Inter-pulse Interval Affects the Size of Single-pulse TMS-induced Motor Evoked Potentials: a Reliability Study

Introduction: Measuring the size of motor evoked potentials (MEPs) induced by transcranial magnetic stimulation (TMS) is an investigational technique to show the level of corticospinal excitability however, some of the fundamental methodological aspects of TMS (such as the effects of inter-pulse int...

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Main Authors: Bita Vaseghi, Shapour Jaberzadeh, Maryam Zoghi
Format: Article
Language:English
Published: Iran University of Medical Sciences 2015-02-01
Series:Basic and Clinical Neuroscience
Subjects:
Online Access:http://bcn.iums.ac.ir/browse.php?a_code=A-10-567-1&slc_lang=en&sid=1
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author Bita Vaseghi
Shapour Jaberzadeh
Maryam Zoghi
author_facet Bita Vaseghi
Shapour Jaberzadeh
Maryam Zoghi
author_sort Bita Vaseghi
collection DOAJ
description Introduction: Measuring the size of motor evoked potentials (MEPs) induced by transcranial magnetic stimulation (TMS) is an investigational technique to show the level of corticospinal excitability however, some of the fundamental methodological aspects of TMS (such as the effects of inter-pulse intervals (IPI) on MEP size) are not fully understood, this issue raises concerns about the reliability of MEPs, especially in pre-test post-test studies. Methods: MEP size at short and long IPIs was assessed during two separate sessions. Inter- and intra-session reliability of MEP size also was assessed at both short and long IPIs. Results: The results indicated that long IPIs induced larger MEPs (p < 0.05) across all time points. The intra-class correlation coefficient (ICC) indicated high intra- and inter-session reliability for short (0.87 to 0.96) and long (0.80 to 0.97) IPIs respectively. The amplitude of MEPs also had high intersession reliability for short (ICC = 0.87) and long (ICC = 0.80) IPIs. Conclusion: This study provides evidence that the length of IPIs determines the size of MEPs. As a result, it is recommended to add the length of IPI to the international checklist of considerations for TMS application.
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spelling doaj.art-d45780e1b4e340be83ef80226a7dce4a2024-03-02T12:14:08ZengIran University of Medical SciencesBasic and Clinical Neuroscience2008-126X2228-74422015-02-01614451Inter-pulse Interval Affects the Size of Single-pulse TMS-induced Motor Evoked Potentials: a Reliability StudyBita Vaseghi0Shapour Jaberzadeh1Maryam Zoghi2 Monash University Monash University Melbourne University Introduction: Measuring the size of motor evoked potentials (MEPs) induced by transcranial magnetic stimulation (TMS) is an investigational technique to show the level of corticospinal excitability however, some of the fundamental methodological aspects of TMS (such as the effects of inter-pulse intervals (IPI) on MEP size) are not fully understood, this issue raises concerns about the reliability of MEPs, especially in pre-test post-test studies. Methods: MEP size at short and long IPIs was assessed during two separate sessions. Inter- and intra-session reliability of MEP size also was assessed at both short and long IPIs. Results: The results indicated that long IPIs induced larger MEPs (p < 0.05) across all time points. The intra-class correlation coefficient (ICC) indicated high intra- and inter-session reliability for short (0.87 to 0.96) and long (0.80 to 0.97) IPIs respectively. The amplitude of MEPs also had high intersession reliability for short (ICC = 0.87) and long (ICC = 0.80) IPIs. Conclusion: This study provides evidence that the length of IPIs determines the size of MEPs. As a result, it is recommended to add the length of IPI to the international checklist of considerations for TMS application.http://bcn.iums.ac.ir/browse.php?a_code=A-10-567-1&slc_lang=en&sid=1Transcranial magnetic stimulation Motor evoked potential TMS application checklist Reliability
spellingShingle Bita Vaseghi
Shapour Jaberzadeh
Maryam Zoghi
Inter-pulse Interval Affects the Size of Single-pulse TMS-induced Motor Evoked Potentials: a Reliability Study
Basic and Clinical Neuroscience
Transcranial magnetic stimulation
Motor evoked potential
TMS application checklist
Reliability
title Inter-pulse Interval Affects the Size of Single-pulse TMS-induced Motor Evoked Potentials: a Reliability Study
title_full Inter-pulse Interval Affects the Size of Single-pulse TMS-induced Motor Evoked Potentials: a Reliability Study
title_fullStr Inter-pulse Interval Affects the Size of Single-pulse TMS-induced Motor Evoked Potentials: a Reliability Study
title_full_unstemmed Inter-pulse Interval Affects the Size of Single-pulse TMS-induced Motor Evoked Potentials: a Reliability Study
title_short Inter-pulse Interval Affects the Size of Single-pulse TMS-induced Motor Evoked Potentials: a Reliability Study
title_sort inter pulse interval affects the size of single pulse tms induced motor evoked potentials a reliability study
topic Transcranial magnetic stimulation
Motor evoked potential
TMS application checklist
Reliability
url http://bcn.iums.ac.ir/browse.php?a_code=A-10-567-1&slc_lang=en&sid=1
work_keys_str_mv AT bitavaseghi interpulseintervalaffectsthesizeofsinglepulsetmsinducedmotorevokedpotentialsareliabilitystudy
AT shapourjaberzadeh interpulseintervalaffectsthesizeofsinglepulsetmsinducedmotorevokedpotentialsareliabilitystudy
AT maryamzoghi interpulseintervalaffectsthesizeofsinglepulsetmsinducedmotorevokedpotentialsareliabilitystudy