Ibrahim Saif Allah Refai

Mr. Ibrahim Saif Allah Refai

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Research Focus & Metrics

Academic Career Length

1Year (2026-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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1 January 2026 in Applied Physiology, Nutrition, and Metabolism
Verified
Journal Article
Closed access
AWAlysha D. Wira
Alysha D. Wira
IRIbrahim Saif Allah Refai
Ibrahim Saif Allah Refai
ELEvan Lockyer
Evan Lockyer
Kevin PowerKevin Power
Kevin Power
Previous studies have shown that supraspinal excitability is higher during arm cycling than a position- and intensity-matched tonic contraction, but the underlying mechanisms remain unclear. This study aimed to determine whether long-interval intracortical inhibition (LICI) occurs during arm cycling and if LICI differs between arm cycling and tonic contraction. A paired-pulse transcranial magnetic stimulation (TMS) protocol assessed LICI using a supramaximal conditioning pulse that produced a silent period of approximately 150 ms, followed by a test pulse with a 100 ms interstimulus interval. Stimulation occurred at the 4 o'clock position to align the test pulse with the ascending limb of the biceps brachii electromyography profile during the elbow flexion phase. Additionally, a single-pulse TMS stimulation was delivered 100 ms after the 4 o'clock position. Motor-evoked potentials (MEPs) were measured as ratios: a position-matched ratio of test pulse-evoked MEP over single pulse-evoked MEP. MEP ratios were analyzed for peak-to-peak amplitude during arm cycling and tonic contraction. Results showed that LICI was present during arm cycling ( t(13) = 3.5, p < 0.001, 95% CI [−3.2, −0.75]), but no significant difference in LICI was found between arm cycling and tonic contraction ( t(13) = 1.3, p = 0.242, 95% CI [−0.23, −0.06]). These findings suggest that while LICI is present during arm cycling, it is not task-dependent.

12 May 2026 in Brain Sciences
Verified
Journal Article
Open access
PDF file
HRHiwa Rahmani
Hiwa Rahmani
HAHamid Amoozi
Hamid Amoozi
IRIbrahim Saif Allah Refai
Ibrahim Saif Allah Refai
Kevin PowerKevin Power
Kevin Power
Purpose: This study investigated whether an acute bout of submaximal unilateral arm cycling elicits sustained changes in corticospinal excitability (CSE) and short-interval intracortical inhibition (SICI) in the homologous muscles of the non-exercised, resting limb. A secondary aim was to determine whether prior exercise induces a preconditioning effect on subsequent motor output. Methods: Transcranial magnetic stimulation was used to assess motor evoked potential (MEP) amplitude (single-pulse) and SICI (paired-pulse) in the resting non-dominant flexor carpi radialis (FCR) and extensor carpi radialis (ECR) muscles of healthy participants. Measures were obtained at rest, during a 10 min bout of unilateral arm cycling (30 W, 60 rpm), and throughout a 20 min recovery period. To assess potential preconditioning effects, measurements were repeated during a second 2 min cycling bout following a 20 min recovery. Rest and exercise conditions were analyzed separately due to differences in stimulation intensity (RMT vs. AMT). Results: Unilateral arm cycling did not produce sustained changes in CSE or SICI in the resting limb when both arms were at rest. Furthermore, unilateral arm cycling followed by a 20 min recovery period did not result in a preconditioning effect, as CSE in the resting limb was not enhanced during a subsequent unilateral arm cycling bout. Conclusions: Submaximal unilateral arm cycling induces a transient, state-dependent increase in CSE to the non-exercised limb without altering SICI. The absence of SICI modulation suggests that this facilitation is not mediated by GABAA-dependent intracortical mechanisms, and may instead reflect modulation arising from spinal and interlimb locomotor circuitry. The lack of sustained post-exercise effects indicates that low-intensity arm cycling does not induce a plasticity-permissive cortical state, highlighting a distinction between transient, movement-dependent facilitation and longer-lasting exercise-induced neuroplasticity.