• J Spinal Cord Med · Jul 2013

    Review

    Neuroprosthetic technology for individuals with spinal cord injury.

    • Jennifer L Collinger, Stephen Foldes, Tim M Bruns, Brian Wodlinger, Robert Gaunt, and Douglas J Weber.
    • Department of Veterans Affairs, Pittsburgh, PA 15206, USA. collingr@pitt.edu
    • J Spinal Cord Med. 2013 Jul 1;36(4):258-72.

    ContextSpinal 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.FindingsThis 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 RelevanceNeuroprostheses 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.

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