@article {3383,
	title = {Persistent beneficial impact of H-reflex conditioning in spinal cord-injured rats.},
	journal = {J Neurophysiol},
	volume = {112},
	year = {2014},
	month = {11/2014},
	pages = {2374-81},
	abstract = {<p>Operant conditioning of a spinal cord reflex can improve locomotion in rats and humans with incomplete spinal cord injury. This study examined the persistence of its beneficial effects. In rats in which a right lateral column contusion injury had produced asymmetric locomotion, up-conditioning of the right soleus H-reflex eliminated the asymmetry while down-conditioning had no effect. After the 50-day conditioning period ended, the H-reflex was monitored for 100 [{\textpm}9 (SD)] (range 79-108) more days and locomotion was then reevaluated. After conditioning ended in up-conditioned rats, the H-reflex continued to increase, and locomotion continued to improve. In down-conditioned rats, the H-reflex decrease gradually disappeared after conditioning ended, and locomotion at the end of data collection remained as impaired as it had been before and immediately after down-conditioning. The persistence (and further progression) of H-reflex increase but not H-reflex decrease in these spinal cord-injured rats is consistent with the fact that up-conditioning improved their locomotion while down-conditioning did not. That is, even after up-conditioning ended, the up-conditioned H-reflex pathway remained adaptive because it improved locomotion. The persistence and further enhancement of the locomotor improvement indicates that spinal reflex conditioning protocols might supplement current therapies and enhance neurorehabilitation. They may be especially useful when significant spinal cord regeneration becomes possible and precise methods for retraining the regenerated spinal cord are needed.</p>},
	keywords = {H-reflex conditioning, Learning, Locomotion, Memory, Motor control, Rehabilitation, spinal cord injury, spinal cord plasticity},
	issn = {1522-1598},
	doi = {10.1152/jn.00422.2014},
	url = {http://www.ncbi.nlm.nih.gov/pubmed/25143542},
	author = {Yi Chen and Lu Chen and Wang, Yu and Jonathan Wolpaw and Xiang Yang Chen}
}
@article {3066,
	title = {Operant conditioning of H-reflex can correct a locomotor abnormality after spinal cord injury in rats.},
	journal = {The Journal of neuroscience : the official journal of the Society for Neuroscience},
	volume = {26},
	year = {2006},
	month = {11/2006},
	pages = {12537{\textendash}12543},
	abstract = {<p>This study asked whether operant conditioning of the H-reflex can modify locomotion in spinal cord-injured rats. Midthoracic transection of the right lateral column of the spinal cord produced a persistent asymmetry in the muscle activity underlying treadmill locomotion. The rats were then either exposed or not exposed to an H-reflex up-conditioning protocol that greatly increased right soleus motoneuron response to primary afferent input, and locomotion was reevaluated. H-reflex up-conditioning increased the right soleus burst and corrected the locomotor asymmetry. In contrast, the locomotor asymmetry persisted in the control rats. These results suggest that appropriately selected reflex conditioning protocols might improve function in people with partial spinal cord injuries. Such protocols might be especially useful when significant regeneration becomes possible and precise methods for reeducating the regenerated spinal cord neurons and synapses are needed for restoring effective function.</p>},
	keywords = {H-reflex conditioning, Learning, Locomotion, Memory, Motor control, Rehabilitation, spinal cord injury, spinal cord plasticity},
	issn = {1529-2401},
	doi = {10.1523/JNEUROSCI.2198-06.2006},
	url = {http://www.ncbi.nlm.nih.gov/pubmed/17135415},
	author = {Yi Chen and Xiang Yang Chen and Jakeman, Lyn B. and Lu Chen and Stokes, Bradford T. and Jonathan Wolpaw}
}
@article {3231,
	title = {Time course of H-reflex conditioning in the rat.},
	journal = {Neuroscience letters},
	volume = {302},
	year = {2001},
	month = {04/2001},
	pages = {85{\textendash}88},
	abstract = {This study sought to define the course of operantly conditioned change in the rat soleus H-reflex and to determine whether, like H-reflex conditioning and spinal stretch reflex conditioning in the monkey, it develops in distinct phases. Data from 33 rats in which the right soleus H-reflex was trained up (i.e. HRup mode) and 38 in which it was trained down (i.e. HRdown mode) were averaged to define the courses of H-reflex increase and decrease. In HRup rats, the H-reflex showed a large phase I increase within the first 2 days followed by gradual phase II increase that continued for weeks. In HRdown rats, the H-reflex appeared to show a small phase I decrease and then showed a gradual phase II decrease over weeks. In combination with other recent work, the data suggest that H-reflex conditioning begins with a rapid mode-appropriate alteration in corticospinal tract influence over the spinal arc of the H-reflex, which causes phase I change, and that the continuation of this altered influence induces gradual spinal cord plasticity that is responsible for phase II change. The results further establish the similarity of H-reflex conditioning in primates and rats. Thus, they encourage efforts to produce a single coherent model of the phenomenon based on data from the two species and indicate the potential clinical relevance of the rat data.},
	keywords = {conditioning, Learning, Memory, plasticity, rat, Reflex, Spinal Cord},
	issn = {0304-3940},
	doi = {10.1016/S0304-3940(01)01658-5},
	url = {http://www.ncbi.nlm.nih.gov/pubmed/11290393},
	author = {Xiang Yang Chen and Lu Chen and Jonathan Wolpaw}
}
