Restoring initial steps by intermittent theta burst stimulation in complete spinal cord injury patient: a case report.

INTRODUCTION: Spinal cord injury (SCI) causes damage to neurons and results in motor and sensory dysfunction. Intermittent theta burst stimulation (iTBS) has been used to induce neuronal and synaptic plasticity by applying a magnetic field in the brain. The plasticity induced in the cortex has an imperative role in the recovery of motor and sensory functioning. However, the effect of iTBS in complete SCI patients is still elusive. CASE PRESENTATION: We report here the case of a 27-year-old female who sustained an L1 complete spinal cord injury (SCI) with an ASIA score of A. The patient lost all the sensory and motor functions below the level of injury. Intermittent theta burst stimulation (iTBS) was administered at 80% of the resting motor threshold over the M1 motor cortex, along with intensive rehabilitation training to promote sensorimotor function. DISCUSSION: There was a partial recovery in functional, electrophysiological, and neurological parameters. The case report also demonstrates the safety and efficacy of iTBS in complete SCI patients. No adverse event has been observed in the patient during intervention sessions.

Cortical intermittent theta burst stimulation on gait pathomechanics and urinary tract dysfunction in incomplete spinal cord injury patients: Protocol for a randomized controlled trial.

Gait impairment and neurogenic bladder are co-existing common findings in incomplete spinal cord injury (iSCI). Repetitive transcranial magnetic stimulation (rTMS), evident to be a promising strategy adjunct to physical rehabilitation to regain normal ambulation in SCI. However, there is a need to evaluate the role of Intermittent theta burst stimulation (iTBS), a type of patterned rTMS in restoring gait and neurogenic bladder in SCI patients. The aim of the present study is to quantify the effect of iTBS on spatiotemporal, kinetic, and kinematic parameters of gait and neurogenic bladder dyssynergia in iSCI. After maturing all exclusion and inclusion criteria, thirty iSCI patients will be randomly divided into three groups: Group-A (sham), Group-B (active rTMS) and Group-C (active iTBS). Each group will receive stimulation adjunct to physical rehabilitation for 2 weeks. All patients will undergo gait analysis, as well assessment of bladder, electrophysiological, neurological, functional, and psychosocial parameters. All parameters will be assessed at baseline and 6th week (1st follow-up). Parameters except urodynamics and gait analysis will also be assessed after the end of the 2 weeks of the intervention (post-intervention) and at 12th week (2nd follow-up). Appropriate statistical analysis will be done using various parametric and non-parametric tests based on results.

Attentional Differences Between Males and Females for Emojis During the Emotional Stroop Task.

Introduction Cognitive load can be intensified by emotional components such as emotive words or facial expressions. Sex differences influence both emotional and cognitive functions for emotional facial expressions. Emojis, in contrast to human faces, serve as digital cues conveying emotional nuances in communication. The present study aimed to compare attentional differences prompted by emojis. Methods This study aimed to compare attentional differences in males and females elicited by emojis in 100 healthy adults (50 males and 50 females) within the age group of 18 to 40 years (mean ± SD: 27.87 ± 5.37 years) while performing the emotional Stroop task (EST). The EST comprised emojis depicting four emotions (happy, fear, sad, and angry) and emotionally charged words conveying similar emotions. An independent sample t-test was used to compare the reaction times among males and females. Results Results showed males had significantly longer reaction times than females across all task conditions. Both genders exhibited significant differences in reaction times across task conditions, except inhibition. Overall, reaction times increased notably from neutral to incongruent conditions for both genders. This suggests that response times increased significantly from neutral to incongruent conditions. Conclusion Emojis introduced in the EST revealed gender-related differences in attentional processing. This study showed the greater proficiency of females in emotional processing during EST compared to males. These findings contribute to our understanding of how gender is associated with cognitive responses to emotional stimuli in digital communication contexts.