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Nuccio, S.

Publications and source records attributed to Nuccio, S..

3 recordsLinked to original sources

Non-invasive muscle biopsy: estimation of muscle fibre size from a neuromuscular interface

Because of the biophysical relation between muscle fibre diameter and the propagation velocity of action potentials along the muscle fibres, motor unit conduction velocity (MUCV) could be a non-invasive index of muscle fibre size in humans. However, the relation between MUCV and fibre size has been only assessed indirectly in animal models and in human patients with invasive intramuscular EMG recordings, or it has been mathematically derived from computer simulations. By combining advanced non-invasive techniques to record motor unit activity in vivo, i.e., high-density surface EMG, with the gold standard technique for muscle tissue sampling, i.e., muscle biopsy, here we investigated the relation between the conduction velocity of populations of motor units identified from the biceps brachii muscle, and muscle fibre diameter. Moreover, we demonstrate the possibility to predict muscle fibre diameter (R2 = 0.66) and cross-sectional area (R2 = 0.65) from conduction velocity estimates with low systematic bias (~2% and ~4% respectively) and a relatively low margin of individual error (~8% and ~16%, respectively). The proposed neuromuscular interface opens new perspectives in the use of high-density EMG as a non-invasive tool to estimate muscle fibre size without the need of surgical biopsy sampling. The non-invasive nature of high-density surface EMG for the assessment of muscle fibre size may be useful in studies monitoring child development, aging, space and exercise physiology. SIGNIFICANCE STATEMENTOur study explored the relation between the conduction velocity of populations of motor units and muscle fibre size in healthy humans. Our results provide in vivo evidence that a high-density surface EMG-derived physiological parameter, i.e. motor unit conduction velocity, can be adopted to estimate muscle fibre size, without the need of surgical biopsy sampling. Here we propose a neuromuscular interface that opens new perspectives not only in the study of neuromuscular disorders, but also in other fields where the non-invasive and painless determination of muscle fibre and motor unit size becomes a priority, such as in aging, space and exercise physiology.

physiology↗

Common synaptic inputs are not distributed homogeneously among the motor neurons that innervate synergistic muscles

The force generated by the muscles involved in an action is produced by common synaptic inputs received by the engaged motor neurons. The purpose of our study was to identify the low-dimensional latent components, defined hereafter as neural modules, underlying the discharge rates of the motor units from two knee extensors (vastus medialis and lateralis) and two hand muscles (index and thumb muscles) during isometric contractions. The neural modules were extracted by factor analysis from the pooled motor units and no assumptions were made regarding the orthogonality of the modules or the association between the modules and each muscle. Factor analysis identified two independent neural modules that captured most of the covariance in the discharge rates of the motor units in the synergistic muscles. Although the neural modules were strongly correlated with the discharge rates of motor units in each of the synergistic pair of muscles, not all motor units in a muscle were correlated with the neural module for that muscle. The distribution of motor units across the pair of neural modules differed for each muscle: 80% of the motor units in first dorsal interosseous were more strongly correlated with the neural module for that muscle, whereas the proportion was 70%, 60%, and 45% for the thenar, vastus medialis, and vastus lateralis muscles. All other motor units either belonged to both modules or to the module for the other muscle (15% for vastus lateralis). Based on a simulation of 480 integrate-and-fire neurons receiving independent and common inputs, we demonstrate that factor analysis identifies the three neural modules with high levels of accuracy. Our results indicate that the correlated discharge rates of motor units arise from at least two sources of common synaptic input that are not distributed homogeneously among the motor neurons innervating synergistic muscles.

neuroscience↗

Analysis of motor unit spike trains estimated from high-density surface electromyography is highly reliable across operators

There is a growing interest in decomposing high-density surface electromyography (HDsEMG) into motor unit spike trains to improve knowledge on the neural control of muscle contraction. However, the reliability of decomposition approaches is sometimes questioned, especially because they require manual editing of the outputs. We aimed to assess the inter-operator reliability of the identification of motor unit spike trains. Eight operators with varying experience in HDsEMG decomposition were provided with the same data extracted using the convolutive kernel compensation method. They were asked to manually edit them following established procedures. Data included signals from three lower leg muscles and different submaximal intensities. After manual analysis, 126 {+/-} 5 motor units were retained (range across operators: 119-134). A total of 3380 rate of agreement values were calculated (28 pairwise comparisons x 11 contractions/muscles x 4-28 motor units). The median rate of agreement value was 99.6%. Inter-operator reliability was excellent for both mean discharge rate and time at recruitment (intraclass correlation coefficient > 0.99). These results show that when provided with the same decomposed data and the same basic instructions, operators converge toward almost identical results. Our data have been made available so that they can be used for training new operators.

neuroscience↗