Abstract

BackgroundDespite growing interest in the relationship between exercise and short-term neural plasticity, the effects of exercise on motor cortical (M1) excitability are not well studied. Acute, lower-limb aerobic exercise may potentially modulate M1 excitability in working muscles, but the effects on muscles not involved in the exercise are unknown. Here we examined the excitability changes in an upper limb muscle representation following a single session of lower body aerobic exercise. Investigating the response to exercise in a non-exercised muscle may help to determine the clinical usefulness of lower-body exercise interventions for upper limb neurorehabilitation.MethodsIn this study, transcranial magnetic stimulation was used to assess input–output curves, short-interval intracortical inhibition (SICI), long-interval intracortical inhibition (LICI) and intracortical facilitation (ICF) in the extensor carpi radialis muscle in twelve healthy individuals following a single session of moderate stationary biking. Additionally, we examined whether the presence of a common polymorphism of the brain-derived neurotrophic factor (BDNF) gene would affect the response of these measures to exercise.ResultsWe observed significant increases in ICF and decreases in SICI following exercise. No changes in LICI were detected, and no differences were observed in input–output curves following exercise, or between BDNF groups.ConclusionsThe current results demonstrate that the modulation of intracortical excitability following aerobic exercise is not limited to those muscles involved in the exercise, and that while exercise does not directly modulate the excitability of motor neurons, it may facilitate the induction of experience-dependent plasticity via a decrease in intracortical inhibition and increase in intracortical facilitation. These findings indicate that exercise may create favourable conditions for adaptive plasticity in M1 and may be an effective adjunct to traditional training or rehabilitation methods.

Highlights

  • Despite growing interest in the relationship between exercise and short-term neural plasticity, the effects of exercise on motor cortical (M1) excitability are not well studied

  • Three paired-pulse paradigms were used to probe the effect of exercise on the intracortical networks within M1: short-interval intracortical inhibition (SICI), long-interval intracortical inhibition (LICI) and intracortical facilitation (ICF)

  • The current results indicate that SICI is more sensitive to the effects of aerobic exercise than LICI

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Summary

Introduction

Despite growing interest in the relationship between exercise and short-term neural plasticity, the effects of exercise on motor cortical (M1) excitability are not well studied. We examined the excitability changes in an upper limb muscle representation following a single session of lower body aerobic exercise. Aerobic exercise is commonly prescribed to improve cardiovascular function following brain injury and can successfully improve aerobic capacity in neurological patient populations [1,2,3,4]. In addition to secondary cardiovascular disease prevention and improved quality modulates cortical excitability, and the effects of an acute bout of aerobic exercise on the motor cortex are unclear. The majority of clinical aerobic exercise interventions, such as walking, running and cycling, predominantly involve the lower limbs. Recent evidence indicates that acute cycling modulates intracortical inhibition in the cortical representations of active muscles; it is not known if this response is limited to muscles involved in the exercise or if such responses can be observed in nonexercised limbs. Three paired-pulse paradigms were used to probe the effect of exercise on the intracortical networks within M1: short-interval intracortical inhibition (SICI), long-interval intracortical inhibition (LICI) and intracortical facilitation (ICF)

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