Cited by 70Transcranial Magnetic Stimulation StudiesPain Management and Placebo EffectMotor Control and Adaptation

Placebo-Induced Changes in Excitatory and Inhibitory Corticospinal Circuits during Motor Performance

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Fiorio, Mirta, Emadi Andani, Mehran, Marotta, Angela, Classen, Joseph, Tinazzi, Michele·2014·The Journal of Neuroscience

Abstract

Despite behavioral evidence showing placebo modulations of motor performance, the neurophysiological underpinnings of these effects are still unknown. By applying transcranial magnetic stimulation (TMS) over the primary motor cortex, we investigated whether a placebo modulation of force could change the excitability of the corticospinal system. Healthy human volunteers performed a motor task by pressing a piston as strongly as possible with the right index finger. Two experimental groups were instructed that treatment with peripheral low-frequency transcutaneous electrical nerve stimulation (TENS) applied on the first dorsal interosseus would induce force enhancement. One experimental group was conditioned about the effects of TENS with a surreptitious amplification of the visual feedback signaling the force level. The other group, instead, was only verbally influenced, without conditioning. At the end of the instructive placebo procedure, the two experimental groups reached higher levels of force, believed that TENS had been effective and expected to perform better compared with two control groups, who were not influenced about TENS. Moreover, the experimental groups presented enhanced excitability of the corticospinal system in the muscle specifically involved in the task (first dorsal interosseus), as shown by increased amplitude of the motor evoked potentials and decreased duration of the cortical silent period (the latter only in the conditioned group). Crucially, the TMS pulse was delivered when all the subjects exerted the same amount of force, ruling out bottom-up influences. These findings hint at a top-down, cognitive enhancement of corticospinal excitability as a neural signature of placebo modulation of motor performance.

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Crossref · 10.1523/jneurosci.3931-13.2014

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  • Expectancies can influence performance through proactive effects on effort expenditure and on perception.

    “For example, expectancies can influence performance through proactive effects on effort expenditure (Fiorio, Andani, Marotta, Classen, & Tinazzi, 2014;Hutchinson et al., 2008) and on perception (Abrams & Weidler, 2015;Chauvel et al., 2015;Piedimonte, Benedetti & Carlino, 2015;Witt, South, & Sugovic, 2014).”

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Authors
Fiorio, M., Emadi Andani, M., Marotta, A., Classen, J., & Tinazzi, M.
Affiliations
  • University of Verona (IT)
  • Leipzig University (DE)
Venue
The Journal of Neuroscience
Published
2014-03-12
Volume
34
Issue
11
Pages
3993-4005
ISSN
  • 0270-6474 (ISSN-L)
  • 1529-2401
OpenAlex
W2068131723
Cited by
70
References
53
Citations by year
2026: 3 · 2025: 7 · 2024: 6 · 2023: 4 · 2022: 6 · 2021: 6 · 2020: 3 · 2019: 10 · 2018: 11 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 2
FWCI
2.42
Type
journal article
Language
en
Open access
Locations
  • Journal of Neuroscience (publishedVersion, cc-by-nc-sa)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Motor Control and Adaptation
Keywords
placebo effect, motor performance, corticospinal excitability, primary motor cortex, transcutaneous electrical nerve stimulation, motor evoked potentials, cortical silent period, top-down cognitive control, force enhancement, first dorsal interosseous muscle, transcranial magnetic stimulation
MeSH terms
Adolescent, Adult, Cognition, Efferent Pathways, Transcutaneous Electric Nerve Stimulation, Female, Humans, Male, Models, Biological, Motor Cortex, Neural Inhibition, Psychomotor Performance, Pyramidal Tracts, Placebo Effect, Evoked Potentials, Motor, Excitatory Postsynaptic Potentials, Transcranial Magnetic Stimulation, Inhibitory Postsynaptic Potentials, Young Adult, Healthy Volunteers

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