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Recruitment input-output curves of transspinal evoked potentials that represent the net output of spinal neuronal networks during which cortical, spinal and peripheral inputs are integrated as well as motor evoked potentials and H-reflexes are used extensively in research as neurophysiological biomarkers to establish physiological or pathological motor behavior and post-treatment recovery. A comparison between different sigmoidal models to fit the transspinal evoked potentials recruitment curve and estimate the parameters of physiological importance has not been performed. This study sought to address this gap by fitting eight sigmoidal models (Boltzmann, Hill, Log-Logistic, Log-Normal, Weibull-1, Weibull-2, Gompertz, Extreme Value Function) to the transspinal evoked potentials recruitment curves of soleus and tibialis anterior recorded under four different cathodal stimulation settings.

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Post-stroke spasticity (PSS), characterized by a velocity-dependent increase in muscle tone and exaggerated reflexes, affects a significant portion of stroke patients and presents a substantial obstacle to post-stroke rehabilitation. Effective management and treatment for PSS remains a significant clinical challenge in the interdisciplinary aspect depending on the understanding of its etiologies and pathophysiology. We systematically review the relevant literature and provide the main pathogenic hypotheses: alterations in the balance of excitatory and inhibitory inputs to the descending pathway or the spinal circuit, which are secondary to cortical and subcortical ischemic or hemorrhagic injury, lead to disinhibition of the stretch reflex and increased muscle tone.

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Article Synopsis
  • A new technique called high-PAS combines high-frequency peripheral nerve stimulation (PNS) and high-intensity transcranial magnetic stimulation (TMS) to potentially enhance motor function in patients with incomplete spinal cord injuries.
  • The interstimulus interval (ISI) in high-PAS allows for flexibility, making it easier to implement in clinical settings where precise timing is tough, but this also creates challenges for measuring its effectiveness.
  • Research with ten healthy participants showed that high-PAS improved motor-evoked potentials (MEPs) and significantly increased spinal excitability (measured by H-reflex amplitudes) during spinal-targeted sessions, but not in cortical-targeted sessions.
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