scholarly journals Techniques for Differentiating Motor and Sensory Fascicles of a Peripheral Nerve—A Review

2020 ◽  
Vol 17 (01) ◽  
pp. 28-32
Author(s):  
Pawan Agarwal ◽  
Jitin Bajaj ◽  
Dhananjaya Sharma

AbstractDifferentiating motor and sensory fascicles before anastomosis is essential for achieving an excellent postoperative functional outcome for peripheral mixed nerves injuries. However, identifying them is not easy. There are several techniques to address this important issue. Each identifying technique has its own pros and cons; this narrative review highlights the salient features of each of these. Many of the newer techniques need to be tested in humans before they can be recommended for regular use; till then we have to rely mainly on per operative electrical stimulation of nerve to differentiate between sensory and motor fascicles to improve postoperative functional outcome.

2009 ◽  
Vol 15 (11) ◽  
pp. 3605-3619 ◽  
Author(s):  
Laleh Ghasemi-Mobarakeh ◽  
Molamma P. Prabhakaran ◽  
Mohammad Morshed ◽  
Mohammad Hossein Nasr-Esfahani ◽  
Seeram Ramakrishna

2011 ◽  
Vol 29 (2) ◽  
pp. 88-93 ◽  
Author(s):  
Motohiro Inoue ◽  
Yasukazu Katsumi ◽  
Megumi Itoi ◽  
Tatsuya Hojo ◽  
Miwa Nakajima ◽  
...  

2009 ◽  
Vol 89 (2) ◽  
pp. 181-190 ◽  
Author(s):  
Alex R Ward

Transcutaneous electrical stimulation using kilohertz-frequency alternating current (AC) became popular in the 1950s with the introduction of “interferential currents,” promoted as a means of producing depth-efficient stimulation of nerve and muscle. Later, “Russian current” was adopted as a means of muscle strengthening. This article reviews some clinically relevant, laboratory-based studies that offer an insight into the mechanism of action of kilohertz-frequency AC. It provides some answers to the question: “What are the optimal stimulus parameters for eliciting forceful, yet comfortable, electrically induced muscle contractions?” It is concluded that the stimulation parameters commonly used clinically (Russian and interferential currents) are suboptimal for achieving their stated goals and that greater benefit would be obtained using short-duration (2–4 millisecond), rectangular bursts of kilohertz-frequency AC with a frequency chosen to maximize the desired outcome.


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