Asynchronous axonal firing patterns evoked via continuous subthreshold kilohertz stimulation

L Vargas, ED Musselman, WM Grill… - Journal of neural …, 2023 - iopscience.iop.org
Journal of neural engineering, 2023iopscience.iop.org
Objective. Transcutaneous electrical stimulation of peripheral nerves is a common technique
to assist or rehabilitate impaired muscle activation. However, conventional stimulation
paradigms activate nerve fibers synchronously with action potentials time-locked with
stimulation pulses. Such synchronous activation limits fine control of muscle force due to
synchronized force twitches. Accordingly, we developed a subthreshold high-frequency
stimulation waveform with the goal of activating axons asynchronously. Approach. We …
Objective
Transcutaneous electrical stimulation of peripheral nerves is a common technique to assist or rehabilitate impaired muscle activation. However, conventional stimulation paradigms activate nerve fibers synchronously with action potentials time-locked with stimulation pulses. Such synchronous activation limits fine control of muscle force due to synchronized force twitches. Accordingly, we developed a subthreshold high-frequency stimulation waveform with the goal of activating axons asynchronously.
Approach
We evaluated our waveform experimentally and through model simulations. During the experiment, we delivered continuous subthreshold pulses at frequencies of 16.67, 12.5, or 10 kHz transcutaneously to the median and ulnar nerves. We obtained high-density electromyographic (EMG) signals and fingertip forces to quantify the axonal activation patterns. We used a conventional 30 Hz stimulation waveform and the associated voluntary muscle activation for comparison. We modeled stimulation of biophysically realistic myelinated mammalian axons using a simplified volume conductor model to solve for extracellular electric potentials. We compared the firing properties under kHz and conventional 30 Hz stimulation.
Main results
EMG activity evoked by kHz stimulation showed high entropy values similar to voluntary EMG activity, indicating asynchronous axon firing activity. In contrast, we observed low entropy values in EMG evoked by conventional 30 Hz stimulation. The muscle forces evoked by kHz stimulation also showed more stable force profiles across repeated trials compared with 30 Hz stimulation. Our simulation results provide direct evidence of asynchronous firing patterns across a population of axons in response to kHz frequency stimulation, while 30 Hz stimulation elicited synchronized time-locked responses across the population.
Significance
We demonstrate that the continuous subthreshold high-frequency stimulation waveform can elicit asynchronous axon firing patterns, which can lead to finer control of muscle forces.
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