Lower excitability of the corticospinal tract to transcranial magnetic stimulation during lengthening contractions in human elbow flexors.

The purpose of this study was to characterize the neuromuscular control during shortening (SHO) and lengthening (LEN) contractions by investigating the input-output (I/O) property in the corticospinal tract. To this end, the relation between various stimulus intensities applied via transcranial magnetic stimulation and the size of motor evoked potentials was investigated in six healthy subjects during elbow flexion and extension. The measured I/O property demonstrates a sigmoidal shape, and is characterized by a plateau value, maximum slope and threshold. The results demonstrated that both the plateau value and maximum slope were significantly lower during LEN contraction than during SHO contraction (P<0.05), whereas the threshold was found not to be significantly different. These results suggest that both the maximum excitation level and the gain of the corticospinal tract are reduced during LEN contractions.