The goal of this project is to test our central hypothesis that changes in sex hormone concentration result in changes to the basic elements of motor control - at multiple levels, from the musculotendinous unit to motor control circuitry. Under Aim 1 the investigator will determine the influence of sex hormone fluctuations on the muscle stretch reflex during active and passive states, and the time lag between hormone concentration changes and the reflex response. The investigator will use a technically simple assessment that could be implemented in the field. Under Aim 2 the investigator will determine the influence of sex hormone fluctuations on spinal motor neuron excitability using H-reflex as a probe and the simultaneous change in the muscle mechanics using muscle twitch response. Aims 1 \& 2 will include a focus on the differential role of oral contraceptives. In Aim 3 the investigator will use paired-pulse transcranial magnetic stimulation during active contraction to determine the influence of sex hormone fluctuation.
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Changes in Short-interval Intracortical Inhibition (SICI) During the Follicular Phase
Timeframe: day 1 menses up to day with highest estradiol concentration
Change in Stretch Reflex at Relaxed State
Timeframe: Follicular, Luteal
Change in Spinal Motor Neuron Excitability in Non Oral Contraceptive User
Timeframe: Follicular, Luteal
Normalized Conditioned Motor Evoked Potential in Male and Female
Timeframe: menses period for female, day 1 for male
Change in Spinal Motor Neuron Excitability in Oral Contraceptive User
Timeframe: Active pill, Inactive pill
Changes in Intracortical Facilitation (ICF) During the Follicular Phase
Timeframe: day 1 menses up to day with highest estradiol concentration
Change in Stretch Reflex at Active State
Timeframe: Follicular, Luteal