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The Effect of Bilateral Isometric Forces in Different Directions on Motor Cortical Function in Humans

机译:不同方向的双向等距作用力对人体运动皮质功能的影响

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摘要

The activity in the primary motor cortex (M1) reflects the direction of movements, but little is known about physiological changes in the M1 during generation of bilateral isometric forces in different directions. Here, we used transcranial magnetic stimulation to examine motor evoked potentials (MEPs), short-interval intracortical inhibition (SICI), and interhemispheric inhibition (IHI) in the left first dorsal interosseous (FDI) during isometric index finger abduction while the right index finger remained at rest or performed isometric forces in different directions (abduction or adduction) and in different postures (prone and supine). Left FDI MEPs were suppressed during bilateral compared with unilateral forces, with a stronger suppression when the right index finger force was exerted in the adduction direction regardless of hand posture. IHI targeting the left FDI increased during bilateral compared with unilateral forces and this increase was stronger during right index finger adduction despite the posture of the right hand. SICI decreased to a similar extent during both bilateral forces in both hand postures. Thus generation of index finger isometric forces away from the body midline (adduction direction), regardless of the muscle engaged in the task, down-regulates corticospinal output in the contralateral active hand to a greater extent than forces exerted toward the body midline (abduction direction). Transcallosal inhibition, but not GABAergic intracortical circuits, was modulated by the direction of the force. These findings suggest that during generation of bimanual isometric forces the M1 is driven by “extrinsic” parameters related to the hand action.
机译:初级运动皮层(M1)中的活动反映了运动的方向,但对于在不同方向上产生双向等距力的过程中M1中的生理变化知之甚少。在这里,我们使用经颅磁刺激检查等距食指外展时左第一背骨间(FDI)的运动诱发电位(MEP),短间隔皮质内抑制(SICI)和半球间抑制(IHI),而右食指保持静止或以不同方向(外展或内收)和以不同姿势(俯卧和仰卧)施加等距力。与单侧力相比,双侧左FDI MEP受到抑制,而在右手食指力沿内收方向施加力时,不管手的姿势如何,其抑制作用都更强。与单边力量相比,针对左外国直接投资的IHI有所增加,尽管右手的姿势,但在右手食指内收时这种增加更为明显。在两个双边姿势的双边力量中,SICI的下降幅度均相似。因此,无论从事何种肌肉,远离身体中线(内收方向)的食指等距力的产生都比对着身体中线(外展方向)的力更大程度地下调对侧活动手的皮质脊髓输出)。通过力的方向来调节经call的抑制,而不是GABA能的皮质内回路。这些发现表明,在产生双向等距力时,M1由与手部动作有关的“外部”参数驱动。

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