期刊
EUROPEAN JOURNAL OF NEUROSCIENCE
卷 29, 期 4, 页码 833-836出版社
WILEY
DOI: 10.1111/j.1460-9568.2009.06628.x
关键词
motor practice; paradoxical facilitation; plasticity; transcranial magnetic stimulation
资金
- Harvard-Thorndike General Clinical Research Center
- National Center for Research Resources [MO1RR01032]
- NIH [K24RR018875, RO1NS20068, R01EB 005047, RO1NS47754, RO1DC05672]
- Uehara Memorial Foundation
The primary motor cortex (M1) plays a critical role in early aspects of motor skill learning. Given the notion of inter-hemispheric competition, unilateral disruption of M1 may increase excitability of the unaffected motor cortex and thus improve motor learning with the ipsilateral hand. We applied slow-frequency repetitive transcranial magnetic stimulation (rTMS) before the initiation of practice of a simple motor skill. Participants were randomly divided into three stimulation groups: (i) ipsilateral M1; (ii) contralateral M1; and (iii) Cz (control site). The mean execution time and error rate were recorded in four sessions distributed over 2 days. Disruption of M1 with rTMS slowed down skill acquisition with the contralateral hand, albeit non significantly, but paradoxically enhanced learning with the ipsilateral hand. This was evidenced by a significant decrease of execution time at the end of day 1 in the group that received rTMS over the ipsilateral M1 compared with both control groups (Cz and contralateral M1 stimulation). This supports the notion of inter-hemispheric competition and provides novel insights that may be applicable to neurorehabilitation.
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