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  4. Increased Brain Sensorimotor Network Activation after Incomplete Spinal Cord Injury

Increased Brain Sensorimotor Network Activation after Incomplete Spinal Cord Injury

JOURNAL OF NEUROTRAUMA, 2017 · DOI: 10.1089/neu.2016.4503 · Published: February 1, 2017

Spinal Cord InjuryNeurologyMedical Imaging

Simple Explanation

This study investigates how the brain adapts after incomplete spinal cord injury (SCI). Unlike complete SCI, where brain activity often decreases, incomplete SCI allows for some movement, potentially leading to different brain adaptations. The research compared brain activity in individuals with incomplete SCI and healthy controls during ankle movement. The goal was to understand how brain activation changes with time post-injury and how it relates to locomotor function. The findings reveal that individuals with incomplete SCI exhibit increased brain activity in sensorimotor areas during voluntary movement, suggesting a different adaptation mechanism compared to complete SCI. These changes are also related to how well a person can move and how long they have been injured.

Study Duration
Not specified
Participants
20 subjects with incomplete SCI and 15 healthy controls
Evidence Level
Level 3: Comparative Study

Key Findings

  • 1
    Individuals with incomplete SCI showed increased brain sensorimotor activation during voluntary movement compared to healthy controls.
  • 2
    Poorer locomotor function correlated with larger activation within several right hemisphere areas, including pre- and post-central gyri, possibly reflecting increased movement complexity and effort.
  • 3
    Longer time post-SCI was associated with larger activation in left post-central gyrus and bilateral supplementary motor area, which may reflect behaviorally useful adaptations.

Research Summary

The study assessed brain activation during ankle movement in individuals with incomplete SCI compared to healthy controls using fMRI. Results showed that individuals with incomplete SCI exhibited increased brain sensorimotor activation, particularly in the right hemisphere, compared to controls. Brain activation patterns were related to clinical variables such as time post-SCI and locomotor function, suggesting that brain adaptations evolve over time and are behaviorally relevant.

Practical Implications

Therapeutic interventions

Measures of brain function may be useful for studying therapeutic interventions for incomplete SCI.

Rehabilitation strategies

Continued rehabilitative training is important for maintaining neural networks over the years post-SCI.

Understanding brain adaptation

The results clearly distinguish brain function after incomplete SCI from findings reported after complete SCI.

Study Limitations

  • 1
    Motor abilities spanned a wide range despite restricting enrollment to individuals with ASIA C or D SCI.
  • 2
    Some exploratory analyses used a more-liberal threshold to define significance.
  • 3
    Potential issues related to the focus on traumatic SCI, and not addressing injury to the spinal cord attributed to other etiologies.

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