Exploring the mechanism of neural-function reconstruction by reinnervated nerves in targeted muscles

Hui Zhou, Lin Yang, Feng-Xia Wu, Jian-ping Huang, Liangqing Zhang, Ying-Jian Yang, Guang-lin Li
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引用次数: 4

Abstract

A lack of myoelectric sources after limb amputation is a critical challenge in the control of multifunctional motorized prostheses. To reconstruct myoelectric sources physiologically related to lost limbs, a newly proposed neural-function construction method, targeted muscle reinnervation (TMR), appears promising. Recent advances in the TMR technique suggest that TMR could provide additional motor command information for the control of multifunctional myoelectric prostheses. However, little is known about the nature of the physiological functional recovery of the reinnervated muscles. More understanding of the underlying mechanism of TMR could help us fine tune the technique to maximize its capability to achieve a much higher performance in the control of multifunctional prostheses. In this study, rats were used as an animal model for TMR surgery involving transferring a median nerve into the pectoralis major, which served as the target muscle. Intramuscular myoelectric signals reconstructed following TMR were recorded by implanted wire electrodes and analyzed to explore the nature of the neural-function reconstruction achieved by reinnervation of targeted muscles. Our results showed that the active myoelectric signal reconstructed in the targeted muscle was acquired one week after TMR surgery, and its amplitude gradually became stronger over time. These preliminary results from rats may serve as a basis for exploring the mechanism of neural-function reconstruction by the TMR technique in human subjects.
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目的:探讨再支配神经重建目标肌肉神经功能的机制
肢体截肢后肌电源的缺乏是控制多功能电动假肢的关键挑战。为了重建与肢体丧失生理相关的肌电源,一种新提出的神经功能构建方法-靶向肌肉神经再生(TMR)似乎很有希望。TMR技术的最新进展表明,TMR可以为多功能肌电假体的控制提供额外的运动指令信息。然而,对再神经支配肌肉的生理功能恢复的性质知之甚少。更多地了解TMR的潜在机制可以帮助我们微调技术,以最大限度地提高其在多功能假肢控制方面的性能。在本研究中,大鼠作为TMR手术的动物模型,将正中神经转移到胸大肌,作为靶肌。通过植入丝电极记录TMR后重建的肌内肌电信号,并对其进行分析,探讨目标肌肉神经再支配所实现的神经功能重建的性质。我们的研究结果显示,TMR术后1周获得靶肌重构的活动肌电信号,其振幅随时间逐渐增强。这些初步结果可为探索TMR技术在人体中重建神经功能的机制奠定基础。
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