Dewald Lab

Northwestern University at Chicago

PHYSICAL MEDICINE & REHAB

Chicago · United States

NIH-funded
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NIH R01 · 2025

Effect of Neural Constraints on Movement in Stroke

Project Summary Post-stroke impairments, including muscle weakness, hyperactive muscle (hypertonia) and associated stretch reflexes (spasticity), and loss of independent joint control (flexion synergy), pose significant challenges to routine daily activities, making stroke a leading contributor to motor dysfunction in the United States. Our extensive research has identified abnormally increased motor neuron excitability post-stroke, hinting at elevated spinal norepinephrine (NE) levels. NE, a potent neuromodulator, not only intensifies and prolongs inputs to motoneurons but also increases reliance on indirect contralesional cortico-reticular tracts, as shown in the previous cycle of this…

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