Abstract

Electrical stimulation of nerves to treat neurological disorders has been extensively studied. In this paper, a proactive blocking method, spike trapping, is introduced, which was previously referred to as the “antimissile strategy”. Acute experiments on sciatic nerve–gastrocnemius muscle preparations of bullfrogs were performed to explore the parameters of this blocking method, including the size, spacing, and placement of the electrodes, as well as the widths of the cathodic triangular pulses used to trap the evoked neural signals. The block threshold voltage decreased with increasing electrode spacing and for larger diameter when the tripolar platinum wire electrodes were placed longitudinally on the same side of the sciatic nerve. However, there was no statistically significant difference between the minimum pulse widths which requires achieving nerve block with different electrode spacing or size. Placing bipolar electrodes of asymmetrical shape and size on the opposite sides across the nerve, the block threshold and the minimum pulse width both decreased first and then increased as a function of increasing anode width. Whether the electrodes is placed longitudinally along the nerve with tripolar configuration or transversely across the nerve with bipolar configuration, the nerve conduction can be instantaneously blocked without undesired excitation using the spike trapping strategy.

Highlights

  • Numerous neurological disorders such as spasticity and tremors are associated with various abnormal activities of the central and peripheral nervous systems

  • When the blocking electrodes were simultaneously activated with the appropriate settings in addition to the proximal stimulation electrode, the gastrocnemius muscle did not contract, showing successful nerve block

  • Within the range of 0.1 to 0.4 mm diameter, wider electrodes require a larger minimum pulse width to achieve block, and could be considered consistent with the prior results if extrapolating this pulse width–electrode size relationship

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Summary

Introduction

Numerous neurological disorders such as spasticity and tremors are associated with various abnormal activities of the central and peripheral nervous systems. The clinical treatment of these diseases of hyperactive nature typically involves the use of medication, such as anesthetics or botulinum toxin. Medications still have some controversies in terms of efficacy and can have varying degrees of side effects [1]. Selective dorsal root resection is used to treat intense spasm but the surgery affects normal neural activity in an irreversible and permanent fashion [2]. Direct current (DC) and kilohertz electrical stimulation can quickly and reversibly block the conduction of neural signals, providing a potential choice for the treatment of spasticity [3], [4].

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