1
|
Hayashi M, Okuyama K, Mizuguchi N, Hirose R, Okamoto T, Kawakami M, Ushiba J. Spatially bivariate EEG-neurofeedback can manipulate interhemispheric inhibition. eLife 2022; 11:76411. [PMID: 35796537 PMCID: PMC9302968 DOI: 10.7554/elife.76411] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Accepted: 07/06/2022] [Indexed: 11/19/2022] Open
Abstract
Human behavior requires inter-regional crosstalk to employ the sensorimotor processes in the brain. Although external neuromodulation techniques have been used to manipulate interhemispheric sensorimotor activity, a central controversy concerns whether this activity can be volitionally controlled. Experimental tools lack the power to up- or down-regulate the state of the targeted hemisphere over a large dynamic range and, therefore, cannot evaluate the possible volitional control of the activity. We addressed this difficulty by using the recently developed method of spatially bivariate electroencephalography (EEG)-neurofeedback to systematically enable the participants to modulate their bilateral sensorimotor activities. Here, we report that participants learn to up- and down-regulate the ipsilateral excitability to the imagined hand while maintaining constant contralateral excitability; this modulates the magnitude of interhemispheric inhibition (IHI) assessed by the paired-pulse transcranial magnetic stimulation (TMS) paradigm. Further physiological analyses revealed that the manipulation capability of IHI magnitude reflected interhemispheric connectivity in EEG and TMS, which was accompanied by intrinsic bilateral cortical oscillatory activities. Our results show an interesting approach for neuromodulation, which might identify new treatment opportunities, e.g., in patients suffering from a stroke.
Collapse
Affiliation(s)
- Masaaki Hayashi
- Graduate School of Science and Technology, Keio University, Kanagawa, Japan
| | - Kohei Okuyama
- Department of Rehabilitation Medicine, Keio University, Tokyo, Japan
| | - Nobuaki Mizuguchi
- Research Organization of Science and Technology, Ritsumeikan University, Shiga, Japan
| | - Ryotaro Hirose
- Graduate School of Science and Technology, Keio University, Kanagawa, Japan
| | - Taisuke Okamoto
- Graduate School of Science and Technology, Keio University, Kanagawa, Japan
| | | | - Junichi Ushiba
- Faculty of Science and Technology, Keio University, Kanagawa, Japan
| |
Collapse
|
2
|
Matsubara T, Ahlfors SP, Mima T, Hagiwara K, Shigeto H, Tobimatsu S, Goto Y, Stufflebeam S. Bilateral Representation of Sensorimotor Responses in Benign Adult Familial Myoclonus Epilepsy: An MEG Study. Front Neurol 2021; 12:759866. [PMID: 34764933 PMCID: PMC8577121 DOI: 10.3389/fneur.2021.759866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Accepted: 09/21/2021] [Indexed: 12/03/2022] Open
Abstract
Patients with cortical reflex myoclonus manifest typical neurophysiologic characteristics due to primary sensorimotor cortex (S1/M1) hyperexcitability, namely, contralateral giant somatosensory-evoked potentials/fields and a C-reflex (CR) in the stimulated arm. Some patients show a CR in both arms in response to unilateral stimulation, with about 10-ms delay in the non-stimulated compared with the stimulated arm. This bilateral C-reflex (BCR) may reflect strong involvement of bilateral S1/M1. However, the significance and exact pathophysiology of BCR within 50 ms are yet to be established because it is difficult to identify a true ipsilateral response in the presence of the giant component in the contralateral hemisphere. We hypothesized that in patients with BCR, bilateral S1/M1 activity will be detected using MEG source localization and interhemispheric connectivity will be stronger than in healthy controls (HCs) between S1/M1 cortices. We recruited five patients with cortical reflex myoclonus with BCR and 15 HCs. All patients had benign adult familial myoclonus epilepsy. The median nerve was electrically stimulated unilaterally. Ipsilateral activity was investigated in functional regions of interest that were determined by the N20m response to contralateral stimulation. Functional connectivity was investigated using weighted phase-lag index (wPLI) in the time-frequency window of 30–50 ms and 30–100 Hz. Among seven of the 10 arms of the patients who showed BCR, the average onset-to-onset delay between the stimulated and the non-stimulated arm was 8.4 ms. Ipsilateral S1/M1 activity was prominent in patients. The average time difference between bilateral cortical activities was 9.4 ms. The average wPLI was significantly higher in the patients compared with HCs in specific cortico-cortical connections. These connections included precentral-precentral, postcentral-precentral, inferior parietal (IP)-precentral, and IP-postcentral cortices interhemispherically (contralateral region-ipsilateral region), and precentral-IP and postcentral-IP intrahemispherically (contralateral region-contralateral region). The ipsilateral response in patients with BCR may be a pathologically enhanced motor response homologous to the giant component, which was too weak to be reliably detected in HCs. Bilateral representation of sensorimotor responses is associated with disinhibition of the transcallosal inhibitory pathway within homologous motor cortices, which is mediated by the IP. IP may play a role in suppressing the inappropriate movements seen in cortical myoclonus.
Collapse
Affiliation(s)
- Teppei Matsubara
- Department of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston, MA, United States.,Harvard Medical School, Boston, MA, United States.,Research Fellow of Japan Society for the Promotion of Science, Tokyo, Japan.,International University of Health and Welfare, Otawara, Japan
| | - Seppo P Ahlfors
- Department of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston, MA, United States.,Harvard Medical School, Boston, MA, United States
| | - Tatsuya Mima
- Graduate School of Core Ethics and Frontier Sciences, Ritsumeikan University, Kyoto, Japan
| | - Koichi Hagiwara
- Epilepsy and Sleep Center, Fukuoka Sanno Hospital, Fukuoka, Japan
| | - Hiroshi Shigeto
- Division of Medical Technology, Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
| | - Shozo Tobimatsu
- Department of Orthoptics, Faculty of Medicine, Fukuoka International University of Health and Welfare, Fukuoka, Japan
| | - Yoshinobu Goto
- Department of Physiology, School of Medicine, International University of Health and Welfare, Okawa, Japan
| | - Steven Stufflebeam
- Department of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston, MA, United States.,Harvard Medical School, Boston, MA, United States
| |
Collapse
|
3
|
Stackhouse SK, Sweitzer BA, McClure PW. The effect of experimental shoulder pain on contralateral muscle force and activation. Physiother Theory Pract 2019; 37:1227-1234. [PMID: 31696775 DOI: 10.1080/09593985.2019.1686670] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Inhibition of rotator cuff activation and force after local experimental pain has been previously shown. Clinically, strength is often indexed to the uninvolved side in order to quantify deficits during injury and recovery. This study assessed the effect of experimental subacromial pain on contralateral shoulder external rotation (ER) force and activation. We hypothesized that subacromial pain would not affect contralateral shoulder external rotation force and voluntary activation (VA) of the contralateral infraspinatus because we believe that the effects of acute experimental pain will largely exert an ipsilateral, spinal segmental effect. Twenty healthy adults were tested. External rotation force and VA were tested while participants performed maximum voluntary isometric contractions of shoulder external rotation, during which a brief electrical stimulus was applied to the infraspinatus muscle at an intensity that maximized external rotation force. To elicit pain, 1.5 ml of 5% hypertonic saline was injected into the contralateral subacromial space. Mean (SD) pain immediately after injection was 6.3/10 (0.85) resulting in a 7.6% decline in contralateral external rotation force (p < .01) and 3.3% decline in infraspinatus muscle VA (p = .48). A subset of participants (n = 9) showed a more substantial decline in both force (15.4%; p < .000001; d = -3.53) and VA (8.7%; p = .045; d = -0.98). Experimental shoulder pain had a modest effect on contralateral ER force and VA in a subset of participants; therefore, it may be important to index or compare strength bilaterally throughout rehabilitation to capture this bilateral effect as pain resolves.
Collapse
Affiliation(s)
- Scott K Stackhouse
- Department of Physical Therapy, University of New England, Portland, ME, USA
| | | | - Philip W McClure
- Department of Physical Therapy, Arcadia University, Glenside, PA, USA
| |
Collapse
|
4
|
Reliability of transcranial magnetic stimulation measures of afferent inhibition. Brain Res 2019; 1723:146394. [DOI: 10.1016/j.brainres.2019.146394] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2019] [Revised: 07/09/2019] [Accepted: 08/14/2019] [Indexed: 12/19/2022]
|
5
|
Rossini P, Di Iorio R, Bentivoglio M, Bertini G, Ferreri F, Gerloff C, Ilmoniemi R, Miraglia F, Nitsche M, Pestilli F, Rosanova M, Shirota Y, Tesoriero C, Ugawa Y, Vecchio F, Ziemann U, Hallett M. Methods for analysis of brain connectivity: An IFCN-sponsored review. Clin Neurophysiol 2019; 130:1833-1858. [DOI: 10.1016/j.clinph.2019.06.006] [Citation(s) in RCA: 67] [Impact Index Per Article: 13.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Revised: 05/08/2019] [Accepted: 06/18/2019] [Indexed: 01/05/2023]
|
6
|
Turco CV, El-Sayes J, Savoie MJ, Fassett HJ, Locke MB, Nelson AJ. Short- and long-latency afferent inhibition; uses, mechanisms and influencing factors. Brain Stimul 2018; 11:59-74. [DOI: 10.1016/j.brs.2017.09.009] [Citation(s) in RCA: 60] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2017] [Revised: 08/28/2017] [Accepted: 09/14/2017] [Indexed: 12/11/2022] Open
|
7
|
Matur Z, Öge AE. Sensorimotor Integration During Motor Learning: Transcranial Magnetic Stimulation Studies. ACTA ACUST UNITED AC 2017; 54:358-363. [PMID: 29321712 DOI: 10.5152/npa.2016.18056] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The effect of sensory signals coming from skin and muscle afferents on the sensorimotor cortical networks is entitled as sensory-motor integration (SMI). SMI can be studied electrophysiologically by the motor cortex excitability changes in response to peripheral sensory stimulation. These changes include the periods of short afferent inhibition (SAI), afferent facilitation (AF), and late afferent inhibition (LAI). During the early period of motor skill acquisition, motor cortex excitability increases and changes occur in the area covered by the relevant zone of the motor cortex. In the late period, these give place to the morphological changes, such as synaptogenesis. SAI decreases during learning the motor skills, while LAI increases during motor activity. In this review, the role of SMI in the process of motor learning and transcranial magnetic stimulation techniques performed for studying SMI is summarized.
Collapse
Affiliation(s)
- Zeliha Matur
- Department of Neurology, İstanbul Bilim University School of Medicine, İstanbul, Turkey
| | - A Emre Öge
- Department of Neurology, İstanbul University İstanbul School of Medicine, İstanbul, Turkey
| |
Collapse
|
8
|
Long J, Tazoe T, Soteropoulos DS, Perez MA. Interhemispheric connectivity during bimanual isometric force generation. J Neurophysiol 2015; 115:1196-207. [PMID: 26538610 PMCID: PMC4808122 DOI: 10.1152/jn.00876.2015] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2015] [Accepted: 10/31/2015] [Indexed: 11/22/2022] Open
Abstract
Interhemispheric interactions through the corpus callosum play an important role in the control of bimanual forces. However, the extent to which physiological connections between primary motor cortices are modulated during increasing levels of bimanual force generation in intact humans remains poorly understood. Here we studied coherence between electroencephalographic (EEG) signals and the ipsilateral cortical silent period (iSP), two well-known measures of interhemispheric connectivity between motor cortices, during unilateral and bilateral 10%, 40%, and 70% of maximal isometric voluntary contraction (MVC) into index finger abduction. We found that EEG-EEG coherence in the alpha frequency band decreased while the iSP area increased during bilateral compared with unilateral 40% and 70% but not 10% of MVC. Decreases in coherence in the alpha frequency band correlated with increases in the iSP area, and subjects who showed this inverse relation were able to maintain more steady bilateral muscle contractions. To further examine the relationship between the iSP and coherence we electrically stimulated the ulnar nerve at the wrist at the alpha frequency. Electrical stimulation increased coherence in the alpha frequency band and decreased the iSP area during bilateral 70% of MVC. Altogether, our findings demonstrate an inverse relation between alpha oscillations and the iSP during strong levels of bimanual force generation. We suggest that interactions between neural pathways mediating alpha oscillatory activity and transcallosal inhibition between motor cortices might contribute to the steadiness of strong bilateral isometric muscle contractions in intact humans.
Collapse
Affiliation(s)
- Jinyi Long
- Department of Neurological Surgery, The Miami Project to Cure Paralysis, University of Miami, Miami, Florida; and
| | - Toshiki Tazoe
- Department of Neurological Surgery, The Miami Project to Cure Paralysis, University of Miami, Miami, Florida; and
| | - Demetris S Soteropoulos
- Institute of Neuroscience, Newcastle University Medical School, Newcastle upon Tyne, United Kingdom
| | - Monica A Perez
- Department of Neurological Surgery, The Miami Project to Cure Paralysis, University of Miami, Miami, Florida; and
| |
Collapse
|
9
|
Tazoe T, Endoh T, Kitamura T, Ogata T. Polarity specific effects of transcranial direct current stimulation on interhemispheric inhibition. PLoS One 2014; 9:e114244. [PMID: 25478912 PMCID: PMC4257682 DOI: 10.1371/journal.pone.0114244] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2014] [Accepted: 11/05/2014] [Indexed: 11/19/2022] Open
Abstract
Transcranial direct current stimulation (tDCS) has been used as a useful interventional brain stimulation technique to improve unilateral upper-limb motor function in healthy humans, as well as in stroke patients. Although tDCS applications are supposed to modify the interhemispheric balance between the motor cortices, the tDCS after-effects on interhemispheric interactions are still poorly understood. To address this issue, we investigated the tDCS after-effects on interhemispheric inhibition (IHI) between the primary motor cortices (M1) in healthy humans. Three types of tDCS electrode montage were tested on separate days; anodal tDCS over the right M1, cathodal tDCS over the left M1, bilateral tDCS with anode over the right M1 and cathode over the left M1. Single-pulse and paired-pulse transcranial magnetic stimulations were given to the left M1 and right M1 before and after tDCS to assess the bilateral corticospinal excitabilities and mutual direction of IHI. Regardless of the electrode montages, corticospinal excitability was increased on the same side of anodal stimulation and decreased on the same side of cathodal stimulation. However, neither unilateral tDCS changed the corticospinal excitability at the unstimulated side. Unilateral anodal tDCS increased IHI from the facilitated side M1 to the unchanged side M1, but it did not change IHI in the other direction. Unilateral cathodal tDCS suppressed IHI both from the inhibited side M1 to the unchanged side M1 and from the unchanged side M1 to the inhibited side M1. Bilateral tDCS increased IHI from the facilitated side M1 to the inhibited side M1 and attenuated IHI in the opposite direction. Sham-tDCS affected neither corticospinal excitability nor IHI. These findings indicate that tDCS produced polarity-specific after-effects on the interhemispheric interactions between M1 and that those after-effects on interhemispheric interactions were mainly dependent on whether tDCS resulted in the facilitation or inhibition of the M1 sending interhemispheric volleys.
Collapse
Affiliation(s)
- Toshiki Tazoe
- Department of Rehabilitation for Movement Functions, Research Institute, National Rehabilitation Center for Persons with Disabilities, Tokorozawa, Japan
- Japan Society for the Promotion of Science, Tokyo, Japan
- * E-mail:
| | - Takashi Endoh
- Department of Rehabilitation for Movement Functions, Research Institute, National Rehabilitation Center for Persons with Disabilities, Tokorozawa, Japan
- Faculty of Child Development and Education, Uekusa Gakuen University, Chiba, Japan
| | - Taku Kitamura
- Department of Rehabilitation for Movement Functions, Research Institute, National Rehabilitation Center for Persons with Disabilities, Tokorozawa, Japan
- Division of Functional Control Systems, Graduate School of Engineering and Science, Shibaura Institute of Technology, Saitama, Japan
| | - Toru Ogata
- Department of Rehabilitation for Movement Functions, Research Institute, National Rehabilitation Center for Persons with Disabilities, Tokorozawa, Japan
| |
Collapse
|
10
|
Continuous theta-burst stimulation over primary somatosensory cortex modulates short-latency afferent inhibition. Clin Neurophysiol 2014; 125:2253-2259. [DOI: 10.1016/j.clinph.2014.02.026] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2013] [Revised: 02/07/2014] [Accepted: 02/21/2014] [Indexed: 11/18/2022]
|
11
|
Short-latency afferent inhibition modulation during finger movement. PLoS One 2013; 8:e60496. [PMID: 23593228 PMCID: PMC3617156 DOI: 10.1371/journal.pone.0060496] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2012] [Accepted: 02/26/2013] [Indexed: 11/19/2022] Open
Abstract
When somatosensory input via electrical stimulation of a peripheral nerve precedes a transcranial magnetic stimulation (TMS) pulse over the primary motor cortex (M1) the corticospinal output is substantially reduced, a phenomenon known as short-latency afferent inhibition (SAI). The present study investigated SAI during rest and during pre-movement, phasic and tonic components of movement. Participants were required to perform an index finger flexion reaction time task in response to an auditory cue. In a series of experiments, SAI was evoked from the mixed, median nerve at the wrist or the cutaneous, digital nerve stimulation of the index finger. To assess the spinal versus cortical origin of movement-related modulation of SAI, F-wave amplitudes were measured during rest and the three movement components. Results indicated that SAI was reduced during all movement components compared to rest, an effect that occurred for both nerves stimulated. Pre-movement SAI reduction was primarily attributed to reduced cortical inhibition, while increased spinal excitability additionally contributed to reduced SAI during tonic and phasic components of movement. SAI was differentially modulated across movement components with mixed but not cutaneous nerve stimulation. These findings reveal that SAI is reduced during movement and this reduction begins as early as the preparation to move. Further, these data suggest that the degree of SAI reduction during movement may be specific to the volume and/or composition of afferent input carried by each nerve.
Collapse
|