Table 1.
Description of the single-pulse and paired-pulse TMS paradigms and their associated cortical mechanisms. The TMS paradigms were performed in the order listed in the table.
| TMS Paradigm | Description of Paradigm | Primary Underlying Cortical Mechanism |
|---|---|---|
| Measures of Cortical Excitability | ||
| (1) Resting motor threshold (RMT) | Minimum stimulator intensity that elicited a ≥50μV MEP in 5 of 10 consecutive trials at rest. | Neuronal membrane excitability |
| (2) 1mV stimulator intensity (SI1mv) | Suprathreshold stimulator intensity that elicited an average MEP amplitude of approximately 1mV at rest. | Neuronal membrane excitability |
| (3) Coefficient of variation (CV) of MEP amplitudes | Trial-to-trial CV of the MEP amplitudes elicited by single-pulse TMS (12 trials delivered at SI1mv). | Variability of cortical excitability |
| Measures of Intracortical Inhibition and Facilitation | ||
| (4) Short-interval intracortical inhibition (SICI) | Paired-pulse TMS: Conditioning pulse (80% of RMT) preceded test pulse (SI1mv) by 2ms (12 trials per condition). | GABAA receptor-mediated inhibitory neurotransmission |
| (5) Intracortical facilitation (ICF) | Paired-pulse TMS: Conditioning pulse (80% of RMT) preceded test pulse (SI1mv) by10ms (12 trials per condition). | NMDA receptor-mediated excitatory neurotransmission |
| (6) Cortical silent period | Single-pulse TMS (140% of RMT) during tonic muscle contraction (10 trials). | GABAB receptor-mediated inhibitory neurotransmission |
| Measures of Cortical Plasticity | ||
| (7) Average paired associative stimulation (PAS)-induced plasticity | Pre-PAS: Single-pulse TMS (SI1mV) PAS: Right median nerve stimulation preceded TMS by 25ms (180 pairings). Post-PAS: Single-pulse TMS (SI1mv) immediately after, and 15, 30 and 60 mins after PAS (20 trials per timepoint). Average potentiation calculated. | Long-term potentiation-like cortical plasticity |
| (8) Maximum PAS-induced plasticity | Same PAS procedures. Maximum potentiation calculated. | Long-term potentiation-like cortical plasticity |