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Hand, B. J.

Publications and source records attributed to Hand, B. J..

4 recordsLinked to original sources

Theta-gamma transcranial alternating current stimulation enhances motor skill acquisition in healthy young and older adults

Theta-gamma transcranial alternating current stimulation (TG tACS) over primary motor cortex (M1) can improve motor skill acquisition in young adults, but the effect on older adults is unknown. This study investigated the effects of TG tACS on motor skill acquisition and M1 excitability in 18 young and 18 older adults. High-definition TG tACS (6 Hz theta, 75 Hz gamma) or sham tACS was applied over right M1 for 20 minutes during a ballistic left-thumb abduction motor training task performed in two experimental sessions. Motor skill acquisition was quantified as changes in movement acceleration during and up to 60 minutes after training. Transcranial magnetic stimulation (TMS) was used to assess changes in M1 excitability with motor-evoked potentials (MEP) and short-interval intracortical inhibition (SICI) before and after training. We found that TG tACS increased motor skill acquisition compared with sham tACS in young and older adults (P < 0.001), with greater effects for young adults (P = 0.01). The improved motor performance with TG tACS lasted at least 60 minutes after training in both age groups. Motor training was accompanied by greater MEP amplitudes with TG tACS compared to sham tACS in young and older adults (P < 0.001), but SICI did not vary between tACS sessions (P = 0.40). These findings indicate that TG tACS over M1 improves motor skill acquisition and alters training-induced changes in M1 excitability in healthy young and older adults. TG tACS may therefore be beneficial to alleviate motor deficits in the ageing population. Key Points SummaryO_LITheta-gamma transcranial alternating current stimulation (TG tACS) can improve motor function in healthy young adults, but the effect on older adults is unknown. C_LIO_LIWe found that TG tACS improved motor skill acquisition with long-lasting effects in healthy young and older adults, but effects were stronger in young adults. C_LIO_LITranscranial magnetic stimulation showed that TG tACS altered the training-induced changes in motor cortex excitability, but there was no effect of TG tACS on intracortical inhibition in young or older adults. C_LIO_LIOur data suggest that TG tACS represents a promising approach to improve motor skill acquisition throughout the lifespan, and may be beneficial in older patient populations that experience motor or cognitive deficits. C_LI

neuroscience↗

Investigating the effects of repetitive paired-pulse transcranial magnetic stimulation on visuomotor training using TMS-EEG.

ObjectivesI-wave periodicity repetitive paired-pulse transcranial magnetic stimulation (iTMS) can modify acquisition of a novel motor skill, but the associated neurophysiological effects remain unclear. The current study therefore used combined TMS-electroencephalography (TMS-EEG) to investigate the neurophysiological effects of iTMS on subsequent visuomotor training (VT). MethodsSixteen young adults (26.1 {+/-} 5.1 years) participated in three sessions including real iTMS and VT (iTMS + VT), control iTMS and VT (iTMSsham + VT), or iTMS alone. Motor-evoked potentials (MEPs) and TMS-evoked potentials (TEPs) were measured before and after iTMS, and again after VT, to assess neuroplastic changes. ResultsIrrespective of the intervention, MEP amplitude was not changed after iTMS or VT (P = 0.211). Motor skill was improved compared with baseline (P < 0.001), but no differences were found between stimulus conditions. In contrast, the P30 peak was altered by VT when preceded by sham iTMS (P < 0.05), but this effect was not apparent when VT was preceded by iTMS or following iTMS alone (all P > 0.15). ConclusionIn contrast to expectations, iTMS was unable to modulate MEP amplitude or influence motor learning. Despite this, changes in P30 amplitude suggested that motor learning was associated with altered cortical reactivity. Furthermore, this effect was abolished by priming with iTMS, suggesting an influence of priming that failed to impact learning. Authorship statementsConceptualization: JGS; Data curation: RS, BJH, and WL; Formal analysis: RS; Funding acquisition: RS; Investigation: RS, BJH, and WL; Methodology: RS, GMO, BJH and JGS; Project administration: GMO and JGS; Supervision: GMO and JGS; Roles/Writing - original draft: RS and GMO; Writing - review & editing: BJH, WL, and JGS.

neuroscience↗

Modulation of I-wave generating pathways with repetitive paired-pulse transcranial magnetic stimulation: A TMS-EEG study

ObjectivesRepetitive paired-pulse transcranial magnetic stimulation (iTMS) at indirect (I) wave intervals increases motor-evoked potentials (MEPs) produced by TMS to primary motor cortex (M1). However, the effects of iTMS at early and late intervals on the plasticity of specific I-wave circuits remains unclear. The current study therefore aimed to assess how the timing of iTMS influences intracortical excitability within early and late I-wave circuits. To investigate the cortical effects of iTMS more directly, changes due to the intervention were also assessed using combined TMS-electroencephalography (EEG). Material and MethodsEighteen young adults (24.6 {+/-} 4.2 years) participated in four sessions in which iTMS targeting early (1.5 ms interval; iTMS1.5) or late (4.0 ms interval; iTMS4.0) I-waves was applied over M1. Neuroplasticity was assessed using both posterior-to-anterior (PA) and anterior-to-posterior (AP) stimulus directions to record MEPs and TEPs before and after iTMS. SICF at inter-stimulus intervals of 1.5 and 4.0 ms was also used to index I-wave activity. ResultsMEP amplitude was increased after iTMS (P < 0.01) and this was greater for PA responses (P < 0.01), but not different between iTMS intervals (P = 0.9). Irrespective of iTMS interval and coil current, SICF was facilitated after the intervention (P < 0.01). While the N45 produced by AP stimulation was reduced by iTMS1.5 (P = 0.04), no other changes in TEP amplitude were observed. ConclusionThe timing of iTMS failed to influence which I-wave circuits were potentiated by the intervention. In contrast, reductions in the N45 suggest that the neuroplastic effects of iTMS may include disinhibition of intracortical inhibitory processes.

neuroscience↗

Modulation of motor cortex plasticity by repetitive paired-pulse TMS at late I-wave intervals is influenced by intracortical excitability

The late indirect (I) waves recruited by transcranial magnetic stimulation (TMS) over primary motor cortex (M1) can be modulated using I-wave periodicity repetitive TMS (iTMS). The purpose of this study was to determine if the response to iTMS is influenced by different interstimulus intervals (ISIs) targeting late I-waves, and whether these responses were associated with individual variations in intracortical excitability. 17 young (27.2 {+/-} 6.4 years, 12 females) healthy adults received iTMS at late I-wave intervals (4.0, 4.5 & 5.0 ms) in three separate sessions. Changes due to each intervention were examined with motor evoked potential (MEP) amplitudes and short-interval intracortical facilitation (SICF) using both posterior-anterior (PA) and anterior-posterior (AP) TMS current directions. Changes in MEP amplitude and SICF were influenced by iTMS ISI, with the greatest facilitation for ISIs at 4 and 5 ms with PA TMS, and 4 ms with AP TMS. Maximum SICF at baseline (irrespective of ISI) was associated with increased iTMS response, but only for PA stimulation. These results suggest that modifying iTMS parameters targeting late I-waves can influence M1 plasticity. They also suggest that maximum SICF may be a means by which responders to iTMS targeting the late I-waves could be identified.

neuroscience↗