Evidence map›Paper›PMID 42463883›Full record

ArticleNature medicine2026

A neuroprosthesis for restoring hand movement and sensation in a person with complete tetraplegia.

Santosh Chandrasekaran, Sarah K Wandelt, Aniket Jangam, Zeev Elias, Erona Ibroci, Christina Maffei, Isabelle A Rosenthal, Richard Ramdeo, Joo-Won Kim, Junqian Xu and 15 more

Abstract readCase Reports
In one paragraph

Article in Nature medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

25 authors.

Santosh Chandrasekaran *Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USA.
Sarah K Wandelt *Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USA.
Aniket JangamFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USA.
Zeev EliasFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USA.
Erona IbrociFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USA.ORCID http://orcid.org/0000-0002-7562-2985
Christina MaffeiFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USA.
Isabelle A RosenthalFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USA.
Richard RamdeoFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USA.
Joo-Won KimDepartment of Radiology and Psychiatry, Baylor College of Medicine, Houston, TX, USA.
Junqian XuDepartment of Radiology and Psychiatry, Baylor College of Medicine, Houston, TX, USA.ORCID http://orcid.org/0000-0001-8438-2066
Matthew F GlasserDepartment of Neuroscience, Washington University Medical School, Saint Louis, MO, USA.
Allison NeuwirthNorthwell Center for Learning and Innovation, Northwell Health, Manhasset, NY, USA.
Todd A GoldsteinFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USA.
Nathan E CroneDepartment of Neurology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.ORCID http://orcid.org/0000-0001-7950-2617
Matthew S FiferResearch and Exploratory Development Department, Johns Hopkins Applied Physics Laboratory, Laurel, MD, USA.ORCID http://orcid.org/0000-0003-3425-7552
Gelana TostaevaFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USA.ORCID http://orcid.org/0009-0005-8479-9351
Stephan BickelFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USA.ORCID http://orcid.org/0000-0001-5265-2447
Douglas GriffinNorthwell Health STARS Rehabilitation, Northwell Health, East Meadow, NY, USA.
Michael FunaroNorth Shore University Department of Neurosurgery, Northwell Health, Manhasset, NY, USA.
Nicholas G CarrasNorth Shore University Department of Neurosurgery, Northwell Health, Manhasset, NY, USA.
Rachel PruittNorth Shore University Department of Neurosurgery, Northwell Health, Manhasset, NY, USA.
Netanel Ben-ShalomLenox Hill Hospital Department of Neurosurgery, New York, NY, USA.
Adam B SteinDepartment of Physical Medicine and Rehabilitation, Northwell Health, Manhasset, NY, USA.
Ashesh D MehtaFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USA.
Chad E BoutonFeinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, USA. cbouton@northwell.edu.ORCID http://orcid.org/0000-0002-6297-3890

Funding

New York State Department of Health (NYS Department of Health) C37718GG
6 · The paper itself

Abstract

Millions of people worldwide are living with movement and sensory impairments owing to spinal cord injury, stroke and other neurological conditions. Here we report a double neural bypass (DNB), a hybrid neuroprosthetic system designed to restore both immediate and lasting gains in movement and sensation after a severe, complete spinal cord injury. The DNB links an intracortical brain-computer interface with targeted and patterned neuromodulation of the spinal cord and cortex. This allows brain signals associated with movement intention to directly control the movement of the user's own hand in real time while also promoting long-term sensorimotor recovery-even after the system is turned off. The DNB system uses recurrent artificial neural networks and reinforcement learning for fine grasp control, together with patterned spinal cord stimulation and activity-informed intracortical microstimulation ('cortical mirroring') to promote neuroplasticity and durable recovery of function. In a participant with chronic C4 sensory/C5 motor complete tetraplegia, this hybrid approach enabled recovery of functional abilities including self-feeding and manipulation of delicate objects, while also producing significant and persistent improvements in elbow flexion and wrist tactile sensation. These findings demonstrate the potential of combining a sensorimotor neuroprosthesis with targeted brain and spinal neuromodulation to restore clinically relevant function in severe paralysis.

Indexed as

HandNeural ProsthesesQuadriplegiaSensationSpinal Cord InjuriesAdultBrain-Computer InterfacesHumansMaleMovementRecovery of Function

Identifiers

PMID42463883
PMCPMC13375563

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.