Phase and power modulations on the amplitude of TMS-induced motor evoked potentials.

The evaluation of transcranial magnetic stimulation (TMS)-induced motor evoked potentials (MEPs) promises valuable information about fundamental brain related mechanisms and may serve as a diagnostic tool for clinical monitoring of therapeutic progress or surgery procedures. However, reports about s...

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Main Authors: Lukas Schilberg, Sanne Ten Oever, Teresa Schuhmann, Alexander T Sack
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0255815
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author Lukas Schilberg
Sanne Ten Oever
Teresa Schuhmann
Alexander T Sack
author_facet Lukas Schilberg
Sanne Ten Oever
Teresa Schuhmann
Alexander T Sack
author_sort Lukas Schilberg
collection DOAJ
description The evaluation of transcranial magnetic stimulation (TMS)-induced motor evoked potentials (MEPs) promises valuable information about fundamental brain related mechanisms and may serve as a diagnostic tool for clinical monitoring of therapeutic progress or surgery procedures. However, reports about spontaneous fluctuations of MEP amplitudes causing high intra-individual variability have led to increased concerns about the reliability of this measure. One possible cause for high variability of MEPs could be neuronal oscillatory activity, which reflects fluctuations of membrane potentials that systematically increase and decrease the excitability of neuronal networks. Here, we investigate the dependence of MEP amplitude on oscillation power and phase by combining the application of single pulse TMS over the primary motor cortex with concurrent recordings of electromyography and electroencephalography. Our results show that MEP amplitude is correlated to alpha phase, alpha power as well as beta phase. These findings may help explain corticospinal excitability fluctuations by highlighting the modulatory effect of alpha and beta phase on MEPs. In the future, controlling for such a causal relationship may allow for the development of new protocols, improve this method as a (diagnostic) tool and increase the specificity and efficacy of general TMS applications.
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spelling doaj.art-22a21cf381e94e8298bbe60446f964cb2022-12-21T19:09:47ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01169e025581510.1371/journal.pone.0255815Phase and power modulations on the amplitude of TMS-induced motor evoked potentials.Lukas SchilbergSanne Ten OeverTeresa SchuhmannAlexander T SackThe evaluation of transcranial magnetic stimulation (TMS)-induced motor evoked potentials (MEPs) promises valuable information about fundamental brain related mechanisms and may serve as a diagnostic tool for clinical monitoring of therapeutic progress or surgery procedures. However, reports about spontaneous fluctuations of MEP amplitudes causing high intra-individual variability have led to increased concerns about the reliability of this measure. One possible cause for high variability of MEPs could be neuronal oscillatory activity, which reflects fluctuations of membrane potentials that systematically increase and decrease the excitability of neuronal networks. Here, we investigate the dependence of MEP amplitude on oscillation power and phase by combining the application of single pulse TMS over the primary motor cortex with concurrent recordings of electromyography and electroencephalography. Our results show that MEP amplitude is correlated to alpha phase, alpha power as well as beta phase. These findings may help explain corticospinal excitability fluctuations by highlighting the modulatory effect of alpha and beta phase on MEPs. In the future, controlling for such a causal relationship may allow for the development of new protocols, improve this method as a (diagnostic) tool and increase the specificity and efficacy of general TMS applications.https://doi.org/10.1371/journal.pone.0255815
spellingShingle Lukas Schilberg
Sanne Ten Oever
Teresa Schuhmann
Alexander T Sack
Phase and power modulations on the amplitude of TMS-induced motor evoked potentials.
PLoS ONE
title Phase and power modulations on the amplitude of TMS-induced motor evoked potentials.
title_full Phase and power modulations on the amplitude of TMS-induced motor evoked potentials.
title_fullStr Phase and power modulations on the amplitude of TMS-induced motor evoked potentials.
title_full_unstemmed Phase and power modulations on the amplitude of TMS-induced motor evoked potentials.
title_short Phase and power modulations on the amplitude of TMS-induced motor evoked potentials.
title_sort phase and power modulations on the amplitude of tms induced motor evoked potentials
url https://doi.org/10.1371/journal.pone.0255815
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