PMID- 19375385 OWN - NLM STAT- MEDLINE DCOM- 20090630 LR - 20090512 IS - 1872-8952 (Electronic) IS - 1388-2457 (Linking) VI - 120 IP - 5 DP - 2009 May TI - Inter-rater reliability of motor unit number estimates and quantitative motor unit analysis in the tibialis anterior muscle. PG - 947-52 LID - 10.1016/j.clinph.2009.02.168 [doi] AB - OBJECTIVE: To establish the inter-rater reliability of decomposition-based quantitative electromyography (DQEMG) derived motor unit number estimates (MUNEs) and quantitative motor unit (MU) analysis. METHODS: Using DQEMG, two examiners independently obtained a sample of needle and surface-detected motor unit potentials (MUPs) from the tibialis anterior muscle from 10 subjects. Coupled with a maximal M wave, surface-detected MUPs were used to derive a MUNE for each subject and each examiner. Additionally, size-related parameters of the individual MUs were obtained following quantitative MUP analysis. RESULTS: Test-retest MUNE values were similar with high reliability observed between examiners (ICC=0.87). Additionally, MUNE variability from test-retest as quantified by a 95% confidence interval was relatively low (+/-28 MUs). Lastly, quantitative data pertaining to MU size, complexity and firing rate were similar between examiners. CONCLUSION: MUNEs and quantitative MU data can be obtained with high reliability by two independent examiners using DQEMG. SIGNIFICANCE: Establishing the inter-rater reliability of MUNEs and quantitative MU analysis using DQEMG is central to the clinical applicability of the technique. In addition to assessing response to treatments over time, multiple clinicians may be involved in the longitudinal assessment of the MU pool of individuals with disorders of the central or peripheral nervous system. FAU - Boe, S G AU - Boe SG AD - Canadian Centre for Activity and Aging, School of Kinesiology, The University of Western Ontario, Ont., Canada. boe.shaun@torontorehab.on.ca FAU - Dalton, B H AU - Dalton BH FAU - Harwood, B AU - Harwood B FAU - Doherty, T J AU - Doherty TJ FAU - Rice, C L AU - Rice CL LA - eng PT - Journal Article DEP - 20090416 PL - Netherlands TA - Clin Neurophysiol JT - Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology JID - 100883319 SB - IM MH - Action Potentials/physiology MH - Adult MH - Cell Count/methods MH - Electrodes MH - Humans MH - Leg/anatomy & histology/*physiology MH - Male MH - Motor Neurons/*physiology MH - Muscle, Skeletal/*innervation/*physiology MH - Neuromuscular Junction/*physiology MH - Observer Variation MH - Predictive Value of Tests MH - Reproducibility of Results MH - Signal Processing, Computer-Assisted MH - Young Adult EDAT- 2009/04/21 09:00 MHDA- 2009/07/01 09:00 CRDT- 2009/04/21 09:00 PHST- 2008/10/09 00:00 [received] PHST- 2009/01/28 00:00 [revised] PHST- 2009/02/24 00:00 [accepted] PHST- 2009/04/21 09:00 [entrez] PHST- 2009/04/21 09:00 [pubmed] PHST- 2009/07/01 09:00 [medline] AID - S1388-2457(09)00232-6 [pii] AID - 10.1016/j.clinph.2009.02.168 [doi] PST - ppublish SO - Clin Neurophysiol. 2009 May;120(5):947-52. doi: 10.1016/j.clinph.2009.02.168. Epub 2009 Apr 16.