Abstract
Neural networks in the spinal cord can generate the walking pattern and control posture in the absence of supraspinal influences. A technology has been created using transcutaneous electrical spinal cord stimulation (tSCS). During walking, tSCS activated spinal locomotor networks, as well as leg flexor/extensor motor pools in the swing/support phases, respectively. It was suggested that the use of this technology in people with locomotion disorders would improve walking. Patients with hemiparesis were studied 3–11 months after a stroke, the duration of the course was 2 weeks. Patients of the main and control groups received standard therapy and rehabilitation using technology; in the control group, sham tESCS was used. After the course in the main group, in contrast to the control group, minimal clinically significant changes in walking parameters were achieved. The developed technology is an effective means of restoring walking in patients with hemiparesis.
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