4.3 Methodological considerations.
Our estimates of SDTC and response threshold do not strictly reflect the
biophysical properties of afferent and motor axons. The M wave results
from the recruitment of motor axons, the activation of the muscle fibres
at the neuromuscular junction, and the propagation of action potentials
along the sarcolemma. However, in the steepest portion of the RC (around
IM50), the M-wave amplitude can be assumed to be
indicative of the recruitment properties of motor axons (Funase et al.,
1994). Furthermore, the neuromuscular junction should not be a
limitation as the safety margin permits an action potential conveyed by
the axon to trigger an action potential on the sarcolemma (Paton &
Waud, 1967). Other factors than the number of active motor units
influence the M-wave amplitude (dispersion of their innervation zones,
the thickness of the subcutaneous tissue layers, the orientation of the
detection system with respect to the muscle fibres, and the
intracellular action potential shape). However, these factors should
only marginally influence the effect of pulse duration on the M wave as
the EMG recording conditions were similar for the three pulse durations.
Therefore, we expect that the response threshold and SDTC for the M wave
provide an indirect estimate of the biophysical properties of motor
axons.
The H-reflex amplitude is a more complex response, which depends on the
recruitment of afferent axons, as well as presynaptic and postsynaptic
mechanisms. As the SDTC measured from the H reflex in the median nerve
did not differ when recorded at rest and during contraction (Lin et al.,
2002), it is unlikely that mechanisms influencing the excitability of
the motor neurone pool (recurrent inhibition and non-reciprocal group I
inhibition) affect the measured parameter as these mechanisms change
during voluntary contraction. Furthermore, Ia presynaptic inhibition
should not influence our measures because it lasts less than 500 ms
(Mizuno et al., 1971), whereas the inter-stimulus interval used in the
present study was 10 s. Accordingly, the SDTC and response threshold for
the H reflex likely represents Ia afferents’ biophysical properties, as
suggested by Lin and colleagues (Lin et al., 2002).