Augmenting rehabilitation robotics with spinal cord neuromodulation: A proof of concept.
Details
Serval ID
serval:BIB_5390E4FD747D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Augmenting rehabilitation robotics with spinal cord neuromodulation: A proof of concept.
Journal
Science robotics
ISSN
2470-9476 (Electronic)
ISSN-L
2470-9476
Publication state
Published
Issued date
12/03/2025
Peer-reviewed
Oui
Volume
10
Number
100
Pages
eadn5564
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
Rehabilitation robotics aims to promote activity-dependent reorganization of the nervous system. However, people with paralysis cannot generate sufficient activity during robot-assisted rehabilitation and, consequently, do not benefit from these therapies. Here, we developed an implantable spinal cord neuroprosthesis operating in a closed loop to promote robust activity during walking and cycling assisted by robotic devices. This neuroprosthesis is device agnostic and designed for seamless implementation by nonexpert users. Preliminary evaluations in participants with paralysis showed that the neuroprosthesis enabled well-organized patterns of muscle activity during robot-assisted walking and cycling. A proof-of-concept study suggested that robot-assisted rehabilitation augmented by the neuroprosthesis promoted sustained neurological improvements. Moreover, the neuroprosthesis augmented recreational walking and cycling activities outdoors. Future clinical trials will have to confirm these findings in a broader population.
Keywords
Humans, Robotics/instrumentation, Walking, Proof of Concept Study, Spinal Cord/physiology, Male, Adult, Female, Bicycling, Spinal Cord Injuries/rehabilitation, Middle Aged, Paralysis/rehabilitation, Muscle, Skeletal/innervation, Neural Prostheses
Pubmed
Web of science
Create date
14/03/2025 14:49
Last modification date
29/03/2025 8:09