New neurorehabilitation technology: A pioneer patient

Details

Ressource 1Download: Mémoire no 3468 Mme Fiechter.pdf (7859.70 [Ko])
State: Public
Version: After imprimatur
Serval ID
serval:BIB_492A5BA06226
Type
A Master's thesis.
Publication sub-type
Master (thesis) (master)
Collection
Publications
Institution
Title
New neurorehabilitation technology: A pioneer patient
Author(s)
FIECHTER J.
Director(s)
BLOCH J.
Codirector(s)
MIGNARDOT J., VAN DEN BRAND R.
Institution details
Université de Lausanne, Faculté de biologie et médecine
Publication state
Accepted
Issued date
2016
Language
english
Number of pages
30
Abstract
Abstract
Spinal cord injury (SCI) often leads to chronic paralysis, which was for a long time
considered to be an irreversible condition. Moreover it was unthinkable that any
voluntary movement such as walking could be recovered. But recently there has
been hope as different studies showed a certain regain of function in rats after spinal
cord injury. The group of Prof G Courtine at EPFL has shown with rats, but also
translational studies on monkeys that a tri-axial strategy consisting of electrochemical
stimulation and active training, enabled by a new robotic system, with the goal of
reconnecting the two sections above and below the lesion could lead to improvement
of locomotion.
Recently a patient with a cervical spinal cord lesion was involved a similar
neurorehabilitation program. The subject, was fully depending on her wheelchair.
After being implanted with the electrode array she followed a special rehabilitation
program at the gait lab in the CHUV. This training was based on the idea of the triaxial
strategy already introduced by the G-Lab, but forwent without chemical
stimulation due to the drug’s side effects. So after conducting eight months of
neurorehabilitation training, consisting of epidural electric stimulation (EES) and
active training, the participant was able to walk with just the aid of a walker.
In this master work I am presenting the patient and the evolution of her motor
performances during the whole rehabilitation period.
Keywords
Spinal cord injury, Epidural electric stimulation, Neurorehabilitation, Versatile robotic interface
Create date
06/09/2017 10:33
Last modification date
20/08/2019 14:56
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