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Updated: Jun 10, 2026

Assessing Primary Motor Cortex Excitability and Excitability Modulation by Pairing Transcranial Magnetic Stimulation with Electromyography
Published on: October 7, 2025
Gender differences in changes of motor cortex excitability during elevated blood lactate levels
Valentina Perciavalle1, Marinella Coco, Giovanna Alagona
1Department of Formative Processes, University of Catania, Catania, Italy. perciava@unict.it
High blood lactate levels from intense exercise enhance motor cortex excitability in athletes. This effect was more pronounced in female athletes, indicating greater sensitivity of the female cerebral cortex to lactate.
Area of Science:
- Neuroscience
- Exercise Physiology
- Sports Science
Background:
- Cortical excitability differences between genders are documented.
- Transcranial magnetic stimulation (TMS) is a tool to assess cortical excitability.
Purpose of the Study:
- To compare the impact of exercise-induced high blood lactate on primary motor cortex excitability in male and female athletes.
- To investigate potential gender-specific responses to elevated lactate levels.
Main Methods:
- Utilized transcranial magnetic stimulation (TMS) to evaluate motor cortex excitability.
- Measured blood lactate and glucose levels before, during, and after maximal exhausting exercise.
- Included 21 young male and 20 female track athletes.
Main Results:
- Both male and female athletes showed increased motor cortex excitability with elevated blood lactate.
- The enhancement in cortical excitability was significantly greater in female athletes (37.4%) compared to male athletes (42.0%).
Conclusions:
- High blood lactate levels enhance primary motor cortex excitability in both genders.
- Female athletes exhibit a heightened sensitivity of their cerebral cortex to blood lactate compared to male athletes.
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