Disclaimer: This study does not represent the views of the Department of Veterans Affairs or the U.S. Government.
Reproducibility of MUNIX in patients with amyotrophic lateral sclerosis†
Article first published online: 26 SEP 2011
Copyright © 2011 Wiley Periodicals, Inc.
Muscle & Nerve
Volume 44, Issue 6, pages 919–922, December 2011
How to Cite
Nandedkar, S. D., Barkhaus, P. E. and Stålberg, E. V. (2011), Reproducibility of MUNIX in patients with amyotrophic lateral sclerosis. Muscle Nerve, 44: 919–922. doi: 10.1002/mus.22204
- Issue published online: 18 NOV 2011
- Article first published online: 26 SEP 2011
- Accepted manuscript online: 15 JUN 2011 11:07AM EST
- Manuscript Accepted: 9 JUN 2011
- compound muscle action potential;
Introduction: In this study we investigated the reproducibility of motor unit number index (MUNIX) in patients with amyotrophic lateral sclerosis (ALS). Methods: MUNIX was recorded in patients with ALS. Studies were performed in 18 thenar and 18 hypothenar muscles by two operators. The reproducibility was assessed using mean MUNIX values, linear regression, correlation coefficient, and coefficient of variation (COV) in individual studies. Results: The mean values showed no significant difference. The linear regression showed a strong correlation. Most patients had low COV. A high COV was seen when MUNIX was very low. The COV was higher in thenar than in hypothenar muscles. Conclusions: MUNIX has very good reproducibility in ALS patients. COV may exaggerate interoperator variation when MUNIX is very low. The higher variability in the thenar muscle is also due to variability in compound muscle action potential amplitude. Although both muscles show good reproducibility, the hypothenar is better suited for serial studies in individual patients Muscle Nerve, 2011