Breathing-Driven Modulation of Reticulospinal Tract Activity

The reticulospinal tract (RST) plays a pivotal role in motor control, especially during recovery after neurological injuries such as stroke and spinal cord injury (SCI). Understanding how RST activity is modulated offers valuable insights into improving motor function recovery. Recent studies have demonstrated that breathing rhythms influence brain activity. This study explores how respiratory rhythms modulate RST excitability during motor tasks, using the StartReact paradigm to examine reaction times (RTs) across visual (VRT), visual-auditory (VART), and visual-auditory startling (VSRT) conditions. We measured RTs in three muscles (first dorsal interosseous, flexor digitorum superficialis, and biceps) in healthy adult participants (n=13, both sexes) performing multi-joint movements. RTs were longest in the VRT condition and significantly decreased when auditory stimuli were added (VART), with further reductions observed in the VSRT condition. Additionally, respiratory phase transitions, particularly from inspiration to expiration (IE), significantly influenced RTs, with the shortest RTs observed during these transitions in the VSRT condition. These findings suggest that RST excitability is dynamically modulated by respiratory rhythms. This modulation of the RST by respiratory phase transitions could inform future neurorehabilitation strategies, such as respiratory-phase-aligned stimulation, to enhance motor recovery following corticospinal lesions. Ultimately, this approach may optimize the timing of interventions, improving outcomes in conditions such as stroke and SCI.