Event Abstract Back to Event Applications of closed-loop approaches to therapeutic brain stimulation Randolph Nudo1* 1 University of Kansas Medical Center, Department of Rehabilitation Medicine, United States Artificial modulation of neural activity following acquired central nervous system injuries has received increasing attention over the past several years as therapeutic interventions. Examples include numerous non-invasive approaches, including transcranial magnetic stimulation or transcranial direct current stimulation to excite or suppress neuronal activity in the damaged or intact cortex after stroke. More invasive technologies, such as epidural stimulation, vagus nerve stimulation and deep brain stimulation, also have demonstrated promising results in neurological populations. Most of these neuromodulation therapies have employed continuous stimulation, and indications in research settings continue to expand for these neuromodulatory therapies. However, recently, various implementations of closed-loop approaches have begun to attract attention for altering neuronal function. These closed-loop modalities are often described as responsive neurostimulation, adaptive brain stimulation or activity-dependent stimulation (ADS), and typically involve invasive technologies. For example, subdural or epidural electrodes have been used to record electroencephalographic activity, triggering brain stimulation when epileptiform discharges are detected to suppress a seizure. In animal models, it has long been known that synaptic facilitation can be induced with particular patterns of open-loop stimulation (e.g., theta burst stimulation), or by spike-timing dependent stimulation. Recent studies using ADS have been used in our laboratory to reinforce synaptic activity in specific cortico-cortical pathways following cortical injury. Such closed-loop stimulation resulted in rapid recovery of sensorimotor skills in rats (Guggenmos et al. 2013, PNAS). We have recently found that cortico-cortical functional connectivity can be reinforced in either intact or injured brains, even under anesthesia, providing a convenient platform for testing hypotheses regarding spike-timing dependent plasticity in neuronal systems. These results suggest that cortico-cortical entrainment immediately after cortical injury can be evoked more readily than in healthy brains. However, cortico-cortical potentiation appears to differ depending upon pre-existing strength of anatomical connectivity between the areas. These results are placed in the context of diaschisis-like phenomena that result from focal injury. Conference: 2015 International Workshop on Clinical Brain-Machine Interfaces (CBMI2015), Tokyo, Japan, 13 Mar - 15 Mar, 2015. Presentation Type: Oral presentation / lecture Topic: Clinical Brain-Machine Interfaces Citation: Nudo R (2015). Applications of closed-loop approaches to therapeutic brain stimulation. Conference Abstract: 2015 International Workshop on Clinical Brain-Machine Interfaces (CBMI2015). doi: 10.3389/conf.fnhum.2015.218.00015 Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters. The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated. Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed. For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions. Received: 23 Apr 2015; Published Online: 29 Apr 2015. * Correspondence: PhD. Randolph Nudo, University of Kansas Medical Center, Department of Rehabilitation Medicine, Kansas City, KS, 66103, United States, randynudo@gmail.com Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers Randolph Nudo Google Randolph Nudo Google Scholar Randolph Nudo PubMed Randolph Nudo Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. Please enable Javascript in your browser settings in order to see all the content on this page.