MP07-16 TRANSCUTANEOUS SPINAL CORD STIMULATION TO EFFECT LOWER URINARY TRACT ACTIVITY AFTER SPINAL CORD INJURY

2019 
INTRODUCTION AND OBJECTIVES:Transcutaneous spinal cord stimulation (TSCS) is a neuromodulation modality that has been used to improve upper and lower extremity function after spinal cord injury (SCI) [1]. In this study, we assessed whether TSCS affects lower urinary tract (LUT) function in SCI individuals.METHODS:Seven individuals (four males and three females) with SCI at T11 or above who used clean intermittent catheterization to manage the LUT were recruited. Each subject had a stable SCI that occurred at least one year prior to study initiation. Each subject underwent testing and stimulation over two days. On day 1, dose response curves for detrusor and external urethral sphincter (EUS) activation by TSCS were constructed by varying stimulation location (T11 or L1) and current intensity (10 mA - 200 mA). To examine the effects of stimulation on urine storage and voiding, on day 2 subjects underwent baseline urodynamics (UDS) and TSCS at settings found to produce maximal physiologic response in the LUT...
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