Oculomotor system can differentially process red and green colors during saccade programming in the presence of a competing distractor

Selective attention filters irrelevant information entering our brain to allow for fine-tuning of the relevant information processing. In the visual domain, shifts of attention are most often followed by a saccadic eye movement to objects and places of high relevance. Recent studies have shown that the stimulus color can affect saccade target selection and saccade trajectories. While those saccade modulations are based on perceptual color space, the level in the visual processing hierarchy at which color selection biases saccade programming remains unclear. As color has also been shown to influence manual response inhibition which is a key function of the prefrontal cortex, we hypothesized that the effects of color on executive functions would also inherently affect saccade programming. To test this hypothesis, we measured behavioral performance and saccade metrics during a modified saccadic Stroop task which reflects competition between color words ("RED" and "GREEN") and their color at the level of the prefrontal cortex. Our results revealed that the oculomotor system can differentially process red and green colors when planning a saccade in the presence of a competing distractor.

Lumbar magnetic resonance imaging findings in patients with and without Waddell Signs

BACKGROUND CONTEXT

Waddell Signs (WS), introduced as a method to establish patients with substantial psychosocial components to their low back pain, carry a negative association despite no literature evaluating whether physical disease is associated with them.

PURPOSE

To compare lumbar magnetic resonance imaging (MRI) findings between the patients with and without WS.

STUDY DESIGN

Retrospective cohort study based on prospectively collected data.

PATIENT SAMPLE

Thirty patients aged 35 to 55 years with an Oswestry Disability Index (ODI) score >50 randomly selected such that there was an even distribution of patients based on the number of WS.

OUTCOME MEASURES

ODI and Short Form-12 scores, number of WS, presence and severity of spinal pathology.

METHODS

MRIs were reviewed by three spine specialists blinded to clinical exam findings, number of WS, and patient identity. Type and severity of pathology and presence of surgical and non-surgical lesions were assessed, and findings were rank ordered based on the overall impression of the pathology. There was no external funding or potential conflicts of interest for this study.

RESULTS

There were significantly more individual pathologic findings in patients without WS (p=.02). However, there was no difference in the severity of pathology based on WS (p=.46). Furthermore, the rank ordering based on overall impression of severity showed no difference between the patients with and without WS (p=.20). Although 100% of the patients without WS showed pathologic findings on MRI, 70% of WS patients also had significant pathology on MRI. The prevalence of spondylolisthesis, stenosis, and disc herniation was similar (p=.41, p=.22, and p=.43, respectively). The prevalence and mean number of lesion amenable to surgery did not differ based on presence of WS (p=.21 and p=.18, respectively).

CONCLUSIONS

Patients with WS present a difficult diagnostic challenge for the physician as their organic symptoms are often coexistent with emotional fear avoidance behavior. Although there is more overall pathology in patients without WS, a significant number of these patients appear to have comparable spinal pathology with equivalent severity, which may be contributing to patients' symptoms and disability. Presence of these non-organic symptoms often makes us doubt these patients. However, as part of effective treatment, physicians should better understand both the physical and psychological components of patient disability.

Response Inhibition Is Facilitated by a Change to Red Over Green in the Stop Signal Paradigm

Actions are informed by the complex interactions of response execution and inhibition networks. These networks integrate sensory information with internal states and behavioral goals to produce an appropriate action or to update an ongoing action. Recent investigations have shown that, behaviorally, attention is captured through a hierarchy of colors. These studies showed how the color hierarchy affected visual processing. To determine whether the color hierarchy can be extended to higher level executive functions such as response execution and inhibition, we conducted several experiments using the stop-signal task (SST). In the first experiment, we modified the classic paradigm so that the go signals could vary in task-irrelevant color, with an auditory stop signal. We found that the task-irrelevant color of the go signals did not differentially affect response times. In the second experiment we determined that making the color of the go signal relevant for response selection still did not affect reaction times(RTs) and, thus, execution. In the third experiment, we modified the paradigm so that the stop signal was a task relevant change in color of the go signal. The mean RT to the red stop signal was approximately 25 ms faster than to the green stop signal. In other words, red stop signals facilitated response inhibition more than green stop signals, however, there was no comparative facilitation of response execution. These findings suggest that response inhibition, but not execution, networks are sensitive to differences in color salience. They also suggest that the color hierarchy is based on attentional networks and not simply on early sensory processing.