title: Selective neural activation in a histologically derived model of peripheral nerve.
abstract: Functional electrical stimulation (FES) is a general term for therapeutic methods that use electrical stimulation to aid or replace lost ability. For FES systems that communicate with the nervous system, one critical component is the electrode interface through which the machine-body information transfer must occur. In this paper, we examine the influence of inhomogeneous tissue conductivities and positions of nodes of Ranvier on activation of myelinated axons for neuromuscular control as a function of electrode configuration. To evaluate these effects, we developed a high-resolution bioelectric model of a fascicle from a stained cross-section of cat sciatic nerve. The model was constructed by digitizing a fixed specimen of peripheral nerve, extruding the image along the axis of the nerve, and assigning each anatomical component to one of several different tissue types. Electrodes were represented by current sources in monopolar, transverse bipolar, and longitudinal bipolar configurations; neural activation was determined using coupled field-neuron simulations with myelinated axon cable models. We found that the use of an isotropic tissue medium overestimated neural activation thresholds compared with the use of physiologically based, inhomogeneous tissue medium, even after controlling for mean impedance levels. Additionally, the positions of the cathodic sources relative to the nodes of Ranvier had substantial effects on activation, and these effects were modulated by the electrode configuration. Our results indicate that physiologically based tissue properties cause considerable variability in the neural response, and the inclusion of these properties is an important component in accurately predicting activation. The results are used to suggest new electrode designs to enable selective stimulation of small diameter fibers.
authors.affiliation: Department of Neurology, Medical College of Wisconsin, Milwaukee, WI, USA. cbutson@mcw.edu
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Butson
authors.forename: Ian O
authors.initials: IO
authors.lastname: Miller
authors.forename: Richard A
authors.initials: RA
authors.lastname: Normann
authors.forename: Gregory A
authors.initials: GA
authors.lastname: Clark
mesh_terms: D000200:Action Potentials / Q000502:physiology*; D000818:Animals; D002415:Cats; D003198:Computer Simulation; D008959:Models, Neurological; D009431:Neural Conduction / Q000502:physiology*; D011901:Ranvier's Nodes / Q000502:physiology* / Q000648:ultrastructure*; D012584:Sciatic Nerve / Q000166:cytology* / Q000502:physiology*