Functional electrical stimulation therapies after spinal cord injury

Gater, David R.; Dolbow, David R.; Tsui, Britney; Gorgey, Ashraf S.

doi:10.3233/nre-2011-0652

Cited by 60 publications

(33 citation statements)

References 92 publications

(154 reference statements)

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“…State of the art implanted FES is capable of restoring simple hand grasps and upper limb movements depending on a person’s level of innervation, but there remains room for improvement in terms of movement accuracy, robustness, and dexterity. Another limitation of FES is muscle fatigue since electrical stimulation may result in a reversed recruitment pattern in which large diameter, fatigable muscle fibers are recruited first (56). Engineers are working to resolve these limitations by combining novel electrode design with optimized stimulation parameters.…”

Section: Discussionmentioning

confidence: 99%

Functional priorities, assistive technology, and brain-computer interfaces after spinal cord injury

Collinger

Boninger

Bruns

et al. 2013

JRRD

215

139

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Spinal cord injury often impacts a person’s ability to perform critical activities of daily living and can have a negative impact on their quality of life. Assistive technology aims to bridge this gap to augment function and increase independence. It is critical to involve consumers in the design and evaluation process as new technologies, like brain-computer interfaces (BCIs), are developed. In a survey study of fifty-seven veterans with spinal cord injury who were participating in the National Veterans Wheelchair Games, we found that restoration of bladder/bowel control, walking, and arm/hand function (tetraplegia only) were all high priorities for improving quality of life. Many of the participants had not used or heard of some currently available technologies designed to improve function or the ability to interact with their environment. The majority of individuals in this study were interested in using a BCI, particularly for controlling functional electrical stimulation to restore lost function. Independent operation was considered to be the most important design criteria. Interestingly, many participants reported that they would be willing to consider surgery to implant a BCI even though non-invasiveness was a high priority design requirement. This survey demonstrates the interest of individuals with spinal cord injury in receiving and contributing to the design of BCI.

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Section: Discussionmentioning

confidence: 99%

Functional priorities, assistive technology, and brain-computer interfaces after spinal cord injury

Collinger

Boninger

Bruns

et al. 2013

JRRD

215

139

View full text Add to dashboard Cite

show abstract

“…Electrical stimulation devices were originally developed to assist with activities such as respiration, bowel and bladder function, grasping, standing, and walking activities [12]. The initial purpose was to help compensate for the loss of function due to a damaged neurological system.…”

Section: Paradigm Shift In Electrical Stimulation Neurorehabilitationmentioning

confidence: 99%

Improving the Efficiency of Electrical Stimulation Activities After Spinal Cord Injury

Dolbow

Holcomb

Gorgey

2014

Curr Phys Med Rehabil Rep

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In order to enhance spinal cord injury (SCI) rehabilitation programs using neuromuscular electrical stimulation (NMES) and functional electrical stimulation (FES) it is important to examine the manner in which muscle fibers are recruited and the dose-response relationship. A review of the literature suggests that premature force decline and early fatigue with NMES and FES activities may be alleviated with decreased current frequency and increased current intensity. Dose-response relationships with NMES and FES are dependent on the goals of interest as reversing muscle atrophy can be achieved with activities 2-3 times per week for 6 or more weeks while increasing bone mass is more limited and requires more intense activity with greater exercise frequency and duration, e.g., 3-5 days per week for at least 6-12 months. The best known protocol to elicit neurological improvement is massed practice activities-based restorative therapies (ABRT) (3-5 h per day for several weeks).

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“…The first part of the approach should be surgical liberation of the spinal cord and its roots, and second, omental transplantation to the affected zone of the spinal cord and part of the normal cord [4,11]. Besides this, during whole postoperative evolution the patient should receive rehabilitation, especially electrical stimulation of the superior and inferior cord to the affected zone [4,17,18].…”

Section: Incomplete Transectionmentioning

confidence: 99%

Neurological Improvement after Omental Transplantation on the Upper Cervical Cord

Rafael¹,

Polo²

2014

J Trauma Treat

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Functional electrical stimulation therapies after spinal cord injury

Cited by 60 publications

References 92 publications

Functional priorities, assistive technology, and brain-computer interfaces after spinal cord injury

Functional priorities, assistive technology, and brain-computer interfaces after spinal cord injury

Improving the Efficiency of Electrical Stimulation Activities After Spinal Cord Injury

Neurological Improvement after Omental Transplantation on the Upper Cervical Cord

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