Mechanisms of Action of Spinal Cord Stimulation

Dr. Robert Levy highlights the mechanisms of spinal cord stimulation (SCS), including the factors that affect changes in electrical stimulation and the challenges of open loop SCS, which can lead to explanting devices and therapy burden. He discusses evoked compound action potentials (ECAP) and the benefits of ECAP-controlled closed loop SCS, which is a smarter approach to SCS therapy. Dr. Levy emphasizes the evidence for consistent and accurate neural activation and how the technology responds to patient movement. He discusses clinical trial data to support these findings.