Investigation of the effects of various factors on nerve regeneration
has been compromised by the lack of an accurate and objective techniqu
e which can monitor dynamic changes in the status of nerve-muscle inne
rvation over the entire course of regeneration. The approach of evoked
electromyography (EEMG) was adopted to obtain temporal and quantitati
ve data during nerve regeneration. Initially, transcutaneous nerve sti
mulation and percutaneous muscle recording was performed, but the appr
oach was abandoned because of the high intertest variability (20% aver
age deviation) and requirement for anesthesia during testing. A new ap
proach using chronically implanted stimulation and recording electrode
s was adopted in an attempt to circumvent these problems. Initial acut
e studies performed in the hindlimb of the anesthetized rat identified
stable EEMG recording sites with sciatic nerve stimulation. In a seco
nd study conducted in chronically implanted unanesthetized unrestraine
d animals, EEMG recording from these sites demonstrated remarkable sta
bility with an average intertest variability of only 5%. Preliminary r
esults have been obtained with this technique in monitoring the progre
ssion of hindlimb reinnervation following crush and transection nerve
injuries.