Evidence for a Window of Enhanced Plasticity in the Human Motor Cortex Following Ischemic Stroke Article Swipe
Brenton Hordacre
,
Duncan Austin
,
Katlyn E. Brown
,
Lynton Graetz
,
Isabel Pareés
,
Stefania De Trane
,
Ann‐Maree Vallence
,
Simon A. Koblar
,
Timothy Kleinig
,
Michelle N. McDonnell
,
Richard Greenwood
,
Michael C. Ridding
,
John C. Rothwell
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1177/1545968321992330
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1177/1545968321992330
Background In preclinical models, behavioral training early after stroke produces larger gains compared with delayed training. The effects are thought to be mediated by increased and widespread reorganization of synaptic connections in the brain. It is viewed as a period of spontaneous biological recovery during which synaptic plasticity is increased. Objective To look for evidence of a similar change in synaptic plasticity in the human brain in the weeks and months after ischemic stroke. Methods We used continuous theta burst stimulation (cTBS) to activate synapses repeatedly in the motor cortex. This initiates early stages of synaptic plasticity that temporarily reduces cortical excitability and motor-evoked potential amplitude. Thus, the greater the effect of cTBS on the motor-evoked potential, the greater the inferred level of synaptic plasticity. Data were collected from separate cohorts (Australia and UK). In each cohort, serial measurements were made in the weeks to months following stroke. Data were obtained for the ipsilesional motor cortex in 31 stroke survivors (Australia, 66.6 ± 17.8 years) over 12 months and the contralesional motor cortex in 29 stroke survivors (UK, 68.2 ± 9.8 years) over 6 months. Results Depression of cortical excitability by cTBS was most prominent shortly after stroke in the contralesional hemisphere and diminished over subsequent sessions ( P = .030). cTBS response did not differ across the 12-month follow-up period in the ipsilesional hemisphere ( P = .903). Conclusions Our results provide the first neurophysiological evidence consistent with a period of enhanced synaptic plasticity in the human brain after stroke. Behavioral training given during this period may be especially effective in supporting poststroke recovery.
Related Topics
Concepts
CTBS
Neuroplasticity
Neuroscience
Stroke (engine)
Motor cortex
Psychology
Spontaneous recovery
Stroke recovery
Synaptic plasticity
Transcranial magnetic stimulation
Primary motor cortex
Physical medicine and rehabilitation
Medicine
Stimulation
Rehabilitation
Internal medicine
Receptor
Engineering
Mechanical engineering
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/1545968321992330
- https://journals.sagepub.com/doi/pdf/10.1177/1545968321992330
- OA Status
- bronze
- Cited By
- 57
- References
- 73
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3126934616
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W3126934616Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1177/1545968321992330Digital Object Identifier
- Title
-
Evidence for a Window of Enhanced Plasticity in the Human Motor Cortex Following Ischemic StrokeWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-02-12Full publication date if available
- Authors
-
Brenton Hordacre, Duncan Austin, Katlyn E. Brown, Lynton Graetz, Isabel Pareés, Stefania De Trane, Ann‐Maree Vallence, Simon A. Koblar, Timothy Kleinig, Michelle N. McDonnell, Richard Greenwood, Michael C. Ridding, John C. RothwellList of authors in order
- Landing page
-
https://doi.org/10.1177/1545968321992330Publisher landing page
- PDF URL
-
https://journals.sagepub.com/doi/pdf/10.1177/1545968321992330Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://journals.sagepub.com/doi/pdf/10.1177/1545968321992330Direct OA link when available
- Concepts
-
CTBS, Neuroplasticity, Neuroscience, Stroke (engine), Motor cortex, Psychology, Spontaneous recovery, Stroke recovery, Synaptic plasticity, Transcranial magnetic stimulation, Primary motor cortex, Physical medicine and rehabilitation, Medicine, Stimulation, Rehabilitation, Internal medicine, Receptor, Engineering, Mechanical engineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
57Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 16, 2024: 13, 2023: 17, 2022: 9, 2021: 2Per-year citation counts (last 5 years)
- References (count)
-
73Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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