Hand Grasp

The NNP hand grasp system is designed to provide two different grasps to people with SCI: lateral pinch (for example, holding a key), and palmar grasp (for example, holding a cup).  We are currently enrolling subjects in an Early Feasibility NNP Trial to evaluate the ability of the hand grasp feature to improve subjects’ ability to pick up objects and perform daily activities.

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Respiration

The Synapse Biomedical NeuRx® DPS diaphragm pacing system is FDA approved and available in more than 25 countries. It provides respiratory assistance to people with spinal cord injury or ALS, enabling them to be less dependent on a ventilator.

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Trunk Stability

The trunk stability feature is designed to provide improved stability during seated reaching tasks by activating muscles of the lower back and buttocks. We are currently enrolling subjects in an Early Feasibility NNP Trial to evaluate the ability of this feature to improve seated reaching distance. In prior investigations in a limited number of subjects using earlier generation systems, we have studied the effect of trunk stability on wheelchair propulsion, weight-shifting and pressure relief during sitting.

Bladder / Bowel

We are partnered with Stanford University Neurosciences Institute and the Palo Alto VA Healthcare System to conduct feasibility studies on an earlier generation system to identify the best stimulation levels that will give people both continence and voiding of the bladder. We are also exploring similar techniques for bowel continence and voiding.

Standing

The standing system is designed to provide supported standing for people with spinal cord injury. Early studies on a limited number of subjects have shown that for people with good arm and hand function, the system may allow them to do one-handed activities while standing using the other hand for support. For people with more limited hand and arm function, an earlier generation system is being studied for its ability to provide standing as a form of exercise, or as a method to help transfers.

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Stepping

Early investigations on a limited number of subjects have shown that for people with SCI who have good arm and hand function, stepping and stair-climbing can be achieved by activating muscles of the legs and back, while using a walker for support.

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