Central fatigue assessed by transcranial magnetic stimulation.

Abstract:

:Central fatigue is a subjective phenomenon which can be examined using transcranial magnetic stimulation (TMS). To assess central fatigue, we compared TMS and peripheral electrical stimulations in patients with central nervous system (CNS) lesions and controls before and after an exhaustive task. The recovery times of motor evoked potential (MEP) amplitudes were significantly prolonged in the patient group whereas the recovery of F waves and compound muscle action potentials showed no significant changes. The results indicate that fatigue cannot be attributed either to intramuscular processes or to reduced spinal excitability, but reflects a supraspinal, probably cortical phenomenon. The measurement of MEP recovery times proved to be a simple and objective tool for the assessment of fatigue and for the differentiation between healthy controls and patients with CNS lesions.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Liepert J,Kotterba S,Tegenthoff M,Malin JP

doi

10.1002/(SICI)1097-4598(199611)19:11<1429::AID-MUS

subject

Has Abstract

pub_date

1996-11-01 00:00:00

pages

1429-34

issue

11

eissn

0148-639X

issn

1097-4598

pii

10.1002/(SICI)1097-4598(199611)19:11<1429::AID-MUS

journal_volume

19

pub_type

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