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可预测的经颅磁刺激抑制皮质脊髓兴奋性:一项经颅磁刺激实验

Predictable transcranial magnetic stimulation suppresses corticospinal excitability: a TMS experiment.

作者信息

Sriutaisuk Napat, Franz Elizabeth A

机构信息

Action Brain and Cognition Lab, Department of Psychology, University of Otago, Dunedin, New Zealand.

William James Building, 4th Floor 412, Psychology, 275 Leith Walk, Dunedin, 9016, New Zealand.

出版信息

Exp Brain Res. 2025 May 4;243(6):134. doi: 10.1007/s00221-025-07091-y.

DOI:10.1007/s00221-025-07091-y
PMID:40319439
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12050229/
Abstract

Motor skill learning plays a crucial role in human functioning and is often studied using transcranial magnetic stimulation (TMS) to assess corticospinal excitability (CSE). CSE, which reflects the motor system's responsiveness, is compared across experimental conditions to determine whether a factor facilitates or inhibits motor skill learning. However, variability in stimulation predictability may confound interpretation of CSE measures. In this study, we examined the impact of TMS predictability on CSE by comparing motor-evoked potential (MEP) responses under predictable and unpredictable conditions. Twenty right-handed participants underwent TMS-EMG recordings while observing either a predictable visual cue (a moving white bar) or an unpredictable visual cue (a static white bar). MEP amplitudes were recorded from the first dorsal interosseous (FDI) muscle and normalized across participants. Results showed that unpredictable TMS produced significantly larger MEP amplitudes compared to predictable stimulation. The findings suggest that the predictability of TMS substantially modulates CSE, potentially confounding the results in previous TMS studies on action observation and motor facilitation. Ensuring consistent stimulation predictability across experimental conditions is therefore essential for accurately interpreting TMS-induced CSE changes.

摘要

运动技能学习在人类机能中起着至关重要的作用,并且经常使用经颅磁刺激(TMS)来研究,以评估皮质脊髓兴奋性(CSE)。CSE反映了运动系统的反应性,在不同实验条件下对其进行比较,以确定某个因素是促进还是抑制运动技能学习。然而,刺激可预测性的变化可能会混淆对CSE测量结果的解释。在本研究中,我们通过比较可预测和不可预测条件下的运动诱发电位(MEP)反应,研究了TMS可预测性对CSE的影响。20名右利手参与者在观察可预测视觉线索(移动的白色条)或不可预测视觉线索(静态白色条)时接受了TMS-EMG记录。从第一背侧骨间肌(FDI)记录MEP振幅,并在参与者之间进行标准化。结果表明,与可预测刺激相比,不可预测的TMS产生的MEP振幅明显更大。研究结果表明,TMS的可预测性会显著调节CSE,这可能会混淆先前关于动作观察和运动促进的TMS研究结果。因此,确保不同实验条件下刺激可预测性的一致性对于准确解释TMS诱导的CSE变化至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7e6/12050229/d8669a3f463e/221_2025_7091_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7e6/12050229/0c92a091693f/221_2025_7091_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7e6/12050229/13410799ca54/221_2025_7091_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7e6/12050229/d8669a3f463e/221_2025_7091_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7e6/12050229/0c92a091693f/221_2025_7091_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7e6/12050229/13410799ca54/221_2025_7091_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7e6/12050229/d8669a3f463e/221_2025_7091_Fig3_HTML.jpg

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本文引用的文献

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State-Dependent Motor Cortex Stimulation Reveals Distinct Mechanisms for Corticospinal Excitability and Cortical Responses.状态依赖的运动皮层刺激揭示了皮质脊髓兴奋性和皮层反应的不同机制。
eNeuro. 2024 Nov 26;11(11). doi: 10.1523/ENEURO.0450-24.2024. Print 2024 Nov.
2
When Corticospinal Inhibition Favors an Efficient Motor Response.当皮质脊髓抑制有利于高效运动反应时。
Biology (Basel). 2023 Feb 20;12(2):332. doi: 10.3390/biology12020332.
3
Covariation of the amplitude and latency of motor evoked potentials elicited by transcranial magnetic stimulation in a resting hand muscle.
经颅磁刺激诱发静息手部肌肉运动诱发电位的幅度和潜伏期的变化。
Exp Brain Res. 2023 Mar;241(3):927-936. doi: 10.1007/s00221-023-06575-z. Epub 2023 Feb 22.
4
Expected TMS excites the motor system less effectively than unexpected stimulation.预期的 TMS 刺激比意外刺激对运动系统的激发效果更差。
Neuroimage. 2021 Feb 1;226:117541. doi: 10.1016/j.neuroimage.2020.117541. Epub 2020 Nov 11.
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Motor imagery alone drives corticospinal excitability during concurrent action observation and motor imagery.在同时进行动作观察和运动想象时,仅运动想象就能驱动皮质脊髓兴奋性。
Cortex. 2020 May;126:322-333. doi: 10.1016/j.cortex.2020.01.012. Epub 2020 Feb 1.
6
Development and characterization of the InVesalius Navigator software for navigated transcranial magnetic stimulation.开发并描述了用于经颅磁刺激导航的 InVesalius Navigator 软件。
J Neurosci Methods. 2018 Nov 1;309:109-120. doi: 10.1016/j.jneumeth.2018.08.023. Epub 2018 Aug 24.
7
Observation of an action with a congruent contextual background facilitates corticospinal excitability: A combined TMS and eye-tracking experiment.动作观察与一致的上下文背景促进皮质脊髓兴奋性:一项 TMS 和眼动追踪实验的联合研究。
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8
Directing visual attention during action observation modulates corticospinal excitability.在动作观察过程中引导视觉注意力会调节皮质脊髓兴奋性。
PLoS One. 2018 Jan 5;13(1):e0190165. doi: 10.1371/journal.pone.0190165. eCollection 2018.
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