Intracortical microstimulation of human somatosensory cortex.

Autor:	Flesher SN; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA 15213, USA.; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA 15213, USA., Collinger JL; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA 15213, USA.; Center for the Neural Basis of Cognition, Pittsburgh, PA 15213, USA.; Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA 15213, USA.; Department of Veterans Affairs Medical Center, Pittsburgh, PA 15206, USA., Foldes ST; Center for the Neural Basis of Cognition, Pittsburgh, PA 15213, USA.; Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA 15213, USA.; Department of Veterans Affairs Medical Center, Pittsburgh, PA 15206, USA., Weiss JM; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA 15213, USA.; Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA 15213, USA., Downey JE; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA 15213, USA.; Center for the Neural Basis of Cognition, Pittsburgh, PA 15213, USA., Tyler-Kabara EC; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA 15213, USA.; Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA 15213, USA.; Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA 15213, USA.; McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA 15219, USA., Bensmaia SJ; Department of Organismal Biology and Anatomy, University of Chicago, Chicago, IL 60637, USA., Schwartz AB; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA 15213, USA.; Center for the Neural Basis of Cognition, Pittsburgh, PA 15213, USA.; McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA 15219, USA.; Department of Neurobiology, University of Pittsburgh, Pittsburgh, PA 15213, USA.; Systems Neuroscience Institute, University of Pittsburgh, Pittsburgh, PA 15213, USA., Boninger ML; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA 15213, USA.; Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA 15213, USA.; Department of Veterans Affairs Medical Center, Pittsburgh, PA 15206, USA.; McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA 15219, USA., Gaunt RA; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA 15213, USA. rag53@pitt.edu.; Center for the Neural Basis of Cognition, Pittsburgh, PA 15213, USA.; Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA 15213, USA.
Jazyk:	angličtina
Zdroj:	Science translational medicine [Sci Transl Med] 2016 Oct 19; Vol. 8 (361), pp. 361ra141. Date of Electronic Publication: 2016 Oct 13.
DOI:	10.1126/scitranslmed.aaf8083
Abstrakt:	Intracortical microstimulation of the somatosensory cortex offers the potential for creating a sensory neuroprosthesis to restore tactile sensation. Whereas animal studies have suggested that both cutaneous and proprioceptive percepts can be evoked using this approach, the perceptual quality of the stimuli cannot be measured in these experiments. We show that microstimulation within the hand area of the somatosensory cortex of a person with long-term spinal cord injury evokes tactile sensations perceived as originating from locations on the hand and that cortical stimulation sites are organized according to expected somatotopic principles. Many of these percepts exhibit naturalistic characteristics (including feelings of pressure), can be evoked at low stimulation amplitudes, and remain stable for months. Further, modulating the stimulus amplitude grades the perceptual intensity of the stimuli, suggesting that intracortical microstimulation could be used to convey information about the contact location and pressure necessary to perform dexterous hand movements associated with object manipulation. (Copyright © 2016, American Association for the Advancement of Science.)
Databáze:	MEDLINE
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