Chong Benjamin W X, Stinear Cathy M
Department of Medicine, University of Auckland, Auckland, New Zealand.
Department of Medicine, University of Auckland, Auckland, New Zealand
J Neurophysiol. 2017 Apr 1;117(4):1776-1784. doi: 10.1152/jn.00549.2016. Epub 2017 Jan 25.
Motor imagery (MI) is similar to overt movement, engaging common neural substrates and facilitating the corticomotor pathway; however, it does not result in excitatory descending motor output. Transcranial magnetic stimulation (TMS) can be used to assess inhibitory networks in the primary motor cortex via measures of 1-ms short-interval intracortical inhibition (SICI), long-interval intracortical inhibition (LICI), and late cortical disinhibition (LCD). These measures are thought to reflect extrasynaptic GABA tonic inhibition, postsynaptic GABA inhibition, and presynaptic GABA disinhibition, respectively. The behavior of 1-ms SICI, LICI, and LCD during MI has not yet been explored. This study aimed to investigate how 1-ms SICI, LICI, and LCD are modulated during MI and voluntary relaxation (VR) of a target muscle. Twenty-five healthy young adults participated. TMS was used to assess nonconditioned motor evoked potential (MEP) amplitude, 1-ms SICI, 100- (LICI) and 150-ms LICI, and LCD in the right abductor pollicis brevis (APB) and right abductor digiti minimi during rest, MI, and VR of the hand. Compared with rest, MEP amplitudes were facilitated in APB during MI. SICI was not affected by task or muscle. LICI decreased in both muscles during VR but not MI, whereas LCD was recruited in both muscles during both tasks. This indicates that VR modulates postsynaptic GABA inhibition, whereas both tasks modulate presynaptic GABA inhibition in a non-muscle-specific way. This study highlights further neurophysiological parallels between actual and imagined movement, which may extend to voluntary relaxation. This is the first study to investigate how 1-ms short-interval intracortical inhibition, long-interval intracortical inhibition, and late cortical disinhibition are modulated during motor imagery and voluntary muscle relaxation. We present novel findings of decreased 100-ms long-interval intracortical inhibition during voluntary muscle relaxation and increased late cortical disinhibition during both motor imagery and voluntary muscle relaxation.
运动想象(MI)类似于明显的运动,涉及共同的神经基质并促进皮质运动通路;然而,它不会导致兴奋性下行运动输出。经颅磁刺激(TMS)可用于通过测量1毫秒短间隔皮质内抑制(SICI)、长间隔皮质内抑制(LICI)和晚期皮质去抑制(LCD)来评估初级运动皮层中的抑制网络。这些测量分别被认为反映了突触外GABA紧张性抑制、突触后GABA抑制和突触前GABA去抑制。1毫秒SICI、LICI和LCD在运动想象期间的行为尚未得到探索。本研究旨在调查在目标肌肉的运动想象和自主放松(VR)过程中,1毫秒SICI、LICI和LCD是如何被调节的。25名健康的年轻成年人参与了研究。在手部休息、运动想象和自主放松期间,使用TMS评估右侧拇短展肌(APB)和右侧小指展肌的非条件运动诱发电位(MEP)幅度、1毫秒SICI、100 - (LICI)和150毫秒LICI以及LCD。与休息相比,运动想象期间APB的MEP幅度增加。SICI不受任务或肌肉的影响。自主放松期间,两块肌肉的LICI均降低,但运动想象期间未降低,而在两项任务期间两块肌肉均出现LCD。这表明自主放松调节突触后GABA抑制,而两项任务均以非肌肉特异性方式调节突触前GABA抑制。本研究突出了实际运动和想象运动之间进一步的神经生理学相似性,这可能延伸至自主放松。这是第一项研究在运动想象和自主肌肉放松期间1毫秒短间隔皮质内抑制、长间隔皮质内抑制和晚期皮质去抑制是如何被调节的。我们呈现了新的发现,即自主肌肉放松期间100毫秒长间隔皮质内抑制降低,运动想象和自主肌肉放松期间晚期皮质去抑制增加。