Spinal motor neuron excitability during the silent period after cortical stimulation. 1991

P Fuhr, and R Agostino, and M Hallett
Human Motor Control Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892.

During tonic voluntary muscle contraction, a period of electromyographic silence follows the motor evoked potential produced by transcranial stimulation of the contralateral motor cortex. We studied the silent period in the wrist flexors of 3 normal volunteers and a deafferented patient during 20% of maximal contraction. To test the excitability of the spinal motor neuron pool during the period of silence, the H-reflex was evoked in the normal subjects at different intervals after cortical stimulation. The amplitude of the H-reflex in the silent period was expressed as a percentage of the amplitude during complete muscle relaxation. The H-reflex was profoundly depressed at the beginning of the silent period (13.5-27% of the control measurement), but showed a clear tendency to recover toward the end of the silent period despite continued absence of muscle activation (71-84% of the control). Moreover, the silent period in the deafferented patient was of longer duration than can be accounted for by segmental mechanisms. These findings imply, at least in the late part of the silent period, that a reduction in the excitability of the spinal motor neuron pool plays only a minor role in determining the phenomenon and that it is probably caused by lack of cortical drive.

UI MeSH Term Description Entries
D008280 Magnetics The study of MAGNETIC PHENOMENA. Magnetic
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009046 Motor Neurons Neurons which activate MUSCLE CELLS. Neurons, Motor,Alpha Motorneurons,Motoneurons,Motor Neurons, Alpha,Neurons, Alpha Motor,Alpha Motor Neuron,Alpha Motor Neurons,Alpha Motorneuron,Motoneuron,Motor Neuron,Motor Neuron, Alpha,Motorneuron, Alpha,Motorneurons, Alpha,Neuron, Alpha Motor,Neuron, Motor
D009132 Muscles Contractile tissue that produces movement in animals. Muscle Tissue,Muscle,Muscle Tissues,Tissue, Muscle,Tissues, Muscle
D009433 Neural Inhibition The function of opposing or restraining the excitation of neurons or their target excitable cells. Inhibition, Neural
D004576 Electromyography Recording of the changes in electric potential of muscle by means of surface or needle electrodes. Electromyogram,Surface Electromyography,Electromyograms,Electromyographies,Electromyographies, Surface,Electromyography, Surface,Surface Electromyographies
D005260 Female Females
D006181 H-Reflex A monosynaptic reflex elicited by stimulating a nerve, particularly the tibial nerve, with an electric shock. H Reflex,H-Reflexes,H Reflexes,Reflex, H
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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