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This thesis describes experiments designed to investigate the effects of neuromuscular electrical stimulation (NMES) on corticospinal (CS) excitability in humans. NMES delivered at 100 Hz was more effective for increasing CS excitability than 10-, 50-, or 200-Hz NMES. CS excitability increases occurred after 24 min of 100-Hz NMES, were strongest in the stimulated muscle, and were mediated primarily at a supraspinal level. NMES of the common peroneal nerve of the leg increased CS excitability in multiple leg muscles, whereas NMES of the median nerve of the hand increased CS excitability in only the muscle innervated by that nerve. Additionally, CS excitability for the hand increased after 40 min of relatively high intensity and frequency NMES but not after 2 h of lower intensity and frequency NMES. These results have implications for identifying optimal NMES parameters to augment CS excitability for rehabilitation after central nervous system injury.

Neuroplasticity provides the basis for many of our most fundamental processes including learning, memory and the recovery of function following injury. This thesis is concerned with the neurophysiological and functional correlates of sensorimotor neuroplasticity in the healthy and focal dystonic populations. My initial experiments were conducted to determine the functional correlates of neuroplasticity induced in the primary motor (M1) and primary sensory (S1) cortices during a grip lift task. In healthy subjects these experiments further quantified the role of M1 in the anticipatory control of grip force scaling and demonstrated a role for S1 in triggering subsequent phases of the motor plan. My second series of experiments served to extend these findings by examining the functional correlates of neuroplasticity induced in the supplementary motor area (SMA). This study provided evidence for the role of left SMA in the control of grip force scaling and a role for left and right SMA in the synchronization of grip force and load force during the grip-lift synergy. Afferent input is known to be a powerful driver of cortical reorganisation. In particular, the timing and pattern of afferent input is thought to be crucial to the induction of plastic change. In healthy subjects, I examined the neurophysiological effects of applying “associative” (synchronous) and “non-associative” (asynchronous) patterns of afferent input to the motor points or digits of the hand. I observed an increase in the volume and area of the cortical representation of stimulated muscles when associative stimulation was applied over the motor points of two hand muscles. This pattern of stimulation also caused the centres of gravity of the stimulated muscles to move closer together, mimicking the maladaptive changes seen in focal hand dystonia. Non-associative stimulation and stimulation applied to the digits did not produce such an effect. Task-specific focal dystonia is characterised by excessive representational plasticity resulting in cortical representations which are significantly larger, and demonstrate greater overlap, than those seen in healthy individuals. These changes are thought to be driven, in part, by repetitive movement patterns which promote associative patterns of afferent input over an extended time period. On the basis of this knowledge, I applied non-associative stimulation to the hand muscles of dystonic subjects. Following this intervention, I noted a contraction of representational maps and a separation in the centres of gravity of the stimulated muscles. These neurophysiological changes were accompanied by improvements on a cyclic drawing task. This thesis demonstrates the functional correlates of neuroplasticity in M1, S1 and SMA during object manipulation using a precision grasp. These findings further extend our knowledge on the mechanisms underlying effective grasp control and assist us in the development of future rehabilitation protocols for neurological conditions involving grasp dysfunction. In addition, this thesis is the first to demonstrate an improvement in both neurophysiological and functional measures in focal dystonia following a period of non-associative afferent stimulation. These results open up exciting new avenues for the development of effective treatment protocols in those with focal hand dystonia. / Thesis (Ph.D.) -- University of Adelaide, School of Molecular and Biomedical Science, 2010

Neuroplasticity provides the basis for many of our most fundamental processes including learning, memory and the recovery of function following injury. This thesis is concerned with the neurophysiological and functional correlates of sensorimotor neuroplasticity in the healthy and focal dystonic populations. My initial experiments were conducted to determine the functional correlates of neuroplasticity induced in the primary motor (M1) and primary sensory (S1) cortices during a grip lift task. In healthy subjects these experiments further quantified the role of M1 in the anticipatory control of grip force scaling and demonstrated a role for S1 in triggering subsequent phases of the motor plan. My second series of experiments served to extend these findings by examining the functional correlates of neuroplasticity induced in the supplementary motor area (SMA). This study provided evidence for the role of left SMA in the control of grip force scaling and a role for left and right SMA in the synchronization of grip force and load force during the grip-lift synergy. Afferent input is known to be a powerful driver of cortical reorganisation. In particular, the timing and pattern of afferent input is thought to be crucial to the induction of plastic change. In healthy subjects, I examined the neurophysiological effects of applying “associative” (synchronous) and “non-associative” (asynchronous) patterns of afferent input to the motor points or digits of the hand. I observed an increase in the volume and area of the cortical representation of stimulated muscles when associative stimulation was applied over the motor points of two hand muscles. This pattern of stimulation also caused the centres of gravity of the stimulated muscles to move closer together, mimicking the maladaptive changes seen in focal hand dystonia. Non-associative stimulation and stimulation applied to the digits did not produce such an effect. Task-specific focal dystonia is characterised by excessive representational plasticity resulting in cortical representations which are significantly larger, and demonstrate greater overlap, than those seen in healthy individuals. These changes are thought to be driven, in part, by repetitive movement patterns which promote associative patterns of afferent input over an extended time period. On the basis of this knowledge, I applied non-associative stimulation to the hand muscles of dystonic subjects. Following this intervention, I noted a contraction of representational maps and a separation in the centres of gravity of the stimulated muscles. These neurophysiological changes were accompanied by improvements on a cyclic drawing task. This thesis demonstrates the functional correlates of neuroplasticity in M1, S1 and SMA during object manipulation using a precision grasp. These findings further extend our knowledge on the mechanisms underlying effective grasp control and assist us in the development of future rehabilitation protocols for neurological conditions involving grasp dysfunction. In addition, this thesis is the first to demonstrate an improvement in both neurophysiological and functional measures in focal dystonia following a period of non-associative afferent stimulation. These results open up exciting new avenues for the development of effective treatment protocols in those with focal hand dystonia. / Thesis (Ph.D.) -- University of Adelaide, School of Molecular and Biomedical Science, 2010

Neuroplasticity provides the basis for many of our most fundamental processes including learning, memory and the recovery of function following injury. This thesis is concerned with the neurophysiological and functional correlates of sensorimotor neuroplasticity in the healthy and focal dystonic populations. My initial experiments were conducted to determine the functional correlates of neuroplasticity induced in the primary motor (M1) and primary sensory (S1) cortices during a grip lift task. In healthy subjects these experiments further quantified the role of M1 in the anticipatory control of grip force scaling and demonstrated a role for S1 in triggering subsequent phases of the motor plan. My second series of experiments served to extend these findings by examining the functional correlates of neuroplasticity induced in the supplementary motor area (SMA). This study provided evidence for the role of left SMA in the control of grip force scaling and a role for left and right SMA in the synchronization of grip force and load force during the grip-lift synergy. Afferent input is known to be a powerful driver of cortical reorganisation. In particular, the timing and pattern of afferent input is thought to be crucial to the induction of plastic change. In healthy subjects, I examined the neurophysiological effects of applying “associative” (synchronous) and “non-associative” (asynchronous) patterns of afferent input to the motor points or digits of the hand. I observed an increase in the volume and area of the cortical representation of stimulated muscles when associative stimulation was applied over the motor points of two hand muscles. This pattern of stimulation also caused the centres of gravity of the stimulated muscles to move closer together, mimicking the maladaptive changes seen in focal hand dystonia. Non-associative stimulation and stimulation applied to the digits did not produce such an effect. Task-specific focal dystonia is characterised by excessive representational plasticity resulting in cortical representations which are significantly larger, and demonstrate greater overlap, than those seen in healthy individuals. These changes are thought to be driven, in part, by repetitive movement patterns which promote associative patterns of afferent input over an extended time period. On the basis of this knowledge, I applied non-associative stimulation to the hand muscles of dystonic subjects. Following this intervention, I noted a contraction of representational maps and a separation in the centres of gravity of the stimulated muscles. These neurophysiological changes were accompanied by improvements on a cyclic drawing task. This thesis demonstrates the functional correlates of neuroplasticity in M1, S1 and SMA during object manipulation using a precision grasp. These findings further extend our knowledge on the mechanisms underlying effective grasp control and assist us in the development of future rehabilitation protocols for neurological conditions involving grasp dysfunction. In addition, this thesis is the first to demonstrate an improvement in both neurophysiological and functional measures in focal dystonia following a period of non-associative afferent stimulation. These results open up exciting new avenues for the development of effective treatment protocols in those with focal hand dystonia. / Thesis (Ph.D.) -- University of Adelaide, School of Molecular and Biomedical Science, 2010

The issue of the laterality of control during unimanual and bimanual coordination was addressed in this thesis. Two tasks were used throughout: a repetitive discrete response task (finger tapping) and a continuous task (circle-drawing). Different mechanisms have been implicated in the temporal control of repetitive discrete movements and continuous movements. The tasks also differ in the degree of spatiotemporal coordination required which might have important implications in the question of laterality of control. The first section of the thesis examined between-hand differences in the dynamics of performance during unimanual and bimanual coordination. During tapping, the dominant hand was faster and less temporally variable than the nondominant hand. During circle drawing the dominant hand was faster, more accurate, less temporally and spatially variable, and produced smoother trajectories than the nondominant hand. During bimanual coordination, several of these asymmetries were attenuated: the rate of movement of the two hands became equivalent (the hands became temporally coupled), the asymmetry in temporal variability during tapping was reduced, and the asymmetry in trajectory smoothness during circle drawing was reduced. The second section of the thesis examined the effects of disrupting motor processes with transcranial magnetic stimulation (TMS) over the left or right primary motor cortex (M1) on the ongoing performance of the hands. In the first study, TMS over left or right M1 during unimanual tapping caused large disruptions to tapping with the contralateral hand but had little effect on the ipsilateral hand. In contrast, for a subset of trials during bimanual tapping, two lateralized effects of stimulation were seen: the effect of TMS on the contralateral hand was greater after stimulation over left M1 than after stimulation over right M1, and prolonged changes in inter-tap interval were observed in the left hand regardless of the side of stimulation. In the second study, TMS over left M1 during circle drawing decreased the accuracy of drawing with both the contralateral and ipsilateral hand, whereas TMS over right M1 decreased accuracy of drawing only with the contralateral hand. This lateralized effect was not limited to the bimanual case, but was also apparent during unimanual drawing. The final chapter addressed issues in bimanual motor control after unilateral stroke. Performance of the affected limb was examined during unimanual and bimanual coordination in a group of stroke patients with varying levels of impairment. The results indicated an improvement in the performance of the affected limb for some patients with mild to moderate, but not severe upper limb motor deficits during bimanual movement. The improvements were limited to the patients who showed evidence of temporal coupling between the hands. These findings support the hypothesis that the dominant motor cortex has a role in the control of both hands during bimanual coordination. In addition, the dominant hemisphere appears to play a role in controlling both hands during unimanual movements which require a greater degree of spatiotemporal coordination. The final study suggests that temporal coupling between the limbs is crucial for the facilitation of performance of the affected limb during bimanual coordination, which has both theoretical and practical implications.

Thesis (Ph. D.)--University of Washington, 2008. / Vita. Includes bibliographical references (p. 168-177).

Thesis (Ph. D.)--University of Alabama at Birmingham, 2009. / Title from PDF title page (viewed Mar. 31, 2010). Additional advisors: N. Shastry Akella, James E. Cox, Gitendra Uswatte, Victor W. Mark. Includes bibliographical references (p. 50-60).

The purpose of this study was to examine the effects of cortical spreading depression on neuronal activity in the rat motor (M1) cortex. It is known that cortical spreading depression causes widespread neuronal and glial activity in the cortex, but the degree to which it exerts its effects is unclear. Cortical spreading depression was induced in eight Sprague-Dawley male rats. After two hours, animals were euthanized and immunohistochemistry was performed on the brain to stain for the presence of c-Fos, an immediate early gene that is a well-known marker of neuronal activity. Sections were counterstained for Nissl substance to reveal two populations of cells: Nissl-stained neurons that were c-Fos positive, activated cells and Nissl-stained neurons that were c-Fos negative, non-activated cells. Three sections for each animal were examined and 20-30% of the total M1 cortex was analyzed. Cells were counted using systematic random sampling for each of the six cortical layers. Our results show that the cortical spreading depression did not produce an activation of all neurons. When layers were individually examined, there was a main effect of layer on neuronal activation. This confirmed previous findings that cortical spreading depression had the strongest effect on superficial layers of the cortex

abstract: Locomotion in natural environments requires coordinated movements from multiple body parts, and precise adaptations when changes in the environment occur. The contributions of the neurons of the motor cortex underlying these behaviors are poorly understood, and especially little is known about how such contributions may differ based on the anatomical and physiological characteristics of neurons. To elucidate the contributions of motor cortical subpopulations to movements, the activity of motor cortical neurons, muscle activity, and kinematics were studied in the cat during a variety of locomotion tasks requiring accurate foot placement, including some tasks involving both expected and unexpected perturbations of the movement environment. The roles of neurons with two types of neuronal characteristics were studied: the existence of somatosensory receptive fields located at the shoulder, elbow, or wrist of the contralateral forelimb; and the existence projections through the pyramidal tract, including fast- and slow-conducting subtypes. Distinct neuronal adaptations between simple and complex locomotion tasks were observed for neurons with different receptive field properties and fast- and slow-conducting pyramidal tract neurons. Feedforward and feedback-driven kinematic control strategies were observed for adaptations to expected and unexpected perturbations, respectively, during complex locomotion tasks. These kinematic differences were reflected in the response characteristics of motor cortical neurons receptive to somatosensory information from different parts of the forelimb, elucidating roles for the various neuronal populations in accommodating disturbances in the environment during behaviors. The results show that anatomical and physiological characteristics of motor cortical neurons are important for determining if and how neurons are involved in precise control of locomotion during natural behaviors. / Dissertation/Thesis / Doctoral Dissertation Neuroscience 2015