Bikson Lab

City College of New York

ENGINEERING (ALL TYPES)

New York · United States

NIH-funded
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NIH R01 · 2024

kHz frequency Spinal Cord Stimulation: Novel Temperature-Based Mechanisms of Action

Project Summary / Abstract There is a need to understand the mechanisms of neural stimulation technologies (RFA-NS-18-018). The impact of such research increases with both the clinical relevance of a neuromodulation technology and the extent mechanisms are unknown. Spinal Cord Stimulation at kHz frequencies (kHz SCS) has undergone a meteoric clinical and market rise, in the absence of an accepted mechanistic hypothesis. The most peculiar feature of kHz SCS mechanistically is that rapid biphasic stimulation undermines traditional mechanisms of electrical stimulation. But, we note this same feature of rapid pulsing results in high stimulation power leading to our hypothesis that kHz SCS…

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