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Updated: Feb 10, 2026

Assessing Primary Motor Cortex Excitability and Excitability Modulation by Pairing Transcranial Magnetic Stimulation with Electromyography
Published on: October 7, 2025
Modulation of motor cortical excitability with auditory stimulation
Olli Löfberg1, Petro Julkunen1,2, Elisa Kallioniemi1,3
1Department of Clinical Neurophysiology, Kuopio University Hospital , Kuopio , Finland.
This study shows that both standard and novel sounds increase motor cortex excitability. Transcranial magnetic stimulation (TMS) timed 200 ms after sound onset significantly increased motor evoked potentials (MEPs).
Area of Science:
- Neuroscience
- Auditory Neuroscience
- Motor Control
Background:
- Loud sounds can enhance motor cortex excitability when transcranial magnetic stimulation (TMS) is synchronized with the auditory evoked N100 potential.
- The N100 potential reflects auditory processing and arousal, originating from the brainstem and influencing central nervous system activity.
Purpose of the Study:
- To investigate differences in motor evoked potentials (MEPs) using deviant and novelty auditory stimuli interspersed with standard tones.
- To compare the effects of TMS synchronized with the N100 potential versus TMS at a 200 ms delay after sound onset.
Main Methods:
- Twelve healthy subjects received auditory stimuli (standard, deviant, novelty) with randomly interspersed TMS.
- TMS was synchronized with the N100 potential or applied 200 ms after sound onset.
- Motor cortex excitability was measured via motor evoked potentials (MEPs).
Main Results:
- All sound stimuli increased motor cortex excitability, regardless of sound type.
- TMS applied 200 ms after sound onset significantly increased MEPs.
- Contrary to the hypothesis, TMS synchronized with N100 did not yield greater MEPs than TMS at a 200 ms delay.
Conclusions:
- Auditory stimuli can modulate motor cortical excitability.
- The timing of TMS relative to auditory stimuli influences motor cortex excitability, with a 200 ms delay showing a significant effect.
- The precise mechanism for the observed MEP modulation requires further investigation.
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