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Interfacing peripheral nerve with macro-sieve electrodes following spinal cord injury
Authors:Nathan K. Birenbaum  Matthew R. MacEwan  Wilson Z. Ray
Affiliation:1. Department of Biomedical Engineering, Washington University in St. Louis, St. Louis, MO, USA;2. Department of Biomedical Engineering, Washington University in St. Louis, St. Louis, MO, USA;Department of Neurosurgery, Washington University School of Medicine, St. Louis, MO, USA
Abstract:Macro-sieve electrodes were implanted in the sciatic nerve of five adult male Lewis rats following spinal cord injury to assess the ability of the macro-sieve electrode to interface regenerated peripheral nervefibers post-spinal cord injury. Each spinal cord injury was performed via right lateral hemisection of the cord at the T9–10 site. Five months post-implantation, the ability of the macro-sieve electrode to interface the regenerated nerve was assessed by stimulating through the macro-sieve electrode and recording both electromyography signals and evoked muscle force from distal musculature. Electro-myography measurements were recorded from the tibialis anterior and gastrocnemius muscles, while evoked muscle force measurements were recorded from the tibialis anterior, extensor digitorum longus, and gastrocnemius muscles. The macro-sieve electrode and regenerated sciatic nerve were then explant-ed for histological evaluation. Successful sciatic nerve regeneration across the macro-sieve electrode interface following spinal cord injury was seen in all five animals. Recorded electromyography signals and muscle force recordings obtained through macro-sieve electrode stimulation confirm the ability of the macro-sieve electrode to successfully recruit distal musculature in this injury model. Taken to-gether, these results demonstrate the macro-sieve electrode as a viable interface for peripheral nerve stimulation in the context of spinal cord injury.
Keywords:peripheral nerve interface  regenerative electrode  nerve regeneration  spinal cord injury  spinal cord lateral hemisection  electromyography  muscle force
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