A six-channel lightweight, portable and computer-controlled stimulator
for the functional activation of paraplegic patients is described. To
enable programming of the various functions, the stimulator was desig
ned to work in a remote-control mode hosted by an IBM PC or compatible
computer, in addition to its normally used local mode. The stimulus p
arameters, including current intensity, stimulus frequency and pulse w
idth, are individually adjustable and programmable for each channel. T
he power source is 12 V 500 m Ah-1, from 10 rechargeable nickel cadmiu
m batteries, with a run time of 1. 5 h for a load of 200 mA in four ch
annels. Various training programmes for the activation of paraplegics
in the sitting, standing and walking positions are described. The fina
l design of the stimulator is based on experience gained from 25 patie
nts, treated and evaluated during the course of development. Ongoing w
ork including clinical, biomechanical and physiological studies is car
ried out to evaluate performance of the activated patients and to opti
mize stimulation.