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KMID : 0861220110130010038
Journal of the Korean Society Clinical Neurophysiology
2011 Volume.13 No. 1 p.38 ~ p.43
Hemispheric Asymmetry of Plasticity in the Human Motor Cortex Induced by Paired Associative Stimulation
Shin Hae-Won

Sohn Young-Ho
Abstract
Background:In the brain, the dominant primary motor cortex (M1) has a greater hand representation area, shows more profuse horizontal connections, and shows a greater reduction in intracortical inhibition after hand exercise than does the non-dominant M1, suggesting a hemispheric asymmetry in M1 plasticity.

Methods:We performed a transcranial magnetic stimulation (TMS) study to investigate the hemispheric asymmetry of paired associative stimulation (PAS)-induced M1 plasticity in 9 right-handed volunteers. Motor evoked potentials (MEPs) were measured in the abductor pollicis brevis (APB) muscles of both hands, and MEP recruitment curves were measured at different stimulation intensities, before and after PAS.

Results:MEP recruitment curves were significantly enhanced in the dominant, but not the non-dominant M1.

Conclusions:These results demonstrate that the dominant M1 has greater PAS-induced plasticity than does the non-dominant M1. This provides neurophysiological evidence for the asymmetrical performance of motor tasks related to handedness.
KEYWORD
Handedness, Transcranial magnetic stimulation, Paired associative stimulation, Motor cortex, Plasticity
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