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The Science Behind Recovery
Recovery after spinal cord injury, stroke, cerebral palsy, and other neurological conditions depends on more than muscle strength alone. It depends on the nervous system's ability to reorganize, adapt, and regain function.
At COSYMA, our rehabilitation technologies are built on decades of research in spinal cord neurophysiology and neuromodulation. Our work focuses on understanding how neural circuits within the spinal cord contribute to movement, posture, respiration, and functional recovery.
This scientific foundation has led to the development of non-invasive neuromodulation technologies designed to help activate existing neural pathways and support intensive rehabilitation training.
Our multidisciplinary team of neuroscientists, engineers, physicians, and rehabilitation specialists works to translate advances in neuroscience into practical tools that can be integrated into clinical care.
Translating Neuroscience into Rehabilitation
The development of effective neurorehabilitation technologies requires more than innovative engineering. It requires a deep understanding of how the nervous system functions after injury.
Experiments
Our approach was developed through years of research examining how spinal neural networks respond to electrical stimulation and how these responses can be used to support rehabilitation.
Development
Through extensive laboratory and clinical work, researchers identified stimulation strategies capable of modulating spinal neural circuits involved in movement and other essential functions.
Development of Scalable Medical Devices
These findings were translated into medical technologies that can be used in rehabilitation settings to complement conventional therapy and help maximize functional recovery potential.
Today, our technologies are protected by patents and supported by publications in peer-reviewed scientific journals. Most importantly, their effectiveness is proven by the patients who have regained the ability to stand and walk.
A Different Approach to Neurorehabilitation
Many rehabilitation technologies focus on providing external assistance for movement
  • Our approach focuses on the nervous system itself.

    Rather than mechanically moving a patient's limbs, we use non-invasive spinal neuromodulation to help increase the responsiveness of existing neural networks involved in motor control.
  • The goal is not simply to produce movement, but to create conditions that allow the patient to actively participate in movement training, which is essential for neuroplasticity and long-term recovery.
  • By combining neuromodulation with task-specific rehabilitation exercises, therapists can engage neural pathways that may remain dormant after injury and encourage the nervous system's natural capacity for adaptation.
Transcutaneous Spinal Cord Stimulation (tSCS)

An exoskeleton is an external mechanical frame that moves a patient’s limbs using motors. The patient remains passive—the machine moves their legs. While this is better than being immobile, it does not restore the patient’s own neural connections.

Our approach is fundamentally different. We don’t move the patient—we help them move themselves. Electrical stimulation activates their muscles through their own neural networks. This creates natural movement, training and strengthening the nervous system while triggering neuroplasticity—the brain’s ability to relearn and restore lost functions.

Additionally, exoskeletons weigh 25–30 kilograms, whereas our equipment is portable and lightweight.
Proven Effectiveness
Our technologies have been tested and validated in leading international medical institutions
  • Shirley Ryan AbilityLab (USA)
  • Kessler Foundation (USA)
  • Brain Mind Institute, EPFL (Switzerland)
  • Institut Guttmann (Spain)
  • Center for Neurology and Neurosciences (Russia)
  • Katz Group Medical Centre (Canada)
Clinical Applications
  • COSYMA technologies are designed to support rehabilitation programs for individuals with
    • Spinal cord injury (SCI)
    • Stroke
    • Cerebral palsy (CP)
    • Traumatic brain injury (TBI)
    • Multiple sclerosis (MS)
    • Other neurological conditions affecting movement and function
  • Applications may include support for:
    • Gait rehabilitation
    • Standing and postural control
    • Upper extremity rehabilitation
    • Respiratory rehabilitation
    • Spasticity management
    • Functional mobility training
    • Neurological recovery programs
More than 100 COSYMA devices are in operation abroad — in the USA, Canada, and Europe.
Our technologies are in demand where advanced neurorehabilitation is being developed.