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Recent Advances in Neurorehabilitation: Emerging Techniques and Technologies

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Dear Colleagues,

Neurorehabilitation has evolved significantly from its early foundations, incorporating compensatory strategies for lost functions, to incorporate a wide-range of emerging technologies aimed at functional recovery. This Special Issue is centered around the most recent advances in this dynamic field, aiming to highlight innovative research that extends the frontiers of neurorehabilitation through new techniques and technologies. We are particularly interested in contributions that explore cutting-edge developments such as neuroimaging analysis methods, cognitive rehabilitation, robotic aids, virtual reality, advanced neuroprosthetics, and novel pharmacological approaches. The scope of this Special Issue extends to experimental studies, comprehensive reviews, and case studies that provide not only state-of-the-art interventions but also insight into their practical applications and effectiveness. We invite submissions from researchers whose work promises to shape the future of neurorehabilitation, offering new hope and improved outcomes for patients worldwide.

You may choose our Joint Special Issue in Brain Sciences.

Dr. Serena Dattola
Dr. Lilla Bonanno
Guest Editors

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14 pages, 2086 KiB

Open AccessArticle

Effects of Robotic Postural Stand Training with Epidural Stimulation on Sitting Postural Control in Individuals with Spinal Cord Injury: A Pilot Study

by Enrico Rejc, Simone Zaccaron, Collin Bowersock, Tanvi Pisolkar, Beatrice Ugiliweneza, Gail F. Forrest, Sunil Agrawal, Susan J. Harkema and Claudia A. Angeli

J. Clin. Med. 2024, 13(15), 4309; https://doi.org/10.3390/jcm13154309 - 24 Jul 2024

Viewed by 847

Abstract

(1) Background. High-level spinal cord injury (SCI) disrupts trunk control, leading to an impaired performance of upright postural tasks in sitting and standing. We previously showed that a novel robotic postural stand training with spinal cord epidural stimulation targeted at facilitating standing (Stand-scES) largely improved standing trunk control in individuals with high-level motor complete SCI. Here, we aimed at assessing the effects of robotic postural stand training with Stand-scES on sitting postural control in the same population. (2) Methods. Individuals with cervical (n = 5) or high-thoracic (n = 1) motor complete SCI underwent approximately 80 sessions (1 h/day; 5 days/week) of robotic postural stand training with Stand-scES, which was performed with free hands (i.e., without using handlebars) and included periods of standing with steady trunk control, self-initiated trunk and arm movements, and trunk perturbations. Sitting postural control was assessed on a standard therapy mat, with and without scES targeted at facilitating sitting (Sit-scES), before and after robotic postural stand training. Independent sit time and trunk center of mass (CM) displacement were assessed during a 5 min time window to evaluate steady sitting control. Self-initiated antero-posterior and medial-lateral trunk movements were also attempted from a sitting position, with the goal of covering the largest distance in the respective cardinal directions. Finally, the four Neuromuscular Recovery Scale items focused on sitting trunk control (Sit, Sit-up, Trunk extension in sitting, Reverse sit-up) were assessed. (3) Results. In summary, neither statistically significant differences nor large Effect Size were promoted by robotic postural stand training for the sitting outcomes considered for analysis. (4) Conclusions. The findings of the present study, together with previous observations, may suggest that robotic postural stand training with Stand-scES promoted trunk motor learning that was posture- and/or task-specific and, by itself, was not sufficient to significantly impact sitting postural control. Full article

(This article belongs to the Special Issue Recent Advances in Neurorehabilitation: Emerging Techniques and Technologies)

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