02449nas a2200241   4500008004100000022001400041245010300055210006900158260001200227300001600239490000700255520172600262653001301988653001502001653002502016653001502041653001902056653001502075100002302090700002502113700002102138856004802159       2013                        eng d  a1529-240100aOperant conditioning of a spinal reflex can improve locomotion after spinal cord injury in humans.0 aOperant conditioning of a spinal reflex can improve locomotion a  c02/2013  a2365–23750 v333 aOperant conditioning protocols can modify the activity of specific spinal cord pathways and can thereby affect behaviors that use these pathways. To explore the therapeutic application of these protocols, we studied the impact of down-conditioning the soleus H-reflex in people with impaired locomotion caused by chronic incomplete spinal cord injury. After a baseline period in which soleus H-reflex size was measured and locomotion was assessed, subjects completed either 30 H-reflex down-conditioning sessions (DC subjects) or 30 sessions in which the H-reflex was simply measured [unconditioned (UC) subjects], and locomotion was reassessed. Over the 30 sessions, the soleus H-reflex decreased in two-thirds of the DC subjects (a success rate similar to that in normal subjects) and remained smaller several months later. In these subjects, locomotion became faster and more symmetrical, and the modulation of EMG activity across the step cycle increased bilaterally. Furthermore, beginning about halfway through the conditioning sessions, all of these subjects commented spontaneously that they were walking faster and farther in their daily lives, and several noted less clonus, easier stepping, and/or other improvements. The H-reflex did not decrease in the other DC subjects or in any of the UC subjects; and their locomotion did not improve. These results suggest that reflex-conditioning protocols can enhance recovery of function after incomplete spinal cord injuries and possibly in other disorders as well. Because they are able to target specific spinal pathways, these protocols could be designed to address each individual's particular deficits, and might thereby complement other rehabilitation methods.10aLearning10aLocomotion10aoperant conditioning10aplasticity10aRehabilitation10aspasticity1 aThompson, Aiko, K.1 aPomerantz, Ferne, R.1 aWolpaw, Jonathan  uhttp://www.ncbi.nlm.nih.gov/pubmed/2339266601657nas a2200217   4500008004100000022001400041245008100055210006900136260001200205300001400217490000700231520101900238653001901257653001501276653001901291653001601310100002301326700002101349700002101370856004801391       2013                        eng d  a1097-459800aSoleus H-reflex operant conditioning changes the H-reflex recruitment curve.0 aSoleus Hreflex operant conditioning changes the Hreflex recruitm  c04/2013  a539–5440 v473 aINTRODUCTION:
Operant conditioning can gradually change the human soleus H-reflex. The protocol conditions the reflex near M-wave threshold. In this study we examine its impact on the reflexes at other stimulus strengths.
METHODS:
H-reflex recruitment curves were obtained before and after a 24-session exposure to an up-conditioning (HRup) or a down-conditioning (HRdown) protocol and were compared.
RESULTS:
In both HRup and HRdown subjects, conditioning affected the entire H-reflex recruitment curve. In 5 of 6 HRup and 3 of 6 HRdown subjects, conditioning elevated (HRup) or depressed (HRdown), respectively, the entire curve. In the other HRup subject or the other 3 HRdown subjects, the curve was shifted to the left or to the right, respectively.
CONCLUSIONS:
H-reflex conditioning does not simply change the H-reflex to a stimulus of particular strength; it also changes the H-reflexes to stimuli of different strengths. Thus, it is likely to affect many actions in which this pathway participates.10amotor learning10aplasticity10aRehabilitation10aSpinal Cord1 aThompson, Aiko, K.1 aChen, Xiang Yang1 aWolpaw, Jonathan  uhttp://www.ncbi.nlm.nih.gov/pubmed/2328110702476nas a2200241   4500008004100000022001400041245011900055210006900174260001200243300001600255490000700271520173900278653001302017653001902030653001602049653002502065653001502090653001602105100002302121700002102144700002102165856004802186       2009                        eng d  a1529-240100aAcquisition of a simple motor skill: task-dependent adaptation plus long-term change in the human soleus H-reflex.0 aAcquisition of a simple motor skill taskdependent adaptation plu  c05/2009  a5784–57920 v293 aActivity-dependent plasticity occurs throughout the CNS. However, investigations of skill acquisition usually focus on cortex. To expand the focus, we analyzed in humans the development of operantly conditioned H-reflex change, a simple motor skill that develops gradually and involves plasticity in both the brain and the spinal cord. Each person completed 6 baseline and 24 conditioning sessions over 10 weeks. In each conditioning session, the soleus H-reflex was measured while the subject was or was not asked to increase (HRup subjects) or decrease (HRdown subjects) it. When the subject was asked to change H-reflex size, immediate visual feedback indicated whether a size criterion had been satisfied. Over the 24 conditioning sessions, H-reflex size gradually increased in six of eight HRup subjects and decreased in eight of nine HRdown subjects, resulting in final sizes of 140 +/- 12 and 69 +/- 6% of baseline size, respectively. The final H-reflex change was the sum of within-session (i.e., task-dependent) adaptation and across-session (i.e., long-term) change. Task-dependent adaptation appeared within four to six sessions and persisted thereafter, averaging +13% in HRup subjects and -15% in HRdown subjects. In contrast, long-term change began after 10 sessions and increased gradually thereafter, reaching +27% in HRup subjects and -16% in HRdown subjects. Thus, the acquisition of H-reflex conditioning consists of two phenomena, task-dependent adaptation and long-term change, that together constitute the new motor skill. In combination with previous data, this new finding further elucidates the interaction of plasticity in brain and spinal cord that underlies the acquisition and maintenance of motor skills.10aH-Reflex10amotor learning10amotor skill10aoperant conditioning10aplasticity10aSpinal Cord1 aThompson, Aiko, K.1 aChen, Xiang Yang1 aWolpaw, Jonathan  uhttp://www.ncbi.nlm.nih.gov/pubmed/19420246