Restoration of Over-Ground Walking via Non-Invasive Neuromodulation Therapy: A Single-Case Study

Monzurul Alam (Corresponding Author), Yan To Ling, Md Akhlasur Rahman, Arnold Yu Lok Wong, Hui Zhong, V. Reggie Edgerton, Yong Ping Zheng

Research output: Journal article publicationJournal articleAcademic researchpeer-review

2 Citations (Scopus)

Abstract

Spinal cord injuries (SCI) can result in sensory and motor dysfunctions, which were long considered permanent. Recent advancement in electrical neuromodulation has been proven to restore sensorimotor function in people with SCI. These stimulation protocols, however, were mostly invasive, expensive, and difficult to implement. In this study, transcutaneous electrical stimulation (tES) was used to restore over-ground walking of an individual with 21 years of chronic paralysis from a cervical SCI. After a total of 66 weeks of rehabilitation training with tES, which included standing, functional reaching, reclined sit-up, treadmill walking, and active biking, significant improvement in lower-limb volitional movements and overall light touch sensation were shown as measured by the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) score. By the end of the study, the participant could walk in a 4-m walking test with the aid of a walking frame and ankle–foot orthoses. The successful sensorimotor recovery of our study participant sheds light on the future of non-invasive neuromodulation treatment for SCI paralysis.

Original languageEnglish
Article number7362
JournalJournal of Clinical Medicine
Volume12
Issue number23
DOIs
Publication statusPublished - 28 Nov 2023

Keywords

  • chronic spinal cord injury
  • neuromodulation
  • over-ground walking
  • sensorimotor rehabilitation
  • transcutaneous electrical stimulation

ASJC Scopus subject areas

  • General Medicine

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