Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Showing posts with label eStim. Show all posts
Showing posts with label eStim. Show all posts

Sunday, August 31, 2025

Optimizing Stroke Rehabilitation: Towards Closed-loop Phase-shifted Electrical Stimulation for Reduced Muscle Fatigue and Enhanced Arm/Hand Control

 Have your competent? doctor translate this into understandable English and see what can be used to get survivors recovered.  I have no clue what this means

Optimizing Stroke Rehabilitation: Towards Closed-loop Phase-shifted Electrical Stimulation for Reduced Muscle Fatigue and Enhanced Arm/Hand Control


Semester

Summer

Date of Graduation

2025

Document Type

Dissertation (Campus Access)

Degree Type

PhD

College

School of Medicine

Department

Not Listed

Committee Chair

Sergiy Yakovenko

Committee Member

Valeriya Gritsenko

Committee Member

Loren Rieth

Committee Member

James W. Lewis

Committee Member

Marco Capogrosso

Abstract

Movement is the most sophisticated function arising from the cooperation between body and mind. Yet, the central nervous system (mind) faces the challenge of coordinating complex movements in a highly dimensional musculoskeletal system (body), known as the motor redundancy problem. To address this problem, we designed a neural network solution to computationally solve the inverse kinematics problem using raw motion capture recordings, as described in Chapter 2. Another solution to the redundancy problem can be observed through the reduced dimensionality of the neural control space, a concept known as muscle synergies or motor primitives. Although various mathematical methods applied to differently structured datasets obtain low-dimensional control space solutions, their neuromuscular or biomechanical underpinnings are unclear. Therefore, in Chapter 3, we investigate the link between muscle synergies and limb dynamics (forces) through two components: 1) a gravity component for supporting the limb against gravity and 2) a dynamic component for propelling and orienting the hand. We further examine these two components in the context of stroke. Poststroke, the outputs from the primary motor cortex to motoneurons are disrupted in patterns unique to individuals. While each stroke is different, common patterns of abnormal muscle activations are frequently observed. In Chapter 4, we find how gravity and dynamic components are differentially affected during the sub-acute and chronic stages of stroke recovery and how this knowledge can inform personalized rehabilitation using neuromuscular electrical stimulation. Chapter 5 focuses on the surface neuromuscular electrical stimulation to reduce rapid muscle fatigue, improve non-linear “all-or-none” recruitment of muscle fibers, and alleviate pain and paresthesia – critical factors for the long-term application of electrical stimulation. There, we leverage a phase-shifted stimulation approach, in which pulses of electrical current alternate between two or more electrode pairs. This approach minimizes fatigue, discomfort, and sensory issues while enabling more effective control of muscle contractions. By combining these approaches, we aim to develop a closed-loop stimulation system to support the hemiparetic arm against gravity and assist in the rehabilitation of reaching and grasping movements, as discussed in the final chapter.

Tuesday, June 17, 2025

AI-Driven Hybrid Rehabilitation: Synergizing Robotics and Electrical Stimulation for Upper-Limb Recovery After Stroke

You'll have to depend on your competent? doctor to get this. Do you have a functioning stroke doctor or not?

AI-Driven Hybrid Rehabilitation: Synergizing Robotics and Electrical Stimulation for Upper-Limb Recovery After Stroke

  • 1Advanced Technologies in Medicine and Signals (ATMS), Ecole Nationale d’Ingénieurs de Sfax (ENIS), University of Sfax, Sfax 3038, Tunisia, Sfax, Tunisia
  • 2Department of Computer Engineering, College of Computer Engineering and Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia, Riadh, Saudi Arabia
  • 3Department of Mechanical Engineering, College of Engineering, Taif University, Taif 21944, Saudi Arabia., Taif, Saudi Arabia
This study presents an AI-enhanced hybrid rehabilitation system that integrates a dual-arm robotic platform with electromyography (EMG)-guided neuromuscular electrical stimulation (NMES) to support upper-limb motor recovery in stroke survivors. The system features a symmetrical robotic arm with real-time anatomical adaptation for bilateral therapy and incorporates a Support Vector Machine (SVM)-based model for continuous muscle fatigue detection using time-frequency features extracted from EMG signals. A ROS2-based architecture enables real-time signal processing, adaptive control, and remote supervision by clinicians. The system dynamically adjusts stimulation parameters based on fatigue classification results, allowing personalized and responsive therapy. Preliminary clinical validation with three post-stroke patients demonstrated a 44% increase in range of motion, 45% enhancement in active torque, and 36% reduction in passive torque. The SVM model achieved a 95% accuracy in fatigue detection, and initial patient results suggest the feasibility and potential benefits of this intelligent, closed-loop rehabilitation approach.

Wednesday, April 16, 2025

Wearable Neuro Device Approved to Assist Rehab of Stroke & SCI

 But this isn't addressing the wrong signals causing spasticity which I consider the major failure of all eStim techniques.

The proper research on this would be a way to stop the signals causing spasticity instead of this stupid; 'Hey, let's try to overcome the spasticity, which doesn't get you recovered at all!' Does anyone in stroke have any brains at all?

Wearable Neuro Device Approved to Assist Rehab of Stroke & SCI

Neuvotion is set to launch its first product, a non-invasive digital neuromodulation technology that focuses on regaining hand function for patients.

Joe Darrah

April 15, 2025

7 Min Read
medical device on a patient's wrist
Image courtesy of Neuvotion

Regardless of severity, recovery from stroke or spinal cord injury (SCI) is always a challenging process. This is especially true when the patient’s hands are affected.

Because standard physical rehabilitation tends to prioritize therapies focused on walking and the lower extremities, there’s an unmet need among those trying to recover the use of their hands, said Chad Bouton, founder and CEO of Neuvotion, an early-stage medical device company that develops neuromodulation technologies and products for neurorehabilitation, brain-computer interfaces, and physical therapy.

“The hand is very complicated – there are many joints, over 30 muscles involved, and the hand has a large number of degrees of freedom,” Bouton told MD+DI. “With the complexity of the hand, that part of the brain is a bit larger – so there is more susceptibility for a stroke to compromise a patient’s hands. And with spinal cord injuries, we also often see a lot at the neck level that unfortunately affects the hands. Recovery can be challenging, but that’s what we’ve been focused on.”

Founded in 2019, Neuvotion’s first product, NeuStim, a non-invasive, surgery-free, high-precision wearable that electrically stimulates muscles, has received 510(k) clearance.

The device supports hand movement recovery after stroke or SCI through the use of a touchscreen interface that enables clinicians to scan and pinpoint muscle targets electronically to steer stimulation with precision.

Related:FDA Approves Medtronic's Adaptive Deep Brain Stimulation for Parkinson's Disease

The wearable is expected to launch within the next year and help produce improved outcomes in stroke and SCI rehabilitation with the potential for earlier intervention depending on how quickly patients are stabilized.

“The responses that we are already receiving from clinical institutions around the world have been very exciting,” said Bouton, who prior to establishing Neuvotion developed and led the technology involved in the world’s first study on a paralyzed patient who regained hand function through the use of a brain chip that was linked to muscle stimulation in real-time.

Stimulation as soon as possible

Intended to treat adult patients who have experienced a hemiplegic stroke (paralysis or paresis on one side of the body) or those who have had a SCI at the fifth cervical vertebra (C-5 level), the NeuStim device can be initiated as early in the rehab process as the clinical care team deems appropriate if the necessary clinical requirements for receiving electrical stimulation are achieved. Evidence suggests that the timing of intervention can play a role in outcomes, according to Bouton.

Related:Medtronic & Boston Scientific’s Axonics End Patent Battle

“Our research has shown that when you can start patients on the therapy earlier if they’re ready, that can help to reverse atrophy and maladaptation of the neural circuits – these motor circuits that over time can start to develop ‘bad habits’ because of impaired function,” he said. 

A wireless, standalone, battery-operated device, NeuStim allows the clinician to communicate instructions for stimulation from a tablet interface to the patient once the wearable has been placed on the affected arm. By sliding a finger over the touchscreen, the clinician can move the point of stimulation via more than 150 small electrodes that deliver electrical impulses to the muscles noninvasively through the skin. Patches that are placed on the skin light up to indicate where the stimulation point is moving electronically.

“The electrodes do not need to be moved manually in the conventional way,” Bouton said. “That method can take hours away from the rehab sessions to map everything. It can also be much more difficult to find motor points. But with our approach, we have demonstrated that you can touch a screen to accomplish this task – and within minutes you can find the motor points, stimulate the right muscles, and literally get patients moving again. Insurance covers only a certain amount of time for rehabilitation. You don’t want to be spending more time on setup. NeuStim can be placed quickly, in under 90 seconds.”

Related:Could Saluda Medical’s Latest Funding Round Indicate a Resurgence of VC Interest in Medtech?

Device design and delivery

Developmentally focused on efficacy and safety, NeuStim’s design and functionality are the result of a collaborative partnership between Neuvotion and Intelligent Product Solutions (IPS), an end-to-end company that specializes in medical device design and development.

While there are a few contraindications and warnings related to receiving electrical stimulation that must be considered before beginning the therapy, including the use of synchronous (or demand) pacemakers and implantable cardiac defibrillators, the device has been designed for a variety of patient anatomies, according to Brad Carlson, vice president of technology and business development at IPS.

“There’s a human element here and we wanted ease of use to lead to adoption,” Carlson said. “To ensure safety, we have used biocompatible materials throughout the design. The device maintains safe stimulation levels on its own with built-in safety mechanisms to maintain proper operation.”

Stimulation should not be applied over the carotid sinus nerves, particularly in patients with a known sensitivity to the carotid sinus reflex.

Another innovative design aspect of the device is the thin, flexible patches that hold the electrodes in place.

“This promotes contractions of the muscles after stroke or spinal cord injury to reverse that atrophy and to promote rehabilitation or recovery over time,” said Bouton.

The specificity at which stimulation can be delivered has been especially important in stroke recovery. “When you’re talking about the hand and finger movements, these are very small muscles and muscle targets,” said Bouton. “With stroke, hypertonicity will commonly occur, and patients will have excessive flexion. And it’s difficult to counteract that with conventional therapy when you’re only trying to mechanically move something. But if you electrically stimulate the opposite side and you can pinpoint those targets, those muscles can be activated and you can get movement. Sometimes there’s a response within seconds.”
To promote continuity, stimulation profiles can be established and saved for each user through the graphical interface. Patients are engaged by watching the impulses that are sent by the clinician and providing instant feedback about anything that they’re able to sense or feel during the therapy, although sensation could be impaired, especially in SCI cases.
“Once the clinician is set up and they have found those stimulation points, and we’re seeing muscle activation and movements, they can then save those patterns into the device for that patient,” Bouton said. “This is a great feature because when they come in for future sessions their settings can be loaded and repeated. We can then store those sequences that the clinical team wants to work on – say, the opening of the hand and the closing of the hand, or transfer tasks such as picking up objects and putting them down, or compound movements. This device has the advanced feature of having these sequences so that patients can be helped with doing functional movements. And research has shown that if the patient is actively involved in their therapy, the outcomes are better.”

With stimulation information stored, the clinician utilizes a slider on the touchscreen that resembles a volume control to adjust the intensity or level of stimulation. There’s also an option to modulate the stimulation setting, allowing for the intensity to be adjusted up and down, which contracts the muscle at different levels – something that’s effective for trying to slow down or reverse any atrophy. This is also beneficial for activating the muscles in the neural circuits to help promote recovery, according to Bouton. “The patients can also be actively involved in attempting these movements, which is common in a rehab setting. But the difference here is the stimulation can be steered electronically, and the levels can be adjusted in real-time,” he said.

Bouton credits the collaboration with IPS with helping to design the device to offer this level of sophistication. “IPS has been an extension of our engineering team, and they have been fantastic to work with,” he said. “Patients have different forearm shapes and sizes. IPS was instrumental in looking at different sizes and shapes of arms with their human factors team, which was a big challenge that helped us to shape and size the design to fit unique anatomies. To be able to keep the device thin, flexible, and fitting has been a fantastic design element that IPS led.

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Future features already being researched

Bouton said Neuvotion has been focused on the next innovations for NeuStim prior to the device appearing on the market.

“Something that is currently under development in our system as a future feature is adding artificial intelligence that will allow patients to start a gross motion that the AI will recognize and infer that they’re trying to open their hand — and to automatically stimulate the hand to pick up an object,” Bouton said. “We’ve completed early research studies and we anticipate adding this technology in the coming versions.”

Wednesday, March 19, 2025

Exoskeleton and digital twin speed up stroke recovery

 But this isn't addressing the wrong signals causing spasticity which I consider the major failure of all eStim techniques.

The proper research on this would be a way to stop the signals causing spasticity instead of this stupid; 'Hey, let's try to overcome the spasticity, which doesn't get you recovered at all!' Does anyone in stroke have any brains at all?

Exoskeleton and digital twin speed up stroke recovery

Wolfgang Korisanski is one of the 24 patients who have already tested the new exoskeleton and electrical stimulation system for a study. In the background: Hossein Kavianirad (left) and Neha Das, researchers from Prof. Sandra Hirche's department. Credit: Sabrina Bauer / TUM

Researchers at the Technical University of Munich (TUM) have developed a system that helps patients learn to move their paralyzed arms and hands quickly after a stroke. This requires targeted stimulation of the muscles in the forearm and the support of an exoskeleton. Twenty-four stroke patients have already tested the system at the Schön Klinik Bad Aibling.

The study is published in 2024 10th IEEE RAS/EMBS International Conference for Biomedical Robotics and Biomechatronics (BioRob).

The researchers use functional electrical stimulation (FES) to stimulate specific muscles in the forearm. This is necessary, for example, for moving fingers, grasping objects or catching a ball. However, one-sided paralysis following a stroke usually affects not only the hand, but the entire side of the body. For that reason, a scaffold also supports the entire arm up to the shoulder.

The stroke patients have already used the complete system, consisting of an exoskeleton for the arm and shoulder in combination with FES as part of the ReHyb research project. Half of them were patients at the Schön Klinik Bad Aibling Harthausen, which is leading the study.

The researchers also used a computer game that automatically adapts to the individual player's capabilities. It trains them to grip and move their arms shortly after a stroke by reacting to colored balls flying toward them at varying speeds on a screen. The task is to catch the balls and match them with color-coded boxes.

The secret of success: Digital twin of muscle activity, muscle stimulation strength and an exoskeleton

At the center of TUM Professor Sandra Hirche's setup is a that records the individual requirements of each patient and places them in a control loop. Among other things, the researchers have to determine how well each patient can move their arm and hand. In the event of a stroke, for example, paralysis can be caused by damage to the motor area in the brain responsible for movement. However, it is impossible to predict how severely the signals transmitted from the brain to the muscles in the forearm will be impaired after the stroke.

"Individual strands in the forearm can be stimulated to the right extent for hands and fingers to move," says Prof. Hirche, who holds the Chair of Information-Oriented Control at TUM.

In addition to information on muscle activity in the forearm, the researchers need to know how strongly the muscles should be stimulated in conjunction with the exoskeleton assistance. "We use algorithms to bring this individual information together in a control loop," says the control engineering expert. Consequently, the digital twin is needed to provide individualized support for the arm and hand movements of affected persons.

Prof. Hirche uses the phrase "intention-controlled intelligent control" to refer to the fact that patients can use this technology to move as much as they want after a stroke. Carmen Krewer, team lead of the research group at the Schön Klinik cooperation partner in Bad Aibling, states, "Such a modular system with electrical stimulation and exoskeleton has never existed. It also enables stroke sufferers to continue training at home without the support of others."

More information: Neha Das et al, Framework for Learning a Hand Intent Recognition Model from sEMG for FES-Based control, 2024 10th IEEE RAS/EMBS International Conference for Biomedical Robotics and Biomechatronics (BioRob) (2024). DOI: 10.1109/BioRob60516.2024.10719910

Friday, February 14, 2025

Neuvotion Receives FDA Clearance for NeuStim™ Providing Non-Invasive, High-Resolution Stimulation for the Hand After Stroke or Spinal Cord Injury

Seems to be much easier to calibrate than the guesswork involved in eStim patches on your forearm. I gave up on mine, couldn't consistently get them situated right and they did nothing to stop the spasticity. 

The proper research on this would be a way to stop the signals causing spasticity instead of this stupid; 'Hey, let's try to overcome the spasticity, which doesn't get you recovered at all!' Does anyone in stroke have any brains at all?
Neuvotion Receives FDA Clearance for NeuStim™ Providing Non-Invasive, High-Resolution Stimulation for the Hand After Stroke or Spinal Cord Injury   
 

STAMFORD, Conn., Feb. 11, 2025 /PRNewswire/ -- Neuvotion, Inc. is an early-stage medical device company developing AI-driven neuromodulation technologies and products for use in the neurorehabilitation, brain-computer interface (BCI), and physical therapy markets. Neuvotion has received FDA 510(k) clearance for their first product, NeuStim™, a non-invasive, surgery-free wearable that electrically stimulates muscles dynamically and with high-precision. NeuStim™ supports hand movement recovery after stroke or spinal cord injury and allows clinicians to quickly scan and pinpoint stimulation targets through an innovative touch-screen interface. Stimulation profiles can be quickly setup and saved for each user through a graphical user interface on a lightweight mobile device. Neuvotion plans to launch NeuStim™ in the coming year.

"At Neuvotion we are developing highly innovative technologies built on two decades of scientific research yielding effective and easy-to-use products," said Chad Bouton, Neuvotion's founder and CEO. "We are extremely excited about NeuStim™, our first product, which we believe will be a game-changer in the neuromodulation, brain-computer interface, and neurorehabilitation markets."

"We have been very impressed with Professor Bouton's groundbreaking foundational research and Neuvotion's highly innovative approach," said Michael Spigel, PT, MHA, President & CEO of Good Shepherd Rehabilitation. "We look forward to continuing as a clinical research partner with Neuvotion. We feel that NeuStim™ is truly revolutionary and will help produce improved outcomes in stroke and spinal cord injury rehabilitation."

About Neuvotion, Inc.
Neuvotion is an early-stage medical device company developing solutions for facilitating and restoring movement and sensation to the millions of patients experiencing impairment from stroke, spinal cord injury, and other neurological conditions. Neuvotion is developing technologies that combine high-precision neurostimulation and artificial intelligence to improve and accelerate rehabilitation while making physical and occupational therapy more effective and efficient.

About Good Shepherd Rehabilitation 
Good Shepherd Rehabilitation (https://www.goodshepherdrehab.org/), a nationally recognized, not-for-profit rehabilitation leader with more than 70 locations throughout Pennsylvania and New Jersey, is committed to transforming lives through expertise, innovation, and compassion. Good Shepherd provides an exceptional patient experience for all ages and stages by developing leading-edge solutions, often for complex medical situations; serving as a test site for the newest rehabilitation technologies; and inspiring hope in all we do. Headquartered in Allentown, Pennsylvania, Good Shepherd also partners with Penn Medicine to provide rehabilitation and specialty services in the greater Philadelphia area and New Jersey through Good Shepherd Penn Partners.

SOURCE Neuvotion, Inc.                      

Friday, January 17, 2025

Body-hack electrodes teach you by controlling your muscles

 Why hasn't your competent? doctor introduced this into your hospital? It's only from September 2014! Seems much more complete than simple eStim.

Body-hack electrodes teach you by controlling your muscles

A gentle jolt of electricity could nudge your muscles into learning a new skill or add an extra dimension to virtual reality. Hal Hodson got hooked up

By Hal Hodson

2 September 2015New Scientist. Science news and long reads from expert journalists, covering developments in science, technology, health and the environment on the website and the magazine.

A bit less virtual, a bit more reality (Image: Pedro Lopes)

MY OPPONENT bobs and weaves in front of me, fists cocked, ready to attack. Gingerly, I settle into my own stance and prepare to fight. He closes in straight away and throws a few jabs, testing my guard. My forearm jerks back as his fist connects. Feeling my arm physically move is strange, because this boxing match is happening in virtual reality.

I’m experiencing this mash-up of real and virtual in the Hasso Plattner Institute, southwest of Berlin, Germany. This lab, run by Patrick Baudisch, is where the…

To continue reading, subscribe today with our introductory offers

Sunday, October 13, 2024

Magnetic Nanodiscs Offer Implant-Free Brain Stimulation

 Ask your competent? doctor if this could replace all these:

  • TMS (67 posts to December 2011)
  • rTMS (67 posts to January 2013)
  • LF-rTMS (1 post to June 2021)
  • TMS-EEG (1 post to Auhust 202372)
  • ETMS (1 post to December 2014)
  • Brain-zapping (1 post to February 2021)
  • eStim (27 posts to December 2011)
  • brain stimulation (16 posts to September 2013)
  • To me the best use of this device would be to counteract the spasticity signals from your spinal cord and get spasticity cured. But that would totally be against the infuriating opinion of Dr. William M. Landau! Hey, Dr. Landau, talk to me; oc1dean@gmail.com

    Spasticity After Stroke: Why Bother? Aug. 2004)

    The latest here:

     Magnetic Nanodiscs Offer Implant-Free Brain Stimulation

    Summary: Scientists have developed magnetic nanodiscs that enable targeted brain stimulation without invasive implants or genetic modifications. The tiny discs, activated by an external magnetic field, deliver electrical pulses to neurons, showing potential in treating neurological conditions.

    Initial tests in mice demonstrated that these nanodiscs effectively stimulate brain regions linked to reward and motor control, with fewer foreign body responses compared to traditional implants. The study marks a step toward new, less invasive therapies for brain disorders.

    Future improvements aim to enhance the discs’ electric impulse output for even greater efficacy. With further research, these nanodiscs could become valuable tools in neurological research and treatment.

    Key Facts:

    • Nanodiscs deliver electrical stimulation when activated by an external magnet.
    • Testing in mice showed effective stimulation of brain areas related to reward and motor functions.
    • Future research will focus on amplifying the nanodiscs’ electric output for clinical use.

    Source: MIT

    Novel magnetic nanodiscs could provide a much less invasive way of stimulating parts of the brain, paving the way for stimulation therapies without implants or genetic modification, MIT researchers report.

    The scientists envision that the tiny discs, which are about 250 nanometers across (about 1/500 the width of a human hair), would be injected directly into the desired location in the brain. From there, they could be activated at any time simply by applying a magnetic field outside the body.

    This shows a diagram of the magnetic discs.
    The magnetic core of the nanodisc is magnetostrictive, which means it changes shape when magnetized. The rainbow nanodisc on the right is changing shape, allowing for the pink brain neuron to be stimulated. Credit: The researchers.

    The new particles could quickly find applications in biomedical research, and eventually, after sufficient testing, might be applied to clinical uses.

    The development of these nanoparticles is described in the journal Nature Nanotechnology, in a paper by Polina Anikeeva, a professor in MIT’s departments of Materials Science and Engineering and Brain and Cognitive Sciences, graduate student Ye Ji Kim, and 17 others at MIT and in Germany.

    Deep brain stimulation (DBS) is a common clinical procedure that uses electrodes implanted in the target brain regions to treat symptoms of neurological and psychiatric conditions such as Parkinson’s disease and obsessive-compulsive disorder.

    Despite its efficacy, the surgical difficulty and clinical complications associated with DBS limit the number of cases where such an invasive procedure is warranted. The new nanodiscs could provide a much more benign way of achieving the same results.

    Over the past decade other implant-free methods of producing brain stimulation have been developed. However, these approaches were often limited by their spatial resolution or ability to target deep regions.

    For the past decade, Anikeeva’s Bioelectronics group as well as others in the field used magnetic nanomaterials to transduce remote magnetic signals into brain stimulation. However, these magnetic methods relied on genetic modifications and can’t be used in humans.

    Since all nerve cells are sensitive to electrical signals, Kim, a graduate student in Anikeeva’s group, hypothesized that a magnetoelectric nanomaterial that can efficiently convert magnetization into electrical potential could offer a path toward remote magnetic brain stimulation. Creating a nanoscale magnetoelectric material was, however, a formidable challenge.

    Kim synthesized novel magnetoelectric nanodiscs and collaborated with Noah Kent, a postdoc in Anikeeva’s lab with a background in physics who is a second author of the study, to understand the properties of these particles.

    The structure of the new nanodiscs consists of a two-layer magnetic core and a piezoelectric shell. The magnetic core is magnetostrictive, which means it changes shape when magnetized.

    This deformation then induces strain in the piezoelectric shell which produces a varying electrical polarization. Through the combination of the two effects, these composite particles can deliver electrical pulses to neurons when exposed to magnetic fields.

    One key to the discs’ effectiveness is their disc shape. Previous attempts to use magnetic nanoparticles had used spherical particles, but the magnetoelectric effect was very weak, says Kim. This anisotropy enhances magnetostriction by over a 1000-fold, adds Kent.

    The team first added their nanodiscs to cultured neurons, which allowed then to activate these cells on demand with short pulses of magnetic field. This stimulation did not require any genetic modification.

    They then injected small droplets of magnetoelectric nanodiscs solution into specific regions of the brains of mice. Then, simply turning on a relatively weak electromagnet nearby triggered the particles to release a tiny jolt of electricity in that brain region.

    The stimulation could be switched on and off remotely by the switching of the electromagnet. That electrical stimulation “had an impact on neuron activity and on behavior,” Kim says.

    The team found that the magnetoelectric nanodiscs could stimulate a deep brain region, the ventral tegmental area, that is associated with feelings of reward.

    The team also stimulated another brain area, the subthalamic nucleus, associated with motor control.

    “This is the region where electrodes typically get implanted to manage Parkinson’s disease,” Kim explains.

    The researchers were able to successfully demonstrate the modulation of motor control through the particles. Specifically, by injecting nanodiscs only in one hemisphere, the researchers could induce rotations in healthy mice by applying magnetic field.

    The nanodiscs could trigger the neuronal activity comparable with conventional implanted electrodes delivering mild electrical stimulation. The authors achieved subsecond temporal precision for neural stimulation with their method yet observed significantly reduced foreign body responses as compared to the electrodes, potentially allowing for even safer deep brain stimulation.

    The multilayered chemical composition and physical shape and size of the new multilayered nanodiscs is what made precise stimulation possible.

    While the researchers successfully increased the magnetostrictive effect, the second part of the process, converting the magnetic effect into an electrical output, still needs more work, Anikeeva says.

    While the magnetic response was a thousand times greater, the conversion to an electric impulse was only four times greater than with conventional spherical particles.

    “This massive enhancement of a thousand times didn’t completely translate into the magnetoelectric enhancement,” says Kim.

    “That’s where a lot of the future work will be focused, on making sure that the thousand times amplification in magnetostriction can be converted into a thousand times amplification in the magnetoelectric coupling.”

    What the team found, in terms of the way the particles’ shapes affects their magnetostriction, was quite unexpected.

    “It’s kind of a new thing that just appeared when we tried to figure out why these particles worked so well,” says Kent.

    Anikeeva adds: “Yes, it’s a record-breaking particle, but it’s not as record-breaking as it could be.” That remains a topic for further work, but the team has ideas about how to make further progress.

    While these nanodiscs could in principle already be applied to basic research using animal models, to translate them to clinical use in humans would require several more steps, including large-scale safety studies, “which is something academic researchers are not necessarily most well-positioned to do,” Anikeeva says.

    “When we find that these particles are really useful in a particular clinical context, then we imagine that there will be a pathway for them to undergo more rigorous large animal safety studies.”

    The team included researchers affiliated with MIT’s departments of Materials Science and Engineering, Electrical Engineering and Computer Science, Chemistry, and Brain and Cognitive Sciences; the Research Laboratory of Electronics; the McGovern Institute for Brain Research; and the Koch Institute for Integrative Cancer Research; and from the Friedrich-Alexander University of Erlangen, Germany.

    Funding: The work was supported, in part, by the National Institutes of Health, the National Center for Complementary and Integrative Health, the National Institute for Neurological Disorders and Stroke, the McGovern Institute for Brain Research, and the K. Lisa Yang and Hock E. Tan Center for Molecular Therapeutics in Neuroscience.

    About this neurotech research news

    Author: David L. Chandler
    Source: MIT
    Contact: David L. Chandler – MIT
    Image: The image is credited to Neuroscience News

    Original Research: Open access.
    Magnetoelectric nanodiscs enable wireless transgene-free neuromodulation” by Polina Anikeeva et al. Nature Nanotechnology