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Huang Y, Jiao J, Hu J, Hsing C, Lai Z, Yang Y, Li Z, Hu X. Electroencephalographic Measurement on Post-stroke Sensory Deficiency in Response to Non-painful Cold Stimulation. Front Aging Neurosci 2022; 14:866272. [PMID: 35645770 PMCID: PMC9131028 DOI: 10.3389/fnagi.2022.866272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Accepted: 04/08/2022] [Indexed: 11/13/2022] Open
Abstract
Background Reduced elementary somatosensation is common after stroke. However, the measurement of elementary sensation is frequently overlooked in traditional clinical assessments, and has not been evaluated objectively at the cortical level. This study designed a new configuration for the measurement of post-stroke elementary thermal sensation by non-painful cold stimulation (NPCS). The post-stroke cortical responses were then investigated during elementary NPCS on sensory deficiency via electroencephalography (EEG) when compared with unimpaired persons. Method Twelve individuals with chronic stroke and fifteen unimpaired controls were recruited. A 64-channel EEG system was used to investigate the post-stroke cortical responses objectively during the NPCS. A subjective questionnaire of cold sensory intensity was also administered via a numeric visual analog scale (VAS). Three water samples with different temperatures (i.e., 25, 10, and 0°C) were applied to the skin surface of the ventral forearm for 3 s via glass beaker, with a randomized sequence on either the left or right forearm of a participant. EEG relative spectral power (RSP) and topography were used to evaluate the neural responses toward NPCS with respect to the independent factors of stimulation side and temperature. Results For unimpaired controls, NPCS initiated significant RSP variations, mainly located in the theta band with the highest discriminative resolution on the different temperatures (P < 0.001). For stroke participants, the distribution of significant RSP spread across all EEG frequency bands and the temperature discrimination was lower than that observed in unimpaired participants (P < 0.05). EEG topography showed that the NPCS could activate extensive and bilateral sensory cortical areas after stroke. Significant group differences on RSP intensities were obtained in each EEG band (P < 0.05). Meanwhile, significant asymmetry cortical responses in RSP toward different upper limbs were observed during the NPCS in both unimpaired controls and participants with stroke (P < 0.05). No difference was found between the groups in the VAS ratings of the different temperatures (P > 0.05). Conclusion The post-stroke cortical responses during NPCS on sensory deficiency were characterized by the wide distribution of representative RSP bands, lowered resolution toward different temperatures, and extensive activated sensory cortical areas.
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Affiliation(s)
- Yanhuan Huang
- Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
| | - Jiao Jiao
- Institute of Textiles and Clothing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
| | - Junyan Hu
- Institute of Textiles and Clothing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
| | - Chihchia Hsing
- Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
| | - Zhangqi Lai
- Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
| | - Yang Yang
- Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
| | - Zengyong Li
- Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Centre for Rehabilitation Technical Aids Beijing, Beijing, China
| | - Xiaoling Hu
- Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
- University Research Facility in Behavioral and Systems Neuroscience (UBSN), The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
- The Hong Kong Polytechnic University Shenzhen Research Institute, Shenzhen, China
- Research Institute for Smart Ageing (RISA), The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
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Hurrie DMG, Talebian Nia M, Power KE, Stecina K, Gardiner P, Lockyer EJ, Giesbrecht GG. Spinal and corticospinal excitability in response to reductions in skin and core temperature via whole-body cooling. Appl Physiol Nutr Metab 2021; 47:195-205. [PMID: 34582724 DOI: 10.1139/apnm-2021-0370] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Cold stress impairs fine and gross motor movements. Although peripheral effects of muscle cooling on performance are well understood, less is known about central mechanisms. This study characterized corticospinal and spinal excitability during surface cooling, reducing skin (Tsk) and core (Tes) temperature. Ten subjects (3 female) wore a liquid-perfused suit and were cooled (9°C perfusate, 90 min) and rewarmed (41°C perfusate, 30 min). Transcranial magnetic stimulation [eliciting motor evoked potentials (MEPs)], as well as transmastoid [eliciting cervicomedullary evoked potentials (CMEPs)] and brachial plexus [eliciting maximal compound motor action potentials (Mmax)] electrical stimulation, were applied at baseline, every 20 min during cooling, and following rewarming. Sixty minutes of cooling, reduced Tsk by 9.6°C (P<0.001) but Tes remained unchanged (P=0.92). Tes then decreased ~0.6℃ in the next 30 minutes of cooling (P<0.001). Eight subjects shivered. During rewarming, shivering was abolished, and Tsk returned to baseline while Tes did not increase. During cooling and rewarming, Mmax, MEP, and MEP/Mmax were unchanged from baseline. However, CMEP and CMEP/Mmax increased during cooling by ~85% and 79% (P<0.001) respectively, and remained elevated post-rewarming. Results suggest that spinal excitability is facilitated by reduced Tsk during cooling, and reduced Tes during warming, while corticospinal excitability remains unchanged. ClinicalTrials.gov ID NCT04253730 Novelty: • This is the first study to characterize corticospinal, and spinal excitability during whole body cooling, and rewarming in humans. • Whole body cooling did not affect corticospinal excitability. • Spinal excitability was facilitated during reductions in both skin and core temperatures.
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Affiliation(s)
- Daryl Michael George Hurrie
- University of Manitoba, 8664, Kinesiology and Recreation Management, 102 Frank Kennedy Centre, University of Manitoba, Winnipeg, Manitoba, Canada, R3T 2N2;
| | - Morteza Talebian Nia
- University of Manitoba, 8664, Kinesiology and recreation management, 87 Radcliffe Rd, Winnipeg, Manitoba, Canada, R3T 3H2;
| | - Kevin E Power
- Memorial University of Newfoundland, Human Kinetics, Physical Education Building, Room 2022a, St. John's, Newfoundland and Labrador, Canada, A1C 5S7;
| | - Katinka Stecina
- University of Manitoba, 8664, Kinesiology and Recreation Management, Winnipeg, Manitoba, Canada;
| | - Phillip Gardiner
- University of Manitoba College of Medicine, 12359, Physiology, 745 Bannatyne, Winnipeg, Manitoba, Canada, R3E 3P5;
| | - Evan J Lockyer
- Memorial University of Newfoundland, Human Kinetics, 230 Elizabeth Avenue, Physical Education Building, St. John's, Newfoundland and Labrador, Canada, A1C5S7;
| | - Gordon G Giesbrecht
- University of Manitoba, KRM, 102 Frank Kennedy Centre, U of Man, R3T 2N2, Winnipeg, Manitoba, Canada, R3T 2N2;
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Infortuna C, Mineo L, Buffer S, Thomas FP, Muscatello MRA, Aguglia E, Bruno A, Zoccali RA, Sheikh A, Chusid E, Han Z, Battaglia F. Acute social and somatic stress alters cortical metaplasticity probed with non-invasive brain stimulation in humans. Int J Psychophysiol 2021; 170:1-5. [PMID: 34547303 DOI: 10.1016/j.ijpsycho.2021.09.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Revised: 09/08/2021] [Accepted: 09/14/2021] [Indexed: 11/30/2022]
Abstract
Studying the neuronal mechanisms that govern the cortical adaptations to acute stress is critical for understanding the development of neuropsychiatric diseases. Homeostatic plasticity stabilizes the neural activity in which a previous synaptic event drives subsequent synaptic plasticity. In this study, we evaluated the effect of acute stress induced with the socially evaluated cold pressor test (SECPT) on cortical metaplasticity in humans using a non-invasive brain stimulation protocol. After being exposed to the SECPT and control stress conditions, 30 healthy participants were tested for cortical metaplasticity assessed with changes in the amplitude of the motor evoked potential (MEP) induced by a single-pulse transcranial magnetic stimulation (TMS). Cortical metaplasticity was induced by combining priming with cathodal tDCS (cTDCS) followed by a sub-threshold 1-Hz repetitive stimulation (rTMS) test session. Our results showed that SECPT induced cardiovascular adaptations (increase in systolic, diastolic blood pressure, and heart rate), indicating that SECPT effectively induced acute stress. Also, in our experiments stimulation of subjects with 1-Hz rTMS after they had undergone the SECPT condition induced inhibition of MEP whereas 1-Hz rTMS administered after the control condition induced a facilitatory (physiologic) response pattern. Here we observed that acute stress impairs homeostatic metaplasticity. The dysfunctional regulation of cortical plastic changes after stress could play a pivotal role in the pathogenesis of neurological and psychiatric diseases.
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Affiliation(s)
- Carmenrita Infortuna
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Policlinico Universitario, University of Messina, Messina, Italy
| | - Ludovico Mineo
- Department of Clinical and Experimental Medicine, Psychiatry Unit, University of Catania, Italy
| | - Steven Buffer
- Department of Medical Sciences and Department of Neurology, Hackensack Meridian School of Medicine, Nutley, NJ, USA
| | - Florian P Thomas
- Department of Neurology, Hackensack University Medical Center, Hackensack Meridian School of Medicine, Hackensack, NJ, USA
| | - Maria Rosaria Anna Muscatello
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Policlinico Universitario, University of Messina, Messina, Italy
| | - Eugenio Aguglia
- Department of Clinical and Experimental Medicine, Psychiatry Unit, University of Catania, Italy
| | - Antonio Bruno
- Department of Clinical and Experimental Medicine, Psychiatry Unit, University of Catania, Italy
| | - Rocco Antonio Zoccali
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Policlinico Universitario, University of Messina, Messina, Italy
| | - Asad Sheikh
- Department of Pre-clinical Sciences, New York College of Podiatric Medicine, New York, USA
| | - Eileen Chusid
- Department of Pre-clinical Sciences, New York College of Podiatric Medicine, New York, USA
| | - Zhyiong Han
- Department of Neurology, Hackensack University Medical Center, Hackensack Meridian School of Medicine, Hackensack, NJ, USA
| | - Fortunato Battaglia
- Department of Neurology, Hackensack University Medical Center, Hackensack Meridian School of Medicine, Hackensack, NJ, USA.
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Turco CV, Toepp SL, Foglia SD, Dans PW, Nelson AJ. Association of short- and long-latency afferent inhibition with human behavior. Clin Neurophysiol 2021; 132:1462-1480. [PMID: 34030051 DOI: 10.1016/j.clinph.2021.02.402] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2020] [Revised: 01/26/2021] [Accepted: 02/12/2021] [Indexed: 01/04/2023]
Abstract
Transcranial magnetic stimulation (TMS) paired with nerve stimulation evokes short-latency afferent inhibition (SAI) and long-latency afferent inhibition (LAI), which are non-invasive assessments of the excitability of the sensorimotor system. SAI and LAI are abnormally reduced in various special populations in comparison to healthy controls. However, the relationship between afferent inhibition and human behavior remains unclear. The purpose of this review is to survey the current literature and synthesize observations and patterns that affect the interpretation of SAI and LAI in the context of human behavior. We discuss human behaviour across the motor and cognitive domains, and in special and control populations. Further, we discuss future considerations for research in this field and the potential for clinical applications. By understanding how human behavior is mediated by changes in SAI and LAI, this can allow us to better understand the neurophysiological underpinnings of human motor control.
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Affiliation(s)
- Claudia V Turco
- Department of Kinesiology, McMaster University, Hamilton, ON L8S 4K1, Canada.
| | - Stephen L Toepp
- Department of Kinesiology, McMaster University, Hamilton, ON L8S 4K1, Canada.
| | - Stevie D Foglia
- School of Biomedical Engineering, McMaster University, Hamilton, ON L8S 4K1, Canada.
| | - Patrick W Dans
- Department of Kinesiology, McMaster University, Hamilton, ON L8S 4K1, Canada.
| | - Aimee J Nelson
- Department of Kinesiology, McMaster University, Hamilton, ON L8S 4K1, Canada.
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Magara J, Watanabe M, Tsujimura T, Hamdy S, Inoue M. Lasting modulation of human cortical swallowing motor pathways following thermal tongue stimulation. Neurogastroenterol Motil 2021; 33:e13938. [PMID: 32656920 DOI: 10.1111/nmo.13938] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 06/15/2020] [Accepted: 06/16/2020] [Indexed: 02/08/2023]
Abstract
BACKGROUND Thermal tactile oropharyngeal stimulation has been clinically used to facilitate swallowing initiation in dysphagic patients. We previously demonstrated that thermal stimulation applied to the oral cavity provokes an immediate excitability in pharyngeal motor cortex. The aim of the current study was to investigate whether thermal stimulation can produce longer lasting effects on the corticopharyngeal neural pathway. METHODS Healthy volunteers (n = 8/12) underwent baseline pharyngeal motor evoked potential (PMEP) measurements evoked by transcranial magnetic stimulation. In the first experiment, subjects received thermal stimulation alternating 30 seconds of 15 and 36°C applied to the tongue surface for either 10 minutes, 5 minutes, or sham. In the second experiment, one of three intermittent thermal stimulus patterns was delivered: cold (alternating 30 seconds of 15 and 36°C), warm (continuous 36°C), or hot (alternating 30 seconds of 45 and 36°C) for 10 minutes. In both experiments, PMEP were remeasured every 15 minutes up to 60 minutes following thermal stimulation. KEY RESULTS Repeated measures ANOVA for each stimulus time in the first experiment showed a significant increased change in PMEP amplitude at 30 minutes following only 10-minute stimulation compared with sham (P < .05). In the second experiment, we found that cold stimulation was more effective than the other stimulation (P < .05) at increasing PMEP amplitudes. CONCLUSIONS AND INFERENCES Ten-minute cold stimulation on the tongue can induce a delayed (30 minutes) increase in pharyngeal cortical excitability, providing a clinically useful therapeutic window for its application in dysphagic patients.
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Affiliation(s)
- Jin Magara
- Division of Dysphagia Rehabilitation, Niigata University, Niigata, Japan
| | - Masahiro Watanabe
- Division of Dysphagia Rehabilitation, Niigata University, Niigata, Japan
| | - Takanori Tsujimura
- Division of Dysphagia Rehabilitation, Niigata University, Niigata, Japan
| | - Shaheen Hamdy
- Gastrointestinal Sciences, Division of Diabetes, Endocrinology and Gastroenterology, Faculty of Biology, Medicine and Health, School of Medical Sciences, University of Manchester, Salford, UK
| | - Makoto Inoue
- Division of Dysphagia Rehabilitation, Niigata University, Niigata, Japan
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Khaleel R, Tremblay F. Modulation of the cutaneous and cortical silent period in response to local menthol application. Somatosens Mot Res 2020; 37:277-283. [PMID: 32873145 DOI: 10.1080/08990220.2020.1815691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
In this study, we investigated the effects of menthol application on the cortical and cutaneous silent period (CSP/cutSP). Both the cutSP and CSP were assessed while participants (n = 11, young adults) exerted a light contraction with the right thumb. In the 1st block of trials, SPs were measured after the application of a Neutral gel (Aloe Vera) to the dorsal aspect of the hand. In the 2nd block, the same measures were repeated following a Menthol gel (4%) application. Subjective ratings of cooling sensations were obtained for each block. The Neutral gel was consistently perceived as slightly cool by participants, wheres the Menthol gel elicited sensations from cool to very cold. Paired t-tests showed no difference in the cutSP duration between the two conditions, whereas a significant increase in the CSP was detected with the Menthol condition. No correlation was found between changes in the CSP and those of the cutSP. These results highlight the difference between the cutSP and the CSP, as inhibitory phenomena, and point to a cortical contribution to the soothing effects associated with topical menthol applications.
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Affiliation(s)
| | - François Tremblay
- Bruyère Research Institute, Ottawa, Ontario, Canada.,School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ontario, Canada
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Short-latency afferent-induced facilitation and inhibition as predictors of thermally induced variations in corticomotor excitability. Exp Brain Res 2019; 237:1445-1455. [DOI: 10.1007/s00221-019-05522-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Accepted: 03/13/2019] [Indexed: 01/02/2023]
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Ansari Y, Remaud A, Tremblay F. Modulation of corticomotor excitability in response to distal focal cooling. PeerJ 2019; 6:e6163. [PMID: 30595991 PMCID: PMC6305122 DOI: 10.7717/peerj.6163] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2018] [Accepted: 11/27/2018] [Indexed: 11/20/2022] Open
Abstract
Background Thermal stimulation has been proposed as a modality to facilitate motor recovery in neurological populations, such as stroke. Recently (Ansari, Remaud & Tremblay, 2018), we showed that application of cold or warm stimuli distally to a single digit produced a variable and short lasting modulation in corticomotor excitability. Here, our goal was to extend these observations to determine whether an increase in stimulation area could elicit more consistent modulation. Methods Participants (n = 22) consisted of a subset who participated in our initial study. Participants were asked to come for a second testing session where the thermal protocol was repeated but with extending the stimulation area from single-digit (SD) to multi-digits (MD, four fingers, no thumb). As in the first session, skin temperature and motor evoked potentials (MEPs) elicited with transcranial magnetic stimulation were measured at baseline (BL, neutral gel pack at 22 °C), at 1 min during the cooling application (pre-cooled 10 °C gel pack) and 5 and 10 min post-cooling (PC5 and PC10). The analysis combined the data obtained previously with single-SD cooling (Ansari, Remaud & Tremblay, 2018) with those obtained here for MD cooling. Results At BL, participants exhibited comparable measures of resting corticomotor excitability between testing sessions. MD cooling induced similar reductions in skin temperature as those recorded with SD cooling with a peak decline at C1 of respectively, -11.0 and -10.3 °C. For MEPs, the primary analysis revealed no main effect attributable to the stimulation area. A secondary analysis of individual responses to MD cooling revealed that half of the participants exhibited delayed MEP facilitation (11/22), while the other half showed delayed inhibition (10/22); which was sustained in the post-cooling phase. More importantly, a correlation between variations in MEP amplitude recorded during the SD cooling session with those recorded in the second session with MD cooling, revealed a very good degree of correspondence between the two at the individual level. Conclusion These results indicate that increasing the cooling area in the distal hand, while still eliciting variable responses, did produce more sustained modulation in MEP amplitude in the post-cooling phase. Our results also highlight that responses to cooling in terms of either depression or facilitation of corticomotor excitability tend to be fairly consistent in a given individual with repeated applications.
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Affiliation(s)
- Yekta Ansari
- School of Rehabilitation Sciences, Faculty of Heath Sciences, University of Ottawa, Ottawa, ON, Canada
| | - Anthony Remaud
- Clinical Neuroscience Lab, Bruyère Research Institute, Ottawa, ON, Canada
| | - François Tremblay
- School of Rehabilitation Sciences, Faculty of Heath Sciences, University of Ottawa, Ottawa, ON, Canada.,Clinical Neuroscience Lab, Bruyère Research Institute, Ottawa, ON, Canada
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