Paired-pulse transcranial magnetic stimulation with a conditioning-test par
adigm was used to assess changes of corticocortical inhibition and facilita
tion during mental simulation of sequential finger movements in normal subj
ects. The cortico-cortical inhibition (at interstimulus interval, ISI, of 3
ms) was significantly reduced in the relaxed opponens pollicis (OP) muscle
during motor imagery, regardless of the absolute size of the test motor ev
oked potential. The amount of cortico-cortical inhibition was similar to th
at observed during a mild voluntary contraction of the OF. No change of cor
tico-cortical facilitation was observed at the ISI of 12 ms. The data suppo
rt the hypothesis that similar neural structures, including the primary mot
or cortex, are activated during both mental simulation and actual execution
of motor activities. (C) 1999 Elsevier Science Ireland Ltd. All rights res
erved.