PT  - JOURNAL ARTICLE
AU  - J. C. Glerant
AU  - N. Mustfa
AU  - W. D. Man
AU  - Y. M. Luo
AU  - G. Rafferty
AU  - M. I. Polkey
AU  - J. Moxham
TI  - Diaphragm electromyograms recorded from multiple surface electrodes following magnetic stimulation
AID  - 10.1183/09031936.06.00029005
DP  - 2006 Feb 01
TA  - European Respiratory Journal
PG  - 334--342
VI  - 27
IP  - 2
4099  - http://erj.ersjournals.com/content/27/2/334.short
4100  - http://erj.ersjournals.com/content/27/2/334.full
SO  - Eur Respir J2006 Feb 01; 27
AB  - The diaphragm compound-muscle action potential (CMAPdi), elicited by unilateral magnetic stimulation (UMS) of the phrenic nerve can be recorded using surface electrodes. However, there is no consensus on the best positioning of surface electrodes and there are no data on the reproducibility of the signal. Using 36 surface electrode pairs, in five healthy subjects, the CMAPdi elicited by UMS and electrical stimulation (ES) were compared and 12 pairs were identified as providing acceptable signals. The latency and amplitude were measured for each CMAPdi, following UMS at 60–100% of maximal stimulator output, in 12 healthy subjects, on two occasions. Latencies obtained using UMS and ES ranged between 6.1–7.33 and 6.25–7.17 ms, respectively. Optimum CMAPdi were not recorded from the same electrode pair in all subjects, or for both hemidiaphragms in each subject. However, the optimal recording site for a particular individual remained unchanged on subsequent testing. When recorded from the optimal site, latencies and amplitudes of CMAPdi elicited on the two occasions were not significantly different. The current study suggests that the use of multiple chest wall electrodes can identify an optimal electrode pair, from which it is possible to obtain reproducible compound-muscle action potential signals.