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  4. Quantitative analysis of motor evoked potentials in the neonatal lamb

Quantitative analysis of motor evoked potentials in the neonatal lamb

Scientific Reports, 2017 · DOI: 10.1038/s41598-017-16453-8 · Published: November 1, 2017

PhysiologyVeterinary MedicinePediatrics

Simple Explanation

This study focuses on developing a reliable method for measuring and analyzing motor evoked potentials (MEPs) in neonatal lambs. MEPs are electrical signals that indicate how well the motor pathways in the brain and spinal cord are functioning. The researchers used electrical stimulation of the motor cortex and recorded the resulting muscle activity in the limbs. They developed a custom-made algorithm to quantify the MEPs based on several parameters, including motor threshold, latency, area-under-the-curve, peak-to-peak amplitude, and duration. The reliability of this method was tested by having multiple observers analyze the MEP recordings and comparing their results. The study found that the method was feasible and reliable for assessing neuromotor function in neonatal lambs.

Study Duration
Not specified
Participants
6 neonatal lambs, 1 lamb undergoing Neuro-Muscular Blockade (NMB), and another undergoing lumbar spinal cord (SC) transection
Evidence Level
Not specified

Key Findings

  • 1
    MEPs could be easily recorded in neonatal lambs using transcranial motor cortex stimulation.
  • 2
    A custom-made algorithm was developed for quantitative analysis of MEPs, allowing for physiologic readings of parameters such as motor threshold, latency, area-under-the-curve, peak-to-peak amplitude, and duration.
  • 3
    The MEP recording and analysis method demonstrated high intra- and inter-observer reliability (≥70%) for latency, area-under-the-curve, and peak-to-peak amplitude.

Research Summary

This study aimed to evaluate the feasibility and reliability of standardized motor evoked potential (MEP) recording and analysis in neonatal lambs. The researchers developed an algorithm for MEP quantification and tested its reliability. MEPs were recorded in neonatal lambs after transcranial motor cortex stimulation. The algorithm allowed for analysis of parameters like motor threshold, latency, area-under-the-curve, peak-to-peak amplitude, and duration. The results suggest that standardized MEP recording and analysis in neonatal lambs is feasible and can reliably assess neuromotor function. The method showed high intra- and inter-observer reliability for latency, area-under-the-curve and peak-to-peak amplitude.

Practical Implications

Research Tool

The developed method provides a tool for assessing neuromotor function in neonatal lambs, useful for studying the effects of interventions or conditions affecting the nervous system.

Clinical Translation Potential

The standardized analysis method could potentially be adapted for clinical use in intraoperative neuromonitoring to detect motor function impairment or recovery.

Animal Models

The method can be used in other animal models of spinal cord or brain injury to quantitatively analyze MEP recordings.

Study Limitations

  • 1
    The study involved a small sample size of neonatal lambs.
  • 2
    The duration parameter in the MEP analysis showed high bias and wide limits of agreement, making it unreliable.
  • 3
    Intra-individual variability has been reported, yet it is usually explained as due to varying fractions of horn cells and lower motor neurons pools being activated with each consecutive stimulus

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