A spinal cord neuroprosthesis for locomotor deficits due to Parkinson's disease.

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Version: Author's accepted manuscript
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Serval ID
serval:BIB_6577508D50CE
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
A spinal cord neuroprosthesis for locomotor deficits due to Parkinson's disease.
Journal
Nature medicine
Author(s)
Milekovic T., Moraud E.M., Macellari N., Moerman C., Raschellà F., Sun S., Perich M.G., Varescon C., Demesmaeker R., Bruel A., Bole-Feysot L.N., Schiavone G., Pirondini E., YunLong C., Hao L., Galvez A., Hernandez-Charpak S.D., Dumont G., Ravier J., Le Goff-Mignardot C.G., Mignardot J.B., Carparelli G., Harte C., Hankov N., Aureli V., Watrin A., Lambert H., Borton D., Laurens J., Vollenweider I., Borgognon S., Bourre F., Goillandeau M., Ko WKD, Petit L., Li Q., Buschman R., Buse N., Yaroshinsky M., Ledoux J.B., Becce F., Jimenez M.C., Bally J.F., Denison T., Guehl D., Ijspeert A., Capogrosso M., Squair J.W., Asboth L., Starr P.A., Wang D.D., Lacour S.P., Micera S., Qin C., Bloch J., Bezard E., Courtine G.
ISSN
1546-170X (Electronic)
ISSN-L
1078-8956
Publication state
Published
Issued date
11/2023
Peer-reviewed
Oui
Volume
29
Number
11
Pages
2854-2865
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
People with late-stage Parkinson's disease (PD) often suffer from debilitating locomotor deficits that are resistant to currently available therapies. To alleviate these deficits, we developed a neuroprosthesis operating in closed loop that targets the dorsal root entry zones innervating lumbosacral segments to reproduce the natural spatiotemporal activation of the lumbosacral spinal cord during walking. We first developed this neuroprosthesis in a non-human primate model that replicates locomotor deficits due to PD. This neuroprosthesis not only alleviated locomotor deficits but also restored skilled walking in this model. We then implanted the neuroprosthesis in a 62-year-old male with a 30-year history of PD who presented with severe gait impairments and frequent falls that were medically refractory to currently available therapies. We found that the neuroprosthesis interacted synergistically with deep brain stimulation of the subthalamic nucleus and dopaminergic replacement therapies to alleviate asymmetry and promote longer steps, improve balance and reduce freezing of gait. This neuroprosthesis opens new perspectives to reduce the severity of locomotor deficits in people with PD.
Keywords
Male, Animals, Humans, Parkinson Disease/complications, Parkinson Disease/therapy, Gait Disorders, Neurologic/etiology, Gait Disorders, Neurologic/therapy, Deep Brain Stimulation, Gait/physiology, Spinal Cord
Pubmed
Web of science
Create date
10/11/2023 14:24
Last modification date
05/12/2023 8:12
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