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  4. Combining Optogenetic Stimulation and Motor Training Improves Functional Recovery and Perilesional Cortical Activity
 
research article

Combining Optogenetic Stimulation and Motor Training Improves Functional Recovery and Perilesional Cortical Activity

Conti, Emilia
•
Scaglione, Alessandro
•
de Vito, Giuseppe
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November 11, 2021
Neurorehabilitation And Neural Repair

Background. An ischemic stroke is followed by the remapping of motor representation and extensive changes in cortical excitability involving both hemispheres. Although stimulation of the ipsilesional motor cortex, especially when paired with motor training, facilitates plasticity and functional restoration, the remapping of motor representation of the single and combined treatments is largely unexplored. Objective. We investigated if spatio-temporal features of motor-related cortical activity and the new motor representations are related to the rehabilitative treatment or if they can be specifically associated to functional recovery. Methods. We designed a novel rehabilitative treatment that combines neuro-plasticizing intervention with motor training. In detail, optogenetic stimulation of peri-infarct excitatory neurons expressing Channelrhodopsin 2 was associated with daily motor training on a robotic device. The effectiveness of the combined therapy was compared with spontaneous recovery and with the single treatments (ie optogenetic stimulation or motor training). Results. We found that the extension and localization of the new motor representations are specific to the treatment, where most treatments promote segregation of the motor representation to the peri-infarct region. Interestingly, only the combined therapy promotes both the recovery of forelimb functionality and the rescue of spatio-temporal features of motor-related activity. Functional recovery results from a new excitatory/inhibitory balance between hemispheres as revealed by the augmented motor response flanked by the increased expression of parvalbumin positive neurons in the peri-infarct area. Conclusions. Our findings highlight that functional recovery and restoration of motor-related neuronal activity are not necessarily coupled during post-stroke recovery. Indeed the reestablishment of cortical activation features of calcium transient is distinctive of the most effective therapeutic approach, the combined therapy.

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Type
research article
DOI
10.1177/15459683211056656
Web of Science ID

WOS:000718344900001

Author(s)
Conti, Emilia
Scaglione, Alessandro
de Vito, Giuseppe
Calugi, Francesco
Pasquini, Maria
Pizzorusso, Tommaso
Micera, Silvestro  
Mascaro, Anna Letizia Allegra
Pavone, Francesco Saverio
Date Issued

2021-11-11

Publisher

SAGE PUBLICATIONS INC

Published in
Neurorehabilitation And Neural Repair
Article Number

15459683211056656

Subjects

Clinical Neurology

•

Rehabilitation

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Neurosciences & Neurology

•

photothrombotic stroke

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optogenetic stimulation

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motor training

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calcium imaging

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rehabilitation

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transcranial magnetic stimulation

•

growth-associated gene

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upper-limb

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stroke

•

plasticity

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gap-43

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cortex

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projections

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expression

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subacute

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
TNE  
Available on Infoscience
December 4, 2021
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/183625
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