NEUROMODULATION SYSTEM FOR PLANNING AND/OR ADJUSTING AND/OR PROVIDING A NEUROMODULATION THERAPY
A neuromodulation system for planning, adjusting, and providing a neuromodulation therapy, comprising: at least one neuromodulation means configured to provide neuromodulation at least partially by means of neurostimulation; at least one neuromodulation controller configured to control the neuromodulation means, wherein the neuromodulation controller is further configured to control the neuromodulation means at the beginning of a neuromodulation action including neurostimulation that the neurostimulation comprises a starting sequence and/or at the end of a neuromodulation action including neurostimulation that the neurostimulation comprises an ending sequence.
1 . A neuromodulation system for planning and/or adjusting and/or providing a neuromodulation therapy, comprising:
at least one neuromodulation means configured to provide neuromodulation at least partially by means of neurostimulation;
at least one neuromodulation controller configured to control the neuromodulation means,
wherein the neuromodulation controller is further configured to control the neuromodulation means at the beginning of a neuromodulation action including neurostimulation that the neurostimulation comprises a starting sequence and/or at the end of a neuromodulation action including neurostimulation that the neurostimulation comprises an ending sequence.
2 . The neuromodulation system according to claim 1 , wherein the neurostimulation comprises stimulation parameters, wherein the stimulation parameters comprise power, amplitude, current, voltage, pulse width, frequency and/or duration.
3 . The neuromodulation system according to claim 2 , wherein at least one stimulation parameter of the starting sequence and/or ending sequence has a lower level compared to the at least one stimulation parameter of the normal stimulation.
4 . The neuromodulation system according to claim 1 , wherein at least one stimulation parameter is increased during the starting sequence and/or decreased during the ending sequence.
5 . The neuromodulation system according to claim 4 , wherein the increase the at least one stimulation parameter is a linear, non-linear, exponential, polynomic and/or stepwise increase and that the decrease of the at least one stimulation parameter is a linear, non-linear, exponential, polynomic and/or stepwise decrease.
6 . The neuromodulation system according to claim 1 , wherein the starting sequence includes a pre-pulse (PP), wherein at least one stimulation parameter of the pre-pulse (PP) is of a lower level compared to the at least one stimulation parameter of a normal stimulation pulse.
7 . The neuromodulation system according to claim 1 , wherein the starting sequence and/or the ending sequence includes a pulse ramping.
8 . The neuromodulation system according to claim 7 , wherein the pulse ramping includes a ramping up from a starting level of at least one stimulation parameter to a higher level of the at least one stimulation parameter used for the neurostimulation and/or a ramping down from a level of at least one stimulation parameter used for the neurostimulation to a lower level of the at least one stimulation parameter, below the threshold used for neurostimulation.
9 . The neuromodulation system according to claim 1 , wherein the level of at least one stimulation parameter of the starting sequence and ending sequence is determined manually and/or automatically based on response data.
10 . The neuromodulation system according to claim 1 , wherein the neuromodulation is planned to be provided and/or provided to a spatial area of a patient, wherein the spatial area during the starting sequence and/or ending sequence is limited compared to the spatial area during the stimulation after the starting sequence and/or before the ending sequence.
11 . The neuromodulation system according to claim 1 , wherein the starting sequence and/or ending sequence comprises a pre-warning signal and stop-warning signal.
12 . The neuromodulation system according to claim 11 , wherein the pre-warning signal and/or stop-warning signal is an acoustic, visual, haptic, electrical, sensory and/or temperature signal.
13 . The use of a system for planning, adjusting, and providing a neuromodulation therapy according to claim 1 in a method for the treatment of a patient suffering from at least one of a spinal cord injury, stroke, traumatic injury, Parkinson disease, cerebral palsy, multiple sclerosis, autonomic failure, autonomic neuropathy, and cancer of the neurological tissue.