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Electrical Neuromodulation of the Respiratory System After Spinal Cord Injury
- Source :
- Mayo Clinic proceedings. 92(9)
- Publication Year :
- 2016
-
Abstract
- Spinal cord injury (SCI) is a complex and devastating condition characterized by disruption of descending, ascending, and intrinsic spinal circuitry resulting in chronic neurologic deficits. In addition to limb and trunk sensorimotor deficits, SCI can impair autonomic neurocircuitry such as the motor networks that support respiration and cough. High cervical SCI can cause complete respiratory paralysis, and even lower cervical or thoracic lesions commonly result in partial respiratory impairment. Although electrophrenic respiration can restore ventilator-independent breathing in select candidates, only a small subset of affected individuals can benefit from this technology at this moment. Over the past decades, spinal cord stimulation has shown promise for augmentation and recovery of neurologic function including motor control, cough, and breathing. The present review discusses the challenges and potentials of spinal cord stimulation for restoring respiratory function by overcoming some of the limitations of conventional respiratory functional electrical stimulation systems.
- Subjects :
- 030506 rehabilitation
Respiratory paralysis
Lower motor neuron
03 medical and health sciences
0302 clinical medicine
Medicine
Functional electrical stimulation
Humans
Respiratory function
Spinal cord injury
Spinal Cord Injuries
Spinal Cord Stimulation
business.industry
General Medicine
Recovery of Function
medicine.disease
Respiration Disorders
Neuromodulation (medicine)
medicine.anatomical_structure
Anesthesia
Breathing
Transcutaneous Electric Nerve Stimulation
0305 other medical science
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 19425546
- Volume :
- 92
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Mayo Clinic proceedings
- Accession number :
- edsair.doi.dedup.....6c0918cff0d4a906d5147e5b5bfe1945