The Influence of Different Inter-Trial Intervals on the Quantification of Intracortical Facilitation in the Primary Motor Cortex

Intracortical facilitation (ICF) is a paired-pulse transcranial magnetic stimulation (TMS) measurement used to quantify interneuron activity in the primary motor cortex (M1) in healthy populations and motor disorders. Due to the prevalence of the technique, most of the stimulation parameters to opti...

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Main Authors: Milan Pantovic, Rhett Boss, Kevin J. Noorda, Mario I. Premyanov, Daniel G. Aynlender, Erik W. Wilkins, Sage Boss, Zachary A. Riley, Brach Poston
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Bioengineering
Subjects:
Online Access:https://www.mdpi.com/2306-5354/10/11/1278
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author Milan Pantovic
Rhett Boss
Kevin J. Noorda
Mario I. Premyanov
Daniel G. Aynlender
Erik W. Wilkins
Sage Boss
Zachary A. Riley
Brach Poston
author_facet Milan Pantovic
Rhett Boss
Kevin J. Noorda
Mario I. Premyanov
Daniel G. Aynlender
Erik W. Wilkins
Sage Boss
Zachary A. Riley
Brach Poston
author_sort Milan Pantovic
collection DOAJ
description Intracortical facilitation (ICF) is a paired-pulse transcranial magnetic stimulation (TMS) measurement used to quantify interneuron activity in the primary motor cortex (M1) in healthy populations and motor disorders. Due to the prevalence of the technique, most of the stimulation parameters to optimize ICF quantification have been established. However, the underappreciated methodological issue of the time between ICF trials (inter-trial interval; ITI) has been unstandardized, and different ITIs have never been compared in a paired-pulse TMS study. This is important because single-pulse TMS studies have found motor evoked potential (MEP) amplitude reductions over time during TMS trial blocks for short, but not long ITIs. The primary purpose was to determine the influence of different ITIs on the measurement of ICF. Twenty adults completed one experimental session that involved 4 separate ICF trial blocks with each utilizing a different ITI (4, 6, 8, and 10 s). Two-way ANOVAs indicated no significant ITI main effects for test MEP amplitudes, condition-test MEP amplitudes, and therefore ICF. Accordingly, all ITIs studied provided nearly identical ICF values when averaged over entire trial blocks. Therefore, it is recommended that ITIs of 4–6 s be utilized for ICF quantification to optimize participant comfort and experiment time efficiency.
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spelling doaj.art-242274308ccf4acba3f151f41e8968312023-11-24T14:29:47ZengMDPI AGBioengineering2306-53542023-11-011011127810.3390/bioengineering10111278The Influence of Different Inter-Trial Intervals on the Quantification of Intracortical Facilitation in the Primary Motor CortexMilan Pantovic0Rhett Boss1Kevin J. Noorda2Mario I. Premyanov3Daniel G. Aynlender4Erik W. Wilkins5Sage Boss6Zachary A. Riley7Brach Poston8Health and Human Performance Department, Utah Tech University, St. George, UT 84770, USASchool of Medicine, University of Nevada-Las Vegas, Las Vegas, NV 89154, USASchool of Medicine, University of Nevada-Las Vegas, Las Vegas, NV 89154, USASchool of Medicine, University of Nevada-Las Vegas, Las Vegas, NV 89154, USASchool of Medicine, University of Nevada-Las Vegas, Las Vegas, NV 89154, USADepartment of Kinesiology and Nutrition Sciences, University of Nevada-Las Vegas, Las Vegas, NV 89154, USASchool of Life Sciences, University of Nevada-Las Vegas, Las Vegas, NV 89154, USADepartment of Kinesiology, Indiana University Purdue University Indianapolis, Indianapolis, IN 46202, USADepartment of Kinesiology and Nutrition Sciences, University of Nevada-Las Vegas, Las Vegas, NV 89154, USAIntracortical facilitation (ICF) is a paired-pulse transcranial magnetic stimulation (TMS) measurement used to quantify interneuron activity in the primary motor cortex (M1) in healthy populations and motor disorders. Due to the prevalence of the technique, most of the stimulation parameters to optimize ICF quantification have been established. However, the underappreciated methodological issue of the time between ICF trials (inter-trial interval; ITI) has been unstandardized, and different ITIs have never been compared in a paired-pulse TMS study. This is important because single-pulse TMS studies have found motor evoked potential (MEP) amplitude reductions over time during TMS trial blocks for short, but not long ITIs. The primary purpose was to determine the influence of different ITIs on the measurement of ICF. Twenty adults completed one experimental session that involved 4 separate ICF trial blocks with each utilizing a different ITI (4, 6, 8, and 10 s). Two-way ANOVAs indicated no significant ITI main effects for test MEP amplitudes, condition-test MEP amplitudes, and therefore ICF. Accordingly, all ITIs studied provided nearly identical ICF values when averaged over entire trial blocks. Therefore, it is recommended that ITIs of 4–6 s be utilized for ICF quantification to optimize participant comfort and experiment time efficiency.https://www.mdpi.com/2306-5354/10/11/1278transcranial magnetic stimulationmotor evoked potentialintracortical facilitationshort-interval intracortical inhibitionelectromyography
spellingShingle Milan Pantovic
Rhett Boss
Kevin J. Noorda
Mario I. Premyanov
Daniel G. Aynlender
Erik W. Wilkins
Sage Boss
Zachary A. Riley
Brach Poston
The Influence of Different Inter-Trial Intervals on the Quantification of Intracortical Facilitation in the Primary Motor Cortex
Bioengineering
transcranial magnetic stimulation
motor evoked potential
intracortical facilitation
short-interval intracortical inhibition
electromyography
title The Influence of Different Inter-Trial Intervals on the Quantification of Intracortical Facilitation in the Primary Motor Cortex
title_full The Influence of Different Inter-Trial Intervals on the Quantification of Intracortical Facilitation in the Primary Motor Cortex
title_fullStr The Influence of Different Inter-Trial Intervals on the Quantification of Intracortical Facilitation in the Primary Motor Cortex
title_full_unstemmed The Influence of Different Inter-Trial Intervals on the Quantification of Intracortical Facilitation in the Primary Motor Cortex
title_short The Influence of Different Inter-Trial Intervals on the Quantification of Intracortical Facilitation in the Primary Motor Cortex
title_sort influence of different inter trial intervals on the quantification of intracortical facilitation in the primary motor cortex
topic transcranial magnetic stimulation
motor evoked potential
intracortical facilitation
short-interval intracortical inhibition
electromyography
url https://www.mdpi.com/2306-5354/10/11/1278
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