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ALSUntangled #75: Portable neuromodulation stimulator therapy.
Laurel Officer1, Carmel Armon2, Paul Barkhaus3
1Department of Neurology, Brooke Army Medical Center, San Antonio, TX, USA.
Amyotrophic Lateral Sclerosis & Frontotemporal Degeneration
|April 26, 2024
Summary
The Portable Neuromodulation Stimulator (PoNS™) shows promise for neurological conditions, but lacks amyotrophic lateral sclerosis (ALS) data. Current evidence does not support its use for ALS treatment.
Area of Science:
- Neurology
- Biomedical Engineering
Background:
- Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disease.
- Patient interest has prompted an examination of the Portable Neuromodulation Stimulator (PoNS™) for ALS treatment.
- The PoNS™ device is FDA-approved for multiple sclerosis gait deficits.
Purpose of the Study:
- To evaluate the potential of the PoNS™ device for treating amyotrophic lateral sclerosis (ALS).
- To review existing data on PoNS™ efficacy in other neurological conditions.
Main Methods:
- Literature review of PoNS™ technology and its application in neurological disorders.
- Analysis of the PoNS™ mechanism involving translingual neurostimulation.
- Assessment of safety, cost, and accessibility factors.
Main Results:
- PoNS™ utilizes translingual neurostimulation to induce neuroplastic changes.
- Promising data exists for PoNS™ in multiple sclerosis, stroke, and traumatic brain injury.
- No pre-clinical or clinical studies specific to ALS have been conducted.
Conclusions:
- The PoNS™ device has demonstrated efficacy in improving gait and balance in other neurological conditions.
- Lack of ALS-specific data prevents endorsement of PoNS™ for ALS treatment.
- High costs and prescription requirements may limit PoNS™ accessibility.

