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51.
Motor evoked potentials (MEPs) obtained by electrical root stimulation and F waves were used to examine the proximal nerve conduction velocity (CV) to tibialis anterior (TA), extensor digitorum brevis (EDB), flexor carpi radialis (FCR), and abductor pollicis brevis (APB) muscles in 40 humans. By subtracting motor latencies obtained by stimulating the peripheral nerve at the same point from the F-wave and MEP latencies, we could measure the CV over identical proximal segments. It was found that proximal CV to TA and FCR was significantly higher than to EDB and APB, respectively. Combining the data of the proximal CV to all four muscles in relation with axonal length resulted in a highly significant inverse relationship (r2 = 0.77). Thus the axonal length explained to a large extent the higher CV of the arm nerves and also the inverse relation between body height and CV. The distal CV was always lower than proximal CV; however, there was no support for an additional effect of this gradient in explaining the relationship between CV and height since it was constant for all body heights. © John Wiley & Sons, Inc. 相似文献
52.
MASAOMI CHINUSHI YOSHIFUSA AIZAWA TOSHIKAZU FUNAZAKI MAKOTO TAMURA AKIRA SHIBATA 《Pacing and clinical electrophysiology : PACE》1992,15(5):756-761
In a patient with sustained ventricular tachycardia, we obtained two different paced QRS morphologies from a single pacing site. In one QRS morphology the stimulus to the QRS complex was long, 150 msec, and in the other it was 100 msec. At the paced cycle length of 600 msec and the stimulus output of 4 V, one QRS morphology with the stimulus to the onset of QRS activation (St-QRS) interval of 150 msec was observed. At the paced cycle length of 400 msec, the other QRS morphology with a St-QRS interval of 100 msec was observed alternatively with the former. At the paced cycle length of 353 msec or 316 msec, the latter with a shorter St-QRS interval was exclusively observed. When the stimulus output was increased from 4 to 10 V, keeping with the paced cycle length at 400 msec, the St-QRS interval was shortened from 100 to 80 msec. For the two QRS morphologies with two St-QRS intervals, two slowly conducting pathways would be responsible. The site of the block in the faster pathway must be located at the proximity of the pacing site and the conduction at a shorter paced cycle length would be explained by "supernormal conduction." 相似文献
53.
In humans, electrical, bipolar, bilateral carotid sinus nerve stimulation (CSNS; impulse duration 0.35 ms) was applied, using frequencies between 10 and 110 Hz and voltages between individual thresholds and maximal amplitudes of stimulation. Ten anginal patients and two hypertensive patients were studied at an interval of up to 12 years after implantation of electrodes and a radiofrequency receiver for chronic therapeutic CSNS. In search of combinations of frequency and voltage of CSNS, eliciting largest ("optimal") depressor responses of blood pressure and heart rate in the individual patient, Rechenberg's evolution strategy was applied. This strategy simulates mutation and selection of biological evolution. In each patient and on each test stimulation, a value of quality was computed from actual heart rate and blood pressure values as a selection criterion for the strategy. Either responses to uninterrupted CSNS were investigated, while stimulation parameters were adjusted every 3 min, according to the strategy, or responses to 3 min of CSNS after a change in stimulation parameters were compared to intercalated 3-min control periods. In each patient, one or more combined settings of frequency and voltage elicited "optimal" responses. In principle, "optimal" CSNS frequencies ranged between 35 and 105 Hz with large interindividual differences. Due to chronic implantation of electrodes and technical features of radiofrequency transmitted stimulation energy, interindividually different voltages led to an optimal response to CSNS. Also according to the present results, the frequency of CSNS has to be determined individually. It is concluded that the evolution strategy was applied successfully, because voltage and frequency settings leading to "optimal" responses were found within 90-180 min, whereas intraindividual systematic investigations would not be feasible due to their necessarily very long duration. So far, only short-term responses have been evaluated. A broader use of the strategy in other applications is encouraged, as for example in pacemaker optimization and especially in functional electrostimulation. 相似文献
54.
O. Z. Roy A. J. Mortimer B. J. Trollope E. J. Villeneuve 《Medical & biological engineering & computing》1984,22(3):225-228
Cardiac stimulation thresholds of short-duration large-amplitude electrical transients were studied. An isolated rabbit heart
model was used and transients were applied directly to the heart through electrodes of 1 mm2 and 1 cm2 surface area. A variety of oscillatory waveforms and pulse configurations were studied and indicated that, for transients
shorter than 100 μs, stimulation thresholds approach a constant charge-transfer density of 3·4 μC cm−2. 相似文献
55.
Srikantan S. Nagarajan Dominique M. Durand Kai Hsuing-Hsu 《Annals of biomedical engineering》1997,25(1):112-125
We determined the location of excitation for different positions of a round and butterfly coil duringin vitro magnetic stimulation of cut peripheral nerves. We analyzed the conditions under which excitation occurs, either at the termination
or at the peak of the field gradients (first spatial derivative of the electric field). These results were then compared to
predictions about the location of excitation sites from a theoretical model of magnetic stimulation of finite neuronal structures.
Excitation along a straight nerve occurred at terminations when 1) a coil was positioned close to the end of a nerve (at least
one diameter length from the end), 2) a nerve ended in a finite terminating impedance much greater than the axial resistance
of the nerve, 3) the induced electric field was of sufficient magnitude, pointing in a direction away from the axis of a nerve.
Excitation occurred at the negative peak of the field gradients along a nerve when 1) a coil was positioned far away from
the ends of a nerve, 2) there were no geometric or volume conductor inhomogeneities around a nerve, and 3) it was of sufficient
magnitude. Threshold strengths for excitation at terminations were significantly lower than that for field gradient excitation
and comparable to that due to geometric and volume conductor inhomogeneities. 相似文献
56.
The specific impedance of cardiac tissue cannot be measured directly. Instead, the investigator obtains voltage and current
measurements and places them into a model of the tissue's structure to infer the impedances of elements of the model. If the
model fails to describe major aspects of the real tissue, the results may be worthless, although possibly self-consistent.
In the literature of impedance measurement in cardiac tissue, only rarely is the model explicitly described; more commonly,
the tissue model is adopted implicitly when equations giving the impedance in terms of voltage and current measurements are
adopted. This paper examines the series of models that have been used in specific impedance measurements of cardiac tissue
and shows how the same or similar measurements can accurately describe tissue impedivity or can lead to significant errors
when inadequate models such as isotropic and anisotropic monodomains (although a part of work of historical merit) are used. 相似文献
57.
The purpose of this study was to determine the electrical properties of the encapsulation tissue that surrounds electrodes
chronically implanted in the body. Two four-electrode arrays, fabricated from either epoxy or silicone rubber, were implanted
in each of six adult cats for 82 to 156 days.In vivo measurements of tissue resistivity using the four-electrode technique indicated that formation of the encapsulation tissue
resulted in a significant increase in the resistivity of the tissue around the arrays.In vitro measurements of tissue impedance using a four-electrode cell indicated that the resistivity of the encapsulation tissue was
a function of the tissue morphology. The tight layers of fibroblasts and collagen that formed around the silicone rubber arrays
had a resistivity of 627±108 Ω-cm (mean ± SD; n=6), which was independent of frequency from 10 Hz to 100 kHz, and was significantly
larger than the resistivity of the epoxy encapsulation tissue at all frequencies between 20 Hz and 100 kHz. The combination
of macrophages, foreign body giant cells, loose collagen, and fibroblasts that formed around the epoxy arrays had a frequency-dependent
resistivity that decreased from 454±123 Ω-cm (n=5) to 193±98 Ω-cm between 10 Hz and 1 kHz, and was independent of frequency
between 1 kHz and 100 kHz, with a mean value of 195 ±88 Ω-cm. The results indicate that the resistivity of the encapsulation
tissue is sufficient to alter the shape and magnitude of the electric field generated by chronically implanted electrodes. 相似文献
58.
Prokhorov EF González-Hernández J Vorobiev YV Morales-Sánchez E Prokhorova TE Zaldivar Lelo de Larrea G 《Medical & biological engineering & computing》2000,38(5):507-511
The aim is to compare the mean values of the in vivo electrical characteristics of bioiogical active points (BAPs) with those
of the surrounding human skin. The impedance measurements at BAPs and on the surrounding skin are carried out in vivo on ten
young, healthy people. The results of the measurements show that the BAP resistance RP is smaller, and the capacitance CP is higher, than the corresponding values for skin, RS and CS, respectively, these differences are larger at low frequencies (at f=3 Hz, RS/RP=3.19 and CP/CS=3.2). The mean values of the impedance measurements at the BAPs are different from those measured on the skin. The dependence
of RP and CP on the pressing force, in the range of about 1–5 N, for the BAPs, has a smaller slope than that observed for the surrounding
skin. An equivalent circuit for the BAPs is proposed that describes sufficiently well the experimental results obtained. These
results show that the large dispersion in the observed impedance characteristics of the human body measurements in different
body regions can be related to the influence of the BAPs present under the electrodes. 相似文献
59.
Dejan Popovic Tessa Gordon Victor F. Rafuse Dr. Arthur Prochazka 《Annals of biomedical engineering》1991,19(3):303-316
Implanted wire electrodes are increasingly being used for the functional electrical stimulation of muscles in partially paralysed
patients, yet many of their basic characteristics are poorly understood. In this study we investigated the selectivity, recruitment
characteristics and range of control of several types of electrode in triceps surae and plantaris muscles of anaesthetized
cats. We found that nerve cuffs are more efficient and selective (i.e., cause less stimulus spread to surrounding muscles)
than intramuscular electrodes. Bipolar intramuscular stimulation was more efficient and selective than monopolar stimulation,
but only if the nerve entry point was between the electrodes. Monopolar electrodes are efficient and selective if located
close to the nerve entry point, but their performance declines with distance from it. Nonetheless, for a variety of reasons
monopolar stimulation provides the best compromise in many current applications. Short duration pulses offer the best efficiency
(least charge per pulse to elicit force) but high peak currents, increasing the risk of electrode corrosion and tissue damage.
Electrode size has little effect on recruitment and should therefore be maximised because this minimises current density. 相似文献
60.
16通道人工耳蜗植入装置的原理和研制 总被引:3,自引:0,他引:3
人工耳蜗植入是利用电听觉原理恢复聋人听觉的一种有效方法,作者依据耳蜗在电刺激条件下的听觉生理学原理和心理声学参量,提出汉语主意编码方案的设想,研制出16通道耳蜗植入电极系统和语言处理装置,并进行初步动物实验研究。 相似文献