Making the Lame Walk
There is hope for quadriplegic and paraplegic people and
animals in the future. In April of 2013,
the University of Washington and the Japan Science and Technology Agency in
Tokyo, Japan published an article that stated work on using artificial corticospinal
and musclospinal connections to restore pathways in the spine had been
successful. The testing was performed on
a monkey with a C-2 injury causing paralysis from the shoulders down.
As a bit of
background information, a spinal cord’s damage creates a lesion in the spinal
network. The nerves above and below the
lesion are still functional, but because of the break in the path, the nerve
signals being sent below the lesion are unable to reach the brain and cause
movement. This is why paralysis is a
result of spinal cord injuries. With the
research at Washington University, a “neural bridge” could connect the two
nervous pathways and could possibly restore functionality.
The testing for this experiment is as followed. The monkey with the cervical spinal injury
was anesthetized and cortical implants were placed in the dura, finger, wrist, arm
areas that were considered the primary motor cortex, and the dorsal arm areas
for premotor cortex close to the lesion in the C-2 vertebrae.
For three months after the lesion, the monkey was unable to
move its fingers independently at the level that it was pre-lesion. After the 5-7 week mark, the ability for a “power
grip” gradually came back but not at a promising level. This result reflected another study that was
done two years earlier. Mapping of the
electrode sights was completed throughout the trial and it was found that 40%
of the electrodes could provoke movement.
The loss of function in the upper extremity was consistent with another
study that was performed in 2004.
It’s obvious that the research done hasn’t accomplished a
total solution to “curing” paralysis, but with more time, money, and brain
power solutions could be produced to get the other 60% of the electrodes
working. If this study were to produce a
way to bridge the gap between the superior and inferior nerve ends of a lesion
then the benefits would certainly outweigh the time and multiple experiments it
took to achieve such a monumental discovery.
Citations:
Nishimura, Yukio, Steve I. Perlmutter, and Eberhard E. Fetz. "Restoration of Upper Limb Movement via Artificial Corticospinal and Musculospinal Connections in a Monkey with Spinal Cord Injury." Frontiers. Frontiers Media S.A., 11 Apr. 2013. Web. 14 Mar. 2016.
This is incredible to me. I also appreciated the background information as I thought the nerves below the injury were damaged or dead. This is fascinating to me to learn it's just a break in the communication. I also find it wonderful that they are researching on bridging the break between the two areas of the nerve. This is amazing and I hope they can get better results in their next trial.
ReplyDeleteI watched a video a few weeks ago about an implant similar to your blog post where the implant was used to connect the two still functioning neurons and help transmit the impulses and signals across the break. I also was fascinated to learn that when there is a neuron injury, the nerves are still functional, just not functional together. These developments can make a huge impact on those with paralysis and I look forward to seeing how these finding play out.
ReplyDeleteThis is amazing research! I can't imagine how many lives would be changed by improving mobility for people who are paralyzed. Even if full function couldn't be regained, I'm sure any improvement would be welcome to people who are paralyzed. To me, this seems more realistic than some other forms of mobility improvement surgeries like implanting chips into a person's brain. Repairing the spinal cord seems like a much more attainable goal than creating a whole new system of signaling pathways like a brain chip requires.
ReplyDeleteSpinal cord injuries often occur in young, healthy individuals and cause severe, life-altering injuries. Helping them regain mobility and function would help both physically and emotionally. I, also, thought the nerves were permanently damaged and was surprised that there was just an error in communicating across the injured level. This is a truly life changing therapy which I hope soon is able to help paraplegics and quadriplegics
ReplyDelete