2.6.1. Electrical therapies
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2.6.1. Electrical therapies
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Electrical therapies
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1.1Advanced AI1.2QuantumRevolution1.3UnconventionalComputing1.4AugmentedReality1.5CollectiveIntelligence2.1CognitiveEnhancement2.2HumanApplicationsof GeneticEngineering2.3HealthspanExtension2.4ConsciousnessAugmentation2.5Organoids2.6FutureTherapeutics3.1Decarbonisation3.2EarthSystemsModelling3.3FutureFoodSystems3.4SpaceResources3.5OceanStewardship3.6SolarRadiationModification3.7InfectiousDiseases4.1Science-basedDiplomacy4.2Advancesin ScienceDiplomacy4.3Foresight,Prediction,and FuturesLiteracy4.4Democracy-affirmingTechnologies5.1ComplexSystemsScience5.2Futureof Education5.3Future Economics,Trade andGlobalisation5.4The Scienceof theOrigins of Life5.5SyntheticBiology

Sub-Field:

2.6.1Electrical therapies

    The nervous system runs on electrical signals, and these can be manipulated to help with mental health problems, movement disorders, autoimmune diseases and diseases of ageing. While gross application of electricity has long been used in medicine, subtler and more targeted ways to change the body's natural electrical signals are now emerging.

    Deep brain stimulation was initially developed to treat movement disorders but for the past two decades it has been in trials to target treatment-resistant mental health disorders, including depression and obsessive-compulsive disorders.9 Promising trials are underway. Current therapies are invasive and have limited functionality (and thus limited application), but ongoing trials are testing new materials and closed-loop designs for implants that will ensure better monitoring, wider adoption and biocompatibility.10 Brain signals can also be manipulated non-invasively, and altering the frequencies of brain oscillations has been shown to affect cognition, memory recall and behaviour. Recently there have been early indications that it may mitigate the symptoms of Alzheimers disease.11

    Another promising target for electrical therapies is the vagus nerve, a thick cable of parasympathetic nerve fibres that innervates many vital organs. Vagus Nerve Stimulation (VNS), both using invasive electrodes and non-invasive wearable devices, is now the subject of intense interest across many trials, with hopes of proving a wide range of therapeutic effects including on diabetes, depression, and autoimmune conditions like Crohn's disease.12

    Electrical therapies are even emerging as potential components of regenerative medicine. It has become evident that electrical signalling plays a role in non-neural systems, and early successes in pre-clinical models suggest that stimulation could help scarless healing.13 Some drugs can be repurposed to affect electrical aspects of the wound healing and regeneration response: in frog trials the drugs were able to fully regenerate an amputated limb.14

    Future Horizons:

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    5-yearhorizon

    Closed loop systems and better implants

    Closed loop designs help deep brain stimulation devices to give more precise control over brain circuits involved in depression and OCD. The evolution of implant materials continues, with new biocompatible materials entering (and completing) clinical trials for chronic nervous system implantation. Vagus nerve stimulation devices are FDA approved for medical uses, while non-invasive VNS apps, targeted at non-medical needs, are commercialised on the supplement market.

    10-yearhorizon

    Implants become ubiquitous

    New designs of brain implants which should do less damage when being implanted, such as neurograins and neuropixels, move through more clinical trials. The devices lead to improved understanding of neural pathways. Stentrodes (implantable electrodes) become commercially available.

    25-yearhorizon

    The line between implants and biology is erased

    Electrical stimulation is sufficiently parametrised that it is used to provide scarless healing and electrical control of regeneration response in the clinic. Better materials allow biomimetics to exist permanently in the nervous system to regulate its functions. Implants transition from central, single electrodes to nano-sensors and nano-stimulators distributed throughout the body.

    Electrical therapies - Anticipation Scores

    How the experts see this field in terms of the expected time to maturity, transformational effect across science and industries, current state of awareness among stakeholders and its possible impact on people, society and the planet. See methodology for more information.

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