RELATIONSHIP BETWEEN STIMULUS STRENGTH AND THE CUTANEOUS SILENT PERIOD

During sustained muscle contraction, an interval of reduced activity follows an electrical cutaneous stimulus, called the cutaneous silent period (CSP). To evoke a CSP, a single stimulus must be painful. We used single sural nerve stimuli to evoke a CSP in ipsilateral soleus muscle, and studied the relationships between stimulus strength, sensory action potential (SAP) morphology, and subjective experience. Near nerve electrodes were employed to record the sural SAP in order to record activity in slower conducting fibers in addition to Aalpha fibers. In 6 normal subjects, the stimulus strength required to evoke a CSP ranged from 8 to 10 times threshold intensity. Pain threshold was slightly below that necessary to evoke the CSP. SAP shape changed with stimulus strength; main component amplitude occasionally increased as strength increased beyond 1 0 times threshold, and slowly conducting late components became more prominent. At stimulus intensities or at less than CSP threshold, components were seen conducting from 15-20 m/s that were not observed at lower intensities. We suggest that activation of sensory axons with conduction velocities in the range of Adelta fibers are necessary to evoke the CSP, and that their potentials can be discerned in the SAP.