Related Experiment Video
Updated: Feb 10, 2026

Paradigms of Lower Extremity Electrical Stimulation Training After Spinal Cord Injury
Published on: February 1, 2018
Trunk Stability Enabled by Noninvasive Spinal Electrical Stimulation after Spinal Cord Injury
Mrinal Rath1,2, Albert H Vette3,4, Shyamsundar Ramasubramaniam2
11 Department of Biomedical Engineering, University of California , Los Angeles, California.
Transcutaneous electrical spinal stimulation significantly improved trunk control and stability in individuals with spinal cord injury (SCI). This noninvasive method enhances posture and balance during sitting by modulating spinal networks.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Biomedical Engineering
Background:
- Electrical neuromodulation of spinal networks aids in regaining limb movement control post-spinal cord injury (SCI).
- The efficacy of noninvasive spinal stimulation for improving postural trunk control in seated individuals with SCI remains unexplored.
Purpose of the Study:
- To investigate the potential of transcutaneous electrical stimulation of the lumbosacral enlargement to enhance trunk posture in individuals with SCI.
- To test the hypothesis that this stimulation can improve trunk control during sitting.
Main Methods:
- Eight participants with chronic SCI (C3-T9, AIS A or C) underwent transcutaneous electrical stimulation of the lumbosacral enlargement.
- Electromyography of trunk muscles, 3D kinematics, and force plate data were collected during various sitting tasks.
- Analysis focused on trunk posture, seated stability, and responses to self-initiated perturbations.
Main Results:
- Spinal stimulation improved trunk control in all participants, leading to more natural pelvic tilt and spinal curves.
- Seated stability significantly increased, with center of pressure (COP) displacements decreasing in quiet sitting and limits of stable displacement expanding in all directions.
- Stimulation reduced the correlation between arm movement and COP displacement, indicating enhanced trunk stability during perturbations.
Conclusions:
- Transcutaneous electrical spinal stimulation effectively modulates spinal networks to improve trunk posture and stability in individuals with SCI.
- This noninvasive approach offers a promising method for enhancing seated postural control and overall stability after chronic paralysis.
Related Concept Videos
Spinal Cord
The Spinal Cord
Spinal Cord: Information Processing
Sensory Information Processing
Sensory information processing begins at the sensory receptors located in the skin and other tissues, which detect somatic sensory stimuli such as touch, temperature, or pain. These receptors function as catalysts, initiating...
Spinal Cord: Gross Anatomy
Spinal Cord: Cross-sectional Anatomy
Gray Matter and its Components
Central to the gray matter is...
Spinal Nerves: Plexus II
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...

