Restoring voluntary control of locomotion after paralyzing spinal cord injury

R Van den Brand, J Heutschi, Q Barraud, J DiGiovanna… - science, 2012 - science.org
R Van den Brand, J Heutschi, Q Barraud, J DiGiovanna, K Bartholdi, M Huerlimann, L Friedli…
science, 2012science.org
Half of human spinal cord injuries lead to chronic paralysis. Here, we introduce an
electrochemical neuroprosthesis and a robotic postural interface designed to encourage
supraspinally mediated movements in rats with paralyzing lesions. Despite the interruption
of direct supraspinal pathways, the cortex regained the capacity to transform contextual
information into task-specific commands to execute refined locomotion. This recovery relied
on the extensive remodeling of cortical projections, including the formation of brainstem and …
Half of human spinal cord injuries lead to chronic paralysis. Here, we introduce an electrochemical neuroprosthesis and a robotic postural interface designed to encourage supraspinally mediated movements in rats with paralyzing lesions. Despite the interruption of direct supraspinal pathways, the cortex regained the capacity to transform contextual information into task-specific commands to execute refined locomotion. This recovery relied on the extensive remodeling of cortical projections, including the formation of brainstem and intraspinal relays that restored qualitative control over electrochemically enabled lumbosacral circuitries. Automated treadmill-restricted training, which did not engage cortical neurons, failed to promote translesional plasticity and recovery. By encouraging active participation under functional states, our training paradigm triggered a cortex-dependent recovery that may improve function after similar injuries in humans.
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