# Closed loop synchrony stimulation for motor recovery after chronic stroke

> **NIH NIH F31** · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2020 · $24,142

## Abstract

PROJECT SUMMARY/ABSTRACT
Stroke is a common cause of disability, with the majority of stroke patients exhibiting chronic motor
impairments. A commonly observed pattern of impairment is fragmented movement control (i.e. loss of smooth
transitions during movements) and difficulty with sequences, even with physical rehabilitation therapy. We
have poor understanding as to the neural circuit basis of these impairments. Current efforts in neuromodulation
for motor recovery have resulted in variable effects, potentially due to nonspecific targeting of modulation.
Work by Dr. Karunesh Ganguly's group, conducted in rats, has demonstrated that there is a characteristic low
frequency [1.5-5Hz] quasi-oscillatory activity in low frequency local field potential (LFP) that occurs during a
skilled reaching task in both the primary motor cortex (M1) and dorsolateral striatum (DLS). This phenomenon
occurs when a group of neurons (ensemble) in each region fires in a synchronous manner, time-locked to the
reach-to-grasp motion. In animals that have motor deficits due to stroke in M1, premotor cortex (M2)
rearranges to recapitulate forelimb behavior representations that were lost; M2 is also connected to DLS.
Additionally, electrical stimulation delivered therapeutically to M2 at the expected time onset of low frequency
LFP power quasi-oscillations can improve accuracy in a skilled reaching task, but animals still display
fragmented movement control – characterized by a loss of smoothness that is present in both human stroke
subjects and animal models. The central hypothesis is that similar to how coordinated LFP and ensemble
spiking activity is a marker of M1-DLS coordination, increasing neural synchrony between M2 and DLS will
result in increased recovery of skilled motor function after M1 stroke. In both aims, motor function will be
assessed in rats with a reaching task to retrieve pellets. Behavioral outcomes such as reach time, kinematic
trajectory, amplitude (distance paw traveled in a single reach), and successful retrieval will be assessed. In this
proposal, my first aim is to characterize how coordinated neural activity in M2 and DLS evolves with recovery.
In the second aim, I will assess how M2 ensemble spiking-dependent stimulation of DLS affects performance
of the reach to grasp task in stroke animals with chronic motor deficits. In addition to my mentor's expertise on
stroke rehabilitation, treatments, and neural interfaces, guidance from my thesis committee members Dr. Philip
Starr (neurosurgery, deep brain stimulation, closed-loop stimulation) and Professor Michel Maharbiz (recording
and stimulation electrode paradigms) support the feasibility of this study. We predict that increasing
synchronizing M2-DLS activity post-stroke using population spike timing-dependent plasticity principles will
improve behavioral outcomes after a chronic stroke plateau: reach time will decreased to baseline; reach
trajectory will be smoother and more stereotyped, as asses...

## Key facts

- **NIH application ID:** 10140813
- **Project number:** 1F31NS117010-01A1
- **Recipient organization:** UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
- **Principal Investigator:** Sravani Kondapavulur
- **Activity code:** F31 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $24,142
- **Award type:** 1
- **Project period:** 2020-09-15 → 2021-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10140813

## Citation

> US National Institutes of Health, RePORTER application 10140813, Closed loop synchrony stimulation for motor recovery after chronic stroke (1F31NS117010-01A1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10140813. Licensed CC0.

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