Operant Condition of the Flexor Carpi Radialis H-reflex

Operant conditioning of the largely monosynaptic H-reflex is a targeted and non-invasive therapeutic intervention for people with motor dysfunction after spinal cord injury and possibly stroke.1,2,3 It can complement other therapies and has no known adverse side effects. To date, H-reflex operant conditioning has focused on the leg. Here, we extend it to the arm by asking participants to either increase or decrease the flexor carpi radialis (FCR) H-reflex. In addition, we examine concurrent changes in brain activity by recording electroencephalographic activity (EEG).