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Pastötter B, Weissbach A, Takacs A, Moyé J, Verrel J, Chwolka F, Friedrich J, Paulus T, Zittel S, Bäumer T, Frings C, Beste C, Münchau A. Increased beta synchronization underlies perception-action hyperbinding in functional movement disorders. Brain Commun 2024; 6:fcae301. [PMID: 39386091 PMCID: PMC11462440 DOI: 10.1093/braincomms/fcae301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Revised: 06/25/2024] [Accepted: 09/16/2024] [Indexed: 10/12/2024] Open
Abstract
Functional movement disorders are amongst the most common and disabling neurological conditions, placing a significant burden on the healthcare system. Despite the frequency and importance of functional movement disorders, our understanding of the underlying pathophysiology is limited, hindering the development of causal treatment options. Traditionally, functional movement disorders were considered as a psychiatric condition, associated with involuntary movements triggered by psychological stressors. Recent neurophysiological studies have unveiled cognitive alterations in affected individuals, suggesting that functional movement disorders might be better characterized by overarching neural principles governing cognitive functions. For instance, recent research has shown that the retrieval of stimulus-response bindings is altered in patients with functional movement disorders. Building upon these recent findings, our study delves into whether the initial integration of stimulus and response information is also disrupted in patients with functional movement disorders. To accomplish this, we reanalysed previously collected EEG data using refined analysis methods that provide insights into oscillatory activity and functional neuroanatomy associated with the integration of stimulus-response bindings. Our results demonstrate that post-movement beta synchronization (i) predicts behavioural stimulus-response binding and (ii) is significantly increased in patients with functional movement disorders compared to healthy controls. Utilizing beamformer analysis, we localized the difference effect to a cluster centred around the left supplementary motor area and the correlation effect to the right supplementary motor area. Extending beyond recent research that focused on the retrieval of stimulus-response bindings, our present findings reveal that the integration of stimulus and response information is already impaired in patients with functional movement disorders. These results uncover a phenomenon of hyperbinding between perception and action, which may represent a fundamental mechanism contributing to the movement impairments in patients with functional movement disorders.
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Affiliation(s)
- Bernhard Pastötter
- Department of Cognitive Psychology, University of Trier, 54296 Trier, Germany
- Institute for Cognitive and Affective Neuroscience (ICAN), University of Trier, 54296 Trier, Germany
| | - Anne Weissbach
- Institute of Systems Motor Science, CBBM, University of Lübeck, 23562 Lübeck, Germany
| | - Adam Takacs
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of Medicine, TU Dresden, 01307 Dresden, Germany
| | - Josephine Moyé
- Institute of Systems Motor Science, CBBM, University of Lübeck, 23562 Lübeck, Germany
| | - Julius Verrel
- Institute of Systems Motor Science, CBBM, University of Lübeck, 23562 Lübeck, Germany
| | - Fabian Chwolka
- Institute of Systems Motor Science, CBBM, University of Lübeck, 23562 Lübeck, Germany
| | - Julia Friedrich
- Institute of Systems Motor Science, CBBM, University of Lübeck, 23562 Lübeck, Germany
| | - Theresa Paulus
- Institute of Systems Motor Science, CBBM, University of Lübeck, 23562 Lübeck, Germany
- Department of Neurology, University of Lübeck, 23562 Lübeck, Germany
| | - Simone Zittel
- Department of Neurology, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany
| | - Tobias Bäumer
- Institute of Systems Motor Science, CBBM, University of Lübeck, 23562 Lübeck, Germany
| | - Christian Frings
- Department of Cognitive Psychology, University of Trier, 54296 Trier, Germany
- Institute for Cognitive and Affective Neuroscience (ICAN), University of Trier, 54296 Trier, Germany
| | - Christian Beste
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of Medicine, TU Dresden, 01307 Dresden, Germany
| | - Alexander Münchau
- Institute of Systems Motor Science, CBBM, University of Lübeck, 23562 Lübeck, Germany
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Takacs A, Toth‐Faber E, Schubert L, Tarnok Z, Ghorbani F, Trelenberg M, Nemeth D, Münchau A, Beste C. Neural representations of statistical and rule-based predictions in Gilles de la Tourette syndrome. Hum Brain Mapp 2024; 45:e26719. [PMID: 38826009 PMCID: PMC11144952 DOI: 10.1002/hbm.26719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Revised: 04/11/2024] [Accepted: 05/06/2024] [Indexed: 06/04/2024] Open
Abstract
Gilles de la Tourette syndrome (GTS) is a disorder characterised by motor and vocal tics, which may represent habitual actions as a result of enhanced learning of associations between stimuli and responses (S-R). In this study, we investigated how adults with GTS and healthy controls (HC) learn two types of regularities in a sequence: statistics (non-adjacent probabilities) and rules (predefined order). Participants completed a visuomotor sequence learning task while EEG was recorded. To understand the neurophysiological underpinnings of these regularities in GTS, multivariate pattern analyses on the temporally decomposed EEG signal as well as sLORETA source localisation method were conducted. We found that people with GTS showed superior statistical learning but comparable rule-based learning compared to HC participants. Adults with GTS had different neural representations for both statistics and rules than HC adults; specifically, adults with GTS maintained the regularity representations longer and had more overlap between them than HCs. Moreover, over different time scales, distinct fronto-parietal structures contribute to statistical learning in the GTS and HC groups. We propose that hyper-learning in GTS is a consequence of the altered sensitivity to encode complex statistics, which might lead to habitual actions.
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Affiliation(s)
- Adam Takacs
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of MedicineTechnische Universität DresdenDresdenGermany
- University Neuropsychology Center, Faculty of Medicine, Technische Universität DresdenDresdenGermany
| | - Eszter Toth‐Faber
- Institute of PsychologyELTE Eötvös Loránd UniversityBudapestHungary
- Brain, Memory and Language Research Group, Institute of Cognitive Neuroscience and Psychology, HUN‐REN Research Centre for Natural SciencesBudapestHungary
| | - Lina Schubert
- Institute of Systems Motor ScienceUniversity of LübeckLübeckGermany
| | - Zsanett Tarnok
- Vadaskert Child and Adolescent Psychiatry Hospital and Outpatient ClinicBudapestHungary
| | - Foroogh Ghorbani
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of MedicineTechnische Universität DresdenDresdenGermany
- University Neuropsychology Center, Faculty of Medicine, Technische Universität DresdenDresdenGermany
| | - Madita Trelenberg
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of MedicineTechnische Universität DresdenDresdenGermany
| | - Dezso Nemeth
- INSERMUniversité Claude Bernard Lyon 1, CNRS, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292BronFrance
- NAP Research Group, Institute of Psychology, Eötvös Loránd University and Institute of Cognitive Neuroscience and Psychology, HUN‐REN Research Centre for Natural SciencesBudapestHungary
- Department of Education and Psychology, Faculty of Social SciencesUniversity of Atlántico MedioLas Palmas de Gran CanariaSpain
| | | | - Christian Beste
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of MedicineTechnische Universität DresdenDresdenGermany
- University Neuropsychology Center, Faculty of Medicine, Technische Universität DresdenDresdenGermany
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Ghin F, Eggert E, Gholamipourbarogh N, Talebi N, Beste C. Response stopping under conflict: The integrative role of representational dynamics associated with the insular cortex. Hum Brain Mapp 2024; 45:e26643. [PMID: 38664992 PMCID: PMC11046082 DOI: 10.1002/hbm.26643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Revised: 02/02/2024] [Accepted: 02/18/2024] [Indexed: 04/29/2024] Open
Abstract
Coping with distracting inputs during goal-directed behavior is a common challenge, especially when stopping ongoing responses. The neural basis for this remains debated. Our study explores this using a conflict-modulation Stop Signal task, integrating group independent component analysis (group-ICA), multivariate pattern analysis (MVPA), and EEG source localization analysis. Consistent with previous findings, we show that stopping performance is better in congruent (nonconflicting) trials than in incongruent (conflicting) trials. Conflict effects in incongruent trials compromise stopping more due to the need for the reconfiguration of stimulus-response (S-R) mappings. These cognitive dynamics are reflected by four independent neural activity patterns (ICA), each coding representational content (MVPA). It is shown that each component was equally important in predicting behavioral outcomes. The data support an emerging idea that perception-action integration in action-stopping involves multiple independent neural activity patterns. One pattern relates to the precuneus (BA 7) and is involved in attention and early S-R processes. Of note, three other independent neural activity patterns were associated with the insular cortex (BA13) in distinct time windows. These patterns reflect a role in early attentional selection but also show the reiterated processing of representational content relevant for stopping in different S-R mapping contexts. Moreover, the insular cortex's role in automatic versus complex response selection in relation to stopping processes is shown. Overall, the insular cortex is depicted as a brain hub, crucial for response selection and cancellation across both straightforward (automatic) and complex (conditional) S-R mappings, providing a neural basis for general cognitive accounts on action control.
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Affiliation(s)
- Filippo Ghin
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of MedicineTU DresdenDresdenGermany
| | - Elena Eggert
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of MedicineTU DresdenDresdenGermany
| | - Negin Gholamipourbarogh
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of MedicineTU DresdenDresdenGermany
| | - Nasibeh Talebi
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of MedicineTU DresdenDresdenGermany
| | - Christian Beste
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of MedicineTU DresdenDresdenGermany
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Weissbach A, Moyé J, Takacs A, Verrel J, Chwolka F, Friedrich J, Paulus T, Zittel S, Bäumer T, Frings C, Pastötter B, Beste C, Münchau A. Perception-Action Integration Is Altered in Functional Movement Disorders. Mov Disord 2023; 38:1399-1409. [PMID: 37315159 DOI: 10.1002/mds.29458] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Revised: 04/25/2023] [Accepted: 05/12/2023] [Indexed: 06/16/2023] Open
Abstract
BACKGROUND Although functional neurological movement disorders (FMD) are characterized by motor symptoms, sensory processing has also been shown to be disturbed. However, how the integration of perception and motor processes, essential for the control of goal-directed behavior, is altered in patients with FMD is less clear. A detailed investigation of these processes is crucial to foster a better understanding of the pathophysiology of FMD and can systematically be achieved in the framework of the theory of event coding (TEC). OBJECTIVE The aim was to investigate perception-action integration processes on a behavioral and neurophysiological level in patients with FMD. METHODS A total of 21 patients and 21 controls were investigated with a TEC-related task, including concomitant electroencephalogram (EEG) recording. We focused on EEG correlates established to reflect perception-action integration processes. Temporal decomposition allowed to distinguish between EEG codes reflecting sensory (S-cluster), motor (R-cluster), and integrated sensory-motor processing (C-cluster). We also applied source localization analyses. RESULTS Behaviorally, patients revealed stronger binding between perception and action, as evidenced by difficulties in reconfiguring previously established stimulus-response associations. Such hyperbinding was paralleled by a modulation of neuronal activity clusters, including reduced C-cluster modulations of the inferior parietal cortex and altered R-cluster modulations in the inferior frontal gyrus. Correlations of these modulations with symptom severity were also evident. CONCLUSIONS Our study shows that FMD is characterized by altered integration of sensory information with motor processes. Relations between clinical severity and both behavioral performance and neurophysiological abnormalities indicate that perception-action integration processes are central and a promising concept for the understanding of FMD. © 2023 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.
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Affiliation(s)
- Anne Weissbach
- Institute of Systems Motor Science, Center of Brain, Behavior, and Metabolism (CBBM), University of Lübeck, Lübeck, Germany
| | - Josephine Moyé
- Institute of Systems Motor Science, Center of Brain, Behavior, and Metabolism (CBBM), University of Lübeck, Lübeck, Germany
| | - Adam Takacs
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of Medicine, TU Dresden, Dresden, Germany
| | - Julius Verrel
- Institute of Systems Motor Science, Center of Brain, Behavior, and Metabolism (CBBM), University of Lübeck, Lübeck, Germany
| | - Fabian Chwolka
- Institute of Systems Motor Science, Center of Brain, Behavior, and Metabolism (CBBM), University of Lübeck, Lübeck, Germany
| | - Julia Friedrich
- Institute of Systems Motor Science, Center of Brain, Behavior, and Metabolism (CBBM), University of Lübeck, Lübeck, Germany
| | - Theresa Paulus
- Institute of Systems Motor Science, Center of Brain, Behavior, and Metabolism (CBBM), University of Lübeck, Lübeck, Germany
- Department of Neurology, University of Lübeck, Lübeck, Germany
| | - Simone Zittel
- Department of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Tobias Bäumer
- Institute of Systems Motor Science, Center of Brain, Behavior, and Metabolism (CBBM), University of Lübeck, Lübeck, Germany
| | - Christian Frings
- Department of Cognitive Psychology, Trier University Trier, Trier, Germany
| | - Bernhard Pastötter
- Department of Cognitive Psychology, Trier University Trier, Trier, Germany
| | - Christian Beste
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of Medicine, TU Dresden, Dresden, Germany
| | - Alexander Münchau
- Institute of Systems Motor Science, Center of Brain, Behavior, and Metabolism (CBBM), University of Lübeck, Lübeck, Germany
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Towards a systematization of brain oscillatory activity in actions. Commun Biol 2023; 6:137. [PMID: 36732548 PMCID: PMC9894929 DOI: 10.1038/s42003-023-04531-9] [Citation(s) in RCA: 26] [Impact Index Per Article: 26.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Accepted: 01/25/2023] [Indexed: 02/04/2023] Open
Abstract
Information processing in the brain is governed by oscillatory activity. Activity oscillations in specific frequency bands (theta, alpha, beta and gamma) have been associated with various cognitive functions. A drawback of this is that the plethora of findings led to considerable uncertainty as to the functional relevance of activity in different frequency bands and their interrelation. Here, we use a novel cognitive-science theoretical framework to better understand and conceptually harmonize neurophysiological research on human action control. We outline how this validated starting point can systematize and probably reframe the functional relevance of oscillatory activity relevant for action control and beyond.
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On the Role of Stimulus-Response Context in Inhibitory Control in Alcohol Use Disorder. J Clin Med 2022; 11:jcm11216557. [DOI: 10.3390/jcm11216557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Revised: 10/29/2022] [Accepted: 11/02/2022] [Indexed: 11/11/2022] Open
Abstract
The behavioral and neural dynamics of response inhibition deficits in alcohol use disorder (AUD) are still largely unclear, despite them possibly being key to the mechanistic understanding of the disorder. Our study investigated the effect of automatic vs. controlled processing during response inhibition in participants with mild-to-moderate AUD and matched healthy controls. For this, a Simon Nogo task was combined with EEG signal decomposition, multivariate pattern analysis (MVPA), and source localization methods. The final sample comprised n = 59 (32♂) AUD participants and n = 64 (28♂) control participants. Compared with the control group, AUD participants showed overall better response inhibition performance. Furthermore, the AUD group was less influenced by the modulatory effect of automatic vs. controlled processes during response inhibition (i.e., had a smaller Simon Nogo effect). The neurophysiological data revealed that the reduced Simon Nogo effect in the AUD group was associated with reduced activation differences between congruent and incongruent Nogo trials in the inferior and middle frontal gyrus. Notably, the drinking frequency (but not the number of AUD criteria we had used to distinguish groups) predicted the extent of the Simon Nogo effect. We suggest that the counterintuitive advantage of participants with mild-to-moderate AUD over those in the control group could be explained by the allostatic model of drinking effects.
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Eggert E, Prochnow A, Roessner V, Frings C, Münchau A, Mückschel M, Beste C. Cognitive science theory-driven pharmacology elucidates the neurobiological basis of perception-motor integration. Commun Biol 2022; 5:919. [PMID: 36068298 PMCID: PMC9448745 DOI: 10.1038/s42003-022-03864-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 08/18/2022] [Indexed: 11/12/2022] Open
Abstract
An efficient integration of sensory and motor processes is crucial to goal-directed behavior. Despite this high relevance, and although cognitive theories provide clear conceptual frameworks, the neurobiological basis of these processes remains insufficiently understood. In a double-blind, randomized placebo-controlled pharmacological study, we examine the relevance of catecholamines for perception-motor integration processes. Using EEG data, we perform an in-depth analysis of the underlying neurophysiological mechanisms, focusing on sensorimotor integration processes during response inhibition. We show that the catecholaminergic system affects sensorimotor integration during response inhibition by modulating the stability of the representational content. Importantly, catecholamine levels do not affect the stability of all aspects of information processing during sensorimotor integration, but rather-as suggested by cognitive theory-of specific codes in the neurophysiological signal. Particularly fronto-parietal cortical regions are associated with the identified mechanisms. The study shows how cognitive science theory-driven pharmacology can shed light on the neurobiological basis of perception-motor integration and how catecholamines affect specific information codes relevant to cognitive control.
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Affiliation(s)
- Elena Eggert
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of Medicine, TU Dresden, Dresden, Germany
- University Neuropsychology Center, Faculty of Medicine, TU Dresden, Dresden, Germany
| | - Astrid Prochnow
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of Medicine, TU Dresden, Dresden, Germany
- University Neuropsychology Center, Faculty of Medicine, TU Dresden, Dresden, Germany
| | - Veit Roessner
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of Medicine, TU Dresden, Dresden, Germany
| | - Christian Frings
- Cognitive Psychology, Institute of Psychology, University of Trier, Trier, Germany
| | - Alexander Münchau
- Institute of Systems Motor Science, University of Lübeck, Lübeck, Germany
| | - Moritz Mückschel
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of Medicine, TU Dresden, Dresden, Germany
- University Neuropsychology Center, Faculty of Medicine, TU Dresden, Dresden, Germany
| | - Christian Beste
- Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of Medicine, TU Dresden, Dresden, Germany.
- University Neuropsychology Center, Faculty of Medicine, TU Dresden, Dresden, Germany.
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