作者
Marco Bonizzato, Nicholas D James, Galyna Pidpruzhnykova, Natalia Pavlova, Polina Shkorbatova, Laetitia Baud, Cristina Martinez-Gonzalez, Jordan W Squair, Jack DiGiovanna, Quentin Barraud, Silvestro Micera, Gregoire Courtine
发表日期
2021/3/26
期刊
Nature communications
卷号
12
期号
1
页码范围
1925
出版商
Nature Publishing Group UK
简介
A spinal cord injury usually spares some components of the locomotor circuitry. Deep brain stimulation (DBS) of the midbrain locomotor region and epidural electrical stimulation of the lumbar spinal cord (EES) are being used to tap into this spared circuitry to enable locomotion in humans with spinal cord injury. While appealing, the potential synergy between DBS and EES remains unknown. Here, we report the synergistic facilitation of locomotion when DBS is combined with EES in a rat model of severe contusion spinal cord injury leading to leg paralysis. However, this synergy requires high amplitudes of DBS, which triggers forced locomotion associated with stress responses. To suppress these undesired responses, we link DBS to the intention to walk, decoded from cortical activity using a robust, rapidly calibrated unsupervised learning algorithm. This contingency amplifies the supraspinal descending …
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