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Related Concept Videos

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Muscle Stimulation Frequency

The contraction strength of muscles is regulated by motor neurons, which modulate the frequency of action potentials dispatched to the motor units based on the body's requirements. This process of varying the muscle stimulation frequency allows muscles to contract with a force that is precisely tailored to the needs of the moment, whether lifting a feather or a heavy box.
Wave summation
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Related Experiment Video

Updated: Jun 17, 2026

Mapping the After-effects of Theta Burst Stimulation on the Human Auditory Cortex with Functional Imaging
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Published on: September 12, 2012

Breaks during 5Hz rTMS are essential for facilitatory after effects.

H Rothkegel1, M Sommer, W Paulus

  • 1Department of Clinical Neurophysiology, University of Göttingen, Göttingen, Germany. hrothke@gwdg.de

Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology
|December 17, 2009
PubMed
Summary

Breaks in high-frequency repetitive transcranial magnetic stimulation (rTMS) critically influence neuroplasticity. Intermittent protocols induce facilitation, while continuous stimulation leads to inhibition, highlighting the importance of breaks for effective rTMS therapy.

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Non-invasive Assessment of Changes in Corticomotoneuronal Transmission in Humans
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Related Experiment Videos

Last Updated: Jun 17, 2026

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10:09

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Published on: September 12, 2012

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Non-invasive Assessment of Changes in Corticomotoneuronal Transmission in Humans
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Non-invasive Assessment of Changes in Corticomotoneuronal Transmission in Humans

Published on: May 24, 2017

Area of Science:

  • Neuroscience
  • Neurophysiology
  • Brain Stimulation

Background:

  • Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive brain stimulation technique.
  • Stimulation frequency is traditionally viewed as the primary determinant of rTMS effects on corticospinal excitability.
  • The role of stimulation timing, specifically breaks, in modulating rTMS outcomes remains less understood.

Purpose of the Study:

  • To investigate the impact of breaks during high-frequency subthreshold rTMS on inducing facilitatory after effects.
  • To compare the neuroplastic effects of a standard block-design rTMS protocol versus a continuous rTMS protocol.
  • To examine the influence of current direction in rTMS and single-pulse TMS on neuroplasticity.

Main Methods:

  • Comparison of a standard 5Hz rTMS block design protocol with a continuous rTMS protocol using an equivalent number of pulses.
  • Assessment of corticospinal excitability changes following each protocol.
  • Inclusion of initial current direction (posterior-anterior vs. anterior-posterior) as a variable for both rTMS and single-pulse TMS.

Main Results:

  • A standard 5Hz rTMS protocol with breaks induced facilitatory after effects on corticospinal excitability.
  • Continuous rTMS, lacking breaks, resulted in inhibitory effects rather than facilitation.
  • Significant neuroplastic effects were observed only with an initial posterior-anterior current direction during rTMS.

Conclusions:

  • The presence and duration of breaks during high-frequency rTMS are critical determinants of the direction of induced neuroplastic changes.
  • These findings enhance the understanding of rTMS-induced neuroplasticity.
  • The results have significant implications for optimizing the design of experimental and clinical rTMS protocols.