Training enables substantial decoupling of visual attention and saccade preparation

Visual attention is typically shifted toward the targets of upcoming saccadic eye movements. This observation is commonly interpreted in terms of an obligatory coupling between attentional selection and oculomotor programming. Here, we investigated whether this coupling is facilitated by a habitual expectation of spatial congruence between visual and motor targets. To this end, we conducted a dual-task (i.e., concurrent saccade task and visual discrimination task) experiment in which male and female participants were trained to either anticipate spatial congruence or incongruence between a saccade target and an attention probe stimulus. To assess training-induced effects of expectation on premotor attention allocation, participants subsequently completed a test phase in which the attention probe position was randomized. Results revealed that discrimination performance was systematically biased toward the expected attention probe position, irrespective of whether this position matched the saccade target or not. Overall, our findings demonstrate that visual attention can be substantially decoupled from ongoing oculomotor programming and suggest an important role of habitual expectations in the attention-action coupling.

Functional organization of posterior parietal cortex circuitry based on inferred information flow

Many studies infer the role of neurons by asking what information can be decoded from their activity or by observing the consequences of perturbing their activity. An alternative approach is to consider information flow between neurons. We applied this approach to the parietal reach region (PRR) and the lateral intraparietal area (LIP) in posterior parietal cortex. Two complementary methods imply that across a range of reaching tasks, information flows primarily from PRR to LIP. This indicates that during a coordinated reach task, LIP has minimal influence on PRR and rules out the idea that LIP forms a general purpose spatial processing hub for action and cognition. Instead, we conclude that PRR and LIP operate in parallel to plan arm and eye movements, respectively, with asymmetric interactions that likely support eye-hand coordination. Similar methods can be applied to other areas to infer their functional relationships based on inferred information flow.

Perceptual decisions interfere more with eye movements than with reach movements

Perceptual judgements are formed through invisible cognitive processes. Reading out these judgements is essential for advancing our understanding of decision making and requires inferring covert cognitive states based on overt motor actions. Although intuition suggests that these actions must be related to the formation of decisions about where to move body parts, actions have been reported to be influenced by perceptual judgements even when the action is irrelevant to the perceptual judgement. However, despite performing multiple actions in our daily lives, how perceptual judgements influence multiple judgement-irrelevant actions is unknown. Here we show that perceptual judgements affect only saccadic eye movements when simultaneous judgement-irrelevant saccades and reaches are made, demonstrating that perceptual judgement-related signals continuously flow into the oculomotor system alone when multiple judgement-irrelevant actions are performed. This suggests that saccades are useful for making inferences about covert perceptual decisions, even when the actions are not tied to decision making.

A dynamic 1/f noise protocol to assess visual attention without biasing perceptual processing

Psychophysical paradigms measure visual attention via localized test items to which observers must react or whose features have to be discriminated. These items, however, potentially interfere with the intended measurement, as they bias observers' spatial and temporal attention to their location and presentation time. Furthermore, visual sensitivity for conventional test items naturally decreases with retinal eccentricity, which prevents direct comparison of central and peripheral attention assessments. We developed a stimulus that overcomes these limitations. A brief oriented discrimination signal is seamlessly embedded into a continuously changing 1/f noise field, such that observers cannot anticipate potential test locations or times. Using our new protocol, we demonstrate that local orientation discrimination accuracy for 1/f filtered signals is largely independent of retinal eccentricity. Moreover, we show that items present in the visual field indeed shape the distribution of visual attention, suggesting that classical studies investigating the spatiotemporal dynamics of visual attention via localized test items may have obtained a biased measure. We recommend our protocol as an efficient method to evaluate the behavioral and neurophysiological correlates of attentional orienting across space and time.

Multiple representations of the body schema for the same body part

Accurate motor control depends on maps of the body in the brain, called the body schema. Disorders of the body schema cause motor deficits. Although we often execute actions with different motor systems such as the eye and hand, how the body schema operates during such actions is unknown. In this study, participants simultaneously directed eye and hand movements to the same body part. These two movements were found to be guided by different body maps. This finding demonstrates multiple motor system–specific representations of the body schema, suggesting that the choice of motor system toward one’s body can determine which of the brain’s body maps is observed. This may offer a new way to visualize patients’ body schema.

Purposeful motor actions depend on the brain’s representation of the body, called the body schema, and disorders of the body schema have been reported to show motor deficits. The body schema has been assumed for almost a century to be a common body representation supporting all types of motor actions, and previous studies have considered only a single motor action. Although we often execute multiple motor actions, how the body schema operates during such actions is unknown. To address this issue, I developed a technique to measure the body schema during multiple motor actions. Participants made simultaneous eye and reach movements to the same location of 10 landmarks on their hand. By analyzing the internal configuration of the locations of these points for each of the eye and reach movements, I produced maps of the mental representation of hand shape. Despite these two movements being simultaneously directed to the same bodily location, the resulting hand map (i.e., a part of the body schema) was much more distorted for reach movements than for eye movements. Furthermore, the weighting of visual and proprioceptive bodily cues to build up this part of the body schema differed for each effector. These results demonstrate that the body schema is organized as multiple effector-specific body representations. I propose that the choice of effector toward one’s body can determine which body representation in the brain is observed and that this visualization approach may offer a new way to understand patients’ body schema.

Eye and hand movements disrupt attentional control

Voluntary attentional control is the ability to selectively focus on a subset of visual information in the presence of other competing stimuli–a marker of cognitive control enabling flexible, goal-driven behavior. To test its robustness, we contrasted attentional control with the most common source of attentional orienting in daily life: attention shifts prior to goal-directed eye and hand movements. In a multi-tasking paradigm, human participants attended at a location while planning eye or hand movements elsewhere. Voluntary attentional control suffered with every simultaneous action plan, even under reduced task difficulty and memory load–factors known to interfere with attentional control. Furthermore, the performance cost was limited to voluntary attention: We observed simultaneous attention benefits at two movement targets without attentional competition between them. This demonstrates that the visual system allows for the concurrent representation of multiple attentional foci. Since attentional control is extremely fragile and dominated by premotor attention shifts, we propose that action-driven selection plays the superordinate role for visual selection.

Movement control, decision-making, and the building of Roman roads to link them

In science, as in life, one can only hope to both inform others, and be informed by them. The commentaries associated with our book Vigor have highlighted the many ways in which the theory that we proposed can be improved. For example, there are a myriad of factors that need to be considered in a fully encompassing objective function. The neural mechanisms underlying the links between movement and decision-making have yet to be unraveled. The implications of a two-way interaction between movement and decisions at both the individual and social levels remain to be understood. The commentaries outline future questions, and encouragingly highlight the diversity of science communities that may be linked via the concept of vigor.

Moving fast and seeing slow? The visual consequences of vigorous movement

In active agents, sensory and motor processes form an inevitable bond. This wedding is particularly striking for saccadic eye movements - the prime target of Shadmehr and Ahmed's thesis - which impose frequent changes on the retinal image. Changes in movement vigor (latency and speed), therefore, will need to be accompanied by changes in visual and attentional processes. We argue that the mechanisms that control movement vigor may also enable vision to attune to changes in movement kinematics.

A nearby distractor does not influence hand movements

When interacting with the environment, our manual actions are often preceded by an eye movement. This suggests that the processes underlying target selection in hand and eye movements may be coupled. It is known that when a distractor is presented close to a target, the endpoint of an eye movement will be biased towards the distractor. The size of this so-called global effect decreases when more viewing time is available. Here we investigate whether a similar effect is also present in hand movements. If the processes underlying target selection for hand and eye movements are indeed coupled, a similar bias should be present in hand movements as well. To test this, we adopted a classic global effect paradigm but applied it to goal-directed hand movements. We show that the endpoints of hand movements are unbiased for all but one participant, irrespective of the viewing time. These results suggest that the processes underlying target selection for hand movements operate independently from those for eye movements.

Impaired pre-saccadic shifts of attention in neglect patients

Every saccade is generally preceded by a mandatory shift of attention to the saccade endpoint, allowing us to process visual information more effectively. Whether this 'pre-saccadic shift of attention' is still intact in hemispatial neglect is unknown. Whereas neglect patients exhibit lateralized impairments of attention and often show impaired saccadic behaviour, it is not yet clear how the pre-saccadic shift of attention is affected during accurately executed eye movements. In this study, we used a gaze contingent visual discrimination task, in which neglect patients had to discriminate a probe presented before saccade onset. Results revealed an imbalance in discrimination performance between the two hemifields with poor performance to probes in the contralesional compared to the ipsilesional hemifield when accounting for saccadic impairments. These results suggest that attention and eye movements are both unique impairments of neglect patients. We hypothesize that the impaired pre-saccadic shift of attention could be one of the key problems of neglect and might underlie other spatial and non-spatial deficits often reported in neglect patients.

Eye movement influences on coupled and decoupled eye-hand coordination tasks

Visually guided reaching precision and accuracy depend on the level of coupling between movements of the eyes and hand. In the present study, participants performed central fixations and either saccadic or smooth pursuit eye movements during fast and accurate reaching tasks involving eye-hand coupling and decoupling to better understand type of eye movement influence over upper limb control. Some eye-hand coupling and decoupling tasks also included hand reversals, where the hand moves away from the target to direct a cursor toward the target to account for various levels of hand-cursor and eye-cursor coupling. Regardless of eye-movement type, eye-hand-cursor coupling produced an endpoint accuracy advantage over decoupling. Use of hand reversal decreased peak speed and increased response time of the hand, whether considering fixation or a given eye movement. Use of smooth pursuit slowed hand movements relative to saccades, yet improved endpoint accuracy. Compared to central fixations, using smooth pursuit also slowed hand movements, while using saccades decreased, thus improved, hand reaction times. Data suggest an advantage, when using smooth pursuit to track the hand movement for the greatest endpoint accuracy, an advantage when using saccades for the fastest movements, and an eye-hand coupling advantage when using saccades for the shortest reactions. Researchers should provide clear eye-movement instructions for participants and/or monitor the eyes when assessing similar upper limb control to account for possible differences in eye movements used. Moreover, the type of eye movement chosen for participants should correspond to the primary goal of the task.

Congruent movement training as a rehabilitation method to ameliorate symptoms of neglect-proof of concept

Stroke patients with visuospatial neglect (VSN) have difficulties responding to visual information located in the contralesional hemifield, affecting many daily life activities (ADL) such as eating, reading and mobility. Visual Scanning Therapy (VST) is widely used in clinical practice to ameliorate symptoms of VSN. Yet, not all patients benefit from this training and many training sessions are needed in order to achieve stable results. One potentially promising improvement to the VST is based on the theory that different effectors of the motor systems (e.g., eyes, hands) independently allocate attention during the programming of the movement (i.e., Pre Motor Theory of Attention (PMT)). Here, we studied this direct implementation of the PMT and tested whether a congruent movement training (CMT: congruent -i.e., executed at the same time to the same location-eye and pointing movements) is more effective to attenuate symptoms of neglect compared to VST. This study can be seen as a proof of concept. Attenuation of neglect symptoms was found in the CMT group after just 5 h of training in the subacute phase of neglect. In contrast, no training effects were found in the VST group. These findings indicate the potential of CMT which is a minimal -yet crucial-upgrade of the standard VST protocol that can be easily implemented in the clinic.

Microsaccades and attention in a high-acuity visual alignment task

While aiming and shooting, we make tiny eye movements called microsaccades that shift gaze between task-relevant objects within a small region of the visual field. However, in the brief period before pressing the trigger, microsaccades are suppressed. This might be due to the lack of a requirement to shift gaze as the retinal images of the two objects begin to overlap on the fovea. Alternatively, we might actively suppress microsaccades to prevent any disturbances in visual perception caused by microsaccades around the time of their occurrence and their subsequent effect on shooting performance. In this study we looked at microsaccade rates while participants performed a simulated shooting task under two conditions: a normal condition in which they moved their eyes freely, and an eccentric condition in which they maintained gaze on a fixed target while performing the shooting task at 5° eccentricity. As expected, microsaccade rate dropped near the end of the task in the normal viewing condition. However, we also found the same decrease for the eccentric condition in which microsaccades did not shift gaze between the task objects. Microsaccades are also produced in response to shifts in covert attention. To test whether disengagement of covert attention from the eccentric shooting location caused the drop in microsaccade rate, we monitored the location of participants' spatial attention by using a Rapid Serial Visual Presentation (RSVP) task simultaneously at a location opposite to the shooting task. Target letter detection at the RSVP location did not improve during the drop in microsaccade rate, suggesting that covert attention was maintained at the shooting task location. We conclude that in addition to their usual gaze-shifting function, microsaccades during fine-acuity tasks might be modulated by cognitive processes other than spatial attention.

Keeping it real: Looking beyond capacity limits in visual cognition

Research within visual cognition has made tremendous strides in uncovering the basic operating characteristics of the visual system by reducing the complexity of natural vision to artificial but well-controlled experimental tasks and stimuli. This reductionist approach has for example been used to assess the basic limitations of visual attention, visual working memory (VWM) capacity, and the fidelity of visual long-term memory (VLTM). The assessment of these limits is usually made in a pure sense, irrespective of goals, actions, and priors. While it is important to map out the bottlenecks our visual system faces, we focus here on selected examples of how such limitations can be overcome. Recent findings suggest that during more natural tasks, capacity may be higher than reductionist research suggests and that separable systems subserve different actions, such as reaching and looking, which might provide important insights about how pure attentional or memory limitations could be circumvented. We also review evidence suggesting that the closer we get to naturalistic behavior, the more we encounter implicit learning mechanisms that operate "for free" and "on the fly." These mechanisms provide a surprisingly rich visual experience, which can support capacity-limited systems. We speculate whether natural tasks may yield different estimates of the limitations of VWM, VLTM, and attention, and propose that capacity measurements should also pass the real-world test within naturalistic frameworks. Our review highlights various approaches for this and suggests that our understanding of visual cognition will benefit from incorporating the complexities of real-world cognition in experimental approaches.

Low-spatial-frequency information facilitates threat detection in a response-specific manner

The role of different spatial frequency bands in threat detection has been explored extensively. However, most studies use manual responses and the results are mixed. Here, we aimed to investigate the contribution of spatial frequency information to threat detection by using three response types, including manual responses, eye movements, and reaching movements, together with a priming paradigm. The results showed that both saccade and reaching responses were significantly faster to threatening stimuli than to nonthreatening stimuli when primed by low-spatial-frequency gratings rather than by high-spatial-frequency gratings. However, the manual response times to threatening stimuli were comparable to nonthreatening stimuli, irrespective of the spatial frequency content of the primes. The findings provide clear evidence that low-spatial-frequency information can facilitate threat detection in a response-specific manner, possibly through the subcortical magnocellular pathway dedicated to processing threat-related signals, which is automatically prioritized in the oculomotor system and biases behavior.

Pre-saccadic attention spreads to stimuli forming a perceptual group with the saccade target

The pre-saccadic attention shift-a rapid increase in visual sensitivity at the target-is an inevitable precursor of saccadic eye movements. Saccade targets are often parts of the objects that are of interest to the active observer. Although the link between saccades and covert attention shifts is well established, it remains unclear if pre-saccadic attention selects the location of the eye movement target or rather the entire object that occupies this location. Indeed, several neurophysiological studies suggest that attentional modulations of neural activity in visual cortex spreads across parts of objects (e.g., elements grouped by Gestalt principles) that contain the target location of a saccade. To understand the nature of pre-saccadic attentional selection, we examined how visual sensitivity, measured in a challenging orientation discrimination task, changes during saccade preparation at locations that are perceptually grouped with the saccade target. In Experiment 1, using grouping by color in a delayed-saccade task, we found no consistent spread of attention to locations that formed a perceptual group with the saccade target. However, performance depended on the side of the stimulus arrangement relative to the saccade target location, an effect we discuss with respect to attentional momentum. In Experiment 2, employing stronger perceptual grouping cues (color and motion) and an immediate-saccade task, we obtained a reliable grouping effect: Attention spread to locations that were perceptually grouped with the saccade target while saccade preparation was underway. We also replicated the side effect observed in Experiment 1. These results provide evidence that the pre-saccadic attention spreads beyond the target location along the saccade direction, and selects scene elements that-based on Gestalt criteria-are likely to belong to the same object as the saccade target.

More precise tracking of horizontal than vertical target motion with both the eyes and hand

When tracking targets moving in various directions with one's eyes, horizontal components of pursuit are more precise than vertical ones. Is this because horizontal target motion is predicted better or because horizontal movements of the eyes are controlled more precisely? When tracking a visual target with the hand, the eyes also track the target. We investigated whether the directional asymmetries that have been found during isolated eye movements are also present during such manual tracking, and if so, whether individual participants' asymmetry in eye movements is accompanied by a similar asymmetry in hand movements. We examined the data of 62 participants who used a joystick to track a visual target with a cursor. The target followed a smooth but unpredictable trajectory in two dimensions. Both the mean gaze-target distance and the mean cursor-target distance were about 20% larger in the vertical direction than in the horizontal direction. Gaze and cursor both followed the target with a slightly longer delay in the vertical than in the horizontal direction, irrespective of the target's trajectory. The delays of gaze and cursor were correlated, as were their errors in tracking the target. Gaze clearly followed the target rather than the cursor, so the asymmetry in both eye and hand movements presumably results from better predictions of the target's horizontal than of its vertical motion. Altogether this study speaks for the presence of anisotropic predictive processes that are shared across effectors.

Two hands are better than one: Perceptual benefits by bimanual movements

Before looking at or reaching for an object, the focus of attention is first allocated to the movement object. Here we investigated whether the strength of these pre-motor shifts of attention cumulates if an object is targeted by multiple effectors (eyes and hands). A total of 29 participants were tested on a visuomotor task. They were cued to move gaze, the left hand, right hand, or both (one to three effectors) to a common object or to different peripheral objects. Before the movements, eight possible objects briefly changed form, of which one was a distinct probe. Results showed that the average recognition of the probe's identity change increased as more effectors targeted this object. For example, performance was higher when two hands as compared to one hand were moved to the probe. This effect remained evident despite the detrimental effect on performance of the increase in motor task complexity of moving two hands as compared to one hand. The accumulation of recognition improvements as a function of the number of effectors that successfully target the probe points at parallel and presumably independent mechanisms for hand- and eye-coordination that evoke pre-motor shifts of attention.

Functional connectivity of the Precuneus reflects effectiveness of visual restitution training in chronic hemianopia

Visual field defects in chronic hemianopia can improve through visual restitution training, yet not all patients benefit equally from this long and exhaustive procedure. Here, we asked if resting-state functional connectivity prior to visual restitution could predict training success. In two training sessions of eight weeks each, 20 patients with chronic hemianopia performed a visual discrimination task by directing spatial selective attention towards stimuli presented in either hemifield, while suppressing eye movements. We examined two effects: a sensitivity change in the attended (trained) minus the unattended (control) hemifield (i.e., a training-specific improvement), and an overall improvement (i.e., a total change in sensitivity after both sessions). We then identified five visual resting-state networks and evaluated their functional connectivity in relation to both training effects. We found that the functional connectivity strength between the anterior Precuneus and the Occipital Pole Network was positively related to the attention modulated (i.e., training-specific) improvement. No such relationship was found for the overall improvement or for the other visual networks of interest. Our finding suggests that the anterior Precuneus plays a role in attention-modulated visual field improvements. The resting-state functional connectivity between the anterior Precuneus and the Occipital Pole Network may thus serve as an imaging-based biomarker that quantifies a patient's potential capacity to direct spatial attention. This may help to identify hemianopia patients that are most likely to benefit from visual restitution training.

A Brief History of the Encoding of Hand Position by the Cerebral Cortex: Implications for Motor Control and Cognition

Encoding hand position by the cerebral cortex is essential not only for the neural representation of the body image but also for different actions based on eye-hand coordination. These include reaching for visual objects as well as complex movement sequences, such as tea-making, tool use, and object construction, among many others. All these functions depend on a continuous refreshing of the hand position representation, relying on both predictive signaling and afferent information. The hand position influence on neural activity in the parietofrontal system, together with eye position signals, are the basic elements of an eye-hand matrix from which all the above functions can emerge and could be regarded as key features of a network with several entry points, command nodes and outflow pathways, as confirmed by the discovery of a direct parietospinal projection for the control of hand action. The integrity of this system is crucial for daily life, as testified by the consequences of cortical lesions, spanning from severe paralysis to complex forms of apraxia. In this review, I will sketch my personal understanding of the scientific and conceptual trajectory of a line of investigation with many unexpected influences on cortical function and disease, from motor behavior to cognition.

Motor congruency and multisensory integration jointly facilitate visual information processing before movement execution

Attention allows us to select important sensory information and enhances sensory information processing. Attention and our motor system are tightly coupled: attention is shifted to the target location before a goal-directed eye- or hand movement is executed. Congruent eye-hand movements to the same target can boost the effect of this pre-movement shift of attention. Moreover, visual information processing can be enhanced by, for example, auditory input presented in spatial and temporal proximity of visual input via multisensory integration (MSI). In this study, we investigated whether the combination of MSI and motor congruency can synergistically enhance visual information processing beyond what can be observed using motor congruency alone. Participants performed congruent eye- and hand movements during a 2-AFC visual discrimination task. The discrimination target was presented in the planning phase of the movements at the movement target location or a movement irrelevant location. Three conditions were compared: (1) a visual target without sound, (2) a visual target with sound spatially and temporally aligned (MSI) and (3) a visual target with sound temporally misaligned (no MSI). Performance was enhanced at the movement-relevant location when congruent motor actions and MSI coincide compared to the other conditions. Congruence in the motor system and MSI together therefore lead to enhanced sensory information processing beyond the effects of motor congruency alone, before a movement is executed. Such a synergy implies that the boost of attention previously observed for the independent factors is not at ceiling level, but can be increased even further when the right conditions are met.

Shared attention for action selection and action monitoring in goal-directed reaching

Dual-task studies have shown higher sensitivity for stimuli presented at the targets of upcoming actions. We examined whether attention is directed to action targets for the purpose of action selection, or if attention is directed to these locations because they are expected to provide feedback about movement outcomes. In our experiment, endpoint accuracy feedback was spatially separated from the action targets to determine whether attention would be allocated to (a) the action targets, (b) the expected source of feedback, or (c) to both locations. Participants reached towards a location indicated by an arrow while identifying a discrimination target that could appear in any one of eight possible locations. Discrimination target accuracy was used as a measure of attention allocation. Participants were unable to see their hand during reaching and were provided with a small monetary reward for each accurate movement. Discrimination target accuracy was best at action targets but was also enhanced at the spatially separated feedback locations. Separating feedback from the reaching targets did not diminish discrimination accuracy at the movement targets but did result in delayed movement initiation and reduced reaching accuracy, relative to when feedback was presented at the reaching target. The results suggest attention is required for both action planning and monitoring movement outcomes. Dividing attention between these functions negatively impacts action performance.

The spatial and temporal properties of attentional selectivity for saccades and reaches

The preparation and execution of saccades and goal-directed movements elicits an accompanying shift in attention at the locus of the impending movement. However, some key aspects of the spatiotemporal profile of this attentional shift between eye and hand movements are not resolved. While there is evidence that attention is improved at the target location when making a reach, it is not clear how attention shifts over space and time around the movement target as a saccade and a reach are made to that target. Determining this spread of attention is an important aspect in understanding how attentional resources are used in relation to movement planning and guidance in real world tasks. We compared performance on a perceptual discrimination paradigm during a saccade-alone task, reach-alone task, and a saccade-plus-reach task to map the temporal profile of the premotor attentional shift at the goal of the movement and at three surrounding locations. We measured performance relative to a valid baseline level to determine whether motor planning induces additional attentional facilitation compared to mere covert attention. Sensitivity increased relative to movement onset at the target and at the surrounding locations, for both the saccade-alone and saccade-plus-reach conditions. The results suggest that the temporal profile of the attentional shift is similar for the two tasks involving saccades (saccade-alone and saccade-plus-reach tasks), but is very different when the influence of the saccade is removed. In this case, performance in the saccade-plus-reach task reflects the lower sensitivity observed when a reach-alone task is being conducted. In addition, the spatial profile of this spread of attention is not symmetrical around the target. This suggests that when a saccade and reach are being planned together, the saccade drives the attentional shift, and the reach-alone carries little attentional weight.

Is congruent movement training more effective than standard visual scanning therapy to ameliorate symptoms of visuospatial neglect? Study protocol of a randomised control trial

INTRODUCTION

Approximately 30% of all patients with stroke show visuospatial neglect (VSN). Currently, visual scanning therapy (VST) is applied in clinical settings to attenuate neglect symptoms. VST builds on the premise that eye movements to the affected hemifield lead to a concurrent shift of visual attention. Congruent movements with different effectors of the motor system, for example, eye and hand, can produce an even larger boost of attention compared with a single effector. This congruency principle may produce a powerful bias in the motor system, which may counteract the pathological biases in the attentional system of neglect patients. Therefore, an intervention with congruent eye and hand movements may result in greater attenuation of neglect compared with an intervention with single eye movements as applied in standard VST. The current randomised controlled trial will investigate the beneficial effects of this updated version of VST by comparing changes in performance on standard neuropsychological neglect tasks and severity of neglect in activities of daily living.

METHODS AND ANALYSIS

Thirty VSN patients in the subacute phase poststroke onset will be randomly assigned to one of two groups: congruent eye and hand movement training (experimental group) versus standard VST (control group). Each patient will receive 10 sessions of training, 30 min each, within 2 weeks. Performance on standard neuropsychological neglect tasks, a visual discrimination task, severity of neglect in ADL and eye movement characteristics before and after intervention will be compared for and between both groups.

ETHICS AND DISSEMINATION

This study has been approved by the ethical committee of the University Medical Centre Utrecht. All subjects will participate voluntarily and will give written informed consent. Results of this study will be published in peer-reviewed scientific journals and presented at international conferences.

TRIAL REGISTRATION NUMBER

NTR7005.

The interdependence of attention, working memory and gaze control: behavior and neural circuitry

Visual attention, visual working memory, and gaze control are basic functions that all select a subset of visual input to guide immediate or subsequent behavior. In this review, we focus on the relationship between these three functions and describe evidence, both at the behavioral and neural circuit levels that they are heavily interdependent. We start with the demonstration that gaze control - or saccade preparation in particular - leads to spatial attention. Next, we show that spatial attention and working memory interact at the behavioral level and rely on a common set of neural mechanisms. Next, we discuss the evidence that gaze control mechanisms are involved in spatial working memory. Lastly, we highlight the links between gaze control and non-spatial memory.

Task-Irrelevant Features in Visual Working Memory Influence Covert Attention: Evidence from a Partial Report Task

Selecting a target based on a representation in visual working memory (VWM) affords biasing covert attention towards objects with memory-matching features. Recently, we showed that even task-irrelevant features of a VWM template bias attention. Specifically, when participants had to saccade to a cued shape, distractors sharing the cue's search-irrelevant color captured the eyes. While a saccade always aims at one target location, multiple locations can be attended covertly. Here, we investigated whether covert attention is captured similarly as the eyes. In our partial report task, each trial started with a shape-defined search cue, followed by a fixation cross. Next, two colored shapes, each including a letter, appeared left and right from fixation, followed by masks. The letter inside that shape matching the preceding cue had to be reported. In Experiment 1, either target, distractor, both, or no object matched the cue's irrelevant color. Target-letter reports were most frequent in target-match trials and least frequent in distractor-match trials. Irrelevant cue and target color never matched in Experiment 2. Still, participants reported the distractor more often to the target's disadvantage, when cue and distractor color matched. Thus, irrelevant features of a VWM template can influence covert attention in an involuntarily object-based manner when searching for trial-wise varying targets.

Control of synaptic plasticity in deep cortical networks

Humans and many other animals have an enormous capacity to learn about sensory stimuli and to master new skills. However, many of the mechanisms that enable us to learn remain to be understood. One of the greatest challenges of systems neuroscience is to explain how synaptic connections change to support maximally adaptive behaviour. Here, we provide an overview of factors that determine the change in the strength of synapses, with a focus on synaptic plasticity in sensory cortices. We review the influence of neuromodulators and feedback connections in synaptic plasticity and suggest a specific framework in which these factors can interact to improve the functioning of the entire network.

Updating spatial working memory in a dynamic visual environment

The present review describes recent developments regarding the role of the eye movement system in representing spatial information and keeping track of locations of relevant objects. First, we discuss the active vision perspective and why eye movements are considered crucial for perception and attention. The second part focuses on the question of how the oculomotor system is used to represent spatial attentional priority, and the role of the oculomotor system in maintenance of this spatial information. Lastly, we discuss recent findings demonstrating rapid updating of information across saccadic eye movements. We argue that the eye movement system plays a key role in maintaining and rapidly updating spatial information. Furthermore, we suggest that rapid updating emerges primarily to make sure actions are minimally affected by intervening eye movements, allowing us to efficiently interact with the world around us.

Implicit processing during change blindness revealed with mouse-contingent and gaze-contingent displays

People often miss salient events that occur right in front of them. This phenomenon, known as change blindness, reveals the limits of visual awareness. Here, we investigate the role of implicit processing in change blindness using an approach that allows partial dissociation of covert and overt attention. Traditional gaze-contingent paradigms adapt the display in real time according to current gaze position. We compare such a paradigm with a newly designed mouse-contingent paradigm where the visual display changes according to the real-time location of a user-controlled mouse cursor, effectively allowing comparison of change detection with mainly overt attention (gaze-contingent display; Experiment 2) and untethered overt and covert attention (mouse-contingent display; Experiment 1). We investigate implicit indices of target detection during change blindness in eye movement and behavioral data, and test whether affective devaluation of unnoticed targets may contribute to change blindness. The results show that unnoticed targets are processed implicitly, but that the processing is shallower than if the target is consciously detected. Additionally, the partial untethering of covert attention with the mouse-contingent display changes the pattern of search and leads to faster detection of the changing target. Finally, although it remains possible that the deployment of covert attention is linked to implicit processing, the results fall short of establishing a direct connection.

Saccade selection and inhibition: motor and attentional components

Motor responses are fundamentally spatial in their function and neural organization. However, studies of inhibitory motor control, focused on global stopping of all actions, have ignored whether inhibitory control can be exercised selectively for specific actions. We used a new approach to elicit and measure motor inhibition by asking human participants to either look at (select) or avoid looking at (inhibit) a location in space. We found that instructing a location to be avoided resulted in an inhibitory bias specific to that location. When compared with the facilitatory bias observed in the Look task, it differed significantly in both its spatiotemporal dynamics and its modulation of attentional processing. While action selection was evident in oculomotor system and interacted with attentional processing, action inhibition was evident mainly in the oculomotor system. Our findings suggest that action inhibition is implemented by spatially specific mechanisms that are separate from action selection. NEW & NOTEWORTHY We show that cognitive control of saccadic responses evokes separable action selection and inhibition processes. Both action selection and inhibition are represented in the saccadic system, but only action selection interacts with the attentional system.

Motion prediction at low contrast

Accurate motion prediction is fundamental for survival. How does this reconcile with the well-known speed underestimation of low-contrast stimuli? Here we asked whether this contrast-dependent perceptual bias is retained in motion prediction under two different saccadic planning conditions: making a saccade to an occluded moving target, and real-time gaze interaction with multiple moving targets. In a first experiment, observers made a saccade to the mentally extrapolated position of a moving target (imagery condition). In a second experiment, observers had to prevent collisions among multiple moving targets by glancing at them through a gaze-contingent display or by hitting them with the touchpad cursor (interaction condition). In both experiments, target contrast was manipulated. We found that, whereas saccades to the imagined moving target were systematically biased by contrast, the gaze interaction performance, as measured by missed collisions, was generally unaffected - even though low-contrast targets looked slower. Interceptive actions increased at low contrast, but only when the gaze was used for interaction. Thus, perceptual speed underestimation transfers to saccades made to imagined low-contrast targets, without however necessarily being detrimental to effective performance when real-time interaction with multiple targets is required. This differential effect of stimulus contrast suggests that in complex dynamic conditions saccades are rather tolerant to visual speed biases.

Independent Effects of Eye and Hand Movements on Visual Working Memory

Both eye and hand movements have been shown to selectively interfere with visual working memory. We investigated working memory in the context of simultaneous eye-hand movements to approach the question whether the eye and the hand movement systems independently interact with visual working memory. Participants memorized several locations and performed eye, hand, or simultaneous eye-hand movements during the maintenance interval. Subsequently, we tested spatial working memory at the eye or the hand motor goal, and at action-irrelevant locations. We found that for single eye and single hand movements, memory at the eye or hand target was significantly improved compared to action-irrelevant locations. Remarkably, when an eye and a hand movement were prepared in parallel, but to distinct locations, memory at both motor targets was enhanced-with no tradeoff between the two separate action goals. This suggests that eye and hand movements independently enhance visual working memory at their goal locations, resulting in an overall working memory performance that is higher than that expected when recruiting only one effector.

Independent selection of eye and hand targets suggests effector-specific attentional mechanisms

Both eye and hand movements bind visual attention to their target locations during movement preparation. However, it remains contentious whether eye and hand targets are selected jointly by a single selection system, or individually by independent systems. To unravel the controversy, we investigated the deployment of visual attention – a proxy of motor target selection – in coordinated eye-hand movements. Results show that attention builds up in parallel both at the eye and the hand target. Importantly, the allocation of attention to one effector’s motor target was not affected by the concurrent preparation of the other effector’s movement at any time during movement preparation. This demonstrates that eye and hand targets are represented in separate, effector-specific maps of action-relevant locations. The eye-hand synchronisation that is frequently observed on the behavioral level must emerge from mutual influences of the two effector systems at later, post-attentional processing stages.

The profile of attention differs between locations orthogonal to and in line with reach direction

People make movements in a variety of directions when interacting with the world around them. It has been well documented that attention shifts to the goal of an upcoming movement, whether the movement is a saccade or a reach. However, recent evidence suggests that the direction of a movement may influence the spatial spread of attention (Stewart & Ma-Wyatt, 2015, Journal of Vision, 15(5), 10). We investigated whether the spatiotemporal profile of attention differs depending on where that location is situated relative to the direction of movement, and if this pattern is consistent across different movement effectors. We compared attentional facilitation at locations in line with or orthogonal to the movement, for reach-only, reach-plus-saccade, and saccade-only conditions. Results show that the spatiotemporal profile of attention differs across different movement combinations, and is also different at target locations orthogonal to and in line with the movement direction. Specifically, when a reach alone was made, there was a general decrease in attention at all locations during the movement and a general increase in attention at all locations with a saccade only. However, the concurrent reach and saccade condition showed a premovement attentional facilitation at locations orthogonal to movement direction, but not those in line with the movement direction. These results suggest attentional guidance may be more important at differing time points, depending on the type of movement.

Saccades and reaches curve away from the other effector’s target in simultaneous eye and hand movements

Simultaneous eye and hand movements are highly coordinated and tightly coupled. This raises the question whether the selection of eye and hand targets relies on a shared attentional mechanism or separate attentional systems. Previous studies have revealed conflicting results by reporting evidence for both a shared as well as separate systems. Movement properties such as movement curvature can provide novel insights into this question as they provide a sensitive measure for attentional allocation during target selection. In the current study, participants performed simultaneous eye and hand movements to the same or different visual target locations. We show that both saccade and reaching movements curve away from the other effector’s target location when they are simultaneously performed to spatially distinct locations. We argue that there is a shared attentional mechanism involved in selecting eye and hand targets that may be found on the level of effector-independent priority maps.

NEW & NOTEWORTHY Movement properties such as movement curvature have been widely neglected as important sources of information in investigating whether the attentional systems underlying target selection for eye and hand movements are separate or shared. We convincingly show that movement curvature is influenced by the other effector’s target location in simultaneous eye and hand movements to spatially distinct locations. Our results provide evidence for shared attentional systems involved in the selection of saccade and reach targets.

Attention modulates trans-saccadic integration

With every saccade, humans must reconcile the low resolution peripheral information available before a saccade, with the high resolution foveal information acquired after the saccade. While research has shown that we are able to integrate peripheral and foveal vision in a near-optimal manner, it is still unclear which mechanisms may underpin this important perceptual process. One potential mechanism that may moderate this integration process is visual attention. Pre-saccadic attention is a well documented phenomenon, whereby visual attention shifts to the location of an upcoming saccade before the saccade is executed. While it plays an important role in other peri-saccadic processes such as predictive remapping, the role of attention in the integration process is as yet unknown. This study aimed to determine whether the presentation of an attentional distractor during a saccade impaired trans-saccadic integration, and to measure the time-course of this impairment. Results showed that presenting an attentional distractor impaired integration performance both before saccade onset, and during the saccade, in selected subjects who showed integration in the absence of a distractor. This suggests that visual attention may be a mechanism that facilitates trans-saccadic integration.

Inhibition in movement plan competition: reach trajectories curve away from remembered and task-irrelevant present but not from task-irrelevant past visual stimuli

The current study investigated the role of automatic encoding and maintenance of remembered, past, and present visual distractors for reach movement planning. The previous research on eye movements showed that saccades curve away from locations actively kept in working memory and also from task-irrelevant perceptually present visual distractors, but not from task-irrelevant past distractors. Curvature away has been associated with an inhibitory mechanism resolving the competition between multiple active movement plans. Here, we examined whether reach movements underlie a similar inhibitory mechanism and thus show systematic modulation of reach trajectories when the location of a previously presented distractor has to be (a) maintained in working memory or (b) ignored, or (c) when the distractor is perceptually present. Participants performed vertical reach movements on a computer monitor from a home to a target location. Distractors appeared laterally and near or far from the target (equidistant from central fixation). We found that reaches curved away from the distractors located close to the target when the distractor location had to be memorized and when it was perceptually present, but not when the past distractor had to be ignored. Our findings suggest that automatically encoding present distractors and actively maintaining the location of past distractors in working memory evoke a similar response competition resolved by inhibition, as has been previously shown for saccadic eye movements.

Exploring the quiet eye in archery using field- and laboratory-based tasks

The ‘quiet eye’ (QE)—a period of extended gaze fixation on a target—has been reported in many tasks that require accurate aiming. Longer quiet eye durations (QEDs) are reported in experts compared to non-experts and on successful versus less successful trials. The QE has been extensively studied in the field; however, the cognitive mechanisms underlying the QE are not yet fully understood. We investigated the QEDs of ten expert and ten novice archers in the field and in the laboratory using a computer-based archery task. The computer task consisted of shooting archery targets using a joystick. Random ‘noise’ (visual motion perturbation) was introduced at high and low levels to allow for the controlled examination of the effects of task complexity and processing demands. In this computer task, we also tested an additional group of ten non-archers as controls. In both field and computer tasks, eye movements were measured using electro-oculography. The expert archers exhibited longer QED compared to the novice archers in the field task. In the computer task, the archers again exhibited longer QEDs and were more accurate compared to non-archers. Furthermore, expert archers showed earlier QE onsets and longer QEDs during high noise conditions compared to the novices and non-archers. Our findings show skill-based effects on QED in field conditions and in a novel computer-based archery task, in which online (visual) perturbations modulated experts’ QEDs. These longer QEDs in experts may be used for more efficient programming in which accurate predictions are facilitated by attention control.

Attentive pointing in natural scenes correlates with other measures of attention

Finger pointing is a natural human behavior frequently used to draw attention to specific parts of sensory input. Since this pointing behavior is likely preceded and/or accompanied by the deployment of attention by the pointing person, we hypothesize that pointing can be used as a natural means of providing self-reports of attention and, in the case of visual input, visual salience. We here introduce a new method for assessing attentional choice by asking subjects to point to and tap the first place they look at on an image appearing on an electronic tablet screen. Our findings show that the tap data are well-correlated with other measures of attention, including eye fixations and selections of interesting image points, as well as with predictions of a saliency map model. We also develop an analysis method for comparing attentional maps (including fixations, reported points of interest, finger pointing, and computed salience) that takes into account the error in estimating those maps from a finite number of data points. This analysis strengthens our original findings by showing that the measured correlation between attentional maps drawn from identical underlying processes is systematically underestimated. The underestimation is strongest when the number of samples is small but it is always present. Our analysis method is not limited to data from attentional paradigms but, instead, it is broadly applicable to measures of similarity made between counts of multinomial data or probability distributions.

Spatial attention during saccade decisions

Behavioral measures of decision making are usually limited to observations of decision outcomes. In the present study, we made use of the fact that oculomotor and sensory selection are closely linked to track oculomotor decision making before oculomotor responses are made. We asked participants to make a saccadic eye movement to one of two memorized target locations and observed that visual sensitivity increased at both the chosen and the nonchosen saccade target locations, with a clear bias toward the chosen target. The time course of changes in visual sensitivity was related to saccadic latency, with the competition between the chosen and nonchosen targets resolved faster before short-latency saccades. On error trials, we observed an increased competition between the chosen and nonchosen targets. Moreover, oculomotor selection and visual sensitivity were influenced by top-down and bottom-up factors as well as by selection history and predicted the direction of saccades. Our findings demonstrate that saccade decisions have direct visual consequences and show that decision making can be traced in the human oculomotor system well before choices are made. Our results also indicate a strong association between decision making, saccade target selection, and visual sensitivity.NEW & NOTEWORTHY We show that saccadic decisions can be tracked by measuring spatial attention. Spatial attention is allocated in parallel to the two competing saccade targets, and the time course of spatial attention differs for fast-slow and for correct-erroneous decisions. Saccade decisions take the form of a competition between potential saccade goals, which is associated with spatial attention allocation to those locations.

Reach-relevant somatosensory signals modulate tactile suppression

Tactile stimuli on moving limbs are typically attenuated during reach planning and execution. This phenomenon has been related to internal forward models that predict the sensory consequences of a movement. Tactile suppression is considered to occur due to a match between the actual and predicted sensory consequences of a movement, which might free capacities to process novel or task-relevant sensory signals. Here, we examined whether and how tactile suppression depends on the relevance of somatosensory information for reaching. Participants reached with their left or right index finger to the unseen index finger of their other hand (body target) or an unseen pad on a screen (external target). In the body target condition, somatosensory signals from the static hand were available for localizing the reach target. Vibrotactile stimuli were presented on the moving index finger before or during reaching or in a separate no-movement baseline block, and participants indicated whether they detected a stimulus. As expected, detection thresholds before or during reaching were higher compared with baseline. Tactile suppression was also stronger for reaches to body targets than external targets, as reflected by higher detection thresholds and lower precision of detectability. Moreover, detection thresholds were higher when reaching with the left than with the right hand. Our results suggest that tactile suppression is modulated by position signals from the target limb that are required to reach successfully to the own body. Moreover, limb dominance seems to affect tactile suppression, presumably due to disparate uncertainty of feedback signals from the moving limb.NEW & NOTEWORTHY Tactile suppression on a moving limb has been suggested to release computational resources for processing other relevant sensory events. In the current study, we show that tactile sensitivity on the moving limb decreases more when reaching to body targets than external targets. This indicates that tactile perception can be modulated by allocating processing capacities to movement-relevant somatosensory information at the target location. Our results contribute to understanding tactile processing and predictive mechanisms in the brain.