Electrical pulses allow paralysed motorcyclist to walk again


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An Italian man left paralysed from the waist down by a motorbike accident five years ago can now walk for a kilometre because of a revolutionary medical breakthrough using electrical pulses to move his limbs.

Michel Roccati suffered life-changing injuries in 2017 but the new technique — that marries artificial intelligence with electrical implants fitted to an undamaged section of his spinal cord — has allowed him to live independently.

Video released by researchers shows Mr Roccati taking steps with the aid of a specially-adapted walker. He was able to take his first steps immediately after the implants were fitted.

By following a rigorous training regime he is now able to walk up stairs and live independently in an apartment close to his parents’ home.

“After the first day, I was able to walk if the body was supported,” said Mr Roccati, who was aged 29 when the treatment started. “That was very emotional.”

The treatment has been successfully repeated with two other men, aged 32 and 41, who were also left paralysed from the waist down after motorbike accidents. They have been able to swim and cycle after the treatment, according to a paper in Nature Medicine published today.

The researchers say the challenge is now to scale up the use of the technique to help more people and to further develop the process so it can be controlled by a smartphone and a mini computer embedded in the body.

The system that has allowed Mr Roccati to change his life is controlled by two buttons on his walker that are linked wirelessly to a tablet computer.

Michel Roccati, an Italian, who was paralysed from the waist down after a motorcycle accident, walks with the aid of electrical stimulation. EPFL
Michel Roccati, an Italian, who was paralysed from the waist down after a motorcycle accident, walks with the aid of electrical stimulation. EPFL

It forwards the signal to a pacemaker fitted in Mr Roccati’s abdomen, which in turn triggers the implants that stimulate spinal neurons, allowing his legs to move.

Electrical stimulation of the spinal cords has been used before but only by adapting technology that was originally designed to treat pain. Researchers hope that the new technique will work better and improve the range of movement.

“Our stimulation algorithms are still based on imitating nature,” said Prof Grégoire Courtine, from one of the co-developers of the system based in Lausanne, Switzerland.

“By controlling these implants, we can activate the spinal cord like the brain would do naturally to have the patient stand, walk, swim or ride a bike, for example.”

“All three patients were able to stand, walk, pedal, swim and control their torso movements in just one day, after their implants were activated.”

“We need one day to have this technology to be treatment available for everyone. It's not the case yet, but it hopefully will be in within a few years.”

Formula Middle East Calendar (Formula Regional and Formula 4)
Round 1: January 17-19, Yas Marina Circuit – Abu Dhabi
 
Round 2: January 22-23, Yas Marina Circuit – Abu Dhabi
 
Round 3: February 7-9, Dubai Autodrome – Dubai
 
Round 4: February 14-16, Yas Marina Circuit – Abu Dhabi
 
Round 5: February 25-27, Jeddah Corniche Circuit – Saudi Arabia
Classification of skills

A worker is categorised as skilled by the MOHRE based on nine levels given in the International Standard Classification of Occupations (ISCO) issued by the International Labour Organisation. 

A skilled worker would be someone at a professional level (levels 1 – 5) which includes managers, professionals, technicians and associate professionals, clerical support workers, and service and sales workers.

The worker must also have an attested educational certificate higher than secondary or an equivalent certification, and earn a monthly salary of at least Dh4,000. 

Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

Our legal consultant

Name: Dr Hassan Mohsen Elhais

Position: legal consultant with Al Rowaad Advocates and Legal Consultants.

Updated: February 10, 2022, 10:22 AM