INS 11th World Congress in Berlin
Oct. 16, 2014 - An article about the cooperative research and development agreement between Neurosigma, Inc. and U.S. Veteran's Administration offers details about regulatory approvals for the company's external trigeminal nerve stimulation system and its mode of action. The U.S. combat veterans in the Phase I trial will undergo eight weeks of stimulation at home at night, followed by assessment of changes in cognitive function and regional brain activity. The trigeminal nerve, near the surface of the forehead, was selected for bilateral stimulation since it is considered to offer a high-bandwidth pathway linked directly or indirectly to areas of the brain, such as the locus coeruleus, nucleus tractus solitarius, thalamus, and cerebral cortex, that are involved in conditions such as epilepsy, depression, post-traumatic stress disorder, attention-deficit hyperactivity disorder. (PBR Drug Research)
Oct. 8, 2014 - An ethics professor quoted in an article about a company that is pursuing transcranial direct current stimulation (tDCS) for the consumer market compares the state of the field's development to the Wild West of brain stimulation. The startup, Thync, raised $13 million in capital. Meanwhile, a writer for the BBC traveled to Boston to experience tDCS as an aid in concentration, describing some of the circuits and neurotransmitters involved in productive and unstressed attention-to-task. (Bloomberg Businessweek)
Oct. 15, 2014 - NeuroSigma, Inc. is postponing its $50 million initial public offering due to poor market conditions. The company announced it has entered a cooperative research and development agreement with the Veteran's Administration to test its external trigeminal nerve stimulation device on veterans with traumatic brain injury. (Los Angeles Business Journal)
Oct. 15, 2014 - A retired CIA agent whose subterfuge to arrange for six U.S. diplomats to escape Iran in the 1980 hostage crisis became the basis of the movie Argo revealed he was suffering from the effects of Parkinson's disease during the 2012 promotional tour. In an interview in the Washington Post, he said he turned to deep brain stimulation to help with his motor symptoms, although he still has unpredictable episodes of pain. He disclosed his diagnosis in conjunction with a symposium by the Focused Ultrasound Foundation. http://www.washingtonpost.com/blogs/local/wp/2014/10/15/argo-hero-tony-mendez-battling-parkinsons/ (Today Health)
October 2014 - In a TV segment, CNN medical correspondent Sanjay Gupta, MD presents deep brain stimulation, following physicians into the operating room at the University of Florida and explaining the role of the therapy to help manage effects of some neurological disorders. (CNN)
Oct. 14, 2014 - University of Illinois researchers in Champaign-Urbana are working with transient electronic sensors patterned on ultra-thin pieces of silicon (with a 20- to 100-nanometer thickness) that can dissolve in a matter of weeks when implanted. They hope to find a way to actively trigger dissolution. (EE Times)
Oct. 14, 2014 - The former assistant coach of the Predators, Brent Peterson, said his deep brain stimulation surgery in 2011 for Parkinson's disease was "very tough" but ended up being "really good" since he is not in a wheelchair and can move. With encouragement from Michael J. Fox to take constructive action, he started the Peterson Foundation for Parkinson's to raise money for awareness and education, has raised more than $400,000 since 2007. (Daily News Journal)
Oct. 14, 2014 - A columnist who is a clinical psychologist and researcher points out that deep brain stimulation may be an option for severe treatment-resistant obsessive compulsive disorder. (Huffington Post)
Oct. 13, 2014 - Medtronic, Inc.'s $43 billion purchase of Ireland-based Covidien Plc would put it on the same footing as Johnson & Johnson, according to Reuters, and will reduce the company's overall tax burden. The company said the goal was to boost its medical technology strategy rather than to acquire an overseas company to relocate its headquarters for tax purposes (a corporate "inversion"). European Union antitrust regulators plan to issue a decision on the deal by Nov. 14. The regulators' options are to approve, request concessions, or investigate. Analysts said since the companies are not competitors it is unlikely there will be significant regulatory worries. (Reuters)
October 2014 - In the "Next Big Thing," epidural stimulation to restore movement to spine-injured people is presented. The research takes place at the University of Louisville in Kentucky. (CNET)
Oct. 13, 2014 - Transfer of technology to the medical device company Brainsway through a license from the National Institute of Neurological Disorder and Stroke is being acknowledged with a regional Award for Excellence in Technology Transfer by the Federal Laboratory Consortium. The award recognizes a potential for substantial impact on public health, and will be presented Nov. 19 at an event for the Mid-Atlantic region of the consortium. The technology is being used to create deep transcranial magnetic stimulation systems, which have been FDA-approved for use in medication-resistant depression. (Nasdaq)
Sept. 23, 2014 - The American Society of Stereotactic and Functional Neurosurgery and the Congress of Neurological Surgeons have published a new guideline in Neurosurgery after assessing seven studies deemed high-quality that report research about deep brain stimulation in obsessive compulsive disorder. To date, bilateral stimulation of the subthalamic nucleus and nucleus accombens was shown to improve symptoms by around 36% in clinical trials. However, the authors say different subgroups, such as hoarders, may respond to different targets. (Medical News Today)
Oct. 13, 2014 - According to a study in Science Translational Medicine two amputees who had under-the-skin wires and nerve electrodes implanted more than a year ago in their prosthetic arms to mimic a sense of touch performed such everyday activities as pulling a stem off a cherry or chopping wood. Healio reported on a news release on the topic from Case Western Reserve. (New York Times)
Oct. 11, 2014 - Medtronic, Inc. announced that post-merger, it will operate Covidien PLC as a separate unit and overall will restructure around four international bases. The merger would be finalized upon approval by shareholders of each company, and is not anticipated until after Nov. 15, 2014. In addition to the Covidien medical supply group, the structure calls for a cardiac and vascular group, a diabetes group, and a restorative therapies group. (Minneapolis Star Tribune)
Oct. 10, 2014 - A research proposal by a research associate at Rockefeller University is one of 58 to receive the first grants from one of four federal agencies through the U.S. BRAIN initiative, the NIH announced. The $1.26 million grant over three years will support research into combining nanoparticles with radio waves or magnetic fields to turn neurons on and off. The approach might also be used to better understand the function of groups of cells, and would have the advantage of being able to access hard-to-reach cells or dispersed groups of cells. The molecular genetics researchers involved have termed this approach "radiogenetics". The BRAIN initiative is intended to ultimately create a dynamic brain map of neural circuitry. (Rockefeller University)
Oct. 9, 2014 - The Christopher & Dana Reeve Foundation is hoping to raise $15 million to enable 26 patients with partial spinal cord injuries to participate in research into functional electrical stimulation at the University of Louisville in Kentucky. Four initial participants recovered some movement in the lower half of their body and improved cardiovascular and respiratory function. (People)
October 2014 - International Neuromodulation Society President-elect Tim Deer, MD, was interviewed by Pain Medicine News about the issuance of the first comprehensive guidelines on neurostimulation for pain and ischemic disease, which appear in the August 2014 issue of Neuromodulation: Technology at the Neural Interface following work by the INS-appointed Neuromodulation Appropriateness Consensus Committee. He said updates to current practice include recommendations about thorough infection control and bleeding measures, as well as recommendations about credentialing. (Pain Medicine News)
October 2014 - Registration has opened for the 18th annual scientific meeting of the North American Neuromodulation Society (NANS). The NANS meeting takes place from Dec. 11-14, 2014 in Las Vegas, NV, USA. (North American Neuromodulation Society)
Oct. 7, 2014 - International Neuromodulation Society member Richard Maughon, MD, was quoted in a newscast about veterans using spinal cord stimulation, saying that worker's compensation studies show the therapy cost breaks even by the third year, and also that when veterans are taken off pain medications, their suicide rate goes down -- although no similar studies have been done in the general population. (WBRC)
Oct. 7, 2014 - Popular Mechanics profiles an athletic young woman with complex regional pain syndrome who is a patient ambassador for Boston Scientific Corporation in an article about the advantages of its spinal cord stimulation device with multiple independent current control, which she received last spring to manage pain in her foot and leg, replacing a previous model. The article calls the more precise targeting of nerve fibers an innovative achievement. (Popular Mechanics)
Oct. 7, 2014 - Medtronic, Inc. received FDA approval for a system to identify which patients who have urinary incontinence may benefit from sacral nerve stimulation. The Verify Evaluation System is described as a more-discrete and user-friendly version of the external trial stimulator that had been used before. (Medgadget)
Oct. 7, 2014 - Helius Medical Technologies announced its licensed technology, noninvasive neuromodulation for rehabilitation of brain function, has received a U.S. patent. The company is developing a Portable NeuroModulation Stimulator (PoNS™) that stimulates cranial nerves found in the tongue. The device is being investigated for treating balance issues caused by traumatic brain injury or multiple sclerosis. (Business Wire)
Oct. 6, 2014 - Research funded by the Michael J. Fox Foundation's program to improve or explore neuromodulation for Parkinson's disease will address gait freezing through on-demand stimulation to both the globus pallidus interna and the pedunculopontine nucleus -- which are hypothesized to be the gait "gas pedal" and "brake," respectively. (Michael J. Fox Foundation)
Oct. 6, 2014 - The University of Michigan received a 5-year, $11.5 million grant from the National Institute of Neurological Diseases and Stroke to become a Morris K. Udall Center of Excellence in Parkinson's Disease Research, with a focus on the brain's cholinergic system and its role in gait and balance. As part of the center, the co-director of the university's deep brain stimulation program will lead an education and outreach effort. (Phys.org)
Oct. 3, 2014 - Nevro Corp. has filed for an initial public offering under the symbol NVRO on the New York Stock Exchange. The company is reportedly seeking $125 million and intends to launch its Senza spinal cord stimulation (SCS) device by early 2016. The high-frequency stimulation device does not cause paresthesia. It would enter an SCS pain-relief market the company values at $1.5 billion overall. (San Francisco Business Times)
Oct. 3, 2014 - Second Sight Medical, which filed for a $132 million initial public offering in August, is entering a bridge loan agreement with the Mann Group to provide operating capital through the end of November. The company developed the first retinal prosthesis approved for sale by the FDA, the Argus II implant. (Mass Device)
Oct. 3, 2014 - Medtronic, Inc. announced that its previously announced merger with Covidien will use $16 billion in external financing rather than foreign cash, in the face of moves by the U.S. Treasury Department to tighten tax rules involving mergers or acquisitions of overseas companies. (Mass Device)
Oct. 4, 2014 - Although deep brain stimulation (DBS) is rarely done in Malaysia due to its cost, Universiti Kebangsaan Malaysia Medical Centre performed its first DBS surgery Sept. 26 on a patient who has had Parkinson's disease since 2004 and had developed side-effects from the medication. The 67-year-old patient received some government funding. The surgeon said DBS is more cost-effective since reliance on medication is generally gradually reduced. He added DBS has a success rate of 80% and is superior to best medical treatment in improving quality of life. (The Star)
Oct. 4, 2014 - The Mayo Clinic's Neural Engineering Laboratory received a $2.5 million grant to detect neurotransmitter release in the brain using diamond-coated electrodes and signal processing algorithms. The coated electrodes should provide durability and sensitivity over time. The grant was part of a first wave of investments from the U.S. Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Initiative, which totaled $46 million. (Yuma News Now)
Sept. 29, 2014 - Looking at correlations in spontaneous brain activity shown in a database of MRI images, researchers have shown that deep brain stimulation affects brain circuits in higher brain regions, and the maps of those effects match maps showing effects of non-invasive brain stimulation for 14 different conditions, from Parkinson's disease to dystonia and Tourette syndrome. The authors of this analysis of functional connectivity data believe it will suggest stimulation approaches for more conditions. (Medical Daily)
Sept. 29, 2014 - An article describes different implant locations and powering systems for retinal prostheses under development. (The Scientist)
Sept. 25, 2014 - A tic disorder specialist hopes to test the effect of transcranial direct current stimulation in Tourette syndrome, reasoning that the stimulation may boost GABA that would dampen the propensity for tics. This theory is supported by the recently reported finding in Current Biology that GABA is elevated in the supplementary motor area of brains of teens who have Tourette syndrome, compared to those who don't. (Everyday Health)
Sept. 24, 2014 - Researchers who are planning a clinical trial with closed-loop robot-assisted stimulation in paralyzed patients report success in a rat model using a self-adjusting computational system so that electrical pulse width, amplitude and frequency need not be manually adjusted in real time for each individual. The animals showed fluid, precise movement in more than 1,000 steps, including climbing stairs of varying dimensions. This development of closed-loop epidural electrical stimulation to feed electric currents to sensorimotor circuits, appears in the journal Science Translational Medicine http://stm.sciencemag.org/content/6/255/255ra133. (Medical Xpress)
Sept. 24, 2014 - A product leader at the UK-based Cambridge Consultants discusses a recent panel report forecasting neurostimulation market factors, saying clinical appetite will need to be enhanced and a vision of the future established for developers to align with that. (Medgadget)
Sept. 23, 2014 - EBS Technologies' Next Wave device to restore a degree of vision in conditions such as stroke, glaucoma, traumatic brain injury and some other diseases will be available at the University Medical Center Hamburg-Eppendorf. The device consists of an EEG cap and special goggles that provide optical and electrical stimulation, and an EEG amplifier linked to the goggles. The process involves stimulating the retina while energizing the optic nerve to send signals to the brain. (Medgadget)
Sept. 23, 2014 - A Netherlands-based study of directional current steering in deep brain stimulation in eight patients with Parkinson's disease provided Class IV evidence that steering using the 32-contact electrode was well-tolerated and increased the threshold for side effects, increasing the therapeutic window by up to 1.5 mA. (Neurology)
September 2014 - A sham-controlled clinical trial in 62 patients with cervical dystonia who received deep brain stimulation showed that three months of active pallidal neurostimulation reduced symptoms of dystonia more effectively than sham, although 16 patients had serious adverse events, generally related to the device or the implant procedure. The multicenter study, funded by Medtronic, Inc., was reported by 33 co-authors, including members of the INS German chapter Wilheim Eisner, MD; Marcus Pinsker,MD; and Karl Kiening, MD. (The Lancet)
Sept. 19, 2014 - An article compares tiny next-generation neuromodulation devices that are envisioned by the ElectRx program, which is sponsored by the Defense Advanced Research Projects Agency, to a smart pacemaker that would assess conditions and fix vital organs with stimulus patterns tailored to help maintain healthy organ function -- giving a boost to the body's natural processes of monitoring the status of organs and managing how they respond to disease The device might be used to treat inflammatory conditions and others, such as rheumatoid arthritis and inflammatory bowel disease, epilepsy, traumatic brain injury and even depression. (Mail Online)
Sept. 18, 2014 - The first patient has been enrolled in a six-patient clinical trial of deep brain stimulation in a type of dementia called Dementia with Lewy Bodies. Because the cognitive impairments fluctuate in the condition, it is believed the "hard wiring" functioning on days when symptoms are worse could be aided by electrical stimulation to the area that has degenerated in the condition, the nucleus basalis of Meynert. (University College London)
Sept. 18, 2014 - A next-generation device that combines transcranial magnetic stimulation and electromyography for presurgical mapping in neurosurgery will be launched at two meetings in October. The Nexstim NBS 5 will be showcased at the 6th International Symposium on Navigated Brain Stimulation in Neurosurgery, Oct. 10 - 11 in Berlin; and at the Congress of Neurological Surgeons 64th Annual Meeting from Oct. 18 - 22 in Boston. (PR Newswire)
Sept. 18, 2014 - In an interview in the Irish Independent, Mainstay Medical CEO Peter Crosby, a member of the International Neuromodulation Society, said their strategy is to build a successful global company out of the Dublin-based business whose ReActiv8 muscle-stimulating device targets low back pain. The article said that at this phase, the company is not planning to be acquired or merged as smaller companies might. (Fierce Medical Devices)
Sept. 18, 2014 - EBS Technologies, which offers a non-invasive brain stimulation for restoring partial vision to an impaired eye, issued a news release about a study by the company's co-founder, published in Neurology, that he said "confirms that repetitive transorbital alternating current stimulation (rtACS), otherwise known as electrical brain stimulation, can reactivate residual capabilities of brain function." The study said vision loss is not only caused by primary tissue damage, but also by a breakdown of synchronization in brain networks. The stimulation aims to bring about resynchronization of alpha band coherence. (Business Wire)
Sept. 17, 2014 - ElectroCore announced that presentations this weekend at the European Headache and Migraine Trust International Congress in Copenhagen will include data from its PREVA study, a randomized, multi-center trial across several European countries, which showed that preventative use of non-invasive vagus nerve stimulation can reduce the frequency of cluster headache attacks by 43.4% versus the current standard of care, which resulted in only a 12% reduction. (EIN News)
Sept. 15, 2014 - Researchers who theorized an improvement in oxygenated blood supply would facilitate enhanced delivery of the scheduled therapy in patients with recurrent high-grade gliomas report that in seven patients in a preliminary study, spinal cord stimulation during reirradiation and chemotherapy was associated with clinical improvement and longer survival than previously reported in this condition. (Integrative Cancer Therapies)
Sept. 15, 2014 - The INS is pleased to announce its best abstract competition, in which the top five abstracts for the June 2015 12th World Congress in Montreal will be recognized for their quality, originality and ingenuity in basic or clinical science. For an abstract to qualify, its primary author must be a current member of the INS who has registered for the main congress. Recipients will receive their awards during the INS General Assembly of Members on the 9th of June. In addition, the primary author recipients will be refunded their congress registration fees. To access the abstract submission system please visit http://ins-congress.abstractcentral.com/. Download the instructions for authors here. The abstract deadline is 12 January 2015. (International Neuromodulation Society)
Sept. 15, 2014 - International Neuromodulation Society Secretary Marc Russo, MD, and INS member Nick Christelis, MD, write in a publication geared to general practitioners in Australia a perspective on the role of neuromodulation in pain management. Indications for spinal cord stimulation, they say, include spinal cord stimulation include failed back surgery syndrome, complex regional pain syndrome, peripheral neuropathic pain, chronic peripheral ischaemic pain and refractory angina pectoris. (Pain Management Today)
Sept. 15, 2014 - A research team reports in Urology Journal that a three-month study comparing sacral neuromodulation with antimuscarinic medication to medication alone showed greater benefit from the combined therapy in 240 women with idiopathic overactive bladder. (medwire News)
Sept. 10, 2014 - A U.S.-based research team proposes a Phase I clinical trial of deep brain stimulation to the basolateral amygdala to address post-traumatic stress disorder in veterans, based in part on results in a rat model of the condition. The pilot randomized controlled trial will have a blinded, staggered onset of stimulation. (Trials)
Sept. 11, 2014 - A former violinist with the Lithuania national philharmonic orchestra received a deep brain stimulation implant to treat her essential tremor in Tel Aviv. She played the instrument during surgery to help pinpoint the correct stimulation, and said it was a shame she didn't know about the surgery previously, having had to stop performing years ago. (Jerusalem Post)
Sept. 9, 2014 - International Neuromodulation Society member Brian Snyder, MD is participating at his Long Island practice in the multicenter SENSE™ (Subcutaneous and Epidural Neuromodulation System Evaluation) clinical trial of that compares spinal cord stimulation alone, and in combination with peripheral nerve field stimulation, for the treatment of chronic low back and leg pain due to failed back surgery syndrome. (EIN Presswire)
Sept. 4, 2014 - The Neuropathy Association released an info graphic for Pain Awareness Month that explains the impact of cancer-related neuropathy, which affects more than on-third of the 14 million cancer survivors in the U.S. (The Neuropathy Association)
Sept. 8, 2014 - International Neuromodulation Society President Simon Thomson, MBBS, FRCA, FIPP, describes his passion for ensuring access to appropriate neurostimulation treatments in a newspaper profile highlighting his work. He started an NHS pain service more than 20 years ago after being introduced to neurostimulation in the 1980s in Australia. “People with chronic pain are more at risk of depression and social isolation," the article quotes him as saying. “Often, they can feel they are passed from pillar to post, with very little answer to what is actually causing their agony.” (Echo)
September, 2014 - The 2014 Lasker-DeBakey Clinical Medical Research Award goes to Alim-Louis Benabid, MD, PhD and Mahlon DeLong, MD, whose research helped to elucidate neural circuits involved in movement disorder and demonstrate brain targets for treating motor disorder through deep brain stimulation, which has been provided to more than 100,000 patients worldwide. (Lasker Foundation)
Sept. 5, 2014 - St. Louis, MO-based Endostim Inc. has filed for an initial public offering in an offer valued at up to $40.25 million. The company plans to trade on NASDAQ under the symbol STIM. Endostim previously received approval in Europe, Asia and South America of its LES Stimulation System for the treatment of gastro-esophageal reflux disease (GERD). The company plans a U.S. clinical trial. (247wallst.com)
Sept. 5, 2014 - Neurostimulation can alter both neurochemicals and aberrant neuronal activity and is likely to become more common in psychiatric treatment, according to a question-and-answer column with a psychiatrist who favors its use the treatment paradigm. He said activity of the brain is as much electrical as it is chemical, and neurostimulation poses the advantage of being somatic and non-systemic. (Psychiatric Times)
Sept. 4, 2014 - A Florida psychiatrist who added transcranial magnetic stimulation to his practice describes how it exerts an effect by polarizing areas of the limbic system. His first patient says in an interview that the therapy leaves her feeling clearer and more revitalized, in combination with counseling. She said it had been a last resort since she could not relieve the depression she felt since childhood with medications. (USA Today)
Sept. 4, 2014 - Researchers in Germany have published in the Proceedings of the National Academy of Sciences work that shows for the first time, in cats, high-resolution imaging of the fleeting effects of transcranial magnetic stimulation in the cortex. The time-sensitive images were captured by using voltage-sensitive dyes anchored in cell membranes. The dyes fluoresce when neurons are activated or inhibited. (Medical Xpress)
Sept. 3, 2014 - In an interview publicized during Pain Awareness Month, International Neuromodulation Society President Simon Thomson, MBBS, FRCA, FIPP, describes the importance of listening to patients and his efforts to continually challenge the concept that chronic pain will always have a physical cause to be repaired through surgery. (Basildon and Thurrock University Hospitals)
Sept. 3, 2014 - The first medical center in Los Angeles to offer the Inspire Upper Airway Stimulation system as a neurostimulation option for obstructive sleep apnea is Keck Medicine of the University of Southern California (USC). The device received FDA approval in April. (USC News)
Sept. 3, 2014 - A materials science professor at MIT and her research team members are pursuing creation of flexible polymer probes that have been demonstrated to optically stimulate the spinal cords of mice whose neurons were altered to respond to light, as well as magnetic materials that might be injected into the brain to serve as a transducer for neural stimulation. The work is inspired by recent findings indicating that diseases that were previously not considered to have a neurological basis, such as diabetes, hypertension and infertility, may be treated with neuromodulation by employing bioelectronic medicine. (Phys.org)
Sept. 3, 2014 - By encoding letters of words into a binary code represented by a series of motor images, scientists have transmitted two simple four-letter words recorded with non-invasive brain-monitoring -- an electroencephalogram -- in one subject and received through non-invasive brain stimulation -- robot-assisted, image-guided transcranial magnetic stimulation (TMS) -- in three other subjects. Recipients sat with eyes and ears covered and received TMS stimulation to their visual cortex. The transmissions were perceived as bright lights in their peripheral vision, with the location of the light indicating its binary code (1 or 0). The data were transmitted from the sender's system to the receiving study subjects over a distance of 5,000 miles via the Internet. (CNET)
Sept. 2, 2014 - A 9-year-old boy has made progress since his deep brain stimulation one year ago for generalized dystonia. He can now independently feed himself, drink from a cup, and stand unaided. (CBS-Denver)
Sept. 2, 2014 - A man in the UK who has had up to 60 epileptic seizures per day between ages 7 months and 40 years became one of the first people in the country to add, as an adjunct to his anti-seizure medication, use of the AspireSR implant, which delivers vagus nerve stimulation to deter a seizure upon sensing a change in heart rate. Since he has seizures even while asleep, the automated sensing and response is helpful to him. (Express)
Sept. 1, 2014 - The Cyberonics, Inc. ANTHEM-HF (Autonomic Neural Regulation Therapy to Enhance Myocardial Function in Heart Failure) open-label trial of vagus nerve stimulation (VNS), conducted at multiple centers in 60 patients who had moderate to severe heart failure and impaired heart function, indicate the treatment is safe, improves the heart's ability to pump blood, and reduces symptoms associated with chronic heart failure, according to data presented at the European Society of Cardiology meeting that was concurrently published in the Journal of Cardiac Failure. Stimulation of either the right or left vagus nerve appeared to help patients achieve changes in cardiac function. While the right vagus nerve had been believed to provide more of a baroreceptor impact, the left vagus nerve may be easier to access, and surgeons are used to working on that side for implanting other cardiac devices. Presenters said the left ventricular ejection fraction increased from 32.4% to 37.2% after six months of vagus nerve stimulation system treatment. (MedPage Today)
Sept. 1, 2014 - Boston Scientific reported at the European Society of Cardiology meeting that the primary efficacy endpoint was not reached in its vagus nerve stimulation clinical trial carried out in 96 New York Heart Association Class II-III patients who had heart failure and an ejection fraction of less than 35%, the NECTAR-HF (NEural Cardiac TherApy foR Heart Failure) trial. After six months of treatment, blinded echocardiography showed no reduction in left ventricular end systolic diameter. Control patients begin to receive active therapy after six months of randomization, with all patients followed through 18 months to assess the safety endpoint. Despite no significant effect on cardiac remodelling or functional capacity, treatment did result in significantly improved symptomatic scores in quality-of-life metrics. (Medlatest)
Sept. 1, 2014 - Psychology researchers at the University of Queensland have reviewed an escalating number of studies utilizing transcranial direct current stimulation (tDCS) to understand cortical substrates of behavior. The authors review its application in cognitive and motor training, its use to understand neuronal activity underlying perception, learning and memory (such as fluctuations in frequency and phase), and suggest how key methodological issues might be addressed. (Cell)
September 2014 - In an article listed as most-read, "Neuromodulation in an Era of Rising Need and Cost: A Time for Multifaceted Consideration," a German surgery professor and expert in coloproctology notes that posterior tibial nerve stimulation offers moderate benefit as a fecal incontinence therapy and might elicit broader acceptance of more-invasive methods such as sacral neuromodulation. He questions how access may evolve, such as who should assess needs and deliver such therapies and what the expense may be. The author calls for "the guidance and support of the relevant professional societies" to approach the issue broadly beyond any particular commercial interest. (Diseases of the Colon and Rectum)
To see select neuromodulation news by category, as well as news about the INS in particular, please visit the Newsroom. To see archived news briefs dating back to January 2011, visit the News Archive.
How Has Neuromodulation Been Developed and Used?
Conventional medicine has typically had four modes of treating diseases or disorders: counseling or “talk therapy”; physical therapy involving manipulation and strengthening of muscles and range of motion; pharmaceuticals that act on a chemical level; and altering or augmenting tissue through surgery, injections, or filtering methods like dialysis. The growing field of neuromodulation is a new class of therapies that involves directly treating the nervous system itself, often through small implanted devices that target a specific area, to rebalance the activity of neural circuits and manage symptoms.
Progress has been spurred by advances in our understanding of the nervous system, as well as new technologies and clinical experience, enabling treatments to modify nerve cell activity in brain, spinal cord and periphery to restore function, minimize pain, and treat disease symptoms. Developed over the last 45 years, neuromodulation has grown rapidly into a family of therapies that applies stimulation or agents directly to the nervous system, often using small implanted medical devices that are powered in a similar fashion to a cardiac pacemaker. By delivering electrical or chemical stimulation, neuromodulation has increasingly been used to treat motor disorders such as Parkinson’s disease, refractory chronic pain ranging from neuropathy to cancer related pain to severe headaches, spasticity, epilepsy, and incontinence. It is also under study for conditions ranging from gastroparesis to medically refractory depression. Providers of such therapies include neurosurgeons, pain physician specialists and rehabilitation physicians. They may often work with other specialists such as neurologists, psychiatrists, psychologists, gastrointestinal or colorectal specialists, urologists, primary care physicians, and physical therapists to achieve best outcomes.
Learn More . . .
Medical Professionals can learn about various considerations concerning neuromodulation and clinic contacts. Once your preliminary questions have been answered, please use the Contact Us facility to find out more and to discuss specific objectives. Others may simply wish to join the INS and one of its related chapter societies, please use Membership Application.
Clinical trials that involve a wide range of emerging neuromodulation approaches are listed on our Resources and Research pages. Neuromodulator trials address symptom control through nerve stimulation in such condition categories as:
If you are not a medical professional and you are searching for information about neuromodulation and how these types of treatment could benefit a specific condition such as treatment-resistant headache or other chronic pain syndromes, you may find the sections titled Therapies, About Neuromodulation or FAQs particularly helpful.
The International Neuromodulation Society (INS) is a non-profit group of clinicians, scientists and engineers dedicated to the scientific development and awareness of neuromodulation - the alteration of nerve activity through the delivery of electrical stimulation or chemical agents to targeted sites of the body. Founded in 1989 and based in San Francisco, CA, the INS educates and promotes the field through meetings, its peer-reviewed journal Neuromodulation: Technology at the Neural Interface, explanatory content, and chapter websites.
See patient information
Now indexed in MEDLINE!
Neuromodulation: Technology at the Neural Interface contains articles of the highest scientific caliber. The journal's sole purpose is to advance the basic and clinical science of the field of neuromodulation. In eight issues a year, it publishes scientific works, scientific reviews, and abstracts of papers accepted for review at national and international congresses.
Neuromodulation is now indexed in Index Medicus, MEDLINE and Pubmed!
Click here to submit a manuscript.
Unique Member Benefit
Members may log in and visit the members-only section’s Global Discussion Forum to participate;
watch for updates on our
Events page and in our journal
Members may now join: