On the Nature and Elimination of Stimulus Artifact in Nerve Signals Evoked and Recorded Using Surface Electrodes

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Abstract
The electrical stimulus pulse and the surface electrodes commonly used to study compound action potentials of peripheral nerves give rise to an artifact consisting of an initial spike and a longer lasting tail which often interferes with the recorded signal. The artifact has four sources: 1) the voltage gradient between the recording electordes caused by stimulus current flowing through the limb, 2) the common-mode voltage of the limb caused by current escaping through the ground electrode, 3) the capacitive coupling between the stimulating and recording leads, and 4) the high-pass filtering characteristics of the recording amplifier. This paper models these sources and presents several methodological rules for minimizing their effects. Also presented are three computer-based methods for subtracting the residual artifact from contaminated records using estimates of the artifact obtained from: 1) subthreshold stimulation, 2) a second recording site remote from the nerve, or 3) stimulation during the refractory period of the nerve.

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