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  4. Multi-focal Stimulation of the Cortico-cerebellar Loop During the Acquisition of a Novel Hand Motor Skill in Chronic Stroke Survivors
 
research article

Multi-focal Stimulation of the Cortico-cerebellar Loop During the Acquisition of a Novel Hand Motor Skill in Chronic Stroke Survivors

Wessel, M. J.  
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Draaisma, L. R.  
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Durand-Ruel, M.  
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February 18, 2023
Cerebellum

Impairment of hand motor function is a frequent consequence after a stroke and strongly determines the ability to regain a self-determined life. An influential research strategy for improving motor deficits is the combined application of behavioral training and non-invasive brain stimulation of the motor cortex (M1). However, a convincing clinical translation of the present stimulation strategies has not been achieved yet. One alternative and innovative approach is to target the functionally relevant brain network-based architecture, e.g., the dynamic interactions within the cortico-cerebellar system during learning. Here, we tested a sequential multifocal stimulation strategy targeting the cortico-cerebellar loop. Anodal transcranial direct current stimulation (tDCS) was applied simultaneously to a hand-based motor training in N = 11 chronic stroke survivors during four training sessions on two consecutive days. The tested conditions were: sequential multifocal (M1-cerebellum (CB)-M1-CB) vs. monofocal control stimulation (M1-sham-M1-sham). Additionally, skill retention was assessed 1 and 10 days after the training phase. Paired-pulse transcranial magnetic stimulation data were recorded to characterize stimulation response determining features. The application of CB-tDCS boosted motor behavior in the early training phase in comparison to the control condition. No faciliatory effects on the late training phase or skill retention were detected. Stimulation response variability was related to the magnitude of baseline motor ability and short intracortical inhibition (SICI). The present findings suggest a learning phase-specific role of the cerebellar cortex during the acquisition of a motor skill in stroke and that personalized stimulation strategies encompassing several nodes of the underlying brain network should be considered.

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Type
research article
DOI
10.1007/s12311-023-01526-4
Web of Science ID

WOS:000934677500001

Author(s)
Wessel, M. J.  
Draaisma, L. R.  
Durand-Ruel, M.  
Maceira-Elvira, P.  
Moyne, M.
Turlan, J. -l.
Muhl, A.
Chauvigne, L.
Koch, P. J.  
Morishita, T.  
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Date Issued

2023-02-18

Published in
Cerebellum
Subjects

Neurosciences

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Neurosciences & Neurology

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stroke

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motor learning

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tdcs

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cerebellum

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m1

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multifocal stimulation

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intracortical inhibition

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cortex

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brain

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excitability

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modulation

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mechanisms

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plasticity

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guidelines

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recovery

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roles

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

Available on Infoscience
March 27, 2023
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/196537
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