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[Purpose] To clarify the influence of low-frequency repetitive transcranial magnetic stimulation (rTMS) over hand motor areas on the neural activity of leg motor areas in the contralateral hemisphere. [Subjects and Methods] Sixteen healthy adults were studied. Low-frequency rTMS or sham stimulation were applied to the hand motor areas in the left hemisphere. Before and after the application, motor evoked potentials (MEPs) of the muscles of the left upper limb (first dorsal interosseous muscle) and lower limb (tibialis anterior muscle) were measured. [Results] Low-frequency rTMS significantly increased the MEPs of not only the left upper limb muscle, but also the left lower limb muscle; however, sham stimulation did not result in any significant change in MEPs of these muscles. A significant reduction was shown before and after the sham stimulus. [Conclusions] Low-frequency rTMS over the hand motor areas influences leg motor areas as well as hand motor areas in the contralateral hemisphere. There seems to be a neural connection between the hand motor areas and leg motor areas in the contralateral hemisphere.

Influence of Low-frequency rTMS over Hand Motor Areas on Neural Activity of Leg Motor Areas in the Contralateral Hemisphere