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• W2950922428 endingPage "290" @default.
• W2950922428 startingPage "273" @default.
• W2950922428 abstract "Background:In individuals with chronic stroke, impairment of the paretic arm may be exacerbated by increased contralesional transcallosal inhibition (TCI). Continuous theta burst stimulation (cTBS) can decrease primary motor cortex (M1) excitability and TCI. However, contralesional cTBS shows incon sistent effects after stroke. Variable effects of cTBS could stem from failure to pair stimulation with skilled motor practice or a focus of applying cTBS over M1. Objective:Here, we investigated the effects of pairing cTBS with skilled practice on motor learning and arm function. We considered the differential effects of stimulation over two different brain regions: contralesional M1 (M1c) or contralesional primary somatosensory cortex (S1c). Methods:37 individuals with chronic stroke participated in five sessions of cTBS and paretic arm skilled practice of a serial targeting task (STT); participants received either cTBS over M1c or S1c or sham before STT practice. Changes in STT performance and Wolf Motor Function Test (WMFT) were assessed as primary outcomes. Assessment of bilateral corticospinal, intracortical excitability and TCI were secondary outcomes. Results:cTBS over sensorimotor cortex did not improve STT performance and paretic WMFT-rate beyond sham cTBS. TCI was reduced bi-directionally following the intervention, regardless of stimulation group. In addition, we observed an association between STT performance change and paretic WMFT-rate change in the M1c stimulation group only. Conclusions:Multiple sessions of STT practice can improve paretic arm function and decrease TCI bilaterally, with no additional benefit of prior cTBS. Our results suggest that improvement in STT practice following M1c cTBS scaled with change in paretic arm function in some individuals. Our results highlight the need for a better understanding of the mechanisms of cTBS to effectively identify who may benefit from this form of brain stimulation." @default.
• W2950922428 created "2019-06-27" @default.
• W2950922428 creator A5011636766 @default.
• W2950922428 creator A5013739864 @default.
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• W2950922428 creator A5088911615 @default.
• W2950922428 date "2019-06-17" @default.
• W2950922428 modified "2023-09-26" @default.
• W2950922428 title "The effects of five sessions of continuous theta burst stimulation over contralesional sensorimotor cortex paired with paretic skilled motor practice in people with chronic stroke" @default.
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• W2950922428 doi "https://doi.org/10.3233/rnn-190916" @default.
• W2950922428 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7886006" @default.
• W2950922428 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31227676" @default.
• W2950922428 hasPublicationYear "2019" @default.
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