Reversal of Cortical Reorganization in Human Primary Motor Cortex Following Thumb Reconstruction

2010 ◽  
Vol 103 (1) ◽  
pp. 65-73 ◽  
Author(s):  
Zhen Ni ◽  
Dimitri J. Anastakis ◽  
Carolyn Gunraj ◽  
Robert Chen
Keyword(s):  
Motor Cortex ◽  
Primary Motor Cortex ◽  
Short Interval ◽  
Body Part ◽  
Cortical Reorganization ◽  
Traumatic Amputation ◽  
Motor Threshold ◽  
Thumb Reconstruction ◽  
Intact Side ◽  
Injured Side

Deafferentation such as the amputation of a body part causes cortical reorganization in the primary motor cortex (M1). We investigated whether this reorganization is reversible after reconstruction of the lost body part. We tested two patients who had long-standing thumb amputations followed by thumb reconstruction with toe-to-thumb transfer 9 to 10 mo later and one patient who underwent thumb replantation immediately following traumatic amputation. Using transcranial magnetic stimulation, we measured the motor evoked potential (MEP) threshold, latency, short-interval intracortical inhibition (SICI), and intracortical facilitation (ICF) at different time points in the course of recovery in abductor pollicis brevis muscle. For the two patients who underwent late toe-to-thumb transfer, the rest motor threshold was lower on the injured side than that on the intact side before surgery and it increased with time after reconstruction, whereas the active motor threshold remained unchanged. The rest and active MEP latencies were similar on the injured side before and ≤15 wk after surgery and followed by restoration of expected latency differences. SICI was reduced before surgery and progressively normalized with the time after surgery. ICF did not change with time. These physiological measures correlated with the recovery of motor and sensory functions. All the measurements on the intact side of the toe-to-thumb transfer patients and in the patient with thumb replantation immediately following traumatic amputation remained stable over time. We conclude that chronic reorganization occurring in the M1 after amputation can be reversed by reconstruction of the lost body part.

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.

Intraoperative validation of functional magnetic resonance imaging and cortical reorganization patterns in patients with brain tumors involving the primary motor cortex

1999 ◽  
Vol 91 (2) ◽  
pp. 238-250 ◽  
Author(s):  
Javier Fandino ◽  
Spyros S. Kollias ◽  
Heinz G. Wieser ◽  
Anton Valavanis ◽  
Yasuhiro Yonekawa
Keyword(s):  
Motor Cortex ◽  
Motor Function ◽  
Primary Motor Cortex ◽  
Objective Evaluation ◽  
Cortical Stimulation ◽  
Cortical Reorganization ◽  
Motor Area ◽  
Primary Motor Area ◽  
Content Type ◽  
Fine Print

Object. The purpose of the present study was to compare the results of functional magnetic resonance (fMR) imaging with those of intraoperative cortical stimulation in patients who harbored tumors close to or involving the primary motor area and to assess the usefulness of fMR imaging in the objective evaluation of motor function as part of the surgical strategy in the treatment of these patients.Methods. A total of 11 consecutive patients, whose tumors were close to or involving the central region, underwent presurgical blood oxygen level—dependent fMR imaging while performing a motor paradigm that required them to clench and spread their hands contra- and ipsilateral to the tumor. Statistical cross-correlation functional maps covering the primary and secondary motor cortical areas were generated and overlaid onto high-resolution anatomical MR images. Intraoperative electrical cortical stimulation was performed to validate the presurgical fMR imaging findings. In nine (82%) of 11 patients, the anatomical fMR imaging localization of motor areas could be verified by intraoperative electrical cortical stimulation. In seven patients two or more activation sites were demonstrated on fMR imaging, which were considered a consequence of reorganization phenomena of the motor cortex: contralateral primary motor area (nine patients), contralateral premotor area (four patients), ipsilateral primary motor area (two patients), and ipsilateral premotor area (four patients).Conclusions. Functional MR imaging can be used to perform objective evaluation of motor function and surgical planning in patients who harbor lesions near or involving the primary motor cortex. Correlation between fMR imaging findings and the results of direct electrical brain stimulation is high, although not 100%. Based on their study, the authors believe that cortical reorganization patterns of motor areas might explain the differences in motor function and the diversity of postoperative motor function among patients with central tumors.

scholarly journals Short-interval intracortical inhibition in human primary motor cortex: A multi-locus transcranial magnetic stimulation study

NeuroImage ◽  
2019 ◽  
Vol 203 ◽  
pp. 116194 ◽  
Author(s):  
Jaakko O. Nieminen ◽  
Lari M. Koponen ◽  
Niko Mäkelä ◽  
Victor Hugo Souza ◽  
Matti Stenroos ◽  
...  
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Motor Cortex ◽  
Magnetic Stimulation ◽  
Primary Motor Cortex ◽  
Short Interval ◽  
Intracortical Inhibition

Event-related desynchronization reflects downregulation of intracortical inhibition in human primary motor cortex

2013 ◽  
Vol 110 (5) ◽  
pp. 1158-1166 ◽  
Author(s):  
Mitsuaki Takemi ◽  
Yoshihisa Masakado ◽  
Meigen Liu ◽  
Junichi Ushiba
Keyword(s):  
Motor Cortex ◽  
Motor Imagery ◽  
Sensorimotor Cortex ◽  
Primary Motor Cortex ◽  
Motor Evoked Potentials ◽  
Short Interval ◽  
Hand Movement ◽  
Intracortical Inhibition ◽  
Imagery Task ◽  
Event Related Desynchronization

There is increasing interest in electroencephalogram (EEG)-based brain-computer interface (BCI) as a tool for rehabilitation of upper limb motor functions in hemiplegic stroke patients. This type of BCI often exploits mu and beta oscillations in EEG recorded over the sensorimotor areas, and their event-related desynchronization (ERD) following motor imagery is believed to represent increased sensorimotor cortex excitability. However, it remains unclear whether the sensorimotor cortex excitability is actually correlated with ERD. Thus we assessed the association of ERD with primary motor cortex (M1) excitability during motor imagery of right wrist movement. M1 excitability was tested by motor evoked potentials (MEPs), short-interval intracortical inhibition (SICI), and intracortical facilitation (ICF) with transcranial magnetic stimulation (TMS). Twenty healthy participants were recruited. The participants performed 7 s of rest followed by 5 s of motor imagery and received online visual feedback of the ERD magnitude of the contralateral hand M1 while performing the motor imagery task. TMS was applied to the right hand M1 when ERD exceeded predetermined thresholds during motor imagery. MEP amplitudes, SICI, and ICF were recorded from the agonist muscle of the imagined hand movement. Results showed that the large ERD during wrist motor imagery was associated with significantly increased MEP amplitudes and reduced SICI but no significant changes in ICF. Thus ERD magnitude during wrist motor imagery represents M1 excitability. This study provides electrophysiological evidence that a motor imagery task involving ERD may induce changes in corticospinal excitability similar to changes accompanying actual movements.

scholarly journals Response inhibition activates distinct motor cortical inhibitory processes

2018 ◽  
Vol 119 (3) ◽  
pp. 877-886 ◽  
Author(s):  
John Cirillo ◽  
Matthew J. Cowie ◽  
Hayley J. MacDonald ◽  
Winston D. Byblow
Keyword(s):  
Motor Cortex ◽  
Response Inhibition ◽  
Primary Motor Cortex ◽  
Motor Evoked Potentials ◽  
Short Interval ◽  
Left Hand ◽  
Motor Cortex Excitability ◽  
Motor Cortical ◽  
Inhibitory Tone ◽  
Inhibitory Networks

We routinely cancel preplanned movements that are no longer required. If stopping is forewarned, proactive processes are engaged to selectively decrease motor cortex excitability. However, without advance information there is a nonselective reduction in motor cortical excitability. In this study we examined modulation of human primary motor cortex inhibitory networks during response inhibition tasks with informative and uninformative cues using paired-pulse transcranial magnetic stimulation. Long- (LICI) and short-interval intracortical inhibition (SICI), indicative of GABAB- and GABAA-receptor mediated inhibition, respectively, were examined from motor evoked potentials obtained in task-relevant and task-irrelevant hand muscles when response inhibition was preceded by informative and uninformative cues. When the participants (10 men and 8 women) were cued to stop only a subcomponent of the bimanual response, the remaining response was delayed, and the extent of delay was greatest in the more reactive context, when cues were uninformative. For LICI, inhibition was reduced in both muscles during all types of response inhibition trials compared with the pre-task resting baseline. When cues were uninformative and left-hand responses were suddenly canceled, task-relevant LICI positively correlated with response times of the responding right hand. In trials where left-hand responding was highly probable or known (informative cues), task-relevant SICI was reduced compared with that when cued to rest, revealing a motor set indicative of responding. These novel findings indicate that the GABAB-receptor-mediated pathway may set a default inhibitory tone according to task context, whereas the GABAA-receptor-mediated pathways are recruited proactively with response certainty. NEW & NOTEWORTHY We examined how informative and uninformative cues that trigger both proactive and reactive processes modulate GABAergic inhibitory networks within human primary motor cortex. We show that GABAB inhibition was released during the task regardless of cue type, whereas GABAA inhibition was reduced when responding was highly probable or known compared with rest. GABAB-receptor-mediated inhibition may set a default inhibitory tone, whereas GABAA circuits may be modulated proactively according to response certainty.

scholarly journals Modulation of Motor Cortex Plasticity by Repetitive Paired-Pulse TMS at Late I-Wave Intervals Is Influenced by Intracortical Excitability

2021 ◽  
Vol 11 (1) ◽  
pp. 121
Author(s):  
George M. Opie ◽  
Ryoki Sasaki ◽  
Brodie J. Hand ◽  
John G. Semmler
Keyword(s):  
Motor Cortex ◽  
Evoked Potential ◽  
Primary Motor Cortex ◽  
Short Interval ◽  
Motor Evoked Potential ◽  
Individual Variations ◽  
Intracortical Excitability ◽  
Motor Cortex Plasticity ◽  
Posterior Anterior ◽  
Anterior Posterior

The late indirect (I)-waves recruited by transcranial magnetic stimulation (TMS) over primary motor cortex (M1) can be modulated using I-wave periodicity repetitive TMS (iTMS). The purpose of this study was to determine if the response to iTMS is influenced by different interstimulus intervals (ISIs) targeting late I-waves, and whether these responses were associated with individual variations in intracortical excitability. Seventeen young (27.2 ± 6.4 years, 12 females) healthy adults received iTMS at late I-wave intervals (4.0, 4.5, and 5.0 ms) in three separate sessions. Changes due to each intervention were examined with motor evoked potential (MEP) amplitudes and short-interval intracortical facilitation (SICF) using both posterior-anterior (PA) and anterior-posterior (AP) TMS current directions. Changes in MEP amplitude and SICF were influenced by iTMS ISI, with the greatest facilitation for ISIs at 4 and 5 ms with PA TMS, and 4 ms with AP TMS. Maximum SICF at baseline (irrespective of ISI) was associated with increased iTMS response, but only for PA stimulation. These results suggest that modifying iTMS parameters targeting late I-waves can influence M1 plasticity. They also suggest that maximum SICF may be a means by which responders to iTMS targeting the late I-waves could be identified.

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