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Single-motor-unit activity was recorded from flexor carpi radialis of two human subjects. 2. A large number of units showed repetitive doublets at the onset of slow recruitment. A unit starting with doublets would transfer to a normal firing pattern as the force increased. 3. At different speeds of ramp contractions, the number of doublets discharging at(More)
We investigated a pattern of involuntary lower extremity stepping-like movements which recently appeared in a subject with a 17-year history of neurologically incomplete injury to the cervical spinal cord. The movements were rhythmic, alternating and forceful, involved all muscles of the lower extremities and could be reliably evoked by lying the subject(More)
In persons who have sustained severe injuries to the cervical spinal cord, electrical stimulation of mixed peripheral nerves in a lower limb can evoke short-latency, bilateral motor responses in muscles of the distal upper limbs; such motor responses have been termed interlimb reflexes. In the present study, we investigated the role that cutaneous(More)
BACKGROUND/OBJECTIVE In the course of examining spinal motor function in many hundreds of people with traumatic spinal cord injury, we encountered 6 individuals who developed involuntary and rhythmic contractions in muscles of their legs. Although there are many reports of unusual muscle activation patterns associated with different forms of myoclonus, we(More)
UNLABELLED Numerous methods have been pursued to evaluate function in central motor pathways during surgery in the anesthetized patient. At this time, no standard has emerged, possibly because each of the methods described to date requires some degree of compromise and/or lacks sensitivity. OBJECT The goal of this study was to develop and evaluate a(More)
OBJECT The authors conducted a study to evaluate repetitive transcranial electrical stimulation (TES) to assess spinal cord motor tract function in individuals undergoing spine surgery, with emphasis on safety and efficacy. METHODS Somatosensory evoked potentials (SSEPs) were elicited using standard technique. Muscle electromyographic values were measured(More)
We examined Hoffmann (H) and tendon (T) reflexes in 3 populations of adult subjects: acute SCI (< 2 weeks post injury), controls, and chronic SCI (> 1 year post injury). We further investigated the effects of continuous tendon vibration and different stimulus rates on the size of evoked H reflexes in these subject populations. All reflex amplitudes were(More)
Single motor unit and gross surface electromyographic responses to torque motor-produced wrist extensions were studied in human flexor carpi radialis muscle. Surface EMG typically showed two "periods" of reflex activity, at a short and long latency following stretch, but both periods occurring before a subject's voluntary reaction to the stretch. The(More)
The order of recruitment of flexor carpi radialis (FCR) motor units was studied during voluntary and reflexive activation of the motoneuron pool for two adult subjects. During slow "voluntary" activation, the recruitment threshold for tonic motoneuron firing was determined, and then the twitch profile of the motor unit was computed by the spike-triggered(More)
OBJECTIVES To examine the basis for delay in the excitatory effects of transcranial magnetic stimulation (TMS) of motor cortex on motoneuron pools of muscles left partially-paralyzed by traumatic spinal cord injury (SCI). METHODS The effect of subthreshold transcranial magnetic stimulation (TMS) on just-suprathreshold H-reflex amplitude was examined in(More)