Effects of electrode configuration and geometry on fiber preference in spinal cord stimulation

Jan Holsheimer; Johannes J. Struijk; Wilbert A. Wesselink

doi:10.1109/IEMBS.1996.656984

Effects of electrode configuration and geometry on fiber preference in spinal cord stimulation

Jan Holsheimer
, Johannes J. Struijk
, Wilbert A. Wesselink

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › Academic › peer-review

4 Citations (Scopus)

260 Downloads (Pure)

Abstract

In contrast to the widespread assumption that dorsal column fibers are the primary targets of spinal cord stimulation by a dorsal epidural electrode, it appears that dorsal root fibers are recruited as well, and even preferentially under various conditions. This will, however, limit the coverage of the painful body areas with paresthesia, a prerequisite for the management of chronic pain. In order to favor the preferential stimulation of dorsal column fibers, advantage was taken of the different positions and orientations of fibers in the dorsal columns and dorsal roots. Using an SCS computer model, electrode configurations have been designed for the selective stimulation of the human dorsal columns

Original language	English
Title of host publication	Proceedings of 18th Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Place of Publication	Piscataway, NJ
Publisher	IEEE
Pages	343-344
Number of pages	2
ISBN (Print)	0-7803-3811-1
DOIs	https://doi.org/10.1109/IEMBS.1996.656984
Publication status	Published - 31 Oct 1996
Event	18th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 1996: Bridging Disciplines for Biomedicine - Amsterdam, Netherlands Duration: 31 Oct 1996 → 3 Nov 1996 Conference number: 18

Conference

Conference	18th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 1996
Abbreviated title	EMBC
Country/Territory	Netherlands
City	Amsterdam
Period	31/10/96 → 3/11/96

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10.1109/IEMBS.1996.656984

Holsheimer1996effectsFinal published version, 245 KB

Cite this

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title = "Effects of electrode configuration and geometry on fiber preference in spinal cord stimulation",

abstract = "In contrast to the widespread assumption that dorsal column fibers are the primary targets of spinal cord stimulation by a dorsal epidural electrode, it appears that dorsal root fibers are recruited as well, and even preferentially under various conditions. This will, however, limit the coverage of the painful body areas with paresthesia, a prerequisite for the management of chronic pain. In order to favor the preferential stimulation of dorsal column fibers, advantage was taken of the different positions and orientations of fibers in the dorsal columns and dorsal roots. Using an SCS computer model, electrode configurations have been designed for the selective stimulation of the human dorsal columns",

author = "Jan Holsheimer and Struijk, \{Johannes J.\} and Wesselink, \{Wilbert A.\}",

year = "1996",

month = oct,

day = "31",

doi = "10.1109/IEMBS.1996.656984",

language = "English",

isbn = "0-7803-3811-1",

pages = "343--344",

booktitle = "Proceedings of 18th Annual International Conference of the IEEE Engineering in Medicine and Biology Society",

publisher = "IEEE",

address = "United States",

note = "18th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 1996 : Bridging Disciplines for Biomedicine, EMBC ; Conference date: 31-10-1996 Through 03-11-1996",

}

Holsheimer, J, Struijk, JJ & Wesselink, WA 1996, Effects of electrode configuration and geometry on fiber preference in spinal cord stimulation. in Proceedings of 18th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, Piscataway, NJ, pp. 343-344, 18th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 1996, Amsterdam, Netherlands, 31/10/96. https://doi.org/10.1109/IEMBS.1996.656984

Effects of electrode configuration and geometry on fiber preference in spinal cord stimulation. / Holsheimer, Jan; Struijk, Johannes J.; Wesselink, Wilbert A.
Proceedings of 18th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. Piscataway, NJ: IEEE, 1996. p. 343-344.

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › Academic › peer-review

TY - GEN

T1 - Effects of electrode configuration and geometry on fiber preference in spinal cord stimulation

AU - Holsheimer, Jan

AU - Struijk, Johannes J.

AU - Wesselink, Wilbert A.

N1 - Conference code: 18

PY - 1996/10/31

Y1 - 1996/10/31

N2 - In contrast to the widespread assumption that dorsal column fibers are the primary targets of spinal cord stimulation by a dorsal epidural electrode, it appears that dorsal root fibers are recruited as well, and even preferentially under various conditions. This will, however, limit the coverage of the painful body areas with paresthesia, a prerequisite for the management of chronic pain. In order to favor the preferential stimulation of dorsal column fibers, advantage was taken of the different positions and orientations of fibers in the dorsal columns and dorsal roots. Using an SCS computer model, electrode configurations have been designed for the selective stimulation of the human dorsal columns

AB - In contrast to the widespread assumption that dorsal column fibers are the primary targets of spinal cord stimulation by a dorsal epidural electrode, it appears that dorsal root fibers are recruited as well, and even preferentially under various conditions. This will, however, limit the coverage of the painful body areas with paresthesia, a prerequisite for the management of chronic pain. In order to favor the preferential stimulation of dorsal column fibers, advantage was taken of the different positions and orientations of fibers in the dorsal columns and dorsal roots. Using an SCS computer model, electrode configurations have been designed for the selective stimulation of the human dorsal columns

U2 - 10.1109/IEMBS.1996.656984

DO - 10.1109/IEMBS.1996.656984

M3 - Conference contribution

SN - 0-7803-3811-1

SP - 343

EP - 344

BT - Proceedings of 18th Annual International Conference of the IEEE Engineering in Medicine and Biology Society

PB - IEEE

CY - Piscataway, NJ

T2 - 18th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 1996

Y2 - 31 October 1996 through 3 November 1996

ER -

Effects of electrode configuration and geometry on fiber preference in spinal cord stimulation

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