Annals of Clinical and Translational Neurology, 2025 · DOI: 10.1002/acn3.52281 · Published: March 1, 2025
This case report explores a novel approach to help a patient with a complete spinal cord injury regain some walking ability. The approach combines spinal cord stimulation (SCS) with a real-time triggered exoskeleton. SCS involves implanting electrodes near the spinal cord to deliver electrical impulses, while the exoskeleton is a robotic device that aids in movement and support. The exoskeleton is synchronized with the SCS, meaning it responds in real-time to the stimulation, providing support and resistance during movement to assist muscle training.
The study suggests a promising rehabilitation strategy for individuals with complete SCI, combining SCS and exoskeleton-assisted training.
The integration of SCS enhances neuromuscular activation through the recruitment of myelinated sensory feedback circuits at the dorsal region of the spinal cord.
Future research should focus on identifying the subset of patients who would benefit most from this EXS-SCS training regimen, considering factors such as the level of SCI and concomitant morbidities.