Figure 2: Motor unit action potentials obtained by needle electromyography examination: a) normal, b) myopathic, and c) neurogenic. In myopathies, the reduced number of muscle fibres per motor unit leads to less summation effect, resulting in small and spiky signals. In neuropathies, the denervated muscle fibres will become reinnervated by other surviving nerve endings, thereby expanding the motor unit territory by up to 40%. Activation of this enlarged motor unit results in a large and bizzare-looking discharge. (Each division in the vertical axis represents 200V for a) and b) and 500V for c).) |