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pubmed-article:15218941pubmed:dateCreated2004-6-28lld:pubmed
pubmed-article:15218941pubmed:abstractTextThis study describes the performance of surgically-implanted epimysial stimulating electrodes in the muscles of the lower extremities for use in functional neuromuscular stimulation (FNS) systems for standing after spinal cord injury. A total of 86 epimysial electrodes were implanted in 13 volunteers with low tetraplegia or paraplegia receiving the Case Western Reserve University/Veteran Affairs (CWRU/VA)-implanted standing/transfer neuroprosthesis. The neuroprosthesis consisted of bilateral epimysial electrodes in the knee and hip extensors (vastus lateralis, gluteus maximus, and adductor magnus or semimembranosus) and intramuscular electrodes at the T12/L1 or L1/L2 spinal roots for trunk extension. Recruitment properties, stimulated knee and hip extension moments, standing performance, and mechanical integrity over time were measured for a period up to four years post-implantation. Stimulated thresholds were stable and recruitment was sufficient to generate joint moments adequate for standing, with up to 97% body weight supported by the legs. Four mechanical failures were observed, all in the posterior muscles of the thigh, leaving 95% of all electrodes operational at all followup intervals. Probability of 24-month survival is estimated to be 93% plateauing to a steady state of 90% at four years. These results indicate that epimysial designs are appropriate for long-term clinical use in the large muscles of the lower extremities with implanted motor system neuroprostheses.lld:pubmed
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pubmed-article:15218941pubmed:authorpubmed-author:BieriCarolClld:pubmed
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pubmed-article:15218941pubmed:pagination279-87lld:pubmed
pubmed-article:15218941pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:15218941pubmed:year2004lld:pubmed
pubmed-article:15218941pubmed:articleTitlePerformance of epimysial stimulating electrodes in the lower extremities of individuals with spinal cord injury.lld:pubmed
pubmed-article:15218941pubmed:affiliationDepartment of Orthopaedics, Cleveland FES Center Technical Development Laboratory, Case Western Reserve University, Cleveland, OH 44106, USA.lld:pubmed
pubmed-article:15218941pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:15218941pubmed:publicationTypeClinical Triallld:pubmed
pubmed-article:15218941pubmed:publicationTypeResearch Support, U.S. Gov't, P.H.S.lld:pubmed
pubmed-article:15218941pubmed:publicationTypeResearch Support, U.S. Gov't, Non-P.H.S.lld:pubmed
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