductor pollicis brevis (APB), abductor digiti minimi (ADM) and tibialis anterior (TA) muscles. The original MScanFit program (MScanFit-1) was compared with a revised version (MScanFit-2), designed to accommodate different muscles and recording conditions by setting the minimal motor unit size as a function of maximum CMAP. Results: Complete sets of 6 recordings were obtained from 148 subjects. CMAP amplitudes differed significantly between centres for all muscles, and the same was true for MScanFit-1 MUNE. With MScanFit-2, MUNE differed less between centres but remained significantly different for APB. Coefficients of variation between repeats were 18.0% for ADM, 16.8% for APB, and 12.1% for TA. Conclusions: It is recommended for multicentre studies to use MScanFit-2 for analysis. TA provided the least variable MUNE values between subjects and the most repeatable within subjects. Significance: MScanFit was primarily devised to model the discontinuities in CMAP scans in patients and is less suitable for healthy subjects with smooth scans.

OriginalsprogEngelsk
BogserieClinical Neurophysiology
Vol/bind151
Sider (fra-til)92-99
Antal sider8
ISSN1388-2457
DOI
StatusUdgivet - 2023

Bibliografisk note

Funding Information:
This study was financially supported by the Lundbeck Foundation, Aage & Johanne Louis-Hansen Foundation, Dagmar Marshall's Foundation, Grosserer L. F. Foghts Foundation and The Jascha Foundation.

Publisher Copyright:
© 2023

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