Michael Barbella, Managing Editor04.03.23
The New York State Department of Health has bestowed a five-year, $3.6 million grant to The Feinstein Institutes for Medical Research tostudy spinal cord stimulation and novel brain implant technology.
The research study, led by Chad Bouton, vice president of advanced engineering and professor at the Institute of Bioelectronic Medicine at the Feinstein Institutes, along with co-principal investigators Ashesh Mehta, M.D., Ph.D., from the Feinstein Institutes, and Susan Harkema, Ph.D., at the University of Louisville, will assess whether cervical stimulation—alone and in combination with brain implants—can promote lasting movement.
“Losing movement in all four limbs makes tasks like getting out of bed, brushing your teeth, and getting dressed impossible. There is a drastic deterioration in quality of life and currently there is no cure for permanent paralysis,” said Prof. Bouton, the study’s principal investigator. “With the state’s support, we have the potential to study new bioelectronic medicine solutions that could restore movement for those living with spinal cord injuries.”
The spinal cord plays a vital role in the human body. It sends signals to and from the brain, helping to control movement and process sensations. When someone suffers a spinal cord injury (SCI) it can lead to paralysis, sometimes in all four limbs. The grant will help researchers better understand what happens to the brain and body after a SCI and to develop new methods of treatment using bioelectronic medicine to regain movement and sensation.
Previous research from Prof. Bouton, Dr. Santosh Chandrasekaran, a researcher with the Feinstein Institutes, and their colleagues shows that cervical stimulation applied at the neck base can lead to improved recovery after injury. The new study will analyze the combination of cervical stimulation and brain-computer interface (BCI) technology that involves the placement of multiple small “chips” (tiny micro-electrodes) in the brain. Researchers will enroll 12 participants who will receive over-the-skin spinal cord stimulation for 12 months, and two participants will begin with over-the-skin stimulation for several months, followed by six months of BCI-driven over-the-skin spinal cord stimulation to facilitate further recovery.
Through activity-based and BCI-assisted training sessions, individuals with SCI will conduct tasks while receiving cervical stimulation. The goal is to observe the stimulation’s effect on the brain’s activity patterns and arm and hand movements to restore long-term control of the muscles.
“New York State support of this project comes at a critical time as advances in bioelectronic medicine continue to make progress towards enhancing mobility in patients with spinal cord injury,” said Kevin J. Tracey, M.D., president/CEO of the Feinstein Institutes and Karches Family Distinguished Chair in Medical Research. “This also supports an important and productive collaboration between Feinstein Institutes’ Chad Bouton and his team with the University of Louisville team led by Susan Harkema.”
The Feinstein Institutes is the scientific home of bioelectronic medicine, the scientific field that combines molecular medicine, neuroscience and biomedical engineering to develop innovative therapies using computer chips and devices instead of drugs to treat various diseases and conditions through nerve stimulation.
The Feinstein Institutes for Medical Research is the home of Northwell Health, the largest health care provider and private employer in New York State. Encompassing 50 research labs, 3,000 clinical research studies and 5,000 researchers and staff, the Feinstein Institutes develops medical innovation through its five institutes of behavioral science, bioelectronic medicine, cancer, health system science, and molecular medicine.
The research study, led by Chad Bouton, vice president of advanced engineering and professor at the Institute of Bioelectronic Medicine at the Feinstein Institutes, along with co-principal investigators Ashesh Mehta, M.D., Ph.D., from the Feinstein Institutes, and Susan Harkema, Ph.D., at the University of Louisville, will assess whether cervical stimulation—alone and in combination with brain implants—can promote lasting movement.
“Losing movement in all four limbs makes tasks like getting out of bed, brushing your teeth, and getting dressed impossible. There is a drastic deterioration in quality of life and currently there is no cure for permanent paralysis,” said Prof. Bouton, the study’s principal investigator. “With the state’s support, we have the potential to study new bioelectronic medicine solutions that could restore movement for those living with spinal cord injuries.”
The spinal cord plays a vital role in the human body. It sends signals to and from the brain, helping to control movement and process sensations. When someone suffers a spinal cord injury (SCI) it can lead to paralysis, sometimes in all four limbs. The grant will help researchers better understand what happens to the brain and body after a SCI and to develop new methods of treatment using bioelectronic medicine to regain movement and sensation.
Previous research from Prof. Bouton, Dr. Santosh Chandrasekaran, a researcher with the Feinstein Institutes, and their colleagues shows that cervical stimulation applied at the neck base can lead to improved recovery after injury. The new study will analyze the combination of cervical stimulation and brain-computer interface (BCI) technology that involves the placement of multiple small “chips” (tiny micro-electrodes) in the brain. Researchers will enroll 12 participants who will receive over-the-skin spinal cord stimulation for 12 months, and two participants will begin with over-the-skin stimulation for several months, followed by six months of BCI-driven over-the-skin spinal cord stimulation to facilitate further recovery.
Through activity-based and BCI-assisted training sessions, individuals with SCI will conduct tasks while receiving cervical stimulation. The goal is to observe the stimulation’s effect on the brain’s activity patterns and arm and hand movements to restore long-term control of the muscles.
“New York State support of this project comes at a critical time as advances in bioelectronic medicine continue to make progress towards enhancing mobility in patients with spinal cord injury,” said Kevin J. Tracey, M.D., president/CEO of the Feinstein Institutes and Karches Family Distinguished Chair in Medical Research. “This also supports an important and productive collaboration between Feinstein Institutes’ Chad Bouton and his team with the University of Louisville team led by Susan Harkema.”
The Feinstein Institutes is the scientific home of bioelectronic medicine, the scientific field that combines molecular medicine, neuroscience and biomedical engineering to develop innovative therapies using computer chips and devices instead of drugs to treat various diseases and conditions through nerve stimulation.
The Feinstein Institutes for Medical Research is the home of Northwell Health, the largest health care provider and private employer in New York State. Encompassing 50 research labs, 3,000 clinical research studies and 5,000 researchers and staff, the Feinstein Institutes develops medical innovation through its five institutes of behavioral science, bioelectronic medicine, cancer, health system science, and molecular medicine.