PMID- 33477434 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210218 IS - 2076-3425 (Print) IS - 2076-3425 (Electronic) IS - 2076-3425 (Linking) VI - 11 IP - 1 DP - 2021 Jan 18 TI - Modulation of Motor Cortex Plasticity by Repetitive Paired-Pulse TMS at Late I-Wave Intervals Is Influenced by Intracortical Excitability. LID - 10.3390/brainsci11010121 [doi] LID - 121 AB - The late indirect (I)-waves recruited by transcranial magnetic stimulation (TMS) over primary motor cortex (M1) can be modulated using I-wave periodicity repetitive TMS (iTMS). The purpose of this study was to determine if the response to iTMS is influenced by different interstimulus intervals (ISIs) targeting late I-waves, and whether these responses were associated with individual variations in intracortical excitability. Seventeen young (27.2 +/- 6.4 years, 12 females) healthy adults received iTMS at late I-wave intervals (4.0, 4.5, and 5.0 ms) in three separate sessions. Changes due to each intervention were examined with motor evoked potential (MEP) amplitudes and short-interval intracortical facilitation (SICF) using both posterior-anterior (PA) and anterior-posterior (AP) TMS current directions. Changes in MEP amplitude and SICF were influenced by iTMS ISI, with the greatest facilitation for ISIs at 4 and 5 ms with PA TMS, and 4 ms with AP TMS. Maximum SICF at baseline (irrespective of ISI) was associated with increased iTMS response, but only for PA stimulation. These results suggest that modifying iTMS parameters targeting late I-waves can influence M1 plasticity. They also suggest that maximum SICF may be a means by which responders to iTMS targeting the late I-waves could be identified. FAU - Opie, George M AU - Opie GM AD - Discipline of Physiology, Adelaide Medical School, The University of Adelaide, Adelaide 5005, Australia. FAU - Sasaki, Ryoki AU - Sasaki R AD - Discipline of Physiology, Adelaide Medical School, The University of Adelaide, Adelaide 5005, Australia. FAU - Hand, Brodie J AU - Hand BJ AD - Discipline of Physiology, Adelaide Medical School, The University of Adelaide, Adelaide 5005, Australia. FAU - Semmler, John G AU - Semmler JG AUID- ORCID: 0000-0003-0260-8047 AD - Discipline of Physiology, Adelaide Medical School, The University of Adelaide, Adelaide 5005, Australia. LA - eng GR - DP200101009/Australian Research Council/ GR - 1139723/National Health and Medical Research Council/ GR - 201830079/Uehara Memorial Foundation/ PT - Journal Article DEP - 20210118 PL - Switzerland TA - Brain Sci JT - Brain sciences JID - 101598646 PMC - PMC7829868 OTO - NOTNLM OT - I-wave periodicity repetitive TMS OT - ageing OT - corticospinal descending volley OT - motor cortex OT - short-interval intracortical facilitation OT - transcranial magnetic stimulation COIS- The authors declare no conflict of interest. EDAT- 2021/01/23 06:00 MHDA- 2021/01/23 06:01 PMCR- 2021/01/18 CRDT- 2021/01/22 01:02 PHST- 2020/12/04 00:00 [received] PHST- 2021/01/13 00:00 [revised] PHST- 2021/01/15 00:00 [accepted] PHST- 2021/01/22 01:02 [entrez] PHST- 2021/01/23 06:00 [pubmed] PHST- 2021/01/23 06:01 [medline] PHST- 2021/01/18 00:00 [pmc-release] AID - brainsci11010121 [pii] AID - brainsci-11-00121 [pii] AID - 10.3390/brainsci11010121 [doi] PST - epublish SO - Brain Sci. 2021 Jan 18;11(1):121. doi: 10.3390/brainsci11010121.