Title:
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Mechanisms underlying cross education of motor function
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Cross education is the process whereby training one limb gives rise to enhancements in
performance of the opposite, untrained limb. It is widely believed that cross education arises due
to crossed facilitation of corticospinal pathways during unilateral movement, manifested by a
change in excitability measured using transcranial magnetic stimulation over the primary motor
cortex (M1) corresponding to the untrained limb. In Chapter 2 we manipulated the visual feedback
that was available during training; a factor known to modulate the degree of crossed facilitation.
Transfer of performance to the untrained limb was elevated in a group who trained with mirrored
visual feedback of the moving limb. However, the same results were not replicated in a later
experiment with a larger sample size. The noteworthy finding from this investigation was that
despite large performance improvements in the untrained limb, the excitability of corticospinal
projections to the relevant task agonist muscle remained unchanged. Changes in muscle
activation dynamics in the untrained limb following training were found to be statistically
associated with transfer of performance. These modifications, in the absence of a change in the
state of M1 pathways, suggests that the neural adaptations that subserve transfer of this task, are
located in motor regions 'upstream' from M1. In order to develop more specific hypotheses,
Chapter 3 was an investigation of transcallosal white matter fibre pathways between motor cortical
regions. This revealed that celiain regions demonstrate superior structural connectivity with the
contralateral hemisphere. The investigation culminated in Chapter 4 with a multimodal
neuroimaging study. It was revealed that the structural organisation of white matter pathways
connecting bilateral supplementary motor area (SMA) was a remarkably good predictor of
transfer. The results are interpreted in the context of theories regarding the functional role of SMA,
and an emphasis on the task-dependancy of the results is maintained.
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