Method for restoring gait in individuals with chronic spinal...

Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical therapeutic systems

Reexamination Certificate

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C607S117000, C482S054000

Reexamination Certificate

active

07065408

ABSTRACT:
A method for restoring functional ambulation in subjects with incomplete spinal cord injuries which includes partial weight bearing therapy followed by epidural spinal cord stimulation (ESCS) to facilitate partial weight bearing therapy and over-ground walking. Electrical epidural stimulation (EES) is generated by an implanted device during partial weight bearing therapy on a treadmill. The subject is then transitioned to full weight bearing gait training on a treadmill with EES to over-ground gait training with EES and a walker, and finally to full weight bearing independent stepping over-ground with EES with or without an assistive device.

REFERENCES:
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patent: 5843142 (1998-12-01), Sultan
patent: 5961541 (1999-10-01), Ferrati
“Spinal cord Stimulation Facilitates Walking in a Chronic, Incomplete Spinal Cord Injured,”, Spinal Cord. Feb. 2002; 40(2):65-8, Herman et al.
“Epidural Spinal-Cord Stimulation Facilitates Recovery of Functional Walking Following Incomplete Spinal-Cord Injury”, IEEE Transactions on Neural Systems and Rehabilitation Engineering, vol. 12, No. 1 Mar. 2004 Carhart et al.
“Combined Use of Body Weight Support, Functional Electric Stimulation, and Treadmill Training to Improve Walking Ability in Individuals With Chronic Incomplete Spinal Cord Injury”, Arch Phys Med Rehabil vol. 82, Jun. 2001, Field-Foote.
“Locomotor Therapy in Neurorehabilitation”, NeuroRehabilitation 2001; 16(3): 133-9.

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