Changes in corticospinal transmission following 8 weeks of ankle joint immobilization

Christian Leukel, Wolfgang Taube, Jörn Rittweger, Albert Gollhofer, Michel Ducos, Tobias Weber, Jesper Lundbye-Jensen

    15 Citationer (Scopus)

    Abstract

    OBJECTIVES: Joint immobilization has previously been shown to modulate corticospinal excitability. The present study investigated changes in the excitability of distinct fractions of the corticospinal pathway by means of conditioning the H-reflex with transcranial magnetic stimulation (TMS) of the primary motor cortex (Hcond). This method allows assessment of transmission in fast (monosynaptic) and slow(er) (polysynaptic) corticospinal pathways.

    METHODS: 9 subjects underwent 8weeks of unilateral ankle joint immobilization during daytime, 7 subjects served as controls. The measures obtained before and after immobilization included stretch- and H-reflexes assessing excitability of the spinal reflex circuitries, TMS recruitment curves estimating overall changes in corticospinal excitability, and Hcond.

    RESULTS: TMS recruitment curves showed an overall increase in corticospinal excitability following immobilization. Importantly, Hcond revealed significant facilitation of conditioned reflexes, but only for longer conditioning intervals, suggesting that immobilization increased excitability only of slower, indirect corticospinal pathways. No changes were observed in the control group. Immobilization had no significant effects on spinal reflex measures.

    CONCLUSIONS: 8weeks of ankle joint immobilization was accompanied by pathway-specific modulation of corticospinal transmission.

    SIGNIFICANCE: It is particularly interesting that fast corticospinal projections were unaffected as these are involved in controlling many, if not most, movements in humans.

    OriginalsprogEngelsk
    TidsskriftClinical Neurophysiology
    Vol/bind126
    Udgave nummer1
    Sider (fra-til)131-139
    Antal sider9
    ISSN1388-2457
    DOI
    StatusUdgivet - 1 jan. 2015

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