PMID- 19686433 OWN - NLM STAT- MEDLINE DCOM- 20091027 LR - 20090818 IS - 1460-9568 (Electronic) IS - 0953-816X (Linking) VI - 30 IP - 3 DP - 2009 Aug TI - Afferent-induced facilitation of primary motor cortex excitability in the region controlling hand muscles in humans. PG - 439-48 LID - 10.1111/j.1460-9568.2009.06815.x [doi] AB - Sensory inputs from cutaneous and limb receptors are known to influence motor cortex network excitability. Although most recent studies have focused on the inhibitory influences of afferent inputs on arm motor responses evoked by transcranial magnetic stimulation (TMS), facilitatory effects are rarely considered. In the present work, we sought to establish how proprioceptive sensory inputs modulate the excitability of the primary motor cortex region controlling certain hand and wrist muscles. Suprathreshold TMS pulses were preceded either by median nerve stimulation (MNS) or index finger stimulation with interstimulus intervals (ISIs) ranging from 20 to 200 ms (with particular focus on 40-80 ms). Motor-evoked potentials recorded in the abductor pollicis brevis (APB), first dorsalis interosseus and extensor carpi radialis muscles were strongly facilitated (by up to 150%) by MNS with ISIs of around 60 ms, whereas digit stimulation had only a weak effect. When MNS was delivered at the interval that evoked the optimal facilitatory effect, the H-reflex amplitude remained unchanged and APB motor responses evoked with transcranial electric stimulation were not increased as compared with TMS. Afferent-induced facilitation and short-latency intracortical inhibition (SICI) and intracortical facilitation (ICF) mechanisms are likely to interact in cortical circuits, as suggested by the strong facilitation observed when MNS was delivered concurrently with ICF and the reduction of SICI following MNS. We conclude that afferent-induced facilitation is a mechanism which probably involves muscle spindle afferents and should be considered when studying sensorimotor integration mechanisms in healthy and disease situations. FAU - Devanne, H AU - Devanne H AD - Neurophysiologie Clinique, CHRU Lille, Hopital Roger Salengro, Lille Cedex, France. h-devanne@chru-lille.fr FAU - Degardin, A AU - Degardin A FAU - Tyvaert, L AU - Tyvaert L FAU - Bocquillon, P AU - Bocquillon P FAU - Houdayer, E AU - Houdayer E FAU - Manceaux, A AU - Manceaux A FAU - Derambure, P AU - Derambure P FAU - Cassim, F AU - Cassim F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090707 PL - France TA - Eur J Neurosci JT - The European journal of neuroscience JID - 8918110 SB - IM MH - Adult MH - Afferent Pathways/*physiology MH - Electric Stimulation MH - Evoked Potentials, Motor/*physiology MH - Female MH - H-Reflex/physiology MH - Hand/*innervation/physiology MH - Humans MH - Male MH - Median Nerve/physiology MH - Motor Cortex/*physiology MH - Muscle, Skeletal/*innervation/physiology MH - Transcranial Magnetic Stimulation EDAT- 2009/08/19 09:00 MHDA- 2009/10/29 06:00 CRDT- 2009/08/19 09:00 PHST- 2009/08/19 09:00 [entrez] PHST- 2009/08/19 09:00 [pubmed] PHST- 2009/10/29 06:00 [medline] AID - EJN6815 [pii] AID - 10.1111/j.1460-9568.2009.06815.x [doi] PST - ppublish SO - Eur J Neurosci. 2009 Aug;30(3):439-48. doi: 10.1111/j.1460-9568.2009.06815.x. Epub 2009 Jul 7.