Serial assessment of functional recovery following nerve injury using implantable thin-film wireless nerve stimulators

Muscle Nerve. 2016 Dec;54(6):1114-1119. doi: 10.1002/mus.25153. Epub 2016 Oct 6.

Abstract

Introduction: Comprehensive assessment of the time course of functional recovery following peripheral nerve repair is critical for surgical management of peripheral nerve injuries. This study describes the design and implementation of a novel implantable wireless nerve stimulator capable of repeatedly interfacing peripheral nerve tissue and providing serial evaluation of functional recovery postoperatively.

Methods: Thin-film wireless implants were fabricated and subcutaneously implanted into Lewis rats. Wireless implants were used to serially stimulate rat sciatic nerve and assess functional recovery over 3 months following various nerve injuries.

Results: Wireless stimulators demonstrated consistent performances over 3 months in vivo and successfully facilitated serial assessment of nerve and muscle function following nerve crush and nerve transection injuries.

Conclusions: This study highlights the ability of implantable wireless nerve stimulators to provide a unique view into the time course of functional recovery in multiple motor targets. Muscle Nerve 54: 1114-1119, 2016.

Keywords: electrical stimulation; functional recovery; nerve injury; nerve regeneration; peripheral nerve; wireless stimulation.

MeSH terms

  • Animals
  • Disease Models, Animal
  • Electric Stimulation Therapy / methods*
  • Electromyography
  • Evoked Potentials, Motor / physiology
  • Implantable Neurostimulators
  • Male
  • Muscle Contraction
  • Muscle Strength / physiology
  • Rats
  • Rats, Inbred Lew
  • Recovery of Function / physiology*
  • Sciatic Neuropathy / physiopathology
  • Sciatic Neuropathy / therapy*
  • Telemetry*
  • Time Factors