Abstract
Physicians worldwide have been using spinal cord stimulation (SCS) to treat chronic pain conditions since 1967. Inspired by the gate-control theory of pain proposed by Melzack and Wall, the conventional paradigm of SCS utilizes stimulation that activates dorsal columns to elecit paresthesia over patientś painful region.
Although traditional SCS is still a dominant neurostimulatrion therapy, there is an increasing need for innovated stimulation approaches to resolve any problems mainly with long-term efficacy of neurostimulation. So that there are formed new neurostimulation approaches to improve treatment effect.
We show innovated approaches and systems to SCS in the short overview. Variation in the intensity of neurostimulation due to body position is a practical problem for many patients with SCS because positional changes may result in non-effective understimulation or unpleasent overstimulation that leads to patient's need for repetitive compensatory manual programming adjustments.
We described the safety and effectiveness of a novel type of SCS therapy designed to automatically adapt stimulation amplitude in responsed to changes in a patient's position or physical activity in this article. It is suitable mainly for more active and working patients.
This type of SCS brings more comfort for patients and also improves efficacy of their treatment, because it is personalized. We also describe new type of neurostimulation system Intellis Sensor-driven position-adaptive system which is MRI compatible system.
The successful use of this neurostim-ulation system is described in a case-report.