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Updated: Feb 15, 2026

Intracortical Inhibition Within the Primary Motor Cortex Can Be Modulated by Changing the Focus of Attention
Published on: September 11, 2017
Modulation of intra- and inter-hemispheric connectivity between primary and premotor cortex during speech perception
Helen E Nuttall1, Dan Kennedy-Higgins2, Joseph T Devlin3
1Department of Psychology, Fylde College, Lancaster University, Lancaster LA1 4YF, UK; Department of Speech, Hearing and Phonetic Sciences, University College London, Chandler House, 2 Wakefield Street, London WC1N 1PF, UK.
Disrupting premotor cortex (PMv) impacts understanding distorted speech. This suggests PMv and motor cortex (M1) interactions are crucial for challenging auditory-motor integration.
Area of Science:
- Neuroscience
- Auditory Perception
- Motor Control
Background:
- Primary motor (M1) areas activate during speech perception.
- Premotor cortex (PMv) may modulate M1 activity.
- The precise role of PMv in speech perception, especially under challenging conditions, is unclear.
Purpose of the Study:
- To investigate the link between PMv and M1 during challenging speech perception.
- To determine how PMv differentially modulates M1 activity during clear versus distorted speech comprehension.
Main Methods:
- Two experiments using transcranial magnetic stimulation (TMS) on PMv and M1.
- Experiment 1: Continuous theta burst stimulation (cTBS) on left PMv and motor evoked potentials (MEPs) in left M1 lip area.
- Experiment 2: Dual-coil TMS on right PMv and left M1 lip area.
Main Results:
- Disrupting PMv specifically affected comprehension of distorted speech.
- Distorted speech perception modulated intra- and inter-hemispheric interactions between PMv and M1.
- A larger sensorimotor network was implicated in distorted speech comprehension compared to clear speech.
Conclusions:
- PMv plays a critical role in processing challenging speech.
- Auditory-motor integration involves complex PMv-M1 interactions.
- These findings advance understanding of neural mechanisms underlying speech perception.
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