Game-based movement facilitates acute priming effect in stroke

Autor: Hyosok Lim, Cristian Luciano, Pooja C. Iyer, Sangeetha Madhavan
Rok vydání: 2020
Předmět:
Zdroj: Somatosensory & Motor Research. 38:83-89
ISSN: 1369-1651
0899-0220
Popis: Cortical priming is an emerging strategy to enhance motor recovery after stroke, however, limited information exists on the neuromodulatory effects of lower limb movement-based priming to facilitate corticomotor excitability after stroke. In this study, we investigated the feasibility and effectiveness of game-based ankle movement priming using the DIG-I-PRIME™ on corticomotor excitability and motor performance in chronic stroke survivors.Nineteen stroke survivors participated in a 20-min session of game-based priming. A period of rest served as a control for the priming condition. Transcranial magnetic stimulation (TMS) was used to measure corticomotor excitability of the paretic and non-paretic tibialis anterior (TA) muscle representations. Motor performance was quantified by assessing the accuracy to track a sinusoidal target wave with paretic dorsiflexion and plantarflexion.Ipsilesional corticomotor excitability increased by 25% after game-based movement priming (Game-based ankle movement priming demonstrated a significant acute priming effect on the ipsilesional lower limb M1. These data provide preliminary evidence for the potential benefits of game-based priming to promote functional recovery after stroke.
Databáze: OpenAIRE