Our scientific objective is to advance our fundamental understanding of how the brain plans and executes arm movements. Our technical objective is to design and build high- performance neural prostheses. Jointly, these objectives should provide a deeper understanding of the neural control of natural movement, and a better design of neural prostheses to restore movement to the disabled, including the disabled warfighter.
The prospect of interfacing the nervous system with electronic devices to stimulate or record from neural tissue suggests numerous possibilities in the field of neuroprosthetics. While the creation of a "six million dollar man" may still be far into the future, neural prostheses are rapidly becoming viable theories for a broad range of patients with injury or disease of the nervous system. Neural Prostheses for Restoration of Sensory and Motor Function presents a general review of exciting scientific discoveries that show the feasibility of using electronic devices to restore motor function in paralyzed patients. The book is divided into two sections. The first section details some of the most successful sensory and motor prosthetic devices available. It pays particular attention to the present usefulness and future promise of these devices. It explores different approaches to the use of functional electrical stimulation for the restoration of motor control. The second section highlights the growing field of brain-implantable devices for the control of artificial prosthetic devices or neural prosthetics. It considers the possible scientific and clinical advantages of using implanted devices to record signals from the nervous system and the use of those signals for the restoration of neurological function. The book presents research data that relates to the feasibility of using brain-controlled neurorobotic devices. It offers a new perspective on the practice of combining neurochemical and neurophysiological information to create prosthetic control devices that restore chemical balance to the brain. Neural Prostheses for Restoration of Sensory and Motor Function examines several different types of neural prosthetic devices as well as recent advances in research for novel devices to restore sensory and motor function in patients with neural damage. It provides authoritative information on neural prosthetic techniques and applications - specifically in relation to the sensory and motor systems of the brain.
Significant progress has been made in the development of neural prostheses to restore human functions and improve the quality of human life. Biomedical engineers and neuroscientists around the world are working to improve design and performance of existing devices and to develop novel devices for artificial vision, artificial limbs, and brain–machine interfaces. This book, Implantable Neural Prostheses 1: Devices and Applications,ispart one of a two-book series and describes state-of-the-art advances in techniques associated with implantable neural prosthetic devices and their applications. Devices covered include sensory prosthetic devices, such as visual implants, cochlear implants, auditory midbrain implants, and spinal cord stimulators. Motor prosthetic devices, such as deep brain stimulators, Bion microstimu- tors, the brain control and sensing interface, and cardiac electro-stimulation devices are also included. Progress in magnetic stimulation that may offer a non-invasive approach to prosthetic devices is introduced. Regulatory approval of implantable medical devices in the United States and Europe is also discussed.
Implement TMR with Your Patients and Improve Their Quality of LifeDeveloped by Dr. Todd A. Kuiken and Dr. Gregory A. Dumanian, targeted muscle reinnervation (TMR) is a new approach to accessing motor control signals from peripheral nerves after amputation and providing sensory feedback to prosthesis users. This practical approach has many advantage
Advances in neuroprosthetics in recent years have made an enormous impact on the quality of life for many people with disabilities, helping them regain the functionality of damaged or impaired abilities. One of the main hurdles to regaining full functionality regarding neuroprosthetics is the integration between the neural prosthetic device and the method in which the neural prosthetic device is controlled or manipulated to function correctly and efficiently. One of the most promising methods for integrating neural prosthetics to an efficient method of control is through Brian-computer Interfacing (BCI). With this method, the neuroprosthetic device is integrated into the human brain through the use of a specialized computer, which allows for users of neuroprosthetic devices to control the devices in the same way that they would control a normally working human function- with their mind. There are both invasive and non-invasive methods to implement Brain-computer Interfacing, both of which involve the process of acquiring a brain signal, processing the signal, and finally providing a usable device output. There are several examples of integration between Brain-computer Interfacing and neural prosthetics that are currently being researched. Many challenges must be overcome before a widespread clinical application of integration between Brain-computer Interfaces and neural prosthetics becomes a reality, but current research continues to provide promising advancement toward making this technology available as a means for people to regain lost functionality.
In the last 15 years, there has been a significant increase in the number of motor neural prostheses used for restoring limb function lost due to neurological disorders or accidents. The aim of this technology is to enable patients to control a motor prosthesis using their residual neural pathways (central or peripheral). Recent studies in non-human primates and humans have shown the possibility of controlling a prosthesis for accomplishing varied tasks such as self-feeding, typing, reaching, grasping, and performing fine dexterous movements. A neural decoding system comprises mainly of three components: (i) sensors to record neural signals, (ii) an algorithm to map neural recordings to upper limb kinematics and (iii) a prosthetic arm actuated by control signals generated by the algorithm. Machine learning algorithms that map input neural activity to the output kinematics (like finger trajectory) form the core of the neural decoding system. The choice of the algorithm is thus, mainly imposed by the neural signal of interest and the output parameter being decoded. The various parts of a neural decoding system are neural data, feature extraction, feature selection, and machine learning algorithm. There have been significant advances in the field of neural prosthetic applications. But there are challenges for translating a neural prosthesis from a laboratory setting to a clinical environment. To achieve a fully functional prosthetic device with maximum user compliance and acceptance, these factors need to be addressed and taken into consideration. Three challenges in developing robust neural decoding systems were addressed by exploring neural variability in the peripheral nervous system for dexterous finger movements, feature selection methods based on clinically relevant metrics and a novel method for decoding dexterous finger movements based on ensemble methods.
Neuromodulation will be the first comprehensive and in-depth reference textbook covering all aspects of the rapidly growing field of neuromodulation. This book provides a complete discussion of the fundamental principles of neuromodulation and therapies applied to the brain, spinal cord, peripheral nerves, autonomic nerves and various organs. The textbook is highly structured and organized into overarching sections that cover chronic pain, movement disorders, psychiatric disorders, epilepsy, functional electrical stimulation, cardiac, gastrointestinal, genitourinary and organ neuromodulation. The fundamental principles of electricity and infusion, neural tissue interface, biomedical engineering, neuromodulation devices, basic science, neuroanatomy, neurophysiology, imaging and mechanisms are emphasized. In addition to providing details pertaining to the state-of-the-art current practice, innovative and emerging applications are discussed in specific chapters. Finally, the textbook provides specific chapters focusing on the technical aspects of the various neuromodulation procedures as well as technical specifications of various implantable devices. All of the contributors to Neuromodulation represent leading experts in the field. The editors are internationally renowned in their respective fields of neuromodulation, pain management, functional neurosurgery and biomedical engineering. Neuromodulation will be the first and foremost authoritative text on neuromodulation therapies and will establish the gold standard that defines the field for years to come. Key Features The first comprehensive reference on the emerging field of Neuromodulation Editors and authors include all leading figures in the field, and the leaders of the International Neuromodulation Society Over 90 chapters on topics ranging from a layout of the fundamentals (e.g. neuroanatomy, plasticity, bioelectrical effects, infusion therapies), solutions for the biomedical engineering challenges (e.g. materials, how to preserve normal function etc.), to a rundown of the existing applications and their future promise Over 1200 pages in splendid full color, richly illustrated Important areas of application include: control of chronic pain delivery of drugs to the nervous system via implanted devices control of epilepsy, Parkinson, etc. functional restoration, e.g. visual, auditory, restoration after stroke, restoration of motor function after traumatic events stimulation of body organs via neural devices (incl. the heart, abdominal organs, genitourinary organs) overview over newly emerging fields - control of obesity, blood pressure, tinnitus, brain injury, neurodegenerative diseases, brain-machine interfaces
The 2006 conference, "Smart Prosthetics: Exploring Assistive Devices for the Body and Mind," attracted scientists, engineers and medical researchers to participate in a series of task groups to develop research plans to address various challenges within the prosthetics field. Eleven conference task groups gave the participants eight hours to develop new research approaches to various challenges, including: build a smart prosthesis that will grow with a child; develop a smart prosthetic that can learn better and/or faster; refine technologies to create active orthotic devices; and describe a framework for replacing damaged cortical tissue and fostering circuit integration to restore neurological function. Representatives from public and private funding organizations, government, industry, and the science media also participated in the task groups. This book provides a summary of the conference task groups. For more information about the conference, visit the Smart Prosthetics conference site. The National Academies Keck Futures Initiative was launched in 2003 to stimulate new modes of scientific inquiry and break down the conceptual and institutional barriers to interdisciplinary research. The National Academies and the W.M. Keck Foundation believe considerable scientific progress and social benefit will be achieved by providing a counterbalance to the tendency to isolate research within academic fields. The Futures Initiative is designed to enable researchers from different disciplines to focus on new questions upon which they can base entirely new research, and to encourage better communication between scientists as well as between the scientific community and the public. Funded by a $40 million grant from the W.M. Keck Foundation, the National Academies Keck Futures Initiative is a 15-year effort to catalyze interdisciplinary inquiry and to enhance communication among researchers, funding agencies, universities, and the general public with the object of stimulating interdisciplinary research at the most exciting frontiers. The Futures Initiative builds on three pillars of vital and sustained research: interdisciplinary encounters that counterbalance specialization and isolation; the identification and exploration of new research topics; and communication that bridges languages, cultures, habits of thought, and institutions. Toward these goals, the National Academies Keck Futures Initiative incorporates three core activities each year: Futures conferences, Futures grants, and National Academies Communication Awards. For more information about the Initiative, visit www.keckfutures.org.
