Turco Claudia V, El-Sayes Jenin, Savoie Mitchell J, Fassett Hunter J, Locke Mitchell B, Nelson Aimee J
Department of Kinesiology, McMaster University, Canada.
Brain Stimul. 2018 Jan-Feb;11(1):59-74. doi: 10.1016/j.brs.2017.09.009. Epub 2017 Sep 20.
Transcranial magnetic stimulation (TMS) is an ideal technique for non-invasively stimulating the brain and assessing intracortical processes. By delivering electrical stimuli to a peripheral nerve prior to a TMS pulse directed to the motor cortex, the excitability and integrity of the sensorimotor system can be probed at short and long time intervals (short latency afferent inhibition, long latency afferent inhibition). The goal of this review is to detail the experimental factors that influence the magnitude and timing of afferent inhibition in the upper limb and these include the intensity of nerve and TMS delivery, and the nerve composition. Second, the neural mechanisms of SAI are discussed highlighting the lack of existing knowledge pertaining to LAI. Third, the usage of SAI and LAI as a tool to probe cognition and sensorimotor function is explored with suggestions for future avenues of research.
经颅磁刺激(TMS)是一种用于非侵入性刺激大脑并评估皮质内过程的理想技术。通过在将TMS脉冲导向运动皮层之前向周围神经传递电刺激,可以在短时间和长时间间隔内探测感觉运动系统的兴奋性和完整性(短潜伏期传入抑制、长潜伏期传入抑制)。本综述的目的是详细阐述影响上肢传入抑制的幅度和时间的实验因素,这些因素包括神经和TMS传递的强度以及神经组成。其次,讨论了短潜伏期传入抑制的神经机制,强调了关于长潜伏期传入抑制的现有知识的不足。第三,探讨了将短潜伏期传入抑制和长潜伏期传入抑制用作探测认知和感觉运动功能的工具,并对未来的研究途径提出了建议。