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选择性和分级募集猫的坐骨神经肌内刺激。

Selective and graded recruitment of cat hamstring muscles with intrafascicular stimulation.

机构信息

Department of Bioengineering, University of Utah, Salt Lake City, UT 84112, USA.

出版信息

IEEE Trans Neural Syst Rehabil Eng. 2009 Dec;17(6):545-52. doi: 10.1109/TNSRE.2008.2011988. Epub 2009 Aug 18.

Abstract

The muscles of the hamstring group can produce different combinations of hip and knee torque. Thus, the ability to activate the different hamstring muscles selectively is of particular importance in eliciting functional movements such as stance and gait in a person with spinal cord injury. We investigated the ability of intrafascicular stimulation of the muscular branch of the sciatic nerve to recruit the feline hamstring muscles in a selective and graded fashion. A Utah Slanted Electrode Array, consisting of 100 penetrating microelectrodes, was implanted into the muscular branch of the sciatic nerve in six cats. Muscle twitches were evoked in the three compartments of biceps femoris (anterior, middle, and posterior), as well as semitendinosus and semimembranosus, using pulse-width modulated constant-voltage pulses. The resultant compound muscle action potentials were recorded using intramuscular fine-wire electrodes. 74% of the electrodes per implant were able to evoke a threshold response in these muscles, and these electrodes were evenly distributed among the instrumented muscles. Of the five muscles instrumented, on average 2.5 could be selectively activated to 90% of maximum EMG, and 3.5 could be selectively activated to 50% of maximum EMG. The muscles were recruited selectively with a mean stimulus dynamic range of 4.14 +/- 5.05 dB between threshold and either spillover to another muscle or a plateau in the response. This selective and graded activation afforded by intrafascicular stimulation of the muscular branch of the sciatic nerve suggests that it is a potentially useful stimulation paradigm for eliciting distinct forces in the hamstring muscle group in motor neuroprosthetic applications.

摘要

腘绳肌肌群可以产生不同的髋关节和膝关节扭矩组合。因此,选择性地激活不同的腘绳肌肌肉的能力对于引发具有脊髓损伤的人的功能性运动(如站立和行走)尤为重要。我们研究了坐骨神经肌支的腔内刺激以选择性和分级方式募集猫的腘绳肌肌肉的能力。由 100 个穿透微电极组成的犹他州倾斜电极阵列被植入六只猫的坐骨神经肌支中。使用脉宽调制恒压脉冲在股二头肌(前、中、后)以及半腱肌和半膜肌的三个隔室中诱发肌肉抽搐。使用肌内细电线电极记录所得复合肌肉动作电位。每个植入物中有 74%的电极能够在这些肌肉中引发阈值反应,并且这些电极均匀分布在仪器化的肌肉中。在所仪器化的五块肌肉中,平均有 2.5 块可以选择性地激活到最大 EMG 的 90%,并且有 3.5 块可以选择性地激活到最大 EMG 的 50%。肌肉以平均刺激动态范围为 4.14 +/- 5.05 dB 的方式被选择性地激活,该范围在阈值和另一个肌肉的溢出或响应的平台之间。这种通过坐骨神经肌支的腔内刺激实现的选择性和分级激活表明,它是在运动神经假体应用中诱发腘绳肌肌肉组中不同力量的一种潜在有用的刺激范例。

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