Walking naturally after spinal cord injury using a brain-spine interface.

Details

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State: Public
Version: author
License: CC BY 4.0
Serval ID
serval:BIB_029278333489
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Walking naturally after spinal cord injury using a brain-spine interface.
Journal
Nature
Author(s)
Lorach H., Galvez A., Spagnolo V., Martel F., Karakas S., Intering N., Vat M., Faivre O., Harte C., Komi S., Ravier J., Collin T., Coquoz L., Sakr I., Baaklini E., Hernandez-Charpak S.D., Dumont G., Buschman R., Buse N., Denison T., van Nes I., Asboth L., Watrin A., Struber L., Sauter-Starace F., Langar L., Auboiroux V., Carda S., Chabardes S., Aksenova T., Demesmaeker R., Charvet G., Bloch J., Courtine G.
ISSN
1476-4687 (Electronic)
ISSN-L
0028-0836
Publication state
Published
Issued date
06/2023
Peer-reviewed
Oui
Volume
618
Number
7963
Pages
126-133
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
A spinal cord injury interrupts the communication between the brain and the region of the spinal cord that produces walking, leading to paralysis <sup>1,2</sup> . Here, we restored this communication with a digital bridge between the brain and spinal cord that enabled an individual with chronic tetraplegia to stand and walk naturally in community settings. This brain-spine interface (BSI) consists of fully implanted recording and stimulation systems that establish a direct link between cortical signals <sup>3</sup> and the analogue modulation of epidural electrical stimulation targeting the spinal cord regions involved in the production of walking <sup>4-6</sup> . A highly reliable BSI is calibrated within a few minutes. This reliability has remained stable over one year, including during independent use at home. The participant reports that the BSI enables natural control over the movements of his legs to stand, walk, climb stairs and even traverse complex terrains. Moreover, neurorehabilitation supported by the BSI improved neurological recovery. The participant regained the ability to walk with crutches overground even when the BSI was switched off. This digital bridge establishes a framework to restore natural control of movement after paralysis.
Keywords
Humans, Brain/physiology, Brain-Computer Interfaces, Electric Stimulation Therapy/instrumentation, Electric Stimulation Therapy/methods, Quadriplegia/etiology, Quadriplegia/rehabilitation, Quadriplegia/therapy, Reproducibility of Results, Spinal Cord/physiology, Spinal Cord Injuries/complications, Spinal Cord Injuries/rehabilitation, Spinal Cord Injuries/therapy, Walking/physiology, Leg/physiology, Neurological Rehabilitation/instrumentation, Neurological Rehabilitation/methods, Male
Pubmed
Web of science
Open Access
Yes
Create date
30/05/2023 10:24
Last modification date
23/01/2024 8:15
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