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Fig 1.

Illustrative motor evoked potential.

Single-subject data showing an averaged trace of electromyographic (EMG) activity in the first dorsal interosseous (FDI) muscle during relaxation. The arrow shows the timing of single-pulse transcranial magnetic stimulation (TMS) delivered over the contralateral FDI area of the primary motor cortex. The average trace was calculated from 12 pulses delivered at ~0.2 Hz. The EMG response to TMS is called a motor evoked potential (MEP). The size (area or peak-to-peak amplitude) of the MEP reflects corticomotoneuronal excitability. TMS, transcranial magnetic stimulation; mV, millivolts; ms, milliseconds.

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Fig 2.

Flow diagram of the identification, screening and inclusion process.

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Table 1.

Risk of bias of included studies and TMS reporting quality summary scores.

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Table 2.

Methodological details and results of included studies.

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Table 3.

MEP amplitudes (normalised to Mmax) and effect size for Aoyama et al (2012) [47].

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Table 4.

MEP amplitude (mean, standard deviation) and effect size, Kaneko et al (2007) [42].

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Table 5.

MEP amplitude, SICI, and ICF (mean +/- standard error), effect sizes, and analysis results for Noijma et al (2015) [50].

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Table 6.

MEP amplitudes and effect sizes measures for Schutz-Bosbach et al. (2006) [48].

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Table 7.

Mean MEP amplitudes, statistical results, and effect sizes for Weiss et al (2014) [54].

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