Evidence map›Paper›PMID 33547521›Full record

ArticleExperimental brain research2021

Characterizing off-target corticospinal responses to double-cone transcranial magnetic stimulation.

F Proessl, M C Canino, M E Beckner, A M Sinnott, S R Eagle, A D LaGoy, W R Conkright, A J Sterczala, C Connaboy, F Ferrarelli and 3 more

Abstract read
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Article in Experimental brain research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

F ProesslNeuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, 3860 South Water St, Pittsburgh, PA, 15203, USA.
M C CaninoNeuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, 3860 South Water St, Pittsburgh, PA, 15203, USA.
M E BecknerNeuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, 3860 South Water St, Pittsburgh, PA, 15203, USA.
A M SinnottNeuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, 3860 South Water St, Pittsburgh, PA, 15203, USA.
S R EagleNeuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, 3860 South Water St, Pittsburgh, PA, 15203, USA.
A D LaGoyNeuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, 3860 South Water St, Pittsburgh, PA, 15203, USA.
W R ConkrightNeuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, 3860 South Water St, Pittsburgh, PA, 15203, USA.
A J SterczalaNeuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, 3860 South Water St, Pittsburgh, PA, 15203, USA.
C ConnaboyNeuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, 3860 South Water St, Pittsburgh, PA, 15203, USA.
F FerrarelliDepartment of Psychiatry, University of Pittsburgh Medical School, 3811 O'Hara Street, Pittsburgh, PA, 15213, USA.
A GermainDepartment of Psychiatry, University of Pittsburgh Medical School, 3811 O'Hara Street, Pittsburgh, PA, 15213, USA.
B C NindlNeuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, 3860 South Water St, Pittsburgh, PA, 15203, USA.
S D FlanaganNeuromuscular Research Laboratory/Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, 3860 South Water St, Pittsburgh, PA, 15203, USA. Sdf29@pitt.edu.ORCID http://orcid.org/0000-0002-6531-4567

Funding

U.S. Department of Defense W81XWH-16-PHTBIRP-CR3A
6 · The paper itself

Abstract

introductionThe double-cone coil (D-CONE) is frequently used in transcranial magnetic stimulation (TMS) experiments that target the motor cortex (M1) lower-limb representation. Anecdotal evidence and modeling studies have shed light on the off-target effects of D-CONE TMS but the physiological extent remains undetermined. PURPOSE: To characterize the off-target effects of D-CONE TMS based on bilateral corticospinal responses in the legs and hands.

methodsThirty (N = 30) participants (9 women, age: 26 ± 5yrs) completed a stimulus-response curve procedure with D-CONE TMS applied to the dominant vastus lateralis (cVL) and motor-evoked potentials (MEPs) recorded in each active VL and resting first dorsal interosseous (FDI). As a positive control (CON), the dominant FDI was directly targeted with a figure-of-eight coil and MEPs were similarly recorded in each active FDI and resting VL. MEP

resultsOff-target responses were evident in all muscles, with similar MEP DISCUSSION: Concurrent MEP recordings in bilateral upper- and lower-extremity muscles confirm that lower-limb D-CONE TMS produces substantial distance-dependent off-target effects. In addition to monitoring corticospinal responses in off-target muscles to improve targeting accuracy in real-time, future studies may incorporate off-target information into statistical models post-hoc.

Indexed as

Motor CortexTranscranial Magnetic StimulationChild, PreschoolEvoked Potentials, MotorFemaleHandHumansLower ExtremityMuscle, SkeletalCorticospinal excitabilityLower limbsMotor cortexMotor-evoked potentialsTranscranial magnetic stimulation

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.