Access to information on new and emerging health technologies, treatments and services allows healthcare decision makers to anticipate and better address existing and emerging health challenges. ISCRR’s Horizon Scanning program identifies technologies that are one to three years from reaching the Australian market and provides an assessment of the evidence of their effectiveness. These scans provide decision-makers and health services with early identification of new technologies and services and ongoing monitoring of the next wave of innovation.

Emerging technologies for pain management Brief

This brief provides an overview of recent developments in interventions that aim to improve outcomes for people with persistent pain. There are four main approaches to managing persistent pain: medications, physical therapy, nerve stimulation or surgical procedures, and pain management programs.

Keywords: persistent pain; model of care; medication; chronic pain

Date published: January 2018

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Newsletter No. 6 (Jan 2018) Newsletter

Uro-Vaxom® for urinary tract infection in individuals with spinal cord injury • ComfierTM sleep system • A new model of care to meet the lifetime needs of individuals following spinal cord injury • DenerveX® system to treat back pain associated with spinal osteoarthritis • Prosthetic hand that allows the wearer to reach for objects automatically • A new test to guide choice of antidepressant • CommCope-I for traumatic brain injury • Outpatient hip replacement

Keywords: horizon scanning, antidepressants, back pain, disability, hip replacement, model of care, musculoskeletal pain, osteoarthritis, prosthetic hand, sleep, spinal cord injury, traumatic brain injury, urinary tract infection

Date published: January 2018

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Models of care for the management of persistent musculoskeletal pain and/or depression Brief

The best outcomes for people with persistent and disabling musculoskeletal pain are achieved when a multidisciplinary team employs a multimodal management approach that includes physical activity, patient education, behavioural interventions and self-management support.

Keywords: persistent pain; musculoskeletal injury; mental health; model of care

Date published: July 2017

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Newsletter No. 5 (Jul 2017) Newsletter

Psychoeducational intervention for back pain • Immunoglobulin therapy for spinal cord injury • Ronopterin for prevention of secondary injury in traumatic brain injury • Emego for people with severe disabilities • Aurix therapy for pressure ulcers • Model of care for musculoskeletal pain and depression • DermaTherapy for pressure ulcer prevention • UrgoStart dressing for chronic wounds • Online training for chronic knee pain

Keywords: horizon scanning, brain injury, chronic knee pain, chronic wounds, depression, disability, exercise, low back pain, model of care, musculoskeletal pain, pain-coping, pressure ulcers, spinal cord injury, technology, ulcer prevention

Date published: July 2017

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Spinal cord stimulation to improve function following spinal cord injury Brief

Neurostimulation is a new strategy that is currently under investigation in the management of spinal cord injury. Neurostimulation is the process of using gentle electrical currents to stimulate the nervous system. Research has given hope that neurostimulation applied to the injured spinal cord can improve function.

Keywords: neurotrauma; spinal cord injury; rehabilitation; mobility

Date published: December 2016

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StimQ peripheral nerve stimulator system for the relief of severe difficult to manage persistent pain Brief

The StimQ System is an implantable peripheral nerve stimulation system developed by Stimwave Technologies to provide therapeutic relief for persistent pain of peripheral nerve origin. The system can be used alone or in combination with other therapies as part of a multimodal approach.

Keywords: persistent pain

Date published: December 2016

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Newsletter No. 4 (Dec 2016) Newsletter

Ultrasound for severe brain injury • Spinal cord stimulation following spinal cord injury • Neural bypass system to restore movement following quadriplegia • UPnRIDE mobility device • Biological scaffolds for muscle loss after musculoskeletal injuries • iBOT two-wheel wheelchair • Riluzole for acute spinal cord injury • StimQ and SPRINT peripheral nerve stimulation systems for pain relief

Keywords: horizon scanning, acute pain, brain injury, muscle loss, musculoskeletal injuries, neural bypass, neurostimulation, persistent pain, quadriplegia, riluzole, spinal cord injury, ultrasound, wheelchair

Date published: December 2016

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Powered lower limb exoskeletons for spinal cord injury Brief

The primary limitation of wheelchair use reported by users is the inability to walk or climb stairs. Wearable powered exoskeletons have the potential to overcome this limitation by providing greater mobility and freedom to individuals with paraplegia from spinal cord injury.

Keywords: neurotrauma; spinal cord injury; mobility

Date published: July 2016

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Newsletter No. 3 (Jul 2016) Newsletter

AST-OPC1 for acute spinal cord injury • Indego exoskeleton • Hyaluronic acid for neuropathic pain • Keeogo walking device • Telehealth for PTSD • Treatment of spinal cord injury with surgical implant • Granulox spray for chronic wounds • Model of care for low back pain • Neuro-spinal scaffold for acute spinal cord injury • Pathway of care for whiplash injury

Keywords: spinal cord injury, exoskeleton, neuropathic pain, telehealth, chronic wounds, acute low back pain, whiplash injury

Date published: July 2016

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Smart-e-Pants for the prevention of pressure injuries in the spinal cord injury population Brief

Scientists at the University of Alberta in Canada have developed underwear that electrically stimulates the skin and is designed to fit into existing care routines. The underwear is intended to prevent the development of pressure injuries of the ischial tuberosity and sacrum. The underwear is fitted with electrodes that generate tiny pulses of intermittent electrical stimulation.

Keywords: neurotrauma; spinal cord injury

Date published: December 2014

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Model of care for prevention and integrated management of pressure injuries in people with spinal cord injury and spina bifida Brief

The Model of Care describes an integrated approach to the care of patients with spinal cord injuries with the aim of improving pressure injury outcomes, and of limiting their psychosocial and economic impact. Three key principles are identified: self-management, access to equitable and timely services, and integrated care.

Keywords: neurotrauma; spinal cord injury; model of care

Date published: December 2014

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Newsletter No. 2 (Dec 2014) Newsletter

Nerve stimulation for chronic pain • NKTR-181 μ-opioid agonist • Technology for people with cognitive impairments • Musculoskeletal disease management • Return to work with brain injury • Ankle-replacement implant • Mild brain injury and cognitive function • Brain activity associated with concussion • Protein that may increase autoimmune response after brain injury • Cloud-based speech therapy

Date published: December 2014

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Indwelling catheters with Bactiguard silver alloy coating to prevent catheter-associated urinary tract infections in patients with spinal cord injury Bulletin

The antimicrobial properties of the Bactiguard silver alloy coating are intended to prevent the adhesion of bacteria to the inner surface of a catheter and thus preclude the formation of colonies of bacteria that can result in a catheter-associated urinary tract infection.

Keywords: neurotrauma; spinal cord injury; bladder management

Date published: September 2014

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Newsletter No. 1 (Sep 2014) Newsletter

3D printing prosthetics • ReWalk & Ekso exoskeletons • Mind-controlled prosthetic arm • Keyless keyboard and mouse • FES for respiratory function after spinal cord injury • Vacuum suspension prosthetic foot • Epidural stimulation for paraplegia • Dexmecamylamine for overactive bladder • Donated tissue for wound healing

Date published: September 2014

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