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Updated: Feb 6, 2026

Corticospinal Excitability Modulation During Action Observation
Published on: December 31, 2013
In Standing, Corticospinal Excitability Is Proportional to COP Velocity Whereas M1 Excitability Is
Tulika Nandi1,2, Claudine J C Lamoth1, Helco G van Keeken1
1Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
Narrowing the base of support increases sway and alters neural control during standing. Motor evoked potential (MEP) size increased with difficulty, suggesting corticospinal excitability aids sway control.
Area of Science:
- Neuroscience
- Human Motor Control
- Biomechanics
Background:
- Standing stability relies on neural control of body sway.
- Reduced base of support (BOS) challenges postural control.
- Neural adaptations are crucial for maintaining balance with reduced BOS.
Purpose of the Study:
- To investigate the effects of reduced mediolateral (ML) base of support (BOS) on neural control of sway.
- To examine the influence of transcranial magnetic stimulation (TMS)-assessed cortical excitability on postural adjustments.
- To determine if individual neural excitability affects responses to increased standing difficulty.
Main Methods:
- Healthy adults stood with progressively narrowed mediolateral (ML) base of support (BOS).
- Transcranial magnetic stimulation (TMS) assessed motor evoked potential (MEP), short interval intracortical inhibition (SICI), intracortical facilitation (ICF), and long interval intracortical inhibition (LICI).
- Correlations between neural measures and center of pressure (COP) velocity were analyzed.
Main Results:
- Increasing standing difficulty led to larger MEPs and reduced SICI (p < 0.05).
- MEP size positively correlated with ML center of pressure (COP) velocity (ρ = 0.50, p = 0.001).
- Cortical excitability measures did not correlate with COP velocity, but ICF trended to decrease (p = 0.07).
Conclusions:
- Corticospinal excitability (MEP size) contributes to mediolateral sway control.
- Cortical facilitation and inhibition play roles in other aspects of sway control.
- Neural excitability during standing results from an interaction between task difficulty and individual neural characteristics.
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