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  4. The Spark of Life: Engaging the Cortico-Truncoreticulo-Propriospinal Pathway by Electrical Stimulation

The Spark of Life: Engaging the Cortico-Truncoreticulo-Propriospinal Pathway by Electrical Stimulation

CNS Neuroscience & Therapeutics, 2016 · DOI: 10.1111/cns.12520 · Published: March 1, 2016

Spinal Cord InjuryNeurologySurgery

Simple Explanation

The cephalosomatic anastomosis (HEAVEN/AHBR) relies on the GEMINI spinal cord fusion protocol, which involves reconnecting the cortico-truncoreticulo-propriospinal (CTRPS) pathway. Electrical stimulation at the interface will be used to accelerate the reconnection process of the severed cords. Spinal cord stimulation (SCS) can help regain lost movements by targeting the cortico-truncoreticulo-propriospinal pathway, which connects cervical and lumbar motor central pattern generators (CPG).

Study Duration
Not specified
Participants
Not specified
Evidence Level
Level 5, Editorial Commentary

Key Findings

  • 1
    Electrical stimulation can accelerate the sprouting of the severed CTPRS pathway, as shown in animal studies.
  • 2
    Combined motor cortex and spinal cord neuromodulation promotes corticospinal system functional and structural plasticity and motor function after injury.
  • 3
    Electricity holds great potential in supporting motor recovery in a head transplant.

Research Summary

This editorial commentary discusses the use of electrical stimulation to enhance motor recovery following cephalosomatic anastomosis (head transplant) by engaging the cortico-truncoreticulo-propriospinal (CTRPS) pathway. The authors highlight the potential of spinal cord stimulation (SCS) and transcranial magnetic stimulation (TMS) to promote neural plasticity and improve corticospinal transmission. The commentary also mentions other potential rehabilitation methods, such as transcutaneous electrical nerve stimulation (TENS) and intermittent hypoxia, but emphasizes the primary role of electrical stimulation in restoring motor function.

Practical Implications

Improved Motor Recovery

Electrical stimulation techniques, such as SCS and TMS, can be utilized to improve motor recovery after spinal cord injury and potentially after head transplantation.

Enhanced Neural Plasticity

The application of electrical stimulation can promote neural plasticity, leading to the formation of new connections and improved function in damaged neural pathways.

Clinical Translation

Protocols involving electrical stimulation can be integrated into clinical practice to enhance rehabilitation strategies for patients with spinal cord injuries and other neurological conditions.

Study Limitations

  • 1
    The discussed techniques are still experimental and require further research.
  • 2
    The efficacy of electrical stimulation may vary depending on the individual and the severity of the injury.
  • 3
    Ethical considerations surrounding head transplantation remain a significant challenge.

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