Changes in excitability of cortical projections to the tibialis anterior induced by concurrent motor imagination and peripheral electrical stimulation
Student thesis: Master Thesis and HD Thesis
- Johnny L. G. Nielsen
- Steffen Holmgaard
4. term, Biomedical Engineering and Informatics, Master (Master Programme)
Plasticity of the human motor cortex may play an
important role in functional recovery after stroke. This
study investigated a novel approach for changing excitability
of the cortical projections to the tibialis anterior
(TA), consisting of concurrent motor imagination and
peripheral stimulation. It is hypothesized that changes
in cortical excitability depend on when stimulation arrives
during the cognitive process of movement. The
movement-related cortical potential (MRCP) for each
participating subject was measured. In three separate
intervention sessions, repetitive pairings of an electrical
stimulation applied to the common peroneal nerve was
timed to arrive at the cortical level during an imaginary
dorsiflexion in the preparation phase (INT1), in the
execution phase (INT2) or after the execution phase
(INT3) in relation to the individual MRCP. Motorevoked
potentials (MEPs) were elicited in the TA before
and after each intervention, and the TA MEP size was
extracted. Across subjects, the largest increase in the
MEP size was observed in INT1 (143%), while the
increase was less in INT2 (118%) and further reduced
in INT3 (107%). This supports the hypothesis that the
arrival of the stimulation depends on the cognitive state,
although the variability in the data was large. Changes
in the TA MEPs appeared not to be caused by spinal
mechanisms. In addition, no significant changes in the
antagonist MEP size were observed. The present results
indicate that the rationale behind the approach is sound,
opening opportunities for new rehabilitation strategies.
However, further research on additional subjects is required
to validate the hypothesis.
Language | English |
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Publication date | 2009 |
Number of pages | 41 |
Publishing institution | Aalborg University, Department for Health Science and Technology |