Abstract
Human and animal studies have documented that neural circuitries in the spinal cord show adaptive changes caused by altered supraspinal and/or afferent input to the spinal circuitry in relation to learning, immobilization, injury and neurorehabilitation. Reversible adaptations following, e.g. the acquisition or refinement of a motor skill rely heavily on the functional integration between supraspinal and sensory inputs to the spinal cord networks. Accordingly, what is frequently conceived as a change in the spinal circuitry may be a change in either descending or afferent input or in the relative integration of these, i.e. a change in the neuronal weighting. This is evident from findings documenting only task-specific functional changes after periods of altered inputs whereas resting responses remain unaffected. In fact, the proximity of the spinal circuitry to the outer world may demand a more rigid organization compared to the highly flexible cortical circuits. The understanding of all of this is important for the planning and execution of neurorehabilitation.
Original language | English |
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Journal | Experimental Brain Research |
Volume | 235 |
Issue number | 11 |
Pages (from-to) | 3243-3249 |
Number of pages | 7 |
ISSN | 0014-4819 |
DOIs | |
Publication status | Published - 1 Nov 2017 |
Keywords
- Humans
- Motor control
- Plasticity
- Reflexes
- Spinal cord