Peripheral nerve stimulation for restoration of motor function.
This review paper discusses the use of electrical stimulation to restore function after upper motor neurone type of paralysis. It describes the basic physiology of electrical stimulation, the electrophysiology and biomaterials associated with using metal electrodes to deliver charge to living tissue, and also the adverse effects of stimulation. The central concepts of electrode applications, stimulus parameters, muscle fatigue, and stimulation control are covered. Next, a survey of clinical applications is made with focus on upper and lower limb applications. A concluding section mentions the current status of commercial products available for stimulation.
Bhadra
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Department of Orthopedics, MetroHealth Medical Center, Cleveland, Ohio 44109, USA.
Peckham
P H
PH
D001705:Bioprosthesis; D004599:Electric Stimulation Therapy / Q000009:adverse effects / Q000266:history / Q000295:instrumentation / Q000379:methods; D004567:Electrodes, Implanted; D005246:Feedback; D049673:History, 20th Century; D006801:Humans; D009046:Motor Neurons; D018763:Muscle Fatigue; D010243:Paralysis / Q000628:therapy*; D010525:Peripheral Nerves; D004561:Transcutaneous Electric Nerve Stimulation