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  4. A Computational Model for Epidural Electrical Stimulation of Spinal Sensorimotor Circuits
 
research article

A Computational Model for Epidural Electrical Stimulation of Spinal Sensorimotor Circuits

Capogrosso, Marco  
•
Wenger, Nikolaus  
•
Raspopovic, Stanisa  
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2013
The Journal of neuroscience

Epidural electrical stimulation (EES) of lumbosacral segments can restore a range of movements after spinal cord injury. However, the mechanisms and neural structures through which EES facilitates movement execution remain unclear. Here, we designed a computational model and performed in vivo experiments to investigate the type of fibers, neurons, and circuits recruited in response to EES. We first developed a realistic finite element computer model of rat lumbosacral segments to identify the currents generated by EES. To evaluate the impact of these currents on sensorimotor circuits, we coupled this model with an anatomically realistic axon-cable model of motoneurons, interneurons, and myelinated afferent fibers for antagonistic ankle muscles. Comparisons between computer simulations and experiments revealed the ability of the model to predict EES-evoked motor responses over multiple intensities and locations. Analysis of the recruited neural structures revealed the lack of direct influence of EES on motoneurons and interneurons. Simulations and pharmacological experiments demonstrated that EES engages spinal circuits trans-synaptically through the recruitment of myelinated afferent fibers. The model also predicted the capacity of spatially distinct EES to modulate side-specific limb movements and, to a lesser extent, extension versus flexion. These predictions were confirmed during standing and walking enabled by EES in spinal rats. These combined results provide a mechanistic framework for the design of spinal neuroprosthetic systems to improve standing and walking after neurological disorders.

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Type
research article
DOI
10.1523/Jneurosci.1688-13.2013
Web of Science ID

WOS:000328110100028

Author(s)
Capogrosso, Marco  
Wenger, Nikolaus  
Raspopovic, Stanisa  
Musienko, Pavel  
Beauparlant, Janine
Luciani, Lorenzo Bassi
Courtine, Gregoire  
Micera, Silvestro  
Date Issued

2013

Publisher

Society for Neuroscience

Published in
The Journal of neuroscience
Volume

33

Issue

49

Start page

19326

End page

19340

Subjects

computational model

•

electrical epidural stimulation

•

finite element model

•

spinal cord injury

•

spinal cord stimulation

•

spinal reflexes

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
UPCOURTINE  
TNE  
NCCR-ROBOTICS  
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Available on Infoscience
January 9, 2014
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/99185
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