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Updated: Jun 14, 2026

Assessing Primary Motor Cortex Excitability and Excitability Modulation by Pairing Transcranial Magnetic Stimulation with Electromyography
Published on: October 7, 2025
Differences in motor learning success are associated with differences in M1 excitability.
Carla Smyth1, Jeff J Summers, Michael I Garry
1Human Movement and Neuroscience Laboratory, School of Psychology, University of Tasmania, Australia.
Reduced feedback during motor training enhances motor learning and primary motor cortex (M1) plasticity. This suggests M1 involvement in consolidating new motor skills, with feedback frequency impacting learning outcomes.
Area of Science:
- Neuroscience
- Motor Control
- Motor Learning
Background:
- The primary motor cortex (M1) is implicated in motor learning, but its precise role and associated neural plasticity remain incompletely understood.
- Augmented feedback is crucial for motor skill acquisition, yet optimal feedback schedules for promoting learning and plasticity are debated.
Purpose of the Study:
- To investigate the relationship between augmented feedback frequency and motor learning.
- To examine the impact of different feedback schedules on primary motor cortex (M1) plasticity during motor skill acquisition and retention.
Main Methods:
- Two groups of participants (n=10 each) performed a wrist tracking task with either 100% or 50% augmented feedback.
- Transcranial magnetic stimulation (TMS) was used to assess M1 cortical excitability, including short-interval intracortical inhibition (SICI) and intracortical facilitation (ICF), before, after, and 24 hours post-training.
Main Results:
- The 50% feedback group demonstrated superior retention performance compared to the 100% feedback group, indicating enhanced motor learning with reduced feedback frequency.
- While cortical excitability did not change during acquisition, the 50% feedback group showed elevated M1 excitability at retention.
- Reduced SICI was observed post-practice, suggesting decreased intracortical inhibition during motor skill acquisition, while ICF remained unchanged.
Conclusions:
- The frequency of augmented feedback significantly influences motor learning and M1 plasticity.
- Enhanced M1 excitability during retention suggests its role in consolidating newly acquired motor skills.
- The findings highlight that M1 modulation during motor skill learning is dependent on task complexity and feedback parameters.
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