Introduction Transcutaneous spinal cord stimulation (tSCS) is a non-invasive method to stimulate afferent structures of the spinal neural circuits related with lower limb motor control. Its application is known to improve lower limb motor function in individuals with spinal cord injury. However, it remains unknown whether tSCS induces spinal plasticity, which has an essential role in functional recovery of the lower limb after spinal cord injury and stroke. Objectives The purpose of this study was to investigate the effects of tSCS on spinal reciprocal inhibition in healthy individuals. Methods Twelve healthy volunteers participated in this single-masked, sham-controlled crossover study. The following three paradigms were randomly applied to them on three different days: (1) tSCS; (2) sham tSCS; (3) transcutaneous peripheral nerve patterned electrical stimulation (tPES). tSCS and tPES consisted of a train of 10 pulses at 100 Hz every 2 s for 20 min. tSCS was delivered to the thoracic spine level (Th11/12) with the intensity of sensory threshold × 2.0 without muscle contraction. tPES was applied to common peroneal nerve using the intensity equal to the motor threshold of tibialis anterior muscle. For sham stimulation, the same procedure was used, but the current was delivered for only 30 s.We assessed disynaptic reciprocal inhibition (RI) and presynaptic inhibition (D1) using a soleus H-reflex conditioning-test paradigm. The magnitudes of inhibition was assessed before, immediately after, 15 min and 30 min after the stimulation. Results tSCS significantly increased the amount of D1 inhibition immediately after and at 15 min after when compared with the baseline, and the effects were greater than other conditions immediately after and at 15 min after the stimulation. tSCS concurrently increased the amount of RI immediately after. tPES significantly increased the amount of RI until 15 min after the stimulation, but did not affect the D1 inhibition. Conclusion The present results provide further evidence that tSCS can induce short-term plastic changes in human spinal reciprocal inhibitory interneuron.
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