J Reconstr Microsurg 2018; 34(02): 095-102
DOI: 10.1055/s-0037-1606539
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Effect of Split Nerve on Electromyography Signal Pattern in a Rat Model

Maria Florencia Deslivia*
1   Department of HCI and Robotics, University of Science and Technology, Daejeon, Korea
2   Korea Institute of Science and Technology, Seoul, Korea
,
Hyun-Joo Lee*
3   Department of Orthopedic Surgery, Kyungpook National University Hospital, Daegu, Korea
,
Rizki Fajar Zulkarnain
4   Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Korea
,
Bin Zhu
4   Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Korea
,
Arnold Adikrishna
4   Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Korea
,
In-ho Jeon
4   Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Korea
,
Keehoon Kim
2   Korea Institute of Science and Technology, Seoul, Korea
› Author Affiliations
Further Information

Publication History

13 May 2017

31 July 2017

Publication Date:
26 September 2017 (online)

Abstract

Background Recent developments of prosthetic arm are based on the use of electromyography (EMG) signals. To provide improvements, such as coordinated movement of multiple joints and greater control intuitiveness, higher variability of EMG signals is needed. By splitting a nerve lengthwise, connecting each half to new target muscles, and employing a program to assign each biosignal pattern to a specific movement, we hope to enrich the number of biosignal sites on amputees' stump.

Methods We split the gastrocnemius muscle of 12 Sprague-Dawley rats into two muscle heads, searched for the peroneal nerve, divided them lengthwise, and connected one half of the nerve to the tibial nerve innervating both muscle heads (SN_50, n = 8). In another group, we connected the undivided peroneal nerve to the nerve of a single muscle head (non-SN_100, n = 6), while the other muscle head received different innervation (non-SN_0, n = 6). After 10 weeks, we stimulated the peroneal nerve and measured the EMG amplitude.

Results Mean EMG amplitude of the muscle head innervated by one half of the nerve (SN_50; 1.77 [range: 0.71–3.24] mV) and by the undivided nerve (non-SN_100; 3.45 mV [range: 1.13–5.34]) was not significantly different. However, the mean EMG amplitude produced by SN_50 was significantly different from that of the other innervation (i.e., non-SN_0; 0.76 mV [range: 0.41–1.35]), indicating the presence of noise.

Conclusion Split nerve in combination with split-muscle procedure can yield a meaningful EMG signal that might be used to convey the intention of living organism to a machine.

* These authors contributed equally to this article.


 
  • References

  • 1 Biddiss E, Beaton D, Chau T. Consumer design priorities for upper limb prosthetics. Disabil Rehabil Assist Technol 2007; 2 (06) 346-357
  • 2 Kuiken TA, Dumanian GA, Lipschutz RD, Miller LA, Stubblefield KA. The use of targeted muscle reinnervation for improved myoelectric prosthesis control in a bilateral shoulder disarticulation amputee. Prosthet Orthot Int 2004; 28 (03) 245-253
  • 3 Kuiken TA, Li G, Lock BA. , et al. Targeted muscle reinnervation for real-time myoelectric control of multifunction artificial arms. JAMA 2009; 301 (06) 619-628
  • 4 Hebert JS, Olson JL, Morhart MJ. , et al. Novel targeted sensory reinnervation technique to restore functional hand sensation after transhumeral amputation. IEEE Trans Neural Syst Rehabil Eng 2014; 22 (04) 765-773
  • 5 Reilly KT, Mercier C, Schieber MH, Sirigu A. Persistent hand motor commands in the amputees' brain. Brain 2006; 129 (Pt 8): 2211-2223
  • 6 Souza JM, Cheesborough JE, Ko JH, Cho MS, Kuiken TA, Dumanian GA. Targeted muscle reinnervation: a novel approach to postamputation neuroma pain. Clin Orthop Relat Res 2014; 472 (10) 2984-2990
  • 7 Marasco PD, Schultz AE, Kuiken TA. Sensory capacity of reinnervated skin after redirection of amputated upper limb nerves to the chest. Brain 2009; 132 (Pt 6): 1441-1448
  • 8 Arai H, Sato K, Yanai A. Hemihypoglossal-facial nerve anastomosis in treating unilateral facial palsy after acoustic neurinoma resection. J Neurosurg 1995; 82 (01) 51-54
  • 9 Oberlin C, Béal D, Leechavengvongs S, Salon A, Dauge MC, Sarcy JJ. Nerve transfer to biceps muscle using a part of ulnar nerve for C5-C6 avulsion of the brachial plexus: anatomical study and report of four cases. J Hand Surg Am 1994; 19 (02) 232-237
  • 10 Tung TH, Weber RV, Mackinnon SE. Nerve transfers for the upper and lower extremities. Oper Tech Orthop 2004; 4 (03) 213-222
  • 11 Teboul F, Kakkar R, Ameur N, Beaulieu JY, Oberlin C. Transfer of fascicles from the ulnar nerve to the nerve to the biceps in the treatment of upper brachial plexus palsy. J Bone Joint Surg Am 2004; 86-A (07) 1485-1490
  • 12 Haninec P, Kaiser R. Axillary nerve repair by fascicle transfer from the ulnar or median nerve in upper brachial plexus palsy. J Neurosurg 2012; 117 (03) 610-614
  • 13 Giuffre JL, Bishop AT, Spinner RJ, Levy BA, Shin AY. Partial tibial nerve transfer to the tibialis anterior motor branch to treat peroneal nerve injury after knee trauma. Clin Orthop Relat Res 2012; 470 (03) 779-790
  • 14 Ozkan O, Safak T, Vargel I, Demirci M, Erdem S, Erk Y. Reinnervation of denervated muscle in a split-nerve transfer model. Ann Plast Surg 2002; 49 (05) 532-540
  • 15 Isaacs J, Mallu S, Wo Y, Shah S. A rodent model of partial muscle re-innervation. J Neurosci Methods 2013; 219 (01) 183-187
  • 16 Cederna PS, Youssef MK, Asato H, Urbanchek MG, Kuzon Jr WM. Skeletal muscle reinnervation by reduced axonal numbers results in whole muscle force deficits. Plast Reconstr Surg 2000; 105 (06) 2003-2009 , discussion 2010–2011
  • 17 Kalliainen LK, Jejurikar SS, Liang LW, Urbanchek MG, Kuzon Jr WM. A specific force deficit exists in skeletal muscle after partial denervation. Muscle Nerve 2002; 25 (01) 31-38
  • 18 van der Meulen JH, Urbanchek MG, Cederna PS, Eguchi T, Kuzon Jr WM. Denervated muscle fibers explain the deficit in specific force following reinnervation of the rat extensor digitorum longus muscle. Plast Reconstr Surg 2003; 112 (05) 1336-1346
  • 19 Deslivia MF, Lee HJ, Zulkarnain RF. , et al. Reinnervated split-muscle technique for creating additional myoelectric sites in animal model. Plast Reconstr Surg 2016; 138 (06) 997e-1010e
  • 20 Kung TA, Langhals NB, Martin DC, Johnson PJ, Cederna PS, Urbanchek MG. Regenerative peripheral nerve interface viability and signal transduction with an implanted electrode. Plast Reconstr Surg 2014; 133 (06) 1380-1394
  • 21 Henderson CE, Phillips HS, Pollock RA. , et al. GDNF: a potent survival factor for motoneurons present in peripheral nerve and muscle. Science 1994; 266 (5187): 1062-1064
  • 22 Koliatsos VE, Clatterbuck RE, Winslow JW, Cayouette MH, Price DL. Evidence that brain-derived neurotrophic factor is a trophic factor for motor neurons in vivo. Neuron 1993; 10 (03) 359-367
  • 23 Fu SY, Gordon T. The cellular and molecular basis of peripheral nerve regeneration. Mol Neurobiol 1997; 14 (1-2): 67-116
  • 24 Nesbitt JA, Acland RD. Histopathological changes following removal of the perineurium. J Neurosurg 1980; 53 (02) 233-238
  • 25 Peltonen S, Alanne M, Peltonen J. Barriers of the peripheral nerve. Tissue Barriers 2013; 1 (03) e24956