Exercise & Training

Walking back to the snow.

TL;DR

A multidisciplinary team used epidural electrical stimulation, custom orthoses, and personalized rehabilitation to help a man with a severe spinal cord injury achieve significant milestones including walking outdoors on snow.

Key Findings

Epidural electrical stimulation combined with custom orthoses and personalized rehabilitation enabled a man with severe spinal cord injury to regain walking ability.

  • The intervention involved a multidisciplinary team approach
  • The treatment combined epidural electrical stimulation with custom orthoses
  • Personalized rehabilitation was a key component of the treatment strategy
  • The patient-centered approach is described as enabling 'significant milestones'

The patient achieved the milestone of walking outdoors on snow following the neurorehabilitation intervention.

  • Walking on snow was highlighted as a specific achieved milestone
  • The title 'Walking back to the snow' references this outdoor achievement
  • This outcome is described as highlighting 'the impact of tailored neurorehabilitation'
  • The case is presented as a Backstory describing the patient's recovery journey

A tailored, patient-centered neurorehabilitation approach was identified as critical to achieving functional outcomes in severe spinal cord injury.

  • The approach is described as 'patient-centered'
  • The team was characterized as 'multidisciplinary'
  • The authors frame the case as demonstrating the impact of individualized rather than standardized rehabilitation
  • The rehabilitation approach was described as 'personalized'

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Citation

Emedoli D, Albano L, Agnesi F, Romeni S, Iannaccone S, Mortini P, et al.. (2026). Walking back to the snow.. Med (New York, N.Y.). https://doi.org/10.1016/j.medj.2025.100991