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  4. Fast Inference of Spinal Neuromodulation for Motor Control using Amortized Neural Networks

Fast Inference of Spinal Neuromodulation for Motor Control using Amortized Neural Networks

J Neural Eng., 2022 · DOI: 10.1088/1741-2552/ac9646 · Published: October 18, 2022

Spinal Cord InjuryNeurologyBioinformatics

Simple Explanation

This research explores using machine learning to improve motor function after spinal cord injury (SCI) through epidural electrical stimulation (EES). EES involves stimulating the spinal cord with electricity to help restore movement, but finding the right stimulation parameters is difficult. The researchers used deep neural networks to create models that can predict motor outputs based on EES parameters and, conversely, suggest EES parameters to achieve specific motor outputs. This approach aims to automate and accelerate the process of finding effective EES settings. Data was collected from sheep implanted with EES electrodes, and the neural networks were trained to learn the relationship between EES and muscle activity. The models were then tested in vivo to see if they could accurately identify EES parameters that would produce desired muscle activation patterns.

Study Duration
Not specified
Participants
Four sheep
Evidence Level
Not specified

Key Findings

  • 1
    Neural networks can effectively approximate the complex computations of the spinal cord related to sensorimotor control, accurately predicting muscle activity based on EES parameters.
  • 2
    The developed inverse model can identify novel EES parameters capable of producing desired muscle recruitment in vivo in under 20 minutes, significantly faster than manual methods.
  • 3
    The study discovered functional redundancies within the spinal sensorimotor networks, identifying different EES parameters that can achieve similar motor outcomes, suggesting potential for personalized and optimized EES strategies.

Research Summary

This study introduces a machine-learning framework to identify EES parameters capable of generating desired patterns of EMG activity. The approach involves training a forward neural network model to predict motor outputs based on EES parameters and then using a second neural network as an inverse model to guide the selection of EES parameters. The results demonstrate that the neural networks can accurately predict EMG outputs, identify novel EES parameters quickly, and discover potential functional redundancies within spinal sensorimotor networks.

Practical Implications

Automated EES Parameter Selection

The developed system can automate the selection of EES parameters, significantly reducing the time and effort required for manual optimization.

Personalized EES Strategies

Identifying functional redundancies in spinal sensorimotor networks opens possibilities for personalized EES strategies tailored to individual patient needs.

Improved Clinical Translation of EES

The data-driven approach can address the lack of systematic parameter selection that hinders the clinical translation of EES, potentially benefiting spinal rehabilitation.

Study Limitations

  • 1
    The models are static and do not account for long-term changes with EES use.
  • 2
    Stimulation was applied in an unloaded state, not accounting for somatosensory input during active tasks.
  • 3
    The methodology requires retraining to produce similar results across a wide range of subjects due to anatomical differences.

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