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Effect of coil orientation on strength-duration time constant and I-wave activation with controllable pulse parameter transcranial magnetic stimulation.

Publication ,  Journal Article
D'Ostilio, K; Goetz, SM; Hannah, R; Ciocca, M; Chieffo, R; Chen, J-CA; Peterchev, AV; Rothwell, JC
Published in: Clin Neurophysiol
January 2016

OBJECTIVE: To compare the strength-duration (S-D) time constants of motor cortex structures activated by current pulses oriented posterior-anterior (PA) or anterior-posterior (AP) across the central sulcus. METHODS: Motor threshold and input-output curve, along with motor evoked potential (MEP) latencies, of first dorsal interosseus were determined at pulse widths of 30, 60, and 120 μs using a controllable pulse parameter (cTMS) device, with the coil oriented PA or AP. These were used to estimate the S-D time constant and we compared with data for responses evoked by cTMS of the ulnar nerve at the elbow. RESULTS: The S-D time constant with PA was shorter than for AP stimulation (230.9 ± 97.2 vs. 294.2 ± 90.9 μs; p<0.001). These values were similar to those calculated after stimulation of ulnar nerve (197 ± 47 μs). MEP latencies to AP, but not PA stimulation were affected by pulse width, showing longer latencies following short duration stimuli. CONCLUSION: PA and AP stimuli appear to activate the axons of neurons with different time constants. Short duration AP pulses are more selective than longer pulses in recruiting longer latency corticospinal output. SIGNIFICANCE: More selective stimulation of neural elements may be achieved by manipulating pulse width and orientation.

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Published In

Clin Neurophysiol

DOI

EISSN

1872-8952

Publication Date

January 2016

Volume

127

Issue

1

Start / End Page

675 / 683

Location

Netherlands

Related Subject Headings

  • Young Adult
  • Transcranial Magnetic Stimulation
  • Time Factors
  • Neurology & Neurosurgery
  • Muscle Strength
  • Motor Cortex
  • Male
  • Humans
  • Female
  • Evoked Potentials, Motor
 

Citation

APA
Chicago
ICMJE
MLA
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D’Ostilio, K., Goetz, S. M., Hannah, R., Ciocca, M., Chieffo, R., Chen, J.-C., … Rothwell, J. C. (2016). Effect of coil orientation on strength-duration time constant and I-wave activation with controllable pulse parameter transcranial magnetic stimulation. Clin Neurophysiol, 127(1), 675–683. https://doi.org/10.1016/j.clinph.2015.05.017
D’Ostilio, Kevin, Stefan M. Goetz, Ricci Hannah, Matteo Ciocca, Raffaella Chieffo, Jui-Cheng A. Chen, Angel V. Peterchev, and John C. Rothwell. “Effect of coil orientation on strength-duration time constant and I-wave activation with controllable pulse parameter transcranial magnetic stimulation.Clin Neurophysiol 127, no. 1 (January 2016): 675–83. https://doi.org/10.1016/j.clinph.2015.05.017.
D’Ostilio K, Goetz SM, Hannah R, Ciocca M, Chieffo R, Chen J-CA, et al. Effect of coil orientation on strength-duration time constant and I-wave activation with controllable pulse parameter transcranial magnetic stimulation. Clin Neurophysiol. 2016 Jan;127(1):675–83.
D’Ostilio, Kevin, et al. “Effect of coil orientation on strength-duration time constant and I-wave activation with controllable pulse parameter transcranial magnetic stimulation.Clin Neurophysiol, vol. 127, no. 1, Jan. 2016, pp. 675–83. Pubmed, doi:10.1016/j.clinph.2015.05.017.
D’Ostilio K, Goetz SM, Hannah R, Ciocca M, Chieffo R, Chen J-CA, Peterchev AV, Rothwell JC. Effect of coil orientation on strength-duration time constant and I-wave activation with controllable pulse parameter transcranial magnetic stimulation. Clin Neurophysiol. 2016 Jan;127(1):675–683.
Journal cover image

Published In

Clin Neurophysiol

DOI

EISSN

1872-8952

Publication Date

January 2016

Volume

127

Issue

1

Start / End Page

675 / 683

Location

Netherlands

Related Subject Headings

  • Young Adult
  • Transcranial Magnetic Stimulation
  • Time Factors
  • Neurology & Neurosurgery
  • Muscle Strength
  • Motor Cortex
  • Male
  • Humans
  • Female
  • Evoked Potentials, Motor