Electrical Neuromodulation of the Respiratory System After Spinal Cord Injury
| Autor: | Jan T. Hachmann, Dina I. Drubach, Peter J. Grahn, Igor Lavrov, Jonathan S. Calvert, Kendall H. Lee |
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| Rok vydání: | 2016 |
| Předmět: |
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 |
| Zdroj: | Mayo Clinic proceedings. 92(9) |
| ISSN: | 1942-5546 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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