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Non-Painful and Painful Surface and Intramuscular Electrical Stimulation at the Thenar and Hypothenar Sites: Differential Cerebral Dynamics of Early to Late Latency SEPs

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Non-Painful and Painful Surface and Intramuscular Electrical Stimulation at the Thenar and Hypothenar Sites: Differential Cerebral Dynamics of Early to Late Latency SEPs

Content Provider	Springer Nature Link
Author	Niddam, David M. Graven Nielsen, Thomas Arendt Nielsen, Lars Chen, Andrew C.N.
Copyright Year	2001
Abstract	Little is known about somatosensory evoked potentials (SEPs) from muscle stimulation compared to that from skin stimulation. The current study examined this issue in the full SEP spectrum (0 - 440 ms). The aims of the study were to (1) establish the dynamics of early to late latency SEPs from intramuscular stimulation in contrast to surface stimulation, (2) compare the effect of non-painful and painful stimuli on SEP latencies and amplitudes of the two methods, and (3) investigate to which extent these results can be shared between the median nerve innervated thenar site and ulnar nerve innervated hypothenar site. Stimuli were delivered (2 Hz) at a non-painful and a painful intensity above or within the thenar and hypothenar muscles of the hand. Maximas of the SEPs were extracted by a combination of global field power and visual inspection of the topographies. Amplitudes and latencies of the maximas were analysed by a two-way ANOVA with repeated measures. In the early phase (0 - 50 ms) the topographic patterns showed different dynamics between surface and intramuscular stimulation and in the late phase (100- 440 ms) prolonged latencies were found for intramuscular stimulation. Apart from this, similar topographic patterns and time sequences were obtained. Significant higher SEP amplitudes for most of the isolated components (C4'/P25, Fz/N35, C4'/P45, Fc2/N65, P4/P90, T4/N137, F3/P150, Cz/P240-P270) were found with surface stimulation compared to intramuscular stimulation. In contrast to surface stimulation, intramuscular stimulation at a stimulation frequency of 2 Hz did not result in a differentiation in amplitude for any of the isolated components. These results indicate differences in the early and late processing of sensory input from skin and muscle.
Starting Page	283
Ending Page	292
Page Count	10
File Format	PDF
ISSN	08960267
Journal	Brain Topography
Volume Number	13
Issue Number	4
e-ISSN	15736792
Language	English
Publisher	Kluwer Academic Publishers-Plenum Publishers
Publisher Date	2001-01-01
Publisher Place	New York
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Neurosciences Neurology Psychiatry
Content Type	Text
Resource Type	Article
Subject	Neurology Anatomy Radiology, Nuclear Medicine and Imaging Neurology (clinical) Radiological and Ultrasound Technology

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