Experience-dependent modulation of motor corticospinal excitability during action observation

The primate premotor cortex is endowed with an "action observation/execution matching system", that is, the same premotor neurons discharge when actions are performed and when actions are observed. Hence, this system predicts a strong visual input to the motor system. Whether this input is dependent on visual experience or not has not been previously investigated. To address this issue we compared corticospinal excitability while subjects viewed frequently observed and less frequently observed hand actions of others and of themselves. Motor corticospinal excitability was larger when the action orientations were as they are frequently observed (Self-away, subject's own hand facing out from the subject, or Other-toward, an unknown hand facing toward the subject) compared with less frequently observed actions (Self-toward, subject's own hand facing "toward" the subject, or Other-away, an unknown hand facing out from the subject). This finding suggests that the modulation of motor corticospinal excitability during action observation and hence the "action observation/execution matching system" is largely dependent upon visual experience. Electronic Publication     

Influence of somatosensory input on corticospinal excitability during motor imagery

Our previous studies showed that corticospinal excitability during imagery of squeezing a foam ball was enhanced by somatosensory input generated by passively holding the ball. In the present study, using the same experimental model, we investigated whether corticospinal excitability was influenced by holding the object with the hand opposite to the imagined hand. Corticospinal excitability was assessed by monitoring motor evoked potentials (MEPs) in the first dorsal interosseous muscle following transcranial magnetic stimulation over the motor cortex during motor imagery. Subjects were asked to imagine squeezing a foam ball with the right hand (experiment 1) or the left hand (experiment 2), while either holding nothing (Null condition), a ball in the right hand (Right condition) or a ball in the left hand (Left condition). The MEPs amplitude during motor imagery was increased, only when the holding hand and the imagined hand were on the same side. These results suggest that performance improvement and rehabilitation exercises will be more effective when somatosensory stimulation and motor imagery are done on the same side.     

Movement-specific enhancement of corticospinal excitability at subthreshold levels during motor imagery

This study examined modulation of corticospinal excitability during both actual and imagined movements. Seven young healthy subjects performed actual (3–50% maximal voluntary contractions) and imagined index finger force production, and rest. Individual responses to focal transcranial magnetic stimulation (TMS) in four fingers (index, middle, ring, and little) were recorded for all three tested conditions. The force increments at the threshold of activation were predicted from regression analysis, representing the TMS-induced response at the threshold activation of the corticospinal pathways. The measured increment in the index finger during motor imagery was larger than that at rest, but smaller than the predicted increment at the threshold of activation. On the other hand, the measured increment in the uninstructed (middle, ring, and little), slave fingers during motor imagery was larger than that at rest, but not different from the predicted increment at the threshold of activation. These contrasting results suggest that the degree of imagery-induced enhancement in corticospinal excitability was significantly less than what could be predicted for threshold levels from regression analysis, but only for the index finger, and not the adjacent slave fingers. It is concluded that corticospinal excitability for the explicitly instructed index finger is specifically enhanced at subthreshold levels during motor imagery.     

Increased corticospinal excitability induced by unpleasant visual stimuli

Pleasant and unpleasant emotional stimuli are frequently conceptualized as motivators for action. This notion was examined using focal transcranial magnetic stimulation (TMS). Ten healthy participants viewed pleasant, neutral, and unpleasant pictures from the International Affective Picture System (IAPS). During picture viewing, focal TMS was applied to the right motor cortex over the area innervating the first dorsal interosseous muscle of the left hand. Corticomotor excitability was larger while viewing negative pictures than while viewing neutral or positive images, as evidenced by greater motor evoked potentials. No difference was found between pleasant and neutral pictures. These results are consistent with models of emotion in which the neural networks underlying negative emotions have selective, direct connections to brain structures that mediate motor responses.     

Human corticospinal excitability during a precued reaction time paradigm

The purpose of this study was to investigate the time-course of corticospinal excitability during reaction time (RT), and compare the excitability when a precue provided information regarding both the direction and extent of the upcoming movement (Full condition), specified the direction of the upcoming movement only (Direction condition), or provided no information at all (None condition). Ten healthy, right-handed subjects performed a four-choice RT task that involved flexion and extension of dominant wrist. Transcranial magnetic stimulation (TMS) was presented at random intervals over a period of 120 ms prior to the subjects average non-stimulated voluntary electromyography (EMG) activity onset. We found that there was a significant relationship between motor-evoked potential (MEP) amplitude and TMS onset when both the flexor carpi radialis (FCR) and extensor carpi radialis (ECR) acted as an agonist. This relationship could be explained using the sigmoidal Boltzmann equation. The slope for the relationship did not differ between the Full and Direction conditions, suggesting that corticospinal excitability is not altered in the specification of movement extent. Both these conditions differed significantly from the None condition. The modulation of corticospinal excitability appeared greater in the FCR than in the ECR. There was a significant delay in RT the closer in time TMS was presented with respect to EMG onset. During extension, there was no difference in slope between the three conditions, whereas during flexion the slope was greater in the None condition than in the Direction condition, which was in turn greater than in the Full condition. This was mirrored in the relationship between agonist MEP amplitude and TMS onset for both muscles. It is possible that the gain of the corticospinal tract is increased in the conditions in which less information is provided in the precue to partly compensate for the increase in RT, which comes as a result of the additional processing required in those conditions.     

Age-related differences in corticospinal excitability during a Go/NoGo task

Age-related slowing of reaction times (RTs) is well documented but whether the phenomenon reflects deficits in movement preparation and/or response generation processes is unclear. To gain further insight into this issue, transcranial magnetic stimulation (TMS) was used to investigate motor cortex (M1) excitability and short-interval intracortical inhibitory (SICI) processes during a Go/NoGo RT task in younger and older adults. Single- and paired-pulse TMS was delivered over the left M1 during preparation and response generation periods in a right-hand muscle. Younger adults had shorter RTs and a larger increase in corticospinal excitability at response generation period than older adults. SICI modulation for both groups showed a large reduction in inhibition immediately prior to EMG onset. These findings indicate age-related differences in corticospinal excitability during the response generation stage of sensorimotor information processing.     

Increase in corticospinal excitability of limb and trunk muscles according to maintenance of neck flexion

The effect of maintenance of neck flexion on corticospinal excitability of limb and trunk muscles was investigated using transcranial magnetic stimulation (TMS). Nine healthy young subjects participated in this experiment. Every measurement was performed with subjects sitting on a chair. Target muscles were the first dorsal interosseous (FDI), biceps brachii (BB), triceps brachii (TB), rectus abdominis (RA), erector spinae (ES), rectus femoris (RF), biceps femoris (BF), tibialis anterior (TA), and gastrocnemius (GcM) on the right side. TMS was applied to the left primary motor cortex, and motor evoked potential (MEP) was measured from the muscles listed above. Optimal stimulus location and resting motor threshold (RMT) were identified for each target muscle, and stimulus intensity used was 120% of RMT. MEPs of the target muscle were recorded with the chin resting on a chin support (chin-on condition) with neck in 20° of flexion, and with voluntary maintenance of the neck flexion posture (chin-off condition). Amplitude and latency of MEP and background activity of target muscles were analyzed. For FDI, BB, TB, ES, and RF, amplitude of MEP increased and latency shortened in the chin-off compared with the chin-on condition. No significant difference in background activity of each target muscle was found between the two conditions. Corticospinal excitability of limb and trunk muscles was selectively enhanced while neck flexion was maintained.     

Enhanced excitability of the corticospinal pathway of the ankle extensor and flexor muscles during standing in humans

The purpose of this study was to investigate how the recruitment properties of the corticospinal pathway are modulated in the soleus (SOL) and tibialis anterior (TA) muscles depending on postures. A wide range of stimulus intensities were applied via transcranial magnetic stimulation over the primary motor cortex during standing (STD) and sitting (SIT) with a comparable background activity level in each muscle. The relationship between the stimulation intensities and the size of motor-evoked potentials was assessed by the Boltzmann sigmoid function, which is characterized by a plateau value, maximum slope, and threshold. The plateau value and maximum slope were significantly higher during STD than during SIT in the SOL muscle (STD vs. SIT, plateau value: 50.0 ± 21.8 vs. 33.9 ± 12.3 mV ms, maximal slope: 1.6 ± 0.7 vs. 1.2 ± 0.5 mV ms/% maximal stimulator output). Similar changes of the parameters were also observed in the TA muscle (STD vs. SIT, plateau value: 71.0 ± 22.9 vs. 41.4 ± 16.1 mV ms, maximal slope: 5.0 ± 2.0 vs. 2.5 ± 0.7 mV ms/% maximal stimulator output). The threshold did not differ significantly between the two conditions and both muscles. These results indicate that the central nervous system requires a different control for each postural condition; that is, the relative balance of the excitatory and inhibitory inputs to the corticospinal pathways as well as the number of neurons of subliminal fringe in the corticospinal pathway was increased during STD compared with those during SIT.     

Changes in corticospinal motor excitability induced by non-motor linguistic tasks

The excitability of the corticospinal motor pathways to transcranial magnetic stimulation (TMS) can be differentially modulated by a variety of motor tasks. However, there is emerging evidence that linguistic tasks may alter excitability of the corticospinal motor pathways also. In this study we evaluated the effect of several movement-free, low-level linguistic processes involved in reading and writing on the excitability of the bilateral corticospinal motor pathways in a group of right-handed subjects. The study included two series of tasks, visual searching/matching and imaginal writing/drawing. The tasks were designed to roughly correspond with elemental aspects of the reading and writing, grapheme recognition and grapheme generation, respectively. Each task series included separate blocks with different task targets: letters, digits, semantically easy-to-code (i.e. geometric) shapes, and semantically hard-to-code shapes, as well as control blocks with no task. During task performance, TMS was delivered randomly over the hand area of either the left or right motor cortex and the modulation of the excitability of the corticospinal motor pathways was measured bilaterally through changes of the size of the motor-evoked potential (MEP) induced in the relaxed right and left first dorsal interosseous (FDI) muscles. We found that the size of the MEP in hand muscles increased during visual searching/matching tasks, particularly when targets were letters or geometric shapes, and the increase was significant for the dominant hand (left hemisphere) only. No such consistent effects were seen across subjects during imaginal tasks. This study provides evidence that even the performance of certain low-level linguistic tasks can modulate the excitability of the corticospinal motor pathways, particularly those originating from the left (dominant) hemisphere, despite the absence of overt motor activity. Moreover, in the light of the recently increased awareness of the role of "mirror neurons" in perception, the results suggest that activation of motor circuits used in generation of the written output may be an essential part of the perception of the written material as well. Understanding the patterns of task-dependent changes in excitability of the corticospinal motor pathways will provide insights into the organisation of central nervous system functional networks involved in linguistic processes, and may also be useful for future development of novel approaches to rehabilitation therapy of linguistic and motor functions.     

Transcranial magnetic stimulation in the rat

Transcranial magnetic stimulation (TMS) allows for quantification of motor system excitability. While routinely used in humans, application in other species is rare and little is known about the characteristics of animal TMS. The unique features of TMS, i.e., predominantly interneuronal stimulation at low intensity and non-invasiveness, are particularly useful in evaluating injury and recovery in animal models. This study was conducted to characterize the rodent motor evoked potential to TMS (MEP_TMS) and to develop a methodology for reproducible assessment of motor excitability in the rat. MEP_TMS were compared with responses evoked by electrical stimulation of cervical spinal cord (MEP_CES) and peripheral nerve. MEP were recorded by subcutaneous electrodes implanted bilaterally over the calf. Animals remained under propofol infusion and restrained in a stereotactic frame while TMS followed by CES measurements were obtained before and after 2 h of idle time. TMS was applied using a 5-cm-diameter figure-of-eight coil. MEP_TMS had onset latencies of 6.7±1.3 ms. Latencies decreased with higher stimulation intensity (r=–0.7, P<0.05). Two morphologies, MEP_{TMS, 1} and MEP_{TMS, 2}, were distinguished by latency of the first negative peak (N1), overall shape, and amplitude. MEP_{TMS, 2} were more frequent at higher stimulation intensity. While recruitment curves for MEP_{TMS, 1} followed a sigmoid course, no supramaximal response was reached for MEP_{TMS, 2}. Mid-cervical spinal transection completely abolished any response to TMS. MEP_CES showed a significantly shorter latency (5.29±0.24, P<0.0001). Two types of MEP_CES resembling MEP_{TMS, 1 and 2} were observed. Neither MEP_TMS nor MEP_CES changed on repeat assessment after 2 h. This study demonstrates the feasibility and reproducibility of TMS in the rat. Sigmoid recruitment curves for MEP_{TMS, 1} suggest input-output properties similar to those of the human corticospinal system. Latency differences between CES and TMS point to a supraspinal origin of the MEP_TMS. The two morphologies likely reflect different cortical or subcortical origins of MEP_TMS. Electronic Publication     

Asymmetry of motor cortex excitability during a simple motor task: relationships with handedness and manual performance

Transcranial magnetic stimulation (TMS) was used to assess the relative contribution of the corticospinal (CS) pathway in activating the first dorsal interosseous (FDI) muscle in each hand of 16 right- (RH) and 16 left-handed (LH) subjects with varied degrees of hand preference. It was hypothesised that asymmetry in corticospinal activation of the two hands may be related to hand preference and interlimb differences in manual performance. Subjects performed isometric index finger abduction at force levels of 0.5 N, 1 N and 2 N while TMS was applied at resting threshold intensity (T), 0.9T, or 0.8T. The amount of contraction-induced facilitation of the muscle evoked potential (MEP) was used as an estimate of corticospinal involvement in the task. Patterns of MEP facilitation in each hand were compared with measures of manual performance (finger tapping speed, Purdue pegboard, maximal FDI strength). Threshold TMS intensities for an MEP in FDI at rest were similar in LH and RH subjects, and did not vary between hands. Facilitation of the MEP with voluntary activation was larger overall on the left side (P<0.05), but the asymmetry was dependent on the degree of lateralisation of hand preference. For subjects with consistent hand preference (either LH or RH), MEP facilitation in active FDI was larger for the left hand. For non-consistent RH subjects, contraction-induced MEP facilitation was larger in the right FDI muscle than the left. Asymmetry of MEP facilitation was not correlated with differences between hands in finger tapping speed or performance in the pegboard task, but was associated with relative differences in FDI strength. MEP facilitation tended to be larger in the stronger FDI muscle of the pair. We conclude that corticospinal involvement in the command for index finger abduction is generally greater when the left hand is used, although in RH subjects the asymmetry is influenced by the degree of lateralisation of hand preference. The corticospinal asymmetry is not related to speed or dexterity of finger movements, but the association with muscle strength suggests that it may be influenced in part by preferential use of one hand for tasks which strengthen the FDI muscle.     

Corticospinal excitability in human subjects during nonrapid eye movement sleep: single and paired-pulse transcranial magnetic stimulation study

The mechanisms responsible for changes in brain function during normal sleep are poorly understood. In this study, we aimed to investigate the effects of sleep on human corticospinal excitability by estimating resting motor threshold (RMT), and latency and amplitude of motor-evoked potentials (MEPs) after delivering transcranial magnetic stimulation (TMS) in ten healthy subjects. We also aimed to study short-interval intracortical inhibition (SICI) during sleep with paired-pulse TMS (pp-TMS). Ten healthy volunteers were studied. They were monitored immediately before, during and after a 3-h sleep (from 1 p.m. to 4 p.m., immediately after the mid-day meal). EEG was continuously recorded during sleep and the various sleep stages were identified off line. Every 10 min, subjects received ten single stimuli (to estimate RMT, MEP latency and amplitude) and six paired stimuli (to estimate SICI). MEP amplitude decreased and latency and RMT increased during the various sleep stages and returned to baseline values on awakening. Post hoc comparisons showed a significant difference in pp-TMS MEP amplitudes between the sleep and all the other conditions. The changes in TMS evoked variables during the different sleep stages indicate that during nonrapid eye movement sleep, cortical pyramidal neuron excitability (as measured by RMT, MEP latency and amplitude) progressively diminishes and the efficiency of the intracortical GABA-ergic network (as assessed by three pp-TMS) increases. On awakening, these sleep-induced changes in corticospinal excitability return rapidly to values observed during wakefulness.     

Focal depression of cortical excitability induced by fatiguing muscle contraction: a transcranial magnetic stimulation study

Motor evoked potentials (MEPs) elicited by transcranial magnetic stimulation (TMS) and transcranial electrical stimulation (TES) of the motor cortex were recorded in separate sessions to assess changes in motor cortex excitability after a fatiguing isometric maximal voluntary contraction (MVC) of the right ankle dorsal flexor muscles. Five healthy male subjects, aged 37.4±4.2 years (mean±SE), were seated in a chair equipped with a load cell to measure dorsiflexion force. TMS or TES was delivered over the scalp vertex before and after a fatiguing MVC, which was maintained until force decreased by 50%. MEPs were recorded by surface electrodes placed over quadriceps, hamstrings, tibialis anterior (TA), and soleus muscles bilaterally. M-waves were elicited from the exercised TA by supramaximal electrical stimulation of the peroneal nerve. H-reflex and MVC recovery after fatiguing, sustained MVC were also studied independently in additional sessions. TMS-induced MEPs were significantly reduced for 20 min following MVC, but only in the exercised TA muscle. Comparing TMS and TES mean MEP amplitudes, we found that, over the first 5 min following the fatiguing MVC, they were decreased by about 55% for each. M-wave responses were unchanged. H-reflex amplitude and MVC force recovered within the 1st min following the fatiguing MVC. When neuromuscular fatigue was induced by tetanic motor point stimulation of the TA, TMS-induced MEP amplitudes remained unchanged. These findings suggest that the observed decrease in MEP amplitude represents a focal reduction of cortical excitability following a fatiguing motor task and may be caused by intracortical and/or subcortical inhibitory mechanisms.     

Motor skill training induces changes in the excitability of the leg cortical area in healthy humans

Training-induced changes in cortical excitability may play an important role in rehabilitation of gait ability in patients with neurological disorders. In this study, we investigated the effect of a 32-min period of motor skill, non-skill and passive training involving the ankle muscles on leg motor cortical excitability in healthy humans. Transcranial magnetic stimulation (TMS) at a range of intensities was applied to obtain a recruitment curve of the motor evoked potentials (MEPs) in the tibialis anterior (TA) muscle before and after training. We also explored the effect of training on inhibitory and facilitatory cortical circuits by using a paired-pulse TMS technique at intervals of 2.5 ms (short-interval intracortical inhibition, SICI) and 8 ms (intracortical facilitation, ICF). During motor skill training, subjects were instructed to make a cursor follow a series of target lines on a computer screen by performing voluntary ankle dorsi- and plantarflexion movements. Non-skill and passive training consisted of repeated voluntary and assisted dorsi- and plantarflexion movements, respectively. Recruitment curves increased significantly after 32 min of motor skill training but not after non-skill and passive training, suggesting that only skill motor training increases motor cortical excitability. Motor skill training was not accompanied by any changes in the recruitment curves of TA MEPs evoked by transcranial electrical stimulation, suggesting that the increased MEPs to TMS was likely caused by changes in excitability at a cortical site. SICI was decreased after 32 min of motor skill training but no changes were observed in ICF. We conclude that similar plastic changes as have previously been reported for the hand motor following motor skill training may also be observed for the leg motor area. The observed plastic changes appeared to be related to the degree of difficulty in the motor task, and may be of relevance for rehabilitation of gait disorders.     

Modulation of corticospinal excitability and intracortical inhibition during motor imagery is task-dependent

Previous studies have clearly shown that motor imagery modulates corticospinal excitability. However, there is no clear evidence for the modulation of intracortical inhibition (ICI) during imagined task performance. The aim of this study was to use transcranial magnetic stimulation (TMS) to assess changes in corticospinal excitability and ICI during the imagined performance of two types of task. In Experiment 1, eight subjects performed phasic depression of a computer mouse button using the dominant index finger in time with a 1 Hz auditory metronome. Single and paired pulse magnetic stimuli were delivered at rest, and during the on and off phases of actual and imagined task performance. Motor evoked potentials (MEPs) were recorded from FDI and APB. In Experiment 2, eight subjects performed phasic isometric abduction of the dominant thumb in time with a 1 Hz auditory metronome. As before, single and paired pulse magnetic stimuli were delivered at rest, and during the on and off phases of actual and imagined task performance. In both experiments, the conditioning stimulus intensity was set to produce 50% inhibition at rest, to enable both increases and decreases in ICI during task performance to be detected. No significant temporal or spatial modulation of MEP amplitude or ICI was observed in Experiment 1. In contrast, MEP amplitude was significantly greater, and ICI significantly lower during the on phase of imagined task performance in Experiment 2. These results are most likely related to the higher levels of target muscle activation required during actual task performance and the greater anatomical distance between target and control muscles in Experiment 2. These task characteristics may influence the observed degree of corticospinal excitability and ICI modulation.     

Disinhibition of upper limb motor area by voluntary contraction of the lower limb muscle

It is well known that monosynaptic spinal reflexes and motor evoked potentials following transcranial magnetic stimulation (TMS) are reinforced during phasic and intensive voluntary contraction in the remote segment (remote effect). However, the remote effect on the cortical silent period (CSP) is less known. The purpose of the present study is to determine to what extent the CSP in the intrinsic hand muscle following TMS is modified by voluntary ankle dorsiflexion and to elucidate the origin of the modulation of CSP by the remote effect. CSP was recorded in the right first dorsal interosseous while subjects performed phasic dorsiflexion in the ipsilateral side under self-paced and reaction-time conditions. Modulation of the peripherally-induced silent period (PSP) induced by electrical stimulation of the ulnar nerve was also investigated under the same conditions. In addition, modulation of the CSP was investigated during ischemic nerve block of the lower limb and during application of vibration to the tibialis anterior tendon. The duration of CSP was significantly shortened by phasic dorsiflexion, and the extent of shortening was proportional to dorsiflexion force. Shortening of the CSP duration was also observed during tonic dorsiflexion. In contrast, the PSP duration following ulnar nerve stimulation was not altered during phasic dorsiflexion. Furthermore, the remote effect on the CSP duration was seen during ischemic nerve block of the lower limb and the pre-movement period in the reaction-time paradigm, but shortening of the CSP was not observed during tendon vibration. These findings suggest that phasic muscle contraction in the remote segment results in a decrease in intracortical inhibitory pathways to the corticospinal tract innervating the muscle involved in reflex testing and that the remote effect on the CSP is predominantly cortical in origin.     

Facilitation of cortically evoked potentials with motor imagery during post-exercise depression of corticospinal excitability

This study examined whether muscle fatigue alters the facilitatory effect of motor imagery on corticospinal excitability. We aimed to determine if post-exercise depression of potentials evoked magnetically from the motor cortex is associated with alterations in internally generated movement plans. In experiment 1, motor-evoked potentials (MEPs) were recorded from two right hand and two right forearm muscles, at rest and during motor imagery of a maximal handgrip contraction, in eight neurologically normal subjects, before and after a 2-min maximal voluntary handgrip contraction. Resting MEP amplitude was facilitated by motor imagery in three of the four muscles, but consistently only in two. Motor imagery also reduced the trial-to-trial variability of resting MEPs. Following the exercise, resting MEP amplitude was depressed reliably in only one muscle engaged in the task, although two other muscles exhibited some depression. Motor imagery MEPs were smaller after exercise, but the degree of facilitation compared to the rest MEP was unchanged. In experiment 2, TMS intensity was increased after exercise-induced MEP depression so that the MEP amplitude matched the pre-exercise baseline. The amplitude of the MEP facilitated with motor imagery was not altered by MEP depression, nor was it increased when the TMS intensity was increased. These results suggest, at least with a simple motor task, that while post-exercise depression reduces corticospinal excitability, it does not appear to significantly affect the strength of the input to the motor cortex from those areas of the brain responsible for the storage and generation of internal representations of movement.     

Dynamic changes in corticospinal excitability during motor imagery

 We investigated temporal changes in the amplitudes of motor-evoked potentials (MEPs) induced by transcranial magnetic stimulation over the left motor cortex during motor imagery. Nine subjects were instructed to imagine repetitive wrist flexion and extension movements at 1 Hz, in which the flexion timing was cued by a tone signal. Electromyographs (EMGs) were recorded from the first dorsal interosseous, flexor carpi radialis and extensor carpi radialis muscles of the right hand, and magnetic stimulation was delivered at 0, 250, 500 and 750 ms after the auditory cue. On average, the evoked EMG responses were larger in the flexor muscle during the phase of imagined flexion than during extension, whilst the opposite was true for the extensor muscle. There were no consistent changes in the amplitudes of MEPs in the intrinsic hand muscle (first dorsal interosseous). The EMG remained relaxed in all muscles and did not show any significant temporal changes during the test. The H-reflex in the flexor muscle was obtained in four subjects. There was no change in its amplitude during motor imagery. These observations lead us to suggest that motor imagery can have dynamic effects on the excitability of motor cortex similar to those seen during actual motor performance. Received: 23 July 1998 / Accepted: 26 October 1998     

Reciprocal changes of excitability between tibialis anterior and soleus during the sit-to-stand movement

The excitability of spinal motoneurons is modified by central preparatory commands before muscle activation. In relatively complex long duration motor tasks such as the sit-to-stand (STS) movement, the central nervous system commands have to take into account the inputs from muscle, skin, and joint afferents during muscle contraction. We have investigated the changes occurring in tibialis anterior (TA) and soleus (SOL) motoneuronal excitability prior to and during the STS movement in normal subjects. Twelve healthy volunteers received the instruction to rise from a chair at the perception of an acoustic 'go' signal. Cortical transcranial magnetic stimuli (TMS) or peripheral nerve electrical stimuli (PNS) were used as test stimuli to elicit, respectively, the motor evoked potential (MEP) and the H reflex, at intervals of 50–1500 ms after the 'go' signal. Both the MEP and the H reflex were enhanced in the TA between 100 and 900 ms after the 'go' signal. At the same time there was inhibition of the H reflex but not of the MEP in the SOL. At the end of the STS movement, during quiet standing, the size of both the H reflex and the MEP of the TA were not different from those obtained in the sitting position. However, in SOL, the H reflex was smaller, and the MEP was larger, than at rest. Our observations suggest the participation of several mechanisms of control of motoneuronal excitability during the STS, ultimately leading to a dominant role of presynaptic inhibitory mechanisms in SOL during standing. Electronic Publication     

Frequency-dependent effects of muscle tendon vibration on corticospinal excitability: a TMS study

The aim of the present study was to investigate the effects of muscle tendon vibration at different frequencies on corticospinal excitability by means of transcranial magnetic stimulation (TMS). A second objective was to describe whether the observed modulations in motor evoked potentials (MEPs), as a function of vibration frequency, reflect the behavior of Ia afferents during and after vibration. In ten subjects, muscle tendon vibration (duration 30 s) was applied to the flexor carpi radialis (FCR) muscle at three different frequencies (20, 75 and 120 Hz). MEPs following single-pulse TMS were recorded from the targeted muscle during a previbration, vibration, and postvibration period. Muscle tendon vibration at 75 Hz increased the MEP amplitude significantly during vibration, whereas a smaller but still significant effect was observed during 120 Hz vibration. No significant MEP changes could be observed during 20 Hz vibration and during the postvibration period for each frequency. Our findings indicate that muscle tendon vibration exerts a frequency-dependent effect on corticospinal excitability. Furthermore, evidence is provided for the notion that the excitatory effect of muscle tendon vibration on the primary motor cortex is mediated by Ia afferent input.