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Vii Degeneration for About 1-6 days afier A
heovare ik dancrewed .
With ee penorvation jowers theobase values.
Partial clenervatton producer no change In Rheobate.
* Re- innervation jeads to a sharp ratte in Rheobae ,
“0 Nerves repair ;
“values rive to 5-6 times ,rormal then sowly dal Afte
nerve repa s the threshotd mereaies abruptly when tho nerve fibres have
eached the muscle and then returns to normal ,
* Measurement technique »
———————
% Penition of active ectrode over the motor point oF by
wiihg bipolar technique .
baulse duration of 100 me/300 mand rectangular wave form
& used.
othe current tatensity & turned up until a geod brisk
ation W obtained . hit is performed ery wrimer than the
ity i turned down. untti a minimal and. palpabie ¢onmrattfon
&% obtained . and the rheopase value determine
The currgnt intensity is trned up 1 a good brisk ontradfon
Puise dure of 100, ms/.300/1ms and. Benes waveterm i used .
& obtained- this) is performed & /to 10 times then the intensiry ume
down until a! minimal and
St is measured in mp or mv depending on whetter a cwnstane
current or constant voltage strmulator is. used ,
%& Normal values of Rhebpaye are &-18 mA or B= 35 volts
aecampes of the normal_Rbeobase value »
y% rt varies depending on whether a
a. constant voltage machine 1s used, 4 and
cimervated or denervated
6:4: DENA - 14 VOLS ok MA
qriceps - 18 Volts 5 MP.& sue constant vottage constant current.
elo) 2,01 ms onl ms
Abductor ign mmimi. 0.04 ms od ms
3 Tibrales anterior He 0-04 ms om ms ;
+t tnterpretatton :
ioterpretation
2 Ep Inpervated muscle , with constant current stimulator , chronaxie will
. I
be below IMs 3 with constant voltage stimulator ,chronazie whi) be below eblm
% £n denervated muscle, chropaxie values are around fo ms or more
Leven upto 40 ms)
x Advantages .
ra spervated
4 Dt is the simple method 1 digertminate mnervated er de
muscle.
tf Pisadwantages:
Piadeamtages: 2
i a
& It & not 4 satisfactory method of testing ¢lectntal séactions in
muscles. with potential denervation .
eg: te chronaxie of a musde with a % of its fibers innervated
would be a that of completely denervated muscle |