PMID- 16078031 OWN - NLM STAT- MEDLINE DCOM- 20060329 LR - 20181113 IS - 0014-4819 (Print) IS - 0014-4819 (Linking) VI - 167 IP - 3 DP - 2005 Dec TI - Sensorimotor integration to cutaneous afferents in humans: the effect of the size of the receptive field. PG - 362-9 AB - Transcranial magnetic stimulation (TMS) can be used to study sensorimotor integration in humans non-invasively. Motor excitability has been found to be inhibited when afferent stimuli are given to a peripheral nerve and precede TMS at interstimulus intervals (ISIs) of 20-50 ms. This phenomenon has been referred to as short-latency afferent inhibition (SAI). To better understand the functional meaning of these phenomena, we examined the effect of the size of the receptive field on SAI to cutaneous afferents in upper-limb sensorimotor areas in humans. We examined the effect of the stimulation of the isolated right first (D1), second (D2) and third finger (D3), the right second and third finger together (D23) and the right first three fingers together (D123) on the amplitude of motor evoked potentials (MEPs) to TMS in hand and forearm muscles. We examined the right abductor pollicis brevis (APB), first dorsal interosseous (FDI), extensor carpi radialis (ECR) and flexor carpi radialis (FCR) muscles. Digital stimulation preceded TMS at ISIs of 20-50 ms. The effect of D2 stimulation was MEP inhibition (SAI), which was more marked and consistent in APB and FDI muscles than in ECR and FCR muscles. Similarly, D1 and D3 stimulation caused MEP reduction, while no MEP enhancement could be found to single finger stimulation. In contrast, D123 stimulation induced less effective SAI in upper-limb muscles. MEP potentiation was recorded in some muscles to D123 stimulation. A significant difference between D2 and D123 stimulation was found in APB (ISIs = 30-50 ms) and FDI (ISIs = 40-50 ms) muscles, but not in forearm muscles. The effect to D23stimulation on MEP amplitude was intermediate between those to D2 and D123 stimulation. Our data suggest that motor excitability to cutaneous afferents may be influenced by the size of the receptive fields, this effect being the result of increasing convergence between hand afferents in the somatosensory system. These phenomena appear to be topographically arranged across the representation of upper-limb muscles. These findings may help to understand the functional significance of SAI in normal physiology and pathophysiology. FAU - Tamburin, Stefano AU - Tamburin S AD - Department of Neurological Sciences and Vision, Section of Neurological Rehabilitation, University of Verona, Verona, Italy. s_tamburin@yahoo.com FAU - Fiaschi, Antonio AU - Fiaschi A FAU - Andreoli, Annalisa AU - Andreoli A FAU - Marani, Silvia AU - Marani S FAU - Zanette, Giampietro AU - Zanette G LA - eng PT - Clinical Trial PT - Journal Article DEP - 20050803 PL - Germany TA - Exp Brain Res JT - Experimental brain research JID - 0043312 SB - IM MH - Adult MH - Electric Stimulation MH - Evoked Potentials, Motor/physiology MH - Female MH - Fingers/physiology MH - Forearm/innervation/physiology MH - Hand/innervation/physiology MH - Humans MH - Male MH - Median Nerve/physiology MH - Muscle, Skeletal/innervation/physiology MH - Neurons, Afferent/*physiology MH - Psychomotor Performance/*physiology MH - Sensory Thresholds/physiology MH - Skin/*innervation MH - Touch/*physiology MH - Transcranial Magnetic Stimulation EDAT- 2005/08/04 09:00 MHDA- 2006/03/30 09:00 CRDT- 2005/08/04 09:00 PHST- 2005/01/12 00:00 [received] PHST- 2005/04/26 00:00 [accepted] PHST- 2005/08/04 09:00 [pubmed] PHST- 2006/03/30 09:00 [medline] PHST- 2005/08/04 09:00 [entrez] AID - 10.1007/s00221-005-0041-y [doi] PST - ppublish SO - Exp Brain Res. 2005 Dec;167(3):362-9. doi: 10.1007/s00221-005-0041-y. Epub 2005 Aug 3.