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Updated: Feb 16, 2026

Evaluation of Respiratory Muscle Activation Using Respiratory Motor Control Assessment RMCA in Individuals with Chronic Spinal Cord Injury
Published on: July 19, 2013
Intraspinal microstimulation for respiratory muscle activation.
Michael D Sunshine1, Comron N Ganji2, Paul J Reier3
1Rehabilitation Medicine, University of Washington, Seattle, WA, United States; Center for Sensorimotor Neural Engineering (CSNE), Seattle, WA, United States; Physical Therapy and McKnight Brain Institute, University of Florida, Gainesville, FL, United States.
Intraspinal microstimulation can activate diaphragm and external intercostal motor units. The complex propriospinal network influences respiratory motor unit recruitment during breathing.
Area of Science:
- Neuroscience
- Respiratory Physiology
Background:
- Propriospinal networks modulate respiratory motoneurons.
- Predicting motor unit recruitment via intraspinal microstimulation (ISMS) is challenging.
Purpose of the Study:
- Map cervical and thoracic gray matter for ISMS-induced diaphragm (DIA) and external intercostal (EIC) motor unit activation.
- Investigate the influence of endogenous respiratory drive on ISMS outcomes.
Main Methods:
- Recorded respiratory muscle electromyography (EMG) in anesthetized rats.
- Advanced stimulating electrodes ventrally into the spinal cord (C2-T1) in 600μm increments.
- Delivered biphasic stimuli at varying intensities during inspiratory and expiratory phases.
Main Results:
- ISMS evoked DIA and EIC activity across C2-T1 gray matter during inspiration.
- Mutual DIA and EIC activation occurred at 17% of sites.
- DIA activation latency varied based on stimulation phase and electrode proximity to the phrenic motoneuron pool.
Conclusions:
- Targeted ISMS can co-activate DIA and EIC motor units.
- Endogenous respiratory drive significantly impacts ISMS-induced motor unit activation.
- Long latencies suggest a complex propriospinal network modulating phrenic motor output.
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