Spatiotemporal spinal cord stimulation with real-time triggering exoskeleton restores walking capability: a case report.

ABSTRACT:

Objective

Motor recovery is challenging for spinal cord injury (SCI), especially in low-level SCI.

Methods

A 16-year-old patient with complete SCI at T12 presented flaccid paralysis and inability to control defecation and was scored as ASIA A at admission. The patient underwent spinal cord stimulation (SCS) implantation at the T11-L1, followed by an innovative algorithm combining spatiotemporal SCS with real-time triggered exoskeleton training (EXS-SCS).

Results

After 1 month of treatment, she gained substantial improvement in her iliopsoas and quadriceps femoris muscle strength to grade 3-4 as well as percutaneous EMG, allowing for assisted standing and walking, and was reassessed as ASIA C.

Interpretation

This case reveals the potential of SCS-EXS regimen in

SUBMITTER: Liu P 

PROVIDER: S-EPMC11920746 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature