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Eur J Appl Physiol
DOI 10.1007/s00421-014-2892-z
ORIGINAL ARTICLE
Motor point map of upper body muscles
M. Behringer · A. Franz · M. McCourt · J. Mester
Received: 14 November 2013 / Accepted: 12 April 2014
© Springer-Verlag Berlin Heidelberg 2014
homogeneity. All MPs were found to be highly symmetri-
cal between both sides of the body (r = 0.96; p < 0.001).
Conclusion The presented data and the corresponding
map will help physiotherapists, and conditioning specialists
improve their neuromuscular electrical stimulation therapy
or training, respectively.
Keywords Neuromuscular electrical stimulation · Motor
entry point · Motor branch · Upper body
Abbreviations
NMES Neuromuscular electrical stimulation
EMG Electromyogram
LPN Lateral pectoral nerve
MP Motor point
MPN Medial pectoral nerve
RE Reference electrode
SD Standard deviation
Introduction
The fact that electrical stimulation can induce muscle con-
tractions has been known as early as 1790 (Cambridge
1977). Early clinicians used this knowledge in attempt to
restore muscle function in patients suffering from damages
of the nervous system (Althaus 1873). Nowadays, physi-
otherapists all over the world still apply electrical stimuli
for the same purpose. However, neuromuscular electrical
stimulation (NMES) has evolved, and NMES is now suc-
cessfully used in a broad range of applications ranging
from rehabilitation to high-performance sport. Comprehen-
sive reviews of attainable effects and settings that govern
the stimulation protocol can be found elsewhere (Doucet
et al. 2012; Filipovic et al. 2011, 2012).
Abstract
Purpose The purpose of the present study was to system-
atically investigate the upper body motor point (MP) posi-
tions of selected muscles and to create an atlas of the iden-
tified MPs.
Methods MPs were searched bilaterally in 15 male and 15
female subjects by scanning the skin with a special pen elec-
trode at low stimulation frequency (3 Hz) and current ampli-
tude (<10 mA). The following muscles were investigated:
biceps brachii, triceps brachii, deltoideus, trapezius, latissi-
mus dorsi, erector spinae (lumbar part), pectoralis minor and
major, and rectus abdominis.
Results A total of 1,563 MPs were identified. The MPs
could be clustered into 31 distinct positions on each side
of the body. However, the number of MPs per muscle var-
ied between subjects: 2 MPs were found for the biceps
brachii, 2–3 for the triceps brachii, 4–5 for the deltoideus,
2–3 for the pectoralis major, 1 MP for the pectoralis minor,
4–5 for the trapezius, 3–4 for the latissimus dorsi, 4–5 for
the rectus abdominis, and 2–3 for the erector spinae in its
lumbar part. Referring to the applied grid, upper limb and
lower back muscles presented a low inter-individual varia-
tion, whereas MPs of the deltoideus, the pectoralis major,
and the rectus abdominis were characterized by a poor
Communicated by Dick F. Stegeman.
Electronic supplementary material The online version of this
article (doi:10.1007/s00421-014-2892-z) contains supplementary
material, which is available to authorized users.
M. Behringer (*) · A. Franz · M. McCourt · J. Mester
Institute of Training Science and Sport Informatics, German
Sport University Cologne, Am Sportpark Müngersdorf 6,
50933 Cologne, Germany
e-mail: behringer@dshs-koeln.de