Increase in flexor but not extensor corticospinal motor outputs following ischemic nerve block

Human motor cortex is capable of rapid and long-lasting reorganization, evident globally, as shifts in body part representations, and at the level of individual muscles as changes in corticospinal excitability. Representational shifts provide an overview of how various body parts reorganize relative to each other but do not tell us whether all muscles in a given body part reorganize in the same manner and to the same extent. Transcranial magnetic stimulation (TMS) provides information about individual muscles and can therefore inform us about the uniformity of plastic changes within a body part. We used TMS to investigate changes in corticospinal excitability of forearm flexors and extensors after inflation of a tourniquet around the wrist. Motor evoked potential (MEP) amplitudes and input/output (I/O) curves were obtained from wrist flexors and extensors simultaneously before and during block. TMS was delivered to the optimal site for eliciting MEPs in flexors in experiment 1, extensors in experiment 2, and both flexors and extensors in experiment 3. In all experiments flexor MEP amplitude increased during block while extensor MEP amplitude showed no systematic change, and the slope of flexor but not extensor I/O curves increased. Flexor H-reflex amplitude normalized to maximal M wave showed negligible changes during block, suggesting that the increase in corticospinal excitability in the flexors cannot be completely explained by increased excitability at the spinal cord level. These findings show that forearm flexors and extensors differ in their potential for plastic changes, highlight the importance of investigating how experimentally induced plasticity affects anatomically close, but functionally distinct, muscle groups, and suggest that rehabilitation interventions aiming to alter cortical organization should consider the differential sensitivity of various muscle groups to plasticity processes

Review of upper limb kinematics after cervical spinal cord injury: Implications for rehabilitation

IntroductionThe aim of this literature review is to provide a clear understanding of motor control and kinematic changes during open-chain upper limb (UL) movements after tetraplegia.MethodUsing data from MEDLINE between 1966 and August 2014, we investigated kinematic UL studies after tetraplegia.ResultsWe included fourteen control case and three series case studies with a total of 161 SCI participants and 126 healthy control participants. SCI participants efficiently perform a broad range of tasks with their UL This is achieved by effective scapulothoracic and glenohumeral compensation which provide a dynamic mechanical coupling between the shoulder and elbow joints thus palliating elbow extension despite triceps brachii paralysis. The mechanism is incomplete, however, since C5-C6 SCI individuals are forced to reduce overhead workspace to keep the elbow extended and to maintain the mechanical dynamic interaction between the shoulder and elbow. Furthermore, motion slowing is a clear kinematic characteristic, caused by:– decreased strength;– triceps brachii paralysis disrupting normal agonist-antagonist co-contraction;– accuracy requirements at movement endpoint;– grasping.Grasping requires a prolonged deceleration phase during transport to ensure hand placement with respect to the to-be-grasped object then wrist extension during grasping to elicit either whole hand or lateral grip. Contrary to the normal pattern, where grasping is prepared during the transport phase, SCI individuals transport the wrist in flexion leading to passive finger opening that did not attest a grip preparation particularly if object size is greater than maximal grip aperture. The pattern (wrist flexed then extended) indicates that reaching and grasping are performed consecutively suggesting that these two phases are independent. Elbow extension restoration causes increased elbow stiffness resulting in increased movement velocity, reduced need for glenohumeral compensation, and overall improved motor control.ConclusionRehabilitation and surgical restoration should take these kinematic characteristics into account to reinforce proximal and distal compensations allowing elbow extension and grasp using tenodesis and consequently favoring greater autonomy of individuals after SCI

Detector Description and Performance for the First Coincidence Observations between LIGO and GEO

For 17 days in August and September 2002, the LIGO and GEO interferometer gravitational wave detectors were operated in coincidence to produce their first data for scientific analysis. Although the detectors were still far from their design sensitivity levels, the data can be used to place better upper limits on the flux of gravitational waves incident on the earth than previous direct measurements. This paper describes the instruments and the data in some detail, as a companion to analysis papers based on the first data.Comment: 41 pages, 9 figures 17 Sept 03: author list amended, minor editorial change

The proportion of females at the establishment level Discrimination versus preference-technology

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Does more mean less? The male/female wage gap and the proportion of females at the establishment level

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Labour and computers Establishment level determinants of computer usage

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Does union membership matter? The effect of establishment union density on the union wage differential

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Sectoral shocks, unemployment and intertemporal labour supply

SIGLEAvailable from British Library Document Supply Centre-DSC:3597.96627(98/09) / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Does more mean less? The male/female wage gap and the proportion of females at the establishment level

SIGLEAvailable from British Library Document Supply Centre- DSC:3597.97957(LU-SBES-DP-E--95/10) / BLDSC - British Library Document Supply CentreGBUnited Kingdo