Epidural stimulation of the cervical spinal cord for post-stroke upper-limb paresis.

Cerebral strokes can disrupt descending commands from motor cortical areas to the spinal cord, which can result in permanent motor deficits of the arm and hand. However, below the lesion, the spinal circuits that control movement remain intact and could be targeted by neurotechnologies to restore movement. Here we report results from two participants in a first-in-human study using electrical stimulation of cervical spinal circuits to facilitate arm and hand motor control in chronic post-stroke hemiparesis ( NCT04512690 ). Participants were implanted for 29 d with two linear leads in the dorsolateral epidural space targeting spinal roots C3 to T1 to increase excitation of arm and hand motoneurons. We found that continuous stimulation through selected contacts improved strength (for example, grip force +40% SCS01; +108% SCS02), kinematics (for example, +30% to +40% speed) and functional movements, thereby enabling participants to perform movements that they could not perform without spinal cord stimulation. Both participants retained some of these improvements even without stimulation and no serious adverse events were reported. While we cannot conclusively evaluate safety and efficacy from two participants, our data provide promising, albeit preliminary, evidence that spinal cord stimulation could be an assistive as well as a restorative approach for upper-limb recovery after stroke.

An engineered home environment for untethered data telemetry from nonhuman primates.

BACKGROUND: Wireless neural recording technologies now provide untethered access to large populations of neurons in the nonhuman primate brain. Such technologies enable long-term, continuous interrogation of neural circuits and importantly open the door for chronic neurorehabilitation platforms. For example, by providing continuous consistent closed loop feedback from a brain machine interface, the nervous system can leverage plasticity to integrate more effectively into the system than would be possible in short experimental sessions. However, to fully realize this opportunity necessitates the development of experimental environments that do not hinder wireless data transmission. Traditional nonhuman primate metal cage construction, while durable and standardized around the world, prevents data transmission at the frequencies necessary for high-bandwidth data transfer. NEW METHOD: To overcome this limitation, we have engineered and constructed a radio-frequency transparent home environment for nonhuman primates using primarily non-conductive materials. RESULTS: Computational modeling and empirical testing were performed to demonstrate the behavior of transmitted signals passing through the enclosure. In addition, neural data were successfully recorded from a freely behaving nonhuman primate inside the housing system. COMPARISON WITH EXISTING METHODS: Our design outperforms standard metallic home cages by allowing radiation to transmit beyond its boundaries, without significant interference, while simultaneously maintaining the mechanical and operational integrity of existing commercial home cages. CONCLUSIONS: Continuous access to neural signals in combination with other bio-potential and kinematic sensors will empower new insights into unrestrained behavior, aid the development of advanced neural prostheses, and enable neurorehabilitation strategies to be employed outside traditional environments.

Delivering the Sense of Touch to the Human Brain.

Intracortical somatosensory interfaces have now entered the clinical domain. Darie et al. explore the implications of research published in Science Translational Medicine by Flesher et al. (2016), discuss how to design such a system given current technology, and question how to effectively communicate with users about their experience.

Can we reduce eating disorder risk factors in female college athletes? A randomized exploratory investigation of two peer-led interventions.

Female athletes are at least as at risk as other women for eating disorders (EDs) and at risk for the female athlete triad (i.e., inadequate energy availability, menstrual disorders, and osteoporosis). This study investigated whether two evidence-based programs appear promising for future study if modified to address the unique needs of female athletes. Athletes were randomly assigned to athlete-modified dissonance prevention or healthy weight intervention (AM-HWI). ED risk factors were assessed pre/post-treatment, and 6-week and 1-year follow-up. Results (analyzed sample, N=157) indicated that both interventions reduced thin-ideal internalization, dietary restraint, bulimic pathology, shape and weight concern, and negative affect at 6 weeks, and bulimic pathology, shape concern, and negative affect at 1 year. Unexpectedly we observed an increase in students spontaneously seeking medical consultation for the triad. Qualitative results suggested that AM-HWI may be more preferred by athletes.