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Use of Accelerometry as an Educational Tool for Spinal Cord Stimulation: A Pilot Study
Alexios G Carayannopoulos1, Keith A Scarfo2, Alaa Abd-Elsayed3
1Department of Physical Medicine and Rehabilitation, Rhode Island Hospital, Brown University Medical School, Providence, RI, USA.
Journal of Pain Research
|November 23, 2022
Summary
External accelerometry can help patients set objective functional goals for spinal cord stimulation (SCS) therapy. This pilot study found most patients were satisfied with accelerometry as an educational tool for appraising function and guiding SCS treatment goals.
Area of Science:
- Pain Management
- Neurology
- Rehabilitation Technology
Background:
- Spinal cord stimulation (SCS) is a key treatment for chronic neuropathic pain.
- Current SCS success metrics are subjective, potentially limiting patient goal achievement.
- Objective functional appraisal is needed to optimize SCS therapy outcomes.
Purpose of the Study:
- To evaluate patient satisfaction with external accelerometry as an educational tool.
- To assess accelerometry's utility in objectively appraising function and guiding SCS treatment goals.
- To explore accelerometry's role in personalizing SCS therapy.
Main Methods:
- A single-center, prospective pilot study involving 16 patients with persistent spinal pain syndrome type 2 undergoing SCS trials.
- Subjects used accelerometers pre-trial and during the 7-day trial to establish baseline activity and assess changes.
- Patient-reported outcomes and accelerometry data were collected at 1, 3, and 6 months post-implant.
Main Results:
- Eight out of nine subjects reported satisfaction with using accelerometry as an educational tool.
- The tool helped patients appraise function and guide their SCS treatment goals.
- Reliable assessment of secondary outcomes was hindered by study execution limitations.
Conclusions:
- External accelerometry shows promise as an educational tool for patients undergoing SCS.
- It may aid in developing individualized functional treatment goals for SCS therapy.
- Further research with robust execution is warranted to confirm secondary outcome benefits.

