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Neuromuscular structure of the tibialis anterior muscle for functional electrical stimulation

Authors
 Kyu-Ho Yi  ;  Liyao Cong  ;  Jung-Hee Bae  ;  Eun-Sook Park  ;  Dong-wook Rha  ;  Hee-Jin Kim 
Citation
 SURGICAL AND RADIOLOGIC ANATOMY, Vol.39(1) : 77-83, 2017 
Journal Title
 SURGICAL AND RADIOLOGIC ANATOMY 
ISSN
 0930-1038 
Issue Date
2017
MeSH
Adult ; Aged ; Aged, 80 and over ; Botulinum Toxins/administration & dosage* ; Cadaver ; Dissection ; Electric Stimulation/methods* ; Female ; Humans ; Injections, Intramuscular/methods ; Leg/anatomy & histology* ; Leg/innervation ; Male ; Middle Aged ; Muscle, Skeletal/anatomy & histology* ; Muscle, Skeletal/innervation
Keywords
Botulinum toxin ; Functional electrical stimulation ; Sihler’s staining ; Spasticity ; Tibialis anterior
Abstract
PURPOSE: This study describes the nerve entry points and intramuscular nerve branching of the tibialis anterior, providing essential information for therapeutic functional electrical stimulation and botulinum toxin injection. METHODS: One hundred and ten legs from Korean and Thai cadavers were dissected. Ten specimens were harvested and subjected to modified Sihler's staining. RESULTS: The average total length from the lateral malleolus to the fibular head was 32.0 cm (SD 1.9). The nerve entry points were densely distributed between 86.5 and 90.6 % of the reference length, where the first and second nerve entry points were observable. A densely arborizing area of the intramuscular nerve branches was observed at 70-80 % of the reference length. CONCLUSIONS: Based on the results of this study, clinicians can increase the effectiveness of therapeutic functional electrical stimulation and identify the ideal sites for botulinum toxin injection to the tibialis anterior muscle.
Full Text
https://link.springer.com/article/10.1007%2Fs00276-016-1698-6
DOI
10.1007/s00276-016-1698-6
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral Biology (구강생물학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hee Jin(김희진) ORCID logo https://orcid.org/0000-0002-1139-6261
Rha, Dong Wook(나동욱) ORCID logo https://orcid.org/0000-0002-7153-4937
Park, Eun Sook(박은숙) ORCID logo https://orcid.org/0000-0002-9144-3063
Bae, Jung Hee(배정희)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/160738
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