Measuring the Contralateral Silent Period Induced by Transcranial Magnetic Stimulation

0 views • 6:40 min • July 8th, 2025

Take a human patient's hand. Place a negative electrode on the first dorsal interosseous, or FDI, muscle to record its activity. Place a positive electrode on the distal joint and a reference electrode on the wrist to establish baseline signal.

Position a force-measuring device between the thumb and the index finger.

Maintain a standardized force on the device and record the muscle activity.

Locate the primary motor cortex, or M1, on the contralateral side of the brain that regulates FDI activity.

Position a magnetic coil on M1 and identify the lowest-intensity threshold stimulus to generate action potentials in cortical neurons that lead to FDI contraction, known as motor-evoked potential or MEP.

Deliver a suprathreshold pulse to elicit a high-amplitude MEP.

The cortical interneurons release inhibitory neurotransmitters that block cortical neurons, preventing excessive muscle activity.

Record the contralateral silent period, or cSP, a period of reduced muscle activity before voluntary activity returns.

To select the muscle for positioning the electrodes, ask the subject to put their hand over the table in a prone position. Then, to identify the first dorsal interosseous or FDI mus

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Motor Evoked Potential