Modulation of motor cortex inhibition during manual dexterity tasks: an adaptive threshold hunting study.

Abstract

Background: The ability to perform intricate movements is crucial for human motor function. The neural mechanisms underlying precision and power grips are incompletely understood. Corticospinal output from M1 is thought to be modulated by GABAA-ergic intracortical networks within M1. Objectives: To investigate the contribution of M1 intracortical inhibition to fine motor control using adaptive threshold hunting with paired-pulse TMS during pinching and grasping tasks. We hypothesised that SICI could be assessed during voluntary activation, and that corticomotor excitability and SICI modulation would be greater during pinch than grasp reflecting corticospinal control. Methods: Seventeen healthy participants performed gradual pinch and grasp tasks. Using an adaptive threshold-hunting method, paired-pulse TMS was applied in the anterior-posterior current direction to assess cortical excitability and SICI in the dominant FDI muscle. SICI and corticomotor excitability were analysed using an LMM. MEP latencies were obtained in LM, PA and AP current directions and compared using paired t-tests. Results: MEP latencies were prolonged with PA and AP coil orientations compared to LM, with AP showing the largest latency. During single-pulse TMS, there was no difference in the TMS intensity required to reach the MEP target during pinching and grasping. Greater inhibition was found during pinching compared to grasping. Conclusion: ATH with paired-pulse TMS permits investigation of intracortical inhibitory networks and their modulation during the performance of dexterous motor tasks revealing a greater modulation of GABAA-ergic inhibition contributing to SICI during pinching compared to grasping.