4.6 Article

Threshold tracking transcranial magnetic stimulation: Effects of age and gender on motor cortical function

Journal

CLINICAL NEUROPHYSIOLOGY
Volume 127, Issue 6, Pages 2355-2361

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.clinph.2016.03.009

Keywords

Cortex function; Intracortical inhibition; Threshold tracking transcranial magnetic stimulation; Age-related change; Gender-related difference; Healthy subject

Funding

  1. National Health and Medical Research Council of Australia [1037746]
  2. International Federation of Clinical Neurophysiology Research Scholarship
  3. RG Menzies Foundation/National Health and Medical Research Council Training Fellowship [1016446]
  4. Motor Neuron Disease Research Institute of Australia

Ask authors/readers for more resources

Objective: Recently, the utility of threshold tracking paired-pulse transcranial magnetic stimulation (TTTMS), to measure changes in cortical excitabilitability, has been established for diagnostic purposes across a range of neurological diseases. However, the impact of healthy aging on the GABA-ergic intracortical inhibitory system remains unclear. To improve the clinical applicability, TTTMS was performed across an age spectrum. Methods: TTTMS, single-pulse TMS and nerve conduction studies (NCS) were performed in 113 healthy subjects aged between 20 and 83 years (57 male and 56 female). Results: Prolonged motor evoked potential (MEP) latency, increased central motor conduction time, decreased compound muscle action potential (CMAP) amplitude, prolonged F-wave latency and decreased neurophysiological index (NI), calculated from CMAP amplitude, latency and F-wave frequency, were observed as subjects aged. In contrast, short interval intracortical inhibition (SICI) and facilitation did not change. Compared to females, males exhibited a reduced SICI and NI along with longer MEP, CMAP with prolonged F-wave latencies. Multivariate analyses revealed similar results. Conclusion: Utilizing clinically applicable TTTMS protocols, findings suggest that GABA mediated intracortical inhibition may be greater in females but does not significantly change with age. Significance: These findings may better inform the interpretation of diagnostic TTTMS studies in the clinical setting. (C) 2016 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Review Oncology

Metabolic and lifestyle risk factors for chemotherapy-induced peripheral neuropathy in taxane and platinum-treated patients: a systematic review

Hannah C. Timmins, David Mizrahi, Tiffany Li, Matthew C. Kiernan, David Goldstein, Susanna B. Park

Summary: Metabolic syndrome and associated conditions have been identified as potential risk factors for chemotherapy-induced peripheral neurotoxicity (CIPN). Obesity and low physical activity may contribute to the development of CIPN. Further research is needed to explore CIPN risk factors and determine if lifestyle changes can improve long-term outcomes for cancer survivors.

JOURNAL OF CANCER SURVIVORSHIP (2023)

Review Clinical Neurology

Apathy in amyotrophic lateral sclerosis: systematic review and meta-analysis of frequency, correlates, and outcomes

Mansur A. Kutlubaev, Jashelle Caga, Ying Xu, Daria K. Areprintseva, Ekaterina Pervushina, Matthew C. Kiernan

Summary: This study aimed to determine the frequency and correlates of apathy in ALS and its impact on the disease prognosis. The findings suggest that the emergence of apathy is associated with cognitive decline and bulbar onset of the disease. Additionally, ALS patients with apathy showed more prominent changes in structural and functional brain imaging. Apathy worsened the long-term prognosis of ALS.

AMYOTROPHIC LATERAL SCLEROSIS AND FRONTOTEMPORAL DEGENERATION (2023)

Article Clinical Neurology

Clinical and neurophysiological biomarkers of disease progression in amyotrophic lateral sclerosis

Andrew Hannaford, Karen Byth, Nathan Pavey, Robert D. Henderson, Susan Mathers, Merrilee Needham, David Schultz, Parvathi Menon, Matthew C. Kiernan, Steve Vucic

Summary: This study aimed to assess the utility of clinical biomarkers, such as Delta FS and BMI, and neurophysiological measures, such as SI and NPI, in monitoring disease progression in ALS patients. The results showed that Delta FS and BMI were predictive of disease severity and progression, while SI and NPI were associated with disease severity. The implementation of these biomarkers could assist in patient management and stratification into clinical trials.

MUSCLE & NERVE (2023)

Letter Clinical Neurology

Riluzole is associated with decreasing neuritic plaque severity in amyotrophic lateral sclerosis

Srestha Mazumder, Heather McCann, Susan D'Silva, Sarah Furlong, Claire E. Shepherd, Jillian J. Kril, Glenda M. Halliday, Dominic B. Rowe, Matthew C. Kiernan, Rachel H. Tan

BRAIN (2023)

Letter Clinical Neurology

The lower motor neuron homunculus: function matters

Matthew C. Kiernan, David Burke, Rachel H. Tan

BRAIN (2023)

Article Clinical Neurology

Chronic inflammatory demyelinating polyradiculoneuropathy-associated tremor: Phenotype and pathogenesis

Matthew Silsby, Alessandro F. Fois, Con Yiannikas, Karl Ng, Matthew C. Kiernan, Victor S. C. Fung, Steve Vucic

Summary: This study aimed to evaluate tremor in chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) and test the hypothesis that tremor occurs due to mistimed peripheral inputs affecting central motor processing, as established in other demyelinating neuropathies. Additionally, the tremor stability index (TSI) was calculated to assess the variability of CIDP-related tremor compared to other tremor disorders.

EUROPEAN JOURNAL OF NEUROLOGY (2023)

Article Neurosciences

Consensus for experimental design in electromyography (CEDE) project: Single motor unit matrix

Eduardo Martinez-Valdes, Roger M. Enoka, Ales Holobar, Kevin McGill, Dario Farina, Manuela Besomi, Francois Hug, Deborah Falla, Richard G. Carson, Edward A. Clancy, Catherine Disselhorst-Klug, Jaap H. van Dieen, Kylie Tucker, Simon Gandevia, Madeleine Lowery, Karen Sogaard, Thor Besier, Roberto Merletti, Matthew C. Kiernan, John C. Rothwell, Eric Perreault, Paul W. Hodges

Summary: The analysis of single motor unit (SMU) activity is crucial for understanding the neural strategies controlling muscle force. Traditionally, this analysis has been done invasively through intramuscular electromyography (EMG), but recent advances in signal processing techniques have enabled the identification of SMU activity in high-density surface electromyography (HDsEMG) recordings.

JOURNAL OF ELECTROMYOGRAPHY AND KINESIOLOGY (2023)

Review Clinical Neurology

UNC13A in amyotrophic lateral sclerosis: from genetic association to therapeutic target

Sean W. Willemse, Peter Harley, Ruben P. A. van Eijk, Koen C. Demaegd, Pavol Zelina, R. Jeroen Pasterkamp, Philip van Damme, Caroline Ingre, Wouter van Rheenen, Jan H. Veldink, Matthew C. Kiernan, Ammar Al-Chalabi, Leonard H. van den Berg, Pietro Fratta, Michael A. van Es

Summary: Amyotrophic lateral sclerosis (ALS) is a deadly neurodegenerative disease with limited treatment options. A specific gene polymorphism in the UNC13A gene has been found to increase the risk of ALS and frontotemporal dementia (FTD), and can modify the disease phenotype in ALS patients. UNC13A is involved in maintaining synaptic active zones and its depletion leads to impaired neurotransmission. Recent discoveries have identified UNC13A as a potential therapeutic target, with ongoing trials using lithium carbonate and considering antisense oligonucleotides. Knowledge of UNC13A's distinct phenotype is important for future clinical trials.

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY (2023)

Letter Clinical Neurology

Presymptomatic spinal muscular atrophy: a cautionary approach to the proposed new terminology

Michelle A. Farrar, Matthew C. Kiernan, Didu S. Kariyawasam

BRAIN (2023)

Editorial Material Clinical Neurology

Hyperexcitability, neurodegeneration, and disease progression in amyotrophic lateral sclerosis

Matthew C. C. Kiernan, Susanna B. B. Park

MUSCLE & NERVE (2023)

Article Clinical Neurology

Treatment with the copper compound CuATSM has no significant effect on motor neuronal pathology in patients with ALS

Yue Yang, Dominic Rowe, Heather McCann, Claire E. Shepherd, Jillian J. Kril, Matthew C. Kiernan, Glenda M. Halliday, Rachel H. Tan

Summary: This study compared the pathology of ALS patients who received CuATSM and riluzole with those who only received riluzole, and found no significant difference in neuron density or TDP-43 burden. However, CuATSM treatment led to the presence of p62-immunoreactive astrocytes in the motor cortex and reduced Iba1 density in the spinal cord. There was no significant difference in astrocytic activity and SOD1 immunoreactivity with CuATSM treatment.

NEUROPATHOLOGY AND APPLIED NEUROBIOLOGY (2023)

Article Neurosciences

Cortical inhibition and facilitation are mediated by distinct physiological processes

Nathan Pavey, Parvathi Menon, Mehdi A. J. van den Bos, Matthew C. Kiernan, Steve Vucic

Summary: A complex interaction of inhibitory and facilitatory interneuronal processes may underlie the development of cortical excitability. The study utilized threshold tracking transcranial magnetic stimulation to assess cortical excitability with different coil orientations. Significant effects of coil orientation were observed on short interval intracortical inhibition (SICI) and facilitation (SICF). The results suggest that distinct interneuronal processes are recruited with variable cortical orientation and thresholds.

NEUROSCIENCE LETTERS (2023)

Article Multidisciplinary Sciences

Short tandem repeat expansions in sporadic amyotrophic lateral sclerosis and frontotemporal dementia

Lyndal Henden, Liam G. Fearnley, Natalie Grima, Emily P. McCann, Carol Dobson-Stone, Lauren Fitzpatrick, Kathryn Friend, Lynne Hobson, Sandrine Chan Moi Fat, Dominic B. Rowe, Susan D'Silva, John B. Kwok, Glenda M. Halliday, Matthew C. Kiernan, Srestha Mazumder, Hannah C. Timmins, Margaret Zoing, Roger Pamphlett, Lorel Adams, Melanie Bahlo, Ian P. Blair, Kelly L. Williams

Summary: In this study, we analyzed whole-genome sequencing data from 608 patients with sporadic ALS, 68 patients with sporadic FTD, and 4703 matched controls using three tools. We found that 17.6% of clinically diagnosed ALS and FTD cases had expanded STR alleles reported to be pathogenic or intermediate for other neurodegenerative diseases, providing evidence for their contribution to the development of these diseases. We also identified multiple disease-relevant STR expansions associated with neurodegenerative diseases, highlighting the clinical and pathological pleiotropy of neurodegenerative disease genes and their importance in ALS and FTD.

SCIENCE ADVANCES (2023)

Article Clinical Neurology

Utility of split hand index with different motor unit number estimation techniques in ALS

Nathan Pavey, Andrew Hannaford, Mana Higashihara, Mehdi van den Bos, Matthew C. Kiernan, Parvathi Menon, Steve Vucic

Summary: The split hand index (SI) derived by different methods showed potential as a diagnostic biomarker in ALS, with SICMAP amp and SIMScanFit-MUNE demonstrating greater utility in distinguishing ALS from mimic disorders.

CLINICAL NEUROPHYSIOLOGY (2023)

Article Clinical Neurology

Upper and lower limb tremor in Charcot-Marie-Tooth neuropathy type 1A and the implications for standing balance

Matthew Silsby, Con Yiannikas, Alessandro F. Fois, Marina L. Kennerson, Matthew C. Kiernan, Victor S. C. Fung, Steve Vucic

Summary: Neuropathic tremor is a common clinical feature in CMT1A, with distinct characteristics compared to essential tremor. Upper limb tremors were postural and kinetic, while lower limb tremors were postural and orthostatic. The frequency of upper limb tremors varied along the limb, with a lower frequency distally and a higher frequency proximally. Lower limb tremors had a consistent frequency and were unaffected by fatigue. Postural lower limb tremor was associated with imbalance.

JOURNAL OF NEUROLOGY (2023)

Article Clinical Neurology

Functional connectivity of sensorimotor network is enhanced in spastic diplegic cerebral palsy: A multimodal study using fMRI and MEG

Jaakko Vallinoja, Timo Nurmi, Julia Jaatela, Vincent Wens, Mathieu Bourguignon, Helena Maenpaa, Harri Piitulainen

Summary: The study aimed to assess the effects of lesions related to spastic diplegic cerebral palsy on functional connectivity. Using multiple imaging modalities, the researchers found enhanced functional connectivity in the sensorimotor network of individuals with spastic diplegic cerebral palsy, which was not correlated with hand coordination performance.

CLINICAL NEUROPHYSIOLOGY (2024)

Article Clinical Neurology

Sensorimotor integration in cranial muscles tested by short- and long-latency afferent inhibition

Francesca Ginatempo, Nicola Loi, John C. Rothwell, Franca Deriu

Summary: This study comprehensively investigated sensorimotor integration in the cranial-cervical muscles of healthy adults and found that the integration of sensory inputs with motor output is profoundly influenced by the type of sensory afferent involved and the functional role played by the target muscle.

CLINICAL NEUROPHYSIOLOGY (2024)