{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T16:11:29Z","timestamp":1793290289157,"version":"4.5.0"},"reference-count":62,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T00:00:00Z","timestamp":1710460800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T00:00:00Z","timestamp":1710460800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neurotrauma Reports"],"published-print":{"date-parts":[[2024,4,1]]},"abstract":"<jats:p>\n                    Activity-based training and lumbosacral spinal cord epidural stimulation (scES) have the potential to restore standing and walking with self-balance assistance after motor complete spinal cord injury (SCI). However, improvements in upright postural control have not previously been addressed in this population. Here, we implemented a novel robotic postural training with scES, performed with free hands, to restore upright postural control in individuals with chronic, cervical (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u20095) or high-thoracic (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u20091) motor complete SCI, who had previously undergone stand training with scES using a walker or a standing frame for self-balance assistance. Robotic postural training re-enabled and\/or largely improved the participants' ability to control steady standing, self-initiated trunk movements and upper limb reaching movements while standing with free hands, receiving only external assistance for pelvic control. These improvements were associated with neuromuscular activation pattern adaptations above and below the lesion. These findings suggest that the human spinal cord below the level of injury can generate meaningful postural responses when its excitability is modulated by scES, and can learn to improve these responses. Upright postural control improvements can enhance functional motor recovery promoted by scES after severe SCI.\n                  <\/jats:p>","DOI":"10.1089\/neur.2024.0013","type":"journal-article","created":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T16:24:42Z","timestamp":1710519882000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Robotic Postural Training With Epidural Stimulation for the Recovery of Upright Postural Control in Individuals With Motor Complete Spinal Cord Injury: A Pilot Study"],"prefix":"10.1177","volume":"5","author":[{"given":"Enrico","family":"Rejc","sequence":"first","affiliation":[{"name":"Tim and Caroline Reynolds Center for Spinal Stimulation, Kessler Foundation, West Orange, New Jersey, USA."},{"name":"Department of Medicine, University of Udine, Udine, Italy."},{"name":"Kentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, Kentucky, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Collin","family":"Bowersock","sequence":"additional","affiliation":[{"name":"Kentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, Kentucky, USA."},{"name":"Department of Mechanical Engineering, Northern Arizona University, Flagstaff, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanvi","family":"Pisolkar","sequence":"additional","affiliation":[{"name":"Kentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, Kentucky, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isirame","family":"Omofuma","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, Columbia University, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"Luna","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, Columbia University, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moiz","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Radiology at BWH, Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Santamaria","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, New York Medical College, Valhalla, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatrice","family":"Ugiliweneza","sequence":"additional","affiliation":[{"name":"Kentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, Kentucky, USA."},{"name":"Department of Neurological Surgery, University of Louisville, Louisville, Kentucky, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia A","family":"Angeli","sequence":"additional","affiliation":[{"name":"Tim and Caroline Reynolds Center for Spinal Stimulation, Kessler Foundation, West Orange, New Jersey, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail F","family":"Forrest","sequence":"additional","affiliation":[{"name":"Tim and Caroline Reynolds Center for Spinal Stimulation, Kessler Foundation, West Orange, New Jersey, USA."},{"name":"Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, New Jersey, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel","family":"Stein","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation and Regenerative Medicine, Columbia University, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, Columbia University, New York, New York, USA."},{"name":"Department of Rehabilitation and Regenerative Medicine, Columbia University, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan J","family":"Harkema","sequence":"additional","affiliation":[{"name":"Kentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, Kentucky, USA."},{"name":"Department of Neurological Surgery, University of Louisville, Louisville, Kentucky, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,3,15]]},"reference":[{"key":"e_1_3_8_2_2","first-page":"255","volume-title":"Handbook of Physiology","author":"Horak F","year":"1996","unstructured":"Horak F, , Macpherson J. 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