The Influence of Area 5 on the Excitation of Primary Motor Cortex

Abstract

Using functional magnetic resonance imaging in humans, Brodmann's area 5 (BA5) is observed to be activated during the suppression of motor output in the context of a NO-GO task. In monkeys, BA5 is associated with somatosensation and specifically linked with motor preparation. The goal of this thesis is to investigate BA5 influences on corticospinal excitability prior to the onset of movement, in the context of a GO/NO-GO paradigm. To achieve this goal, paired-pulse TMS is used to probe the functional connectivity between BA5 and ipsilateral primary motor cortex (M1) for a muscle specific to the hand. Three experiments are performed that investigate the differences in corticospinal output to the hand in a GO task versus a NO-GO task and the stimulation parameters that reveal such differences. Results indicate that BA5 is able to condition M1 prior to movement in a task-specific manner. Further, motor evoked potentials (MEPs) are suppressed in the context of a NO-GO task relative to a GO task, and task-specific differences rely on the intensity and direction of induced current in the cortex. In conclusion, data from this thesis contribute to our understanding of the role of BA5 in motor control.