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Clin Neurophysiol ; 125(4): 763-767, 2014 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-24128794

RESUMEN

OBJECTIVE: To explore motor excitability changes induced by disobedience and feigning-like behaviour. METHODS: Healthy subjects participated in motor imagery tasks. They imagined either a maximum muscle relaxation (condition 1) or a pinch grip (condition 2). In other trials, they were instructed to disobey the command to imagine a pinch grip. Instead, they should either imagine a maximum muscle relaxation (condition 3) or think of something else which they could choose freely (condition 4). Transcranial magnetic stimulation was used to explore motor excitability during the different tasks. Motor evoked potential amplitudes were expressed as percentage of the task-free control condition (condition 5). RESULTS: Imagination of a pinch grip enhanced motor excitability, imagery of maximum muscle relaxation reduced motor excitability below the level of the control condition. In conditions 3 and 4, motor excitability was lower than in condition 2. However, motor excitability in condition 3 was higher than in condition 1. CONCLUSIONS: Healthy subjects successfully disobeyed the motor imagery command but failed to maintain the down-regulation of motor excitability when trying to imagine maximum muscle relaxation. SIGNIFICANCE: The results help to interpret the down-regulation of motor excitability found in patients with motor conversion disorder.


Asunto(s)
Potenciales Evocados Motores/fisiología , Fuerza de la Mano/fisiología , Imaginación/fisiología , Relajación Muscular/fisiología , Músculo Esquelético/fisiología , Tractos Piramidales/fisiología , Adulto , Electromiografía/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Movimiento/fisiología , Estimulación Magnética Transcraneal/métodos
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