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Gilbert-Wu Lab

  • Gilbert / Wu Lab Research


    Transcranial Magnetic Stimulation Unit 

    The Transcranial Magnetic Stimulation (TMS) Lab at Cincinnati Children’s is one of the first labs in the country to use TMS technology to study child and adolescent brain function. Our research explores a range of topics related to learning, brain development and coordination of movement.  

    TMS research involves using a hand-sized magnet to temporarily activate or inhibit areas on the surface of the brain. This allows us to measure and study the “excitability” of the brain’s circuits for controlling movements and behaviors.  

    The brain’s control of movement, speech and behavior involves a balance of both excitatory “GO” and inhibitory “STOP” signaling. We have been studying these signals in children and adults with Tourette syndrome and ADHD to learn more about brain development, control and coordination of movement, and disruptive symptoms and behaviors. 

    In addition, TMS allows us to study how the brain learns new skills. Learning new skills and behaviors involves strengthening some brain connections and weakening others, creating new brain signaling patterns. Called “neuroplasticity,”  this adaptation may be important for understanding diseases and recovery. 

    We are also exploring the use of TMS to treat brain diseases. TMS can be used to externally apply energy to the brain and may mimic, or enhance, effects of therapy or practice. TMS pulses may also be able to modify abnormal brain activity linked to some diseases. We are exploring the use of TMS to precisely target areas of abnormal brain activity. 

    Contact Us

    For more information about the TMS unit, contact our research assistant, David Huddleston, BA, at: david.huddleston@cchmc.org.

     

  • Lab Publications

    Show All

    2010

    Gilbert DL, Isaacs KM, Augusta M, MacNeil LK, Mostofsky SH. Motor Cortex Inhibition: a marker of ADHD Behavior and Motor Development in Children. Neurology. 2010.

    Macneil LK, Xavier P, Garvey MA, Gilbert DL, Ranta ME, Denckla MB, Mostofsky SH. Quantifying excessive mirror overflow in children with attention-deficit/hyperactivity disorder. Neurology. 2010.

    Other Significant Publications

    Gilbert DL, Zhang J, Lipps TD, Natarajan N, Brandyberry J, Wang Z, Sallee FR, Wassermann EM. Atomoxetine Treatment of ADHD in Tourette Syndrome: Reduction in Motor Cortex Inhibition Correlates with Clinical Improvement. Clinical Neurophysiology. 118:1835-1841. 2007.

    Gilbert DL, Wang Z, Sallee FR, Ridel KR, Merhar S, Zhang J, Lipps TD, White C, Badreldin N,Wassermann EM. Dopamine transporter genotype influences the physiological response to medication in ADHD. Brain. 129:2038-2046. 2006.

    Gilbert DL, Ridel KR, Sallee FR, Zhang J, Lipps T, Wassermann EM. Comparison of the inhibitory and excitatory effects of ADHD medications methylphenidate and atomoxetine on motor cortex. Neuropsychopharmacology. 31:442-449. 2006.

    Gilbert DL, Sallee FR, Zhang J, Lipps T, Wassermann EM. Transcranial magnetic stimulation-evoked cortical inhibition: a consistent marker of attention-deficit/hyperactivity disorder scores in tourette syndrome. Biological Psychiatry. 57:1597-1600. 2005.

    Gilbert DL, Bansal AS, Sethuraman G, Huff T, Zhang J, Sallee FR, Wassermann EM. Association of Cortical Disinhibition with tic, ADHD, and OCD Severity in Tourette Syndrome. Movement Disorders. 19:416-425. 2004.

    Gilbert DL, Garvey M, Bansal AS, Huff T, Zhang J, Wassermann EM. Should transcranial magnetic stimulation research in children be considered minimal risk? Clinical Neurophysiology. 18:1730-1739. 2004.


  • Lab Presentations

    Show All

    2010

    Vannest J, Banks C, Wu S, Gilbert DL, DiFrancesco M, Szaflarski JP. Post-stroke aphasia recovery and excitatory rTMS intervention. Presented at the 16th Annual Meeting of the Organization for Human Brain Mapping, Barcelona, Spain, June 2010.

    Gilbert DL, Isaacs KM, Xavier P, MacNeil L, Lewis AN, Denckla M, Mostofsky SM. In ADHD Children, Motor Subtle Signs Correlate with Reduced Motor Cortex Inhibition.62nd Annual Meeting of the American Academy of Neurology, April 13, 2010; Toronto, Canada.

    Wu SW, Isaacs KM, Gilbert DL. Is Motor System Long-Term Potentiation Normal in Tourette Syndrome? 62nd Annual Meeting of the American Academy of Neurology, April 13, 2010; Toronto, Canada.

    Mostofsky S, Xavier P, MacNeil L, Isaacs K, Lewis A, Denckla M, Gilbert DL. Quantification of Increased Mirror Overflow in ADHD: Laterality and Gender Effects. 62nd Annual Meeting of the American Academy of Neurology, April 14, 2010; Toronto, Canada.

    2009

    Gilbert DL.  Physiology of Motor Control in Tourette Syndrome. Symposium at 2009 Child Neurology Society Annual Meeting, October 15, 2009; Louisville, KY.

    Gilbert, DL. Transcranial Magnetic Stimulation Research. Visiting Professor; Pediatric Neurology Symposium, University of Alberta, January 15-16, 2009; Alberta, Canada.


 
  • TMS machine.

    click to enlarge

     

    TMS machine.

    Dr. Gilbert uses a transcranial magnetic stimulation (TMS) machine to measure the brain’s electrical activity for his research into Tourette syndrome.

     

  • Article Features TMS Lab

    Learn more about how the TMS lab is developing therapies for neurological disorders using state-of-the-art technology.

    Read The Article Stimulating Brain Function, One Pulse at a Time