The
threshold current, Ithresh, was defined as the current required
to achieve 10% of the above defined maximum torque output.
The torque gains for the monopolar and tripolar configurations
were defined as the slope of the torque recruitment curve
between the points that produced 10% and 90% of the maximum
torque output.
The torque gains for the monopolar and tripolar configurations
in the example shown in the Figure, are –0.4 and –0.2
N-cm/µA respectively.
Summary
Summaries
for the ratio of monopolar to tripolar threshold current,
maximum torque output before spillover and torque output
gain, across six experiments, are shown in the Figure.
The histograms are the ratio of monopolar to tripolar threshold
current, maximum torque before spillover and torque output
gain. Data located on the left side (less than 1) indicate
monopolar values that were smaller than the value measured
using a tripolar configuration. Data located on the right
side (greater than 1) indicate that monopolar values were
larger than tripolar values. Monopolar current required to
produce 10% of the maximum torque output (threshold) was
found to be less than tripolar threshold at a 99% significance
level. The mean of the ratio of maximum torque outputs before
spillover was found to be between 0.85 and 1.2 with a ratio
equal to 1.0 +/- 0.2 at a 99% significance level. The torque
output gain of monopolar stimulation was found to be greater
than tripolar stimulation at a 99% significance level.
The results of these tests indicate that, provided one can
accommodate a higher gain and a lower threshold, a monopolar
cuff electrode will perform as well as a tripolar cuff. An
advantage of the monopolar configuration over the tripolar
configuration is that it has fewer electrode contacts and
requiring fewer separate lead wires, making them simpler
to manufacture.