title: Nerve conduction block utilising high-frequency alternating current.
abstract: High-frequency alternating current (AC) waveforms have been shown to produce a quickly reversible nerve block in animal models, but the parameters and mechanism of this block are not well understood. A frog sciatic nerve/gastrocnemius muscle preparation was used to examine the parameters for nerve conduction block in vivo, and a computer simulation of the nerve membrane was used to identify the mechanism for block. The results indicated that a 100% block of motor activity can be accomplished with a variety of waveform parameters, including sinusoidal and rectangular waveforms at frequencies from 2 kHz to 20 kHz. A complete and reversible block was achieved in 34 out of 34 nerve preparations tested. The most efficient waveform for conduction block was a 3-5 kHz constant-current biphasic sinusoid, where block could be achieved with stimulus levels as low as 0.01 microCphase(-1). It was demonstrated that the block was not produced indirectly through fatigue. Computer simulation of high-frequency AC demonstrated a steady-state depolarisation of the nerve membrane, and it is hypothesised that the conduction block was due to this tonic depolarisation. The precise relationship between the steady-state depolarisation and the conduction block requires further analysis. The results of this study demonstrated that high-frequency AC can be used to produce a fast-acting, and quickly reversible nerve conduction block that may have multiple applications in the treatment of unwanted neural activity.
authors.affiliation: MetroHealth Medical Center, Cleveland, Ohio, USA. klk4@cwru.edu
authors.forename: K L
authors.initials: KL
authors.lastname: Kilgore
authors.forename: N
authors.initials: N
authors.lastname: Bhadra
mesh_terms: D000818:Animals; D003198:Computer Simulation; D004599:Electric Stimulation Therapy / Q000379:methods*; D008954:Models, Biological; D009407:Nerve Block / Q000379:methods*; D009431:Neural Conduction; D011892:Rana catesbeiana; D012584:Sciatic Nerve / Q000502:physiology