Multi-pronged neuromodulation intervention engages the residual motor circuitry to facilitate walking in a rat model of spinal cord injury.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_4258AB1CF4BF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Multi-pronged neuromodulation intervention engages the residual motor circuitry to facilitate walking in a rat model of spinal cord injury.
Journal
Nature communications
Author(s)
Bonizzato M., James N.D., Pidpruzhnykova G., Pavlova N., Shkorbatova P., Baud L., Martinez-Gonzalez C., Squair J.W., DiGiovanna J., Barraud Q., Micera S., Courtine G.
ISSN
2041-1723 (Electronic)
ISSN-L
2041-1723
Publication state
Published
Issued date
26/03/2021
Peer-reviewed
Oui
Volume
12
Number
1
Pages
1925
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Abstract
A spinal cord injury usually spares some components of the locomotor circuitry. Deep brain stimulation (DBS) of the midbrain locomotor region and epidural electrical stimulation of the lumbar spinal cord (EES) are being used to tap into this spared circuitry to enable locomotion in humans with spinal cord injury. While appealing, the potential synergy between DBS and EES remains unknown. Here, we report the synergistic facilitation of locomotion when DBS is combined with EES in a rat model of severe contusion spinal cord injury leading to leg paralysis. However, this synergy requires high amplitudes of DBS, which triggers forced locomotion associated with stress responses. To suppress these undesired responses, we link DBS to the intention to walk, decoded from cortical activity using a robust, rapidly calibrated unsupervised learning algorithm. This contingency amplifies the supraspinal descending command while empowering the rats into volitional walking. However, the resulting improvements may not outweigh the complex technological framework necessary to establish viable therapeutic conditions.
Keywords
Animals, Deep Brain Stimulation/methods, Disease Models, Animal, Electric Stimulation/methods, Female, Humans, Locomotion/physiology, Lumbar Vertebrae/physiopathology, Mesencephalon/physiopathology, Motor Cortex/physiopathology, Neurons/physiology, Rats, Inbred Lew, Spinal Cord/physiopathology, Spinal Cord Injuries/physiopathology, Spinal Cord Injuries/therapy, Walking/physiology
Pubmed
Web of science
Open Access
Yes
Create date
05/04/2021 9:11
Last modification date
23/01/2024 7:24
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