Implanted neuroprostheses for restoration of hand function in tetraplegic patients.
Restoration of hand function through functional electrical stimulation allows tetraplegic patients to use existing abilities to control paralyzed muscles. In patients with C5 or C6 spinal cord injuries, implanted upper extremity neuroprostheses use functional electrical stimulation technology to power hand and arm muscles. A variety of devices, often using contralateral shoulder motion, sends signals via a small external controller and transmitting coil to an implanted stimulator. The stimulator powers designated upper extremity muscles via implanted electrodes. The surgical procedure is minimally invasive and easily reversed. Palmar and lateral grasp, among other functions, can be reliably restored, leading to significant improvements in functional capacity. High user satisfaction, low complication rates, and recent advances in technology and control systems contribute to the success of this technology in the treatment of devastating spinal cord injuries.
Cornwall
Roger
R
Orthopaedic Hand Surgeon, Children's Hospital of Philadelphia, and University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Hausman
Michael R
MR
D004558:Electric Stimulation; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D008297:Male; D018579:Patient Selection; D011474:Prosthesis Design; D011782:Quadriplegia / Q000534:rehabilitation*; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D013119:Spinal Cord Injuries / Q000175:diagnosis / Q000534:rehabilitation; D034941:Upper Extremity / Q000294:innervation*