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F Rattay

Publications and source records attributed to F Rattay.

At least 19 recordsLinked to original sources
PubMed2004

Stepping-like movements in humans with complete spinal cord injury induced by epidural stimulation of the lumbar cord: electromyographic study of compound muscle action potentials.

STUDY DESIGN: It has been previously demonstrated that sustained nonpatterned electric stimulation of the posterior lumbar spinal cord from the epidural space can induce stepping-like movements in subjects with chronic, complete spinal cord injury. In the present paper, we explore physiologically related components of electromyographic (EMG) recordings during the induced stepping-like activity. OBJECTIVES: To examine mechanisms underlying the stepping-like movements activated by electrical epidural stimulation of posterior lumbar cord structures. MATERIALS AND METHODS: The study is based on the assessment of epidural stimulation to control spasticity by simultaneous recordings of the electromyographic activity of quadriceps, hamstrings, tibialis anterior, and triceps surae. We examined induced muscle responses to stimulation frequencies of 2.2-50 Hz in 10 subjects classified as having a motor complete spinal cord injury (ASIA A and B). We evaluated stimulus-triggered time windows 50 ms in length from the original EMG traces. Stimulus-evoked compound muscle action potentials (CMAPs) were analyzed with reference to latency, amplitude, and shape. RESULTS: Epidural stimulation of the posterior lumbosacral cord recruited lower limb muscles in a segmental-selective way, which was characteristic for posterior root stimulation. A 2.2 Hz stimulation elicited stimulus-coupled CMAPs of short latency which were approximately half that of phasic stretch reflex latencies for the respective muscle groups. EMG amplitudes were stimulus-strength dependent. Stimulation at 5-15 and 25-50 Hz elicited sustained tonic and rhythmic activity, respectively, and initiated lower limb extension or stepping-like movements representing different levels of muscle synergies. All EMG responses, even during burst-style phases were composed of separate stimulus-triggered CMAPs with characteristic amplitude modulations. During burst-style phases, a significant increase of CMAP latencies by about 10 ms was observed. CONCLUSION: The muscle activity evoked by epidural lumbar cord stimulation as described in the present study was initiated within the posterior roots. These posterior roots muscle reflex responses (PRMRRs) to 2.2 Hz stimulation were routed through monosynaptic pathways. Sustained stimulation at 5-50 Hz engaged central spinal PRMRR components. We propose that repeated volleys delivered to the lumbar cord via the posterior roots can effectively modify the central state of spinal circuits by temporarily combining them into functional units generating integrated motor behavior of sustained extension and rhythmic flexion/extension movements. This study opens the possibility for developing neuroprostheses for activation of inherent spinal networks involved in generating functional synergistic movements using a single electrode implanted in a localized and stable region.

Action Potentials↗
PubMed2003

Initiating extension of the lower limbs in subjects with complete spinal cord injury by epidural lumbar cord stimulation.

We provide evidence that the human spinal cord is able to respond to external afferent input and to generate a sustained extension of the lower extremities when isolated from brain control. The present study demonstrates that sustained, nonpatterned electrical stimulation of the lumbosacral cord--applied at a frequency in the range of 5-15 Hz and a strength above the thresholds for twitches in the thigh and leg muscles--can initiate and retain lower-limb extension in paraplegic subjects with a long history of complete spinal cord injury. We hypothesize that the induced extension is due to tonic input applied by the epidural stimulation to primary sensory afferents. The induced volleys elicit muscle twitches (posterior root muscle-reflex responses) at short and constant latency times and coactivate the configuration of the lumbosacral interneuronal network, presumably via collaterals of the primary sensory neurons and their connectivity with this network. We speculate that the volleys induced externally to the lumbosacral network at a frequency of 5-15 Hz initiate and retain an "extension pattern generator" organization. Once established, this organization would recruit a larger population of motor units in the hip and ankle extensor muscles as compared to the flexors, resulting in an extension movement of the lower limbs. In the electromyograms of the lower-limb muscle groups, such activity is reflected as a characteristic spatiotemporal pattern of compound motor-unit potentials.

Action Potentials↗
PubMed2001

A model of the electrically excited human cochlear neuron. I. Contribution of neural substructures to the generation and propagation of spikes.

Differences in neural geometry and the fact that the soma of the human cochlear neuron typically is not myelinated are reasons for disagreements between single fiber recordings in animals and the neural code evoked in cochlear implant patients. We introduce a compartment model of the human cochlear neuron to study the excitation and propagation process of action potentials. The model can be used to predict (i) the points of spike generation, (ii) the time difference between stimulation and the arrival of a spike at the proximal end of the central axon, (iii) the vanishing of peripherally evoked spikes at the soma region under specific conditions, (iv) the influence of electrode positions on spiking behavior, and (v) consequences of the loss of the peripheral axon. Every subunit of the cochlear neuron is separately modeled. Ion channel dynamics are described by a modified Hodgkin--Huxley model. Influence of membrane noise is taken into account. Additionally, the generalized activating function is introduced as a tool to give an envision of the origin of spikes in the peripheral and in the central axon without any knowledge of the gating processes in the active membranes. Comparing the reactions of a human and cat cochlear neuron, we find differences in spiking behavior, e.g. peripherally and centrally evoked spikes arrive with a time difference of about 400 mus in man and 200 mus in cat.

Animals↗
PubMed2001

A model of the electrically excited human cochlear neuron. II. Influence of the three-dimensional cochlear structure on neural excitability.

A simplified spiraled model of the human cochlea is developed from a cross sectional photograph. The potential distribution within this model cochlea is calculated with the finite element technique for an active scala tympani implant. The method in the companion article [Rattay et al., 2001] allows for simulation of the excitation process of selected elements of the cochlear nerve. The bony boundary has an insulating influence along every nerve fiber which shifts the stimulation condition from that of a homogeneous extracellular medium towards constant field stimulation: for a target neuron which is stimulated by a ring electrode positioned just below the peripheral end of the fiber the extracellular voltage profile is rather linear. About half of the cochlear neurons of a completely innervated cochlea are excited with monopolar stimulation at three-fold threshold intensity, whereas bipolar and especially quadrupolar stimulation focuses the excited region even for stronger stimuli. In contrast to single fiber experiments with cats, the long peripheral processes in human cochlear neurons cause first excitation in the periphery and, consequently, neurons with lost dendrite need higher stimuli.

Animals↗
PubMed2000

Epidural electrical stimulation of posterior structures of the human lumbosacral cord: 2. quantitative analysis by computer modeling.

OBJECTIVES: Analysis of the computed recruitment order of an ensemble of ventral and dorsal root fibers should enlighten the relation between the position of a bipolar electrode and the observed order of muscle twitches. MATERIAL AND METHODS: Thresholds of selected spinal root fibers are investigated in a two step procedure. First the electric field generated by the electrodes is computed with the Finite Element Method. In the second step the calculated voltage profile along each target neuron is used as input data for a cable model. For every electrode position the electrical excitability is analyzed for 12 large diameter ventral and dorsal root fibers of the second and fourth lumbar and first sacral segment. The predictions of the neural responses of any target fiber are based on the activating function concept and on the more accurate computer simulations of the electrical behavior of all nodes and internodes in the vicinity of the electrode. RESULTS: For epidural dorsal lumbosacral spinal cord stimulation we found the following rules. (i) The recruitment order of the spinal roots is highly related to the cathode level. (ii) Dorsal root fibers have the lowest threshold values, ventral root fibers are more difficult to excite and dorsal columns are not excitable within the clinical range of 10 V. (iii) For a cathode close to the level of the spinal cord entry of a target fiber thresholds are lowest and spike initiation is expected at the border between cerebrospinal fluid and white matter; excitation of L4 roots is not possible with 210 micros/10 V pulses when cathode is more than 2.2 cm cranial to their entry level (1.5 cm for S1 roots; standard data). (iv) Cathodes positioned (essentially) below the entry level cause spike initiation close to the cathode, in a region where the fibers follow the descending course within the cerebospinal fluid. (v) At rather low stimulation voltage twitches are expected in all investigated lower limb muscles for cathodes below L5 spinal cord level. CONCLUSIONS: Our simulations demonstrate a strong relation between electrode position and the order of muscle twitches which is based on the segmental arrangement of innervation of lower limb muscles. The proposed strategy allows the identification of the position of the electrode relative to spinal cord segments.

Electric Stimulation↗
PubMed1999

The basic mechanism for the electrical stimulation of the nervous system.

Neural signals can be generated or blocked by extracellular electrodes or magnetic coils. New results about artificial excitation are based on a compartmental model of a target neuron and its equivalent electrical network, as well as on the theory of the generalized activating function. The analysis shows that: (i) in most cases, the origin of artificial excitation is within the axon and the soma is much more difficult to excite; (ii) within the central nervous system, positive and negative threshold currents essentially depend on the position and orientation of the neurons relative to the applied electric field; (iii) in several cases, stimulation with positive currents is easier; and (iv) it should be possible to excite synaptic activity without the generation of propagating action potentials. Furthermore, the theory of the generalized activating function gives hints to understanding the blockage of neural activity.

Animals↗
PubMed1999

Computer simulation of field distribution and excitation of denervated muscle fibers caused by surface electrodes.

In the course of this study, 2 submodels have been developed and combined, the 2-D finite element modeling of the electrical potential distribution in the human thigh and a Hodgkin and Huxley (HH) type model to calculate fiber excitation and action potential propagation. To determine the excitation of the target muscle fiber with the help of the activating function, the fiber's orientation within the muscle has to be known. The electric field along the fiber has to be calculated as a function of the applied electric current and the potential at the electrodes, respectively. The excitement of the muscle fibers varies across a wide range depending on the active and passive membrane parameters and the intracellular and extracellular mediums. Persisting denervation leads to a decay of muscle cells, and a partial substitution by fibroblasts occurs. The electrical activation of these tissues is more difficult, and biphasic stimulation pulses up to 200 ms in duration and 60-100 V in amplitude are needed to cause a contraction of the denervated muscle. An example shows the field distribution and the simulated activity in one representative muscle fiber of a well trained m. rectus femoris.

Action Potentials↗
PubMed1998

Micromechanical models for the Brownian motion of hair cell stereocilia.

Brownian motion of the hairs (stereocilia) of amphibian hair cells has been shown in experiments to be in the range of some nm. Our models of the Brownian motion of coupled harmonic oscillators with mechanical properties of stereocilia lead to similar displacements. Computer simulation shows that stochastic fluctuations enhance the encoding of low level acoustic signals. Stochastic resonance lowers the detection threshold of auditory signals to amplitudes one order of magnitude lower than that of the Brownian motion.

Animals↗
PubMed1998

Analysis of the electrical excitation of CNS neurons.

The artificial excitation process of neurons of the central nervous system depends on the applied extracellular field, on the geometry of the neuron and on the electrical properties of the neural subunits. Results of computer simulations are based on a compartment model of the neuron and its equivalent electrical network. Furthermore, a theory is presented which generalizes the activating function concept known from peripheral nerve stimulation. The theory predicts the influence of electrical and geometrical parameters on the excitation threshold. Generally, the myelinated axon is the part of a neuron which is most excitable to a given applied field. An example demonstrates that for a target neuron the quotient (anodic threshold current)/(cathodic threshold current) essentially depends on the position and orientation of the neuron relative to the electrode.

Axons↗
PubMed1998

The mammalian auditory hair cell: a simple electric circuit model.

A model based on the potassium current pathway through the hair cell is used to analyze the electrical behavior of mammalian inner and outer hair cells. Without taking into account the effects of calcium it is possible to simulate experimental results concerning the shape and strength of the receptor potential and the frequency dependent ac (alternating current) and dc (direct current) components of the receptor current. This model and a simplified form of it are utilized to explain: (1) Transduction latencies: that the receptor potential follows a stimulating signal with a very short delay, under the assumption of a constant number of open K+ channels in the lateral part of the cell membrane. (2) Transduction gains: why higher potential changes are measured in inner hair cells than in outer hair cells, although the outer hair cells are expected to be exposed to higher stereociliary motions: in inner hair cells a decrease in the conductance of the basolateral membrane causes higher gain (receptor potential increases) and together with an increase of membrane capacitance slower reaction (a larger time constant). (3) Transduction channel kinetics: that the shortest (0.1 ms) as well as the longest (20 ms) possible open times of the transduction channels in the stereocilia have different frequency related effects on the shape of the receptor potentials.

Animals↗
PubMed1997

Simulation of the electrically stimulated auditory nerve.

The electrically generated firing pattern in the fibers of the primary auditory nerve is simulated for a monopolar stimulating electrode. Using an analogous input speech signal, the spiking pattern produced with a single electrode has a simple structure, which unfortunately makes no use of the 2 important coding principles used by nature. By computer simulation, it is possible to obtain an approximation of the firing pattern of the auditory nerve fibers. Listening to the information carried by the compound action potential of the auditory nerve demonstrates that speech signals with dominant high-frequency components are difficult or not possible to discern. This paper presents a strategy for speech processing that seems to improve speech understanding for single-channel implant patients because neural patterns consisting of more temporal information can be generated.

Action Potentials↗
PubMed1993

Modeling axon membranes for functional electrical stimulation.

Four models are discussed which can be used to predict the behavior of warm-blooded axons, when excited by electric fields. Up to now, most results were obtained with the Frankenhaeuser-Huxley model, but nearly all of them are wrong in time scale and the cathodic block phenomenon was not observable because the temperature dependence of the gating mechanism has been neglected. However, in the corrected form this model reacts with similar excitability as the two other myelinated nerve models which consider that the potassium current is negligible in mammalian axon membranes. Strength-duration relations for cathodic and anodic excitations, as well as for cathodic blockade, are presented. Paradoxically, the "warm" squid model of Hodgkin and Huxley is the only one which reflects phenomena known from stimulations of the (myelinated) acoustic nerve by cochlear implants.

Animals↗
PubMed1991

[The inner ear as an electrosensory sense organ].

A model for cochlear perception is introduced based on the consideration that the organ of Corti is an electrosensory organ like that found in fish physiology during phylogenetic development. The inner hair cells work as electroreceptors, the outer hair cells as electrocytes. A layer of potassium ions on the lower surface of the tectorial membrane causes the excitation of the inner hair cells as soon as contact with a stereocilium occurs. A model for the basilar membrane motion, based on mathematical considerations and in accordance with the typical tuning curves of single auditory nerve fibres can serve as basis to explain the results of frequency and intensity analyses if we assume an electric excitation of the inner hair cells.

Animals↗
PubMed1990

Frequency discrimination of single-, double-, and triple-cycle sinusoidal acoustic signals.

Very short acoustic signals in the frequency range from 256-2048 Hz consisting of only one, two, or three sinusoidal cycles are examined. Although they are recognized as clicks, they can be distinguished by pitch. Frequency difference limens of these signals are in the order of 1-2 semitones. A tonal character of these short tones appears only with a longer signal, and is linked closer with the duration than with the number of periods.

Adult↗
PubMed1989

Analysis of models for extracellular fiber stimulation.

This paper presents the mathematical basis for analysis as well as for the computer simulation of the stimulus/response characteristics of nerve or muscle fibers. The results follow from the extracellular potential along the fiber as a function of electrode geometry. The theory is of a general nature but special investigations are made on monopolar, bipolar, and ring electrodes. Stimulations with monopolar electrodes show better recruitment characteristics than ring electrodes.

Computer Simulation↗