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Using repetitive transcranial magnetic stimulation to study the underlying neural mechanisms of human motor learning and memory

机译:使用重复经颅磁刺激研究人类运动学习和记忆的潜在神经机制

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摘要

In the last two decades, there has been a rapid development in the research of the physiological brain mechanisms underlying human motor learning and memory. While conventional memory research performed on animal models uses intracellular recordings, microfusion of protein inhibitors to specific brain areas and direct induction of focal brain lesions, human research has so far utilized predominantly behavioural approaches and indirect measurements of neural activity. Repetitive transcranial magnetic stimulation (rTMS), a safe non-invasive brain stimulation technique, enables the study of the functional role of specific cortical areas by evaluating the behavioural consequences of selective modulation of activity (excitation or inhibition) on memory generation and consolidation, contributing to the understanding of the neural substrates of motor learning. Depending on the parameters of stimulation, rTMS can also facilitate learning processes, presumably through purposeful modulation of excitability in specific brain regions. rTMS has also been used to gain valuable knowledge regarding the timeline of motor memory formation, from initial encoding to stabilization and long-term retention. In this review, we summarize insights gained using rTMS on the physiological and neural mechanisms of human motor learning and memory. We conclude by suggesting possible future research directions, some with direct clinical implications.
机译:在过去的二十年中,人类运动学习和记忆基础的生理性脑机制的研究得到了飞速发展。虽然在动物模型上进行的常规记忆研究使用细胞内记录,蛋白抑制剂对特定大脑区域的微融合以及局灶性脑损伤的直接诱导,但迄今为止,人类研究仍主要采用行为方法和间接测量神经活动。重复性经颅磁刺激(rTMS)是一种安全的非侵入性脑刺激技术,通过评估选择性调节活动(激发或抑制)对记忆生成和巩固的行为后果,可以研究特定皮质区域的功能作用来了解运动学习的神经基础。根据刺激的参数,rTMS还可以促进学习过程,大概是通过有目的地调节特定大脑区域的兴奋性。从最初的编码到稳定和长期保留,rTMS还被用于获得有关运动记忆形成时间表的宝贵知识。在这篇综述中,我们总结了使用rTMS获得的关于人类运动学习和记忆的生理和神经机制的见解。最后,我们提出了可能的未来研究方向,其中一些具有直接的临床意义。

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