Neural Regeneration Research, 2022 · DOI: https://doi.org/10.4103/1673-5374.332158 · Published: January 7, 2022
This study investigates a new approach to improve motor function after spinal cord injury (SCI). It combines stimulating the brain (cortical intermittent theta burst stimulation or iTBS) with stimulating specific nerve roots in the spinal cord using magnetic pulses. Researchers applied this combined stimulation to 14 patients with chronic SCI for 4 weeks. They measured changes in nerve signals, muscle strength, balance, and walking speed. The results showed improvements in nerve conduction, lower limb strength, balance, and walking speed after the treatment. This suggests the combined approach may help recovery after SCI.
Combining cortical iTBS with precise root stimulation can be considered as a potential rehabilitation strategy to improve motor function in patients with chronic SCI.
The study highlights the importance of targeting both the cortex and the spinal cord in neuromodulation approaches for SCI.
Precise root stimulation, guided by EMG, can be used to personalize the treatment based on the individual patient's needs.