Review Article

A Review on Locomotor Training after Spinal Cord Injury: Reorganization of Spinal Neuronal Circuits and Recovery of Motor Function

Table 1

Summary of neuronal activity changes in SCI after locomotor training#.
(a)

Neuronal activityAIS A/BAIS CAIS D
SeatedSteppingSeatedSteppingSeatedStepping

Soleus H-reflex phase-dependent modulationNA stance phase
swing phase
NA swing phaseNA swing phase
Homosynaptic depressionRestoredNARestoredNARestoredNA
Presynaptic inhibition of Ia afferentsNo changeNot testedRestored stance phase
swing phase
Restored late stance
swing-to-stance transition
Reciprocal Ia inhibitionRestoredNot testedRestored stance phase
swing phase
Restored stance phase
swing phase
Nonreciprocal Ib inhibitionRestoredNot testedNo changeNo change in stance
early swing
late swing
Restored stance phase
Long-latency flexor reflexes R-Leg
L-Leg
Improved R-Leg
L-Leg
Improved R-Leg
L-Leg
Improved
Short-latency flexor reflexesReappeared in R-LegPhase-dependent modulation emerged in R-LegReappeared in R-LegPhase-dependent modulation emerged in R-LegReappeared in both legsPhase-dependent modulation emerged

(b)

Neuronal activityAIS A/BAIS CAIS D
SeatedStandingSeatedStandingSeatedStanding

Soleus motoneuron excitability (Hmax)No change in R/L-LegsNo change in R/L-LegsNo change in R-Leg
L-Leg
R/L-Legs R-Leg
No change in L-Leg
No change in R/L-Legs
H-thresholdNo change in R/L-LegsNo change in R/L-LegsNo change in R/L-LegsNo change in R/L-Legs R-Leg
No change in L-Leg
L-Leg
No change in R-Leg

Neuronal activity changes after locomotor training in people with SCI are from authors’ recent published work [21, 54, 72, 90, 141]. R: right; L: left; and NA: not applicable; symbols / indicate increased or decreased neuronal activity. refers to neuronal activity changes.