Cerebellar theta burst stimulation modulates the neural activity of interconnected parietal and motor areas
Open accessAbstract
Voluntary movement control and execution are regulated by the influence of the cerebellar output over different interconnected cortical areas, through dentato-thalamo connections. In the present study we applied transcranial magnetic stimulation (TMS) and electroencephalography (EEG) to directly assess the effects of cerebellar theta-burst stimulation (TBS) over the controlateral primary motor cortex (M1) and posterior parietal cortex (PPC) in a group of healthy volunteers. We found a TBS-dependent bidirectional modulation over TMS-evoked activity; specifically, cTBS increased whereas iTBS decreased activity between 100 and 200 ms after TMS, in a similar manner over both M1 and PPC areas. On the oscillatory domain, TBS induced specific changes over M1 natural frequencies of oscillation: TMS-evoked alpha activity was decreased by cTBS whereas beta activity was enhanced by iTBS. No effects were observed after sham stimulation. Our data provide novel evidence showing that the cerebellum exerts its control on the cortex likely by impinging on specific set of interneurons dependent on GABA-ergic activity. We show that cerebellar TBS modulates cortical excitability of distant interconnected cortical areas by acting through common temporal, spatial and frequency domains.
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The possibility that CBM-iTBS has differential effects on distinct cognitive functions aligns with prior studies.
“which aligns with prior studies (Casula et al., 2016; Esterman et al., 2017; Ferrari et al., 2018; Gatti et al., 2021; Lesage et al., 2012; Shinn et al., 2023)”
From A double-blind, randomized, sham-controlled clinical trial of cerebellar intermittent theta burst stimulation for bipolar disorder: Safety, tolerability, mood and cognitive effects (2025) · cites this paper as Casula et al., 2016
The Results and Discussion (page numbers unavailable) report effects of cerebellar iTBS on neural activity in motor and parietal areas, but do not test distinct cognitive functions. The Discussion says future studies are needed to investigate cerebellar connections during cognitive performance. I searched for differential cognitive effects and cognitive performance in our copy; neither establishes the attributed possibility. (LLM, conf=0.75)
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- Authors
- Casula, E. P., Pellicciari, M. C., Ponzo, V., Stampanoni Bassi, M., Veniero, D., Caltagirone, C., & Koch, G.
- Affiliations
- Fondazione Santa Lucia (IT)
- University of Rome Tor Vergata (IT)
- Policlinico Tor Vergata (IT)
- Corresponding author
- Koch, Giacomo
- ORCID
- Venue
- Scientific Reports
- Published
- 2016-10-31
- Volume
- 6
- Issue
- 1
- Pages
- 36191-36191
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC5086958
- OpenAlex
- W2541396679
- Cited by
- 123
- References
- 48
- Citations by year
- 2026: 13 · 2025: 11 · 2024: 16 · 2023: 6 · 2022: 10 · 2021: 15 · 2020: 17 · 2019: 17 · 2018: 9 · 2017: 8
- FWCI
- 6.21
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Cineca Institutional Research Information System (Tor Vergata University) (submittedVersion)
- IRIS eCampus Telematic University (Università degli Studi eCampus) (submittedVersion)
- Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion)
- Funders
- Ministero della Salute (GR-2009-1591859)
- Topics
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Motor Control and Adaptation
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Keywords
- primary motor cortex, posterior parietal cortex, corticospinal excitability, alpha oscillations, beta oscillations, GABAergic interneurons, cortical oscillations, voluntary movement control, cerebellar-cortical interaction
- MeSH terms
- Adult, Electroencephalography, Evoked Potentials, Female, Humans, Male, Motor Cortex, Neuronal Plasticity, Parietal Lobe, Transcranial Magnetic Stimulation, Healthy Volunteers
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