Timing control for paired plasticity
First Claim
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1. A system comprising:
- a therapeutic training interface configured to provide tone based therapy to a patient;
a vagus nerve interface configured to provide electrical stimulation to a vagus nerve of the patient, whereinthe system is configured to determine the beginning of the tone based therapy,the system is configured to control stimulation to the vagus nerve and control the providing of the tone based therapy so that the stimulation to the vagus nerve and the providing of the tone based therapy is synchronized and the stimulation occurs after the beginning of the tone based therapy, andthe system is configured to control the therapeutic training interface and the vagus nerve interface so that at least one audible tone is provided to the patient followed by a waiting period followed the providing of at least one audible tone to the patient and wherein the respective at least one vagus nerve stimulations are paired with the at least one audible tones and so that at no audible tones and no vagus nerve stimulations are provided during the waiting period.
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Abstract
Systems, methods and devices for paired training include timing controls so that training and neural stimulation can be provided simultaneously. Paired trainings may include therapies, rehabilitation and performance enhancement training. Stimulations of nerves such as the vagus nerve that affect subcortical regions such as the nucleus basalis, locus coeruleus or amygdala induce plasticity in the brain, enhancing the effects of a variety of therapies, such as those used to treat tinnitus, stroke, traumatic brain injury and post-traumatic stress disorder.
351 Citations
19 Claims
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1. A system comprising:
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a therapeutic training interface configured to provide tone based therapy to a patient; a vagus nerve interface configured to provide electrical stimulation to a vagus nerve of the patient, wherein the system is configured to determine the beginning of the tone based therapy, the system is configured to control stimulation to the vagus nerve and control the providing of the tone based therapy so that the stimulation to the vagus nerve and the providing of the tone based therapy is synchronized and the stimulation occurs after the beginning of the tone based therapy, and the system is configured to control the therapeutic training interface and the vagus nerve interface so that at least one audible tone is provided to the patient followed by a waiting period followed the providing of at least one audible tone to the patient and wherein the respective at least one vagus nerve stimulations are paired with the at least one audible tones and so that at no audible tones and no vagus nerve stimulations are provided during the waiting period. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A system comprising:
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a timing control system configured to treat tinnitus therapy comprising; a sound generator configured to generate a plurality of sounds; a vagus nerve stimulator configured to electrically stimulate a vagus nerve of a patient, wherein the timing control system is configured to synchronize stimulation of the vagus nerve with the generation of the plurality of sounds, the system is configured to identify the respective beginnings of the respective generated sounds, wherein the system configured to provide electrical stimulation of the vagus nerve that respectively begins after the respective beginnings of the respective generated sounds, and wherein the system is configured to synchronize the sounds with the vagus nerve stimulation so that at least one sound is provided to the patient followed by a waiting period followed by the providing of at least one sound to the patient and wherein respective at least one vagus nerve stimulations are paired with the at least one sound and wherein no sound is provided during the waiting period. - View Dependent Claims (11, 12, 13, 14, 15, 16, 17, 18)
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19. A system, comprising:
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a therapeutic training interface configured to provide sound to a patient; a vagus nerve interface configured to provide electrical stimulation to a vagus nerve of the patient, wherein the system is configured to control the electrical stimulation to the vagus nerve and control the providing of the sound so that the stimulation to the vagus nerve and the providing of the sound is synchronized, the system is configured to identify the beginning of the providing of sound to the patient, the system configured to provide stimulation of the vagus nerve that begins after the beginning of the provided sound, and the system is configured to synchronize the sounds with the vagus nerve stimulation so that a plurality of respective sounds are provided to the patient, and wherein the system is configured to provide a waiting period between the respective provided sounds defined by a period where no sound is provided, and wherein respective at least one vagus nerve stimulations are paired with the respective sounds.
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Specification