Dosing and the Spinal Cord: The Role of Cycling

10:30 AM - 12:00 PM Friday, January 14

Recently there has been renewed interest in modifying continuous stimulation programming to intermittent or cyclical stimulation with designated off times. Multiple reasons have been proposed for cycling including improving battery longevity while maintaining clinical outcomes. In addition, theoretical concerns have been proposed regarding the 'overdosing' of the spinal cord resulting in declining efficacy. This panel will highlight and explore clinical and basic science data surrounding cycling and the duty cycle in spinal cord stimulation. In addition, future trial designs will be proposed and discussed to further enhance our understanding of cycling and its appropriate deployment in programming parameters for spinal cord stimulation for the treatment of pain.

Learning Objectives

Upon completion of this educational activity, participants should be able to:

  • Define spinal cord stimulation overdosing and explore its scientific merit.
  • Characterize the clinical data for cycling and intermittent dosing in spinal cord stimulation.
  • Analyze the concept of dose in spinal cord stimulation.
  • Describe future scientific protocols and trial designs to enhance our understanding of cycling and intermittent dosing.
Faculty:

Lawrence Poree, MD,MPH,PhD

David A. Provenzano, MD

Julie G. Pilitsis, MD,PhD

Damian S. Shin, PhD

David A. Provenzano, MD

Ricardo Vallejo, MD,PHD