Van den Brand et al. (Reports, 1 June 2012, p. 1182 claim to have restored voluntary control of locomotion after paralyzing spinal cord injury. They have not considered recent findings that their upright posture paradigm contributes to locomotor capability after such injuries. We propose that postural adjustments that activate the locomotor central pattern generator in the upright posture, rather than direct voluntary control of locomotion, account for their results.V an den Brand et al. claimed to have restored voluntary control of hindlimb locomotion after paralyzing spinal cord injury using an electrochemical neuroprosthesis combined with overground locomotor training in adult rats (1). They used epidural electrical stimulation together with systemically applied drugs and bipedal locomotor training in a robotic postural interface to force rats to walk toward a food reward. Given the impact of such claims for paraplegic patients around the world, it is important to critically examine the evidence provided. In a recent publication, Sławińska and others (2) clearly showed that the upright bipedal posture alone provides sensory feedback that promotes coordinated hindlimb locomotion in the absence of training, drug application, or supraspinal influence. We propose that the bipedal training procedure used by van den Brand et al.(1) initiated locomotion due to forward shifts in posture, thus engaging powerful feedback from load receptors of the hindlimbs that potently facilitates locomotor activity (2, 3). The videos [supplementary materials for (1)] show that the rats move their forelimbs, head, and trunk, thus shifting the center of mass forward. The net effect is an increased loading of the hindlimbs that per se could lead to spinal stepping, especially in the upright posture. Injections of potent excitatory drugs combined with lumbosacral electrical stimulation, as used in their paradigm, likely increases the responsiveness of the spinal locomotor central pattern generator (CPG) to load-bearing inputs. As their figure 4 shows, the onset of overground locomotion is accompanied by an increase in the ground reaction force (GRF), thus facilitating locomotor activity without having to engage direct voluntary control of the locomotor CPG. We propose that the training paradigm resulted in a strategy that shifted the center of mass forward so that the afferent feedback associated with the upright posture, together with the resultant hip extension, engaged the spinal CPG for locomotion and propelled the animal toward the food reward. This interpretation does not require that the brain regain "supraspinal control over the electrochemically enabled lumbosacral circuits," as the authors propose [supplementary materials for (1)].If the training is effective in restoring voluntary locomotion, and this is not because the animals are in the upright posture as we propose, then the rats should display marked recovery of overground quadrupedal locomotion, the normal position for progression in rodents. However, a description of t...