Detecting single fiber contributions to motor unit action potentials.

The ability to detect muscle fiber action potential (MFAP) contributions to motor unit action potentials (MUAPs) measured using single fiber (SF) and concentric needle (CN) electrodes was studied using simulated MUAPs. Various MFAP-acceleration thresholds were used to define significant fiber contributions. Attempts to detect the significant MFAP contributions, by locating peaks in filtered MUAPs or MUAP accelerations using various MUAP-based thresholds, were then made. Considering filtered MUAPs and a significant contribution threshold of 7.5 kV/s2, and using fiber-density peak-detection criteria, at best 46% and 50% of significant MFAP contributions were detected for the SF and CN MUAPs, respectively. Considering MUAP accelerations and a significant contribution threshold of 7.5 kV/s2, 80% and 84% of significant MFAP contributions could be detected, respectively. Most significant contributions were created from fibers located within approximately 350 microm of the electrode. The results suggest that significant peaks, defined using MUAP-based thresholds, within the acceleration of CN MUAPs can strongly correspond to individual fiber activity and may be useful for measuring fiber density and neuromuscular jitter.