Segmented lead independent electrode control for sensing or adaptive stimulation

A method of providing neuromodulation comprising:

• generating a symmetrical electrical stimulation signal, the symmetrical electrical stimulation comprising electrical stimulation of a same amplitude from each stimulation electrode of a respective pair of stimulation electrodes;
• delivering the symmetrical electrical stimulation signal through a plurality of stimulation electrodes, the plurality of stimulation electrodes comprising at least two of a first electrode, a second electrode, at least one segment electrode of a first group of segmented electrodes or at least one segment electrode of a second group of segmented electrodes to a patient;
• sensing a response to the symmetrical electrical stimulation signal through a plurality of sense electrodes, the plurality of sense electrodes comprising at least two of the first electrode, the second sensing electrode, at least one other segment electrode of a first group of segmented electrodes or at least one other segment electrode of a second group of segmented electrodes, each of the plurality of sense electrodes being different than each of the plurality of stimulation electrodes;
• and
• adjusting at least one stimulation parameter of the symmetrical electrical stimulation signal based on the sensed response.

A non-transitory storage medium storing instructions, which, when executed, cause processing circuitry to:

• control a stimulation generator to generate a symmetrical electrical stimulation signal, the symmetrical electrical stimulation comprising electrical stimulation of a same amplitude from each stimulation electrode of a respective pair of stimulation electrodes;
• control the stimulation generator to deliver the symmetrical electrical stimulation signal through a plurality of stimulation electrodes, the plurality of stimulation electrodes comprising at least two of a first electrode, a second electrode, at least one segment electrode of a first group of segmented electrodes, or at least one segment electrode of a second group of segmented electrodes to a patient;
• sense a response to the symmetrical electrical stimulation signal through a plurality of sense electrodes, the plurality of sense electrodes comprising at least two of the first electrode, the second electrode, at least one other segment electrode of the first group of segmented electrodes, or at least one other segment electrode of the second group of segmented electrodes, each of the plurality of sense electrodes being different than each of the plurality of stimulation electrodes;
• and
• control the stimulation generator to adjust at least one stimulation parameter of the symmetrical electrical stimulation signal based on the sensed response.