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千赫兹电刺激引发的神经传导阻滞相关挑战。

Challenges associated with nerve conduction block using kilohertz electrical stimulation.

机构信息

Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, GA 30332, United States of America. Department of Medicine, Johns Hopkins University, Baltimore, MD 21205, United States of America.

出版信息

J Neural Eng. 2018 Jun;15(3):031002. doi: 10.1088/1741-2552/aaadc0. Epub 2018 Feb 8.

Abstract

Neuromodulation therapies, which electrically stimulate parts of the nervous system, have traditionally attempted to activate neurons or axons to restore function or alleviate disease symptoms. In stark contrast to this approach is inhibiting neural activity to relieve disease symptoms and/or restore homeostasis. One potential approach is kilohertz electrical stimulation (KES) of peripheral nerves-which enables a rapid, reversible, and localized block of conduction. This review highlights the existing scientific and clinical utility of KES and discusses the technical and physiological challenges that must be addressed for successful translation of KES nerve conduction block therapies.

摘要

神经调节疗法通过电刺激神经系统的各个部位,传统上试图激活神经元或轴突以恢复功能或缓解疾病症状。与这种方法形成鲜明对比的是抑制神经活动以缓解疾病症状和/或恢复体内平衡。一种潜在的方法是对周围神经进行千赫兹电刺激(KES),这种刺激可以快速、可逆和局部阻断神经传导。本综述强调了 KES 的现有科学和临床应用,并讨论了成功转化 KES 神经传导阻滞疗法所必须解决的技术和生理挑战。

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