Increase in beta frequency phase synchronization and power after a session of high frequency repetitive transcranial magnetic stimulation to the primary motor cortex

High-frequency repetitive transcranial magnetic stimulation (rTMS) to the primary motor cortex (M1) is used to treat several neuropsychiatric disorders, but the detailed temporal dynamics of its effects on cortical connectivity remain unclear. Here, we stimulated four cortical targets used for rTMS...

Full description

Saved in:
Bibliographic Details
Main Authors: Enrico De Martino, Adenauer Girardi Casali, Bruno Andry Nascimento Couto, Thomas Graven-Nielsen, Daniel Ciampi de Andrade
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Neurotherapeutics
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1878747924001843
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832575450685112320
author Enrico De Martino
Adenauer Girardi Casali
Bruno Andry Nascimento Couto
Thomas Graven-Nielsen
Daniel Ciampi de Andrade
author_facet Enrico De Martino
Adenauer Girardi Casali
Bruno Andry Nascimento Couto
Thomas Graven-Nielsen
Daniel Ciampi de Andrade
author_sort Enrico De Martino
collection DOAJ
description High-frequency repetitive transcranial magnetic stimulation (rTMS) to the primary motor cortex (M1) is used to treat several neuropsychiatric disorders, but the detailed temporal dynamics of its effects on cortical connectivity remain unclear. Here, we stimulated four cortical targets used for rTMS (M1; dorsolateral-prefrontal cortex, DLPFC; anterior cingulate cortex, ACC; posterosuperior insula, PSI) with TMS coupled with high-density electroencephalography (TMS-EEG) to measure cortical excitability and oscillatory dynamics before and after active- and sham-M1-rTMS. Before and immediately after active or sham M1-rTMS (15 ​min, 3000 pulses at 10 ​Hz), single-pulse TMS-evoked EEG was recorded at the four targets in 20 healthy individuals. Cortical excitability and oscillatory measures were extracted at the main frequency bands (α [8–13 ​Hz], low-β [14–24 ​Hz], high-β [25–35 ​Hz]). Active-M1-rTMS increased high-β synchronization in electrodes near the stimulation area and remotely, in the contralateral hemisphere (p ​= ​0.026). Increased high-β synchronization (48–83 ​ms after TMS-EEG stimulation) was succeeded by enhancement in low-β power (86–144 ​ms after TMS-EEG stimulation) both locally and in the contralateral hemisphere (p ​= ​0.006). No significant differences were observed in stimulating the DLPFC, ACC, or PSI by TMS-EEG. M1-rTMS engaged a sequence of enhanced phase synchronization, followed by an increase in power occurring within M1, which spread to remote areas and persisted after the end of the stimulation session. These results are relevant to understanding the M1 neuroplastic effects of rTMS in health and may help in the development of informed rTMS therapies in disease.
format Article
id doaj-art-45a3d923429748128271912f9375f204
institution Kabale University
issn 1878-7479
language English
publishDate 2025-01-01
publisher Elsevier
record_format Article
series Neurotherapeutics
spelling doaj-art-45a3d923429748128271912f9375f2042025-02-01T04:11:52ZengElsevierNeurotherapeutics1878-74792025-01-01221e00497Increase in beta frequency phase synchronization and power after a session of high frequency repetitive transcranial magnetic stimulation to the primary motor cortexEnrico De Martino0Adenauer Girardi Casali1Bruno Andry Nascimento Couto2Thomas Graven-Nielsen3Daniel Ciampi de Andrade4Center for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, DenmarkInstitute of Science and Technology, Federal University of São Paulo, São Paulo, BrazilCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, DenmarkCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, DenmarkCenter for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark; Corresponding author.High-frequency repetitive transcranial magnetic stimulation (rTMS) to the primary motor cortex (M1) is used to treat several neuropsychiatric disorders, but the detailed temporal dynamics of its effects on cortical connectivity remain unclear. Here, we stimulated four cortical targets used for rTMS (M1; dorsolateral-prefrontal cortex, DLPFC; anterior cingulate cortex, ACC; posterosuperior insula, PSI) with TMS coupled with high-density electroencephalography (TMS-EEG) to measure cortical excitability and oscillatory dynamics before and after active- and sham-M1-rTMS. Before and immediately after active or sham M1-rTMS (15 ​min, 3000 pulses at 10 ​Hz), single-pulse TMS-evoked EEG was recorded at the four targets in 20 healthy individuals. Cortical excitability and oscillatory measures were extracted at the main frequency bands (α [8–13 ​Hz], low-β [14–24 ​Hz], high-β [25–35 ​Hz]). Active-M1-rTMS increased high-β synchronization in electrodes near the stimulation area and remotely, in the contralateral hemisphere (p ​= ​0.026). Increased high-β synchronization (48–83 ​ms after TMS-EEG stimulation) was succeeded by enhancement in low-β power (86–144 ​ms after TMS-EEG stimulation) both locally and in the contralateral hemisphere (p ​= ​0.006). No significant differences were observed in stimulating the DLPFC, ACC, or PSI by TMS-EEG. M1-rTMS engaged a sequence of enhanced phase synchronization, followed by an increase in power occurring within M1, which spread to remote areas and persisted after the end of the stimulation session. These results are relevant to understanding the M1 neuroplastic effects of rTMS in health and may help in the development of informed rTMS therapies in disease.http://www.sciencedirect.com/science/article/pii/S1878747924001843Transcranial magnetic stimulationElectroencephalogramTime-frequency analysisPhase resetPrimary motor cortex
spellingShingle Enrico De Martino
Adenauer Girardi Casali
Bruno Andry Nascimento Couto
Thomas Graven-Nielsen
Daniel Ciampi de Andrade
Increase in beta frequency phase synchronization and power after a session of high frequency repetitive transcranial magnetic stimulation to the primary motor cortex
Neurotherapeutics
Transcranial magnetic stimulation
Electroencephalogram
Time-frequency analysis
Phase reset
Primary motor cortex
title Increase in beta frequency phase synchronization and power after a session of high frequency repetitive transcranial magnetic stimulation to the primary motor cortex
title_full Increase in beta frequency phase synchronization and power after a session of high frequency repetitive transcranial magnetic stimulation to the primary motor cortex
title_fullStr Increase in beta frequency phase synchronization and power after a session of high frequency repetitive transcranial magnetic stimulation to the primary motor cortex
title_full_unstemmed Increase in beta frequency phase synchronization and power after a session of high frequency repetitive transcranial magnetic stimulation to the primary motor cortex
title_short Increase in beta frequency phase synchronization and power after a session of high frequency repetitive transcranial magnetic stimulation to the primary motor cortex
title_sort increase in beta frequency phase synchronization and power after a session of high frequency repetitive transcranial magnetic stimulation to the primary motor cortex
topic Transcranial magnetic stimulation
Electroencephalogram
Time-frequency analysis
Phase reset
Primary motor cortex
url http://www.sciencedirect.com/science/article/pii/S1878747924001843
work_keys_str_mv AT enricodemartino increaseinbetafrequencyphasesynchronizationandpowerafterasessionofhighfrequencyrepetitivetranscranialmagneticstimulationtotheprimarymotorcortex
AT adenauergirardicasali increaseinbetafrequencyphasesynchronizationandpowerafterasessionofhighfrequencyrepetitivetranscranialmagneticstimulationtotheprimarymotorcortex
AT brunoandrynascimentocouto increaseinbetafrequencyphasesynchronizationandpowerafterasessionofhighfrequencyrepetitivetranscranialmagneticstimulationtotheprimarymotorcortex
AT thomasgravennielsen increaseinbetafrequencyphasesynchronizationandpowerafterasessionofhighfrequencyrepetitivetranscranialmagneticstimulationtotheprimarymotorcortex
AT danielciampideandrade increaseinbetafrequencyphasesynchronizationandpowerafterasessionofhighfrequencyrepetitivetranscranialmagneticstimulationtotheprimarymotorcortex