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Related Experiment Video

Updated: Jun 16, 2026

Combined Peripheral Nerve Stimulation and Controllable Pulse Parameter Transcranial Magnetic Stimulation to Probe Sensorimotor Control and Learning
14:47

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Published on: April 21, 2023

Phase-targeted peripheral stimulation modulates cortical sensorimotor responses.

Sara Askarikhomami1, Alireza Gharabaghi2

  • 1Institute for Neuromodulation and Neurotechnology, University Hospital and University of Tübingen, Tübingen, Germany.

Neuroimage
|June 13, 2026
PubMed
Summary

Timing peripheral nerve stimulation to brain waves influences sensorimotor responses. Neuromuscular electrical stimulation (NMES) timed to electroencephalography (EEG) phases showed effects on late cortical activity.

Keywords:
Cortical-evoked potentialsEEGNeuromuscular electrical stimulationPhase targetingSensorimotor processingState-dependent stimulation

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Last Updated: Jun 16, 2026

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Area of Science:

  • Neuroscience
  • Sensorimotor Integration
  • Brain-Computer Interfaces

Background:

  • Brain oscillations modulate sensory processing.
  • Cortical responses to peripheral stimulation depend on timing relative to brain activity.
  • The precise relationship between EEG phase and evoked potentials from targeted stimulation is not fully understood.

Purpose of the Study:

  • To investigate the cortical signatures of EEG phase-targeted peripheral stimulation across various frequencies.
  • To determine if the timing of neuromuscular electrical stimulation (NMES) relative to EEG phase influences evoked potentials.
  • To characterize the frequency and phase dependence of stimulation-evoked potentials.

Main Methods:

  • Delivered single-pulse NMES to the extensor digitorum communis muscle in 19 healthy adults.
  • Triggered NMES timing in real-time to predefined EEG phase targets across 4-40 Hz.
  • Analyzed stimulation-evoked potentials (P30, N60, N120, P190) using a two-stage approach, testing phase dependence via cosine-model fits.

Main Results:

  • Identified canonical evoked potential components (P30, N60, N120, P190).
  • Observed a candidate pattern for the late P190 component at 16 Hz.
  • Maximal P190 responses occurred when NMES was triggered at 45° phase, corresponding to the early rising EEG phase.

Conclusions:

  • Peripheral stimulation timing relative to ongoing EEG phase can influence late cortical sensorimotor responses.
  • The strongest candidate effect was observed in late evoked activity (P190), suggesting an impact on higher-order sensorimotor processing.
  • This highlights the potential for precise timing of peripheral input to modulate neural processing based on brain oscillatory states.