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Enabling Task-Specific Volitional Motor Functions via Spinal Cord Neuromodulation in a Human With Paraplegia

2017; Elsevier BV; Volume: 92; Issue: 4 Linguagem: Inglês

10.1016/j.mayocp.2017.02.014

1942-5546

Peter J. Grahn, Igor Lavrov, Dimitry G. Sayenko, Meegan G. Van Straaten, Megan L. Gill, Jeffrey A. Strommen, Jonathan S. Calvert, Dina I. Drubach, Lisa A. Beck, Margaux B. Linde, Andrew R. Thoreson, Cesar Lopez, Aldo A. Mendez, Parag Gad, Yury Gerasimenko, V. Reggie Edgerton, Kristin D. Zhao, Kendall H. Lee,

Nerve Injury and Rehabilitation

We report a case of chronic traumatic paraplegia in which epidural electrical stimulation (EES) of the lumbosacral spinal cord enabled (1) volitional control of task-specific muscle activity, (2) volitional control of rhythmic muscle activity to produce steplike movements while side-lying, (3) independent standing, and (4) while in a vertical position with body weight partially supported, voluntary control of steplike movements and rhythmic muscle activity. This is the first time that the application of EES enabled all of these tasks in the same patient within the first 2 weeks (8 stimulation sessions total) of EES therapy.