Variable amplitude signals for neurological therapy, and associated systems and methods
Variable amplitude signals for neurological therapy, and associated systems and methods are disclosed. A representative method includes activating automatic delivery of an electrical therapy signal to a patient's spinal cord region at a frequency in a frequency range between 1.5 kHz and 100 kHz, via at least one signal delivery contact carried by an implanted signal delivery device. The delivery can include repeatedly and automatically delivering the electrical therapy signal at each of multiple therapy signal amplitudes to the at least one signal delivery contact, without the therapy signal generating paresthesia in the patient. The foregoing process can be used as a screening tool to screen responders from non-responders in the context of a non-paresthesia-generating therapy, and/or can be used during long-term treatment, for example, for chronic pain.
1. A patient therapy system, comprising:
a signal generator coupleable to at least one implantable signal delivery device, the signal generator programmed with instructions that, when executed (a) direct a non-paresthesia generating electrical signal to the patient via the implantable signal delivery device for a plurality of sequential amplitude sweep periods, and (b) step the electrical signal through multiple signal amplitudes of a same polarity for individual amplitude sweep periods of the plurality of sequential amplitude sweeps periods, wherein—
at least some of the sequential amplitude sweep periods include at least some of the same multiple signal amplitudes, and
pulses of the same amplitude in sequential amplitude sweep periods have a same pulse width.
2. The system of claim 1 wherein the multiple signal amplitudes are generated in a random order for each amplitude sweep period.
3. The system of claim 1 wherein the multiple signal amplitudes are generated in a same order for each amplitude sweep period.
4. The system of claim 1 wherein the individual amplitude sweep periods include at least three different signal amplitudes.
5. The system of claim 1 wherein the individual amplitude sweep periods include at least five different signal amplitudes.
6. The system of claim 1 wherein the multiple signal amplitudes each have an amplitude of between 0.5 mA and 10 mA.
7. The system of claim 1 wherein the individual amplitude sweep periods include two or more pulses at each of the multiple signal amplitudes.
8. The system of claim 1 wherein the individual amplitude sweep periods include a single pulse at each of the multiple signal amplitudes.
9. The system of claim 1 wherein the sequential amplitude sweep periods include the same multiple signal amplitudes.
10. The system of claim 1 wherein stepping the signal through the multiple amplitudes includes (a) increasing the amplitude of the signal over the individual amplitude sweep period, (b) decreasing the amplitude of the signal over the individual amplitude sweep period, or both (a) and (b).
11. The patient therapy system of claim 1 wherein the non-paresthesia generating electrical signal is a first non-paresthesia generating electrical signal, and wherein the instructions include instructions that, when executed, cause the signal generator to direct a second non-paresthesia generating electrical signal to the patient via the implantable signal delivery device at individual amplitudes of the multiple signal amplitudes to identify at least one therapeutically effective amplitude, in response to an indication that the patient responds favorably to the first non-paresthesia generating electrical signal.
12. A method of treating a patient, comprising:
programming a signal generator to direct a non-paresthesia generating electrical signal to the patient via an implantable signal delivery device for a plurality of sequential amplitude sweep periods, including stepping the signal through multiple signal amplitudes of a same polarity for individual amplitude sweep periods of the plurality of sequential amplitude sweeps periods, and wherein—
at least some of the sequential amplitude sweep periods include at least some of the same multiple signal amplitudes, and
pulses of the same amplitude in sequential amplitude sweep periods have a same pulse width.
13. The method of claim 12 wherein the multiple signal amplitudes are generated in a random order for each amplitude sweep period.
14. The method of claim 12 wherein the multiple signal amplitudes are generated in a same order for each amplitude sweep period.
15. The method of claim 12 wherein the multiple signal amplitudes include at least three different amplitudes each having a value of between about 0.5 mA and about 10 mA.
16. The method of claim 12 wherein a step change between the adjacent amplitudes of the multiple signal amplitudes is between about 0.1 mA and about 0.5 mA.
17. The method of claim 12 wherein stepping the signal through the multiple signal amplitudes includes (a) increasing the amplitude of the signal over the individual amplitude sweep period, (b) decreasing the amplitude of the signal over the individual amplitude sweep period, or both (a) and (b).
18. The method of claim 12 wherein the individual amplitude sweep periods include two or more pulses at each of the multiple signal amplitudes.
19. The method of claim 12 wherein the individual amplitude sweep periods include a single pulse at each of the multiple signal amplitudes.
20. The method of claim 12 wherein the sequential amplitude sweep periods include the same multiple signal amplitudes.
21. The method of claim 12 wherein the non-paresthesia generating electrical signal is a first non-paresthesia generating electrical signal, and wherein the method further comprises:
in response to receiving an indication that the patient responds favorably to the first non-paresthesia generating electrical signal, programming the signal generator to direct a second non-paresthesia generating electrical signal to the patient via the implantable signal delivery device at individual amplitudes of the multiple signal amplitudes to identify at least one therapeutically effective amplitude.
22. A method of treating a patient, comprising:
programming a signal generator to direct a non-paresthesia generating electrical signal to the patient via an implantable signal delivery device for a plurality of sequential amplitude sweep periods, wherein—
individual amplitude sweep periods of the plurality of sequential amplitude sweep periods include multiple signal amplitudes of a same polarity generated in a random order,
at least some of the sequential amplitude sweep periods include at least some of the same multiple signal amplitudes, and
pulses of the same amplitude in sequential amplitude sweep periods have a same pulse width.
23. The method of claim 22 wherein the individual amplitude sweep periods include at least three different signal amplitudes each having an amplitude of between about 0.5 mA and about 10 mA.
24. The method of claim 22 wherein the individual amplitude sweep periods include two or more pulses at each of the multiple signal amplitudes.
25. The method of claim 22 wherein the non-paresthesia generating electrical signal is a first non-paresthesia generating electrical signal, and wherein the method further comprises:
in response to receiving an indication that the patient responds favorably to the first non-paresthesia generating electrical signal, programming the signal generator to direct a second non-paresthesia generating electrical signal to the patient via the implantable signal delivery device at individual amplitudes of the multiple signal amplitudes to identify at least one therapeutically effective amplitude.