Difference between revisions of "Transcranial Magnetic Stimulation and Brain Plasticity in Post-Stroke Recovery"

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'''Abstract:''' This article explores the application and mechanisms of Transcranial Magnetic Stimulation (TMS) in studying neuroplasticity, particularly in the context of motor cortex reorganization after stroke. TMS, a non-invasive technique that uses magnetic fields to stimulate specific brain regions, allows researchers to map motor cortical areas and assess neuronal excitability. The study emphasizes that motor representations in the cortex are distributed over a network of primary and secondary motor areas, with overlapping motor maps that govern various muscle groups.
'''Abstract:''' This article explores the application and mechanisms of Transcranial Magnetic Stimulation (TMS) in studying neuroplasticity, particularly in the context of motor cortex reorganization after stroke. TMS, a non-invasive technique that uses magnetic fields to stimulate specific brain regions, allows researchers to map motor cortical areas and assess neuronal excitability. The study emphasizes that motor representations in the cortex are distributed over a network of primary and secondary motor areas, with overlapping motor maps that govern various muscle groups.


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== Introduction ==
== Introduction ==
[[File:MagStim.jpeg|thumb|'''Figure 1:''' Magnetic Stimulation]]Transcranial Magnetic Stimulation (TMS) is a completely harmless technique that allows specific areas of the brain to be stimulated. By generating magnetic fields (1.5 - 2 tesla) of very short duration (< 1 msec) inside a toroid made of copper coils, and bringing the same close to the scalp, a very short-duration current is induced in the underlying brain, with the opposite direction to the current circulating in the toroid, without activating the nociceptors of the skin, muscles, or meninges.  
Transcranial Magnetic Stimulation (TMS) is a completely harmless technique that allows specific areas of the brain to be stimulated.  [[File:MagStim.jpeg|thumb|'''Figure 1:''' Magnetic Stimulation]]By generating magnetic fields (1.5 - 2 tesla) of very short duration (< 1 msec) inside a toroid made of copper coils, and bringing the same close to the scalp, a very short-duration current is induced in the underlying brain, with the opposite direction to the current circulating in the toroid, without activating the nociceptors of the skin, muscles, or meninges.
 
This results in painless excitation of the neurons beneath the toroid. TMS allows mapping the connections of the motor system and defining its excitability.  


This results in painless excitation of the neurons beneath the toroid. TMS allows mapping the connections of the motor system and defining its excitability. The evoked response can be derived from various muscles of the body, including those of the masticatory apparatus. In fact, stimulation of the scalp about 2 cm laterally to the central point of the scalp, identified as Cz according to the International 10-20 System of Jasper, evokes an electromyographic response recordable in the pterygoid and masseter muscles contralateral to the stimulated cortical area.
The evoked response can be derived from various muscles of the body, including those of the masticatory apparatus. In fact, stimulation of the scalp about 2 cm laterally to the central point of the scalp, identified as Cz according to the International 10-20 System of Jasper, evokes an electromyographic response recordable in the pterygoid and masseter muscles contralateral to the stimulated cortical area.


==Multiple Motor Cortical Maps==
==Multiple Motor Cortical Maps==
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