The ability to stimulate sub-areas of a nerve selectively is highly desirable since it
has the potential of simplifying surgery to implanting one cuff on a large nerve
instead of many cuffs on smaller nerves or muscles, or alternatively can improve
function where surgical access to the smaller nerves is limited. In this study
stimulation was performed with a four channel multipolar cuff electrode implanted
on the sciatic nerve of nine rabbits to compare the extensively researched
longitudinal tripolar configuration with the transverse tripolar configuration, which
has received less interest. The performance of these configurations was evaluated
in terms of selectivity in recruitment of the three branches of the sciatic nerve. The
results showed that the transverse configuration was able to selectively activate the
sciatic nerve branches to a functionally relevant level in more cases than the
longitudinal configuration (20/27 vs. 11/27 branches) and overall achieved a higher
mean selectivity (0.79±0.13 vs. 0.61±0.09, mean±standard deviation). The
transverse configuration was most successful at recruiting the small cutaneous and
medium sized peroneal branches, and less successful at recruiting the large tibial
nerve.
animal experiments, nerve cuff, peripheral nerves, stimulation
selectivity