Neuromodulation : journal of the International Neuromodulation Society
-
Objectives. Recent technical improvements in implanted stimulation devices, in particular the development of programmable, multicontact devices, have facilitated their clinical application in the management of pain. If the capabilities of these devices are to be used to full advantage, adjustment after implantation demands a major investment of time and effort. ⋯ Results and Conclusions. Our patient-interactive computerized system has proven to be safe and effective clinically in adjusting implanted spinal cord stimulators. It offers advantages of data standardization and quality control, as well as delivery of novel pulse sequences and protocols to assess the treatment of pain and neurological disorders by electrical stimulation devices.
-
Introduction. Spinal cord stimulation voltage thresholds have been observed to change with body position, but previously have not been characterized in detail. Design. ⋯ Ninety-five percent of patients experienced an increase, primarily between 11 and 25%. Conclusions. These observations have implications for the design, implantation, and clinical application of spinal cord stimulators.