01898nas a2200241   4500008004100000245011900041210006900160300000800229490000800237520107300245100002401318700001701342700002101359700002501380700001301405700002201418700002301440700002401463700002201487700002101509700001101530856011501541       2025                        eng d00aSoleus H-reflex size versus stimulation rate in the presence of background muscle activity: a methodological study0 aSoleus Hreflex size versus stimulation rate in the presence of b  a2150 v2433 aHoffmann reflex (HR) operant conditioning (HROC) is an important intervention for neurorehabilitation. Current HROC paradigms elicit HRs at low rates (~ 0.2 Hz), minimizing rate-dependent depression (RDD). We investigated the impact of higher stimulation rates on HR size. Fifteen healthy participants maintained low background soleus electromyographic activity (EMG) while standing. Soleus HR and M-wave recruitment curves were obtained at rates of 0.2, 1, and 2 Hz twice, from which Mmax and Hmax were calculated. Seventy-five HRs were collected for each rate at a target M-wave size (~ 10 to 20% of Mmax). HR depression was minimal at higher stimulation rates. The mean HR amplitude was reliable across the two repetitions and three rates, with high intraclass correlation coefficient (ICC) values. HROC could be performed consistently at rates up to 2 Hz with minimal HR depression. Faster rates enable more conditioning trials per session, reducing session duration and/or number, thereby potentially accelerating conditioning and reducing participant burden.1 aBrangaccio, Jodi, A1 aGupta, Disha1 aMojtabavi, Helia1 aHardesty, Russell, L1 aHill, NJ1 aCarp, Jonathan, S1 aGemoets, Darren, E1 aVaughan, Theresa, M1 aNorton, James, JS1 aPerez, Monica, A1 aothers  uhttps://neurotechcenter.org/publications/2025/soleus-h-reflex-size-versus-stimulation-rate-presence-background03126nas a2200313   4500008004100000022001400041245013900055210006900194260001500263520206900278653002002347653002602367653002102393653002202414653001302436653001102449653002702460653002502487100001702512700001702529700001902546700002402565700002302589700002102612700001402633700002402647700002202671856011902693       2022                        eng d  a1940-087X00aThe Evoked Potential Operant Conditioning System (EPOCS): A Research Tool and an Emerging Therapy for Chronic Neuromuscular Disorders.0 aEvoked Potential Operant Conditioning System EPOCS A Research To  c2022 08 253 a<p>The Evoked Potential Operant Conditioning System (EPOCS) is a software tool that implements protocols for operantly conditioning stimulus-triggered muscle responses in people with neuromuscular disorders, which in turn can improve sensorimotor function when applied appropriately. EPOCS monitors the state of specific target muscles-e.g., from surface electromyography (EMG) while standing, or from gait cycle measurements while walking on a treadmill-and automatically triggers calibrated stimulation when pre-defined conditions are met. It provides two forms of feedback that enable a person to learn to modulate the targeted pathway's excitability. First, it continuously monitors ongoing EMG activity in the target muscle, guiding the person to produce a consistent level of activity suitable for conditioning. Second, it provides immediate feedback of the response size following each stimulation and indicates whether it has reached the target value. To illustrate its use, this article describes a protocol through which a person can learn to decrease the size of the Hoffmann reflex-the electrically-elicited analog of the spinal stretch reflex-in the soleus muscle. Down-conditioning this pathway's excitability can improve walking in people with spastic gait due to incomplete spinal cord injury. The article demonstrates how to set up the equipment; how to place stimulating and recording electrodes; and how to use the free software to optimize electrode placement, measure the recruitment curve of direct motor and reflex responses, measure the response without operant conditioning, condition the reflex, and analyze the resulting data. It illustrates how the reflex changes over multiple sessions and how walking improves. It also discusses how the system can be applied to other kinds of evoked responses and to other kinds of stimulation, e.g., motor evoked potentials to transcranial magnetic stimulation; how it can address various clinical problems; and how it can support research studies of sensorimotor function in health and disease.</p>10aChronic Disease10aConditioning, Operant10aElectromyography10aEvoked Potentials10aH-Reflex10aHumans10aNeuromuscular Diseases10aSpinal Cord Injuries1 aHill, Jeremy1 aGupta, Disha1 aEftekhar, Amir1 aBrangaccio, Jodi, A1 aNorton, James, J S1 aMcLeod, Michelle1 aFake, Tim1 aWolpaw, Jonathan, R1 aThompson, Aiko, K  uhttps://neurotechcenter.org/publications/2022/evoked-potential-operant-conditioning-system-epocs-research-tool-and