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Updated: Sep 14, 2025

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Differences in Hebbian stimulation effects between biceps and triceps brachii in humans
Carley Lp Butler1,2,3,4, Min-Kyu Lee1,3, Monica A Perez1,2,3,4
1Shirley Ryan AbilityLab, Chicago, Illinois, United States.
Journal of Neurophysiology
|July 21, 2025
Summary
Hebbian stimulation enhances corticospinal excitability more in the biceps than triceps. This muscle-specific effect of Hebbian plasticity highlights the importance of innervation patterns for therapeutic strategies.
Area of Science:
- Neuroscience
- Motor Control
- Neuroplasticity
Background:
- Monosynaptic corticospinal connections differ between biceps and triceps motoneurons.
- Hebbian stimulation targets corticospinal-motoneuronal connections.
Purpose of the Study:
- To investigate if Hebbian stimulation differentially enhances corticospinal excitability in biceps versus triceps brachii.
- To test the hypothesis that Hebbian stimulation would yield greater corticospinal excitability in biceps due to more prevalent corticospinal connections.
Main Methods:
- Transcranial magnetic stimulation (TMS) assessed motor-evoked potential (MEP) size.
- Hebbian stimulation involved paired pulses (TMS preceding electrical stimulation).
- MEP size was measured at resting motor threshold (MEP-RMT) and maximum output (MEP-100%), and a control intensity (MEP-Control).
Main Results:
- Both MEP-RMT and MEP-100% increased in biceps and triceps post-stimulation.
- The increase in MEP-RMT was significantly greater in biceps compared to triceps.
- Hebbian stimulation produced a greater increase in MEP-Control in biceps than triceps, irrespective of baseline MEP size.
Conclusions:
- Hebbian plasticity enhances corticospinal excitability more in elbow flexors (biceps) than extensors (triceps).
- Muscle-specific innervation patterns influence the efficacy of Hebbian stimulation.
- Therapeutic strategies utilizing Hebbian stimulation should consider these muscle-specific differences.
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