Enhanced excitability of the corticospinal pathway of the ankle extensor and flexor muscles during standing in humans

摘要

The purpose of this study was to investigate how the recruitment properties of the corticospinal pathway are modulated in the soleus (SOL) and tibialis anterior (TA) muscles depending on postures. A wide range of stimulus intensities were applied via transcranial magnetic stimulation over the primary motor cortex during standing (STD) and sitting (SIT) with a comparable background activity level in each muscle. The relationship between the stimulation intensities and the size of motor-evoked potentials was assessed by the Boltzmann sigmoid function, which is characterized by a plateau value, maximum slope, and threshold. The plateau value and maximum slope were significantly higher during STD than during SIT in the SOL muscle (STD vs. SIT, plateau value: 50.0 ± 21.8 vs. 33.9 ± 12.3 mV ms, maximal slope: 1.6 ± 0.7 vs. 1.2 ± 0.5 mV ms/% maximal stimulator output). Similar changes of the parameters were also observed in the TA muscle (STD vs. SIT, plateau value: 71.0 ± 22.9 vs. 41.4 ± 16.1 mV ms, maximal slope: 5.0 ± 2.0 vs. 2.5 ± 0.7 mV ms/% maximal stimulator output). The threshold did not differ significantly between the two conditions and both muscles. These results indicate that the central nervous system requires a different control for each postural condition; that is, the relative balance of the excitatory and inhibitory inputs to the corticospinal pathways as well as the number of neurons of subliminal fringe in the corticospinal pathway was increased during STD compared with those during SIT. Keywords Postural control - Recruitment curve - Ankle muscles - Corticospinal pathway - Transcranial magnetic stimulation