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Karim Fouad, Abel Torres-Espín, and Keith K. Fenrich

Spinal cord injury results in a wide range of behavioral changes including impaired motor and sensory function, autonomic dysfunction, spasticity, and depression. Currently, restoring lost motor function is the most actively studied and sought-after goal of spinal cord injury research. This research is rooted in the fact that although self-repair following spinal cord injury in adult mammals is very limited, there can be some recovery of motor function. This recovery is strongly dependent on the lesion size and location as well as on neural activity of denervated networks activated mainly through physical activity (i.e., rehabilitative training). Recovery of motor function is largely due to neuroplasticity, which includes adaptive changes in spared and injured neural circuitry. Neuroplasticity after spinal cord injury is extensive and includes mechanisms such as moderate axonal sprouting, the formation of new synaptic connections, network remapping, and changes to neuron cell properties. Neuroplasticity after spinal cord injury has been described at various physiological and anatomical levels of the central nervous system including the brain, brainstem, and spinal cord, both above and below injury sites. The growing number of mechanisms underlying postinjury plasticity indicate the vast complexity of injury-induced plasticity. This poses important opportunities to further enhance and harness plasticity in order to promote recovery. However, the diversity of neuroplasticity also creates challenges for research, which is frequently based on mechanistically driven approaches. The appreciation of the complexity of neuronal plasticity and the findings that recovery is based on a multitude and interlinked adaptations will be essential in developing meaningful new treatment avenues.


Sequences permeate daily life. They can be defined as a discrete series of items or states that occur in a specific order with a beginning and end. The brain supports the perception and execution of sequences. Perceptual sequences involve tracking regularities in incoming stimuli, such as the series of sounds that make up a word in language. Executed sequences range from the series of muscle activations used by a frog to catch a fly to a chess master mapping her next moves. How the brain controls sequences must therefore scale to multiple levels of control. Investigating how the brain functions to accomplish this task spans from the study of individual cells in the brain to human cognition. Understanding the neural systems that underlie sequential control is necessary to approach the mechanistic underpinnings of complex conditions such as addiction, which may be rooted in difficult-to-extinguish sequential behaviors. Current research focuses on studies in both animal and human models and spans the levels of complexity of sequential control and the brain systems that support it.