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Transcranial magnetic stimulation: new insights into representational cortical plasticity

Siebner, HR; Rothwell, J; (2003) Transcranial magnetic stimulation: new insights into representational cortical plasticity. EXP BRAIN RES , 148 (1) 1 - 16. 10.1007/s00221-002-1234-2.

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Abstract

In the last decade, transcranial magnetic stimulation (TMS) has been used increasingly as a tool to explore the mechanisms and consequences of cortical plasticity in the intact human cortex. Because the spatial accuracy of the technique is limited, we refer to this as plasticity at a regional level. Currently, TMS is used to explore regional reorganization in three different ways. First, it can map changes in the pattern of connectivity within and between different cortical areas or their spinal projections. Important examples of this approach can be found in the work on motor cortex representations following a variety of interventions such as immobilization, skill acquisition, or stroke. Second, TMS can be used to investigate the behavioural relevance of these changes. By applying TMS in its "virtual lesion" mode, it is possible to interfere with cortical function and ask whether plastic reorganization within a distinct cortical area improves function. Third, TMS can be used to promote changes in cortical function. This is achieved by using repetitive TMS (rTMS) to induce short-term functional reorganization in the human cortex. The magnitude and the direction of rTMS-induced plasticity depend on extrinsic factors (i.e. the variables of stimulation such as intensity, frequency, and total number of stimuli) and intrinsic factors (i.e. the functional state of the cortex targeted by rTMS). Since conditioning effects of rTMS are not limited to the stimulated cortex but give rise to functional changes in interconnected cortical areas, rTMS is a suitable tool to investigate plasticity within a distributed functional network. Indeed, the lasting effects of rTMS offer new possibilities to study dynamic aspects of the pathophysiology of a variety of diseases and may have therapeutic potential in some neuropsychiatric disorders.

Type: Article
Title: Transcranial magnetic stimulation: new insights into representational cortical plasticity
DOI: 10.1007/s00221-002-1234-2
Keywords: representational plasticity, human cortex, imaging, mapping, repetitive transcranial magnetic stimulation, HUMAN MOTOR CORTEX, PERIPHERAL-NERVE STIMULATION, INPUT-OUTPUT PROPERTIES, PREFRONTAL CORTEX, EVOKED-POTENTIALS, VISUAL-CORTEX, WRITERS CRAMP, UPPER-LIMB, RAT-BRAIN, CORTICOMOTOR REPRESENTATION
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Clinical and Movement Neurosciences
URI: http://discovery.ucl.ac.uk/id/eprint/128596
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