Neuromodulation for Functional Electrical Stimulation - 05/04/19

Doi : 10.1016/j.pmr.2018.12.011

Richard D. Wilson, MD, MS ^a,^b,^c,^⁎ , Anne M. Bryden, MA, OTR/L ^b,^c,^d,^{^{1
Present address: 4229 Pearl Road, Cleveland, OH 44109.}}, Kevin L. Kilgore, PhD ^a,^b,^c,^e,^f,^{^{1
Present address: 4229 Pearl Road, Cleveland, OH 44109.}}, Nathaniel Makowski, PhD ^a,^b,^c,^{^{1
Present address: 4229 Pearl Road, Cleveland, OH 44109.}}, Dennis Bourbeau, PhD ^a,^b,^c,^f,^{^{1
Present address: 4229 Pearl Road, Cleveland, OH 44109.}}, Krzysztof E. Kowalski, PhD ^b,^c,^f,^g,^{^{2
Present address: 2500 MetroHealth Drive, Cleveland, OH 44109.}}, Anthony F. DiMarco, MD ^a,^c,^d,^{^{2
Present address: 2500 MetroHealth Drive, Cleveland, OH 44109.}}, Jayme S. Knutson, PhD ^a,^b,^c,^f,^{^{1
Present address: 4229 Pearl Road, Cleveland, OH 44109.}}
^a MetroHealth Rehabilitation Institute, MetroHealth Medical Center, Cleveland, OH, USA
^b Case Western Reserve University, Cleveland, OH, USA
^c Cleveland FES Center, Cleveland, OH, USA
^d Institute for Functional Restoration, Case Western Reserve University, Cleveland, OH, USA
^e Department of Orthopaedics, MetroHealth Medical Center, Cleveland, OH, USA
^f Research Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH, USA
^g Department of Medicine, MetroHealth Medical Center, Cleveland, OH, USA

^∗Corresponding author. 4229 Pearl Road, Cleveland, OH 44109.4229 Pearl RoadClevelandOH44109

Résumé

This article describes the application of neuromodulation in different ways to motor recovery, to replace lost function, or to improve function of organ systems for those who have experienced spinal cord injury or stroke. Multiple devices have been developed and are currently available for use whereas others are still in the experimental stage. Multiple uses of neuromodulation are described.

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Keywords : Rehabilitation, Electrical stimulation, Stroke, Spinal cord injury

Plan

Key points

Neuromodulation to improve function in spinal cord injury

A Networked Neuroprosthesis to Restore Motor Function

Neuromodulation to Improve Bladder Function

Neuromodulation to Improve Pulmonary Function

Neuromodulation to improve function in stroke

Neuromodulation for Upper Limb Motor Relearning

Neuromodulation for Lower Limb Impairment

Multijoint Neuromuscular Electrical Stimulation for Hemiparetic Gait

Summary

Disclosure Statement: Dr A.F. DiMarco is a shareholder in Synapse biomedical, a manufacturer of diaphragm pacing systems. He holds patents on the use of spinal cord stimulation to restore cough. Dr J.S. Knutson is an inventor on U.S. Patent 8,165,685 describing contralaterally controlled functional electrical stimulation. Drs R.D. Wilson, A.M. Bryden, K.L. Kilgore, N. Makowski, D. Bourbeau, and K.E. Kowalski have nothing to disclose.