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用生物电子神经旁路方法恢复瘫痪中的运动功能:现状与未来方向。

Restoring Movement in Paralysis with a Bioelectronic Neural Bypass Approach: Current State and Future Directions.

机构信息

Feinstein Institute for Medical Research, Northwell Health, Manhasset, New York 11030.

出版信息

Cold Spring Harb Perspect Med. 2019 Nov 1;9(11):a034306. doi: 10.1101/cshperspect.a034306.

Abstract

Bioelectronic medicine is a rapidly growing field that explores targeted neuromodulation in new treatment options addressing both disease and injury. New bioelectronic methods are being developed to monitor and modulate neural activity directly. The therapeutic benefit of these approaches has been validated in recent clinical studies in various conditions, including paralysis. By using decoding and modulation strategies together, it is possible to restore lost function to those living with paralysis and other debilitating conditions by interpreting and rerouting signals around the affected portion of the nervous system. This, in effect, creates a bioelectronic "neural bypass" to serve the function of the damaged/degenerated network. By learning the language of neurons and using neural interface technology to tap into critical networks, new approaches to repairing or restoring function in areas impacted by disease or injury may become a reality.

摘要

生物电子医学是一个快速发展的领域,它探索了针对疾病和损伤的新治疗选择的靶向神经调节。正在开发新的生物电子方法来直接监测和调节神经活动。这些方法的治疗益处已在各种情况下的最近临床研究中得到验证,包括瘫痪。通过结合使用解码和调制策略,可以通过解释和重新路由受影响神经系统部分周围的信号,为患有瘫痪和其他衰弱性疾病的人恢复失去的功能。实际上,这创建了一个生物电子“神经旁路”,以发挥受损/退化网络的功能。通过学习神经元的语言并使用神经接口技术进入关键网络,修复或恢复受疾病或损伤影响的区域的功能的新方法可能成为现实。

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