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Spinal cord bioelectronic interfaces: opportunities in neural recording and clinical challenges.

Published version
Peer-reviewed

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Abstract

Bioelectronic stimulation of the spinal cord has demonstrated significant progress in the restoration of motor function in spinal cord injury (SCI). The proximal, uninjured spinal cord presents a viable target for the recording and generation of control signals to drive targeted stimulation. Signals have been directly recorded from the spinal cord in behaving animals and correlated with limb kinematics. Advances in flexible materials, electrode impedance and signal analysis will allow spinal cord recording (SCR) to be used in next-generation neuroprosthetics. In this review, we summarize the technological advances enabling progress in SCR and describe systematically the clinical challenges facing spinal cord bioelectronic interfaces and potential solutions, from device manufacture, surgical implantation to chronic effects of foreign body reaction and stress-strain mismatches between electrodes and neural tissue. Finally, we establish our vision of bi-directional closed-loop spinal cord bioelectronic bypass interfaces that enable the communication of disrupted sensory signals and restoration of motor function in SCI.

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Keywords

bioelectronics, interfaces, neural, recordings, spinal cord, Animals, Biomechanical Phenomena, Electrodes, Spinal Cord, Spinal Cord Injuries

Journal Title

J Neural Eng

Conference Name

Journal ISSN

1741-2560
1741-2552

Volume Title

19

Publisher

IOP Publishing
Sponsorship
National Medical Research Council (MOH-000487)
Singapore National Medical Research Council Research Training Fellowship