Recruitment characteristics of nerve fascicles stimulated by a multigroove electrode.

The recruitment characteristics of fascicle-selective nerve stimulation by a multigroove electrode have been investigated both theoretically and in acute experiments. A three-dimensional (3-D) volume conductor model of fascicles in a multigroove device and a model of myelinated nerve fiber stimulation were used to calculate threshold stimuli of nerve fibers in these fascicles. After their exposition, fascicles from rat sciatic nerve were positioned in different grooves of appropriate sizes and stimulated separately. The device appeared to be suitable for fascicle-selective stimulation, because both computer simulations and acute animal experiments showed that crosstalk between neighboring fascicles is not a problem, even when monopolar stimulation was used. The threshold stimulus was lower for a small fascicle than for a large one. When the amount of (conducting) medium between contact and perineurium or its conductivity was reduced, threshold stimuli were lower. Moreover, simulations predict that the slopes of recruitment curves are smaller and inverse recruitment order is less pronounced. Simulations also showed that a small contact is preferable to a large on, because a small contact gives a slightly smaller slope of the recruitment curve. Both experimentally and theoretically a significantly smaller slope of recruitment curves was obtained by stimulation with a cathode and an anode at opposite sides of the fascicle, driven by two current sources giving simultaneous pulses with different, but linearly dependent amplitudes.

[1]  J. Mortimer,et al.  A spiral nerve cuff electrode for peripheral nerve stimulation , 1988, IEEE Transactions on Biomedical Engineering.

[2]  Tupper Jw,et al.  Fascicular nerve repairs. A comparative study of epineurial and fascicular (perineurial) techniques. , 1988 .

[3]  J. Holsheimer,et al.  Recruitment of dorsal column fibers in spinal cord stimulation: influence of collateral branching , 1992, IEEE Transactions on Biomedical Engineering.

[4]  F. Rattay Analysis of Models for External Stimulation of Axons , 1986, IEEE Transactions on Biomedical Engineering.

[5]  R Reihsner,et al.  Mechanical properties of peripheral nerves. , 1995, Clinical orthopaedics and related research.

[6]  G Lundborg,et al.  Structure and function of the intraneural microvessels as related to trauma, edema formation, and nerve function. , 1975, The Journal of bone and joint surgery. American volume.

[7]  C. P. Mason,et al.  Nonlinear muscle recruitment during intramuscular and nerve stimulation. , 1989, Journal of rehabilitation research and development.

[8]  Jiping He,et al.  Paresthesia thresholds in spinal cord stimulation: a comparison of theoretical results with clinical data , 1993 .

[9]  J. Mortimer,et al.  The Effect of Stimulus Parameters on the Recruitment Characteristics of Direct Nerve Stimulation , 1983, IEEE Transactions on Biomedical Engineering.

[10]  J. T. Mortimer,et al.  A Numerical Analysis Of The Electric Field Generated By A Nerve Cuff Electrode , 1991, Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society Volume 13: 1991.

[11]  D. Mcneal Analysis of a Model for Excitation of Myelinated Nerve , 1976, IEEE Transactions on Biomedical Engineering.

[12]  J. Holsheimer,et al.  A modeling study of nerve fascicle stimulation , 1989, IEEE Transactions on Biomedical Engineering.

[13]  C. W. Caldwell,et al.  A Percutaneous Wire Electrode for Chronic Research Use , 1975, IEEE Transactions on Biomedical Engineering.

[14]  D. A. Ksienski,et al.  A nerve cuff technique for selective excitation of peripheral nerve trunk regions , 1990, IEEE Transactions on Biomedical Engineering.

[15]  D. M. Lewis,et al.  The Physiology of Motor Units in Mammalian Skeletal Muscle , 1981 .

[16]  S. Sunderland Nerves and nerve injuries , 1978 .

[17]  G. G. Stokes "J." , 1890, The New Yale Book of Quotations.

[18]  H Thoma,et al.  Functional electrostimulation of paraplegics: experimental investigations and first clinical experience with an implantable stimulation device. , 1984, Orthopedics.

[19]  W. Grill,et al.  Selective control of muscle activation with a multipolar nerve cuff electrode , 1993, IEEE Transactions on Biomedical Engineering.

[20]  T. Bajd,et al.  Multichannel electrical stimulation for correction of hemiplegic gait. Methodology and preliminary results. , 1978, Scandinavian journal of rehabilitation medicine.

[21]  J. M. Ritchie,et al.  A quantitative description of membrane currents in rabbit myelinated nerve. , 1979, The Journal of physiology.

[22]  Graham H. Creasey,et al.  Perspectives on new electrode technology for stimulating peripheral nerves with implantable motor prostheses , 1995 .

[23]  J W Tupper,et al.  Fascicular nerve repairs. A comparative study of epineurial and fascicular (perineurial) techniques. , 1988, The Orthopedic clinics of North America.

[24]  Gruner Ja,et al.  Nonlinear muscle recruitment during intramuscular and nerve stimulation. , 1989 .

[25]  E. Marsolais,et al.  Functional electrical stimulation for walking in paraplegia. , 1987, The Journal of bone and joint surgery. American volume.

[26]  K. Yoshida,et al.  Selective stimulation of peripheral nerve fibers using dual intrafascicular electrodes , 1993, IEEE Transactions on Biomedical Engineering.

[27]  Warren M. Grill,et al.  Stimulus waveforms for selective neural stimulation , 1995 .

[28]  S. Rapoport,et al.  AC impedance of the perineurium of the frog sciatic nerve. , 1984, Biophysical journal.

[29]  P.H. Veltink,et al.  Simulation of intrafascicular and extraneural nerve stimulation , 1988, IEEE Transactions on Biomedical Engineering.

[30]  I. A. Boyd,et al.  Composition of peripheral nerves , 1968 .

[31]  R. Brereton An implant to empty the bladder or close the urethra , 1978 .

[32]  D. Rushton,et al.  Sacral anterior root stimulators for bladder control in paraplegia: the first 50 cases. , 1986, Journal of neurology, neurosurgery, and psychiatry.

[33]  J. Holsheimer,et al.  Multi-groove electrode for fascicle selective nerve stimulation. , 1990 .