Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology
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Clinical Trial
Spinal associative stimulation: a non-invasive stimulation paradigm to modulate spinal excitability.
Repetitive, paired peripheral and transcranial stimulation targeting the cerebral cortex can increase cortical excitability, outlasting the stimulation period. It is unknown whether paired stimulation specifically targeting the spinal cord can modulate spinal excitability. We tested whether the H-reflex facilitation from a sub-threshold conditioning TMS pulse could modulate spinal excitability if delivered repetitively. ⋯ Spinal associative stimulation may have potential for neuromodulation in spinal cord injury patients.