The Journal of Neuroscience, 2015 · DOI: 10.1523/JNEUROSCI.5007-14.2015 · Published: June 3, 2015
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.
The findings support the development of intracortical BMIs compatible with cortical injury, specifically targeting the PLC for stroke patients.
The dissociation between volitional control and motor recovery suggests that PLC plasticity may not be sufficient for motor recovery without cortico-spinal projection integrity.
The study provides a rationale for emerging therapies like cell-based therapies aimed at augmenting plasticity and recovery potential in cortical areas after stroke.