Contralateral coding of imagined body parts in the superior parietal lobe

Rotated alphanumeric characters do not automatically activate frontoparietal areas subserving mental rotation

Functional neuroimaging studies have identified a set of areas in the intraparietal sulcus and dorsal precentral cortex which show a linear increase in activity with the angle of rotation across a variety of mental rotation tasks. This linear increase in activity with angular disparity suggests that these frontoparietal regions compute rotational transformations. An open question is whether rotated target stimuli automatically activate these frontoparietal regions, even if the task does not require rotational transformations. To address this question, we performed functional MRI while healthy male volunteers made two-choice reaction-time judgements on canonical or mirror images of two-dimensional alphanumeric characters presented at various angles of rotation. Participants had either to decide whether characters were normal or mirror-reversed (i.e., mental rotation) or judge whether the stimulus was a letter or a number (i.e., stimulus categorization). Reaction times and error rates linearly increased with the angle of rotation for mirror-reversed judgements but not for number-letter judgements, showing that only the mental rotation task required rotational transformations of the characters. The mental rotation task was associated with a linear increase in neuronal activity with angular disparity in a bilateral set of frontoparietal areas, comprising the rostral dorsal premotor cortex, frontal eye field, ventral and medial intraparietal sulcus. Neuronal activity in these regions was neither increased nor modulated by angular disparity during the stimulus categorization task. These results suggest that at least for alphanumerical characters, areas implicated in mental rotation will only be called into action if the task requires a rotational transformation.

Impaired imagery for upper limbs

The brain processes associated with mental imagery have long been a matter of debate. Neuroimaging and neuropsychological studies have yielded diverging evidence of mental transformation activating the right hemisphere, the left hemisphere, or both. Here, using a mirror/normal discrimination task with rotated body parts (BPs) and external objects (EOs), we describe the case of a patient who developed a selective deficit in mental imagery of such BPs due to left posterior parietal brain damage. In addition, the patient's deficit predominated for pictures of right arms (i.e., arms corresponding to the patient's imagined contralesional arm) and was further characterised by an inability to distinguish between anatomically possible and impossible arm positions. This neuropsychological deficit was corroborated by neuroimaging evidence revealing the absence of activation in the left parietal lobe for the mental rotation of body parts as shown in healthy participants. In contrast, his behavioural performance and brain activation for EOs were similar to those of healthy participants. These data suggest that mental imagery of BPs and EOs relies on different cognitive and neural mechanisms and indicate that the left posterior parietal lobe is a necessary structure for mental transformations of human BPs.

Overt and imagined singing of an Italian aria

Activation maps of 16 professional classical singers were evaluated during overt singing and imagined singing of an Italian aria utilizing a sparse sampling functional magnetic imaging (fMRI) technique. Overt singing involved bilateral primary and secondary sensorimotor and auditory cortices but also areas associated with speech and language production. Activation magnitude within the gyri of Heschl (A1) was comparable in both hemispheres. Subcortical motor areas (cerebellum, thalamus, medulla and basal ganglia) were active too. Areas associated with emotional processing showed slight (anterior cingulate cortex, anterior insula) activation. Cerebral activation sites during imagined singing were centered on fronto-parietal areas and involved primary and secondary sensorimotor areas in both hemispheres. Areas processing emotions showed intense activation (ACC and bilateral insula, hippocampus and anterior temporal poles, bilateral amygdala). Imagery showed no significant activation in A1. Overt minus imagined singing revealed increased activation in cortical (bilateral primary motor; M1) and subcortical (right cerebellar hemisphere, medulla) motor as well as in sensory areas (primary somatosensory cortex, bilateral A1). Imagined minus overt singing showed enhanced activity in the medial Brodmann's area 6, the ventrolateral and medial prefrontal cortex (PFC), the anterior cingulate cortex and the inferior parietal lobe. Additionally, Wernicke's area and Brocca's area and their homologues were increasingly active during imagery. We conclude that imagined and overt singing involves partly different brain systems in professional singers with more prefrontal and limbic activation and a larger network of higher order associative functions during imagery.

The contribution of the human PPC to the orienting of visuospatial attention during smooth pursuit

Smooth pursuit eye movements function to stabilize the retinal image of small moving targets. In order for those targets to be foveated, however, they must first be "captured" by an attentional mechanism which then interacts with the oculomotor system. Cortical sites involved with producing smooth pursuit overlap with areas known to be involved in directing visuospatial attention, particularly the posterior parietal cortex (PPC). The goal of the current study was to characterize the contributions made by the left and right posterior parietal cortices (lPPC and rPPC) to the interaction between visuospatial attention and the generation of smooth pursuit eye movements. Transcranial magnetic stimulation (TMS) was used to temporarily disrupt each area at different times around target motion onset in a pursuit task that explicitly manipulated the covert orienting of attention. TMS over the lPPC, rPPC and a control site (the vertex) evoked a similar pattern of results, in that the earlier TMS delivery times caused a reduced pursuit latency compared to baseline measures, while TMS immediately prior to target motion onset resulted in latencies slower than baseline. In addition, however, TMS over the lPPC and rPPC (but not the vertex) preferentially influenced the generation of contralateral pursuit, with the lPPC doing so in a relatively time-independent manner, and the rPPC doing so in a time-dependent manner. This pattern of results implies that both the left and right PPC are directly involved in the interaction between attention and smooth pursuit preparation.

Impaired motor imagery in right hemiparetic cerebral palsy

It is generally assumed that movements of a part of the body (e.g., hands) are simulated in motor imagery (MI) tasks. This is evidenced by a linear increase in reaction time as a function of the angular rotation of the stimulus. Under the assumption that MI plays a critical role for anticipatory motor planning, which is known to be impaired in individuals with right hemiparetic cerebral palsy (right HCP; left congenital brain damage), but to a lesser extent in individuals with left HCP, we hypothesized that MI is impaired in the participants with right HCP. In the present study, 8 participants with right and 11 participants with left congenital brain damage and 9 neurologically healthy controls were presented with two MI tasks to study this supposed relation between hemispheric processes and behaviour. Participants were instructed to make a laterality judgment on the basis of displayed pictures of hands (either holding a hammer or not) presented in different orientations. For both the control group and the left HCP group, a linear increase in reaction time as a function of angle of rotation was found. Interestingly, no such relationship was observed for the right HCP group, suggesting a disorder in MI for these participants. Collectively, these findings provide new insights into the cause of the anticipatory planning deficits in right HCP individuals.

The predictive value of white matter organization in posterior parietal cortex for spatial visualization ability

Humans differ substantially in their ability to imagine spatial transformations of novel stimuli (i.e., mental rotation). Whereas "high-spatial" individuals are able to maintain high-quality representations even after complex mental transformations, "low-spatial" individuals often experience substantial degradation of the initial representation. Even though subdivisions of the posterior parietal cortex are known to instantiate the necessary spatial transformations, a direct demonstration of neuroanatomical differences predicting this behavioral variability is currently missing. Because recent evidence suggests that interindividual differences on the behavioral level might be related to regionally specific white matter organization, we addressed this question using diffusion tensor imaging in combination with well-established psychometric tests. As expected, behavioral results revealed a substantial disparity in mental rotation performance. Most importantly, despite controlling for differences in spatial short-term memory capacity, we observed a tight relationship between mental rotation proficiency and white matter organization near the anterior part of the intraparietal sulcus. Whereas high-level proficiency was paralleled by high fractional anisotropy (FA) values, the opposite pattern was observed in "low spatials". The present results strongly indicate that the efficiency of information transfer between posterior parietal regions involved in the mental transformation process could be one decisive factor in individual spatial visualization proficiency.

Motor imagery

We describe general concepts about motor imagery and differences to motor execution. The problem of controlling what the subject actually does during imagery is emphasized. A major part of the chapter is dealing with mental training by imagery and the usage of motor imagination in athletes, musicians and during rehabilitation. Data of altered representations of the body after loss of afferent information and motor representation due to limb amputation or complete spinal cord injury are demonstrated and discussed. Finally we provide an outlook on additional work about motor imagery important for further understanding of the topic.

Tight covariation of BOLD signal changes and slow ERPs in the parietal cortex in a parametric spatial imagery task with haptic acquisition

The present study investigated the relation of brain activity patterns measured with functional magnetic resonance imaging (fMRI) and slow event-related potentials (ERPs) associated with a complex cognitive task. A second goal was to examine the neural correlates of spatial imagery of haptically--instead of visually--acquired representations. Using a mental image scanning task, spatial imagery requirements were systematically manipulated by parametrically varying the distance between haptically acquired landmarks. Results showed a close relation between slow ERPs and the blood oxygenation level dependent (BOLD) signal in human parietal lobe. Reaction times of mental scanning correlated with the distances between landmarks on the learned display. In parallel, duration and amplitude of slow ERPs and duration of the haemodynamic response systematically varied as a function of mental scanning distance. Source analysis confirmed that the ERP imagery effect likely originated from the same cortical substrate as the corresponding BOLD effect. This covariation of the BOLD signal with slow ERPs is in line with recent findings in animals demonstrating a tight link between local field potentials and the BOLD signal. The parietal location of the imagery effect is consistent with the idea that externally triggered (perceptual) and mentally driven (imagery) spatial processes are both mediated by the same supramodal brain areas.

Anticipatory planning deficits and task context effects in hemiparetic cerebral palsy

Individuals with hemiparetic cerebral palsy (HCP) display deviant motor output, predominantly on one side of the body. The question pursued here is whether HCP participants have the ability to anticipate the forthcoming perceptual-motor demands of the goal of an action sequence. Such anticipatory planning was necessary to successfully perform the tasks that were studied. In experiment I, HCP participants had to grasp a hexagonal knob with their unimpaired hand by choosing one of five possible grasping patterns (free choice) and consequently rotate it 60 degrees, 120 degrees, or 180 degrees clockwise or counterclockwise. HCP participants showed a large amount of task failures that were persistent throughout the task. These findings suggest a deficit in anticipatory planning. No such task failures were observed for the control group. In addition, the instructed degree of rotation had less effect on the selected grasping pattern for the HCP participants than for the controls. In experiment II, we investigated if HCP participants are prone to use context information that is directly available in the task, instead of planning the forthcoming perceptual-motor demands. To that aim, an arrow was inserted at one of the sides of the hexagon in a position that had no relevance for the action to be planned and executed. The location of this arrow significantly affected the grip selected in the HCP participants, but not in controls. Overall, the results suggest an anticipatory planning deficit in HCP participants that may be caused by an impairment at the motor imagery level. Consequently, as an alternative strategy, performance in HCP participants was predominantly based on information directly available in the task context.

Lateral Somatotopic Organization During Imagined and Prepared Movements

Motor imagery is a complex cognitive operation that requires memory retrieval, spatial attention, and possibly computations that are analogs of the physical movements being imagined. Likewise, motor preparation may or may not involve computations that are analogs of actual movements. To test whether motor imagery or motor preparation activate representations that are specific to the body part whose movement is imagined or prepared, participants performed, imagined, and prepared hand movements while undergoing functional MRI scanning. Actual hand movements activated components of the motor system including primary motor and somatosensory cortex, the supplementary motor area, the thalamus, and the cerebellum. All of these areas showed strong lateral organization, such that moving a given hand activated the contralateral cortex and ipsilateral cerebellum most strongly. During motor imagery and motor preparation, activity throughout the motor system was much reduced relative to overt movement. However, significant lateral organization was observed during both motor imagery and motor preparation in primary motor cortex, the supplementary motor area, and the thalamus. These results support the view that the subjective experience of imagined movement is accompanied by computations that are analogs of the physical movement that is imagined. They also suggest that in this regard motor imagery and motor preparation are similar.

Selective impairment of hand mental rotation in patients with focal hand dystonia

Mental rotation of body parts determines activation of cortical and subcortical systems involved in motor planning and execution, such as motor and premotor areas and basal ganglia. These structures are severely impaired in several movement disorders, including dystonia. Writer's cramp is the most common form of focal hand dystonia. This study investigates whether patients affected by writer's cramp present with difficulties in tasks involving mental rotation of body parts and whether any impairments are specific to the affected hand or generalized to other body parts. For this purpose we tested 15 patients with right writer's cramp (aged 21-68 years, 8 women) and 15 healthy control subjects (10 women, age and education matched). Stimuli consisted of realistic photographs of hands and feet presented on a computer monitor in different orientations with respect to the upright canonical orientation. In each trial, subjects gave a laterality judgement by reporting verbally whether the presented body part was left or right. Two main results of the study are, firstly, writer's cramp patients are slower than controls in mentally rotating hands [F (1,28) = 5.4; P = 0.028] but not feet, and secondly, the pattern of response times to stimuli at various orientations suggests that the mental motor imagery of controls and patients reflects the type of processes and mechanisms called into play during actual execution of the same movements. In particular, increased difficulty in rotating right-sided stimuli at 120 degrees and left-sided stimuli at 240 degrees would suggest that mental rotation of body parts reflects the anatomical constraints of real hand movements. In conclusion, patients with writer's cramp presented mental rotation deficits specific to the hand. Importantly, deficits were present during mental rotation of both the right (affected) and the left (unaffected) hand, thus suggesting that the observed alterations may be independent and even exist prior to overt manifestations of dystonia.

Practitioner review: approaches to assessment and treatment of children with DCD: an evaluative review

BACKGROUND

Movement clumsiness (or Developmental Coordination Disorder--DCD) has gained increasing recognition as a significant condition of childhood. However, some uncertainty still exists about diagnosis. Accordingly, approaches to assessment and treatment are varied, each drawing on distinct theoretical assumptions about the aetiology of the condition and its developmental course.

METHOD

This review evaluates the current status of different approaches to motor assessment and treatment for children with DCD. These approaches are divided according to their broad conceptual origin (or explanatory framework): Normative Functional Skill Approach, General Abilities Approach, Neurodevelopmental Theory, Dynamical Systems Theory, and the Cognitive Neuroscientific Approach.

CONCLUSIONS

Each conceptual framework is shown to support assessment and treatment methods with varying degrees of conceptual and psychometric integrity. The normative functional skill approach supports the major screening devices for DCD and cognitive (or top-down) approaches to intervention. The general abilities approach and traditional neurodevelopmental theory are not well supported by recent research. The dynamical systems approach supports promising trends in biomechanical or kinematic analysis of movement, ecological task analysis, and task-specific intervention. Finally, and more recently, the cognitive neuroscientific approach has generated some examples of process-oriented assessment and treatment based on validated (brain-behaviour) models of motor control and learning. A multi-level approach to movement assessment and treatment is recommended for DCD, providing a more complete representation of motor development at different levels of function--behavioural, neurocognitive, and emotional.

Transmitter receptors reveal segregation of cortical areas in the human superior parietal cortex: relations to visual and somatosensory regions

Regional distributions of ligand binding sites of 12 different neurotransmitter receptors (glutamatergic: AMPA, kainate, NMDA; GABAergic: GABA(A), GABA(B); cholinergic: muscarinic M2, nicotinic; adrenergic: alpha1, alpha2; serotonergic: 5-HT1A, 5-HT2; dopaminergic: D1) were studied in human postmortem brains by means of quantitative receptor autoradiography. Binding site densities were measured in the superior parietal lobule (SPL) (areas 5L, 5M, 5Ci, and different locations within Brodmann's area (BA) 7), somatosensory (BA 2), and visual cortical areas (BA 17, and different locations within BAs 18 and 19). Similarities of receptor distribution between cortical areas were analyzed by cluster analysis, uni- and multivariate statistics of mean receptor densities (averaged over all cortical layers), and profiles representing the laminar distribution patterns of receptors. A considerable heterogeneity of regional receptor densities and laminar patterns between the sites was found in the SPL and the visual cortex. The most prominent regional differences were found for M2 receptors. In the SPL, rostrocaudally oriented changes of receptor densities were more pronounced than those in mediolateral direction. The receptor distribution in the rostral SPL was more similar to that of the somatosensory cortex, whereas caudal SPL resembled the receptor patterns of the dorsolateral extrastriate visual areas. These results suggest a segregation of the different SPL areas based on receptor distribution features typical for somatosensory or visual areas, which fits to the dual functional role of this cortical region, i.e., the involvement of the human SPL in visuomotor and somatosensory motor transformations.

Cortical Control of Visually Guided Reaching: Evidence from Patients with Optic Ataxia

The dorsal stream of visual information processing connecting V1 to the parietal cortex is thought to provide a fast control of visually guided reaching. Important for this assumption was the observation that in both the monkey and the human, parietal lesions may provoke disturbance of visually goal-directed hand movements. In the human, severe misreaching termed 'optic ataxia' has been ascribed to lesions of the superior parietal lobule (SPL) and/or the intraparietal sulcus. Using new tools for lesion analysis, here we re-evaluated this view investigating the typical lesion location in a large group of unilateral stroke patients with optic ataxia, collected over a time period of 15 years. We found no evidence for the assumption that disruption of visually guided reaching in humans is associated with a lesion typically centering on the SPL on the convexity. In both left and right hemispheres, we found optic ataxia associated with a lesion overlap that affected the lateral cortical convexity at the occipito-parietal junction, i.e. the junction between the inferior parietal lobule (IPL) and superior occipital cortex and--in the left hemisphere even more posteriorly--also the junction between occipital cortex and the SPL. Via the underlying parietal white matter, the lesion overlap extended in both hemispheres to the medial cortical aspect, where it affected the precuneus close to the occipito-parietal junction. These lateral and medial structures seem to be integral to the fast control of visually guided reaching in humans.

Neural Topography and Content of Movement Representations

We have used implicit motor imagery to investigate the neural correlates of motor planning independently from actual movements. Subjects were presented with drawings of left or right hands and asked to judge the hand laterality, regardless of the stimulus rotation from its upright orientation. We paired this task with a visual imagery control task, in which subjects were presented with typographical characters and asked to report whether they saw a canonical letter or its mirror image, regardless of its rotation. We measured neurovascular activity with fast event-related fMRI, distinguishing responses parametrically related to motor imagery from responses evoked by visual imagery and other task-related phenomena. By quantifying behavioral and neurovascular correlates of imagery on a trial-by-trial basis, we could discriminate between stimulus-related, mental rotation-related, and response-related neural activity. We found that specific portions of the posterior parietal and precentral cortex increased their activity as a function of mental rotation only during the motor imagery task. Within these regions, the parietal cortex was visually responsive, whereas the dorsal precentral cortex was not. Response- but not rotation-related activity was found around the left central sulcus (putative primary motor cortex) during both imagery tasks. Our study provides novel evidence on the topography and content of movement representations in the human brain. During intended action, the posterior parietal cortex combines somatosensory and visuomotor information, whereas the dorsal premotor cortex generates the actual motor plan, and the primary motor cortex deals with movement execution. We discuss the relevance of these results in the context of current models of action planning.

Mental imagery for promoting relearning for people after stroke: A randomized controlled trial11No party having a direct interest in the results of the research supporting this article has or will confer a benefit on the author(s) or on any organization with which the author(s) is/are associated

OBJECTIVE

To study the efficacy of mental imagery at promoting relearning for people after a stroke.

DESIGN

Prospective, randomized controlled trial.

SETTING

An inpatient rehabilitation stroke unit in Hong Kong.

PARTICIPANTS

Forty-six inpatients, 60 years of age or older, after a cerebral infarction.

INTERVENTIONS

Patients were randomized to receive 15 sessions (1 h/d for 3 wk) of either the mental imagery program or the conventional functional training intervention on the relearning of daily living tasks.

MAIN OUTCOME MEASURES

Performance of 15 trained and 5 untrained tasks, including household, cooking, and shopping tasks; and the Fugl-Meyer Assessment and Color Trails Test (CTT).

RESULTS

Patients engaged in mental imagery-based intervention showed better relearning of both trained and untrained tasks compared with the control group (trained tasks: P<.005; untrained tasks: P<.001). They also demonstrated a greater ability to retain the trained tasks after 1 month and transfer the skills relearned to other untrained tasks (P<.001). However, among the various ability measures, the mental imagery group showed a significant increase in the CTT scores only after the intervention (P<.005).

CONCLUSIONS

Mental imagery can be used as a training strategy to promote the relearning of daily tasks for people after an acute stroke. The imagery process is likely to improve the planning and execution of both the trained and the untrained (novel) tasks. The effect of its relearning appears to help patients to retain and generalize the skills and tasks learned in the rehabilitation program.

Efeito da estratégia de simulação mental sobre o controle postural

A construção e manipulação espacial de imagens corporais têm origem basicamente visual e somato-motora. No entanto, a contribuição relativa de cada modalidade sensorial nos processos de simulação mental pode variar. Sirigu e Duhamel (2001) propuseram que a estratégia utilizada durante a simulação mental de movimentos produziria a ativação de circuitos neurais distintos. Neste estudo, investigamos o efeito da estratégia adotada na simulação mental de uma tarefa motora que envolve ajustes posturais utilizando as técnicas de cronometria mental e de estabilometria. Os voluntários, posicionados sobre uma plataforma de força vertical com os pés unidos e os olhos fechados, foram solicitados a realizar as seguintes tarefas: a) manter a postura ereta normal durante 20 segundos; b) contar mentalmente de um a 15; c) imaginar-se realizando o movimento de flexão plantar bilateral 15 vezes e d) executar o mesmo movimento por 15 vezes. Ao final do teste, relataram qual a estratégia utilizada para a realização da simulação mental. Com base no relato verbal foram então distinguidos em dois grupos: visuais e somato-motores. A análise da cronometria mental mostrou que o tempo utilizado para simular mentalmente os movimentos de flexão plantar não foi diferente daquele gasto durante a sua execução. Diferiu, porém, da condição contar para ambos os grupos. Para a análise estabilométrica, calculou-se um índice de simulação mental (ISM). Dos valores obtidos durante o imaginar, foram subtraídos os valores da condição contar, dividindo-se então a resultante pela soma dos dois. O grupo somato-motor apresentou índices positivos e significativamente diferentes do grupo visual para a área elíptica de deslocamento e amplitude de deslocamento no eixo ântero-posterior (y). Esses dados indicam um menor bloqueio da saída motora durante o imaginar de um movimento que envolve ajustes posturais no primeiro grupo. Essa diferença sugere que circuitos corticais e sub-corticais distintos serão ativados em função da estratégia adotada para simular mentalmente o movimento.