Neuromuscular structure of the tibialis anterior muscle for functional electrical stimulation

Kyu Ho Yi; Liyao Cong; Jung Hee Bae; Eun Sook Park; Dong wook Rha; Hee Jin Kim

doi:10.1007/s00276-016-1698-6

Neuromuscular structure of the tibialis anterior muscle for functional electrical stimulation

Kyu Ho Yi, Liyao Cong, Jung Hee Bae, Eun Sook Park, Dong wook Rha, Hee Jin Kim

Department of Oral Biology

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

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.

Original language	English
Pages (from-to)	77-83
Number of pages	7
Journal	Surgical and Radiologic Anatomy
Volume	39
Issue number	1
DOIs	https://doi.org/10.1007/s00276-016-1698-6
Publication status	Published - 2017 Jan 1

Bibliographical note

Funding Information:
Kim and Rha contributed equally to this work as co-corresponding authors. This study was supported by a faculty research grant of Yonsei University College of Medicine in 2014 (6-2014-0140). The authors thank Sang-Hoon Kwon, Yong-Woong Lee, and Kevin Lee from the College of Arts and Science, New York University. We also thank In-Kyo Oh, who is majoring in Chemistry at the University of Western Ontario. These authors performed the English editing of manuscript.

Publisher Copyright:
© 2016, Springer-Verlag France.

All Science Journal Classification (ASJC) codes

Anatomy
Surgery
Pathology and Forensic Medicine
Radiology Nuclear Medicine and imaging

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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{\textquoteright}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.",

author = "Yi, {Kyu Ho} and Liyao Cong and Bae, {Jung Hee} and Park, {Eun Sook} and Rha, {Dong wook} and Kim, {Hee Jin}",

note = "Funding Information: Kim and Rha contributed equally to this work as co-corresponding authors. This study was supported by a faculty research grant of Yonsei University College of Medicine in 2014 (6-2014-0140). The authors thank Sang-Hoon Kwon, Yong-Woong Lee, and Kevin Lee from the College of Arts and Science, New York University. We also thank In-Kyo Oh, who is majoring in Chemistry at the University of Western Ontario. These authors performed the English editing of manuscript. Publisher Copyright: {\textcopyright} 2016, Springer-Verlag France.",

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AU - Bae, Jung Hee

AU - Park, Eun Sook

AU - Rha, Dong wook

AU - Kim, Hee Jin

N1 - Funding Information: Kim and Rha contributed equally to this work as co-corresponding authors. This study was supported by a faculty research grant of Yonsei University College of Medicine in 2014 (6-2014-0140). The authors thank Sang-Hoon Kwon, Yong-Woong Lee, and Kevin Lee from the College of Arts and Science, New York University. We also thank In-Kyo Oh, who is majoring in Chemistry at the University of Western Ontario. These authors performed the English editing of manuscript. Publisher Copyright: © 2016, Springer-Verlag France.

PY - 2017/1/1

Y1 - 2017/1/1

N2 - 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.

AB - 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.

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Neuromuscular structure of the tibialis anterior muscle for functional electrical stimulation

Abstract

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