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Spinal Cord Injury and Transcutaneous Spinal Cord Stimulation
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Recent research of epidural and transcutaneous electrical spinal cord stimulation has demonstrated unprecedented improvements in motor function thought to be irreversibly lost due to chronic, severe spinal cord injury. Studies in parallel assess these methods for spasticity management as an alternative to medications that are often accompanied by deleterious side effects. As a noninvasive intervention, transcutaneous spinal cord stimulation holds the great potential to find its way into wide clinical application. Its firm establishment and lasting acceptance as clinical practice in spinal cord injury will not only hinge on the demonstration of safety and efficacy, but also on the delineation of a conceptual framework of the underlying physiological mechanisms. This will also require advancing our understanding of immediate and temporary effects of transcutaneous spinal cord on neuronal circuits in the intact and injured spinal cord. The purpose of this collection of papers is to bring together peers in the field to share—and eventually fuse—their pertinent research into current neurorehabilitation practice by providing a clinical perspective and novel insights into the underlying mechanisms.
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Keywords
- activity-based therapy
- antispasmodic
- Automation
- Biophysics
- cervical
- cervical spinal cord
- cervical spinal cord injury
- Clinical & internal medicine
- combined intervention
- corticospinal pathway
- corticospinal tract
- electrical stimulation
- electrically evoked spinal motor potentials
- Electroencephalography
- Electromyography
- event-related desynchronisation
- Evoked Potentials
- evoked potentials motor
- functional connectivity
- Gait
- H reflex
- hand training
- Hoffmann (H)-reflex
- Human
- intensity effect
- interlimb coordination
- Locomotion
- lumbar spinal cord
- M wave
- medicine
- Motor Activity
- motor evoked potentials
- motor-evoked potential
- Movement
- muscle strength effect
- n/a
- Neurology & clinical neurophysiology
- Neuromodulation
- Neurophysiology
- Neurorehabilitation
- Non-invasive
- noninvasive
- paraplegia
- parkinson’s disease
- pendulum test
- posterior root muscle reflex
- posterior root stimulation
- posterior root-muscle reflex
- posterior root-muscle reflexes
- Rehabilitation
- sensorimotor networks
- spasticity
- Spinal cord
- spinal cord injury
- spinal cord stimulation
- spinal reflex
- spinal reflexes
- spinal stimulation
- Spine
- spine alignment
- task dependence
- task-specific training
- tetraplegia
- transcutaneous
- transcutaneous spinal cord stimulation
- use-dependent plasticity
- voluntary ankle control
- Walking