The aim of this comprehensive review is to provide an instructional guide for providers regarding the parameters and programming of spinal cord stimulation (SCS) devices. Knowing these fundamentals will aid in providing superior pain relief to patients. SCS has four programmable parameters: contact (electrode) selection, amplitude, pulse width, and frequency. Each parameter needs to be accounted for when assessing which program works for which patient. Traditional open-loop systems allow for different “programs,” or combinations of these four parameters, to be pre-set by the provider and medical device representative. These allow for flexibility in the type of stimulation delivered to the patient depending on activity. Patients are also given control over programs and changing the amplitudes of these programs. However, some open-loop systems place the burden of toggling between programs to manage pain control on patients, though this tends to be less in subparesthesia programs. Newer closed-loop systems make it possible for stimulation settings to automatically adjust in response to accelerometry and evoked compound action potential feedback, and therefore have the potential to streamline the patient experience. This article provides practitioners with the basic knowledge of SCS parameters and programming systems. Understanding their use is essential to providing optimal pain relief to patients.

这项全面审查的目的是为提供者提供有关脊髓刺激（SCS）设备的参数和编程的指导性指南。了解这些基本原理将有助于为患者提供出色的疼痛缓解。SCS具有四个可编程参数：触点（电极）选择，幅度，脉冲宽度和频率。在评估哪个程序适合哪个患者时，需要考虑每个参数。传统的开环系统允许提供者和医疗设备代表预先设置不同的“程序”或这四个参数的组合。这些允许根据活动而灵活地传递给患者的刺激类型。还使患者能够控制程序并更改这些程序的幅度。然而，一些开环系统使程序之间切换来管理患者的疼痛控制，尽管在全身麻醉程序中这种负担往往较小。较新的闭环系统使刺激设置可以响应于加速度测量和诱发的复合动作电位反馈而自动调整，因此具有简化患者体验的潜力。本文为从业人员提供了SCS参数和编程系统的基本知识。了解其用法对于为患者提供最佳的疼痛缓解至关重要。较新的闭环系统使刺激设置可以响应于加速度测量和诱发的复合动作电位反馈而自动调整，因此具有简化患者体验的潜力。本文为从业人员提供了SCS参数和编程系统的基本知识。了解其用法对于为患者提供最佳的疼痛缓解至关重要。较新的闭环系统使刺激设置可以响应于加速度测量和诱发的复合动作电位反馈而自动调整，因此具有简化患者体验的潜力。本文为从业人员提供了SCS参数和编程系统的基本知识。了解其用法对于为患者提供最佳的疼痛缓解至关重要。