Medical College of Wisconsin
CTSICores SearchResearch InformaticsREDCap

Characterizing the complexity of spontaneous motor unit patterns of amyotrophic lateral sclerosis using approximate entropy. J Neural Eng 2011 Dec;8(6):066010

Date

11/04/2011

Pubmed ID

22049095

DOI

10.1088/1741-2560/8/6/066010

Scopus ID

2-s2.0-81855203203 (requires institutional sign-in at Scopus site)   27 Citations

Abstract

This paper presents a novel application of the approximate entropy (ApEn) measurement for characterizing spontaneous motor unit activity of amyotrophic lateral sclerosis (ALS) patients. High-density surface electromyography (EMG) was used to record spontaneous motor unit activity bilaterally from the thenar muscles of nine ALS subjects. Three distinct patterns of spontaneous motor unit activity (sporadic spikes, tonic spikes and high-frequency repetitive spikes) were observed. For each pattern, complexity was characterized by calculating the ApEn values of the representative signal segments. A sliding window over each segment was also introduced to quantify the dynamic changes in complexity for the different spontaneous motor unit patterns. We found that the ApEn values for the sporadic spikes were the highest, while those of the high-frequency repetitive spikes were the lowest. There is a significant difference in mean ApEn values between two arbitrary groups of the three spontaneous motor unit patterns (P < 0.001). The dynamic ApEn curve from the sliding window analysis is capable of tracking variations in EMG activity, thus providing a vivid, distinctive description for different patterns of spontaneous motor unit action potentials in terms of their complexity. These findings expand the existing knowledge of spontaneous motor unit activity in ALS beyond what was previously obtained using conventional linear methods such as firing rate or inter-spike interval statistics.

Author List

Zhou P, Barkhaus PE, Zhang X, Rymer WZ

Author

Paul E. Barkhaus MD Professor in the Neurology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Action Potentials
Adult
Amyotrophic Lateral Sclerosis
Electromyography
Entropy
Female
Humans
Male
Microelectrodes
Middle Aged
Recruitment, Neurophysiological