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  4. Robust Neuroprosthetic Control from the Stroke Perilesional Cortex

Robust Neuroprosthetic Control from the Stroke Perilesional Cortex

The Journal of Neuroscience, 2015 · DOI: 10.1523/JNEUROSCI.5007-14.2015 · Published: June 3, 2015

NeurologyNeurorehabilitation

Simple Explanation

This study investigates whether the brain area surrounding a stroke (perilesional cortex or PLC) can be used to control neuroprosthetic devices. Researchers used a rat model of stroke to test if neurons in the PLC could be modulated to control an artificial actuator, even with the presence of abnormal brain activity after stroke. The study found that despite abnormalities in the PLC after stroke, neurons could still be volitionally controlled to learn neuroprosthetic tasks. The learning rate was similar to that of healthy animals, and successful control was achieved even in animals with poor motor recovery. These findings suggest that the PLC, despite being injured, can be an effective target for neuroprosthetic control in individuals with limited motor recovery following a stroke. This opens possibilities for developing brain-machine interfaces specifically designed for stroke patients.

Study Duration
Not specified
Participants
13 adult Long–Evans male rats
Evidence Level
Level III, Animal study

Key Findings

  • 1
    The stroke perilesional cortex (PLC) demonstrates abnormally increased slow oscillations that also modulated neural firing.
  • 2
    Neurons in the perilesional network could be modulated volitionally to learn neuroprosthetic control, with a learning rate similar to intact animals.
  • 3
    Successful neuroprosthetic control reduced locking to abnormal oscillations significantly, suggesting a positive feedback loop between control and network stabilization.

Research Summary

This study demonstrates the capacity of the stroke perilesional cortex (PLC) for neuroprosthetic control and physiological plasticity in a rat stroke model. Despite abnormalities like increased slow oscillations, neurons in the PLC could be modulated volitionally to learn neuroprosthetic control. The rate of learning was similar to intact animals, and neurons achieved similar task-related modulation, forming cell assemblies with learning. Neuroprosthetic control was possible even in animals with poor motor recovery, suggesting a dissociation between volitional control and motor recovery. Achieving successful control reduced locking to abnormal oscillations, suggesting that the PLC may be an effective target for neuroprosthetic control in those with poor motor recovery after stroke.

Practical Implications

Neuroprosthetic Development

The findings support the development of intracortical BMIs compatible with cortical injury, specifically targeting the PLC for stroke patients.

Motor Recovery

The dissociation between volitional control and motor recovery suggests that PLC plasticity may not be sufficient for motor recovery without cortico-spinal projection integrity.

Therapeutic Strategies

The study provides a rationale for emerging therapies like cell-based therapies aimed at augmenting plasticity and recovery potential in cortical areas after stroke.

Study Limitations

  • 1
    Study conducted on rats, results may not directly translate to humans
  • 2
    The exact mechanisms of plasticity in the PLC during neuroprosthetic control require further investigation
  • 3
    Long-term effects of neuroprosthetic control on the PLC were not assessed

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