Evidence map›Paper›PMID 31449001›Full record

ArticleIEEE transactions on bio-medical engineering2020

Selective Nerve Cuff Stimulation Strategies for Prolonging Muscle Output.

Kristen T Gelenitis, Brian M Sanner, Ronald J Triolo, Dustin J Tyler

Abstract read
In one paragraph

Article in IEEE transactions on bio-medical engineering, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Article
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  7. Article
  8. Sum of phase-shifted sinusoids stimulation prolongs paralyzed muscle output.Journal of neuroengineering and rehabilitation · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kristen T Gelenitis
Brian M Sanner
Ronald J Triolo
Dustin J Tyler

Funding

Automatic Control of Standing Balance with Functional Neuromuscular StimulationR01NS040547 · NINDS · CASE WESTERN RESERVE UNIVERSITY · PI AUDU, MUSA L, TRIOLO, RONALD J · 2000 to 2022
$7.2M
TRAINING PROGRAM IN MUSCULOSKELETAL RESEARCHT32AR007505 · NIAMS · CASE WESTERN RESERVE UNIVERSITY · PI TRIOLO, RONALD J · 1986 to 2023
$6.3M
Integrated Neural Engineering and Rehabilitation Training ProgramT32EB004314 · NIBIB · CASE WESTERN RESERVE UNIVERSITY · PI Jeffrey R Capadona, Robert F. Kirsch · 2004 to 2026
$6.1M
NEUROPROSTHESIS PERFORMANCE - NERVE CUFF ELECTRODESR01EB001889 · NIBIB · CASE WESTERN RESERVE UNIVERSITY · PI TRIOLO, RONALD J, TYLER, DUSTIN J. · 2003 to 2017
$5.9M
Exploiting Selective Recruitment to Prolong Standing after SCII01RX001039 · VA · LOUIS STOKES CLEVELAND VA MEDICAL CENTER · PI TRIOLO, RONALD J, TYLER, DUSTIN J. · 2015 to 2019
–
Advanced Platform Technology Center of ExcellenceI50RX001871 · VA · LOUIS STOKES CLEVELAND VA MEDICAL CENTER · PI MARGOT S. DAMASER, Gilles Pinault · 2015 to 2026
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NIAMS NIH HHS T32 AR007505NIBIB NIH HHS R01 EB001889NIBIB NIH HHS T32 EB004314NINDS NIH HHS R01 NS040547RRD VA I01 RX001039RRD VA I50 RX001871RRD VA IK6 RX003844
6 · The paper itself

Abstract

Neural stimulation systems are often limited by rapid muscle fatigue. Selective nerve cuff electrodes can target independent yet synergistic motor unit pools (MUPs), which can be used in duty-cycle reducing stimulation paradigms to prolong joint moment output.

objectiveThis study investigates waveform parameters within moment-prolonging paradigms and determines strategies for their optimal implementation.

methodsComposite flat-interface nerve cuff electrodes (C-FINEs) were chronically implanted on feline proximal sciatic nerves. Cyclic stimulation tests determined effects of stimulation period and duty cycle in different MUP types. Ideal parameters were then used in duty-cycle reducing carousel stimulation. Time to 50% reduction in moment (T50), moment overshoot, and moment ripple were determined for constant, open-loop carousel, and moment feedback-controlled closed-loop carousel stimulation.

resultsA stimulation period of 1 s best maintained joint moment for all MUPs. Low (25%) duty cycles consistently improved joint moment maintenance, though allowable duty cycle varied among MUPs by gross muscle and fiber type. Both open- and closed-loop carousel stimulation significantly increased T50 over constant stimulation. Closed-loop carousel significantly decreased moment overshoot over the other conditions, and significantly decreased moment ripple compared with open-loop stimulation.

conclusionSelectivity-enabled carousel stimulation prolongs joint moment over conventional constant stimulation. Appropriate waveform parameters can be quickly determined for individual MUPs and stimulation can be controlled for additional performance improvements with this paradigm. SIGNIFICANCE: Providing prolonged, stable joint moment and muscle output to recipients of motor neuroprostheses will improve clinical outcomes, increase independence, and positively impact quality of life.

Indexed as

Quality of LifeSciatic NerveAnimalsCatsElectric StimulationElectrodesElectrodes, ImplantedFeedbackMuscle, Skeletal

Identifiers

PMID31449001
PMCPMC7042042

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.