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  • mechanomyography

    Greetings:
    I regret to report that I did not receive any responses explaining what
    "mechanomyography" is. I have received several requests for any
    information that I turn up. My limited research efforts have produced the
    following information.
    It appears that MMG is a technique that originated in the field of
    anesthesiology. I believe it uses a piezoelectric transducer attached to
    the skin surface to measure muscular responses. Most of what I read
    indicated that it is typically used to evaluate the relaxation response of
    muscles usually in response to some pharmaceutical treatment. It is often
    used in conjunction with a controlled protocol of neuromuscular stimulation.

    An excerpt from
    Booij LH; Pharm World Sci 1997 Feb;19(1):35-44
    Neuromuscular transmission and its pharmacological blockade. Part 3:
    Continuous infusion of relaxants and reversal and monitoring of
    relaxation.

    "Monitoring neuromuscular transmission is an important feature to
    determine the effect of relaxant administration or to detect residual
    curarization. It is based on stimulation of peripheral nerves with either
    single twitch, train of four, tetanic or double burst stimulation. The
    evoked response can be quantitated with mechanomyography,
    electromyography, or accelerography. The response of the various muscles
    to nerve stimulation varies due to the different
    characteristics of the muscles. Clinically, the use of the adductor
    pollicis muscle is advised."

    What originally piqued my interest was two recent articles that have
    applied this technology to voluntary, dynamic activities (specifically
    cycling). I have provided references below. What these authors have
    attempted was to relate (correlate) the MMG signal gathered during dynamic
    actvities to other "more traditional" physiological measurements (EMG and
    VO2). The results appeared to be positive suggesting that MMG may be a
    technology worth further investigation.
    Our library does not carry the journals in which the articles/abstracts
    that I found are located. Therefore I was unable to gather many of the
    specifics on this technology. I am still unclear on the basis of the signal.
    If anyone does come across any more information regarding it I'd appreciate
    hearing about it.

    Other references

    Stout JR, Housh TJ, Johnson GO, Evetovich TK, Smith DB; Eur J Appl
    Physiol 1997;76(4):363-367
    Mechanomyography and oxygen consumption during incremental cycle
    ergometry.

    Shinohara M, Kouzaki M, Yoshihisa T, Fukunaga T; Eur J Appl Physiol
    1997;76(4):314-319
    Mechanomyography of the human quadriceps muscle during incremental
    cycle ergometry.

    Engbaek J; Dan Med Bull 1996 Sep;43(4):301-316
    Monitoring of neuromuscular transmission by electromyography during
    anaesthesia. A comparison with mechanomyography in cat and man.


    Sincerely,

    Scott P. McLean, Ph.D.
    Assistant Professor
    Department of Health and Human Performance
    255 Forker Building
    Iowa State University
    Ames, IA 50011
    (515) 294-8755 FAX (515) 294-8740
    email: smclean@iastate.edu
    Scott P. McLean, Ph.D.
    Assistant Professor
    Department of Health and Human Performance
    255 Forker Building
    Iowa State University
    Ames, IA 50011
    (515) 294-8755 FAX (515) 294-8740
    email: smclean@iastate.edu
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