Publication Date:
2012-06-02
Description:
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.〈br /〉〈span class="detail_caption"〉Notes: 〈/span〉van den Brand, Rubia -- Heutschi, Janine -- Barraud, Quentin -- DiGiovanna, Jack -- Bartholdi, Kay -- Huerlimann, Michele -- Friedli, Lucia -- Vollenweider, Isabel -- Moraud, Eduardo Martin -- Duis, Simone -- Dominici, Nadia -- Micera, Silvestro -- Musienko, Pavel -- Courtine, Gregoire -- New York, N.Y. -- Science. 2012 Jun 1;336(6085):1182-5. doi: 10.1126/science.1217416.〈br /〉〈span class="detail_caption"〉Author address: 〈/span〉Neurology Department, University of Zurich, CH-8008 Zurich, Switzerland.〈br /〉〈span class="detail_caption"〉Record origin:〈/span〉 〈a href="http://www.ncbi.nlm.nih.gov/pubmed/22654062" target="_blank"〉PubMed〈/a〉
Keywords:
Animals
;
Axons/physiology
;
Brain Stem/physiology
;
Dopamine Agonists/administration & dosage
;
Electric Stimulation
;
Female
;
Gait
;
Hindlimb/*physiology
;
*Locomotion
;
Motor Cortex/*physiology
;
Nerve Fibers/physiology
;
Neuronal Plasticity
;
Neurons/physiology
;
Paralysis/physiopathology/*rehabilitation
;
Pyramidal Tracts/cytology/*physiology
;
Rats
;
Rats, Inbred Lew
;
Recovery of Function
;
*Robotics
;
Serotonin Receptor Agonists/administration & dosage
;
Spinal Cord/cytology/physiology
;
Spinal Cord Injuries/physiopathology/*rehabilitation
Print ISSN:
0036-8075
Electronic ISSN:
1095-9203
Topics:
Biology
,
Chemistry and Pharmacology
,
Computer Science
,
Medicine
,
Natural Sciences in General
,
Physics
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