Corticospinal neuroprostheses to restore locomotion after spinal cord injury

Research output: Contribution to journalReview articleContributedpeer-review

Contributors

  • David Borton - , Swiss Federal Institute of Technology Lausanne (EPFL) (Author)
  • Marco Bonizzato - , Swiss Federal Institute of Technology Lausanne (EPFL) (Author)
  • Janine Beauparlant - , Swiss Federal Institute of Technology Lausanne (EPFL) (Author)
  • Jack DiGiovanna - , Swiss Federal Institute of Technology Lausanne (EPFL) (Author)
  • Eduardo M. Moraud - , Swiss Federal Institute of Technology Lausanne (EPFL), ETH Zurich (Author)
  • Nikolaus Wenger - , Swiss Federal Institute of Technology Lausanne (EPFL) (Author)
  • Pavel Musienko - , Swiss Federal Institute of Technology Lausanne (EPFL) (Author)
  • Ivan R. Minev - , Swiss Federal Institute of Technology Lausanne (EPFL) (Author)
  • Stéphanie P. Lacour - , Swiss Federal Institute of Technology Lausanne (EPFL) (Author)
  • José del R. Millán - , Swiss Federal Institute of Technology Lausanne (EPFL) (Author)
  • Silvestro Micera - , Swiss Federal Institute of Technology Lausanne (EPFL), Sant'Anna School of Advanced Studies (Author)
  • Grégoire Courtine - , Swiss Federal Institute of Technology Lausanne (EPFL) (Author)

Abstract

In this conceptual review, we highlight our strategy for, and progress in the development of corticospinal neuroprostheses for restoring locomotor functions and promoting neural repair after thoracic spinal cord injury in experimental animal models. We specifically focus on recent developments in recording and stimulating neural interfaces, decoding algorithms, extraction of real-time feedback information, and closed-loop control systems. Each of these complex neurotechnologies plays a significant role for the design of corticospinal neuroprostheses. Even more challenging is the coordinated integration of such multifaceted technologies into effective and practical neuroprosthetic systems to improve movement execution, and augment neural plasticity after injury. In this review we address our progress in rodent animal models to explore the viability of a technology-intensive strategy for recovery and repair of the damaged nervous system. The technical, practical, and regulatory hurdles that lie ahead along the path toward clinical applications are enormous - and their resolution is uncertain at this stage. However, it is imperative that the discoveries and technological developments being made across the field of neuroprosthetics do not stay in the lab, but instead reach clinical fruition at the fastest pace possible.

Details

Original languageEnglish
Pages (from-to)21-29
Number of pages9
JournalNeuroscience Research
Volume78
Issue number1
Publication statusPublished - Jan 2014
Peer-reviewedYes
Externally publishedYes

External IDs

PubMed 24135130

Keywords

ASJC Scopus subject areas

Keywords

  • Brain-machine interface, Neuromotor rehabilitation, Neuroprosthetics, Spinal interface