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Participants will complete 11 sessions. These include screening, 5 sessions where exercise or rest (according to group assignment) are paired with practice of a motor task, MRI and Transcranial Magnetic Stimulation (TMS) before and after the intervention will be used to assess neuroplasticity (ability for the brain to reorganize and create new connections).
All participants will complete baseline sessions: 1) sub-maximal exercise test to ensure safe participation in aerobic exercise (testing session [s] 1); and 2) magnetic resonance imaging (MRI) to assess brain structure and function, and 3) clinical assessments of motor function and activity. The MRI and clinical tests will be completed on s2. Between the exercise test and MRI sessions individuals will wear accelerometers for 3 days to index usual activity levels. A custom computer program will then assign participants quasi-randomly to either the rest or exercise groups stratified on age, sex, and baseline motor function. Cortical excitability will be assessed before and after either a single session of priming aerobic exercise, or rest, by group (s3). Next, priming exercise will be paired with skilled motor practice for 5 sessions (s4-8). Practice sessions will be separated by 48 hours. Importantly motor learning will be assessed via delayed, no-exercise retention tests 24-hours (s9) and 30-days (s11) after the last practice session. Activity levels (3 day accelerometry), TMS and MRI measures will be re-assessed after the second retention test (s10).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exercise + practice | Experimental | Individuals will complete 20 minutes of exercise on a recumbent bicycle before practicing a novel motor task. |
|
| Rest + practice | Active Comparator | Individuals will rest for 20 minutes before practicing a novel motor task. Attention will be controlled during this time. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exercise | Behavioral | Each experimental day participants will complete an acute bout of exercise on a recumbent bike. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change response time during a novel motor task. | Serial targeting task | Baseline, After Intervention (2 weeks), 30-day follow-up |
| Wolf Motor Function Task Rate | Standardized test of arm motor function | Baseline, After Intervention (2 weeks), 30-day follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Transcallosal Inhibition | Ipsilateral silent period | Baseline, After Intervention (2 weeks), 30-day follow-up |
| Arm Use Ratio | Accelerometry |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Asha Toner, BSc | Contact | 604-828-6303 | asha.toner@ubc.ca | |
| Jason Neva, PhD | Contact | 604-827-3369 | jason.neva@ubc.ca |
| Name | Affiliation | Role |
|---|---|---|
| Lara Boyd, Pt, PhD | Univeristy of British Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of British Columbia | Recruiting | Vancouver | British Columbia | V6T 2B5 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34695300 | Derived | Clark B, Whitall J, Kwakkel G, Mehrholz J, Ewings S, Burridge J. The effect of time spent in rehabilitation on activity limitation and impairment after stroke. Cochrane Database Syst Rev. 2021 Oct 25;10(10):CD012612. doi: 10.1002/14651858.CD012612.pub2. |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Practice | Behavioral | Each experimental day participants will complete a session of skilled motor practice. |
|
| Baseline, After Intervention (2 weeks), 30-day follow-up |
| Functional magnetic resonance imaging (fMRI) | Resting state fMRI | Baseline, After Intervention (2 weeks), 30-day follow-up |
| Structural magnetic resonance imaging - myelin | Myelin water fraction | Baseline, After Intervention (2 weeks), 30-day follow-up |
| Structural magnetic resonance imaging - diffusion | Diffusion weighted fractional anisotrophy | Baseline, After Intervention (2 weeks), 30-day follow-up |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D001519 | Behavior |