Department of Micro-Nano Mechanical Science and Engineering, Nagoya University, Nagoya 4648603, Japan.
Department of Hand Surgery, Nagoya University, Nagoya 4668550, Japan.
Sensors (Basel). 2020 Apr 14;20(8):2210. doi: 10.3390/s20082210.
Peripheral nerve disconnections cause severe muscle atrophy and consequently, paralysis of limbs. Reinnervation of denervated muscle by transplanting motor neurons and applying Functional Electrical Stimulation (FES) onto peripheral nerves is an important procedure for preventing irreversible degeneration of muscle tissues. After the reinnervation of denervated muscles, multiple peripheral nerves should be stimulated independently to control joint motion and reconstruct functional movements of limbs by the FES. In this study, a wirelessly powered two-channel neurostimulator was developed with the purpose of applying selective FES to two peripheral nerves-the peroneal nerve and the tibial nerve in a rat. The neurostimulator was designed in such a way that power could be supplied wirelessly, from a transmitter coil to a receiver coil. The receiver coil was connected, in turn, to the peroneal and tibial nerves in the rat. The receiver circuit had a low pass filter to allow detection of the frequency of the transmitter signal. The stimulation of the nerves was switched according to the frequency of the transmitter signal. Dorsal/plantar flexion of the rat ankle joint was selectively induced by the developed neurostimulator. The rat ankle joint angle was controlled by changing the stimulation electrode and the stimulation current, based on the Proportional Integral (PI) control method using a visual feedback control system. This study was aimed at controlling the leg motion by stimulating the peripheral nerves using the neurostimulator.
周围神经切断会导致严重的肌肉萎缩,进而导致四肢瘫痪。通过将运动神经元移植到去神经的肌肉中,并对周围神经施加功能性电刺激 (FES),是防止肌肉组织不可逆转退化的重要程序。在去神经肌肉的再支配后,通过 FES 可以独立刺激多个周围神经,以控制关节运动并重建肢体的功能性运动。在这项研究中,开发了一种无线供电的双通道神经刺激器,目的是将选择性 FES 应用于大鼠的腓神经和胫神经这两条周围神经。神经刺激器的设计方式可以通过发射器线圈向接收器线圈进行无线供电。接收器线圈依次连接到大鼠的腓神经和胫神经。接收电路具有低通滤波器,可检测发射器信号的频率。根据发射器信号的频率切换对神经的刺激。通过所开发的神经刺激器选择性地诱导大鼠踝关节的背屈/跖屈。基于使用视觉反馈控制系统的比例积分 (PI) 控制方法,通过改变刺激电极和刺激电流来控制大鼠踝关节角度。这项研究旨在通过使用神经刺激器刺激周围神经来控制腿部运动。