J Neural Eng., 2022 · DOI: 10.1088/1741-2552/ac9646 · Published: October 18, 2022
This research explores using machine learning to improve motor function after spinal cord injury (SCI) through epidural electrical stimulation (EES). EES involves stimulating the spinal cord with electricity to help restore movement, but finding the right stimulation parameters is difficult. The researchers used deep neural networks to create models that can predict motor outputs based on EES parameters and, conversely, suggest EES parameters to achieve specific motor outputs. This approach aims to automate and accelerate the process of finding effective EES settings. Data was collected from sheep implanted with EES electrodes, and the neural networks were trained to learn the relationship between EES and muscle activity. The models were then tested in vivo to see if they could accurately identify EES parameters that would produce desired muscle activation patterns.
The developed system can automate the selection of EES parameters, significantly reducing the time and effort required for manual optimization.
Identifying functional redundancies in spinal sensorimotor networks opens possibilities for personalized EES strategies tailored to individual patient needs.
The data-driven approach can address the lack of systematic parameter selection that hinders the clinical translation of EES, potentially benefiting spinal rehabilitation.