|
|
||||||||
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
1 Department of Biomedical Engineering, Centre for Neuroscience, University of Alberta, Edmonton, Alberta, Canada
* To whom correspondence should be addressed. E-mail: monica.gorassini{at}ualberta.ca.
In human spinal cord injury the neuronal mechanisms mediating the improvement of locomotor function in response to intensive treadmill training are not well understood. In this study we examined if such recovery is mediated, in part, by increases in residual corticospinal drive to muscles of the leg during walking. To do this we measured the coherence of EMG activity between two antagonist muscles (inter-muscular coherence), specifically at frequencies between 24-40 Hz, which is thought to indicate common drive to two muscles from corticospinal inputs. In 12 subjects with incomplete spinal cord injury inter-muscular coherence was measured between hamstrings and vastus lateralis EMG that was activated during walking on a motorized treadmill. Before training, appreciable coherence in the 24-40 Hz frequency band was only present in subjects with moderate volitional motor strength in their leg muscles (n = 8 subjects) compared to subjects with little or no leg muscle strength (n = 4 subjects), reconfirming that 24-40 Hz frequency coherence is likely mediated by common supraspinal inputs. After training, increases in 24-40 Hz coherence only occurred in the 8 subjects with moderate leg muscle strength who also exhibited improvements in locomotor recovery as assessed by the 21 point WISCI II scale (termed responders). In contrast, development of inter-muscular coherence in the 24-40 Hz frequency band did not occur in the 4 subjects with absent or weak muscle strength. These subjects also did not improve in their locomotor ability as reflected in unchanging WISCI II scores (termed non-responders). Lower frequency coherence (5-18 Hz), which is thought to contain common drive from spinal inputs, did not change in either group. In a subset of subjects that were previously assessed with transcranial magnetic stimulation (TMS) before and after training (n = 5 responders and 3 non-responders), there was a significant and positive relationship between increases in 24-40 Hz coherence and increases in evoked muscle responses to TMS of the primary motor cortex. Taken together, increases in higher frequency EMG coherence in subjects with residual voluntary muscle strength and its parallel relation to changes in TMS evoked responses provides further evidence that improvements in locomotor function from treadmill training are mediated, in part, by increases in corticospinal drive to muscles of the leg during walking.
This article has been cited by other articles:
![]() |
H. A. Power, J. A. Norton, C. L. Porter, Z. Doyle, I. Hui, and K. M. Chan Transcranial direct current stimulation of the primary motor cortex affects cortical drive to human musculature as assessed by intermuscular coherence J. Physiol., December 15, 2006; 577(3): 795 - 803. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. F. Yang and M. Gorassini Spinal and Brain Control of Human Walking: Implications for Retraining of Walking Neuroscientist, October 1, 2006; 12(5): 379 - 389. [Abstract] [PDF] |
||||
![]() |
A. L Behrman, M. G Bowden, and P. M Nair Neuroplasticity After Spinal Cord Injury and Training: An Emerging Paradigm Shift in Rehabilitation and Walking Recovery Physical Therapy, October 1, 2006; 86(10): 1406 - 1425. [Abstract] [Full Text] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH |
| Visit Other APS Journals Online |