Neuroprosthetic technology for individuals with spinal cord injury. (1st July 2013)

• Record Type: Journal Article
• Authors: Collinger, Jennifer L.; Foldes, Stephen; Bruns, Tim M.; Wodlinger, Brian; Gaunt, Robert; Weber, Douglas J.
• Is Part Of: Journal of spinal cord medicine. Volume 36:Number 4(2013:Jul.)
• Page Start: 258
• Page End: 272
• Publication Date: 2013-07-01
• Subjects: Spinal cord injuries -- Assistive technology -- Neural interface -- Neuroprosthesis -- Brain-computer interface -- Electrical stimulation -- Epidural stimulation -- Central pattern generators -- Neurogenic bladder -- Paraplegia -- Tetraplegia -- Rehabilitation; Spinal cord -- Wounds and injuries -- Periodicals; Spinal cord -- Diseases -- Periodicals; 616.8305
• DOI: 10.1179/2045772313Y.0000000128
• Languages: English
• ISSNs: 1079-0268

Abstract

Abstract : Context Spinal cord injury (SCI) results in a loss of function and sensation below the level of the lesion. Neuroprosthetic technology has been developed to help restore motor and autonomic functions as well as to provide sensory feedback. Findings This paper provides an overview of neuroprosthetic technology that aims to address the priorities for functional restoration as defined by individuals with SCI. We describe neuroprostheses that are in various stages of preclinical development, clinical testing, and commercialization including functional electrical stimulators, epidural and intraspinal microstimulation, bladder neuroprosthesis, and cortical stimulation for restoring sensation. We also discuss neural recording technologies that may provide command or feedback signals for neuroprosthetic devices. Conclusion/clinical relevance Neuroprostheses have begun to address the priorities of individuals with SCI, although there remains room for improvement. In addition to continued technological improvements, closing the loop between the technology and the user may help provide intuitive device control with high levels of performance.