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Updated: Jan 22, 2026

Intracortical Inhibition Within the Primary Motor Cortex Can Be Modulated by Changing the Focus of Attention
Published on: September 11, 2017
Intracortical Inhibition and Surround Inhibition in the Motor Cortex: A TMS-EEG Study
Giorgio Leodori1, Nivethida Thirugnanasambandam2, Hannah Conn2
1IRCCS NEUROMED, Pozzilli, Italy.
Background:
Short-latency intracortical inhibition (SICI) and motor surround inhibition (mSI) are cortical phenomena that have been investigated with transcranial magnetic stimulation (TMS). mSI is believed to be necessary for the execution of fine finger movements, SICI may participate in mSI genesis, and however, the mechanisms underlying both mSI and SICI are not entirely clear.
Objective:
We explored the cortical physiology of SICI and mSI in healthy subjects by TMS-evoked cortical potentials (TEPs).
Methods:
Single (sp) and paired-pulse (pp) TMS were delivered on the ADM muscle cortical hotspot while recording EEG and EMG. Three conditions were tested: spTMS and ppTMS at rest, and spTMS at the onset of an index finger movement. SICI and mSI were calculated on the ADM motor evoked potential (MEP) and two groups were defined based on the presence of mSI. Average TEPs were calculated for each condition and for five regions of interest.
Results:
At movement onset we observed a widespread reduction of the inhibitory late component N100 suggesting cortical facilitation associated with motor performance. At motor cortex level, SICI and mSI are associated with similar modulation of TEPs consisting in a reduction of P30 and an increase of N45 amplitude.
Conclusion:
Our findings suggest that SICI and mSI modulate cortical excitability with shared inhibitory mechanisms.
Insights
Short-latency intracortical inhibition (SICI) and motor surround inhibition (mSI) share inhibitory mechanisms, modulating cortical excitability. These findings clarify the neurophysiology underlying fine motor control in healthy individuals.
Area of Science:
- Neuroscience
- Motor Control
- Cortical Physiology
Background:
- Short-latency intracortical inhibition (SICI) and motor surround inhibition (mSI) are TMS-investigated cortical phenomena.
- mSI is crucial for fine finger movements, with SICI potentially contributing to its genesis.
- The precise mechanisms of SICI and mSI remain incompletely understood.
Purpose of the Study:
- To investigate the cortical physiology of SICI and mSI using TMS-evoked potentials (TEPs).
- To explore the relationship between SICI, mSI, and motor execution in healthy subjects.
Main Methods:
- Single-pulse (sp) and paired-pulse (pp) TMS applied to the ADM muscle hotspot.
- EEG and EMG recorded during rest and at the onset of index finger movement.
- SICI and mSI quantified from motor evoked potentials (MEPs); TEPs analyzed across regions of interest.
Main Results:
- Widespread reduction of the N100 inhibitory component observed at movement onset, indicating cortical facilitation.
- At the motor cortex level, SICI and mSI exhibited similar TEP modulation: reduced P30 and increased N45 amplitudes.
- Distinct TEP patterns were associated with the presence or absence of mSI.
Conclusions:
- SICI and mSI appear to modulate cortical excitability through common inhibitory pathways.
- Findings provide insights into the neurophysiological underpinnings of motor control.
- Shared mechanisms suggest a coordinated role for SICI and mSI in motor function.
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