Responses of the diaphragm to transcranial magnetic stimulation during wake and sleep in humans

The human ventilation depends on bulbospinal and corticospinal commands. This study assessed their interactions in five healthy volunteers (two men, age 25–35) through the description of diaphragm and abductor pollicis brevis (APB) motor potentials (DiMEPs, abpMEPs) evoked by transcranial magnetic s...

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Veröffentlicht in:Respiratory physiology & neurobiology 2006-12, Vol.154 (3), p.406-418
Hauptverfasser: Mehiri, Selma, Straus, Christian, Arnulf, Isabelle, Attali, Valérie, Zelter, Marc, Derenne, Jean-Philippe, Similowski, Thomas
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container_end_page 418
container_issue 3
container_start_page 406
container_title Respiratory physiology & neurobiology
container_volume 154
creator Mehiri, Selma
Straus, Christian
Arnulf, Isabelle
Attali, Valérie
Zelter, Marc
Derenne, Jean-Philippe
Similowski, Thomas
description The human ventilation depends on bulbospinal and corticospinal commands. This study assessed their interactions in five healthy volunteers (two men, age 25–35) through the description of diaphragm and abductor pollicis brevis (APB) motor potentials (DiMEPs, abpMEPs) evoked by transcranial magnetic stimulation (TMS) during relaxed expiration and tidal inspiration and during wake and sleep. NREM decreased corticospinal excitability and REM further did so, for both the diaphragm and the APB. During wake, inspiration shortened supine DiMEPs latencies (expiration 18.56 ± 1.90 ms; inspiration 17.37 ± 1.48 ms, P < 0.001). This persisted during sleep in an augmented manner (expiration: 21.05 ± 1.39 ms; inspiration 18.69 ± 1.17 ms, P = 0.002). Inspiration had no effect on apbMEPs during wake and sleep. In conclusion: (1) the tidal bulbospinal input to phrenic motoneurones is sufficient to modulate the throughput of the corticospinal pathway to these neurones; (2) this modulation is best seen after the sleep related removal of corticospinal and/or afferent inputs.
doi_str_mv 10.1016/j.resp.2005.12.003
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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Adult
Biological and medical sciences
Breathing control
Chemosensitivity
Diaphragm
Diaphragm - physiology
Evoked Potentials, Motor
Exhalation - physiology
Female
Fundamental and applied biological sciences. Psychology
Humans
Inhalation - physiology
Male
Muscle, Skeletal - physiology
Pyramidal Tracts - physiology
Reaction Time
Sleep
Sleep - physiology
Sleep Stages - physiology
Thumb
Transcranial Magnetic Stimulation
Vertebrates: respiratory system
Wakefulness - physiology
title Responses of the diaphragm to transcranial magnetic stimulation during wake and sleep in humans
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