Title
Measuring Contralateral Silent Period Induced by Single-Pulse Transcranial Magnetic Stimulation to Investigate M1 Corticospinal Inhibition
Date Issued
23 August 2022
Access level
metadata only access
Resource Type
journal article
Author(s)
Rebello-Sanchez I.
Parente J.
Marduy A.
Pimenta D.C.
Lima D.
Slawka E.
Cardenas-Rojas A.
Rosa G.R.
Nazim K.
Datta A.
Fregni F.
Publisher(s)
Journal of Visualized Experiments
Abstract
Contralateral silent period (cSP) is a period of suppression in the background electrical muscle activity captured by electromyography (EMG) after a motor evoked potential (MEP). To obtain this, an MEP is elicited by a suprathreshold transcranial magnetic stimulation (TMS) pulse delivered to the primary motor cortex (M1) of the target muscle selected, while the participant provides a standardized voluntary target muscle contraction. The cSP is a result of inhibitory mechanisms that occur after the MEP; it provides a broad temporal assessment of spinal inhibition in its initial ~50 ms, and cortical inhibition after. Researchers have tried to better understand the neurobiological mechanism behind the cSP to validate it as a potential diagnostic, surrogate, and predictive biomarker for different neuropsychiatric diseases. Therefore, this article describes a method to measure M1 cSP of lower and upper limbs, including a selection of target muscle, electrode placement, coil positioning, method of measuring voluntary contraction stimulation, intensity setup, and data analysis to obtain a representative result. It has the educational objective of giving a visual guideline in performing a feasible, reliable, and reproducible cSP protocol for lower and upper limbs and discussing practical challenges of this technique.
Issue
186
Language
English
OCDE Knowledge area
Neurología clínica
Scopus EID
2-s2.0-85138440841
PubMed ID
Source
Journal of visualized experiments : JoVE
ISSN of the container
1940087X
Sources of information: Directorio de Producción Científica Scopus