Change in Reciprocal Inhibition of the Forearm with Motor Imagery among Patients with Chronic Stroke

We investigated cortically mediated changes in reciprocal inhibition (RI) following motor imagery (MI) in short- and long(er)-term periods. The goals of this study were (1) to describe RI during MI in patients with chronic stroke and (2) to examine the change in RI after MI-based brain-machine inter...

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Main Authors: Michiyuki Kawakami, Kohei Okuyama, Yoko Takahashi, Miho Hiramoto, Atsuko Nishimura, Junichi Ushiba, Toshiyuki Fujiwara, Meigen Liu
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2018/3946367
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author Michiyuki Kawakami
Kohei Okuyama
Yoko Takahashi
Miho Hiramoto
Atsuko Nishimura
Junichi Ushiba
Toshiyuki Fujiwara
Meigen Liu
author_facet Michiyuki Kawakami
Kohei Okuyama
Yoko Takahashi
Miho Hiramoto
Atsuko Nishimura
Junichi Ushiba
Toshiyuki Fujiwara
Meigen Liu
author_sort Michiyuki Kawakami
collection DOAJ
description We investigated cortically mediated changes in reciprocal inhibition (RI) following motor imagery (MI) in short- and long(er)-term periods. The goals of this study were (1) to describe RI during MI in patients with chronic stroke and (2) to examine the change in RI after MI-based brain-machine interface (BMI) training. Twenty-four chronic stroke patients participated in study 1. All patients imagined wrist extension on the affected side. RI from the extensor carpi radialis to the flexor carpi radialis (FCR) was assessed using a FCR H reflex conditioning-test paradigm. We calculated the “MI effect score on RI” (RI value during MI divided by that at rest) and compared that score according to lesion location. RI during MI showed a significant enhancement compared with RI at rest. The MI effect score on RI in the subcortical lesion group was significantly greater than that in the cortical lesion group. Eleven stroke patients participated in study 2. All patients performed BMI training for 10 days. The MI effect score on RI at a 20 ms interstimulus interval was significantly increased after BMI compared with baseline. In conclusion, mental practice with MI may induce plastic change in spinal reciprocal inhibitory circuits in patients with stroke.
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spelling doaj-art-d497289b917f485992f7d7a0316c70212025-02-03T01:01:49ZengWileyNeural Plasticity2090-59041687-54432018-01-01201810.1155/2018/39463673946367Change in Reciprocal Inhibition of the Forearm with Motor Imagery among Patients with Chronic StrokeMichiyuki Kawakami0Kohei Okuyama1Yoko Takahashi2Miho Hiramoto3Atsuko Nishimura4Junichi Ushiba5Toshiyuki Fujiwara6Meigen Liu7Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, JapanDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, JapanDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, JapanDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, JapanDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, JapanDepartment of Biosciences and Informatics, Faculty of Science and Technology, Keio University, Kanagawa, JapanDepartment of Physical medicine and Rehabilitation, Juntendo University Graduate School of Medicine, Tokyo, JapanDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, JapanWe investigated cortically mediated changes in reciprocal inhibition (RI) following motor imagery (MI) in short- and long(er)-term periods. The goals of this study were (1) to describe RI during MI in patients with chronic stroke and (2) to examine the change in RI after MI-based brain-machine interface (BMI) training. Twenty-four chronic stroke patients participated in study 1. All patients imagined wrist extension on the affected side. RI from the extensor carpi radialis to the flexor carpi radialis (FCR) was assessed using a FCR H reflex conditioning-test paradigm. We calculated the “MI effect score on RI” (RI value during MI divided by that at rest) and compared that score according to lesion location. RI during MI showed a significant enhancement compared with RI at rest. The MI effect score on RI in the subcortical lesion group was significantly greater than that in the cortical lesion group. Eleven stroke patients participated in study 2. All patients performed BMI training for 10 days. The MI effect score on RI at a 20 ms interstimulus interval was significantly increased after BMI compared with baseline. In conclusion, mental practice with MI may induce plastic change in spinal reciprocal inhibitory circuits in patients with stroke.http://dx.doi.org/10.1155/2018/3946367
spellingShingle Michiyuki Kawakami
Kohei Okuyama
Yoko Takahashi
Miho Hiramoto
Atsuko Nishimura
Junichi Ushiba
Toshiyuki Fujiwara
Meigen Liu
Change in Reciprocal Inhibition of the Forearm with Motor Imagery among Patients with Chronic Stroke
Neural Plasticity
title Change in Reciprocal Inhibition of the Forearm with Motor Imagery among Patients with Chronic Stroke
title_full Change in Reciprocal Inhibition of the Forearm with Motor Imagery among Patients with Chronic Stroke
title_fullStr Change in Reciprocal Inhibition of the Forearm with Motor Imagery among Patients with Chronic Stroke
title_full_unstemmed Change in Reciprocal Inhibition of the Forearm with Motor Imagery among Patients with Chronic Stroke
title_short Change in Reciprocal Inhibition of the Forearm with Motor Imagery among Patients with Chronic Stroke
title_sort change in reciprocal inhibition of the forearm with motor imagery among patients with chronic stroke
url http://dx.doi.org/10.1155/2018/3946367
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