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  4. Plastic responsiveness of motor cortex to paired associative stimulation depends on cerebellar input
 
research article

Plastic responsiveness of motor cortex to paired associative stimulation depends on cerebellar input

Kishore, Asha
•
James, Praveen
•
Popa, Traian  
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October 1, 2021
Clinical Neurophysiology

Objective: The extent of plastic responses of motor cortex (M1) to paired associative stimulation (PAS) varies among healthy subjects. Continuous theta-burst stimulation (cTBS) of cerebellum enhances the mean PAS-induced plasticity in groups of healthy subjects. We tested whether the initial status of Responder or Non-Responder to PAS, influenced the effect of cerebellar stimulation on PAS-induced plasticity. Methods: We assessed in 19 young healthy volunteers (8 Responders, 11 Non-Responders to PAS), how cTBS and iTBS (intermittent TBS) applied to the cerebellum before a PAS protocol influenced the plastic responsiveness of M1 to PAS. We tested whether the PAS-induced plastic effects could be depotentiated by a short cTBS protocol applied to M1 shortly after PAS and whether cerebellar stimulation influenced GABA-ergic intracortical inhibition and M1 plasticity in parallel. Results: Cerebellar cTBS restored the M1 response to PAS in Non-Responders while cerebellar iTBS turned the potentiating response to PAS to a depressive response in both groups. The depotentiation protocol abolished both responses. Conclusion: Non-Responder status to PAS is a state of M1 amenable to bidirectional plastic modulation when primed by a change in cerebello-thalamic drive. Significance: The meaning of lack of responsiveness to certain protocols probing plasticity should be reconsidered. (c) 2021 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved.

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Type
research article
DOI
10.1016/j.clinph.2021.06.029
Web of Science ID

WOS:000704914800021

Author(s)
Kishore, Asha
James, Praveen
Popa, Traian  
Thejaus, Arun
Rajeswari, Parvathy
Sarma, Gangadhara
Krishnan, Syam
Meunier, Sabine
Date Issued

2021-10-01

Publisher

ELSEVIER IRELAND LTD

Published in
Clinical Neurophysiology
Volume

132

Issue

10

Start page

2493

End page

2502

Subjects

Clinical Neurology

•

Neurosciences

•

Neurosciences & Neurology

•

paired associative stimulation

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plasticity

•

cerebellum

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theta-burst stimulation

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gaba-ergic inhibition

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transcranial magnetic stimulation

•

cortical plasticity

•

parkinsons-disease

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interindividual variability

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intracortical inhibition

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interneuron networks

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modulation

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levodopa

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connectivity

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
UPHUMMEL  
Available on Infoscience
November 6, 2021
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/182884
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