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April 22nd Published: Help us write another book on this subject and reach those readers. Systems using percutaneous electrodes are prone to infection if poorly maintained, and systems using surface electrodes make donning and doffing difficult. If you have questions, talk with your doctor or appropriate healthcare provider.

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Some people may find that certain types of electrical stimulations are irritating, but this is easily fixed by changing the level of the current. After the treatment, there may be pink marks left on the skin where the electrodes were placed, but these are usually gone within an hour. In addition, selectively activating individual muscles deep to the skin such as the hip flexors with surface stimulation or obtaining repeatable stimulated responses from day to day is difficult or impossible.

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The programmable microprocessor activates the various channels sequentially or in unison to synchronize the complex output of the stimulator. Access personal reporting. All rights reserved. In both men and women post SCI sexuality now involves the psychological and physiological effects of loss of motor and sensory function, bladder and bowel control, alterations to body image and changes in sexual self esteem. Clinical reviews also indicate that brace users are consistently unable to achieve significant functional ambulation without some sort of pelvic control and that adequate hip flexion is an essential component of walking with braces.

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Three phases in the pathophysiology of sexual functioning post SCI are spinal shock, reflex return, and readjustment. This encompasses virtually all of the critical motor and sensory pathways involved in paralysis of the central nervous system. Home Contact Us Publications Legal. Patient selection criteria for Vocare implantation include neurologically stable and clinically complete supra-sacral SCI and intact parasympathetic innervation to detrusor musculature. The source should be flexible to generate complex electrical waveforms, such as triangular or quasitrapezoidal waveforms [ 60 ].