Pehlivan Ferit, Dalkilic Nizamettin, Kiziltan Erhan
Department of Biophysics, School of Medicine, Ankara University, Ankara, Turkey.
Med Eng Phys. 2004 Jun;26(5):395-401. doi: 10.1016/j.medengphy.2004.02.009.
Nerve conduction velocity distribution (CVD) is a very useful tool to examine the state and function of nerves. Only one record of compound action potential (CAP) may be sufficient to determine the CVD if the shape functions of the single fiber action potentials (SFAP) of fibers are known. Otherwise, CAP recordings from different locations are necessary to determine CVD. In this case, we confront the problem of whether the shape of the CVD changes along the nerve, because many methods that attempt to determine the CVD are based on the assumption that the CVD is invariant along the nerve. There is not a complete solution to this problem, but there are many suggestions allied with the recording conditions to minimise this effect. The other effect that may influence both shapes of CAP and CVD along the nerve is the volume conductor effect. If a suitable model could isolate and eliminate the volume conductor effect, then the spatial variation of CVD may be attributed to the natural conditions of the nerve. In this study, we followed a procedure to eliminate volume conductor effect and then applied our previously published model to examine the spatial variations in CVD. The results show that CVDs estimated at discrete points along the nerve trunk have significantly different patterns. Consequently, it may be concluded that CVD is not uniform along an isolated nerve trunk contrary to the assumptions of the most CVD estimation methods.
神经传导速度分布(CVD)是检查神经状态和功能的一种非常有用的工具。如果已知纤维的单纤维动作电位(SFAP)的形状函数,仅一条复合动作电位(CAP)记录可能就足以确定CVD。否则,需要从不同位置记录CAP来确定CVD。在这种情况下,我们面临着CVD的形状是否沿神经变化的问题,因为许多试图确定CVD的方法都基于CVD沿神经不变的假设。对于这个问题没有完整的解决方案,但有许多与记录条件相关的建议来尽量减少这种影响。另一个可能影响沿神经的CAP形状和CVD的效应是容积导体效应。如果一个合适的模型能够分离并消除容积导体效应,那么CVD的空间变化可能归因于神经的自然状态。在本研究中,我们遵循了一个消除容积导体效应的程序,然后应用我们之前发表的模型来研究CVD的空间变化。结果表明,沿神经干离散点估计的CVD具有显著不同的模式。因此,可以得出结论,与大多数CVD估计方法的假设相反,在孤立的神经干中CVD并非均匀的。