Abstract
Spinal cord stimulation (SCS) uses electrical pulses delivered to the spinal cord as a drug-free treatment for chronic pain. The pulse parameters are individualized based on the patient’s unique perception of SCS. Configuration of these parameters takes specialized training, experience, and time. The evoked compound action potentials (ECAP) contain information about the type and degree of neural activity in the spinal cord (1) and may be used as an indicator of the patient’s perception of SCS (2). By analyzing the relationship between the stimulation amplitude and the ECAP response we demonstrate the ability to detect ECAP threshold as an indicator of patient perception that can be used for automated, perceptually referenced programming.
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