Muestra la distribución de disciplinas para esta publicación.
Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.
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| Año | 2023 | ||||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
The Innervation Zones (IZ) correspond to clusters of neuromuscular junctions. The traditional method of locating IZs through voluntary muscle contractions may not be feasible in individuals with motor disorders. Imposed contractions by electrostimulation are an alternative. However, there is limited evidence regarding the factors that affect inter-evaluator concordance and the number of localized IZs when using imposed contraction. The main objective of this research was to determine the effect of the amplitude of compound motor action potentials (CMAPs) containing the M-wave on inter-evaluator agreement. As a secondary objective, was investigate the effect on the number of detected IZs. Twenty-four healthy volunteers (age: 21.2 +/- 1.5years, weight: 67.4 +/- 13.2kg, height: 1.68 +/- 0.80m) participated in the study. Electrostimulation was applied to the tibial nerve to induce contraction of the medial gastrocnemius. The IZ were identified based on the M-wave recorded through multichannel electromyography. A receiver operating characteristic (ROC) analysis was conducted to assess sensitivity and specificity in detecting the IZs. Inter-rater agreement was evaluated using a two-way mixed effects test to determine the intraclass correlation coefficients (ICC). A p-value less than 0.05 was considered statistically significant. The ROC analysis revealed that for both evaluators, a specificity of 95% was achieved with an amplitude >= 30 %. The area under the ROC curve was 0.980 [0.964, 0.996], indicating a strong influence of CMAP amplitude on detection of IZs. The highest level of agreement (ICC = 0.788 [0.713, 0.844]) among the evaluators was observed with CMAP amplitudes equal to or greater than 80 % of the maximum M-wave. The findings of this study demonstrate that both the number and the inter-evaluator concordance for detecting IZs using imposed contractions are strongly influenced by the amplitude of the M-wave. Higher M-wave amplitudes were associated with improved concordance and increased IZ detection, making it crucial to standardize amplitude settings for reliable outcomes.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| GUZMAN-VENEGAS, RODRIGO ANTONIO | Hombre |
Universidad de Los Andes, Chile - Chile
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| Palma-Traro, Felipe | - |
Universidad de Los Andes, Chile - Chile
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| Contreras, Javier | - |
Universidad de Los Andes, Chile - Chile
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| Caparrós-Manosalva, Cristian | - |
Universidad de Talca - Chile
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| 1 | GUZMAN-VENEGAS, RODRIGO ANTONIO | Hombre |
Universidad de Los Andes, Chile - Chile
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| 1 | Rodrigo, Guzmán Venegas | - |
Universidad de Los Andes, Chile - Chile
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| 1 | Rodrigo, Guzman-Venegas | - |
Universidad de Los Andes, Chile - Chile
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| 2 | Felipe, Palma-Traro | - |
Universidad de Los Andes, Chile - Chile
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| 3 | Javier, Contreras | - |
Universidad de Los Andes, Chile - Chile
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| 4 | Cristian, Caparros-Manosalva | - |
Universidad de Talca - Chile
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| Fuente |
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| FONDECYT de Iniciacion Proyecto |
| Agencia Nacional de Investigación y Desarrollo |
| Agencia Nacional Investigación y Desarrollo |
| Agencia Nacional Investigacion y Desarrollo (ANID) Chile |
| Agradecimiento |
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| This research was funded by Agencia Nacional Investigacion y Desarrollo (ANID) Chile, Fondecyt de Iniciacion Proyecto 11200521. |
| 1 Universidad de los Andes, Facultad de Medicina, Escuela de Kinesiología, Laboratorio LIBFE, Santiago, Chile. 2 Departamento de Ciencias del Movimiento Humano, Facultad de Ciencias de la Salud, Universidad de Talca, Chile. FUNDING. This research was funded by Agencia Nacional Investigación y Desarrollo (ANID) Chile, Fondecyt de Iniciación Proyecto 11200521. |