Neuromodulation最新文献

{"title":"2025 Calendar of Events - May","authors":"","doi":"10.1016/S1094-7159(25)00164-3","DOIUrl":"10.1016/S1094-7159(25)00164-3","url":null,"abstract":"","PeriodicalId":19152,"journal":{"name":"Neuromodulation","volume":"28 4","pages":"Page 709"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Clinical Care Pathway for Patients With Chronic Mechanical Low Back Pain Having Restorative Neurostimulation for Multifidus Muscle: Description, Patient Compliance, Clinical Outcomes, and Satisfaction in the First Two Years","authors":"Allen J. Huang MBBS ,&nbsp;Derek Yull MBBS, BSc ,&nbsp;Yun-Hom Yau MBChB ,&nbsp;Mike Selby MBBS ,&nbsp;Kyle Craig BA Sci (Ex), MClinExPhys ,&nbsp;Tim Bass B Physio, M Physio (SportsPhysio) ,&nbsp;Sally Fish DipCouns ,&nbsp;Peter Murphy MBA, BEng, Innovation Management (Associate) ,&nbsp;Eleanor Clausen BSc, RGN, Dip Prof Studies, ENB 148 Neuroscience Nursing, Dip Change Management, Dip COPD ,&nbsp;Ian R. Whittle MBBS, MD (Adel), PhD","doi":"10.1016/j.neurom.2024.12.004","DOIUrl":"10.1016/j.neurom.2024.12.004","url":null,"abstract":"<div><h3>Objectives</h3><div>Restorative neurostimulation for multifidus muscle is a novel therapy for chronic low back pain (CLBP). Optimal outcomes require interdisciplinary follow-up. We describe a clinical care pathway (CPW) for this therapy and report patient compliance, clinical outcomes, and patient satisfaction with the CPW.</div></div><div><h3>Materials and Methods</h3><div>This study aimed to develop, at a single center, a CPW with derivation, practical basis, description, and evolution. Included in the study were audits of 1) patient compliance with attendance over 24 months, 2) medical and paramedical attendance at the clinic, 3) clinical outcomes in terms of reductions in both patient and cohort disability (Oswestry Disability Index, ODI) and CLBP numeric rating score (NRS), and 4) adverse events; and a prospective cross-sectional survey of patient satisfaction with the CPW.</div></div><div><h3>Results</h3><div>A CPW that involved both preoperative and postoperative education and integrated interdisciplinary care was developed and incorporated into the clinical service with a dedicated clinic. In the two years under study, 172 patients attended the education session, and 92 proceeded to restorative neurostimulation for multifidus muscle therapy; 15 patients who had this therapy before the CPW also were incorporated into the CPW. Patient compliance with the pathway was 88% (95% CI 79%–94%) at 12 months. Attendance at the dedicated CPW clinic by the various subspeciality clinicians ranged between 74% and 100%. There were serial reductions in both ODI (38.9 [95% CI 35.9–41.9] to 24.7 (95% CI 21.1–28.3) and CLBP NRS (6.3 [95% CI 6.0–6.7] to 3.3 (95% 2.7–3.9) after 12 months; 76 of the 99 patients assessable (77%: 95% CI 67%–85%) had a minimally important clinical difference reduction in either ODI or pain NRS, whereas eight were unassessable. Patient satisfaction with the CPW was very high (mean 26.9; median 27, maximum 28).</div></div><div><h3>Conclusions</h3><div>The CPW facilitated clinical management and optimized outcomes in patients having restorative neurostimulation. Its design and delivery were very well accepted by patients.</div></div>","PeriodicalId":19152,"journal":{"name":"Neuromodulation","volume":"28 4","pages":"Pages 558-566"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143008839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of Lead Tip Fracture and Retention After Percutaneous Lead Implantation for Peripheral Nerve Stimulation With an External Pulse Generator: A Multicenter Comparative Analysis of 456 Lead Implants Across Two Lead Hardware Generations","authors":"Chelsey Hoffmann PA-C, MS, RD ,&nbsp;Kalli J. Fautsch MD ,&nbsp;Ryan S. D’Souza MD","doi":"10.1016/j.neurom.2025.01.009","DOIUrl":"10.1016/j.neurom.2025.01.009","url":null,"abstract":"<div><h3>Objectives</h3><div>Lead fracture and retention are potential adverse events that can occur after peripheral nerve stimulator (PNS) lead implantation, although recent technologic advancements in PNS hardware have been implemented to avert this risk. We aim to quantify the current incidence of temporary PNS lead fracture/retention and compare this with rates before changes in lead hardware design of temporary PNS.</div></div><div><h3>Materials and Methods</h3><div>A multicenter, retrospective observational study was conducted for patients implanted with a temporary PNS system (SPR© Therapeutics, Cleveland, OH) between June 1, 2018 and August 1, 2024. Patients were included if they underwent a temporary percutaneous PNS system implantation with planned lead removal at 60 days. Patients were excluded if there was ambiguity regarding the status of the lead tip at time of removal (intact vs fractured) or if there was inadvertent lead removal by the patient during the 60-day treatment. The primary objectives of this study were 1) to quantify the incidence of lead retention with removal of temporary percutaneous PNS and 2) to compare the rates of lead retention in the original lead design (version 1.0) and the revised lead design (version 2.0). Secondary objectives included analysis of lead retention rates based on the following covariates: body mass index (BMI), patient age, location of lead placement, or duration of lead implant.</div></div><div><h3>Results</h3><div>Within the studied timeframe, 337 patients were implanted with a total of 456 leads. Of 337 patients, 40.4% (<em>n</em> = 136) were implanted with lead version 1.0, and 59.6% (<em>n</em> = 201) were implanted with lead version 2.0. Overall, 7.5% of implanted leads (34/456) were retained, affecting 10.1% of patients. Of 194 implanted version 1.0 leads, 13.4% of leads (<em>n</em> = 26) were retained, whereas of 262 version 2.0 leads, 3.1% (<em>n</em> = 8) were retained (<em>p</em> &lt; 0.001). These results showed a reduction in retained leads per patient from 19.1% with lead version 1.0 to 4.0% with revised lead version 2.0. Covariates including BMI, patient age, location of lead placement, or duration of lead implant did not predict lead retention rates.</div></div><div><h3>Conclusions</h3><div>Retention and fracture of temporary PNS leads remain prevalent, affecting 7.5% of all implanted leads, although we also observed a significant decrease in rates (3.1% vs 13.4%) with implementation of the revised lead version 2.0 hardware design.</div></div>","PeriodicalId":19152,"journal":{"name":"Neuromodulation","volume":"28 4","pages":"Pages 611-618"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"4. A survey of implantable neuromodulation for pain services across Canada","authors":"N. Prasad,&nbsp;J. Osborn,&nbsp;V. Varshney,&nbsp;A. Alomari,&nbsp;L. Weise,&nbsp;D. Alvares,&nbsp;V. Bains,&nbsp;A. Bhatia","doi":"10.1016/j.neurom.2025.03.006","DOIUrl":"10.1016/j.neurom.2025.03.006","url":null,"abstract":"","PeriodicalId":19152,"journal":{"name":"Neuromodulation","volume":"28 4","pages":"Page S3"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144189726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"5. A two-centre retrospective review of spinal cord stimulator implantation with and without a screening trial","authors":"K. Marciniuk ,&nbsp;S. Girgis ,&nbsp;J. Buwembo ,&nbsp;A. Vitali ,&nbsp;J. Norton","doi":"10.1016/j.neurom.2025.03.007","DOIUrl":"10.1016/j.neurom.2025.03.007","url":null,"abstract":"","PeriodicalId":19152,"journal":{"name":"Neuromodulation","volume":"28 4","pages":"Page S3"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144189727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"11. Challenges with replacing the intrathecal drug delivery system: a case series","authors":"M. Hassan,&nbsp;C. Gromley,&nbsp;P. Murphy","doi":"10.1016/j.neurom.2025.03.013","DOIUrl":"10.1016/j.neurom.2025.03.013","url":null,"abstract":"","PeriodicalId":19152,"journal":{"name":"Neuromodulation","volume":"28 4","pages":"Page S6"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144189816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"59. The UK&I National Neuromodulation Registry: spinal cord stimulation improves quality of life for patients with visceral pain","authors":"S. Martin ,&nbsp;S. Thomson ,&nbsp;A. Gulve ,&nbsp;V. Mehta ,&nbsp;S. Love-Jones ,&nbsp;R. Strachan ,&nbsp;S. Bojanić ,&nbsp;S. Eldabe ,&nbsp;A. Smith ,&nbsp;S. Pathak ,&nbsp;J.J. FitzGerald ,&nbsp;G. Baranidharan","doi":"10.1016/j.neurom.2025.03.061","DOIUrl":"10.1016/j.neurom.2025.03.061","url":null,"abstract":"","PeriodicalId":19152,"journal":{"name":"Neuromodulation","volume":"28 4","pages":"Page S30"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144189523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"46. Real-world data collection using remote programming for DRG and SCS patients","authors":"A. Dreyer ,&nbsp;P. McPhillips ,&nbsp;Z. Krause Molle ,&nbsp;J. Vesper","doi":"10.1016/j.neurom.2025.03.048","DOIUrl":"10.1016/j.neurom.2025.03.048","url":null,"abstract":"","PeriodicalId":19152,"journal":{"name":"Neuromodulation","volume":"28 4","pages":"Page S24"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"9. Case series: replacement of Medtronic rechargeable implantable pulse generator (IPG) with an Abbott primary cell IPG","authors":"A.R. Babu,&nbsp;R. Wilding,&nbsp;M. Chincholkar,&nbsp;K. Toye,&nbsp;A. Lalkhen","doi":"10.1016/j.neurom.2025.03.011","DOIUrl":"10.1016/j.neurom.2025.03.011","url":null,"abstract":"","PeriodicalId":19152,"journal":{"name":"Neuromodulation","volume":"28 4","pages":"Page S5"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"56. The UK&I National Neuromodulation Registry: deprivation does not affect outcome after spinal cord stimulation","authors":"S. Martin ,&nbsp;G. Baranidharan ,&nbsp;S. Thomson ,&nbsp;A. Gulve ,&nbsp;V. Mehta ,&nbsp;S. Love-Jones ,&nbsp;R. Strachan ,&nbsp;S. Bojanić ,&nbsp;S. Eldabe ,&nbsp;J.J. FitzGerald","doi":"10.1016/j.neurom.2025.03.058","DOIUrl":"10.1016/j.neurom.2025.03.058","url":null,"abstract":"","PeriodicalId":19152,"journal":{"name":"Neuromodulation","volume":"28 4","pages":"Page S29"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}