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J Neurophysiol (June 21, 2006). doi:10.1152/jn.00268.2006
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Submitted on March 13, 2006
Accepted on June 1, 2006

Ordered Motor Unit Firing Behavior In Acute Cerebellar Stroke

Chloe Sauvage1, Mario U Manto2*, Alexander Adam3, Rick Roark4, Patrice Jissendi5, and Carlo J. DeLuca6

1 Neurologie, ULB Erasme, Bruxelles, Belgium
2 Neurologie-Hospital Erasme, Fonds National de la Recherche Scientifique, Bruxelles, Belgium
3 NeuroMuscular Research Center, Boston University, Boston, United States
4 Otolaryngology, New York Medical Center, New York, New York, United States
5 Neuroradiologie, ULB Erasme, Bruxelles, Belgium
6 Neuromuscular Research Center, Boston University, Boston, Massachusetts, United States

* To whom correspondence should be addressed. E-mail: mmanto{at}ulb.ac.be.

It is known that at any given force level, the lower-threshold motor units generally fire at greater rates than the higher-threshold units during isometric tasks of extremity muscles. In addition to this hierarchical arrangement, firing rates of motor units fluctuate in unison with nearly no time delay; an observation which has led to the concept of common drive, a basic motoneuronal rule. Although it is established that the cerebellum plays a critical function in motor control, its role in the genesis, triggering, selection and monitoring of motor unit firing pattern discharges during isometric tasks is unknown. We applied an EMG decomposition technique, known as Precision Decomposition, to accurately identify motor unit firing times from the Electromyographic signal recorded from the first dorsal interosseous muscle to unravel the features of motor unit firings in 3 patients presenting a unilateral cerebellar stroke and exhibiting an acute cerebellar syndrome. We observed ataxic isometric force during visually-guided abduction of the index finger on the affected side. However, the hierarchical response of individual motor units was spared. Furthermore, acute cerebellar ataxia was not associated with a loss of the common drive.




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