Central nervous adaptations following 1 wk of wrist and hand immobilization

2008 ◽  
Vol 105 (1) ◽  
pp. 139-151 ◽  
Author(s):  
Jesper Lundbye-Jensen ◽  
Jens Bo Nielsen
Keyword(s):  
Physical Activity ◽  
Motor Cortex ◽  
Motor Evoked Potentials ◽  
Afferent Input ◽  
Voluntary Contraction ◽  
H Reflex ◽  
Abductor Pollicis Brevis ◽  
Corticomuscular Coherence ◽  
Reduced Physical Activity ◽  
Static Contractions

Plastic neural changes have been documented in relation to different types of physical activity, but little is known about central nervous system plasticity accompanying reduced physical activity and immobilization. In the present study we investigated whether plastic neural changes occur in relation to 1 wk of immobilization of the nondominant wrist and hand and a corresponding period of recovery in 10 able-bodied volunteers. After immobilization, maximal voluntary contraction torque decreased and the variability of submaximal static contractions increased significantly without evidence of changes in muscle contractile properties. Hoffmann (H)-reflex amplitudes and the ratios of H-slope to M-slope increased significantly in flexor carpi radialis and abductor pollicis brevis at rest and during contraction without changes in corticospinal excitability, estimated from motor-evoked potentials (MEPs) elicited by transcranial magnetic stimulation. Corticomuscular coherence measures were derived from EEG and EMG obtained during static contractions. After immobilization, corticomuscular coherence in the 15- to 35-Hz range associated with maximum negative cumulant values at lags corresponding to MEP latencies decreased. One week after cast removal, all measurements returned to preimmobilization levels. The increased H-reflex amplitudes without changes in MEPs may suggest that presynaptic inhibition or postactivation depression of Ia afferents is reduced following immobilization. Reduced corticomuscular coherence may be caused by changes in afferent input at spinal and cortical levels or by changes in the descending drive from motor cortex. Further studies are needed to elucidate the mechanisms underlying the observed increased spinal excitability and reduced coupling between motor cortex and spinal motoneuronal activity following immobilization.

Corticospinal Excitability Is Lower During Rhythmic Arm Movement Than During Tonic Contraction

2006 ◽  
Vol 95 (2) ◽  
pp. 914-921 ◽  
Author(s):  
Timothy J. Carroll ◽  
Evan R. L. Baldwin ◽  
David F. Collins ◽  
E. Paul Zehr
Keyword(s):  
Motor Cortex ◽  
Neural Control ◽  
Motor Evoked Potentials ◽  
Arm Movement ◽  
Voluntary Contraction ◽  
Tonic Contraction ◽  
H Reflex ◽  
Corticospinal Excitability ◽  
Arm Cycling ◽  
Subcortical Regions

Humans perform rhythmic, locomotor movements with the arms and legs every day. Studies using reflexes to probe the functional role of the CNS suggest that spinal circuits are an important part of the neural control system for rhythmic arm cycling and walking. Here, by studying motor-evoked potentials (MEPs) in response to transcranial magnetic stimulation (TMS) of the motor cortex, and H-reflexes induced by electrical stimulation of peripheral nerves, we show a reduction in corticospinal excitability during rhythmic arm movement compared with tonic, voluntary contraction. Responses were compared between arm cycling and tonic contraction at four positions, while participants generated similar levels of muscle activity. Both H-reflexes and MEPs were significantly smaller during arm cycling than during tonic contraction at the midpoint of arm flexion ( F = 13.51, P = 0.006; F = 11.83, P = 0.009). Subthreshold TMS significantly facilitated the FCR H-reflex during tonic contractions, but did not significantly modulate H-reflex amplitude during arm cycling. The data indicate a reduction in the responsiveness of cells constituting the fast, monosynaptic, corticospinal pathway during arm cycling and suggest that the motor cortex may contribute less to motor drive during rhythmic arm movement than during tonic, voluntary contraction. Our results are consistent with the idea that subcortical regions contribute to the control of rhythmic arm movements despite highly developed corticospinal projections to the human upper limb.

scholarly journals The effect of breaking up prolonged sitting on paired associative stimulation-induced plasticity

2020 ◽  
Vol 238 (11) ◽  
pp. 2497-2506 ◽  
Author(s):  
E. Bojsen-Møller ◽  
M. M. Ekblom ◽  
O. Tarassova ◽  
D. W. Dunstan ◽  
O. Ekblom
Keyword(s):  
Physical Activity ◽  
Motor Cortex ◽  
Fixed Effects ◽  
Primary Motor Cortex ◽  
Short Interval ◽  
Moderate Intensity ◽  
Middle Aged ◽  
Moderate Intensity Exercise ◽  
Abductor Pollicis Brevis ◽  
Paired Associative Stimulation

Abstract Paired associative stimulation (PAS) can induce plasticity in the motor cortex, as measured by changes in corticospinal excitability (CSE). This effect is attenuated in older and less active individuals. Although a single bout of exercise enhances PAS-induced plasticity in young, physically inactive adults, it is not yet known if physical activity interventions affect PAS-induced neuroplasticity in middle-aged inactive individuals. Sixteen inactive middle-aged office workers participated in a randomized cross-over design investigating how CSE and short-interval intracortical inhibition (SICI) were affected by PAS preceded by 3 h of sitting (SIT), 3 h of sitting interrupted every 30 min by 3 min of frequent short bouts of physical activity (FPA) and 2.5 h of sitting followed by 25 min of moderate-intensity exercise (EXE). Transcranial magnetic stimulation was applied over the primary motor cortex (M1) of the dominant abductor pollicis brevis to induce recruitment curves before and 5 min and 30 min post-PAS. Linear mixed models were used to compare changes in CSE using time and condition as fixed effects and subjects as random effects. There was a main effect of time on CSE and planned within-condition comparisons showed that CSE was significantly increased from baseline to 5 min and 30 min post-PAS, in the FPA condition, with no significant changes in the SIT or EXE conditions. SICI decreased from baseline to 5 min post-PAS, but this was not related to changes in CSE. Our findings suggest that in middle-aged inactive adults, FPAs may promote corticospinal neuroplasticity. Possible mechanisms are discussed.

scholarly journals Associative plasticity in the human motor cortex is enhanced by concurrently targeting separate muscle representations with excitatory and inhibitory protocols

2016 ◽  
Vol 115 (4) ◽  
pp. 2191-2198 ◽  
Author(s):  
Marc R. Kamke ◽  
Abbey S. Nydam ◽  
Martin V. Sale ◽  
Jason B. Mattingley
Keyword(s):  
Motor Cortex ◽  
Primary Motor Cortex ◽  
Control Experiment ◽  
Motor Evoked Potentials ◽  
Spillover Effects ◽  
Abductor Pollicis Brevis ◽  
Human Motor Cortex ◽  
Before And After ◽  
Abductor Digiti Minimi ◽  
Intrinsic Hand Muscle

Paired associative stimulation (PAS) induces changes in the excitability of human sensorimotor cortex that outlast the procedure. PAS typically involves repeatedly pairing stimulation of a peripheral nerve that innervates an intrinsic hand muscle with transcranial magnetic stimulation over the representation of that muscle in the primary motor cortex. Depending on the timing of the stimuli (interstimulus interval of 25 or 10 ms), PAS leads to either an increase (PAS25) or a decrease (PAS10) in excitability. Both protocols, however, have been associated with an increase in excitability of nearby muscle representations not specifically targeted by PAS. Based on these spillover effects, we hypothesized that an additive, excitability-enhancing effect of PAS25 applied to one muscle representation may be produced by simultaneously applying PAS25 or PAS10 to a nearby representation. In different experiments prototypical PAS25 targeting the left thumb representation [abductor pollicis brevis (APB)] was combined with either PAS25 or PAS10 applied to the left little finger representation [abductor digiti minimi (ADM)] or, in a control experiment, with PAS10 also targeting the APB. In an additional control experiment PAS10 targeted both representations. The plasticity effects were quantified by measuring the amplitude of motor evoked potentials (MEPs) recorded before and after PAS. As expected, prototypical PAS25 was associated with an increase in MEP amplitude in the APB muscle. This effect was enhanced when PAS also targeted the ADM representation but only when a different interstimulus timing (PAS10) was used. These results suggest that PAS-induced plasticity is modified by concurrently targeting separate motor cortical representations with excitatory and inhibitory protocols.

Changes in Segmental and Motor Cortical Output With Contralateral Muscle Contractions and Altered Sensory Inputs in Humans

2003 ◽  
Vol 90 (4) ◽  
pp. 2451-2459 ◽  
Author(s):  
Tibor Hortobágyi ◽  
Janet L. Taylor ◽  
Nicolas T. Petersen ◽  
Gabrielle Russell ◽  
Simon C. Gandevia
Keyword(s):  
Muscle Contraction ◽  
Nerve Stimulation ◽  
Motor Evoked Potentials ◽  
Muscle Spindles ◽  
Voluntary Contraction ◽  
H Reflex ◽  
Tendon Vibration ◽  
Wrist Flexion ◽  
Median Nerve Stimulation ◽  
Voluntary Contractions

Motor or sensory activity in one arm can affect the other arm. We tested the hypothesis that a voluntary contraction can affect the motor pathway to the contralateral homologous muscle and investigated whether alterations in sensory input might mediate such effects. Responses to transcranial magnetic stimulation [motor-evoked potentials (MEPs)], stimulation of the descending tracts [cervicomedullary MEPs (CMEPs)], and peripheral nerve stimulation (H-reflex) were recorded from the relaxed right flexor carpi radialis (FCR), while the left arm underwent unilateral interventions (5 s duration) that included voluntary contraction, muscle contraction evoked through percutaneous stimulation, tendon vibration, and cutaneous and mixed nerve stimulation. During moderate to strong voluntary wrist flexion on the left, MEPs in the right FCR increased, CMEPs were unaffected, and the H-reflex was depressed. These results are consistent with an increase in excitability of the motor cortex, no effect on the motoneuron pool, and presynaptic inhibition of Ia afferents. In contrast, percutaneous muscle stimulation facilitated both MEPs and the H-reflex. However, muscle contraction produced by a combination of voluntary effort and electrical stimulation also reduced the contralateral H-reflex. After voluntary contractions, the H-reflex remained depressed for 35 s, but after stimulationevoked contractions, it rapidly returned to baseline. Under both conditions, MEPs recovered rapidly. After voluntary contractions, CMEPs were also depressed for approximately 10 s despite their lack of change during contractions. Wrist tendon vibration (100 Hz) did not affect, and 20-Hz median nerve stimulation or forearm medial cutaneous nerve stimulation mildly facilitated, the H-reflex without affecting MEPs. Voluntary wrist extension, similarly to wrist flexion, increased MEPs and depressed H-reflexes. However, ankle dorsiflexion facilitated the H-reflex akin to the Jendrassik maneuver. These data suggest that a unilateral voluntary muscle contraction has contralateral effects at both cortical and segmental levels and that the segmental effects are not replicated by stimulated muscle contraction or by input from muscle spindles or non-nociceptive cutaneous afferents.

On the Potential Role of the Corticospinal Tract in the Control and Progressive Adaptation of the Soleus H-Reflex During Backward Walking

2005 ◽  
Vol 94 (2) ◽  
pp. 1133-1142 ◽  
Author(s):  
Roth-Visal Ung ◽  
Marie-Andrée Imbeault ◽  
Christian Ethier ◽  
Laurent Brizzi ◽  
Charles Capaday
Keyword(s):  
Motor Cortex ◽  
Large Amplitude ◽  
Corticospinal Tract ◽  
Motor Evoked Potentials ◽  
Conditioning Stimulus ◽  
H Reflex ◽  
Emg Activity ◽  
Step Cycle ◽  
Voluntary Activity ◽  
Backward Walking

When untrained subjects walk backward on a treadmill, an unexpectedly large amplitude soleus H-reflex occurs in the midswing phase of backward walking. We hypothesized that activity in the corticospinal tract (CST) during midswing depolarizes the soleus α-motoneurons subliminally and thus brings them closer to threshold. To test this hypothesis, transcranial magnetic stimulation (TMS) was applied to the leg area of the motor cortex (MCx) during backward walking. Motor-evoked potentials (MEPs) were recorded from the soleus and tibialis anterior (TA) muscles in untrained subjects at different phases of the backward walking cycle. We reasoned that if soleus MEPs could be elicited in midswing, while the soleus is inactive, this would be strong evidence for increased postsynaptic excitability of the α-motoneurons. In the event, we found that in untrained subjects, despite the presence of an unexpectedly large H-reflex in midswing, no soleus MEPs were observed at that time. The soleus MEPs were in phase with the soleus electromyographic (EMG) activity during backward walking. Soleus MEPs increased more rapidly as a function of the EMG activity during voluntary activity than during backward walking. Furthermore, a conditioning stimulus to the motor cortex facilitated the soleus H-reflex at rest and during voluntary plantarflexion but not in the midswing phase of backward walking. With daily training at walking backward, the time at which the H-reflex began to increase was progressively delayed until it coincided with the onset of soleus EMG activity, and its amplitude was considerably reduced compared with its value on the first experimental day. By contrast, no changes were observed in the timing or amplitude of soleus MEPs with training. Taken together, these observations make it unlikely that the motor cortex via the CST is involved in control of the H-reflex during the backward step cycle of untrained subjects nor in its progressive adaptation with training. Our observations raise the possibility that the large amplitude of H-reflex in untrained subjects and its adaptation with training are mainly due to control of presynaptic inhibition of Ia-afferents by other descending tracts.

scholarly journals New evidence of corticospinal network modulation induced by motor imagery

2016 ◽  
Vol 115 (3) ◽  
pp. 1279-1288 ◽  
Author(s):  
Sidney Grosprêtre ◽  
Florent Lebon ◽  
Charalambos Papaxanthis ◽  
Alain Martin
Keyword(s):  
Evoked Potentials ◽  
Motor Imagery ◽  
Motor Evoked Potentials ◽  
Static Condition ◽  
Mental Simulation ◽  
Voluntary Contraction ◽  
H Reflex ◽  
Triceps Surae ◽  
Subcortical Structures ◽  
Reflex Amplitude

Motor imagery (MI) is the mental simulation of movement, without the corresponding muscle contraction. Whereas the activation of cortical motor areas during MI is established, the involvement of spinal structures is still under debate. We used original and complementary techniques to probe the influence of MI on spinal structures. Amplitude of motor-evoked potentials (MEPs), cervico-medullary-evoked potentials (CMEPs), and Hoffmann (H)-reflexes of the flexor carpi radialis (FCR) muscle and of the triceps surae muscles was measured in young, healthy subjects at rest and during MI. Participants were asked to imagine maximal voluntary contraction of the wrist and ankle, while the targeted limb was fixed (static condition). We confirmed previous studies with an increase of FCR MEPs during MI compared with rest. Interestingly, CMEPs, but not H-reflexes, also increased during MI, revealing a possible activation of subcortical structures. Then, to investigate the effect of MI on the spinal network, we used two techniques: 1) passive lengthening of the targeted muscle via an isokinetic dynamometer and 2) conditioning of H-reflexes with stimulation of the antagonistic nerve. Both techniques activate spinal inhibitory presynaptic circuitry, reducing the H-reflex amplitude at rest. In contrast, no reduction of H-reflex amplitude was observed during MI. These findings suggest that MI has modulatory effects on the spinal neuronal network. Specifically, the activation of low-threshold spinal structures during specific conditions (lengthening and H-reflex conditioning) highlights the possible generation of subliminal cortical output during MI.

Alterations in corticospinal excitability with imposed vs. voluntary fatigue in human hand muscles

2002 ◽  
Vol 92 (5) ◽  
pp. 2131-2138 ◽  
Author(s):  
Julia B. Pitcher ◽  
Timothy S. Miles
Keyword(s):  
Muscle Activation ◽  
Cortical Plasticity ◽  
Cortical Excitability ◽  
Motor Evoked Potentials ◽  
Afferent Input ◽  
Voluntary Contraction ◽  
Human Hand ◽  
Motor Point ◽  
Initial Depression ◽  
Spinal Excitability

We aimed to determine whether postexercise depression of motor-evoked potentials (MEPs) could be demonstrated without voluntary muscle activation in humans. Voluntary fatigue was induced with a 2-min maximal voluntary contraction (MVC) of the first dorsal interosseous (FDI) muscle. On another occasion, “electrical fatigue” was induced with trains of shocks delivered for 2 min over the FDI motor point. Five of the twelve subjects also underwent “sequential fatigue” consisting of a 2-min MVC of FDI followed by 20 min of rest and then 2 min of motor point stimulation. Voluntary fatigue induced MEP depression that persisted for at least 20 min. Electrical fatigue induced a transient MEP facilitation that subsided 20 min after the stimulation and became depressed within 30 min. Thus MEP depression can be induced by both voluntary and electrical fatigue. With electrical fatigue, the initial depression is “masked” by transient MEP facilitation, reflecting cortical plasticity induced by the prolonged electrical stimulation. MEP depression probably reflects tonic afferent input from the exercising muscle that alters cortical excitability without altering spinal excitability.

Locating and Outlining the Cortical Motor Representation Areas of Facial Muscles With Navigated Transcranial Magnetic Stimulation

Neurosurgery ◽  
2015 ◽  
Vol 77 (3) ◽  
pp. 394-405 ◽  
Author(s):  
Laura Säisänen ◽  
Petro Julkunen ◽  
Samuli Kemppainen ◽  
Nils Danner ◽  
Arto Immonen ◽  
...  
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Motor Cortex ◽  
Evoked Potentials ◽  
Magnetic Stimulation ◽  
Motor Evoked Potentials ◽  
Navigated Transcranial Magnetic Stimulation ◽  
Tumor Patients ◽  
Abductor Pollicis Brevis ◽  
Facial Muscles ◽  
Cortical Motor

Abstract BACKGROUND: Navigated transcranial magnetic stimulation (nTMS) has become established as an accurate noninvasive technique for mapping the functional motor cortex for the representation areas of upper and lower limb muscles but not yet for facial musculature. OBJECTIVE: To characterize the applicability and clinical impact of using nTMS to map cortical motor areas of facial muscles in healthy volunteers and neurosurgical tumor patients. METHODS: Eight healthy volunteers and 12 patients with tumor were studied. The motor threshold (MT) was determined for the abductor pollicis brevis and mentalis muscles. The lateral part of the motor cortex was mapped with suprathreshold stimulation intensity, and motor evoked potentials were recorded from several facial muscles. The patient protocol was modified according to the clinical indication. RESULTS: In all healthy subjects, motor evoked potentials were elicited in the mentalis (mean latency, 13.4 milliseconds) and orbicularis oris (mean latency, 12.6 milliseconds) muscles. At 110% of MT of the mentalis, the motor evoked potentials of facial muscles were elicited mainly in the precentral gyrus but also from one gyrus anterior and posterior to it. The cortical areas applicable for mapping were limited by an artifact attributable to direct peripheral nerve stimulation. The mapping protocol was successful in 10 of 12 tumor patients at locating the representation area of the lower facial muscles. The MT of the facial muscles was significantly higher than that of the abductor pollicis brevis. CONCLUSION: nTMS is an applicable and clinically beneficial noninvasive method to preoperatively map the cortical representation areas of the facial muscles in the lower part of the face. Instead of using the MT of the abductor pollicis brevis, the stimulus intensity during mapping should be proportioned to the MT of a facial muscle.

scholarly journals Corticospinal contributions to lower limb muscle activity during cycling in humans

2012 ◽  
Vol 107 (1) ◽  
pp. 306-314 ◽  
Author(s):  
Simranjit K. Sidhu ◽  
Ben W. Hoffman ◽  
Andrew G. Cresswell ◽  
Timothy J. Carroll
Keyword(s):  
Motor Cortex ◽  
Muscle Activation ◽  
Corticospinal Tract ◽  
Cortical Excitability ◽  
Motor Evoked Potentials ◽  
Vastus Lateralis ◽  
Inhibitory Interneurons ◽  
Leg Muscles ◽  
Static Contractions ◽  
Stimulation Of

The purpose of the current study was to investigate corticospinal contributions to locomotor drive to leg muscles involved in cycling. We studied 1) if activation of inhibitory interneurons in the cortex via subthreshold transcranial magnetic stimulation (TMS) caused a suppression of EMG and 2) how the responses to stimulation of the motor cortex via TMS and cervicomedullary stimulation (CMS) were modulated across the locomotor cycle. TMS at intensities subthreshold for activation of the corticospinal tract elicited suppression of EMG for approximately one-half of the subjects and muscles during cycling, and in matched static contractions in vastus lateralis. There was also significant modulation in the size of motor-evoked potentials (MEPs) elicited by TMS across the locomotor cycle ( P < 0.001) that was strongly related to variation in background EMG in all muscles ( r > 0.86; P < 0.05). When MEP and CMEP amplitudes were normalized to background EMG, they were relatively larger prior to the main EMG burst and smaller when background EMG was maximum. Since the pattern of modulation of normalized MEP and CMEP responses was similar, the data suggest that phase-dependent modulation of corticospinal responses during cycling in humans is driven mainly by spinal mechanisms. However, there were subtle differences in the degree to which normalized MEP and CMEP responses were facilitated prior to EMG burst, which might reflect small increases in cortical excitability prior to maximum muscle activation. The data demonstrate that the motor cortex contributes actively to locomotor drive, and that spinal factors dominate phase-dependent modulation of corticospinal excitability during cycling in humans.

Cortical Excitability of Psychiatric Disorders: Reduced Post-Exercise Facilitation in Depression Compared to Schizophrenia and Controls

2002 ◽  
Vol 36 (5) ◽  
pp. 669-673 ◽  
Author(s):  
Philip D. Reid ◽  
Brett Daniels ◽  
Marzena Rybak ◽  
Yvonne Turnier-Shea ◽  
Saxby Pridmore
Keyword(s):  
Motor Cortex ◽  
Depressive Episode ◽  
Major Depressive Episode ◽  
Primary Motor Cortex ◽  
Cortical Excitability ◽  
Motor Evoked Potentials ◽  
Control Group ◽  
Major Depressive ◽  
Abductor Pollicis Brevis ◽  
Post Exercise

Objective: In normal subjects, motor evoked potentials (MEPs) produced by transcranial magnetic stimulation (TMS) from the motor cortex are increased after non-fatiguing exercise of hand muscles. This phenomenon is called post-exercise facilitation. This study aims to test the hypothesis that psychiatric syndromes (major depressive episode, schizophrenia) have different levels of post-exercise facilitation compared to controls. Methods: Patients with DSM-IV major depressive episode (six female, four male), schizophrenia (two female, nine male) and a control group (nine female, four male) participated. MEPs were elicited pre- and post-exercise from the contralateral abductor pollicis brevis by TMS over the primary motor cortex. Results: Post-exercise facilitation expressed as a percentage of baseline was 510% in controls, 110% in depression and 190% in schizophrenia. There were significant differences in patients with depression and schizophrenia compared to controls (p = 0.0001, p = 0.0008). Conclusions: Post-exercise facilitation was reduced in depression and schizophrenia, suggesting impaired cortical excitability in these disorders. Further studies may discriminate between the two groups.

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