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Linari I, Juantorena GE, Ibáñez A, Petroni A, Kamienkowski JE. Unveiling Trail Making Test: visual and manual trajectories indexing multiple executive processes. Sci Rep 2022; 12:14265. [PMID: 35995786 PMCID: PMC9395513 DOI: 10.1038/s41598-022-16431-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Accepted: 07/11/2022] [Indexed: 11/20/2022] Open
Abstract
The Trail Making Test (TMT) is one of the most popular neuropsychological tests for executive functions (EFs) assessment. It presents several strengths: it is sensitive to executive dysfunction, it is easy to understand, and has a short administration. However, it has important limitations. First, the underlying EFs articulated during the task are not well discriminated, which makes it a test with low specificity. Second, the pen-and-paper version presents one trial per condition which introduces high variability. Third, only the total time is quantified, which does not allow for a detailed analysis. Fourth, it has a fixed spatial configuration per condition. We designed a computerised version of the TMT to overcome its main limitations and evaluated it in a group of neurotypical adults. Eye and hand positions are measured with high resolution over several trials, and spatial configuration is controlled. Our results showed a very similar performance profile compared to the traditional TMT. Moreover, it revealed differences in eye movements between parts A and B. Most importantly, based on hand and eye movements, we found an internal working memory measure that showed an association to a validated working memory task. Additionally, we proposed another internal measure as a potential marker of inhibitory control. Our results showed that EFs can be studied in more detail using traditional tests combined with powerful digital setups. The cTMT showed potential use in older adult populations and patients with EFs disorders.
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Affiliation(s)
- Ignacio Linari
- Laboratorio de Inteligencia Artificial Aplicada, Instituto de Ciencias de la Computación, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires - CONICET, Buenos Aires, Argentina
| | - Gustavo E Juantorena
- Laboratorio de Inteligencia Artificial Aplicada, Instituto de Ciencias de la Computación, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires - CONICET, Buenos Aires, Argentina
| | - Agustín Ibáñez
- Cognitive Neuroscience Center (CNC), Universidad de San Andrés, and National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina.,Global Brain Health Institute (GBHI), University of California San Francisco (UCSF), San Francisco, USA.,Trinity College Dublin (TCD), Dublin, Ireland.,Latin American Brain Health Institute (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile
| | - Agustín Petroni
- Laboratorio de Inteligencia Artificial Aplicada, Instituto de Ciencias de la Computación, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires - CONICET, Buenos Aires, Argentina.,University of Gothenburg, Gothenburg, Sweden
| | - Juan E Kamienkowski
- Laboratorio de Inteligencia Artificial Aplicada, Instituto de Ciencias de la Computación, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires - CONICET, Buenos Aires, Argentina. .,Maestría de Explotación de Datos y Descubrimiento del Conocimiento, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Buenos Aires, Argentina. .,Departamento de Computación, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Pabellón 1, Ciudad Universitaria, (1428) Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina.
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Effects of motor restrictions on preparatory brain activity. Exp Brain Res 2021; 239:3189-3203. [PMID: 34432108 PMCID: PMC8386343 DOI: 10.1007/s00221-021-06190-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Accepted: 08/03/2021] [Indexed: 11/15/2022]
Abstract
Modifying established motor skills is a challenging endeavor due to proactive interference from undesired old to desired new actions, calling for high levels of cognitive control. Motor restrictions may facilitate the modification of motor skills by rendering undesired responses physically impossible, thus reducing demands to response inhibition. Here we studied behavioral and EEG effects of rule changes to typing in skilled touch-typists. The respective rule change—typing without using the left index finger—was either implemented per instruction only or with an additional motor restriction. In both groups, the rule change elicited delays and more errors in typing, indicating the occurrence of proactive interference. While stimulus-locked ERPs did not exhibit prominent effects of rule change or group, response-locked ERPs revealed that the time courses of preparatory brain activity preceding typing responses depended on the presence of motor restriction. Although further research is necessary to corroborate our findings, they indicate a novel brain correlate that represents changes in inhibitory response preparation induced by short-term motor restrictions.
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