Contextual response time adaptation in the countermanding performance of rats

Dissociation in reactive and proactive inhibitory control in Myoclonus dystonia

Myoclonus-dystonia (MD) is a syndrome characterized by myoclonus of subcortical origin and dystonia, frequently associated with psychiatric comorbidities. The motor and psychiatric phenotypes of this syndrome likely result from cortico-striato-thamalo-cerebellar-cortical pathway dysfunction. We hypothesized that reactive and proactive inhibitory control may be altered in these patients. Using the Stop Signal Task, we assessed reactive and proactive inhibitory control in MD patients with (n = 12) and without (n = 21) deep brain stimulation of the globus pallidus interna and compared their performance to matched healthy controls (n = 24). Reactive inhibition was considered as the ability to stop an already initiated action and measured using the stop signal reaction time. Proactive inhibition was assessed through the influence of several consecutive GO or STOP trials on decreased response time or inhibitory process facilitation. The proactive inhibition was solely impaired in unoperated MD patients. Patients with deep brain stimulation showed impairment in reactive inhibition, independent of presence of obsessive–compulsive disorders. This impairment in reactive inhibitory control correlated with intrinsic severity of myoclonus (i.e. pre-operative score). The results point to a dissociation in reactive and proactive inhibitory control in MD patients with and without deep brain stimulation of the globus pallidus interna.

Cortical control and performance monitoring of interrupting and redirecting movements

Voluntary behaviour requires control mechanisms that ensure our ability to act independently of habitual and innate response tendencies. Electrophysiological experiments, using the stop-signal task in humans, monkeys and rats, have uncovered a core network of brain structures that is essential for response inhibition. This network is shared across mammals and seems to be conserved throughout their evolution. Recently, new research building on these earlier findings has started to investigate the interaction between response inhibition and other control mechanisms in the brain. Here we describe recent progress in three different areas: selectivity of movement inhibition across different motor systems, re-orientation of motor actions and action evaluation.This article is part of the themed issue 'Movement suppression: brain mechanisms for stopping and stillness'.