dc.contributor.author |
Stinear, Cathy |
en |
dc.contributor.author |
Petoe, MA |
en |
dc.contributor.author |
Byblow, Winston |
en |
dc.date.accessioned |
2016-10-24T21:17:37Z |
en |
dc.date.available |
2015-06-22 |
en |
dc.date.issued |
2015-11 |
en |
dc.identifier.citation |
Brain stimulation, 2015, 8 (6), 1183 - 1190 |
en |
dc.identifier.issn |
1935-861X |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/30838 |
en |
dc.description.abstract |
Non-invasive brain stimulation techniques may be useful adjuvants to promote recovery after stroke. They are typically used to facilitate ipsilesional cortical excitability directly, or indirectly by suppressing contralesional cortical excitability and reducing interhemispheric inhibition from the contralesional to ipsilesional hemisphere. However, most of the evidence for this approach comes from studies of patients at the chronic stage of recovery.We hypothesized that corticomotor excitability and interhemispheric inhibition would initially be asymmetric, with greater interhemispheric inhibition from contralesional to ipsilesional M1. We also hypothesized that balancing of corticomotor excitability and interhemispheric inhibition would be associated with greater improvements in paretic upper-limb impairment and function.We conducted a retrospective analysis of longitudinal data collected from 46 patients during the first six months after stroke. Transcranial magnetic stimulation was used to measure rest motor threshold, stimulus-response curves, and ipsilateral silent periods from the extensor carpi radialis muscles of both upper limbs. Analyses of variance and linear regression modeling were used to evaluate the effect of time on corticomotor excitability and interhemispheric inhibition in both hemispheres, and associations between these effects and improvements in paretic upper-limb impairment and function.All participants had subcortical damage and only two had motor cortex involvement. As expected, ipsilesional corticomotor excitability was initially suppressed and increased over time, and this increase was associated with improved upper-limb impairment and function. However, interhemispheric inhibition was symmetrical and stable over time, and there was no evidence for a decrease in contralesional corticomotor excitability.Neuromodulation interventions applied during spontaneous recovery may be more beneficial if they facilitate ipsilesional corticomotor excitability directly. |
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dc.description.uri |
https://www.ncbi.nlm.nih.gov/pubmed/26195321 |
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dc.format.medium |
Print-Electronic |
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dc.language |
English |
en |
dc.publisher |
Elsevier |
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dc.relation.ispartofseries |
Brain stimulation |
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dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/1935-861X/
https://www.elsevier.com/about/company-information/policies/sharing |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
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dc.subject |
Upper Extremity |
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dc.subject |
Motor Cortex |
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dc.subject |
Humans |
en |
dc.subject |
Electromyography |
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dc.subject |
Retrospective Studies |
en |
dc.subject |
Evoked Potentials, Motor |
en |
dc.subject |
Neural Inhibition |
en |
dc.subject |
Rest |
en |
dc.subject |
Adult |
en |
dc.subject |
Aged |
en |
dc.subject |
Aged, 80 and over |
en |
dc.subject |
Middle Aged |
en |
dc.subject |
Female |
en |
dc.subject |
Male |
en |
dc.subject |
Transcranial Magnetic Stimulation |
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dc.subject |
Stroke |
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dc.title |
Primary Motor Cortex Excitability During Recovery After Stroke: Implications for Neuromodulation |
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dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1016/j.brs.2015.06.015 |
en |
pubs.issue |
6 |
en |
pubs.begin-page |
1183 |
en |
pubs.volume |
8 |
en |
dc.description.version |
AM - Accepted Manuscript |
en |
dc.identifier.pmid |
26195321 |
en |
pubs.author-url |
http://www.sciencedirect.com/science/article/pii/S1935861X15010177 |
en |
pubs.end-page |
1190 |
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pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Article |
en |
pubs.elements-id |
492057 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Medicine Department |
en |
pubs.org-id |
Science |
en |
pubs.org-id |
Exercise Sciences |
en |
dc.identifier.eissn |
1876-4754 |
en |
pubs.record-created-at-source-date |
2016-10-25 |
en |
pubs.online-publication-date |
2015-07-17 |
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pubs.dimensions-id |
26195321 |
en |