{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T11:17:43Z","timestamp":1784114263686,"version":"3.55.0"},"reference-count":62,"publisher":"Wiley","issue":"19","license":[{"start":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T00:00:00Z","timestamp":1631750400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders and Stroke","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005191","name":"Craig H. 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Here, we examined to what extent residual corticospinal connections and spasticity are present in muscles below the injury (quadriceps femoris and soleus) in humans with motor complete thoracic SCI.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>We found three distinct subgroups of people: participants with spasticity and corticospinal responses in the quadriceps femoris and soleus; participants with spasticity and corticospinal responses in the quadriceps femoris only; and participants with no spasticity or corticospinal\u00a0responses in either muscle. Spasticity and corticospinal responses were present in the quadriceps but never only in the soleus muscle, suggesting a proximal to distal gradient of symptoms of hyperreflexia.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>These results suggest that concomitant patterns of residual corticospinal connectivity and spasticity exist in humans with motor complete SCI and that a clinical examination of spasticity might be a good predictor of residual descending motor pathways in people with severe paralysis.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>The loss of corticospinal axons has implications for the development of spasticity following spinal cord injury (SCI). However, the extent to which residual corticospinal connections and spasticity are present across muscles below the injury remains unknown. To address this question, we tested spasticity using the Modified Ashworth Scale and transmission in the corticospinal pathway by examining motor evoked potentials (MEPs) elicited by transcranial magnetic stimulation over the leg motor cortex (cortical MEPs) and by direct activation of corticospinal axons by electrical stimulation over the thoracic spine (thoracic MEPs), in the quadriceps femoris and soleus muscles, in 30 individuals with motor complete thoracic SCI. Cortical MEPs were also conditioned by thoracic electrical stimulation at intervals allowing their summation or collision. We found three distinct subgroups of participants: 47% showed spasticity in the quadriceps femoris and soleus muscles; 30% showed spasticity in the quadriceps femoris muscle only; and 23% showed no spasticity in either muscle. Although cortical MEPs were present only in the quadriceps in participants with spasticity, thoracic MEPs were present in both muscles when spasticity was present. Thoracic electrical stimulation facilitated and suppressed cortical MEPs, showing that both forms of stimulation activated similar corticospinal axons. Cortical and thoracic MEPs correlated with the degree of spasticity in both muscles. These results provide the first evidence that related patterns of residual corticospinal connectivity and spasticity exist in muscles below the injury after motor complete thoracic SCI and highlight that a clinical examination of spasticity can predict residual corticospinal connectivity after severe paralysis.<\/jats:p><\/jats:sec>","DOI":"10.1113\/jp281862","type":"journal-article","created":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T17:54:22Z","timestamp":1623261262000},"page":"4441-4454","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Distinct patterns of spasticity and corticospinal connectivity following complete spinal cord injury"],"prefix":"10.1113","volume":"599","author":[{"given":"Sina","family":"Sangari","sequence":"first","affiliation":[{"name":"Shirley Ryan AbilityLab  Chicago IL USA"},{"name":"Department of Physical Medicine and Rehabilitation Northwestern University  Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Kirshblum","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Kessler Institute for Rehabilitation Rutgers New Jersey Medical School  Newark NJ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0931-0286","authenticated-orcid":false,"given":"James D.","family":"Guest","sequence":"additional","affiliation":[{"name":"The Miami Project to Cure Paralysis University of Miami  Miami USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Oudega","sequence":"additional","affiliation":[{"name":"Shirley Ryan AbilityLab  Chicago IL USA"},{"name":"Department of Physical Therapy and Human Movement Sciences Northwestern University  Chicago IL USA"},{"name":"Edward Hines Jr VA Hospital  Hines IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8676-3492","authenticated-orcid":false,"given":"Monica A.","family":"Perez","sequence":"additional","affiliation":[{"name":"Shirley Ryan AbilityLab  Chicago IL USA"},{"name":"Department of Physical Medicine and Rehabilitation Northwestern University  Chicago IL USA"},{"name":"Department of Physical Therapy and Human Movement Sciences Northwestern University  Chicago IL USA"},{"name":"Edward Hines Jr VA Hospital  Hines IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,16]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2017.48"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1310\/sci1802-106"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2014.246"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1743-0003-6-30"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/67.2.206"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00229889"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cub.2012.10.046"},{"key":"e_1_2_5_9_1","first-page":"75","article-title":"Observations on the pathology of human spinal cord injury. 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