Corticocortical inhibition in human motor cortex.
T Kujirai,Maria D. Caramia,John C. Rothwell,Brian L. Day,Pd Thompson,A Ferbert,S Wroe,P. Asselman,C. D. Marsden +8 more
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TLDR
In ten normal volunteers, a transcranial magnetic or electric stimulus that was subthreshold for evoking an EMG response in relaxed muscles was used to condition responses evoked by a later, suprathreshold magnetic orElectric test shock to suggest that the suppression was produced by an action on cortical, rather than spinal excitability.Abstract:
1. In ten normal volunteers, a transcranial magnetic or electric stimulus that was subthreshold for evoking an EMG response in relaxed muscles was used to condition responses evoked by a later, suprathreshold magnetic or electric test shock. In most experiments the test stimulus was given to the lateral part of the motor strip in order to evoke EMG responses in the first dorsal interosseous muscle (FDI). 2. A magnetic conditioning stimulus over the hand area of cortex could suppress responses produced in the relaxed FDI by a suprathreshold magnetic test stimulus at interstimulus intervals of 1-6 ms. At interstimulus intervals of 10 and 15 ms, the test response was facilitated. 3. Using a focal magnetic stimulus we explored the effects of moving the conditioning stimulus to different scalp locations while maintaining the magnetic test coil at one site. If the conditioning coil was moved anterior or posterior to the motor strip there was less suppression of test responses in the FDI. In contrast, stimulation at the vertex could suppress FDI responses by an amount comparable to that seen with stimulation over the hand area. With the positions of the two coils reversed, conditioning stimuli over the hand area suppressed responses evoked in leg muscles by vertex test shocks. 4. The intensity of both conditioning and test shocks influenced the amount of suppression. Small test responses were more readily suppressed than large responses. The best suppression was seen with small conditioning stimuli (0.7-0.9 times motor threshold in relaxed muscle); increasing the intensity to motor threshold or above resulted in less suppression or even facilitation. 5. Two experiments suggested that the suppression was produced by an action on cortical, rather than spinal excitability. First, a magnetic conditioning stimulus over the hand area failed to produce any suppression of responses evoked in active hand muscles by a small (approximately 200 V, 50 microsecond time constant) anodal electric test shock. Second, a vertex conditioning shock had no effect on forearm flexor H reflexes even though responses in the same muscles produced by magnetic cortical test shocks were readily suppressed at appropriate interstimulus intervals. 6. Small anodal electric conditioning stimuli were much less effective in suppressing magnetic test responses than either magnetic or cathodal electric conditioning shocks.(ABSTRACT TRUNCATED AT 400 WORDS)read more
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References
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Journal ArticleDOI
Interhemispheric inhibition of the human motor cortex.
TL;DR: In contrast to the inhibition of test responses evoked by magnetic test stimuli, test responsesevoked in active FDI by a small anodal electric shock were not significantly inhibited by a contralateral magnetic conditioning stimulus, and H reflexes in relaxed forearm flexor muscles were unaffected by conditioning stimuli to the ipsilateral hemisphere.
Journal ArticleDOI
Electric and magnetic stimulation of human motor cortex: surface EMG and single motor unit responses.
Brian L. Day,D. Dressler,A. Maertens de Noordhout,C. D. Marsden,K. Nakashima,John C. Rothwell,Pd Thompson +6 more
TL;DR: The effects of different forms of brain stimulation on the discharge pattern of single motor units were examined using the post‐stimulus time histogram (PSTH) technique and by recording the compound surface electromyographic (EMG) responses in the first dorsal interosseous muscle.
Journal ArticleDOI
Spinal motor neuron excitability during the silent period after cortical stimulation.
TL;DR: The findings imply, at least in the late part of the silent period, that a reduction in the excitability of the spinal motor neuron pool plays only a minor role in determining the phenomenon and that it is probably caused by lack of cortical drive.
Journal ArticleDOI
Physiological basis of motor effects of a transient stimulus to cerebral cortex.
TL;DR: With threshold stimulation through separated bipolar electrodes, intracellular recording from pyramidal tract (PT) and uninvaded motor cortical neurons shows that D activation usually occurs when the membrane potential immediately before the stimulus is relatively depolarized, implying excitation of the IS region, i.e., close to the site of synaptic transfer.
Journal ArticleDOI
Delay in the execution of voluntary movement by electrical or magnetic brain stimulation in intact man: evidence for the storage of motor programs in the brain
Brian L. Day,Jc Rothwell,Pd Thompson,A. Maertens de Noordhout,K. Nakashima,K. Shannon,C. D. Marsden +6 more
TL;DR: It is suggested that the brain stimulus delayed movement by inhibiting a group of strategically placed neurons in the brain which made them unresponsive for a brief period to the command signals they receive which initiate the motor program of agonist and antagonist muscle activity.