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  4. Augmenting rehabilitation robotics with spinal cord neuromodulation: A proof of concept
 
research article

Augmenting rehabilitation robotics with spinal cord neuromodulation: A proof of concept

Hankov, Nicolas  
•
Caban, Miroslav  
•
Demesmaeker, Robin  
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March 12, 2025
Science Robotics

Rehabilitation robotics aims to promote activity-dependent reorganization of the nervous system. However, people with paralysis cannot generate sufficient activity during robot-assisted rehabilitation and, consequently, do not benefit from these therapies. Here, we developed an implantable spinal cord neuroprosthesis operating in a closed loop to promote robust activity during walking and cycling assisted by robotic devices. This neuroprosthesis is device agnostic and designed for seamless implementation by nonexpert users. Preliminary evaluations in participants with paralysis showed that the neuroprosthesis enabled well-organized patterns of muscle activity during robot-assisted walking and cycling. A proof-of-concept study suggested that robot-assisted rehabilitation augmented by the neuroprosthesis promoted sustained neurological improvements. Moreover, the neuroprosthesis augmented recreational walking and cycling activities outdoors. Future clinical trials will have to confirm these findings in a broader population.

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Type
research article
DOI
10.1126/scirobotics.adn5564
Web of Science ID

WOS:001442398000002

PubMed ID

40073082

Author(s)
Hankov, Nicolas  

École Polytechnique Fédérale de Lausanne

Caban, Miroslav  

École Polytechnique Fédérale de Lausanne

Demesmaeker, Robin  

École Polytechnique Fédérale de Lausanne

Roulet, Margaux  

École Polytechnique Fédérale de Lausanne

Komi, Salif  

École Polytechnique Fédérale de Lausanne

Xiloyannis, Michele

University of Zurich

Gehrig, Anne

VAMED Management & Serv Switzerland AG

Varescon, Camille  

École Polytechnique Fédérale de Lausanne

Spiess, Martina Rebeka

Zurich University of Applied Sciences

Maggioni, Serena

Hocoma AG

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Date Issued

2025-03-12

Publisher

AMER ASSOC ADVANCEMENT SCIENCE

Published in
Science Robotics
Volume

10

Issue

100

Article Number

eadn5564

Subjects

FUNCTIONAL ELECTRICAL-STIMULATION

•

MOTOR FUNCTION

•

INJURY

•

RECOVERY

•

FATIGUE

•

WALKING

•

GAIT

•

MECHANISMS

•

FREQUENCY

•

EFFICACY

•

Science & Technology

•

Technology

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
UPCOURTINE  
BIOROB  
FunderFunding(s)Grant NumberGrant URL

Swiss National Science Foundation (SNSF)

51NF40_185543

Wings for Life

Defitech Foundation

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Available on Infoscience
March 20, 2025
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/248072
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