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10.1177/1545968315624783

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suck abstract from ncbi


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pmid26721868
      Neurorehabil+Neural+Repair 2016 ; 30 (8 ): 794-800
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  • Paradoxical Motor Recovery From a First Stroke After Induction of a Second Stroke: Reopening a Postischemic Sensitive Period #MMPMID26721868
  • Zeiler SR ; Hubbard R ; Gibson EM ; Zheng T ; Ng K ; O'Brien R ; Krakauer JW
  • Neurorehabil Neural Repair 2016[Sep]; 30 (8 ): 794-800 PMID26721868 show ga
  • BACKGROUND AND OBJECTIVE: Prior studies have suggested that after stroke there is a time-limited period of increased responsiveness to training as a result of heightened plasticity-a sensitive period thought to be induced by ischemia itself. Using a mouse model, we have previously shown that most training-associated recovery after a caudal forelimb area (CFA) stroke occurs in the first week and is attributable to reorganization in a medial premotor area (AGm). The existence of a stroke-induced sensitive period leads to the counterintuitive prediction that a second stroke should reopen this window and promote full recovery from the first stroke. To test this prediction, we induced a second stroke in the AGm of mice with incomplete recovery after a first stroke in CFA. METHODS: Mice were trained to perform a skilled prehension (reach-to-grasp) task to an asymptotic level of performance, after which they underwent photocoagulation-induced stroke in CFA. After a 7-day poststroke delay, the mice were then retrained to asymptote. We then induced a second stroke in the AGm, and after only a 1-day delay, retrained the mice. RESULTS: Recovery of prehension was incomplete when training was started after a 7-day poststroke delay and continued for 19 days. However, a second focal stroke in the AGm led to a dramatic response to 9 days of training, with full recovery to normal levels of performance. CONCLUSIONS: New ischemia can reopen a sensitive period of heightened responsiveness to training and mediate full recovery from a previous stroke.
  • |Animals [MESH]
  • |Disease Models, Animal [MESH]
  • |Functional Laterality/physiology [MESH]
  • |Male [MESH]
  • |Mice [MESH]
  • |Mice, Inbred C57BL [MESH]
  • |Motor Cortex/physiopathology [MESH]
  • |Movement Disorders/*etiology [MESH]
  • |Recovery of Function/*physiology [MESH]
  • |Stroke Rehabilitation/*adverse effects [MESH]


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