Annals of Rehabilitation Medicine

Original Article: J Korean Acad Rehabil Med. 2004;28(1):48-53.; Facilitation of Nerve Action Potential by Distant Muscle Contraction.; Sohn, Min Kyun , Kim, Bong Ok , Han, Sang Min , Min, Kwon Hong; Department of Rehabilitation Medicine, Chungnam National University College of Medicine, Korea. rm53hsm@hanmail.net

Abstract: Objective
To investigate the effect of distant muscle contraction on the sensory and motor nerve conduction and F-wave studies. Method: During isometric contraction (10%, 25% and 50% of maximal voluntary contraction) of dominant hand using hand held dynamometer, sensory nerve action potentials (SNAPs), compound muscle action potentials (CMAPs) and F-waves were examined on contralateral upper and ipsilateral lower extremities in 20 healthy adult subjects. SNAPs of median and sural nerves, CMAPs and F-waves of median and tibial nerves were recorded with submaximal and supramaximal intensity stimulation. Results: At submaximal stimulation the amplitudes and areas of median and sural SNAPs and median nerve CMAPs were significantly increased during distant muscle contraction (p＜0.05). Distant muscle contraction did not effect on the parameters of SNAPs and CMAPs at supramaximal stimulation. The latencies of F-waves were significantly shortened and amplitudes of F-waves were increased during distant muscle contraction (p＜0.05). Especially the amplitudes of F-waves were significantly positive correlated with the level of muscle contraction (p＜0.05). Conclusion: SNAPs and CMAP were augmented by the distant muscle contraction only submaximal stimulation. Due to facilitation, the distant muscle contraction should be considered during routine F-wave studies. (J Korean Acad Rehab Med 2004; 28: 48-53)

Keywords :Distant muscle contraction, Nerve conduction studies, F-waves, Facilitation