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经颅磁阈追踪揭示的皮质内抑制的两个阶段。

Two phases of intracortical inhibition revealed by transcranial magnetic threshold tracking.

作者信息

Fisher R J, Nakamura Y, Bestmann S, Rothwell J C, Bostock H

机构信息

Sobell Department, Institute of Neurology, Queen Square, London WC1N 3BG, UK.

出版信息

Exp Brain Res. 2002 Mar;143(2):240-8. doi: 10.1007/s00221-001-0988-2. Epub 2002 Jan 25.

Abstract

Intracortical inhibition was investigated in normal human volunteers by paired-pulse transcranial magnetic stimulation, using a new, computer-assisted threshold-tracking method. Motor threshold was defined as the stimulus amplitude required to evoke a motor evoked potential of 0.2 mV (peak-to-peak) in abductor pollicis brevis, and inhibition was measured as the percentage increase in threshold, when the test stimulus was preceded by a subthreshold conditioning stimulus. This method was used to investigate the dependence of intracortical inhibition on conditioning stimulus parameters and on voluntary activity. Interstimulus interval (ISI) was first stepped from 1 to 4.5 ms, as inhibition was measured using conditioning stimuli of fixed amplitude (50-90% resting motor threshold). Maximal inhibition was produced at ISIs of 1 and 2.5 ms. The effect of conditioning stimulus intensity was then assessed at these ISIs. Inhibition occurred at significantly lower conditioning stimulus intensities with ISI=1 ms than with ISI=2.5 ms. Voluntary activity reduced inhibition at both ISIs, but had a much greater effect on inhibition at ISI=2.5 ms. Inhibition during voluntary activity was also examined for single motor units in first dorsal interosseous by generating poststimulus time histograms. Inhibition, indicated by a reduction in the later peaks of increased firing, was observed with ISI=1 ms, but not with ISI=2.5 ms. We conclude that there are two distinct phases of inhibition, occurring at ISI=1 ms and ISI=2.5 ms, differing both in thresholds and susceptibility to voluntary activity.

摘要

采用一种新的计算机辅助阈值跟踪方法,通过配对脉冲经颅磁刺激,对正常人类志愿者的皮质内抑制进行了研究。运动阈值定义为在拇短展肌中诱发峰峰值为0.2 mV的运动诱发电位所需的刺激强度,当测试刺激之前施加阈下条件刺激时,抑制以阈值增加的百分比来衡量。该方法用于研究皮质内抑制对条件刺激参数和自主活动的依赖性。首先将刺激间隔(ISI)从1毫秒逐步调整到4.5毫秒,因为使用固定强度(静息运动阈值的50 - 90%)的条件刺激来测量抑制。在ISI为1毫秒和2.5毫秒时产生最大抑制。然后在这些ISI下评估条件刺激强度的影响。与ISI = 2.5毫秒相比,ISI = 1毫秒时,在显著更低的条件刺激强度下就会出现抑制。自主活动在两个ISI下均降低了抑制,但对ISI = 2.5毫秒时的抑制影响更大。还通过生成刺激后时间直方图,对第一背侧骨间肌中的单个运动单位在自主活动期间的抑制进行了研究。在ISI = 1毫秒时观察到抑制,表现为放电增加的后期峰值减少,但在ISI = 2.5毫秒时未观察到。我们得出结论,存在两个不同的抑制阶段,分别出现在ISI = 1毫秒和ISI = 2.5毫秒,在阈值和对自主活动的敏感性方面均有所不同。

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