Non-invasive method for selection of electrodes and stimulus parameters for FES applications with intrafascicular arrays.

High-channel-count intrafascicular electrode arrays provide comprehensive and selective access to the peripheral nervous system. One practical difficulty in using several electrode arrays to evoke coordinated movements in paralyzed limbs is the identification of the appropriate stimulation channels and stimulus parameters to evoke desired movements. Here we present the use of a six degree-of-freedom load cell placed under the foot of a feline to characterize the muscle activation produced by three 100-electrode Utah Slanted Electrode Arrays (USEAs) implanted into the femoral nerves, sciatic nerves, and muscular branches of the sciatic nerves of three cats. Intramuscular stimulation was used to identify the endpoint force directions produced by 15 muscles of the hind limb, and these directions were used to classify the forces produced by each intrafascicular USEA electrode as flexion or extension. For 451 USEA electrodes, stimulus intensities for threshold and saturation muscle forces were identified, and the 3D direction and linearity of the force recruitment curves were determined. Further, motor unit excitation independence for 198 electrode pairs was measured using the refractory technique. This study demonstrates the utility of 3D endpoint force monitoring as a simple and non-invasive metric for characterizing the muscle-activation properties of hundreds of implanted peripheral nerve electrodes, allowing for electrode and parameter selection for neuroprosthetic applications.

[1]  Jian Zhang,et al.  Recording and stimulating properties of chronically implanted longitudinal intrafascicular electrodes in peripheral fascicles in an animal model , 2008, Microsurgery.

[2]  Ken Yoshida,et al.  Assessment of Biocompatibility of Chronically Implanted Polyimide and Platinum Intrafascicular Electrodes , 2007, IEEE Transactions on Biomedical Engineering.

[3]  G A Clark,et al.  Coordinated, multi-joint, fatigue-resistant feline stance produced with intrafascicular hind limb nerve stimulation , 2012, Journal of neural engineering.

[4]  J. Mortimer,et al.  Selective and independent activation of four motor fascicles using a four contact nerve-cuff electrode , 2004, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[5]  R. Normann,et al.  Interleaved, multisite electrical stimulation of cat sciatic nerve produces fatigue-resistant, ripple-free motor responses , 2004, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[6]  K. Horch,et al.  Muscle recruitment with intrafascicular electrodes , 1991, IEEE Transactions on Biomedical Engineering.

[7]  T. Sandercock,et al.  Nonlinear summation of force in cat soleus muscle results primarily from stretch of the common-elastic elements. , 2000, Journal of applied physiology.

[8]  David J. Warren,et al.  An automated system for measuring tip impedance and among-electrode shunting in high-electrode count microelectrode arrays , 2009, Journal of Neuroscience Methods.

[9]  M. Keith,et al.  Human Nerve Stimulation Thresholds and Selectivity Using a Multi-contact Nerve Cuff Electrode , 2007, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[10]  Thomas Stieglitz,et al.  Original electronic design to perform epimysial and neural stimulation in paraplegia , 2008, Journal of neural engineering.

[11]  P. Matthews,et al.  An investigation into the possible existence of polyneuronal innervation of individual skeletal muscle fibres in certain hind‐limb muscles of the cat , 1960, The Journal of physiology.

[12]  U Proske,et al.  Fatigue in mammalian skeletal muscle stimulated under computer control. , 2001, Journal of applied physiology.

[14]  Eduardo Fernández,et al.  Long-term stimulation and recording with a penetrating microelectrode array in cat sciatic nerve , 2004, IEEE Transactions on Biomedical Engineering.

[15]  H. H. Madden Comments on the Savitzky-Golay convolution method for least-squares-fit smoothing and differentiation of digital data , 1976 .

[16]  D. Durand,et al.  A slowly penetrating interfascicular nerve electrode for selective activation of peripheral nerves. , 1997, IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society.

[17]  Daniel McDonnall,et al.  Selective motor unit recruitment via intrafascicular multielectrode stimulation. , 2004, Canadian journal of physiology and pharmacology.

[18]  T. Johnston,et al.  Implantable FES system for upright mobility and bladder and bowel function for individuals with spinal cord injury , 2005, Spinal Cord.

[19]  R. Normann,et al.  Selective and Graded Recruitment of Cat Hamstring Muscles With Intrafascicular Stimulation , 2009, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[20]  Reid R. Harrison,et al.  Recording sensory and motor information from peripheral nerves with Utah Slanted Electrode Arrays , 2011, 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[21]  A. Savitzky,et al.  Smoothing and Differentiation of Data by Simplified Least Squares Procedures. , 1964 .

[22]  R. Triolo,et al.  Selective stimulation of the human femoral nerve with a flat interface nerve electrode , 2010, Journal of neural engineering.

[23]  J. Mortimer,et al.  A method to effect physiological recruitment order in electrically activated muscle , 1991, IEEE Transactions on Biomedical Engineering.

[24]  G M Davis,et al.  Benefits of FES gait in a spinal cord injured population , 2007, Spinal Cord.

[25]  J T Mortimer,et al.  Stability of the input-output properties of chronically implanted multiple contact nerve cuff stimulating electrodes. , 1998, IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society.

[26]  W. Grill,et al.  Non-invasive measurement of the input-output properties of peripheral nerve stimulating electrodes , 1996, Journal of Neuroscience Methods.

[27]  A. Prochazka,et al.  Movements elicited by electrical stimulation of muscles, nerves, intermediate spinal cord, and spinal roots in anesthetized and decerebrate cats , 2004, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[28]  M. Lemay,et al.  Modularity of motor output evoked by intraspinal microstimulation in cats. , 2004, Journal of neurophysiology.

[29]  C. Azevedo-Coste,et al.  Comparative analysis of transverse intrafascicular multichannel, longitudinal intrafascicular and multipolar cuff electrodes for the selective stimulation of nerve fascicles , 2011, Journal of neural engineering.

[30]  Silvestro Micera,et al.  A critical review of interfaces with the peripheral nervous system for the control of neuroprostheses and hybrid bionic systems , 2005, Journal of the peripheral nervous system : JPNS.

[31]  Dr. D. R. McNeal,et al.  Selective activation of muscles using peripheral nerve electrodes , 2006, Medical and Biological Engineering and Computing.

[32]  M. Lemay,et al.  Hindlimb Endpoint Forces Predict Movement Direction Evoked by Intraspinal Microstimulation in Cats , 2009, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[33]  D. Durand,et al.  Functionally selective peripheral nerve stimulation with a flat interface nerve electrode , 2002, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[34]  Kenneth W. Horch,et al.  Intraspinal microstimulation using cylindrical multielectrodes , 2006, IEEE Transactions on Biomedical Engineering.

[35]  T. A. Thrasher,et al.  Functional electrical stimulation of walking: function, exercise and rehabilitation. , 2008, Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique.

[36]  R A Normann,et al.  Multiple-Input Single-Output Closed-Loop Isometric Force Control Using Asynchronous Intrafascicular Multi-Electrode Stimulation , 2011, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[37]  Warren M Grill,et al.  Role of biomechanics and muscle activation strategy in the production of endpoint force patterns in the cat hindlimb. , 2007, Journal of biomechanics.

[38]  T. Sinkjaer,et al.  Long-term biocompatibility of implanted polymer-based intrafascicular electrodes. , 2002, Journal of biomedical materials research.

[39]  R. Douglas,et al.  Ambulation using the reciprocating gait orthosis and functional electrical stimulation , 1992, Paraplegia.

[40]  S. M. R. Hashemi,et al.  Measurement of the current–distance relationship using a novel refractory interaction technique , 2009, Journal of neural engineering.

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

[42]  P. Peckham,et al.  Functional electrical stimulation for neuromuscular applications. , 2005, Annual review of biomedical engineering.

[43]  Richard A Normann,et al.  New functional electrical stimulation approaches to standing and walking , 2007, Journal of neural engineering.

[44]  R. Stein,et al.  Selective stimulation of cat sciatic nerve using an array of varying-length microelectrodes. , 2001, Journal of neurophysiology.

[45]  G.A. Clark,et al.  Automated Stimulus-Response Mapping of High-Electrode-Count Neural Implants , 2009, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

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

[47]  W. Durfee,et al.  Reducing muscle fatigue in FES applications by stimulating with N-let pulse trains , 1995, IEEE Transactions on Biomedical Engineering.

[48]  K. Horch,et al.  Reduced fatigue in electrically stimulated muscle using dual channel intrafascicular electrodes with interleaved stimulation , 1993, Annals of Biomedical Engineering.

[49]  W.L.C. Rutten,et al.  Sensitivity and selectivity of intraneural stimulation using a silicon electrode array , 1991, IEEE Transactions on Biomedical Engineering.

[50]  T. Houdayer,et al.  Paraplegia: prolonged closed-loop standing with implanted nucleus FES-22 stimulator and Andrews' foot-ankle orthosis. , 1997, Stereotactic and functional neurosurgery.