scholarly journals Interhemispheric interactions between trunk muscle representations of the primary motor cortex

2017 ◽  
Vol 118 (3) ◽  
pp. 1488-1500 ◽  
Author(s):  
Loyda Jean-Charles ◽  
Jean-Francois Nepveu ◽  
Joan E. Deffeyes ◽  
Guillaume Elgbeili ◽  
Numa Dancause ◽  
...  
Keyword(s):  
Evoked Potential ◽  
Primary Motor Cortex ◽  
Motor Evoked Potential ◽  
Lumbar Vertebra ◽  
Arm Movement ◽  
Erector Spinae ◽  
Trunk Muscles ◽  
Interhemispheric Inhibition ◽  
Axial Muscles ◽  
The Right

Unilateral arm movements require trunk stabilization through bilateral contraction of axial muscles. Interhemispheric interactions between primary motor cortices (M1) could enable such coordinated contractions, but these mechanisms are largely unknown. Using transcranial magnetic stimulation (TMS), we characterized interhemispheric interactions between M1 representations of the trunk-stabilizing muscles erector spinae at the first lumbar vertebra (ES L1) during a right isometric shoulder flexion. These interactions were compared with those of the anterior deltoid (AD), the main agonist in this task, and the first dorsal interosseous (FDI). TMS over the right M1 elicited ipsilateral silent periods (iSP) in all three muscles on the right side. In ES L1, but not in AD or FDI, ipsilateral motor evoked potential (iMEP) could precede the iSP or replace it. iMEP amplitude was not significantly different whether ES L1 was used to stabilize the trunk or was voluntarily contracted. TMS at the cervicomedullary junction showed that the size of cervicomedullary evoked potential was unchanged during the iSP but increased during iMEP, suggesting that the iSP, but not the iMEP, is due to intracortical mechanisms. Using a dual-coil paradigm with two coils over the left and right M1, interhemispheric inhibition could be evoked at interstimulus intervals of 6 ms in ES L1 and 8 ms in AD and FDI. Together, these results suggest that interhemispheric inhibition is dominant when axial muscles are involved in a stabilizing task. The ipsilateral facilitation could be evoked by ipsilateral or subcortical pathways and could be used depending on the role axial muscles play in the task. NEW & NOTEWORTHY The mechanisms involved in the bilateral coordination of axial muscles during unilateral arm movement are poorly understood. We thus investigated the nature of interhemispheric interactions in axial muscles during arm motor tasks in healthy subjects. By combining different methodologies, we showed that trunk muscles receive both inhibitory and facilitatory cortical outputs during activation of arm muscles. We propose that inhibition may be conveyed mainly through interhemispheric mechanisms and facilitation by subcortical mechanisms or ipsilateral pathways.

scholarly journals Motor cortical circuits contribute to crossed facilitation of trunk muscles induced by rhythmic arm movement

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Shin-Yi Chiou ◽  
Laura Morris ◽  
Weidong Gou ◽  
Emma Alexander ◽  
Eliot Gay
Keyword(s):  
Primary Motor Cortex ◽  
Motor Evoked Potentials ◽  
Short Interval ◽  
Arm Movement ◽  
Erector Spinae ◽  
Trunk Muscles ◽  
Facilitatory Effect ◽  
Mirror Therapy ◽  
Healthy Humans ◽  
Arm Cycling

Abstract Training of one limb improves performance of the contralateral, untrained limb, a phenomenon known as cross transfer. It has been used for rehabilitation interventions, i.e. mirror therapy, in people with neurologic disorders. However, it remains unknown whether training of the upper limb can induce the cross-transfer effect to the trunk muscles. Using transcranial magnetic stimulation over the primary motor cortex (M1) we examined motor evoked potentials (MEPs) in the contralateral erector spinae (ES) muscle before and after 30 min of unilateral arm cycling in healthy volunteers. ES MEPs were increased after the arm cycling. To understand the origin of this facilitatory effect, we examined short-interval intracrotical inhibition (SICI) and cervicomedullary MEPs (CMEPs) in neural populations controlling in the ES muscle. Notably, SICI reduced after the arm cycling, while CMEPs remained the same. Using bilateral transcranial direct current stimulation (tDCS) in conjunction with 20 min of the arm cycling, the amplitude of ES MEPs increased to a similar extent as with 30 min of the arm cycling alone. These findings demonstrate that a single session of unilateral arm cycling induces short-term plasticity in corticospinal projections to the trunk muscle in healthy humans. The changes are likely driven by cortical mechanisms.

Low-Threshold Monopolar Motor Mapping for Resection of Primary Motor Cortex Tumors

2012 ◽  
Vol 71 (suppl_1) ◽  
pp. ons104-ons115 ◽  
Author(s):  
Kathleen Seidel ◽  
Jürgen Beck ◽  
Lennart Stieglitz ◽  
Philippe Schucht ◽  
Andreas Raabe
Keyword(s):  
Motor Neurons ◽  
Evoked Potential ◽  
Primary Motor Cortex ◽  
Motor Evoked Potential ◽  
National Institutes Of Health ◽  
Motor Deficit ◽  
Motor Threshold ◽  
Motor Mapping ◽  
Low Threshold ◽  
A Minor

Abstract BACKGROUND: Microsurgery within eloquent cortex is a controversial approach because of the high risk of permanent neurological deficit. Few data exist showing the relationship between the mapping stimulation intensity required for eliciting a muscle motor evoked potential and the distance to the motor neurons; furthermore, the motor threshold at which no deficit occurs remains to be defined. OBJECTIVE: To evaluate the safety of low threshold motor evoked potential mapping for tumor resection close to the primary motor cortex. METHODS: Fourteen patients undergoing tumor surgery were included. Motor threshold was defined as the stimulation intensity that elicited motor evoked potentials from target muscles (amplitude > 30 μV). Monopolar high-frequency motor mapping with train-of-5 stimuli (HF-TOF; pulse duration = 500 microseconds; interstimulus interval = 4.0 milliseconds; frequency = 250 Hz) was used to determine motor response--negative sites where incision and dissection could be performed. At sites negative to 3-mA HF-TOF stimulation, the tumor was resected. RESULTS: HF-TOF mapping localized the motor neurons within the precentral gyrus by using variable, low-stimulation intensities. The lowest motor thresholds after final resection ranged from 3 to 6 mA, indicating close proximity of motor neurons. Postoperatively, 12 patients had no new motor deficit, 1 patient had a minor new temporary deficit (M4+, National Institutes of Health Stroke Scale 1), and another patient had a minor new permanent deficit (M4+, National Institutes of Health Stroke Scale 2). Thirteen patients had complete or gross total resection. CONCLUSION: These preliminary data demonstrate that a monopolar HF-TOF threshold > 3 mA was not associated with a significant new motor deficit.

Influence of different transcranial magnetic stimulation current directions on the corticomotor control of lumbar erector spinae muscles during a static task

2021 ◽  
Author(s):  
Mikaël Desmons ◽  
Antoine Rohel ◽  
Amélie Desgagnés ◽  
Catherine Mercier ◽  
Hugo Massé-Alarie
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Magnetic Stimulation ◽  
Primary Motor Cortex ◽  
Motor Evoked Potentials ◽  
Erector Spinae ◽  
Recruitment Curve ◽  
Axial Muscles ◽  
Active Motor ◽  
Stimulation Current ◽  
Cortical Representations

Different directions of transcranial magnetic stimulation (TMS) can activate different neuronal circuits. While posteroanterior current (PA-TMS) depolarizes mainly interneurons in primary motor cortex (M1), an anteroposterior current (AP-TMS) has been suggested to activate different M1 circuits and perhaps axons from the premotor regions. Although M1 is also involved in the control of axial muscles, no study has explored if different current directions activate different M1 circuits that may have distinct functional role. The aim of the study was to compare the effect of different current directions (PA- and AP-TMS) on the corticomotor control and spatial cortical organisation of the lumbar erector spinae muscle (LES). Thirthy-four healthy participants were recruited for two independent experiments and LES motor-evoked potentials (MEP) were recorded. In experiment 1 (n=17), active motor threshold (AMT), MEP latencies, recruitment curve (90 to 160% AMT), excitatory and inhibitory intracortical mechanisms using paired-pulse TMS (80% followed by 120% AMT stimuli at 2-3-10 and 15ms inter-stimulus intervals) were tested using a double cone (n=12) and a figure-of-eight (n=5) coils. In experiment 2 (n=17), LES cortical representations were tested using PA- and AP-TMS. AMT was higher for AP- compared to PA-TMS (p=0.002). Longer latencies with AP-TMS were compared to PA-TMS (p=0.017). AP-TMS produced more inhibition compared to PA-TMS at 2ms and 3ms (p=0.010), but no difference was observed for longer intervals. No difference was found for recruitment curve and mapping. Those findings suggest that each PA- and AP-TMS may activate different cortical circuits controlling low back muscles as proposed for hand muscles.

Transcranial Motor Evoked Potential Recording in a Case of Kernohan's Notch Syndrome: Case Report

Neurosurgery ◽  
2004 ◽  
Vol 54 (4) ◽  
pp. 999-1003 ◽  
Author(s):  
Devin K. Binder ◽  
Russ Lyon ◽  
Geoffrey T. Manley
Keyword(s):  
Evoked Potential ◽  
Motor Evoked Potential ◽  
Cerebral Peduncle ◽  
Resonance Imaging ◽  
Left Hemiparesis ◽  
Electrophysiological Studies ◽  
Electrophysiological Findings ◽  
The Right ◽  
Tentorial Incisura ◽  
Potential Waveform

Abstract OBJECTIVE AND IMPORTANCE Compression of the cerebral peduncle against the tentorial incisura contralateral to a supratentorial mass lesion, the so-called Kernohan-Woltman notch phenomenon, can be an important cause of false localizing motor signs. Here, we demonstrate a case in which clinical, radiological, and electrophysiological findings were used together to define this syndrome. CLINICAL PRESENTATION A 21-year-old man sustained a left temporal depressed cranial fracture from a motor vehicle accident. Serial computed tomographic examinations demonstrated no evolution of hematomas or contusions, and he was managed nonsurgically with ventriculostomy for intracranial pressure control. Throughout his course in the neurosurgical intensive care unit, he displayed persistent left hemiparesis. INTERVENTION Further radiological and electrophysiological studies were undertaken in an attempt to explain his left hemiparesis. Brain magnetic resonance imaging demonstrated T2 prolongation in the central portion of the right cerebral peduncle extending to the right internal capsule. Electrophysiological studies using transcranial electrical motor evoked potentials revealed both a marked increase in voltage threshold, as well as a reduction in the complexity of the motor evoked potential waveform on the hemiparetic left side. This contrasted to significantly lower voltage threshold as well as a highly complex motor evoked potential waveform recorded on the relatively intact contralateral side. CONCLUSION This is the first time that clinical, radiological, and electrophysiological findings have been correlated in a case of Kernohan's notch syndrome. Compression of the contralateral cerebral peduncle against the tentorial incisura can lead to damage and ipsilateral hemiparesis. The anatomic extent of the lesion can be defined by magnetic resonance imaging and the physiological extent by electrophysiological techniques.

scholarly journals Neuroplasticity Changes on Human Motor Cortex Induced by Acupuncture Therapy: A Preliminary Study

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Yi Yang ◽  
Ines Eisner ◽  
Siqi Chen ◽  
Shaosong Wang ◽  
Fan Zhang ◽  
...  
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Acupuncture Therapy ◽  
Motor Cortex ◽  
Magnetic Stimulation ◽  
Primary Motor Cortex ◽  
Motor Evoked Potential ◽  
Interhemispheric Inhibition ◽  
Human Motor Cortex ◽  
Interhemispheric Competition ◽  
Resting Motor Threshold

While neuroplasticity changes measured by transcranial magnetic stimulation have been proved to be highly correlated to motor recovery and have been tested in various forms of interventions, it has not been applied to investigate the neurophysiologic mechanism of acupuncture therapy. The aim of this study is to investigate neuroplasticity changes induced by a single session of acupuncture therapy in healthy adults, regarding the excitability change on bilateral primary motor cortex and interhemispheric inhibition. Ten subjects took a 30-minute acupuncture therapy and the same length relaxing phase in separate days. Transcranial magnetic stimulation measures, including resting motor threshold, amplitudes of motor-evoked potential, and interhemispheric inhibition, were assessed before and 10 minutes after intervention. Acupuncture treatment showed significant changes on potential amplitude from both ipsilateral and contralateral hemispheres to acupuncture compared to baseline. Also, interhemispheric inhibition from the contralateral motor cortex to the opposite showed a significant decline. The results indicated that corticomotoneuronal excitability and interhemispheric competition could be modulated by acupuncture therapy on healthy subjects. The following question about whether these changes will be observed in the same way on stroke patients and whether they correlate with the therapeutic effect on movement need to be answered by following studies. This trial is registered with ISRCTN13074245.

Impact of a Carbohydrate Mouth Rinse on Quadriceps Muscle Function and Corticomotor Excitability

2019 ◽  
Vol 14 (7) ◽  
pp. 927-933 ◽  
Author(s):  
Stephen P. Bailey ◽  
Julie Hibbard ◽  
Darrin La Forge ◽  
Madison Mitchell ◽  
Bart Roelands ◽  
...  
Keyword(s):  
Evoked Potential ◽  
Motor Evoked Potential ◽  
Rectus Femoris ◽  
Quadriceps Muscle ◽  
Voluntary Contraction ◽  
Muscle Performance ◽  
Mouth Rinse ◽  
Motor Excitability ◽  
The Right ◽  
Relative Change

Background: Carbohydrate (CHO) mouth rinse (MR) before exercise has been shown to improve physical performance and corticospinal motor excitability. Purpose: To determine the effects of different forms of CHO MR on quadriceps muscle performance and corticospinal motor excitability. Methods: 10 subjects (5 female and 5 male; 25 [1] y, 1.71 [0.03] m, 73 [5] kg) completed 4 conditions (placebo [PLA], 6.4% glucose [GLU], 6.4% maltose [MAL], 6.4% maltodextrin [MDX]). Maximal voluntary contraction (MVIC) of the right quadriceps and motor-evoked potential (MEP) of the right rectus femoris was determined pre (10 min), immediately after, and post (10 min) 20-s MR. MEP was precipitated by transcranial magnetic stimulation during muscle contraction (50% MVIC). Results: The relative change in MEP from pre-measures was different across treatments (P = .025) but was not different across time (P = .357). MEP was greater for all CHO conditions immediately after (GLU = 2.58% [5.33%], MAL = 3.92% [3.90%], MDX = 18.28% [5.57%]) and 10 min after (GLU = 14.09% [13.96%], MAL = 8.64% [8.67%], MDX = 31.54% [12.77%]) MR than PLA (immediately after = −2.19% [4.25%], 10 min = −13.41% [7.46%]). MVC was greater for CHO conditions immediately (GLU = 3.98% [2.49%], MAL = 5.89% [2.29%], MDX = 7.66% [1.93%]) and 10 min after (GLU = 7.22% [2.77%], MAL = 10.26% [4.22%], MDX = 10.18% [1.50%]) MR than PLA (immediately after = −3.24% [1.50%], 10 min = −6.46% [2.22%]). Conclusions: CHO MR increased corticospinal motor excitability and quadriceps muscle after application. The form of CHO used did not influence this response.

Automatic Recruitment of the Motor System by Undetected Graspable Objects: A Motor-evoked Potential Study

2017 ◽  
Vol 29 (11) ◽  
pp. 1918-1931 ◽  
Author(s):  
Nicolas A. McNair ◽  
Ashleigh D. Behrens ◽  
Irina M. Harris
Keyword(s):  
Evoked Potentials ◽  
Visual Processing ◽  
Motor System ◽  
Primary Motor Cortex ◽  
Direct Evidence ◽  
Motor Evoked Potentials ◽  
Motor Evoked Potential ◽  
Motor Action ◽  
Motor Pathway ◽  
The Right

Previous behavioral and neuroimaging studies have suggested that the motor properties associated with graspable objects may be automatically accessed when people passively view these objects. We directly tested this by measuring the excitability of the motor pathway when participants viewed pictures of graspable objects that were presented during the attentional blink (AB), when items frequently go undetected. Participants had to identify two briefly presented objects separated by either a short or long SOA. Motor-evoked potentials were measured from the right hand in response to a single TMS pulse delivered over the left primary motor cortex 250 msec after the onset of the second target. Behavioral results showed poorer identification of objects at short SOA compared with long SOA, consistent with an AB, which did not differ between graspable and nongraspable objects. However, motor-evoked potentials measured during the AB were significantly higher for graspable objects than for nongraspable objects, irrespective of whether the object was successfully identified or undetected. This provides direct evidence that the motor system is automatically activated during visual processing of objects that afford a motor action.

Gross Total Resection of a Grade IV Astrocytoma Adjacent to the Precentral Gyrus With Nonawake Motor Mapping and Motor-Evoked Potential Monitoring: 3-Dimensional Operative Video

2019 ◽  
Author(s):  
Burak Ozaydin ◽  
Ihsan Dogan ◽  
Bryan J Wheeler ◽  
Mustafa K Baskaya
Keyword(s):  
Motor Cortex ◽  
Evoked Potential ◽  
Primary Motor Cortex ◽  
Motor Evoked Potential ◽  
Gross Total Resection ◽  
Precentral Gyrus ◽  
Total Resection ◽  
Motor Mapping ◽  
3 Dimensional ◽  
Intraoperative Adjuncts

Abstract Surgical treatment of the gliomas located in or adjacent to the eloquent areas poses significant challenge to neurosurgeons. The main goal of the surgery is to achieve maximal safe resection while preserving the neurological function. This might be possible with utilizing pre- and intraoperative adjuncts such as functional magnetic resonance imaging (MRI), image guidance, mapping of the function of interest, intraoperative MRI, and neurophysiological monitoring. In this video, we demonstrate the utilization of nonawake mapping and motor-evoked potential (MEP) monitoring for the resection of a right-sided posterior superior frontal gyrus grade IV astrocytoma adjacent to the primary motor cortex. The patient is a 69-yr-old woman presented with multiple episodes of simple partial seizures involving her left leg and spreading to the left arm. MRI and functional MRI examinations showed a heterogeneously enhancing mass with peritumoral edema adjacent to the primary motor cortex. Because the patient did not want to undergo an awake craniotomy, a decision was made to perform the resection of the tumor with nonawake motor mapping and continuous MEP monitoring. Nonawake motor mapping and MEP monitoring enabled us to perform gross total resection. Because it has been shown that supratotal resection may provide improved survival outcome,1,2 we extended the white matter resection beyond the contrast enhancing area in noneloquent parts of the tumor. Surgical steps in dealing with vascular anatomy as well as utilizing intraoperative adjuncts such as motor mapping and MEP monitoring to enhance the extent of resection while preserving the function are demonstrated in this 3-dimensional surgical video.  The patient consented to publication of her operative video.

Relationship between Trunk Muscularity and Club Head Speed in Male Golfers

2020 ◽  
Vol 41 (06) ◽  
pp. 419-423
Author(s):  
Yoka Izumoto ◽  
Toshiyuki Kurihara ◽  
Sumiaki Maeo ◽  
Takashi Sugiyama ◽  
Hiroaki Kanehisa ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Rectus Abdominis ◽  
Erector Spinae ◽  
Trunk Muscles ◽  
Bilateral Asymmetry ◽  
Lateral Abdominal Wall ◽  
Quadratus Lumborum ◽  
Club Head ◽  
The Right ◽  
Psoas Major

AbstractThis study examined how the volume of trunk muscles and its bilateral asymmetry are related to club head speed in golfers. Fourteen right-handed male golfers performed five driver shots, and the club head speed for each trial was calculated from a three-dimensional reflective marker position of the club head immediately before impact. The volume of each side of the rectus abdominis, erector spinae, psoas major, quadratus lumborum, lateral abdominal wall muscle, and multifidus was determined using magnetic resonance imaging. For each muscle, the ratio of the larger to smaller side in muscle volume was calculated to assess bilateral asymmetry. The club head speed correlated positively with the volume of each side of the rectus abdominis and erector spinae, left quadratus lumborum, and the asymmetric ratio of the psoas major (r=0.595–0.747), but negatively with the asymmetric ratio of the quadratus lumborum (r=−0.641). Multiple regression analysis revealed that the right erector spinae volume and the asymmetric ratio of the psoas major were significant contributors for the club head speed (R2=0.797). These results indicate that the variation in the club head speed can be strongly explained by the absolute volume and bilateral asymmetry of specific trunk muscles.

Sign in / Sign up

Export Citation Format

Share Document