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  4. Flexible circumferential bioelectronics to enable 360-degree recording and stimulation of the spinal cord

Flexible circumferential bioelectronics to enable 360-degree recording and stimulation of the spinal cord

Sci. Adv., 2024 · DOI: 10.1126/sciadv.adl1230 · Published: May 8, 2024

Spinal Cord InjuryNeurologyBiomedical

Simple Explanation

The spinal cord is essential for relaying motor and sensory signals between the brain and the rest of the body. Damage to the spinal cord can result in paralysis and other severe dysfunctions. The authors developed a flexible electronic device that wraps around the spinal cord. This device can simultaneously record and stimulate different regions of the spinal cord. The device was tested in rats, demonstrating its ability to capture motor and sensory signals, create a closed-loop system to bypass spinal cord injuries, and ensure the device's safety. The potential for human use was also shown using a cadaver model.

Study Duration
6 weeks (chronic implantation study)
Participants
Sprague-Dawley rats (n=16 for acute electrophysiology, n=6 for chronic implantation), human cadaver
Evidence Level
Not specified

Key Findings

  • 1
    The flexible device allows for targeted stimulation of specific motor movements in the lower limbs by stimulating different regions of the ventrolateral spinal cord.
  • 2
    The circumferential placement of electrodes enables a comprehensive topographic representation of neural signal amplitudes, allowing for better differentiation of spinal cord activity.
  • 3
    A low-latency electronic bypass system was created using the device to restore hindlimb motion in rats with acute spinal cord injury, outperforming the initial objective of equaling the spinal cord conduction latency.

Research Summary

This study introduces a flexible, thin-film bioelectronic device for circumferential interfacing with the spinal cord, enabling simultaneous recording and stimulation of neural signals from different spinal cord tracts. The device's effectiveness was demonstrated in anesthetized rats through successful motor and sensory signal capture and elicitation, and a proof-of-concept closed-loop system was developed for bypassing complete spinal cord injuries. The device's biocompatibility was evaluated through chronic implantation in freely moving rats, showing preservation of spinal cord morphology and function. The feasibility of human application was also shown using a cadaver model.

Practical Implications

Restoration of Motor Function

The device can potentially restore volitional motor function to patients with SCI and act as a key tool during rehabilitation or prognostics.

Targeted Spinal Cord Stimulation

The ability to trigger targeted and direct SCS and record from each spinal cord tract will facilitate the creation of a bypass when combined with physiologically relevant latency.

Advancements in Neuroprosthetics

The device holds the potential to empower neuroprosthetics to enable movements beyond current walking or stepping-targeted SCS algorithms, allowing patients with SCI to perform specialized activities.

Study Limitations

  • 1
    Stability of thin-film electrodes
  • 2
    Validation needed in chronic and large animal models.
  • 3
    Transition to larger animal models

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