Transcranial magnetic stimulation: a non-invasive window into the excitatory circuits involved in human motor behavior.

Abstract

Transcranial magnetic stimulation (TMS) is one of the most popular non-invasive tools for investigating the cortical circuits involved in human movement. Stimulation of the primary motor cortex elicits motor evoked potentials in peripheral muscles, the amplitude of which reflects the net excitability of circuits in the cortex and spinal cord. A number of methods exist to help broadly distinguish between excitatory and inhibitory influences on corticospinal output, allowing us to probe changes in the respective cortical circuits before and during movement. Something that has rarely been considered in human TMS studies, however, is the idea that specific populations of excitatory neurons might underlie different aspects of motor behavior. The current article provides a brief review of recent TMS studies which suggest that it is possible to selectively probe distinct excitatory inputs to corticospinal neurons during a range of movement-related states, from the preparation and execution of movements, to the suppression of unwanted movements. Together with recent advancements in computational modelling of the mechanisms of TMS and the capacity to record single-cell responses to TMS in behaving non-human primates, this avenue of research has the potential to shed light on the motor circuits underlying the repertoire of human motor behaviors, as well as their pathophysiology in diseases of the motor system.