title: Spatial distribution of motor units recruited during electrical stimulation of the quadriceps muscle versus the femoral nerve.
abstract: BACKGROUND
  In this study we investigated differences in the spatial recruitment of motor units (MUs) in the quadriceps when electrical stimulation is applied over the quadriceps belly versus the femoral nerve.
  
  
  METHODS
  M-waves and mechanical twitches were evoked using over-the-quadriceps and femoral nerve stimulation of gradually increasing intensity from 22 young, healthy subjects. Spatial recruitment was investigated using recruitment curves of M-waves recorded from the vastus medialis (VM) and vastus lateralis (VL) and of twitches recorded from the quadriceps.
  
  
  RESULTS
  At maximal stimulation intensity (Imax), no differences were found between nerve and over-the-quadriceps stimulation. At submaximal intensities, VL M-wave amplitude was higher for over-the-quadriceps stimulation at 40% Imax, and peak twitch force was greater for nerve stimulation at 60% and 80% Imax.
  
  
  CONCLUSIONS
  For the VM, MU spatial recruitment during nerve and over-the-quadriceps stimulation of increasing intensity occurred in a similar manner, whereas significant differences were observed for the VL.
authors.affiliation: Department of Electrical and Electronical Engineering, Universidad Pública de Navarra DIEE, Campus de Arrosadía s/n 31006, Pamplona, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: Rodriguez-Falces
authors.forename: Nicola A
authors.initials: NA
authors.lastname: Maffiuletti
authors.forename: Nicolas
authors.initials: N
authors.lastname: Place
mesh_terms: D000328:Adult; D004558:Electric Stimulation / Q000295:instrumentation / Q000379:methods*; D004576:Electromyography / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005267:Femoral Nerve / Q000502:physiology*; D006801:Humans; D008297:Male; D052097:Quadriceps Muscle / Q000502:physiology*; D011999:Recruitment, Neurophysiological / Q000502:physiology*
keywords: M-wave; femoral nerve stimulation; motor unit spatial recruitment; recruitment curve; transcutaneous electrical stimulation