3 research outputs found

    Examination of targeted, activity-dependent spinal stimulation in a rat model of spinal cord injury

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    Thesis (Master's)--University of Washington, 2023Spinal cord injuries (SCIs) cause debilitating motor and sensory impairments that can significantly impact patients’ quality of life. Although an estimated 300,000 people in the United States are living with a spinal cord injury, there are few available treatments for chronic injuries beyond physical and occupational therapy. Even after injury, the spinal cord has an innate ability for plasticity that can promote spontaneous recovery and be harnessed with therapeutic interventions to improve functional outcomes for patients. Previous work has shown that targeted, activity-dependent electrical stimulation of the spine in an animal model improves functional outcomes greater than open-loop electrical stimulation or physical retraining alone. However, the mechanism by which this targeted stimulation works and whether it is promoting plasticity in particular descending pathways remains unclear. We hypothesized that this therapy paradigm targets descending cortical projections to the spinal cord and that electrophysiological recordings of the motor cortex and anatomical tracing of this corticospinal tract would reveal changes after injury and with therapy. Unfortunately, we were unable to answer these questions, but new knowledge of technical limitations will hopefully provide a baseline for future pursuance of this research
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