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Temporal profile of the effects of regional anesthesia on the cutaneous reflexes of foot muscles
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Temporal profile of the effects of regional anesthesia on the cutaneous reflexes of foot muscles
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Journal Article
Temporal profile of the effects of regional anesthesia on the cutaneous reflexes of foot muscles
2015
Overview
We analyzed the effects of an anesthetic sciatic nerve block on the cutaneomuscular reflex (cMR) and the cutaneous silent period (cSP) of foot muscles, in order to investigate further the type of fibers involved in their generation. In 14 neurologically normal patients with indication for surgical treatment of hallux valgus, we recorded from the extensor digitorum brevis muscle the reflex responses elicited by high-intensity electrical stimulation of the big toe at various time periods, ranging from 0 to 20 min, after ultrasound-guided sciatic nerve popliteal anesthetic block. The first effect was a delay in cSP onset latency, with no changes in end latency. The cMR remained unaltered up to when subjects were no longer able to maintain the contraction. The effects of local anesthetics on peripheral nerves allow for recognition of the different types of fibers contributing to the cMR and the cSP in muscles of the lower limb.
Publisher
Springer Berlin Heidelberg,Springer,Springer Nature B.V
Subject
/ Anesthetics, Local - pharmacology
/ Biomedical and Life Sciences
/ brain
/ Female
/ Foot
/ Functional Laterality - drug effects
/ Humans
/ Latency
/ Limbs
/ Male
/ Muscle, Skeletal - drug effects
/ Muscle, Skeletal - physiology
/ Muscles
/ Nerves
/ Patients
/ Reaction Time - drug effects
/ Reduction (Phonological or Phonetic)
/ Reflexes
/ Sciatic Nerve - drug effects
/ Sciatica
/ surgery
