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Prei, Kilian ; Kanig, Carolina ; Osnabruegge, Mirja ; Langguth, Berthold ; Mack, Wolfgang ; Abdelnaim, Mohamed A. ; Schecklmann, Martin ; Schoisswohl, Stefan

Limited evidence for reliability of low and high frequency rTMS over the motor cortex

Prei, Kilian, Kanig, Carolina, Osnabruegge, Mirja, Langguth, Berthold , Mack, Wolfgang, Abdelnaim, Mohamed A. , Schecklmann, Martin und Schoisswohl, Stefan (2023) Limited evidence for reliability of low and high frequency rTMS over the motor cortex. Brain Research 1820, S. 148534.

Veröffentlichungsdatum dieses Volltextes: 31 Okt 2023 12:58
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.54950


Zusammenfassung

Objective: The aim of this study was to investigate the reliability of low-frequency and high-frequency repetitive transcranial magnetic stimulation (rTMS) on healthy individuals over the motor cortex. A secondary outcome was the assessment if low-frequency rTMS results in inhibition and high-frequency rTMS results in facilitation. Methods: In this experiment, 30 healthy participants received on ...

Objective: The aim of this study was to investigate the reliability of low-frequency and high-frequency repetitive transcranial magnetic stimulation (rTMS) on healthy individuals over the motor cortex. A secondary outcome was the assessment if low-frequency rTMS results in inhibition and high-frequency rTMS results in facilitation. Methods: In this experiment, 30 healthy participants received on four consecutive days one session each with application of 1 Hz or 20 Hz rTMS over the left motor cortex. 1 Hz and 20 Hz were applied in alternating order, whereby the starting frequency was randomized. Motor evoked potentials (MEPs) were measured before and after each session. Reliability measures were intraclass and Pearson's correlation coefficient (ICC and r). Results: ICCs and r values were low to moderate. Notably, within subgroups of less confounded measures, we found good r values for 20 Hz rTMS. The group-level analysis did not demonstrate a clear low-frequency inhibition and high-frequency facilitation pattern. At the single-subject level, only one participant exhibited significant changes consistent with the expected pattern, with concurrent decreases in MEPs following 1 Hz sessions and increases following 20 Hz sessions. Conclusion: The investigated neuromodulatory protocols show low to moderate reliability. Results are questioning the low-frequency inhibition and high-frequency facilitation pattern. Significance: Methodological improvements for the usage of rTMS are necessary to increase validity and reliability of non-invasive brain stimulation.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftBrain Research
Verlag:ELSEVIER
Ort der Veröffentlichung:AMSTERDAM
Band:1820
Seitenbereich:S. 148534
Datum14 August 2023
InstitutionenMedizin > Lehrstuhl für Psychiatrie und Psychotherapie
Identifikationsnummer
WertTyp
10.1016/j.brainres.2023.148534DOI
Stichwörter / KeywordsTRANSCRANIAL MAGNETIC STIMULATION; THETA-BURST-STIMULATION; CORTICOSPINAL EXCITABILITY; CORTICAL EXCITABILITY; INTERINDIVIDUAL VARIABILITY; SILENT PERIOD; MODULATION; PLASTICITY; BRAIN; STATE; Cortical excitability; Motor evoked potential (MEP); Repetitive transcranial magnetic stimulation; (rTMS); Test-retest reliability; Variability
Dewey-Dezimal-Klassifikation100 Philosophie und Psychologie > 150 Psychologie
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-549508
Dokumenten-ID54950

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