Characterising the balance between short-interval intracortical inhibition and short-interval intracortical facilitation in younger and older adults.

Abstract

News and noteworthyO_LIMeasures of short-interval intracortical inhibition (SICI) and facilitation (SICF) reflect a balance between the excitability of inhibitory and facilitatory circuits in the motor cortex.\nC_LIO_LISICI stimulus-response functions, measured with a range of conditioning stimulus intensities and two intervals (first peak and trough of the SICF function), were similar between younger and older adults, except at the shift from net inhibition to facilitation.\nC_LIO_LIRelationships between SICI and SICF and manual dexterity show that an inhibition-facilitation balance favouring inhibition is associated with better manual dexterity and a balance favouring facilitation is associated with poorer manual dexterity.\nC_LI\n\nAbstractResearch investigating age-related differences in intracortical inhibition acting within the primary motor cortex (M1) reports inconsistent results. Age-related changes in the balance of inhibition and facilitation acting within M1 might underlie the inconsistent findings. Here, paired-pulse TMS was used to examine the balance between short-interval intracortical inhibition (SICI) and short-interval intracortical facilitation (SICF) in younger (n=26) and older (n=21) adults. First, the inter-stimulus intervals (ISIs) that produced maximal and minimal SICF at the first peak and trough were identified for each individual. Second, SICI stimulus-response functions (conditioning stimulus (CS): 50-110% resting motor threshold) were determined at ISIs that produced maximal and minimal facilitation for each individual. When SICI was measured with the ISI that produced maximal facilitation, the shift from net inhibition to net facilitation occurred at a lower CS intensity in older than younger adults. When SICI was measured with the ISI that produced minimal facilitation, older adults showed a persistent net inhibition at the highest CS intensity, whereas younger adults showed a shift from net inhibition to net facilitation at high CS intensities. Relationships between SICI and SICF and manual dexterity were evident across all measures of the inhibition-facilitation balance, whereby a balance favouring inhibition is associated with better manual dexterity and a balance favouring facilitation is associated with poorer manual dexterity. These findings contribute to our understanding of age-related differences in intracortical inhibitory and facilitatory processes, as well as highlight the importance of considering the balance between inhibitory and facilitatory processes when measuring SICI and SICF.