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We use electrical stimulation, e-stim, for lots of different things.  Would it work on the muscles that hold the airway open?  I don't know enough about it to know if that amount of

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There are a number of FDA phase I studies in progress using hypoglossal nerve stimulation paced to the muscles of respiration, kind of like a pacemaker. I wrote about this in one of my past blogs here.
Thanks Dr. Park, great discussion and info, too bad they haven't followed up on it more aggressively. Yet. Too much money to be made from other therapies, at this point. If they can get a vent dependent quad to breathe on their own with e-stimulation, well then.... Will comment further on your blog, thanks again.
Matt -- I bet they're following up on this treatment modality VERY aggressively if it is actually a winner. But you've got to keep in mind there's an elaborate FDA screening process they have to go through before it's widely available. I'd look out for more on this in the years to come.

Matt said:
Thanks Dr. Park, great discussion and info, too bad they haven't followed up on it more aggressively. Yet. Too much money to be made from other therapies, at this point. If they can get a vent dependent quad to breathe on their own with e-stimulation, well then.... Will comment further on your blog, thanks again.
Mike- I'm probably more cynical than average, having sat in this chair hearing about curative therapies for spinal cord injuries being "5 years" down the road for 20+ years. That being said, the article Dr. Park posted in his blog links to further studies of e-stim being in the works. Very interesting...

Mike said:
Matt -- I bet they're following up on this treatment modality VERY aggressively if it is actually a winner. But you've got to keep in mind there's an elaborate FDA screening process they have to go through before it's widely available. I'd look out for more on this in the years to come.

Matt said:
Thanks Dr. Park, great discussion and info, too bad they haven't followed up on it more aggressively. Yet. Too much money to be made from other therapies, at this point. If they can get a vent dependent quad to breathe on their own with e-stimulation, well then.... Will comment further on your blog, thanks again.
This appears to be the only remotely promising treatment visible on the horizon. IF it is effective, I wonder if it will ever be covered by insurance.
Tim - Don't underestimate it. Like I said, if e-stimulation can get a high-level quadriplegic breathing on his own and off respirator, anything is possible... perfected, I would go for it.

Tim said:
This appears to be the only remotely promising treatment visible on the horizon. IF it is effective, I wonder if it will ever be covered by insurance.
Matt, correct me if I'm wrong, but doesn't being vent dependent have to do more with the muscles below the neck, the diaphragm and the chest muscles that power respiration than the upper airway?

Mary Z.
Mary - Yes, you are correct. The theory is the same though, just different muscles being stimulated.


Mary Z said:
Matt, correct me if I'm wrong, but doesn't being vent dependent have to do more with the muscles below the neck, the diaphragm and the chest muscles that power respiration than the upper airway?

Mary Z.

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