A sense of movement elicited in paralyzed distal arm by focal magnetic coil stimulation of human motor cortex.
ABSTRACT Two magnetic coils (MCs) of special design (Cadwell Laboratories) were used to elicit movements predominantly of one or a few digits by percutaneous stimulation of human motor cortex. When cortically elicited movements were ischemically blocked, the MC still elicited a discrete sense of digit movement; a sense of movement map was constructed by stimulating at different scalp sites. Our findings support the existence of corollary discharge.
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ABSTRACT: Human movement sense relies on both somatosensory feedback and on knowledge of the motor commands used to produce the movement. We have induced a movement illusion using repetitive transcranial magnetic stimulation over primary motor cortex and dorsal premotor cortex in the absence of limb movement and its associated somatosensory feedback. Afferent and efferent neural signalling was abolished in the arm with ischemic nerve block, and in the leg with spinal nerve block. Movement sensation was assessed following trains of high-frequency repetitive transcranial magnetic stimulation applied over primary motor cortex, dorsal premotor cortex, and a control area (posterior parietal cortex). Magnetic stimulation over primary motor cortex and dorsal premotor cortex produced a movement sensation that was significantly greater than stimulation over the control region. Movement sensation after dorsal premotor cortex stimulation was less affected by sensory and motor deprivation than was primary motor cortex stimulation. We propose that repetitive transcranial magnetic stimulation over dorsal premotor cortex produces a corollary discharge that is perceived as movement.PLoS ONE 01/2010; 5(10):e13301. · 4.09 Impact Factor
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