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Papers of the Week


Papers: 4 Jan 2025 - 10 Jan 2025


2025 Jan 06


J Neuroeng Rehabil


39762915


22


1

Optimizing transcutaneous spinal stimulation: excitability of evoked spinal reflexes is dependent on electrode montage.

Authors

Thatcher KL, Nielsen KE, Sandler EB, Daliet OJ, Iddings JA, Field-Fote EC

Abstract

There is growing interest in use of transcutaneous spinal stimulation (TSS) for people with neurologic conditions both to augment volitional control (by facilitating motoneuron excitability), and to decrease spasticity (by activating inhibitory networks). Various electrode montages are used during TSS, with little understanding of how electrode position influences spinal circuit activation. We sought to identify the thoracolumbar electrode montage associated with the most robust activation of spinal circuits by comparing posterior root-muscle reflexes (PRM reflexes) elicited by 6 montages. Additionally, we assessed tolerability of the stimulation during PRM reflex testing.