We studied motor neuron excitability during the mixed nerve silent per
iod (MNSP) in a hand muscle using magnetic motor evoked potentials (ME
Ps) and F-waves. MEPs elicited between the V-1 and V-2 potentials of t
he MNSP were much larger than control MEPs elicited at rest, and were
even comparable in size to control MEPs elicited during voluntary cont
raction. This facilitation of MEPs occurred without shortening of MEP
latency, suggesting a supraspinal mechanism. MEPs were facilitated dur
ing the MNSP when elicited with a figure-8-shaped coil in a posterior-
anterior orientation, but not when MEPs of the same size were elicited
with the coil held in a lateral-medial orientation. F-waves elicited
during the MNSP were variable between subjects, and not consistently d
ifferent from control F-waves elicited at rest. Our findings may refle
ct increased cortical motor excitability during the MNSP, possibly rel
ated to activation of muscle afferents by mixed nerve stimulation. (C)
1995 John Wiley & Sons, Inc.