1. A Single Bout of High-Intensity Interval Training Improves Motor Skill Retention in Individuals With Stroke.
- Author
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Nepveu JF, Thiel A, Tang A, Fung J, Lundbye-Jensen J, Boyd LA, and Roig M
- Subjects
- Aged, Aged, 80 and over, Female, Hand physiopathology, Humans, Male, Middle Aged, Motor Cortex physiopathology, Muscle, Skeletal physiopathology, Neural Inhibition physiology, Neuronal Plasticity physiology, Pyramidal Tracts physiopathology, Receptors, GABA-A metabolism, Rest, Stroke physiopathology, Transcranial Magnetic Stimulation, High-Intensity Interval Training psychology, Learning physiology, Memory physiology, Motor Skills physiology, Stroke psychology, Stroke Rehabilitation methods
- Abstract
Background: One bout of high-intensity cardiovascular exercise performed immediately after practicing a motor skill promotes changes in the neuroplasticity of the motor cortex and facilitates motor learning in nondisabled individuals., Objective: To determine if a bout of exercise performed at high intensity is sufficient to induce neuroplastic changes and improve motor skill retention in patients with chronic stroke., Methods: Twenty-two patients with different levels of motor impairment were recruited. On the first session, the effects of a maximal graded exercise test on corticospinal and intracortical excitability were assessed from the affected and unaffected primary motor cortex representational area of a hand muscle with transcranial magnetic stimulation. On the second session, participants were randomly assigned to an exercise or a nonexercise control group. Immediately after practicing a motor task, the exercise group performed 15 minutes of high-intensity interval training while the control group rested. Twenty-four hours after motor practice all participants completed a test of the motor task to assess skill retention., Results: The graded exercise test reduced interhemispheric imbalances in GABA
A -mediated short-interval intracortical inhibition but changes in other markers of excitability were not statistically significant. The group that performed high-intensity interval training showed a better retention of the motor skill., Conclusions: The performance of a maximal graded exercise test triggers only modest neuroplastic changes in patients with chronic stroke. However, a single bout of high-intensity interval training performed immediately after motor practice improves skill retention, which could potentially accelerate motor recovery in these individuals.- Published
- 2017
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