Evidence map›Paper›PMID 27513629›Full record

ArticleScientific reports2016

Long-Term Training with a Brain-Machine Interface-Based Gait Protocol Induces Partial Neurological Recovery in Paraplegic Patients.

Ana R C Donati, Solaiman Shokur, Edgard Morya, Debora S F Campos, Renan C Moioli, Claudia M Gitti, Patricia B Augusto, Sandra Tripodi, Cristhiane G Pires, Gislaine A Pereira and 10 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 156 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
156citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04704427 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Rehabilitative BCI for Lower Limb Function Recovery in Acute Ischemic Stroke

TypeinterventionalSponsorXuanwu Hospital, BeijingRan2021 to 2021Enrolled40ConditionsStroke, AcuteArmsNon-invasive BCI training, Traditional Physiotherapy protocol
NCT05637775 nacompletednot on this mapstarted 2022, after this paper: background citation

DiSCIoser: Unlocking Recovery Potential of Arm Sensorimotor Functions After Spinal Cord Injury by Promoting Activity-dependent Brain Plasticity and Modeling the Causal Relationship Between Brain Plasticity and Recovery of Function

TypeinterventionalSponsorI.R.C.C.S. Fondazione Santa LuciaRan2022 to 2025Enrolled30ConditionsSpinal Cord Injuries, Motor DisordersArmsEEG-based BCI system for (hands) Motor Imagery training, Control - MI intervention
3 · Its place in the literature

Who cites it

156 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  15. In conversation with Miguel Nicolelis.Nature neuroscience · 2026
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96 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Ana R C DonatiNeurorehabilitation Laboratory, Associação Alberto Santos Dumont para Apoio à Pesquisa (AASDAP), Sâo Paulo, Brazil.
Solaiman ShokurNeurorehabilitation Laboratory, Associação Alberto Santos Dumont para Apoio à Pesquisa (AASDAP), Sâo Paulo, Brazil.
Edgard MoryaEdmond and Lily Safra International Institute of Neuroscience, Santos Dumont Institute, Macaiba, Brazil.
Debora S F CamposNeurorehabilitation Laboratory, Associação Alberto Santos Dumont para Apoio à Pesquisa (AASDAP), Sâo Paulo, Brazil.
Renan C MoioliEdmond and Lily Safra International Institute of Neuroscience, Santos Dumont Institute, Macaiba, Brazil.
Claudia M GittiNeurorehabilitation Laboratory, Associação Alberto Santos Dumont para Apoio à Pesquisa (AASDAP), Sâo Paulo, Brazil.
Patricia B AugustoNeurorehabilitation Laboratory, Associação Alberto Santos Dumont para Apoio à Pesquisa (AASDAP), Sâo Paulo, Brazil.
Sandra TripodiNeurorehabilitation Laboratory, Associação Alberto Santos Dumont para Apoio à Pesquisa (AASDAP), Sâo Paulo, Brazil.
Cristhiane G PiresNeurorehabilitation Laboratory, Associação Alberto Santos Dumont para Apoio à Pesquisa (AASDAP), Sâo Paulo, Brazil.
Gislaine A PereiraNeurorehabilitation Laboratory, Associação Alberto Santos Dumont para Apoio à Pesquisa (AASDAP), Sâo Paulo, Brazil.
Fabricio L BrasilEdmond and Lily Safra International Institute of Neuroscience, Santos Dumont Institute, Macaiba, Brazil.
Simone GalloSTI IMT, Ecole Polytechnique Federal de Lausanne, Lausanne, Switzerland.
Anthony A LinNeurorehabilitation Laboratory, Associação Alberto Santos Dumont para Apoio à Pesquisa (AASDAP), Sâo Paulo, Brazil.
Angelo K TakigamiNeurorehabilitation Laboratory, Associação Alberto Santos Dumont para Apoio à Pesquisa (AASDAP), Sâo Paulo, Brazil.
Maria A AratanhaEdmond and Lily Safra International Institute of Neuroscience, Santos Dumont Institute, Macaiba, Brazil.
Sanjay JoshiMechanical and Aerospace Engineering, University of California, Davis, CA, USA.
Hannes BleulerSTI IMT, Ecole Polytechnique Federal de Lausanne, Lausanne, Switzerland.
Gordon ChengInstitute for Cognitive Systems, Technical University of Munich (TUM), Munich, Germany, Germany.
Alan RudolphDepartment of Biomedical Engineering, Duke University, Durham, NC, USA.
Miguel A L NicolelisNeurorehabilitation Laboratory, Associação Alberto Santos Dumont para Apoio à Pesquisa (AASDAP), Sâo Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Brain-machine interfaces (BMIs) provide a new assistive strategy aimed at restoring mobility in severely paralyzed patients. Yet, no study in animals or in human subjects has indicated that long-term BMI training could induce any type of clinical recovery. Eight chronic (3-13 years) spinal cord injury (SCI) paraplegics were subjected to long-term training (12 months) with a multi-stage BMI-based gait neurorehabilitation paradigm aimed at restoring locomotion. This paradigm combined intense immersive virtual reality training, enriched visual-tactile feedback, and walking with two EEG-controlled robotic actuators, including a custom-designed lower limb exoskeleton capable of delivering tactile feedback to subjects. Following 12 months of training with this paradigm, all eight patients experienced neurological improvements in somatic sensation (pain localization, fine/crude touch, and proprioceptive sensing) in multiple dermatomes. Patients also regained voluntary motor control in key muscles below the SCI level, as measured by EMGs, resulting in marked improvement in their walking index. As a result, 50% of these patients were upgraded to an incomplete paraplegia classification. Neurological recovery was paralleled by the reemergence of lower limb motor imagery at cortical level. We hypothesize that this unprecedented neurological recovery results from both cortical and spinal cord plasticity triggered by long-term BMI usage.

Indexed as

Brain-Computer InterfacesAdolescentAdultElectroencephalographyFeedback, SensoryFemaleGaitHumansInterdisciplinary CommunicationLocomotionLower ExtremityMaleNeurological RehabilitationParaplegiaRoboticsSpinal Cord Injuries

Identifiers

PMID27513629
PMCPMC4980986

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.