Global motor unit number index sum score for assessing the loss of lower motor neurons in amyotrophic lateral sclerosis

ABSTRACT Introduction We propose a motor unit number index (MUNIX) global sum score in amyotrophic lateral sclerosis (ALS) to estimate the loss of functional motor units. Methods MUNIX was assessed for 18 ALS patients and 17 healthy controls in 7 muscles: the abductor pollicis brevis (APB), abductor...

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Published inMuscle & nerve Vol. 56; no. 2; pp. 202 - 206
Main Authors Grimaldi, Stephan, Duprat, Lauréline, Grapperon, Aude‐Marie, Verschueren, Annie, Delmont, Emilien, Attarian, Shahram
Format Journal Article
LanguageEnglish
Published United States Wiley Subscription Services, Inc 01.08.2017
Wiley
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ISSN0148-639X
1097-4598
DOI10.1002/mus.25595

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Summary:ABSTRACT Introduction We propose a motor unit number index (MUNIX) global sum score in amyotrophic lateral sclerosis (ALS) to estimate the loss of functional motor units. Methods MUNIX was assessed for 18 ALS patients and 17 healthy controls in 7 muscles: the abductor pollicis brevis (APB), abductor digiti minimi (ADM), tibialis anterior (TA), deltoid, trapezius, submental complex, and orbicularis oris. Results MUNIX was significantly lower in ALS patients than in healthy controls for the APB, ADM, TA, and trapezius muscles. The MUNIX sum score of 4 muscles (ADM + APB + trapezius + TA) was lower in ALS patients (P = 0.01) and was correlated with clinical scores. Discussion The global MUNIX sum score proposed in this study estimates the loss of lower motor neurons in several body regions, including the trapezius, and is correlated with clinical impairment in ALS patients. Muscle Nerve 56: 202–206, 2017
Bibliography:None of the authors have any conflicts of interest to disclose.
Conflicts of Interest
Stephan Grimaldi and Lauréline Duprat contributed equally to this work.
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ISSN:0148-639X
1097-4598
DOI:10.1002/mus.25595