Epidural spinal electrogram provides direct spinal recordings in awake human participants

JF Burke, N Kunwar, MS Yaroshinsky… - Frontiers in Human …, 2021 - frontiersin.org
JF Burke, N Kunwar, MS Yaroshinsky, KH Louie, P Shirvalkar, P Su, M Henry, G Pasvankas…
Frontiers in Human Neuroscience, 2021frontiersin.org
Little is known about the electrophysiological activity of the spinal cord during voluntary
movement control in humans. We present a novel method for recording electrophysiological
activity from the human spinal cord using implanted epidural electrodes during naturalistic
movements including overground walking. Spinal electrograms (SEGs) were recorded from
epidural electrodes implanted as part of a test trial for patients with chronic pain undergoing
evaluation for spinal cord stimulation. Externalized ends of the epidural leads were …
Little is known about the electrophysiological activity of the spinal cord during voluntary movement control in humans. We present a novel method for recording electrophysiological activity from the human spinal cord using implanted epidural electrodes during naturalistic movements including overground walking. Spinal electrograms (SEGs) were recorded from epidural electrodes implanted as part of a test trial for patients with chronic pain undergoing evaluation for spinal cord stimulation. Externalized ends of the epidural leads were connected to an external amplifier to capture SEGs. Electromyographic and accelerometry data from the upper and lower extremities were collected using wireless sensors and synchronized to the SEG data. Patients were instructed to perform various arm and leg movements while SEG and kinematic data were collected. This study proves the safety and feasibility of performing epidural spinal recordings from human subjects performing movement tasks.
Frontiers
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