Characterization and processing of surface recorded spinal somatosensory evoked potentials.

Somatosensory evoked potentials were recorded from the skin surface overlying the spinal cord, from the lower lumbar to the lower cervical regions. The recorded responses did not vary over time in any one individual and at each level a consistent wave shape was obtained across all individuals tested. Since the initial signal-to-noise ratio (SNR) for the evoked response recorded at any cord level is very low, the signal data must be processed. In this study, bandpass filtering or matched filtering was used together with ensemble averaging to obtain a usable signal in a reasonable processing time. SNR was improved approximately 1.5 X with bandpass filtering and 2 X with matched filtering. Although the output of the matched filter is a distorted version of the input signal, detection of information is enhanced and processing time using the matched filter and ensemble averaging can be reduced to 1/4 that required for ensemble averaging alone.