Evidence map›Paper›PMID 30068906›Full record

ArticleNature communications2018

Brain-controlled modulation of spinal circuits improves recovery from spinal cord injury.

Marco Bonizzato, Galyna Pidpruzhnykova, Jack DiGiovanna, Polina Shkorbatova, Natalia Pavlova, Silvestro Micera, Grégoire Courtine

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. 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 76 papers.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed
7.5field-weighted citation impact, top 2% of its field
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.

NCT04632290 naactive not recruitingnot on this mapstarted 2021, after this paper: background citation

Brain-controlled Spinal Cord Stimulation in Patients With Spinal Cord Injury

TypeinterventionalSponsorEcole Polytechnique Fédérale de LausanneRan2021 to 2028Enrolled3ConditionsSpinal Cord InjuriesArmsSTIMO-BSI system implantation, ARC-BSI Lumbar System
NCT06243952 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Brain Controlled Spinal Cord Stimulation In Participants With Spinal Cord Injury For Lower Limb Rehabilitation

TypeinterventionalSponsorEcole Polytechnique Fédérale de LausanneRan2024 to 2030Enrolled3ConditionsSpinal Cord Injuries, ParaplegiaArmsARC-BSI Lumbar system
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 141 citations in OpenAlex.

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  7. Review of Recent Advances in Implantable Brain-Computer Interfaces for the Restoration of Motor Function in Patients With Paralysis.Medical science monitor : international medical journal of experimental and clinical research · 2026
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16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 3 countries.

Marco BonizzatoBertarelli Foundation Chair in Translational Neuroengineering, Center for Neuroprosthetics and Institute of Bioengineering, School of Bioengineering, EPFL, Geneva, CH-1202, Switzerland.ORCID http://orcid.org/0000-0001-7899-834X
Galyna PidpruzhnykovaCenter for Neuroprosthetics and Brain Mind Institute, School of Life Sciences, Swiss Federal Institute of Technology (EPFL), Geneva, CH-1202, Switzerland.ORCID http://orcid.org/0000-0002-9836-0850
Jack DiGiovannaBertarelli Foundation Chair in Translational Neuroengineering, Center for Neuroprosthetics and Institute of Bioengineering, School of Bioengineering, EPFL, Geneva, CH-1202, Switzerland.
Polina ShkorbatovaCenter for Neuroprosthetics and Brain Mind Institute, School of Life Sciences, Swiss Federal Institute of Technology (EPFL), Geneva, CH-1202, Switzerland.
Natalia PavlovaCenter for Neuroprosthetics and Brain Mind Institute, School of Life Sciences, Swiss Federal Institute of Technology (EPFL), Geneva, CH-1202, Switzerland.
Silvestro MiceraBertarelli Foundation Chair in Translational Neuroengineering, Center for Neuroprosthetics and Institute of Bioengineering, School of Bioengineering, EPFL, Geneva, CH-1202, Switzerland.
Grégoire CourtineCenter for Neuroprosthetics and Brain Mind Institute, School of Life Sciences, Swiss Federal Institute of Technology (EPFL), Geneva, CH-1202, Switzerland. gregoire.courtine@epfl.ch.ORCID http://orcid.org/0000-0003-0894-1959
Pavlov Institute of Physiology of the Russian Academy of Sciences · RUWyss Center for Bio and Neuroengineering · CHÉcole Polytechnique Fédérale de Lausanne · CHScuola Superiore Sant'Anna · ITUniversity Hospital of Lausanne · CH

Funding

EC | European Research Council (ERC) 682999
6 · The paper itself

Abstract

The delivery of brain-controlled neuromodulation therapies during motor rehabilitation may augment recovery from neurological disorders. To test this hypothesis, we conceived a brain-controlled neuromodulation therapy that combines the technical and practical features necessary to be deployed daily during gait rehabilitation. Rats received a severe spinal cord contusion that led to leg paralysis. We engineered a proportional brain-spine interface whereby cortical ensemble activity constantly determines the amplitude of spinal cord stimulation protocols promoting leg flexion during swing. After minimal calibration time and without prior training, this neural bypass enables paralyzed rats to walk overground and adjust foot clearance in order to climb a staircase. Compared to continuous spinal cord stimulation, brain-controlled stimulation accelerates and enhances the long-term recovery of locomotion. These results demonstrate the relevance of brain-controlled neuromodulation therapies to augment recovery from motor disorders, establishing important proofs-of-concept that warrant clinical studies.

Indexed as

AnimalsBrainElectric Stimulation TherapyElectromyographyExtremitiesFemaleGaitLocomotionMusclesNerve NetRats, Inbred LewRecovery of FunctionReproducibility of ResultsSpinal CordSpinal Cord InjuriesWalking

Identifiers

PMID30068906
PMCPMC6070513
OpenAlexW2882976771

What OpenQuestion holds

Textmetadata
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.