Characterizing the viscoelastic behavior of neonatal peripheral nerves is critical in understanding stretch-related peripheral nerve injuries (PNIs) in neonates. This study investigated the in-vitro viscoelastic stress relaxation response of neonatal piglet brachial plexus (BP) and tibial nerves at two different strain levels (10% and 20%) and stress relaxation testing durations (90- and 300-seconds). BP and tibial nerves from 20 neonatal piglets were harvested and pre-stretched to either 10% or 20% strain at a dynamic rate of 100 mm/min to simulate conditions, such as shoulder dystocia, that may lead to stretch-related PNIs in neonates. At constant strain, the reduction in stress was recorded for 90- or 300-seconds. The biomechanical data were then fit to a viscoelastic model to acquire the short- and long-term stress relaxation time-constants. Though no significant differences in the degree of stress relaxation were found between the two tested strain levels after 90 seconds in both nerve types, reduction in stress was moderately greater (p = 0.056) at 10% strain than at 20% for BP after 300 seconds. The reduction in stress was significantly higher in nerves subjected to a 300 second testing duration than 90 second for both strain levels and nerve types. When comparing BP and tibial nerve stress relaxation response, BP nerve relaxed significantly more than tibial at both strain levels after 90 seconds, but no significant differences were observed after 300 seconds. Our results confirm that neonatal peripheral nerve tissue is highly viscoelastic. These novel biomechanical data can be incorporated into finite element and computational models studying neonatal PNIs.
In-vitro stress relaxation response of neonatal peripheral nerves
Creators
Tanmay Majmudar - Drexel University
Sriram Balasubramanian - Drexel University
Rachel Magee - Drexel University
Bernard Gonik - Wayne State University
Anita Singh - Widener University
Publication Details
Journal of biomechanics, v 128, 110702
Publisher
Elsevier
Number of pages
7
Grant note
1752513 / NSF CAREER; National Science Foundation (NSF); NSF - Office of the Director (OD)
R15HD093024 / Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Resource Type
Journal article
Language
English
Academic Unit
College of Medicine; School of Biomedical Engineering, Science, and Health Systems
Web of Science ID
WOS:000704362200005
Scopus ID
2-s2.0-85113938028
Other Identifier
991019167432604721
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