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Estudio2019

Intracortical motor networks are affected in both the contralateral and ipsilateral hemisphere during single limb cold water immersion

Delahunty ET, Bisset LM, Kavanagh JJ

Experimental physiology · 13 citas

Cómo se estudió

Diseño
Ensayo clínico controlado (clasificado por nuestro filtro de IA)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Universidad u hospital
Griffith University

Según 1 financiador declarado.

Publicación

Publicado
2019-06-17 · Exp Physiol · vol. 104 · número 8 · págs. 1296–1305
Editorial
Wiley
Citado
14 citas · más que el 73% de estudios similares · 0.8× el promedio de su campo
Referencias
55 trabajos
Acceso
Lectura gratuita
Áreas de investigación
Transcranial Magnetic Stimulation Studies · Motor Control and Adaptation · Muscle activation and electromyography studies
Palabras clave
Motor cortex, Neuroscience, Psychology, Primary motor cortex, Noxious stimulus, Laterality, Sensory system, Lateralization of brain function, Physical medicine and rehabilitation, Medicine, Anatomy, Nociception, Stimulation
MeSH
upper extremity, forearm, hand, muscle, skeletal, motor cortex, humans, pain, water, electromyography, cross-over studies, evoked potentials, motor, adult, female, male, transcranial magnetic stimulation, young adult

3 autores

  • Eden T. Delahunty🇦🇺 · autor de correspondenciaGriffith University; Gold Coast Health
  • Leanne Bisset🇦🇺Griffith University; Gold Coast Health
  • Justin J Kavanagh🇦🇺Griffith University; Gold Coast Health

Resumen

El texto original del estudio, en el idioma en que se publicó.

New findings

What is the central question of this study? How does single limb cold water immersion affect corticomotor function and intracortical circuitry in the motor cortex of each cerebral hemisphere? What is the main finding and its importance? Immersion of a single limb in very cold water caused an increase in corticomotor excitability and intracortical facilitation, and a decrease in intracortical inhibition, in the motor cortex of both hemispheres. These findings provide evidence that intense sensory stimuli induce widespread changes in motor circuitry in the contralateral, as well as the ipsilateral, hemisphere.

Abstract

Although responses to noxious stimuli have been extensively studied for the contralateral hemisphere, little is known about how the ipsilateral hemisphere may be affected. Therefore, this study examined how exposing a single limb to noxious cold stimuli affects motor output arising from both the contralateral and ipsilateral hemisphere. A total of 17 healthy adults participated in three experiments. Single- and paired-pulse TMS protocols were used to identify how immersing a single upper limb in cold water (4.0 ± 0.5 °C) affects inhibitory and facilitatory circuits in the primary motor cortex (M1) of the contralateral (experiment 1) and ipsilateral (experiment 2) hemisphere. The third experiment used a reaction time task to assess the functional consequences of acute adaptations in the ipsilateral M1. The target muscle in all experiments was the extensor carpi radialis brevis (ECRB). Immersion of a single limb in cold water increased self-perception of pain and temperature, and increased EMG amplitude of the immersed limb. During immersion, motor evoked potentials and intracortical facilitation increased, whereas short interval intracortical inhibition decreased, for both the ipsilateral M1 and contralateral M1. Activity in the ipsilateral hemisphere to the limb immersed in cold water also slowed reaction time for the non-immersed limb. Our findings suggest that altered motor responses from single limb cold water immersion are not restricted to a single hemisphere. Instead, widespread activation of somatosensory systems influences inhibitory and facilitatory circuits in the primary motor cortex of each hemisphere.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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