{"title":"Spatiotemporal spinal cord stimulation with real-time triggering exoskeleton restores walking capability: a case report.","authors":"Penghao Liu, Yuanchen Cheng, Zhuofan Xu, Xiaoyu Li, Zan Chen, Wanru Duan","doi":"10.1002/acn3.52281","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Motor recovery is challenging for spinal cord injury (SCI), especially in low-level SCI.</p><p><strong>Methods: </strong>A 16-year-old patient with complete SCI at T12 presented flaccid paralysis and inability to control defecation and was scored as ASIA A at admission. The patient underwent spinal cord stimulation (SCS) implantation at the T11-L1, followed by an innovative algorithm combining spatiotemporal SCS with real-time triggered exoskeleton training (EXS-SCS).</p><p><strong>Results: </strong>After 1 month of treatment, she gained substantial improvement in her iliopsoas and quadriceps femoris muscle strength to grade 3-4 as well as percutaneous EMG, allowing for assisted standing and walking, and was reassessed as ASIA C.</p><p><strong>Interpretation: </strong>This case reveals the potential of SCS-EXS regimen in restoring walking capability of SCI patients.</p>","PeriodicalId":126,"journal":{"name":"Annals of Clinical and Translational Neurology","volume":" ","pages":""},"PeriodicalIF":4.4000,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Clinical and Translational Neurology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/acn3.52281","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的脊髓损伤（SCI）的运动恢复具有挑战性，尤其是低位 SCI：一名16岁的患者因T12完全性SCI而出现弛缓性瘫痪，无法控制排便，入院时被评为ASIA A级。患者接受了T11-L1脊髓刺激（SCS）植入术，随后接受了结合时空SCS和实时触发外骨骼训练（EXS-SCS）的创新算法：治疗 1 个月后，她的髂腰肌和股四头肌肌力大幅改善，达到 3-4 级，经皮肌电图也得到改善，可以辅助站立和行走，并被重新评估为 ASIA C 级：本病例揭示了 SCS-EXS 方案在恢复 SCI 患者行走能力方面的潜力。
Spatiotemporal spinal cord stimulation with real-time triggering exoskeleton restores walking capability: a case report.
Objective: Motor recovery is challenging for spinal cord injury (SCI), especially in low-level SCI.
Methods: A 16-year-old patient with complete SCI at T12 presented flaccid paralysis and inability to control defecation and was scored as ASIA A at admission. The patient underwent spinal cord stimulation (SCS) implantation at the T11-L1, followed by an innovative algorithm combining spatiotemporal SCS with real-time triggered exoskeleton training (EXS-SCS).
Results: After 1 month of treatment, she gained substantial improvement in her iliopsoas and quadriceps femoris muscle strength to grade 3-4 as well as percutaneous EMG, allowing for assisted standing and walking, and was reassessed as ASIA C.
Interpretation: This case reveals the potential of SCS-EXS regimen in restoring walking capability of SCI patients.
期刊介绍：
Annals of Clinical and Translational Neurology is a peer-reviewed journal for rapid dissemination of high-quality research related to all areas of neurology. The journal publishes original research and scholarly reviews focused on the mechanisms and treatments of diseases of the nervous system; high-impact topics in neurologic education; and other topics of interest to the clinical neuroscience community.
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