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Differential effects of facilitatory and inhibitory theta burst stimulation of the primary motor cortex on motor learning

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2015
Authors
Jelić, Milan
Milanović, Slađan
Filipović, Saša
Article (Published version)
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Abstract
Objective: To evaluate the differential effects on motor learning of two types of theta burst stimulation (TBS), the excitatory intermittent TBS (iTBS) and inhibitory continuous TBS (cTBS), if TBS is applied in an early stage of learning process. Methods: Thirty right handed healthy people were randomly allocated into one of the three groups according to the intervention applied, iTBS, cTBS or placebo. The interventions and measurements targeted the non-dominant side. The reaction time task (RTT) and Purdue pegboard task (PPT) were used. Measurements and motor tasks were carried out at baseline (T0), immediately after the intervention (T1), and 30 min later (T2). Results: Compared to placebo, following cTBS M1 excitability went down and PPT learning was slowed. Following iTBS M1 excitability increased temporarily and PPT learning pattern changed, but learning was not improved. The MEP and PPT changes induced during the T0-T1 time interval correlated significantly. Conclusions: The earl...y consolidation of the learned material was much more influenced by the TBS induced promotion/suppression of the M1 functional plasticity reserves than by the absolute level of the M1 activation. Significance: The results may help to better define the use of TBS in promotion of motor learning in neurorehabilitation and cognitive enhancement.

Keywords:
Motor learning / Primary motor cortex / Transcranial magnetic stimulation / Neuromodulation / Plasticity
Source:
Clinical Neurophysiology, 2015, 126, 5, 1016-1023
Publisher:
  • Elsevier Ireland Ltd, Clare
Funding / projects:
  • Noninvasive modulation of cortical excitability and plasticity - Noninvasive neuromodulation of the CNS in the study of physiological mechanisms, diagnosis and treatment (RS-175012)

DOI: 10.1016/j.clinph.2014.09.003

ISSN: 1388-2457

PubMed: 25281475

WoS: 000352233500023

Scopus: 2-s2.0-84926145196
[ Google Scholar ]
9
7
URI
http://rimi.imi.bg.ac.rs/handle/123456789/624
Collections
  • Radovi istraživača / Researchers' publications
Institution/Community
Institut za medicinska istraživanja
TY  - JOUR
AU  - Jelić, Milan
AU  - Milanović, Slađan
AU  - Filipović, Saša
PY  - 2015
UR  - http://rimi.imi.bg.ac.rs/handle/123456789/624
AB  - Objective: To evaluate the differential effects on motor learning of two types of theta burst stimulation (TBS), the excitatory intermittent TBS (iTBS) and inhibitory continuous TBS (cTBS), if TBS is applied in an early stage of learning process. Methods: Thirty right handed healthy people were randomly allocated into one of the three groups according to the intervention applied, iTBS, cTBS or placebo. The interventions and measurements targeted the non-dominant side. The reaction time task (RTT) and Purdue pegboard task (PPT) were used. Measurements and motor tasks were carried out at baseline (T0), immediately after the intervention (T1), and 30 min later (T2). Results: Compared to placebo, following cTBS M1 excitability went down and PPT learning was slowed. Following iTBS M1 excitability increased temporarily and PPT learning pattern changed, but learning was not improved. The MEP and PPT changes induced during the T0-T1 time interval correlated significantly. Conclusions: The early consolidation of the learned material was much more influenced by the TBS induced promotion/suppression of the M1 functional plasticity reserves than by the absolute level of the M1 activation. Significance: The results may help to better define the use of TBS in promotion of motor learning in neurorehabilitation and cognitive enhancement.
PB  - Elsevier Ireland Ltd, Clare
T2  - Clinical Neurophysiology
T1  - Differential effects of facilitatory and inhibitory theta burst stimulation of the primary motor cortex on motor learning
EP  - 1023
IS  - 5
SP  - 1016
VL  - 126
DO  - 10.1016/j.clinph.2014.09.003
UR  - conv_3261
ER  - 
@article{
author = "Jelić, Milan and Milanović, Slađan and Filipović, Saša",
year = "2015",
abstract = "Objective: To evaluate the differential effects on motor learning of two types of theta burst stimulation (TBS), the excitatory intermittent TBS (iTBS) and inhibitory continuous TBS (cTBS), if TBS is applied in an early stage of learning process. Methods: Thirty right handed healthy people were randomly allocated into one of the three groups according to the intervention applied, iTBS, cTBS or placebo. The interventions and measurements targeted the non-dominant side. The reaction time task (RTT) and Purdue pegboard task (PPT) were used. Measurements and motor tasks were carried out at baseline (T0), immediately after the intervention (T1), and 30 min later (T2). Results: Compared to placebo, following cTBS M1 excitability went down and PPT learning was slowed. Following iTBS M1 excitability increased temporarily and PPT learning pattern changed, but learning was not improved. The MEP and PPT changes induced during the T0-T1 time interval correlated significantly. Conclusions: The early consolidation of the learned material was much more influenced by the TBS induced promotion/suppression of the M1 functional plasticity reserves than by the absolute level of the M1 activation. Significance: The results may help to better define the use of TBS in promotion of motor learning in neurorehabilitation and cognitive enhancement.",
publisher = "Elsevier Ireland Ltd, Clare",
journal = "Clinical Neurophysiology",
title = "Differential effects of facilitatory and inhibitory theta burst stimulation of the primary motor cortex on motor learning",
pages = "1023-1016",
number = "5",
volume = "126",
doi = "10.1016/j.clinph.2014.09.003",
url = "conv_3261"
}
Jelić, M., Milanović, S.,& Filipović, S.. (2015). Differential effects of facilitatory and inhibitory theta burst stimulation of the primary motor cortex on motor learning. in Clinical Neurophysiology
Elsevier Ireland Ltd, Clare., 126(5), 1016-1023.
https://doi.org/10.1016/j.clinph.2014.09.003
conv_3261
Jelić M, Milanović S, Filipović S. Differential effects of facilitatory and inhibitory theta burst stimulation of the primary motor cortex on motor learning. in Clinical Neurophysiology. 2015;126(5):1016-1023.
doi:10.1016/j.clinph.2014.09.003
conv_3261 .
Jelić, Milan, Milanović, Slađan, Filipović, Saša, "Differential effects of facilitatory and inhibitory theta burst stimulation of the primary motor cortex on motor learning" in Clinical Neurophysiology, 126, no. 5 (2015):1016-1023,
https://doi.org/10.1016/j.clinph.2014.09.003 .,
conv_3261 .

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