Beyond treatment of chronic pain: a scoping review about epidural electrical spinal cord stimulation to restore sensorimotor and autonomic function after spinal cord injury.

Antonia Luz, Rüdiger Rupp, Rezvan Ahmadi, Norbert Weidner
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Abstract

Epidural electrical epinal cord stimulation (ESCS) is an established therapeutic option in various chronic pain conditions. In the last decade, proof-of-concept studies have demonstrated that ESCS in combination with task-oriented rehabilitative interventions can partially restore motor function and neurological recovery after spinal cord injury (SCI). In addition to the ESCS applications for improvement of upper and lower extremity function, ESCS has been investigated for treatment of autonomic dysfunction after SCI such as orthostatic hypotension. The aim of this overview is to present the background of ESCS, emerging concepts and its readiness to become a routine therapy in SCI beyond treatment of chronic pain conditions.

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超越慢性疼痛的治疗:脊髓损伤后硬膜外电刺激恢复感觉运动和自主神经功能的范围综述。
硬膜外电刺激(ESCS)是一种成熟的治疗选择在各种慢性疼痛条件。在过去的十年中,概念验证研究表明,ESCS结合任务导向的康复干预可以部分恢复脊髓损伤(SCI)后的运动功能和神经功能恢复。除了ESCS用于改善上肢和下肢功能外,ESCS还被研究用于治疗脊髓损伤后的自主神经功能障碍,如体位性低血压。本综述的目的是介绍ESCS的背景,新兴概念及其在治疗慢性疼痛之外成为脊髓损伤常规治疗的准备。
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