Mapping the Iceberg of Autonomic Recovery: Mechanistic Underpinnings of Neuromodulation following Spinal Cord Injury
Abstract
Spinal cord injury leads to disruption in autonomic control resulting in cardiovascular, bowel, and lower urinary tract dysfunctions, all of which significantly reduce health-related quality of life. Although spinal cord stimulation shows promise for promoting autonomic recovery, the underlying mechanisms are unclear. Based on current preclinical and clinical evidence, this narrative review provides the most plausible mechanisms underlying the effects of spinal cord stimulation for autonomic recovery, including activation of the somatoautonomic reflex and induction of neuroplastic changes in the spinal cord. Areas where evidence is limited are highlighted in an effort to guide the scientific community to further explore these mechanisms and advance the clinical translation of spinal cord stimulation for autonomic recovery.
Document Details
- Document Type
- Pub Defense Publication
- Publication Date
- Jan 11, 2023
- Source ID
- 10.1177/10738584221145570
Entities
People
- Andrei V. Krassioukov
- Chet T Moritz
- Claire Shackleton
- Klaus Krogh
- Rahul Sachdeva
- Soshi Samejima
- Thomas M. Kessler
- Tiev Miller
Organizations
- Aarhus University Hospital
- Canada Foundation for Innovation
- Canadian Institutes of Health Research
- G. F. Strong Centre
- Paralyzed Veterans of America Research Foundation
- Spinal Research
- United States Department of Defense
- University of British Columbia
- University of Washington
- University of Zurich
- Wings for Life