1
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Lu X, Franz EA, Robertson SP, Markie D. Aberrant connectivity of the lateralized readiness system in non-syndromic congenital mirror movements. Clin Neurophysiol 2024; 167:61-73. [PMID: 39293386 DOI: 10.1016/j.clinph.2024.08.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2024] [Revised: 08/21/2024] [Accepted: 08/26/2024] [Indexed: 09/20/2024]
Abstract
OBJECTIVES Non-syndromic CMM has a complex phenotype. Abnormal corpus callosum and corticospinal tract processes are suggested mechanisms of the mirror movements. To further explore behavioural and neural phenotype(s) the present study tests the hypothesis that the response readiness network comprising supplementary motor area (SMA) and connections with motor cortex (M1) functions abnormally in CMM. METHODS Twelve participants with (non-syndromic) CMM and a control group (n = 28) were tested on a probabilistic Go-NoGo task while electroencephalography (EEG) was recorded to assess possible group differences in lateralized readiness of voluntary hand movements together with measures of SMA-M1 functional connectivity. RESULTS The CMM group demonstrated delayed lateralized readiness and stronger functional connectivity between left-brain SMA-M1 regions. Connectivity strength was correlated with measures of behavioural performance but not with extent of mirroring. CONCLUSIONS Abnormalities in brain processes upstream of movement output likely reflect neurocompensation as a result of lifelong experience with mirroring in CMM. SIGNIFICANCE These findings extend the known neural abnormalities in CMM to include brain networks upstream from those involved in motor output and raise the question of whether neurocompensatory plasticity might be involved.
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Affiliation(s)
- Xueyao Lu
- Action Brain and Cognition Lab, Department of Psychology, University of Otago, Dunedin, New Zealand
| | - Elizabeth A Franz
- Action Brain and Cognition Lab, Department of Psychology, University of Otago, Dunedin, New Zealand.
| | - Stephen P Robertson
- Clinical Genetics Group, Department of Women's and Children's Health, University of Otago, Dunedin, New Zealand
| | - David Markie
- Department of Pathology, University of Otago, Dunedin, New Zealand
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2
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Wansbrough K. A novel protocol for indirectly evaluating entrainment during tACS in humans. J Physiol 2023; 601:4663-4664. [PMID: 37804075 DOI: 10.1113/jp285465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Accepted: 09/28/2023] [Indexed: 10/08/2023] Open
Affiliation(s)
- Kym Wansbrough
- School of Psychology, College of Health and Education, Murdoch University, Western Australia, Australia
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3
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Vidaurre C, Irastorza-Landa N, Sarasola-Sanz A, Insausti-Delgado A, Ray AM, Bibián C, Helmhold F, Mahmoud WJ, Ortego-Isasa I, López-Larraz E, Lozano Peiteado H, Ramos-Murguialday A. Challenges of neural interfaces for stroke motor rehabilitation. Front Hum Neurosci 2023; 17:1070404. [PMID: 37789905 PMCID: PMC10543821 DOI: 10.3389/fnhum.2023.1070404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 08/28/2023] [Indexed: 10/05/2023] Open
Abstract
More than 85% of stroke survivors suffer from different degrees of disability for the rest of their lives. They will require support that can vary from occasional to full time assistance. These conditions are also associated to an enormous economic impact for their families and health care systems. Current rehabilitation treatments have limited efficacy and their long-term effect is controversial. Here we review different challenges related to the design and development of neural interfaces for rehabilitative purposes. We analyze current bibliographic evidence of the effect of neuro-feedback in functional motor rehabilitation of stroke patients. We highlight the potential of these systems to reconnect brain and muscles. We also describe all aspects that should be taken into account to restore motor control. Our aim with this work is to help researchers designing interfaces that demonstrate and validate neuromodulation strategies to enforce a contingent and functional neural linkage between the central and the peripheral nervous system. We thus give clues to design systems that can improve or/and re-activate neuroplastic mechanisms and open a new recovery window for stroke patients.
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Affiliation(s)
- Carmen Vidaurre
- TECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, Spain
- Ikerbasque Science Foundation, Bilbao, Spain
| | | | | | | | - Andreas M. Ray
- Institute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany
| | - Carlos Bibián
- Institute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany
| | - Florian Helmhold
- Institute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany
| | - Wala J. Mahmoud
- Institute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany
| | - Iñaki Ortego-Isasa
- TECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, Spain
| | - Eduardo López-Larraz
- Institute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany
- Bitbrain, Zaragoza, Spain
| | | | - Ander Ramos-Murguialday
- TECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, Spain
- Institute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany
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4
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Ibáñez J, Zicher B, Brown KE, Rocchi L, Casolo A, Del Vecchio A, Spampinato D, Vollette CA, Rothwell JC, Baker SN, Farina D. Standard intensities of transcranial alternating current stimulation over the motor cortex do not entrain corticospinal inputs to motor neurons. J Physiol 2023; 601:3187-3199. [PMID: 35776944 DOI: 10.1113/jp282983] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Accepted: 06/22/2022] [Indexed: 11/08/2022] Open
Abstract
Transcranial alternating current stimulation (TACS) is commonly used to synchronize a cortical area and its outputs to the stimulus waveform, but gathering evidence for this based on brain recordings in humans is challenging. The corticospinal tract transmits beta oscillations (∼21 Hz) from the motor cortex to tonically contracted limb muscles linearly. Therefore, muscle activity may be used to measure the level of beta entrainment in the corticospinal tract due to TACS over the motor cortex. Here, we assessed whether TACS is able to modulate the neural inputs to muscles, which would provide indirect evidence for TACS-driven neural entrainment. In the first part of the study, we ran simulations of motor neuron (MN) pools receiving inputs from corticospinal neurons with different levels of beta entrainment. Results suggest that MNs are highly sensitive to changes in corticospinal beta activity. Then, we ran experiments on healthy human subjects (N = 10) in which TACS (at 1 mA) was delivered over the motor cortex at 21 Hz (beta stimulation), or at 7 Hz or 40 Hz (control conditions) while the abductor digiti minimi or the tibialis anterior muscle were tonically contracted. Muscle activity was measured using high-density electromyography, which allowed us to decompose the activity of pools of motor units innervating the muscles. By analysing motor unit pool activity, we observed that none of the TACS conditions could consistently alter the spectral contents of the common neural inputs received by the muscles. These results suggest that 1 mA TACS over the motor cortex given at beta frequencies does not entrain corticospinal activity. KEY POINTS: Transcranial alternating current stimulation (TACS) is commonly used to entrain the communication between brain regions. It is challenging to find direct evidence supporting TACS-driven neural entrainment due to the technical difficulties in recording brain activity during stimulation. Computational simulations of motor neuron pools receiving common inputs in the beta (∼21 Hz) band indicate that motor neurons are highly sensitive to corticospinal beta entrainment. Motor unit activity from human muscles does not support TACS-driven corticospinal entrainment.
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Affiliation(s)
- Jaime Ibáñez
- BSICoS group, I3A Institute, University of Zaragoza, IIS Aragón, Zaragoza, Spain
- Department of Bioengineering, Imperial College, London, UK
- Department for Clinical and movement neurosciences, Institute of Neurology, University College London, UK
| | - Blanka Zicher
- Department of Bioengineering, Imperial College, London, UK
| | - Katlyn E Brown
- Department of Kinesiology, University of Waterloo, Waterloo, Ontario, Canada
| | - Lorenzo Rocchi
- Department for Clinical and movement neurosciences, Institute of Neurology, University College London, UK
- Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
| | - Andrea Casolo
- Department of Biomedical Sciences, University of Padova, Padua, Italy
| | - Alessandro Del Vecchio
- Department of Artificial Intelligence in Biomedical Engineering, Faculty of Engineering, 17 Friedrich-Alexander University, Erlangen, Germany
| | - Danny Spampinato
- Non-Invasive Brain Stimulation Unit, Department of Behavioral and Clinical Neurology, Santa Lucia Foundation, Rome, Italy
| | | | | | - Stuart N Baker
- Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK
| | - Dario Farina
- Department of Bioengineering, Imperial College, London, UK
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5
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Cu H, Lynch L, Huang K, Truccolo W, Nurmikko A. Grasp-squeeze adaptation to changes in object compliance leads to dynamic beta-band communication between primary somatosensory and motor cortices. Sci Rep 2022; 12:6776. [PMID: 35474117 PMCID: PMC9042850 DOI: 10.1038/s41598-022-10871-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2021] [Accepted: 04/04/2022] [Indexed: 11/09/2022] Open
Abstract
In asking the question of how the brain adapts to changes in the softness of manipulated objects, we studied dynamic communication between the primary sensory and motor cortical areas when nonhuman primates grasp and squeeze an elastically deformable manipulandum to attain an instructed force level. We focused on local field potentials recorded from S1 and M1 via intracortical microelectrode arrays. We computed nonparametric spectral Granger Causality to assess directed cortico-cortical interactions between these two areas. We demonstrate that the time-causal relationship between M1 and S1 is bidirectional in the beta-band (15-30 Hz) and that this interareal communication develops dynamically as the subjects adjust the force of hand squeeze to reach the target level. In particular, the directed interaction is strongest when subjects are focused on maintaining the instructed force of hand squeeze in a steady state for several seconds. When the manipulandum's compliance is abruptly changed, beta-band interareal communication is interrupted for a short period (~ 1 s) and then is re-established once the subject has reached a new steady state. These results suggest that transient beta oscillations can provide a communication subspace for dynamic cortico-cortical S1-M1 interactions during maintenance of steady sensorimotor states.
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Affiliation(s)
- Huy Cu
- School of Engineering, Brown University, Providence, RI, USA.
| | - Laurie Lynch
- Department of Neuroscience, Brown University, Providence, RI, USA
| | - Kevin Huang
- Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - Wilson Truccolo
- Department of Neuroscience, Brown University, Providence, RI, USA.,Carney Institute for Brain Science, Brown University, Providence, RI, USA
| | - Arto Nurmikko
- School of Engineering, Brown University, Providence, RI, USA. .,Carney Institute for Brain Science, Brown University, Providence, RI, USA.
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6
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Lin Z, Tam F, Churchill NW, Lin FH, MacIntosh BJ, Schweizer TA, Graham SJ. Trail Making Test Performance Using a Touch-Sensitive Tablet: Behavioral Kinematics and Electroencephalography. Front Hum Neurosci 2021; 15:663463. [PMID: 34276323 PMCID: PMC8281242 DOI: 10.3389/fnhum.2021.663463] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Accepted: 05/28/2021] [Indexed: 12/04/2022] Open
Abstract
The Trail Making Test (TMT) is widely used to probe brain function and is performed with pen and paper, involving Parts A (linking numbers) and B (alternating between linking numbers and letters). The relationship between TMT performance and the underlying brain activity remains to be characterized in detail. Accordingly, sixteen healthy young adults performed the TMT using a touch-sensitive tablet to capture enhanced performance metrics, such as the speed of linking movements, during simultaneous electroencephalography (EEG). Linking and non-linking periods were derived as estimates of the time spent executing and preparing movements, respectively. The seconds per link (SPL) was also used to quantify TMT performance. A strong effect of TMT Part A and B was observed on the SPL value as expected (Part B showing increased SPL value); whereas the EEG results indicated robust effects of linking and non-linking periods in multiple frequency bands, and effects consistent with the underlying cognitive demands of the test.
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Affiliation(s)
- Zhongmin Lin
- Department of Medical Biophysics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Fred Tam
- Physical Sciences, Sunnybrook Research Institute, Toronto, ON, Canada
| | - Nathan W Churchill
- Keenan Research Centre for Biomedical Science, St. Michael's Hospital, Toronto, ON, Canada
| | - Fa-Hsuan Lin
- Department of Medical Biophysics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.,Physical Sciences, Sunnybrook Research Institute, Toronto, ON, Canada
| | - Bradley J MacIntosh
- Department of Medical Biophysics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.,Physical Sciences, Sunnybrook Research Institute, Toronto, ON, Canada
| | - Tom A Schweizer
- Keenan Research Centre for Biomedical Science, St. Michael's Hospital, Toronto, ON, Canada.,Division of Neurosurgery, St. Michael's Hospital, Toronto, ON, Canada
| | - Simon J Graham
- Department of Medical Biophysics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.,Physical Sciences, Sunnybrook Research Institute, Toronto, ON, Canada
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7
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Ibáñez J, Del Vecchio A, Rothwell JC, Baker SN, Farina D. Only the Fastest Corticospinal Fibers Contribute to β Corticomuscular Coherence. J Neurosci 2021; 41:4867-4879. [PMID: 33893222 PMCID: PMC8260170 DOI: 10.1523/jneurosci.2908-20.2021] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 02/04/2021] [Accepted: 03/15/2021] [Indexed: 01/09/2023] Open
Abstract
Human corticospinal transmission is commonly studied using brain stimulation. However, this approach is biased to activity in the fastest conducting axons. It is unclear whether conclusions obtained in this context are representative of volitional activity in mild-to-moderate contractions. An alternative to overcome this limitation may be to study the corticospinal transmission of endogenously generated brain activity. Here, we investigate in humans (N = 19; of either sex), the transmission speeds of cortical β rhythms (∼20 Hz) traveling to arm (first dorsal interosseous) and leg (tibialis anterior; TA) muscles during tonic mild contractions. For this purpose, we propose two improvements for the estimation of corticomuscular β transmission delays. First, we show that the cumulant density (cross-covariance) is more accurate than the commonly-used directed coherence to estimate transmission delays in bidirectional systems transmitting band-limited signals. Second, we show that when spiking motor unit activity is used instead of interference electromyography, corticomuscular transmission delay estimates are unaffected by the shapes of the motor unit action potentials (MUAPs). Applying these improvements, we show that descending corticomuscular β transmission is only 1-2 ms slower than expected from the fastest corticospinal pathways. In the last part of our work, we show results from simulations using estimated distributions of the conduction velocities for descending axons projecting to lower motoneurons (from macaque histologic measurements) to suggest two scenarios that can explain fast corticomuscular transmission: either only the fastest corticospinal axons selectively transmit β activity, or else the entire pool does. The implications of these two scenarios for our understanding of corticomuscular interactions are discussed.SIGNIFICANCE STATEMENT We present and validate an improved methodology to measure the delay in the transmission of cortical β activity to tonically-active muscles. The estimated corticomuscular β transmission delays obtained with this approach are remarkably similar to those expected from transmission in the fastest corticospinal axons. A simulation of β transmission along a pool of corticospinal axons using an estimated distribution of fiber diameters suggests two possible mechanisms by which fast corticomuscular transmission is achieved: either a very small fraction of the fastest descending axons transmits β activity to the muscles or, alternatively, the entire population does and natural cancellation of slow channels occurs because of the distribution of axon diameters in the corticospinal tract.
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Affiliation(s)
- J Ibáñez
- Department of Bioengineering, Imperial College London, London SW7 2AZ, United Kingdom
- Department of Clinical and Movement Disorders, Institute of Neurology, University College London, London WC1N 3BG, United Kingdom
| | - A Del Vecchio
- Department Artificial Intelligence in Biomedical Engineering, Friedrich-Alexander University, Erlangen-Nürnberg, Erlangen 91052, Germany
| | - J C Rothwell
- Department of Clinical and Movement Disorders, Institute of Neurology, University College London, London WC1N 3BG, United Kingdom
| | - S N Baker
- Institute of Neuroscience, Newcastle University, Newcastle upon Tyne NE2 4HH, United Kingdom
| | - D Farina
- Department of Bioengineering, Imperial College London, London SW7 2AZ, United Kingdom
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8
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Peles O, Werner-Reiss U, Bergman H, Israel Z, Vaadia E. Phase-Specific Microstimulation Differentially Modulates Beta Oscillations and Affects Behavior. Cell Rep 2021; 30:2555-2566.e3. [PMID: 32101735 DOI: 10.1016/j.celrep.2020.02.005] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2019] [Revised: 11/13/2019] [Accepted: 01/31/2020] [Indexed: 12/14/2022] Open
Abstract
It is widely accepted that Beta-band oscillations play a role in sensorimotor behavior. To further explore this role, we developed a hybrid platform to combine neural operant conditioning and phase-specific intracortical microstimulation (ICMS). We trained monkeys, implanted with 96 electrode arrays in the motor cortex, to volitionally enhance local field potential (LFP) Beta-band (20-30 Hz) activity at selected sites using a brain-machine interface. We find that Beta oscillations of LFP and single-unit spiking activity increase dramatically with brain-machine interface training and that pre-movement Beta power is anti-correlated with task performance. We also find that phase-specific ICMS modulates the power and phase of oscillations, shifting local networks between oscillatory and non-oscillatory states. Furthermore, ICMS induces phase-dependent effects in animal reaction times and success rates. These findings contribute to unraveling the functional role of cortical oscillations and to the future development of clinical tools for ameliorating abnormal neuronal activities in brain disease.
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Affiliation(s)
- Oren Peles
- Department of Medical Neurobiology, Institute of Medical Research-Israel Canada, The Hebrew University-Hadassah Medical School, Jerusalem 9112102, Israel; Edmond and Lily Safra Centre for Brain Sciences, The Hebrew University of Jerusalem, Jerusalem 9190401, Israel.
| | - Uri Werner-Reiss
- Department of Medical Neurobiology, Institute of Medical Research-Israel Canada, The Hebrew University-Hadassah Medical School, Jerusalem 9112102, Israel; Edmond and Lily Safra Centre for Brain Sciences, The Hebrew University of Jerusalem, Jerusalem 9190401, Israel
| | - Hagai Bergman
- Department of Medical Neurobiology, Institute of Medical Research-Israel Canada, The Hebrew University-Hadassah Medical School, Jerusalem 9112102, Israel; Edmond and Lily Safra Centre for Brain Sciences, The Hebrew University of Jerusalem, Jerusalem 9190401, Israel
| | - Zvi Israel
- Department of Neurosurgery, Hadassah University Hospital, Jerusalem 9112102, Israel
| | - Eilon Vaadia
- Department of Medical Neurobiology, Institute of Medical Research-Israel Canada, The Hebrew University-Hadassah Medical School, Jerusalem 9112102, Israel; Edmond and Lily Safra Centre for Brain Sciences, The Hebrew University of Jerusalem, Jerusalem 9190401, Israel
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9
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Darch HT, Cerminara NL, Gilchrist ID, Apps R. Pre-movement changes in sensorimotor beta oscillations predict motor adaptation drive. Sci Rep 2020; 10:17946. [PMID: 33087847 PMCID: PMC7578788 DOI: 10.1038/s41598-020-74833-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Accepted: 09/28/2020] [Indexed: 11/09/2022] Open
Abstract
Beta frequency oscillations in scalp electroencephalography (EEG) recordings over the primary motor cortex have been associated with the preparation and execution of voluntary movements. Here, we test whether changes in beta frequency are related to the preparation of adapted movements in human, and whether such effects generalise to other species (cat). Eleven healthy adult humans performed a joystick visuomotor adaptation task. Beta (15-25 Hz) scalp EEG signals recorded over the motor cortex during a pre-movement preparatory phase were, on average, significantly reduced in amplitude during early adaptation trials compared to baseline, late adaptation, or aftereffect trials. The changes in beta were not related to measurements of reaction time or reach duration. We also recorded local field potential (LFP) activity within the primary motor cortex of three cats during a prism visuomotor adaptation task. Analysis of these signals revealed similar reductions in motor cortical LFP beta frequencies during early adaptation. This effect was present when controlling for any influence of the reaction time and reach duration. Overall, the results are consistent with a reduction in pre-movement beta oscillations predicting an increase in adaptive drive in upcoming task performance when motor errors are largest in magnitude and the rate of adaptation is greatest.
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Affiliation(s)
- Henry T Darch
- School of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, BS8 1TD, UK.,APC Microbiome Ireland, University College Cork, Cork, Ireland
| | - Nadia L Cerminara
- School of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, BS8 1TD, UK
| | - Iain D Gilchrist
- School of Psychological Science, University of Bristol, Bristol, BS8 1TU, UK.
| | - Richard Apps
- School of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, BS8 1TD, UK.
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10
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Kenville R, Maudrich T, Vidaurre C, Maudrich D, Villringer A, Ragert P, Nikulin VV. Intermuscular coherence between homologous muscles during dynamic and static movement periods of bipedal squatting. J Neurophysiol 2020; 124:1045-1055. [PMID: 32816612 PMCID: PMC7742219 DOI: 10.1152/jn.00231.2020] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
Coordination of functionally coupled muscles is a key aspect of movement execution. Demands on coordinative control increase with the number of involved muscles and joints, as well as with differing movement periods within a given motor sequence. While previous research has provided evidence concerning inter- and intramuscular synchrony in isolated movements, compound movements remain largely unexplored. With this study, we aimed to uncover neural mechanisms of bilateral coordination through intermuscular coherence (IMC) analyses between principal homologous muscles during bipedal squatting (BpS) at multiple frequency bands (alpha, beta, and gamma). For this purpose, participants performed bipedal squats without additional load, which were divided into three distinct movement periods (eccentric, isometric, and concentric). Surface electromyography (EMG) was recorded from four homologous muscle pairs representing prime movers during bipedal squatting. We provide novel evidence that IMC magnitudes differ between movement periods in beta and gamma bands, as well as between homologous muscle pairs across all frequency bands. IMC was greater in the muscle pairs involved in postural and bipedal stability compared with those involved in muscular force during BpS. Furthermore, beta and gamma IMC magnitudes were highest during eccentric movement periods, whereas we did not find movement-related modulations for alpha IMC magnitudes. This finding thus indicates increased integration of afferent information during eccentric movement periods. Collectively, our results shed light on intermuscular synchronization during bipedal squatting, as we provide evidence that central nervous processing of bilateral intermuscular functioning is achieved through task-dependent modulations of common neural input to homologous muscles. NEW & NOTEWORTHY It is largely unexplored how the central nervous system achieves coordination of homologous muscles of the upper and lower body within a compound whole body movement, and to what extent this neural drive is modulated between different movement periods and muscles. Using intermuscular coherence analysis, we show that homologous muscle functions are mediated through common oscillatory input that extends over alpha, beta, and gamma frequencies with different synchronization patterns at different movement periods.
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Affiliation(s)
- Rouven Kenville
- Institute for General Kinesiology and Exercise Science, Faculty of Sports Science, University of Leipzig, Leipzig, Germany.,Max Planck Institute for Human Cognitive and Brain Sciences, Department of Neurology, Leipzig, Germany
| | - Tom Maudrich
- Institute for General Kinesiology and Exercise Science, Faculty of Sports Science, University of Leipzig, Leipzig, Germany.,Max Planck Institute for Human Cognitive and Brain Sciences, Department of Neurology, Leipzig, Germany
| | - Carmen Vidaurre
- Department of Statistics, Informatics and Mathematics, Public University of Navarre, Pamplona, Spain.,Machine Learning Group, Faculty of EE and Computer Science, TU Berlin, Berlin, Germany
| | - Dennis Maudrich
- Max Planck Institute for Human Cognitive and Brain Sciences, Department of Neurology, Leipzig, Germany
| | - Arno Villringer
- Max Planck Institute for Human Cognitive and Brain Sciences, Department of Neurology, Leipzig, Germany.,MindBrainBody Institute at Berlin School of Mind and Brain, Charité-Universitätsmedizin Berlin and Humboldt-Universität zu Berlin, Germany.,Clinic for Cognitive Neurology, University Hospital Leipzig, Leipzig, Germany
| | - Patrick Ragert
- Institute for General Kinesiology and Exercise Science, Faculty of Sports Science, University of Leipzig, Leipzig, Germany.,Max Planck Institute for Human Cognitive and Brain Sciences, Department of Neurology, Leipzig, Germany
| | - Vadim V Nikulin
- Max Planck Institute for Human Cognitive and Brain Sciences, Department of Neurology, Leipzig, Germany.,Centre for Cognition and Decision Making, Institute for Cognitive Neuroscience, National Research University Higher School of Economics, Moscow, Russian Federation.,Neurophysics Group, Department of Neurology, Charité-University Medicine Berlin, Campus Benjamin Franklin, Berlin, Germany
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11
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Schmidt R, Herrojo Ruiz M, Kilavik BE, Lundqvist M, Starr PA, Aron AR. Beta Oscillations in Working Memory, Executive Control of Movement and Thought, and Sensorimotor Function. J Neurosci 2019; 39:8231-8238. [PMID: 31619492 PMCID: PMC6794925 DOI: 10.1523/jneurosci.1163-19.2019] [Citation(s) in RCA: 134] [Impact Index Per Article: 26.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2019] [Revised: 08/05/2019] [Accepted: 08/07/2019] [Indexed: 12/27/2022] Open
Abstract
Beta oscillations (∼13 to 30 Hz) have been observed during many perceptual, cognitive, and motor processes in a plethora of brain recording studies. Although the function of beta oscillations (hereafter "beta" for short) is unlikely to be explained by any single monolithic description, we here discuss several convergent findings. In prefrontal cortex (PFC), increased beta appears at the end of a trial when working memory information needs to be erased. A similar "clear-out" function might apply during the stopping of action and the stopping of long-term memory retrieval (stopping thoughts), where increased prefrontal beta is also observed. A different apparent role for beta in PFC occurs during the delay period of working memory tasks: it might serve to maintain the current contents and/or to prevent interference from distraction. We confront the challenge of relating these observations to the large literature on beta recorded from sensorimotor cortex. Potentially, the clear-out of working memory in PFC has its counterpart in the postmovement clear-out of the motor plan in sensorimotor cortex. However, recent studies support alternative interpretations. In addition, we flag emerging research on different frequencies of beta and the relationship between beta and single-neuron spiking. We also discuss where beta might be generated: basal ganglia, cortex, or both. We end by considering the clinical implications for adaptive deep-brain stimulation.
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Affiliation(s)
- Robert Schmidt
- Department of Psychology, University of Sheffield, Sheffield, S1 2LT, UK,
| | - Maria Herrojo Ruiz
- Department of Psychology, Goldsmiths University of London, London, SE14 6NW, UK
- Center for Cognition and Decision Making, Institute for Cognitive Neuroscience, National Research University Higher School of Economics, Moscow 101000, Russian Federation
| | - Bjørg E Kilavik
- Institut de Neurosciences de la Timone, Aix-Marseille Université, Marseille, 13005, France
| | - Mikael Lundqvist
- Department of Brain and Cognitive Sciences, The Picower Institute for Learning and Memory, Massachusetts Institute of Technology, Cambridge, MA 02139-4307
| | - Philip A Starr
- Department of Neurosurgery, University of California San Francisco, San Francisco, CA 94143, and
| | - Adam R Aron
- Department of Psychology, University of California San Diego La Jolla, CA 92093
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12
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Vukelić M, Belardinelli P, Guggenberger R, Royter V, Gharabaghi A. Different oscillatory entrainment of cortical networks during motor imagery and neurofeedback in right and left handers. Neuroimage 2019; 195:190-202. [PMID: 30951847 DOI: 10.1016/j.neuroimage.2019.03.067] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2018] [Revised: 03/02/2019] [Accepted: 03/27/2019] [Indexed: 01/08/2023] Open
Abstract
Volitional modulation and neurofeedback of sensorimotor oscillatory activity is currently being evaluated as a strategy to facilitate motor restoration following stroke. Knowledge on the interplay between this regional brain self-regulation, distributed network entrainment and handedness is, however, limited. In a randomized cross-over design, twenty-one healthy subjects (twelve right-handers [RH], nine left-handers [LH]) performed kinesthetic motor imagery of left (48 trials) and right finger extension (48 trials). A brain-machine interface turned event-related desynchronization in the beta frequency-band (16-22 Hz) during motor imagery into passive hand opening by a robotic orthosis. Thereby, every participant subsequently activated either the dominant (DH) or non-dominant hemisphere (NDH) to control contralateral hand opening. The task-related cortical networks were studied with electroencephalography. The magnitude of the induced oscillatory modulation range in the sensorimotor cortex was independent of both handedness (RH, LH) and hemispheric specialization (DH, NDH). However, the regional beta-band modulation was associated with different alpha-band networks in RH and LH: RH presented a stronger inter-hemispheric connectivity, while LH revealed a stronger intra-hemispheric interaction. Notably, these distinct network entrainments were independent of hemispheric specialization. In healthy subjects, sensorimotor beta-band activity can be robustly modulated by motor imagery and proprioceptive feedback in both hemispheres independent of handedness. However, right and left handers show different oscillatory entrainment of cortical alpha-band networks during neurofeedback. This finding may inform neurofeedback interventions in future to align them more precisely with the underlying physiology.
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Affiliation(s)
- Mathias Vukelić
- Division of Functional and Restorative Neurosurgery, Tuebingen Neuro Campus, Eberhard Karls University Tuebingen, Germany
| | - Paolo Belardinelli
- Division of Functional and Restorative Neurosurgery, Tuebingen Neuro Campus, Eberhard Karls University Tuebingen, Germany
| | - Robert Guggenberger
- Division of Functional and Restorative Neurosurgery, Tuebingen Neuro Campus, Eberhard Karls University Tuebingen, Germany
| | - Vladislav Royter
- Division of Functional and Restorative Neurosurgery, Tuebingen Neuro Campus, Eberhard Karls University Tuebingen, Germany
| | - Alireza Gharabaghi
- Division of Functional and Restorative Neurosurgery, Tuebingen Neuro Campus, Eberhard Karls University Tuebingen, Germany.
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13
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Canonical maximization of coherence: A novel tool for investigation of neuronal interactions between two datasets. Neuroimage 2019; 201:116009. [PMID: 31302256 DOI: 10.1016/j.neuroimage.2019.116009] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Revised: 05/24/2019] [Accepted: 07/10/2019] [Indexed: 11/23/2022] Open
Abstract
Synchronization between oscillatory signals is considered to be one of the main mechanisms through which neuronal populations interact with each other. It is conventionally studied with mass-bivariate measures utilizing either sensor-to-sensor or voxel-to-voxel signals. However, none of these approaches aims at maximizing synchronization, especially when two multichannel datasets are present. Examples include cortico-muscular coherence (CMC), cortico-subcortical interactions or hyperscanning (where electroencephalographic EEG/magnetoencephalographic MEG activity is recorded simultaneously from two or more subjects). For all of these cases, a method which could find two spatial projections maximizing the strength of synchronization would be desirable. Here we present such method for the maximization of coherence between two sets of EEG/MEG/EMG (electromyographic)/LFP (local field potential) recordings. We refer to it as canonical Coherence (caCOH). caCOH maximizes the absolute value of the coherence between the two multivariate spaces in the frequency domain. This allows very fast optimization for many frequency bins. Apart from presenting details of the caCOH algorithm, we test its efficacy with simulations using realistic head modelling and focus on the application of caCOH to the detection of cortico-muscular coherence. For this, we used diverse multichannel EEG and EMG recordings and demonstrate the ability of caCOH to extract complex patterns of CMC distributed across spatial and frequency domains. Finally, we indicate other scenarios where caCOH can be used for the extraction of neuronal interactions.
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14
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Lemon R, Kraskov A. Starting and stopping movement by the primate brain. Brain Neurosci Adv 2019; 3:2398212819837149. [PMID: 32166180 PMCID: PMC7058194 DOI: 10.1177/2398212819837149] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2018] [Indexed: 01/13/2023] Open
Abstract
We review the current knowledge about the part that motor cortex plays in the preparation and generation of movement, and we discuss the idea that corticospinal neurons, and particularly those with cortico-motoneuronal connections, act as ‘command’ neurons for skilled reach-to-grasp movements in the primate. We also review the increasing evidence that it is active during processes such as action observation and motor imagery. This leads to a discussion about how movement is inhibited and stopped, and the role in these for disfacilitation of the corticospinal output. We highlight the importance of the non-human primate as a model for the human motor system. Finally, we discuss the insights that recent research into the monkey motor system has provided for translational approaches to neurological diseases such as stroke, spinal injury and motor neuron disease.
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Affiliation(s)
- Roger Lemon
- Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College London (UCL), London, UK
| | - Alexander Kraskov
- Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College London (UCL), London, UK
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15
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Frequency-specific modulation of connectivity in the ipsilateral sensorimotor cortex by different forms of movement initiation. Neuroimage 2017; 159:248-260. [DOI: 10.1016/j.neuroimage.2017.07.054] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Revised: 07/09/2017] [Accepted: 07/25/2017] [Indexed: 01/17/2023] Open
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16
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Su Y, Routhu S, Moon KS, Lee SQ, Youm W, Ozturk Y. A Wireless 32-Channel Implantable Bidirectional Brain Machine Interface. SENSORS (BASEL, SWITZERLAND) 2016; 16:E1582. [PMID: 27669264 PMCID: PMC5087371 DOI: 10.3390/s16101582] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/20/2016] [Revised: 09/17/2016] [Accepted: 09/21/2016] [Indexed: 11/17/2022]
Abstract
All neural information systems (NIS) rely on sensing neural activity to supply commands and control signals for computers, machines and a variety of prosthetic devices. Invasive systems achieve a high signal-to-noise ratio (SNR) by eliminating the volume conduction problems caused by tissue and bone. An implantable brain machine interface (BMI) using intracortical electrodes provides excellent detection of a broad range of frequency oscillatory activities through the placement of a sensor in direct contact with cortex. This paper introduces a compact-sized implantable wireless 32-channel bidirectional brain machine interface (BBMI) to be used with freely-moving primates. The system is designed to monitor brain sensorimotor rhythms and present current stimuli with a configurable duration, frequency and amplitude in real time to the brain based on the brain activity report. The battery is charged via a novel ultrasonic wireless power delivery module developed for efficient delivery of power into a deeply-implanted system. The system was successfully tested through bench tests and in vivo tests on a behaving primate to record the local field potential (LFP) oscillation and stimulate the target area at the same time.
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Affiliation(s)
- Yi Su
- School of Electronic Information, Wuhan University, Wuhan 430072, China.
- Department of Electrical and Computer Engineering, San Diego State University, San Diego, CA 92182, USA.
| | - Sudhamayee Routhu
- Department of Electrical and Computer Engineering, San Diego State University, San Diego, CA 92182, USA.
| | - Kee S Moon
- Department of Mechanical Engineering, San Diego State University, San Diego, CA 92182, USA.
| | - Sung Q Lee
- Electronics and Telecommunications Research Institute (ETRI), Daejeon 34129, Korea.
| | - WooSub Youm
- Electronics and Telecommunications Research Institute (ETRI), Daejeon 34129, Korea.
| | - Yusuf Ozturk
- Department of Electrical and Computer Engineering, San Diego State University, San Diego, CA 92182, USA.
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17
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Basal Forebrain Cholinergic Neurons Primarily Contribute to Inhibition of Electroencephalogram Delta Activity, Rather Than Inducing Behavioral Wakefulness in Mice. Neuropsychopharmacology 2016; 41:2133-46. [PMID: 26797244 PMCID: PMC4908644 DOI: 10.1038/npp.2016.13] [Citation(s) in RCA: 88] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2015] [Revised: 11/24/2015] [Accepted: 12/22/2015] [Indexed: 12/14/2022]
Abstract
The basal forebrain (BF) cholinergic neurons have long been thought to be involved in behavioral wakefulness and cortical activation. However, owing to the heterogeneity of BF neurons and poor selectivity of traditional methods, the precise role of BF cholinergic neurons in regulating the sleep-wake cycle remains unclear. We investigated the effects of cell-selective manipulation of BF cholinergic neurons on the sleep-wake behavior and electroencephalogram (EEG) power spectrum using the pharmacogenetic technique, the 'designer receptors exclusively activated by designer drugs (DREADD)' approach, and ChAT-IRES-Cre mice. Our results showed that activation of BF cholinergic neurons expressing hM3Dq receptors significantly and lastingly decreased the EEG delta power spectrum, produced low-delta non-rapid eye movement sleep, and slightly increased wakefulness in both light and dark phases, whereas inhibition of BF cholinergic neurons expressing hM4Di receptors significantly increased EEG delta power spectrum and slightly decreased wakefulness. Next, the projections of BF cholinergic neurons were traced by humanized Renilla green fluorescent protein (hrGFP). Abundant and highly dense hrGFP-positive fibers were observed in the secondary motor cortex and cingulate cortex, and sparse hrGFP-positive fibers were observed in the ventrolateral preoptic nucleus, a known sleep-related structure. Finally, we found that activation of BF cholinergic neurons significantly increased c-Fos expression in the secondary motor cortex and cingulate cortex, but decreased c-Fos expression in the ventrolateral preoptic nucleus. Taken together, these findings reveal that the primary function of BF cholinergic neurons is to inhibit EEG delta activity through the activation of cerebral cortex, rather than to induce behavioral wakefulness.
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18
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Primary motor and sensory cortical areas communicate via spatiotemporally coordinated networks at multiple frequencies. Proc Natl Acad Sci U S A 2016; 113:5083-8. [PMID: 27091982 DOI: 10.1073/pnas.1600788113] [Citation(s) in RCA: 62] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
Skilled movements rely on sensory information to shape optimal motor responses, for which the sensory and motor cortical areas are critical. How these areas interact to mediate sensorimotor integration is largely unknown. Here, we measure intercortical coherence between the orofacial motor (MIo) and somatosensory (SIo) areas of cortex as monkeys learn to generate tongue-protrusive force. We report that coherence between MIo and SIo is reciprocal and that neuroplastic changes in coherence gradually emerge over a few days. These functional networks of coherent spiking and local field potentials exhibit frequency-specific spatiotemporal properties. During force generation, theta coherence (2-6 Hz) is prominent and exhibited by numerous paired signals; before or after force generation, coherence is evident in alpha (6-13 Hz), beta (15-30 Hz), and gamma (30-50 Hz) bands, but the functional networks are smaller and weaker. Unlike coherence in the higher frequency bands, the distribution of the phase at peak theta coherence is bimodal with peaks near 0° and ±180°, suggesting that communication between somatosensory and motor areas is coordinated temporally by the phase of theta coherence. Time-sensitive sensorimotor integration and plasticity may rely on coherence of local and large-scale functional networks for cortical processes to operate at multiple temporal and spatial scales.
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19
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Vvedensky VL, Prokofyev AO. Timing of Cortical Events Preceding Voluntary Movement. Neural Comput 2015; 28:286-304. [PMID: 26654207 DOI: 10.1162/neco_a_00802] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
We studied magnetic signals from the human brain recorded during a second before a self-paced finger movement. Sharp triangular peaks were observed in the averaged signals about 0.7 second before the finger movement. The amplitude of the peaks varied considerably from trial to trial, which indicated that the peaks were concurrent with much longer oscillatory processes. One can cluster trials into distinct groups with characteristic sequences of events. Prominent short trains of pulses in the beta frequency band were identified in the premovement period. This observation suggests that during preparation of the intended movement, cortical activity is well organized in time but differs from trial to trial. Magnetoencephalography can capture these processes with high temporal resolution and allows their study in fine detail.
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Affiliation(s)
- Victor L Vvedensky
- MEG Center, Moscow State University of Psychology and Education, Moscow, Russian Federation, 107045, and Kurchatov Institute, Moscow, Russian Federation, 123182
| | - Andrey O Prokofyev
- MEG Center, Moscow State University of Psychology and Education, Kurchatov University, Moscow, Russian Federation, 107045
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20
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Cebolla A, Cheron G. Sensorimotor and cognitive involvement of the beta–gamma oscillation in the frontal N30 component of somatosensory evoked potentials. Neuropsychologia 2015; 79:215-22. [DOI: 10.1016/j.neuropsychologia.2015.04.033] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2014] [Revised: 04/29/2015] [Accepted: 04/30/2015] [Indexed: 11/29/2022]
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21
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Neural activity underlying motor-action preparation and cognitive narrowing in approach-motivated goal states. COGNITIVE AFFECTIVE & BEHAVIORAL NEUROSCIENCE 2015; 16:145-52. [DOI: 10.3758/s13415-015-0381-4] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
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22
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Tzagarakis C, West S, Pellizzer G. Brain oscillatory activity during motor preparation: effect of directional uncertainty on beta, but not alpha, frequency band. Front Neurosci 2015; 9:246. [PMID: 26257597 PMCID: PMC4508519 DOI: 10.3389/fnins.2015.00246] [Citation(s) in RCA: 65] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2015] [Accepted: 06/29/2015] [Indexed: 11/20/2022] Open
Abstract
In time-constraint activities, such as sports, it is advantageous to be prepared to act even before knowing precisely what action will be needed. Here, we studied the relation between neural oscillations during motor preparation and amount of uncertainty about the direction of the upcoming target. Ten right-handed volunteers participated in a cued center-out task. A brief visual cue identified the region of space in which the target would appear. Three cue sizes were used to vary the amount of information about the direction of the upcoming target. The target appeared at a random location within the region indicated by the cue, and the participants moved a joystick-controlled cursor toward it. Time-frequency analyses showed phasic increases of power in low (delta/theta: <7 Hz) and high (gamma: >30 Hz) frequency-bands in relation to the onset of visual stimuli and of the motor response. More importantly in regard to motor preparation, there was a tonic reduction of power in the alpha (8–12 Hz) and beta (14–30 Hz) bands during the period between cue presentation and target onset. During motor preparation, the main source of change of power of the alpha band was localized over the contralateral sensorimotor region and both parietal cortices, whereas for the beta-band the main source was the contralateral sensorimotor region. During cue presentation, the reduction of power of the alpha-band in the occipital lobe showed a brief differentiation of condition: the wider the visual cue, the more the power of the alpha-band decreased. However, during motor preparation, only the power of the beta-band was dependent on directional uncertainty: the less the directional uncertainty, the more the power of the beta-band decreased. In conclusion, the results indicate that the power in the alpha-band is associated briefly with cue size, but is otherwise an undifferentiated indication of neural activation, whereas the power of the beta-band reflects the level of motor preparation.
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Affiliation(s)
- Charidimos Tzagarakis
- Brain Sciences Center, Veterans Affairs Health Care Service Minneapolis, MN, USA ; Department of Neuroscience, University of Minnesota Minneapolis, MN, USA
| | - Sarah West
- Brain Sciences Center, Veterans Affairs Health Care Service Minneapolis, MN, USA ; College of Biological Sciences, University of Minnesota Minneapolis, MN, USA
| | - Giuseppe Pellizzer
- Brain Sciences Center, Veterans Affairs Health Care Service Minneapolis, MN, USA ; Department of Neuroscience, University of Minnesota Minneapolis, MN, USA
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23
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Eggermont JJ, Tass PA. Maladaptive neural synchrony in tinnitus: origin and restoration. Front Neurol 2015; 6:29. [PMID: 25741316 PMCID: PMC4330892 DOI: 10.3389/fneur.2015.00029] [Citation(s) in RCA: 86] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2014] [Accepted: 02/03/2015] [Indexed: 11/14/2022] Open
Abstract
Tinnitus is the conscious perception of sound heard in the absence of physical sound sources external or internal to the body, reflected in aberrant neural synchrony of spontaneous or resting-state brain activity. Neural synchrony is generated by the nearly simultaneous firing of individual neurons, of the synchronization of membrane-potential changes in local neural groups as reflected in the local field potentials, resulting in the presence of oscillatory brain waves in the EEG. Noise-induced hearing loss, often resulting in tinnitus, causes a reorganization of the tonotopic map in auditory cortex and increased spontaneous firing rates and neural synchrony. Spontaneous brain rhythms rely on neural synchrony. Abnormal neural synchrony in tinnitus appears to be confined to specific frequency bands of brain rhythms. Increases in delta-band activity are generated by deafferented/deprived neuronal networks resulting from hearing loss. Coordinated reset (CR) stimulation was developed in order to specifically counteract such abnormal neuronal synchrony by desynchronization. The goal of acoustic CR neuromodulation is to desynchronize tinnitus-related abnormal delta-band oscillations. CR neuromodulation does not require permanent stimulus delivery in order to achieve long-lasting desynchronization or even a full-blown anti-kindling but may have cumulative effects, i.e., the effect of different CR epochs separated by pauses may accumulate. Unlike other approaches, acoustic CR neuromodulation does not intend to reduce tinnitus-related neuronal activity by employing lateral inhibition. The potential efficacy of acoustic CR modulation was shown in a clinical proof of concept trial, where effects achieved in 12 weeks of treatment delivered 4–6 h/day persisted through a preplanned 4-week therapy pause and showed sustained long-term effects after 10 months of therapy, leading to 75% responders.
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Affiliation(s)
- Jos J Eggermont
- Department of Physiology and Pharmacology, University of Calgary , Calgary, AB , Canada ; Department of Psychology, University of Calgary , Calgary, AB , Canada
| | - Peter A Tass
- Institute of Neuroscience and Medicine - Neuromodulation (INM-7), Research Center Jülich , Jülich , Germany ; Department of Neurosurgery, Stanford University , Stanford, CA , USA ; Department of Neuromodulation, University of Cologne , Cologne , Germany
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24
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Voluntary control of corticomuscular coherence through neurofeedback: a proof-of-principle study in healthy subjects. Neuroscience 2015; 290:243-54. [PMID: 25596321 DOI: 10.1016/j.neuroscience.2015.01.013] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2014] [Revised: 01/06/2015] [Accepted: 01/08/2015] [Indexed: 11/22/2022]
Abstract
Corticomuscular coherence (CMC) relates to synchronization between activity in the motor cortex and the muscle activity. The strength of CMC can be affected by motor behavior. In a proof-of-principle study, we examined whether independent of motor output parameters, healthy subjects are able to voluntarily modulate CMC in a neurofeedback paradigm. Subjects received visual online feedback of their instantaneous CMC strength, which was calculated between an optimized spatial projection of multichannel electroencephalography (EEG) and electromyography (EMG) in an individually defined target frequency range. The neurofeedback training consisted of either increasing or decreasing CMC strength using a self-chosen mental strategy while performing a simple motor task. Evaluation of instantaneous coherence showed that CMC strength was significantly larger when subjects had to increase than when to decrease CMC; this difference between the two task conditions did not depend on motor performance. The exclusion of confounding factors such as motor performance, attention and task complexity in study design provides evidence that subjects were able to voluntarily modify CMC independent of motor output parameters. Additional analysis further strengthened the assumption that the subjects' response was specifically shaped by the neurofeedback. In perspective, we suggest that CMC-based neurofeedback could provide a therapeutic approach in clinical conditions, such as motor stroke, where CMC is altered.
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25
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Aumann TD, Prut Y. Do sensorimotor β-oscillations maintain muscle synergy representations in primary motor cortex? Trends Neurosci 2014; 38:77-85. [PMID: 25541288 DOI: 10.1016/j.tins.2014.12.002] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2014] [Revised: 11/04/2014] [Accepted: 12/01/2014] [Indexed: 11/24/2022]
Abstract
Coherent β-oscillations are a dominant feature of the sensorimotor system yet their function remains enigmatic. We propose that, in addition to cell intrinsic and/or local network interactions, they are supported by activity propagating recurrently around closed neural 'loops' between primary motor cortex (M1), muscles, and back to M1 via somatosensory pathways. Individual loops reciprocally connect individual muscle synergies ('motor primitives') with their representations in M1, and the conduction time around each loop resonates with the periodic spiking of its constituent neurons/muscles. During β-oscillations, this resonance strengthens within-loop connectivity (via long-term potentiation, LTP), whereas non-resonance between different loops weakens connectivity (via long-term depression, LTD) between M1 representations of different muscle synergies. In this way, β-oscillations help maintain accurate and discrete representations of muscle synergies in M1.
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Affiliation(s)
- Tim D Aumann
- Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, Australia.
| | - Yifat Prut
- Department of Medical Neurobiology, Institute for Medical Research Israel-Canada (IMRIC) and The Edmond and Lily Safra Center for Brain Sciences (ELSC), The Hebrew University of Jerusalem, Jerusalem, Israel
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26
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Neural oscillations: beta band activity across motor networks. Curr Opin Neurobiol 2014; 32:60-7. [PMID: 25528615 DOI: 10.1016/j.conb.2014.11.010] [Citation(s) in RCA: 82] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2014] [Revised: 11/23/2014] [Accepted: 11/27/2014] [Indexed: 01/08/2023]
Abstract
Local field potential (LFP) activity in motor cortical and basal ganglia regions exhibits prominent beta (15-40Hz) oscillations during reaching and grasping, muscular contraction, and attention tasks. While in vitro and computational work has revealed specific mechanisms that may give rise to the frequency and duration of this oscillation, there is still controversy about what behavioral processes ultimately drive it. Here, simultaneous behavioral and large-scale neural recording experiments from non-human primate and human subjects are reviewed in the context of specific hypotheses about how beta band activity is generated. Finally, a new experimental paradigm utilizing operant conditioning combined with motor tasks is proposed as a way to further investigate this oscillation.
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27
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Popovych OV, Tass PA. Control of abnormal synchronization in neurological disorders. Front Neurol 2014; 5:268. [PMID: 25566174 PMCID: PMC4267271 DOI: 10.3389/fneur.2014.00268] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2014] [Accepted: 11/28/2014] [Indexed: 11/13/2022] Open
Abstract
In the nervous system, synchronization processes play an important role, e.g., in the context of information processing and motor control. However, pathological, excessive synchronization may strongly impair brain function and is a hallmark of several neurological disorders. This focused review addresses the question of how an abnormal neuronal synchronization can specifically be counteracted by invasive and non-invasive brain stimulation as, for instance, by deep brain stimulation for the treatment of Parkinson’s disease, or by acoustic stimulation for the treatment of tinnitus. On the example of coordinated reset (CR) neuromodulation, we illustrate how insights into the dynamics of complex systems contribute to successful model-based approaches, which use methods from synergetics, non-linear dynamics, and statistical physics, for the development of novel therapies for normalization of brain function and synaptic connectivity. Based on the intrinsic multistability of the neuronal populations induced by spike timing-dependent plasticity (STDP), CR neuromodulation utilizes the mutual interdependence between synaptic connectivity and dynamics of the neuronal networks in order to restore more physiological patterns of connectivity via desynchronization of neuronal activity. The very goal is to shift the neuronal population by stimulation from an abnormally coupled and synchronized state to a desynchronized regime with normalized synaptic connectivity, which significantly outlasts the stimulation cessation, so that long-lasting therapeutic effects can be achieved.
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Affiliation(s)
- Oleksandr V Popovych
- Institute of Neuroscience and Medicine - Neuromodulation, Jülich Research Center , Jülich , Germany
| | - Peter A Tass
- Institute of Neuroscience and Medicine - Neuromodulation, Jülich Research Center , Jülich , Germany ; Department of Neurosurgery, Stanford University , Stanford, CA , USA ; Department of Neuromodulation, University of Cologne , Cologne , Germany
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28
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Fisher KM, Jillani NE, Oluoch GO, Baker SN. Blocking central pathways in the primate motor system using high-frequency sinusoidal current. J Neurophysiol 2014; 113:1670-80. [PMID: 25475345 PMCID: PMC4346720 DOI: 10.1152/jn.00347.2014] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Electrical stimulation with high-frequency (2-10 kHz) sinusoidal currents has previously been shown to produce a transient and complete nerve block in the peripheral nervous system. Modeling and in vitro studies suggest that this is due to a prolonged local depolarization across a broad section of membrane underlying the blocking electrode. Previous work has used cuff electrodes wrapped around the peripheral nerve to deliver the blocking stimulus. We extended this technique to central motor pathways, using a single metal microelectrode to deliver focal sinusoidal currents to the corticospinal tract at the cervical spinal cord in anesthetized adult baboons. The extent of conduction block was assessed by stimulating a second electrode caudal to the blocking site and recording the antidromic field potential over contralateral primary motor cortex. The maximal block achieved was 99.6%, similar to findings of previous work in peripheral fibers, and the optimal frequency for blocking was 2 kHz. Block had a rapid onset, being complete as soon as the transient activation associated with the start of the sinusoidal current was over. High-frequency block was also successfully applied to the pyramidal tract at the medulla, ascending sensory pathways in the dorsal columns, and the descending systems of the medial longitudinal fasciculus. High-frequency sinusoidal stimulation produces transient, reversible lesions in specific target locations and therefore could be a useful alternative to permanent tissue transection in some experimental paradigms. It also could help to control or prevent some of the hyperactivity associated with chronic neurological disorders.
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Affiliation(s)
- Karen M Fisher
- Institute of Neuroscience, Medical School, University of Newcastle upon Tyne, Newcastle upon Tyne, United Kingdom; and
| | - Ngalla E Jillani
- Institute of Primate Research, National Museums of Kenya, Karen, Nairobi, Kenya
| | - George O Oluoch
- Institute of Primate Research, National Museums of Kenya, Karen, Nairobi, Kenya
| | - Stuart N Baker
- Institute of Neuroscience, Medical School, University of Newcastle upon Tyne, Newcastle upon Tyne, United Kingdom; and
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29
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Bravo-Esteban E, Taylor J, Aleixandre M, Simon-Martínez C, Torricelli D, Pons JL, Gómez-Soriano J. Tibialis Anterior muscle coherence during controlled voluntary activation in patients with spinal cord injury: diagnostic potential for muscle strength, gait and spasticity. J Neuroeng Rehabil 2014; 11:23. [PMID: 24594207 PMCID: PMC3973993 DOI: 10.1186/1743-0003-11-23] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2013] [Accepted: 02/12/2014] [Indexed: 12/11/2022] Open
Abstract
Background Coherence estimation has been used as an indirect measure of voluntary neurocontrol of residual motor activity following spinal cord injury (SCI). Here intramuscular Tibialis Anterior (TA) coherence estimation was performed within specific frequency bands for the 10-60 Hz bandwidth during controlled ankle dorsiflexion in subjects with incomplete SCI with and without spasticity. Methods In the first cohort study 15 non-injured and 14 motor incomplete SCI subjects were recruited to evaluate TA coherence during controlled movement. Specifically 15-30 Hz EMG was recorded during dorsiflexion with: i) isometric activation at 50, 75 and 100% of maximal voluntary torque (MVT), ii) isokinetic activation at 60 and 120°/s and iii) isotonic dorsiflexion at 50% MVT. Following identification of the motor tasks necessary for measurement of optimal TA coherence a second cohort was analyzed within the 10-16 Hz, 15-30 Hz, 24-40 Hz and 40-60 Hz bandwidths from 22 incomplete SCI subjects, with and without spasticity. Results Intramuscular 40-60 Hz, but not 15-30 Hz TA, coherence calculated in SCI subjects during isometric activation at 100% of MVT was lower than the control group. In contrast only isometric activation at 100% of MVT 15-30 Hz TA coherence was higher in subjects with less severe SCI (AIS D vs. AIS C), and correlated functionally with dorsiflexion MVT. Higher TA coherence was observed for the SCI group during 120°/s isokinetic movement. In addition 15-30 Hz TA coherence calculated during isometric activation at 100% MVT or 120°/s isokinetic movement correlated moderately with walking function and time from SCI, respectively. Spasticity symptoms correlated negatively with coherence during isometric activation at 100% of MVT in all tested frequency bands, except for 15-30 Hz. Specifically, 10-16 Hz coherence correlated inversely with passive resistive torque to ankle dorsiflexion, while clinical measures of muscle hypertonia and spasm severity correlated inversely with 40-60 Hz. Conclusion Analysis of intramuscular 15-30 Hz TA coherence during isometric activation at 100% of MVT is related to muscle strength and gait function following incomplete SCI. In contrast several spasticity symptoms correlated negatively with 10-16 Hz and 40-60 Hz TA coherence during isometric activation at 100% MVT. Validation of the diagnostic potential of TA coherence estimation as a reliable and comprehensive measure of muscle strength, gait and spasticity should facilitate SCI neurorehabilation.
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Affiliation(s)
| | | | | | | | | | | | - Julio Gómez-Soriano
- Sensorimotor Function Group, Hospital Nacional de Parapléjicos, Toledo, Spain.
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Vukelić M, Bauer R, Naros G, Naros I, Braun C, Gharabaghi A. Lateralized alpha-band cortical networks regulate volitional modulation of beta-band sensorimotor oscillations. Neuroimage 2013; 87:147-53. [PMID: 24121086 DOI: 10.1016/j.neuroimage.2013.10.003] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2013] [Revised: 09/30/2013] [Accepted: 10/01/2013] [Indexed: 01/21/2023] Open
Abstract
Sensorimotor rhythms (SMRs) are oscillatory brain activities in the α- and β-bands across the sensorimotor regions of the brain. Each frequency band has its own specific function. The α-band oscillations are closely related to intrinsic cortical networks, whereas oscillations in the β-band are relevant for the information transfer between the cortex and periphery, as well as for visual and proprioceptive feedback. This study aimed to investigate the interaction between these two frequency bands, under the premise that the regional modulation of β-band power is linked to a cortical network in the α-band. We therefore designed a procedure to maximize the modulation of β-band activity over the sensorimotor cortex by combining kinesthetic motor-imagery with closed-loop haptic feedback. The cortical network activity during this procedure was estimated via the phase slope index in electroencephalographic recordings. Analysis of effective connectivity within the α-band network revealed an information flow between the precentral (premotor and primary motor), postcentral (primary somatosensory) and parietal cortical areas. The range of β-modulation was connected to a reduction of an ipsilateral sensorimotor and parietal α-network and, consequently, to a lateralization of this network to the contralateral side. These results showed that regional sensorimotor oscillatory activity in the β-band was regulated by cortical coupling of distant areas in the α-band.
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Affiliation(s)
- Mathias Vukelić
- Division of Translational Neurosurgery and Division of Functional and Restorative Neurosurgery, Department of Neurosurgery, and Centre for Integrative Neuroscience, Eberhard Karls University of Tübingen, D-72076 Tübingen, Germany.
| | - Robert Bauer
- Division of Translational Neurosurgery and Division of Functional and Restorative Neurosurgery, Department of Neurosurgery, and Centre for Integrative Neuroscience, Eberhard Karls University of Tübingen, D-72076 Tübingen, Germany.
| | - Georgios Naros
- Division of Translational Neurosurgery and Division of Functional and Restorative Neurosurgery, Department of Neurosurgery, and Centre for Integrative Neuroscience, Eberhard Karls University of Tübingen, D-72076 Tübingen, Germany.
| | - Ilias Naros
- Division of Translational Neurosurgery and Division of Functional and Restorative Neurosurgery, Department of Neurosurgery, and Centre for Integrative Neuroscience, Eberhard Karls University of Tübingen, D-72076 Tübingen, Germany.
| | - Christoph Braun
- MEG Center, Eberhard Karls University of Tübingen, D-72076 Tübingen, Germany.
| | - Alireza Gharabaghi
- Division of Translational Neurosurgery and Division of Functional and Restorative Neurosurgery, Department of Neurosurgery, and Centre for Integrative Neuroscience, Eberhard Karls University of Tübingen, D-72076 Tübingen, Germany.
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Adamchic I, Toth T, Hauptmann C, Tass PA. Reversing pathologically increased EEG power by acoustic coordinated reset neuromodulation. Hum Brain Mapp 2013; 35:2099-118. [PMID: 23907785 PMCID: PMC4216412 DOI: 10.1002/hbm.22314] [Citation(s) in RCA: 58] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2012] [Revised: 02/24/2013] [Accepted: 04/08/2013] [Indexed: 01/19/2023] Open
Abstract
Acoustic Coordinated Reset (CR) neuromodulation is a patterned stimulation with tones adjusted to the patient's dominant tinnitus frequency, which aims at desynchronizing pathological neuronal synchronization. In a recent proof-of-concept study, CR therapy, delivered 4-6 h/day more than 12 weeks, induced a significant clinical improvement along with a significant long-lasting decrease of pathological oscillatory power in the low frequency as well as γ band and an increase of the α power in a network of tinnitus-related brain areas. As yet, it remains unclear whether CR shifts the brain activity toward physiological levels or whether it induces clinically beneficial, but nonetheless abnormal electroencephalographic (EEG) patterns, for example excessively decreased δ and/or γ. Here, we compared the patients' spontaneous EEG data at baseline as well as after 12 weeks of CR therapy with the spontaneous EEG of healthy controls by means of Brain Electrical Source Analysis source montage and standardized low-resolution brain electromagnetic tomography techniques. The relationship between changes in EEG power and clinical scores was investigated using a partial least squares approach. In this way, we show that acoustic CR neuromodulation leads to a normalization of the oscillatory power in the tinnitus-related network of brain areas, most prominently in temporal regions. A positive association was found between the changes in tinnitus severity and the normalization of δ and γ power in the temporal, parietal, and cingulate cortical regions. Our findings demonstrate a widespread CR-induced normalization of EEG power, significantly associated with a reduction of tinnitus severity.
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Affiliation(s)
- Ilya Adamchic
- Institute of Neuroscience and Medicine-Neuromodulation (INM-7), Jülich Research Center, Jülich, Germany
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Kujala MV, Törnqvist H, Somppi S, Hänninen L, Krause CM, Vainio O, Kujala J. Reactivity of dogs' brain oscillations to visual stimuli measured with non-invasive electroencephalography. PLoS One 2013; 8:e61818. [PMID: 23650504 PMCID: PMC3641087 DOI: 10.1371/journal.pone.0061818] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2012] [Accepted: 03/18/2013] [Indexed: 11/19/2022] Open
Abstract
Studying cognition of domestic dogs has gone through a renaissance within the last decades. However, although the behavioral studies of dogs are beginning to be common in the field of animal cognition, the neural events underlying cognition remain unknown. Here, we employed a non-invasive electroencephalography, with adhesive electrodes attached to the top of the skin, to measure brain activity of from 8 domestic dogs (Canis familiaris) while they stayed still to observe photos of dog and human faces. Spontaneous oscillatory activity of the dogs, peaking in the sensors over the parieto-occipital cortex, was suppressed statistically significantly during visual task compared with resting activity at the frequency of 15-30 Hz. Moreover, a stimulus-induced low-frequency (~2-6 Hz) suppression locked to the stimulus onset was evident at the frontal sensors, possibly reflecting a motor rhythm guiding the exploratory eye movements. The results suggest task-related reactivity of the macroscopic oscillatory activity in the dog brain. To our knowledge, the study is the first to reveal non-invasively measured reactivity of brain electrophysiological oscillations in healthy dogs, and it has been based purely on positive operant conditional training, without the need for movement restriction or medication.
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Affiliation(s)
- Miiamaaria V Kujala
- Lyon Neuroscience Research Center, INSERM U1028 - CNRS UMR5292, Bron, France.
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Engelhard B, Ozeri N, Israel Z, Bergman H, Vaadia E. Inducing γ oscillations and precise spike synchrony by operant conditioning via brain-machine interface. Neuron 2013; 77:361-75. [PMID: 23352171 DOI: 10.1016/j.neuron.2012.11.015] [Citation(s) in RCA: 81] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/13/2012] [Indexed: 12/26/2022]
Abstract
Neural oscillations in the low-gamma range (30-50 Hz) have been implicated in neuronal synchrony, computation, behavior, and cognition. Abnormal low-gamma activity, hypothesized to reflect impaired synchronization, has been evidenced in several brain disorders. Thus, understanding the relations between gamma oscillations, neuronal synchrony and behavior is a major research challenge. We used a brain-machine interface (BMI) to train monkeys to specifically increase low-gamma power in selected sites of motor cortex to move a cursor and obtain a reward. The monkeys learned to robustly generate oscillatory gamma waves, which were accompanied by a dramatic increase of spiking synchrony of highly precise spatiotemporal patterns. The findings link volitional control of LFP oscillations, neuronal synchrony, and the behavioral outcome. Subjects' ability to directly modulate specific patterns of neuronal synchrony provides a powerful approach for understanding neuronal processing in relation to behavior and for the use of BMIs in a clinical setting.
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Vigneswaran G, Philipp R, Lemon R, Kraskov A. M1 corticospinal mirror neurons and their role in movement suppression during action observation. Curr Biol 2013; 23:236-43. [PMID: 23290556 PMCID: PMC3566480 DOI: 10.1016/j.cub.2012.12.006] [Citation(s) in RCA: 152] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2012] [Revised: 11/12/2012] [Accepted: 12/06/2012] [Indexed: 11/17/2022]
Abstract
Evidence is accumulating that neurons in primary motor cortex (M1) respond during action observation, a property first shown for mirror neurons in monkey premotor cortex. We now show for the first time that the discharge of a major class of M1 output neuron, the pyramidal tract neuron (PTN), is modulated during observation of precision grip by a human experimenter. We recorded 132 PTNs in the hand area of two adult macaques, of which 65 (49%) showed mirror-like activity. Many (38 of 65) increased their discharge during observation (facilitation-type mirror neuron), but a substantial number (27 of 65) exhibited reduced discharge or stopped firing (suppression-type). Simultaneous recordings from arm, hand, and digit muscles confirmed the complete absence of detectable muscle activity during observation. We compared the discharge of the same population of neurons during active grasp by the monkeys. We found that facilitation neurons were only half as active for action observation as for action execution, and that suppression neurons reversed their activity pattern and were actually facilitated during execution. Thus, although many M1 output neurons are active during action observation, M1 direct input to spinal circuitry is either reduced or abolished and may not be sufficient to produce overt muscle activity.
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Affiliation(s)
- Ganesh Vigneswaran
- Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square, London WC1N 3BG, UK
| | - Roland Philipp
- Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square, London WC1N 3BG, UK
| | - Roger N. Lemon
- Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square, London WC1N 3BG, UK
| | - Alexander Kraskov
- Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square, London WC1N 3BG, UK
- Corresponding author
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35
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Bayraktaroglu Z, von Carlowitz-Ghori K, Curio G, Nikulin VV. It is not all about phase: Amplitude dynamics in corticomuscular interactions. Neuroimage 2013; 64:496-504. [DOI: 10.1016/j.neuroimage.2012.08.069] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2012] [Revised: 08/22/2012] [Accepted: 08/26/2012] [Indexed: 01/04/2023] Open
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Abstract
Correlation structure in the activity of muscles across movements is often interpreted as evidence for low-level, hardwired constraints on upper-limb function. However, muscle synergies may also emerge from optimal strategies to achieve high-level task goals within a redundant control space. To distinguish these contrasting interpretations, we examined the structure of muscle variability during operation of a myoelectric interface in which task constraints were dissociated from natural limb biomechanics. We found that, with practice, human subjects learned to shape patterns of covariation between arbitrary pairs of hand and forearm muscles appropriately for elliptical targets whose orientation varied on a trial-by-trial basis. Thus, despite arriving at the same average location in the effector space, performance was improved by buffering variability into those dimensions that least impacted task success. Task modulation of beta-frequency intermuscular coherence indicated that differential recruitment of divergent corticospinal pathways contributed to positive correlations among muscles. However, this feedforward mechanism could not account for negative correlations observed in the presence of visual feedback. A second experiment revealed the development of fast, target-dependent visual responses consistent with "minimum intervention" control correcting predominantly task-relevant errors. Together, these mechanisms contribute to the dynamic emergence of task-specific muscle synergies appropriate for a wide range of abstract task goals.
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37
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Fisher KM, Zaaimi B, Williams TL, Baker SN, Baker MR. Beta-band intermuscular coherence: a novel biomarker of upper motor neuron dysfunction in motor neuron disease. Brain 2012; 135:2849-64. [PMID: 22734124 PMCID: PMC3437020 DOI: 10.1093/brain/aws150] [Citation(s) in RCA: 102] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
In motor neuron disease, the focus of therapy is to prevent or slow neuronal degeneration with neuroprotective pharmacological agents; early diagnosis and treatment are thus essential. Incorporation of needle electromyographic evidence of lower motor neuron degeneration into diagnostic criteria has undoubtedly advanced diagnosis, but even earlier diagnosis might be possible by including tests of subclinical upper motor neuron disease. We hypothesized that beta-band (15–30 Hz) intermuscular coherence could be used as an electrophysiological marker of upper motor neuron integrity in such patients. We measured intermuscular coherence in eight patients who conformed to established diagnostic criteria for primary lateral sclerosis and six patients with progressive muscular atrophy, together with 16 age-matched controls. In the primary lateral sclerosis variant of motor neuron disease, there is selective destruction of motor cortical layer V pyramidal neurons and degeneration of the corticospinal tract, without involvement of anterior horn cells. In progressive muscular atrophy, there is selective degeneration of anterior horn cells but a normal corticospinal tract. All patients with primary lateral sclerosis had abnormal motor-evoked potentials as assessed using transcranial magnetic stimulation, whereas these were similar to controls in progressive muscular atrophy. Upper and lower limb intermuscular coherence was measured during a precision grip and an ankle dorsiflexion task, respectively. Significant beta-band coherence was observed in all control subjects and all patients with progressive muscular atrophy tested, but not in the patients with primary lateral sclerosis. We conclude that intermuscular coherence in the 15–30 Hz range is dependent on an intact corticospinal tract but persists in the face of selective anterior horn cell destruction. Based on the distributions of coherence values measured from patients with primary lateral sclerosis and control subjects, we estimated the likelihood that a given measurement reflects corticospinal tract degeneration. Therefore, intermuscular coherence has potential as a quantitative test of subclinical upper motor neuron involvement in motor neuron disease.
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Affiliation(s)
- Karen M Fisher
- Institute of Neuroscience, University of Newcastle upon Tyne, Newcastle upon Tyne, NE2 4HH, UK
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38
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Popovych OV, Tass PA. Desynchronizing electrical and sensory coordinated reset neuromodulation. Front Hum Neurosci 2012; 6:58. [PMID: 22454622 PMCID: PMC3308339 DOI: 10.3389/fnhum.2012.00058] [Citation(s) in RCA: 85] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2011] [Accepted: 03/03/2012] [Indexed: 11/13/2022] Open
Abstract
Coordinated reset (CR) stimulation is a desynchronizing stimulation technique based on timely coordinated phase resets of sub-populations of a synchronized neuronal ensemble. It has initially been computationally developed for electrical deep brain stimulation (DBS), to enable an effective desynchronization and unlearning of pathological synchrony and connectivity (anti-kindling). Here we computationally show for ensembles of spiking and bursting model neurons interacting via excitatory and inhibitory adaptive synapses that a phase reset of neuronal populations as well as a desynchronization and an anti-kindling can robustly be achieved by direct electrical stimulation or indirect (synaptically-mediated) excitatory and inhibitory stimulation. Our findings are relevant for DBS as well as for sensory stimulation in neurological disorders characterized by pathological neuronal synchrony. Based on the obtained results, we may expect that the local effects in the vicinity of a depth electrode (realized by direct stimulation of the neurons' somata or stimulation of axon terminals) and the non-local CR effects (realized by stimulation of excitatory or inhibitory efferent fibers) of deep brain CR neuromodulation may be similar or even identical. Furthermore, our results indicate that an effective desynchronization and anti-kindling can even be achieved by non-invasive, sensory CR neuromodulation. We discuss the concept of sensory CR neuromodulation in the context of neurological disorders.
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Affiliation(s)
- Oleksandr V Popovych
- Research Center Jülich, Institute of Neuroscience and Medicine - Neuromodulation (INM-7) Jülich, Germany
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39
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Supèr H, Romeo A. Masking of figure-ground texture and single targets by surround inhibition: a computational spiking model. PLoS One 2012; 7:e31773. [PMID: 22393370 PMCID: PMC3290529 DOI: 10.1371/journal.pone.0031773] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2011] [Accepted: 01/17/2012] [Indexed: 01/10/2023] Open
Abstract
A visual stimulus can be made invisible, i.e. masked, by the presentation of a second stimulus. In the sensory cortex, neural responses to a masked stimulus are suppressed, yet how this suppression comes about is still debated. Inhibitory models explain masking by asserting that the mask exerts an inhibitory influence on the responses of a neuron evoked by the target. However, other models argue that the masking interferes with recurrent or reentrant processing. Using computer modeling, we show that surround inhibition evoked by ON and OFF responses to the mask suppresses the responses to a briefly presented stimulus in forward and backward masking paradigms. Our model results resemble several previously described psychophysical and neurophysiological findings in perceptual masking experiments and are in line with earlier theoretical descriptions of masking. We suggest that precise spatiotemporal influence of surround inhibition is relevant for visual detection.
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Affiliation(s)
- Hans Supèr
- Institute for Brain, Cognition and Behavior, Barcelona, Spain.
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40
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Optimal imaging of cortico-muscular coherence through a novel regression technique based on multi-channel EEG and un-rectified EMG. Neuroimage 2011; 57:1059-67. [PMID: 21575728 DOI: 10.1016/j.neuroimage.2011.04.071] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2011] [Revised: 04/28/2011] [Accepted: 04/30/2011] [Indexed: 11/23/2022] Open
Abstract
Cortico-muscular coherence (CMC) reflects interactions between muscular and cortical activities as detected with EMG and EEG recordings, respectively. Most previous studies utilized EMG rectification for CMC calculation. Yet, recent modeling studies predicted that EMG rectification might have disadvantages for CMC evaluation. In addition, previously the effect of rectification on CMC was estimated with single-channel EEG which might be suboptimal for detection of CMC. In order to optimally detect CMC with un-rectified EMG and resolve the issue of EMG rectification for CMC estimation, we introduce a novel method, Regression CMC (R-CMC), which maximizes the coherence between EEG and EMG. The core idea is to use multiple regression where narrowly filtered EEG signals serve as predictors and EMG is the dependent variable. We investigated CMC during isometric contraction of the abductor pollicis brevis muscle. In order to facilitate the comparison with previous studies, we estimated the effect of rectification with frequently used Laplacian filtering and C3/C4 vs. linked earlobes. For all three types of analysis, we detected CMC in the beta frequency range above the contralateral sensorimotor areas. The R-CMC approach was validated with simulations and real data and was found capable of recovering CMC even in case of high levels of background noise. When using single channel data, there were no changes in the strength of CMC estimated with rectified or un-rectified EMG--in agreement with the previous findings. Critically, for both Laplacian and R-CMC analyses EMG rectification resulted in significantly smaller CMC values compared to un-rectified EMG. Thus, the present results provide empirical evidence for the predictions from the earlier modeling studies that rectification of EMG can reduce CMC.
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Stephenson JL, Christou EA, Maluf KS. Discharge rate modulation of trapezius motor units differs for voluntary contractions and instructed muscle rest. Exp Brain Res 2010; 208:203-15. [PMID: 21063691 DOI: 10.1007/s00221-010-2471-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2010] [Accepted: 10/19/2010] [Indexed: 10/18/2022]
Abstract
This study examined discharge rate modulation at respiratory (0-0.5 Hz) and beta (16-32 Hz) frequencies in trapezius motor units active during voluntary contractions and during periods of instructed rest under conditions of low and high psychosocial stress. In separate sessions, single motor unit activity was recorded from the trapezius muscle of healthy women during low-intensity voluntary contractions and during periods of instructed muscle rest that followed voluntary contractions. The level of psychosocial stress during periods of instructed muscle rest was manipulated using a verbal math task combined with social evaluative threat which increased perceived anxiety, heart rate, and blood pressure (P ≤ 0.002). Discharge rate modulation was quantified by the mean power of motor unit discharge rate profiles within frequency bands of interest. Under low stress conditions, motor units active during instructed rest had greater power at 0-0.5 Hz (P = 0.002) and less power at 16-32 Hz (P = 0.009) compared to those active during voluntary contraction. Exposure to the stressor increased the amount of motor unit activity during instructed rest (P = 0.021) but did not alter the power of discharge rate modulation at 0-0.5 Hz (P = 0.391) or 16-32 Hz (P = 0.089). These results indicate that sustained motor unit activity during periods of instructed muscle rest has a lesser contribution from inputs at beta frequencies and a greater contribution from inputs at respiratory frequencies than present during low-intensity voluntary contractions. Furthermore, increases in motor unit activity when exposed to stressors during periods of instructed rest are not caused by changes in inputs at respiratory or beta frequencies.
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Affiliation(s)
- Jennifer L Stephenson
- Department of Physical Medicine & Rehabilitation, Applied Neuromuscular Physiology Lab, Physical Therapy Program, University of Colorado Denver School of Medicine, Aurora, CO 80045, USA
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42
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Cebolla AM, Palmero-Soler E, Dan B, Cheron G. Frontal phasic and oscillatory generators of the N30 somatosensory evoked potential. Neuroimage 2010; 54:1297-306. [PMID: 20813188 DOI: 10.1016/j.neuroimage.2010.08.060] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2010] [Revised: 08/20/2010] [Accepted: 08/24/2010] [Indexed: 10/19/2022] Open
Abstract
The N30 component of somatosensory evoked potentials has been recognized as a crucial index of brain sensorimotor processing and has been increasingly used clinically. Previously, we have shown that the N30 is accompanied by both an increase of the power spectrum of the ongoing beta-gamma EEG (event related synchronization, ERS) and by a reorganization (phase-locking) of the spontaneous phase of this rhythm (inter-trials coherency, ITC). In order to localize its sources taking into account both the phasic and oscillatory aspects of the phenomenon, we here apply swLORETA methods on averaged signals of the event-related potential (ERP) from a 128 scalp-electrodes array in time domain and also on raw EEG signals in frequency domain at the N30 peak latency. We demonstrate that the two different mechanisms that generate the N30 component power increase (ERS) and phase locking (ITC) across EEG trials are spatially localized in overlapping areas in the precentral cortex, namely the motor cortex (BA4) and the premotor cortex (BA6). From this common region, the generator of the N30 event-related potential expands toward the posterior part of BA4, the anterior part of BA6 and the prefrontal cortex (BA9). These latter areas also present significant ITC sources in the beta-gamma frequency range, but without significant power increase of this rhythm. This demonstrates that N30 results from network activity that depends on distinct oscillating and phasic generators localized in the frontal cortex.
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Affiliation(s)
- A M Cebolla
- Laboratory of Neurophysiology and Movement Biomechanics, Université Libre de Bruxelles, Brussels, Belgium
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Miller KJ, Sorensen LB, Ojemann JG, den Nijs M. Power-law scaling in the brain surface electric potential. PLoS Comput Biol 2009; 5:e1000609. [PMID: 20019800 PMCID: PMC2787015 DOI: 10.1371/journal.pcbi.1000609] [Citation(s) in RCA: 464] [Impact Index Per Article: 30.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2009] [Accepted: 11/12/2009] [Indexed: 11/25/2022] Open
Abstract
Recent studies have identified broadband phenomena in the electric potentials produced by the brain. We report the finding of power-law scaling in these signals using subdural electrocorticographic recordings from the surface of human cortex. The power spectral density (PSD) of the electric potential has the power-law form P(f ) approximately Af(-chi) from 80 to 500 Hz. This scaling index, chi = 4.0+/-0.1, is conserved across subjects, area in the cortex, and local neural activity levels. The shape of the PSD does not change with increases in local cortical activity, but the amplitude, A, increases. We observe a "knee" in the spectra at f(0) approximately 75 Hz, implying the existence of a characteristic time scale tau = (2pif(0))(-1) approximately 2 - 4ms. Below f(0), we explore two-power-law forms of the PSD, and demonstrate that there are activity-related fluctuations in the amplitude of a power-law process lying beneath the alpha/beta rhythms. Finally, we illustrate through simulation how, small-scale, simplified neuronal models could lead to these power-law observations. This suggests a new paradigm of non-oscillatory "asynchronous," scale-free, changes in cortical potentials, corresponding to changes in mean population-averaged firing rate, to complement the prevalent "synchronous" rhythm-based paradigm.
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Affiliation(s)
- Kai J Miller
- Department of Physics, University of Washington, Seattle, Washington, USA.
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Cebolla AM, De Saedeleer C, Bengoetxea A, Leurs F, Balestra C, d'Alcantara P, Palmero-Soler E, Dan B, Cheron G. Movement gating of beta/gamma oscillations involved in the N30 somatosensory evoked potential. Hum Brain Mapp 2009; 30:1568-79. [PMID: 18661507 DOI: 10.1002/hbm.20624] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Evoked potential modulation allows the study of dynamic brain processing. The mechanism of movement gating of the frontal N30 component of somatosensory evoked potentials (SEP) produced by the stimulation of the median nerve at wrist remains to be elucidated. At rest, a power enhancement and a significant phase-locking of the electroencephalographic (EEG) oscillation in the beta/gamma range (25-35 Hz) are related to the emergence of the N30. The latter was also perfectly identified in presence of pure phase-locking situation. Here, we investigated the contribution of these rhythmic activities to the specific gating of the N30 component during movement. We demonstrated that concomitant execution of finger movement of the stimulated hand impinges such temporal concentration of the ongoing beta/gamma EEG oscillations and abolishes the N30 component throughout their large topographical extent on the scalp. This also proves that the phase-locking phenomenon is one of the main actors for the N30 generation. These findings could be explained by the involvement of neuronal populations of the sensorimotor cortex and other related areas, which are unable to respond to the phasic sensory activation and to phase-lock their firing discharges to the external sensory input during the movement. This new insight into the contribution of phase-locked oscillation in the emergence of the N30 and in its gating behavior calls for a reappraisal of fundamental and clinical interpretation of the frontal N30 component.
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Affiliation(s)
- Ana Maria Cebolla
- Laboratory of Neurophysiology and Movement Biomechanics, Université Libre de Bruxelles, 50 Avenue F. Roosevelt, Brussels, Belgium
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Bressler S. The sensory component of tonic motor control. Clin Neurophysiol 2009; 120:1035-6. [DOI: 10.1016/j.clinph.2009.03.017] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2009] [Revised: 03/24/2009] [Accepted: 03/27/2009] [Indexed: 12/22/2022]
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Nishimura Y, Morichika Y, Isa T. A subcortical oscillatory network contributes to recovery of hand dexterity after spinal cord injury. Brain 2009; 132:709-21. [PMID: 19155271 PMCID: PMC2664448 DOI: 10.1093/brain/awn338] [Citation(s) in RCA: 73] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Recent studies have shown that after partial spinal-cord lesion at the mid-cervical segment, the remaining pathways compensate for restoring finger dexterity; however, how they control hand/arm muscles has remained unclear. To elucidate the changes in dynamic properties of neural circuits connecting the motor cortex and hand/arm muscles, we investigated the cortico- and inter-muscular couplings of activities throughout the recovery period after the spinal-cord lesion. Activities of antagonist muscle pairs showed co-activation and oscillated coherently at frequencies of 30–46 Hz (γ-band) by 1-month post-lesion. Such γ-band inter-muscular coupling was not observed pre-lesion, but emerged and was strengthened and distributed over a wide range of hand/arm muscles along with the recovery. Neither the β-band (14–30 Hz) cortico-muscular coupling observed pre-lesion nor a γ-band oscillation was observed in the motor cortex post-lesion. We propose that a subcortical oscillator commonly recruits hand/arm muscles, via remaining pathways such as reticulospinal and/or propriospinal tracts, independent of cortical oscillation, and contributes to functional recovery.
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Affiliation(s)
- Yukio Nishimura
- Department of Developmental Physiology, National Institute for Physiological Sciences, Okazaki, Japan.
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Nielsen J, Brittain JS, Halliday D, Marchand-Pauvert V, Mazevet D, Conway B. Reduction of common motoneuronal drive on the affected side during walking in hemiplegic stroke patients. Clin Neurophysiol 2008; 119:2813-8. [DOI: 10.1016/j.clinph.2008.07.283] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2008] [Revised: 07/23/2008] [Accepted: 07/26/2008] [Indexed: 11/17/2022]
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Lundbye-Jensen J, Nielsen JB. Central nervous adaptations following 1 wk of wrist and hand immobilization. J Appl Physiol (1985) 2008; 105:139-51. [PMID: 18450985 DOI: 10.1152/japplphysiol.00687.2007] [Citation(s) in RCA: 79] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Plastic neural changes have been documented in relation to different types of physical activity, but little is known about central nervous system plasticity accompanying reduced physical activity and immobilization. In the present study we investigated whether plastic neural changes occur in relation to 1 wk of immobilization of the nondominant wrist and hand and a corresponding period of recovery in 10 able-bodied volunteers. After immobilization, maximal voluntary contraction torque decreased and the variability of submaximal static contractions increased significantly without evidence of changes in muscle contractile properties. Hoffmann (H)-reflex amplitudes and the ratios of H-slope to M-slope increased significantly in flexor carpi radialis and abductor pollicis brevis at rest and during contraction without changes in corticospinal excitability, estimated from motor-evoked potentials (MEPs) elicited by transcranial magnetic stimulation. Corticomuscular coherence measures were derived from EEG and EMG obtained during static contractions. After immobilization, corticomuscular coherence in the 15- to 35-Hz range associated with maximum negative cumulant values at lags corresponding to MEP latencies decreased. One week after cast removal, all measurements returned to preimmobilization levels. The increased H-reflex amplitudes without changes in MEPs may suggest that presynaptic inhibition or postactivation depression of Ia afferents is reduced following immobilization. Reduced corticomuscular coherence may be caused by changes in afferent input at spinal and cortical levels or by changes in the descending drive from motor cortex. Further studies are needed to elucidate the mechanisms underlying the observed increased spinal excitability and reduced coupling between motor cortex and spinal motoneuronal activity following immobilization.
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Affiliation(s)
- Jesper Lundbye-Jensen
- Department of Neuroscience and Pharmacology, University of Copenhagen, Panum Institute 22.3, Blegdamsvej 3, Copenhagen 2200, Denmark.
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Tremblay P, Shiller DM, Gracco VL. On the time-course and frequency selectivity of the EEG for different modes of response selection: evidence from speech production and keyboard pressing. Clin Neurophysiol 2008; 119:88-99. [PMID: 18320603 DOI: 10.1016/j.clinph.2007.09.063] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To compare brain activity in the alpha and beta bands in relation to different modes of response selection, and to assess the domain generality of the response selection mechanism using verbal and non-verbal tasks. METHODS We examined alpha and beta event-related desynchronization (ERD) to analyze brain reactivity during the selection of verbal (word production) and non-verbal motor actions (keyboard pressing) under two different response modes: externally selected and self-selected. RESULTS An alpha and beta ERD was observed for both the verbal and non-verbal tasks in both the externally and the self-selected modes. For both tasks, the beta ERD started earlier and was longer in the self-selected mode than in the externally selected mode. The overall pattern of results between the verbal and non-verbal motor behaviors was similar. CONCLUSIONS The pattern of alpha and beta ERD is affected by the mode of response selection suggesting that the activity in both frequency bands contributes to the process of selecting actions. We suggest that activity in the alpha band may reflect attentional processes while activity in the beta band may be more closely related to the execution and selection process. SIGNIFICANCE These results suggest that a domain general process contributes to the planning of speech and other motor actions. This finding has potential clinical implications, for the use of diverse motor tasks to treat disorders of motor planning.
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Affiliation(s)
- Pascale Tremblay
- McGill University, Faculty of Medicine, School of Communication Sciences and Disorders, Montreal, Canada.
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