Neuroreport
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Randomized Controlled Trial Clinical Trial
Pain relief induced by repetitive transcranial magnetic stimulation of precentral cortex.
Chronic electrical stimulation of the precentral (motor) cortex using surgically implanted electrodes is performed to treat medication-resistant neurogenic pain. The goal of this placebo-controlled study was to obtain such antalgic effects by means of a non-invasive cortical stimulation using repetitive transcranial magnetic stimulation (rTMS). ⋯ A significant decrease in the mean pain level of the series was obtained only after 10 Hz rTMS. This study shows that a transient pain relief can be induced by 10 Hz rTMS of the motor cortex in some patients suffering from chronic neurogenic pain.
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We used signals from tactile mechanoreceptors in the skin of the index finger, recorded with an implanted cuff electrode, to automatically control grasp force in a hand grasp neuroprosthesis. Phasic events in the recorded nerve signal, related to mechanical events on the skin, were used to adjust electrical stimulation of hand muscles without any prior knowledge about muscle strength and properties of a held object. ⋯ When using the neuroprosthesis with feedback from natural sensors, the average grasp force could be reduced in comparison to not using feedback. Reducing grasp force is considered a major factor to decrease muscle fatigue, allowing a prolonged use of the hand grasp neuroprosthesis.