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1 Academic Unit of Clinical Nuerophysiology, King's College Hospital, London, United Kingdom
* To whom correspondence should be addressed. E-mail: kerry.mills1{at}kingsch.nhs.uk.
We investigated in 29 healthy subjects a simple model of rapid independent finger movement: the rapid sequential tapping of adjacent fingers. Inter-tap interval (ITI) was measured for adjacent pairs of fingers in each direction. ITI was shorter in the ulnar
radial direction than in the reverse direction {p<0.001 for middle to index (M
I) compared with index to middle (I
M)}. There was a gradient across the hand such that in the ulnar
radial direction, litlle to ring (L
R) tapping was fastest and M
I slowest; in the radial
ulnar direction, the reverse was the case. Rectified surface EMG from finger extensors and flexors was averaged with respect to either the first or second tap. The interval between the flexor EMG burst and the tap was similar irrespective of the order of finger tapping, excluding a mechanical explanation of the timing difference. Transcranial magnetic stimulation (TMS) was applied at 0-50ms intervals after the first tap. Interposed TMS delayed the second tap significantly more (p<0.001) in the M
I direction than in the I
M direction. MEPs evoked by TMS interposed between taps showed a greater facilitation in the M
I than in the I
M direction (p<0.001). Increasing intensity of TMS rendered subjects unable to produce the second tap, more frequently in the I
M direction than in the M
I direction. We have demonstrated a consistent pattern across the hand and postulate that finger-order dependent differences in ITI and the gradient of these across the hand may reflect the mechanism of grasping and further that the cortical programming of finger tapping differs depending on finger order.
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