scholarly journals Low frequency (0.5Hz) rTMS over the right (non-dominant) motor cortex does not affect ipsilateral hand performance in healthy humans

2008 ◽  
Vol 66 (3b) ◽  
pp. 636-640 ◽  
Author(s):  
Fernanda Weiler ◽  
Pedro Brandão ◽  
Jairo de Barros-Filho ◽  
Carlos Enrique Uribe ◽  
Valdir Filgueiras Pessoa ◽  
...  
Keyword(s):  
Motor Cortex ◽  
Primary Motor Cortex ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Hand Function ◽  
Motor Task ◽  
Low Frequency ◽  
Left Hand ◽  
Healthy Humans ◽  
Hand Performance ◽  
The Right

Reduction of excitability of the dominant primary motor cortex (M1) improves ipsilateral hand function in healthy subjects. In analogy, inhibition of non-dominant M1 should also improve ipsilateral performance. In order to investigate this hypothesis, we have used slow repetitive transcranial magnetic stimulation (rTMS) and the Purdue Pegboard test. Twenty-eight volunteers underwent 10 minutes of either 0.5Hz rTMS over right M1 or sham rTMS (coil perpendicular to scalp). The motor task was performed before, immediately after, and 20 minutes after rTMS. In both groups, motor performance improved significantly throughout the sessions. rTMS inhibition of the non-dominant M1 had no significant influence over ipsilateral or contralateral manual dexterity, even though the results were limited by unequal performance between groups at baseline. This is in contrast to an improvement in left hand function previously described following slow rTMS over left M1, and suggests a less prominent physiological transcallosal inhibition from right to left M1.

scholarly journals Motor demand-dependent improvement in accuracy following low-frequency transcranial magnetic stimulation of left motor cortex

2011 ◽  
Vol 106 (4) ◽  
pp. 1614-1621 ◽  
Author(s):  
Cathrin M. Buetefisch ◽  
Benjamin Hines ◽  
Linda Shuster ◽  
Paola Pergami ◽  
Adam Mathes
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Motor Cortex ◽  
Motor Performance ◽  
Magnetic Stimulation ◽  
Primary Motor Cortex ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Motor Task ◽  
Low Frequency ◽  
Afferent Input ◽  
Low Frequency Rtms

The role of primary motor cortex (M1) in the control of voluntary movements is still unclear. In brain functional imaging studies of unilateral hand performance, bilateral M1 activation is inconsistently observed, and disruptions of M1 using repetitive transcranial magnetic stimulation (rTMS) lead to variable results in the hand motor performance. As the motor tasks differed qualitatively in these studies, it is conceivable that M1 contribution differs depending on the level of skillfulness. The objective of the present study was to determine whether M1 contribution to hand motor performance differed depending on the level of precision of the motor task. Here, we used low-frequency rTMS of left M1 to determine its effect on the performance of a pointing task that allows the parametric increase of the level of precision and thereby increase the level of required precision quantitatively. We found that low-frequency rTMS improved performance in both hands for the task with the highest demand on precision, whereas performance remained unchanged for the tasks with lower demands. These results suggest that the functional relevance of M1 activity for motor performance changes as a function of motor demand. The bilateral effect of rTMS to left M1 would also support the notion of M1 functions at a higher level in motor control by integrating afferent input from nonprimary motor areas.

scholarly journals Reduced Interhemispheric Coherence in Cerebellar Kainic Acid-Induced Lateralized Dystonia

2020 ◽  
Vol 11 ◽  
Author(s):  
Elena Laura Georgescu Margarint ◽  
Ioana Antoaneta Georgescu ◽  
Carmen Denise Mihaela Zahiu ◽  
Stefan-Alexandru Tirlea ◽  
Alexandru Rǎzvan Şteopoaie ◽  
...  
Keyword(s):  
Motor Cortex ◽  
Kainic Acid ◽  
Primary Motor Cortex ◽  
Low Frequency ◽  
Muscular Activity ◽  
Cerebellar Hemisphere ◽  
Interhemispheric Coherence ◽  
General Locomotor Activity ◽  
Complex Circuits ◽  
The Right

The execution of voluntary muscular activity is controlled by the primary motor cortex, together with the cerebellum and basal ganglia. The synchronization of neural activity in the intracortical network is crucial for the regulation of movements. In certain motor diseases, such as dystonia, this synchrony can be altered in any node of the cerebello-cortical network. Questions remain about how the cerebellum influences the motor cortex and interhemispheric communication. This research aims to study the interhemispheric cortical communication between the motor cortices during dystonia, a neurological movement syndrome consisting of sustained or repetitive involuntary muscle contractions. We pharmacologically induced lateralized dystonia to adult male albino mice by administering low doses of kainic acid on the left cerebellar hemisphere. Using electrocorticography and electromyography, we investigated the power spectral densities, cortico-muscular, and interhemispheric coherence between the right and left motor cortices, before and during dystonia, for five consecutive days. Mice displayed lateralized abnormal motor signs, a reduced general locomotor activity, and a high score of dystonia. The results showed a progressive interhemispheric coherence decrease in low-frequency bands (delta, theta, beta) during the first 3 days. The cortico-muscular coherence of the affected side had a significant increase in gamma bands on days 3 and 4. In conclusion, lateralized cerebellar dysfunction during dystonia was associated with a loss of connectivity in the motor cortices, suggesting a possible cortical compensation to the initial disturbances induced by cerebellar left hemisphere kainate activation by blocking the propagation of abnormal oscillations to the healthy hemisphere. However, the cerebellum is part of several overly complex circuits, therefore other mechanisms can still be involved in this phenomenon.

scholarly journals Chronic low-frequency rTMS of primary motor cortex diminishes exercise training-induced gains in maximal voluntary force in humans

2009 ◽  
Vol 106 (2) ◽  
pp. 403-411 ◽  
Author(s):  
Tibor Hortobágyi ◽  
Sarah Pirio Richardson ◽  
Mikhael Lomarev ◽  
Ejaz Shamim ◽  
Sabine Meunier ◽  
...  
Keyword(s):  
Motor Cortex ◽  
Primary Motor Cortex ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Low Frequency ◽  
Motor Evoked Potential ◽  
Single Pulse ◽  
Compound Action Potential ◽  
Voluntary Contraction ◽  
Maximal Voluntary Force ◽  
Resting Motor Threshold

Although there is consensus that the central nervous system mediates the increases in maximal voluntary force (maximal voluntary contraction, MVC) produced by resistance exercise, the involvement of the primary motor cortex (M1) in these processes remains controversial. We hypothesized that 1-Hz repetitive transcranial magnetic stimulation (rTMS) of M1 during resistance training would diminish strength gains. Forty subjects were divided equally into five groups. Subjects voluntarily (Vol) abducted the first dorsal interosseus (FDI) (5 bouts × 10 repetitions, 10 sessions, 4 wk) at 70–80% MVC. Another group also exercised but in the 1-min-long interbout rest intervals they received rTMS [Vol+rTMS, 1 Hz, FDI motor area, 300 pulses/session, 120% of the resting motor threshold (rMT)]. The third group also exercised and received sham rTMS (Vol+Sham). The fourth group received only rTMS (rTMS_only). The 37.5% and 33.3% gains in MVC in Vol and Vol+Sham groups, respectively, were greater ( P = 0.001) than the 18.9% gain in Vol+rTMS, 1.9% in rTMS_only, and 2.6% in unexercised control subjects who received no stimulation. Acutely, within sessions 5 and 10, single-pulse TMS revealed that motor-evoked potential size and recruitment curve slopes were reduced in Vol+rTMS and rTMS_only groups and accumulated to chronic reductions by session 10. There were no changes in rMT, maximum compound action potential amplitude (Mmax), and peripherally evoked twitch forces in the trained FDI and the untrained abductor digiti minimi. Although contributions from spinal sources cannot be excluded, the data suggest that M1 may play a role in mediating neural adaptations to strength training.

scholarly journals Role of the Ipsilateral Motor Cortex in Voluntary Movement

1997 ◽  
Vol 24 (04) ◽  
pp. 284-291 ◽  
Author(s):  
Robert Chen ◽  
Leonardo G. Cohen ◽  
Mark Hallett
Keyword(s):  
Motor Cortex ◽  
Functional Recovery ◽  
Voluntary Movement ◽  
Primary Motor Cortex ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Normal Subjects ◽  
Older Children ◽  
Focal Brain Injury ◽  
Complex Sequences ◽  
The Right

ABSTRACT:The ipsilateral primary motor cortex (M1) plays a role in voluntary movement. In our studies, we used repetitive transcranial magnetic stimulation (rTMS) to study the effects of transient disruption of the ipsilateral M1 on the performance of finger sequences in right-handed normal subjects. Stimulation of the M1 ipsilateral to the movement induced timing errors in both simple and complex sequences performed with either hand, but with complex sequences, the effects were more pronounced with the left-sided stimulation. Recent studies in both animals and humans have confirmed the traditional view that ipsilateral projections from M1 to the upper limb are mainly directed to truncal and proximal muscles, with little evidence for direct connections to distal muscles. The ipsilateral motor pathway appears to be an important mechanism for functional recovery after focal brain injury during infancy, but its role in functional recovery for older children and adults has not yet been clearly demonstrated. There is increasing evidence from studies using different methodologies such as rTMS, functional imaging and movement-related cortical potentials, that M1 is involved in ipsilateral hand movements, with greater involvement in more complex tasks and the left hemisphere playing a greater role than the right.

scholarly journals Effects of Congruency on Bereitschaftspotential While Performing a Bimanual Motor Task

2018 ◽  
Vol 9 (1) ◽  
pp. 63-79
Author(s):  
Meghan McGowan ◽  
Camille Hémond-Hill ◽  
Justine Nakazawa
Keyword(s):  
Reaction Time ◽  
Primary Motor Cortex ◽  
Brain Activity ◽  
Sensory Modality ◽  
Motor Task ◽  
Left Hand ◽  
Grand Average ◽  
Bimanual Task ◽  
Significant Difference ◽  
The Right

 The bereitschaftspotential (BP)—also known as the readiness potential—is a measure of brain activity that precedes voluntary movement by approximately one second in the supplementary motor area and the contralateral primary motor cortex. Motor task reaction time for bimanual task performance is affected by both the individual and the environment; however, it is unclear whether motor task reaction time (as measured via the BP) is significantly affected by congruency. A congruent motor task is an ipsilateral stimulus (e.g., a stimulus on the right is responded to by the right hand), and an incongruent task is a contralateral stimulus (e.g., a stimulus on the right is responded to by the left hand). Congruency is re-emerging as an important topic in motor learning as it may require different levels of cortical processing. The purpose of this study was to examine the effect of congruency on the BP. Participants were asked to complete the computer task, Keyboard Hero, where they pressed keys with both their left and right hands in response to discrete congruent and incongruent stimuli. A MUSE™  apparatus recorded brain activity 1000 ms prior to, and 1000 ms after each stimulus. Results from every participant for the incongruent and congruent trials were averaged and compared using a grand average waveform. Means of accuracy (how often participants pressed the key correctly) and BP for each condition were averaged and compared using a 95% Confidence Interval (CI). Across congruent and incongruent conditions, a non-significant difference (p > 0.05 ) was found in BP (p > 0.59 ), accuracy (p > 0.64 ), and BP within −200  ms to 200 ms (p > 0.31 ). BP and mean accuracy scores were not significantly different between congruent and incongruent conditions, which may be due to only minute differences in brain activity or due to the study’s design. Further research should analyze individual variations of the present study, such as stimulus location, differences in the responding limb, correctness of responses, and the sensory modality being tested

scholarly journals Comparison of low frequency repetitive transcranial magnetic stimulation parameters on motor cortex excitability in normal subjects

2016 ◽  
Vol 03 (01) ◽  
pp. 002-006
Author(s):  
Lara Schrader ◽  
Sima Sadeghinejad ◽  
Jalleh Sadeghinejad ◽  
Movses Kazanchyan ◽  
Lisa Koski ◽  
...  
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Motor Cortex ◽  
Magnetic Stimulation ◽  
Primary Motor Cortex ◽  
Cortical Excitability ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Low Frequency ◽  
Motor Threshold ◽  
Motor Cortex Excitability ◽  
Resting Motor Threshold

Abstract Background/objectives Optimal low frequency repetitive transcranial magnetic stimulation (LF-rTMS) parameters for treating epilepsy and other brain disorders are unknown. To address this question, a systematic study of the effects of LF-rTMS frequency and intensity on cortical excitability was performed. Methods Using a four-period crossover design, subjects were scheduled for four LF-rTMS sessions that were at least four weeks apart. LF-rTMS was delivered as 900 pulses directed at primary motor cortex using four protocols: 0.5 Hz at 90% resting motor threshold (RMT), 0.5 Hz at 110% RMT, 1 Hz at 90% RMT, and 1 Hz at 110% RMT. Motor evoked potential (MEP) amplitude, resting motor threshold (RMT), and cortical silent period (CSP) were measured before, immediately after, and 60 min after LF-rTMS. Each of the four protocols was analyzed separately to compare baseline measurements to those after LF-rTMS. Results None of the four LF-rTMS protocols produced a trend or significant change in MEP amplitude, RMT, or CSP. Conclusion The lack of significant effect from the four LF-rTMS protocols indicates that none produced evidence for alteration of cortical excitability. The direct comparison of four LF-rTMS protocols is distinct to this investigation, as most similar studies were exploratory and studied only one or two protocols. The negative result relates only to the methods used in this investigation and does not indicate that LF-rTMS does not alter cortical excitability with other parameters. These results may be useful when designing additional investigations into the effect of LF-rTMS on epilepsy, other disorders, and cortical excitability.

Neuronal activity in cortical motor areas related to ipsilateral, contralateral, and bilateral digit movements of the monkey

1988 ◽  
Vol 60 (1) ◽  
pp. 325-343 ◽  
Author(s):  
J. Tanji ◽  
K. Okano ◽  
K. C. Sato
Keyword(s):  
Motor Cortex ◽  
Neuronal Activity ◽  
Primary Motor Cortex ◽  
Cell Activity ◽  
Left Hand ◽  
Hand Muscles ◽  
Cortical Motor ◽  
Key Press ◽  
The Right ◽  
Induced Changes

1. Single cell activity was studied in the precentral (PCM), premotor (PM), and supplementary (SMA) motor cortex of the monkey to compare magnitudes of activity changes in relation to ipsilateral, contralateral, and bilateral digit movements. 2. Three Japanese monkeys were trained to press a small key with the right or left hand, or with both hands, in accordance with visual instruction signals given 2.6-5.4 s before a visual movement-trigger signal. Great care was taken to train the animal to use only the required part of the limb. As a result of extensive training, electromyographic (EMG) studies revealed that muscle activities before the key press were limited to the digit and hand muscles of the limb instructed to move. No overt increase or decrease in activity was detectable in the proximal limb or body muscles in relation to the key-press movements or instructions. 3. Even though the movement was thus limited to distal forelimb, distinct ipsilateral relationships were observed in 8.2% of the task-related PCM neurons. They changed their activity before ipsilateral and bilateral (but not before contralateral) key press. 4. A majority of the neurons recorded from the digit area of PCM (mostly limited to the anterior bank of the central sulcus) exhibited a contralateral relationship; namely the activity increased or decreased before the onset of the contralateral and bilateral key-press movements. In most of them, the magnitudes of the activity changes before the contralateral and bilateral movements were similar. 5. In proximal limb and trunk areas of PCM and also in the somatosensory cortex, no neurons were found to exhibit distinct relations to any of the key-press movements. 6. In both SMA and PM, a number of neurons exhibited relationships of the type never or only rarely observed in the primary motor cortex. Thirty-seven percent of SMA and 62% of PM neurons exhibited premovement activity changes before all of the key-press movements. The movement-specific type of activity was observed in 28% of SMA and 16% of PM neurons. In these neurons, the activity changes were observed in relation to only one of the right or left key-press movements or exclusively in relation to the bilateral key press. Neuronal activity resembling the majority of the PCM neurons (contralateral type) was observed in 31% of SMA and 13% of PM neurons. 7. Instruction-induced changes in activity were more often found in the secondary than in the primary motor area.(ABSTRACT TRUNCATED AT 400 WORDS)

Involvement of the Primary Motor Cortex in Controlling Movements Executed with the Ipsilateral Hand Differs between Left- and Right-handers

2011 ◽  
Vol 23 (11) ◽  
pp. 3456-3469 ◽  
Author(s):  
Femke E. van den Berg ◽  
Stephan P. Swinnen ◽  
Nicole Wenderoth
Keyword(s):  
Motor Cortex ◽  
Left Hemisphere ◽  
Primary Motor Cortex ◽  
Movement Control ◽  
Motor Tasks ◽  
Left Hand ◽  
Left Handed ◽  
Virtual Lesion ◽  
Left And Right ◽  
The Right

Unimanual motor tasks, specifically movements that are complex or require high forces, activate not only the contralateral primary motor cortex (M1) but evoke also ipsilateral M1 activity. This involvement of ipsilateral M1 is asymmetric, such that the left M1 is more involved in motor control with the left hand than the right M1 in movements with the right hand. This suggests that the left hemisphere is specialized for movement control of either hand, although previous experiments tested mostly right-handed participants. In contrast, research on hemispheric asymmetries of ipsilateral M1 involvement in left-handed participants is relatively scarce. In the present study, left- and right-handed participants performed complex unimanual movements, whereas TMS was used to disrupt the activity of ipsilateral M1 in accordance with a “virtual lesion” approach. For right-handed participants, more disruptions were induced when TMS was applied over the dominant (left) M1. For left-handed participants, two subgroups could be distinguished, such that one group showed more disruptions when TMS was applied over the nondominant (left) M1, whereas the other subgroup showed more disruptions when the dominant (right) M1 was stimulated. This indicates that functional asymmetries of M1 involvement during ipsilateral movements are influenced by both hand dominance as well as left hemisphere specialization. We propose that the functional asymmetries in ipsilateral M1 involvement during unimanual movements are primarily attributable to asymmetries in the higher-order areas, although the contribution of transcallosal pathways and ipsilateral projections cannot be completely ruled out.

scholarly journals Tethered brain: disentangling unintentional brain-mesh interfaces. Illustrative case

2021 ◽  
Vol 1 (24) ◽  
Author(s):  
Samantha E. Spellicy ◽  
Joseph R. Kilianski ◽  
Rachel Poston ◽  
Debra Moore-Hill ◽  
Fernando L. Vale
Keyword(s):  
Primary Motor Cortex ◽  
Hand Function ◽  
Synthetic Mesh ◽  
Brain Parenchyma ◽  
Illustrative Case ◽  
Left Hand ◽  
First Case ◽  
Surgical Meshes ◽  
Fluid Attenuated Inversion Recovery ◽  
The Right

BACKGROUND Surgical meshes have found widespread use in neurosurgical practice. While commonly recognized risks of synthetic mesh include infection, exposure of mesh implants, and foreign body reaction, the risk of mesh tethering to neural structures is often overlooked. OBSERVATIONS The authors presented the first case, to their knowledge, of the disentanglement of mesh interfaced to cortical tissue. The patient, a 68-year-old woman, presented with severe intractable seizure disorder and worsening left hand function and incoordination after meningioma resection and cranioplasty 9 years earlier. Magnetic resonance imaging (MRI) demonstrated interval progression of macrocystic encephalomalacia involving the right supplementary motor area, with fluid-attenuated inversion recovery signal extending posteriorly into the right primary motor cortex. Both computed tomography and MRI suggested potential tethering of the cortex to the overlying cranioplasty mesh. Because of the progressive nature of her condition, the decision was made to surgically remove the tethered mesh. LESSONS De-tethering brain parenchyma from surgical mesh requires careful microdissection and judicious use of electrocautery to minimize further tissue damage and preserve neurological function. This inadvertent complication evinces the importance of using dural substitutes when unable to primarily repair the dura to prevent scarring and tethering of neural tissues to synthetic cranioplasty materials.

Sign in / Sign up

Export Citation Format

Share Document