Spinal Cord Series and Cases, 2022 · DOI: https://doi.org/10.1038/s41394-022-00506-w · Published: March 21, 2022
Spinal cord injury (SCI) disrupts communication between the brain and body, leading to changes in brain activity. This study investigates whether a therapy called paired associative stimulation (PAS) can help restore normal brain activity patterns in SCI patients. PAS involves combining transcranial magnetic stimulation (TMS) with peripheral nerve stimulation (PNS). The researchers used MEG to record brain activity before and after a course of PAS treatment. The study found that PAS restored the modulation of sensorimotor oscillations in response to active hand movement in four patients, suggesting that PAS can help improve brain function and motor control in SCI patients.
Modulation of sensorimotor oscillations after PAS intervention could predict the ultimate clinical PAS effect.
Restoration of movement-induced cortical modulation probably reflects a secondary effect following plastic changes in the spinal cord.
MEG recordings could be used to fine-tune the PAS protocol for individual patients.