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Updated: Feb 9, 2026

Stimulating the Lip Motor Cortex with Transcranial Magnetic Stimulation
Published on: June 14, 2014
Excitability prediction of the motor cortex leg representation using EEG-TMS
Miriam Kirchhoff1, Sarah Harders2, David Emanuel Vetter1
1Department of Neurology & Stroke, Eberhard Karls University of Tübingen, Tübingen, Germany; Hertie Institute for Clinical Brain Research, Eberhard Karls University of Tübingen, Tübingen, Germany.
Researchers found that brain activity patterns, specifically sensorimotor cortex mu-rhythm power and phase, predict corticospinal excitability for the motor cortex leg representation. This could aid in treating gait and balance disorders.
Area of Science:
- Neuroscience
- Motor Control
- Brain-Computer Interfaces
Background:
- Corticospinal excitability of the motor cortex (M1) hand representation is influenced by sensorimotor mu-rhythm.
- Prediction of M1 leg representation excitability using EEG-TMS is not well understood.
Purpose of the Study:
- To investigate the predictive relationship between sensorimotor EEG signals and corticospinal excitability of the M1 leg representation.
- To explore the role of mu-rhythm phase and power, as well as other frequency bands, in predicting M1 leg excitability.
Main Methods:
- 16 healthy subjects underwent navigated focal transcranial magnetic stimulation (TMS) targeting the tibialis anterior muscle hot spot.
- Motor evoked potentials (MEPs) and electroencephalography (EEG) were recorded simultaneously.
- Hjorth montages centered over the sensorimotor cortex were used.
Main Results:
- High gamma band power positively correlated with MEP amplitude, while beta band power showed an inverse correlation.
- Mu-rhythm phase alone did not predict MEP amplitude.
- A significant interaction between mu-power and mu-phase was observed, influencing MEP amplitude.
Conclusions:
- EEG signals from the sensorimotor cortex, including mu-power/phase interaction and other frequency bands, predict corticospinal excitability of the M1 leg representation.
- These findings may guide brain-state dependent stimulation for gait and balance disorders.
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