Utility of transcranial Doppler ultrasound for the integrative assessment of cerebrovascular function

There is considerable utility in the use of transcranial Doppler ultrasound (TCD) to assess cerebrovascular function. The brain is unique in its high energy and oxygen demand but limited capacity for energy storage that necessitates an effective means of regional blood delivery. The relative low cost, ease-of-use, non-invasiveness, and excellent temporal resolution of TCD make it an ideal tool for the examination of cerebrovascular function in both research and clinical settings. TCD is an efficient tool to access blood velocities within the cerebral vessels, cerebral autoregulation, cerebrovascular reactivity to CO(2), and neurovascular coupling, in both physiological states and in pathological conditions such as stroke and head trauma. In this review, we provide: (1) an overview of TCD methodology with respect to other techniques; (2) a methodological synopsis of the cerebrovascular exam using TCD; (3) an overview of the physiological mechanisms involved in regulation of the cerebral blood flow; (4) the utility of TCD for assessment of cerebrovascular pathology; and (5) recommendations for the assessment of four critical and complimentary aspects of cerebrovascular function: intra-cranial blood flow velocity, cerebral autoregulation, cerebral reactivity, and neurovascular coupling. The integration of these regulatory mechanisms from an integrated systems perspective is discussed, and future research directions are explored.

Sex differences in object location memory and spatial navigation in Long-Evans rats

In both humans and rodents, males typically excel on a number of tasks requiring spatial ability. However, human females exhibit advantages in memory for the spatial location of objects. This study investigated whether rats would exhibit similar sex differences on a task of object location memory (OLM) and on the watermaze (WM). We predicted that females should outperform males on the OLM task and that males should outperform females on the WM. To control for possible effects of housing environment, rats were housed in either complex environments or in standard shoebox housing. Eighty Long-Evans rats (40 males and 40 females) were housed in either complex (Complex rats) or standard shoebox housing (Control rats). Results indicated that males had superior performance on the WM, whereas females outperformed males on the OLM task, regardless of housing environment. As these sex differences cannot be easily attributed to differences in cognitive style related to linguistic processing of environmental features or to selection pressures related to the hunting gathering evolutionary prehistory of humans, these data suggest that sex differences in spatial ability may be related to traits selected for by polygynous mating strategies.

Eye-hand coordination in goal-directed aiming

In a number of studies, we have demonstrated that the spatial-temporal coupling of eye and hand movements is optimal for the pickup of visual information about the position of the hand and the target late in the hand's trajectory. Several experiments designed to examine temporal coupling have shown that the eyes arrive at the target area concurrently with the hand achieving peak acceleration. Between the time the hand reached peak velocity and the end of the movement, increased variability in the position of the shoulder and the elbow was accompanied by a decreased spatial variability in the hand. Presumably, this reduction in variability was due to the use of retinal and extra-retinal information about the relative positions of the eye, hand and target. However, the hand does not appear to be a slave to the eye. For example, we have been able to decouple eye movements and hand movements using Müller-Lyer configurations as targets. Predictable bias, found in primary and corrective saccadic eye movements, was not found for hand movements, if on-line visual information about the target was available during aiming. That is, the hand remained accurate even when the eye had a tendency to undershoot or overshoot the target position. However, biases of the hand were evident, at least in the initial portion of an aiming movement, when vision of the target was removed and vision of the hand remained. These findings accent the versatility of human motor control and have implications for current models of visual processing and limb control.

Ocular perturbations and retinal/extraretinal information: the coordination of saccadic and manual movements

Two experiments were conducted to examine the interactions between the ocular and manual systems during rapid goal-directed movements. A point-light array was used to generate Müller-Lyer configuration target endpoints (in-Müller, out-Müller, 'X') for 30 cm aiming movements. Vision (of the limb and target), eye position, and the concurrence of eye movement were varied to manipulate the availability of retinal and extraretinal information. In addition, the Müller-Lyer endpoints were used to generate predictable biases in accuracy of these information channels. Although saccadic amplitude was consistently biased, manual bias in response to illusory targets only occurred in trials with concurrent eye movement and elimination of retinal target information on limb movement initiation; covariation of eye and hand displacement was also most prevalent in these trials. Contrary to previous findings, there was no temporal relation between eye and hand movements. In addition to any role in coordinated eye-hand action, the availability of vision of both the limb and target again had strong performance benefits for rapid manual aiming.

Interhemispheric transmission time in persons with Down syndrome

BACKGROUND

The study of cerebral specialization in persons with Down syndrome (DS) has revealed an anomalous pattern of organization. Specifically, persons with DS elicit a right cerebral hemisphere lateralization for receptive language and a left cerebral hemisphere lateralization for the production of simple and complex movements: a pattern quite different from the left hemisphere lateralization typically characterizing the aforementioned processes in the non-DS population. It is thought that the putative separation between speech perception and movement planning systems as well as the cost of interhemispheric integration impedes verbal-motor behaviours in persons with DS. Moreover, morphological anomalies of callosal structure may further amplify between-hemisphere communication difficulties in the DS population. In the present investigation, we employed a behavioural technique (i.e. the Poffenberger paradigm; Poffenberger) to determine whether global anomalies of callosal structure further amplify deficits in interhemispheric communication.

METHODS

Fourteen individuals with DS and 25 chronological age-matched and gender-equated participants without intellectual disability performed a visuomotor reaction time (RT) test with their left or right hand to visual stimuli appearing left or right of visual fixation. Typically it is reported that responses to visual stimuli appearing ipsilateral to the responding hand (i.e. the uncrossed condition) are faster than responses wherein visual stimuli and responding hand are contralaterally mapped (i.e. the crossed condition). The increased RT associated with the crossed condition is reported on the order of 4 ms and has been interpreted to reflect the physiological result of interhemispheric transmission.

RESULTS

Not surprisingly persons with DS exhibited slower and more variable RTs relative to control counterparts. In addition, a reliable RT advantage favouring the uncrossed conditions was observed among control participants but not persons with DS.

CONCLUSIONS

In keeping with the extant literature, RT performance of the DS group was slower and more variable than control counterparts. This finding has been interpreted to reflect an 'adaptive reaction' wherein the perceptual-motor abilities of persons with DS are not optimized to respond to externally paced stimuli. In terms of evaluating interhemispheric transmission via the Poffenberger paradigm, our results show the finite measures of explicit brain-behaviour relations characterizing so-called healthy controls are not always tenable in the DS population. Indeed, we believe such a finding underpins the aforementioned 'adaptive reaction' exemplifying preferred movement control in persons with DS.

Online corrections can produce illusory bias during closed-loop pointing

This experiment examined whether the impact of pictorial illusions during the execution of goal-directed reaching movements is attributable to ocular motor signaling. We analyzed eye and hand movements directed toward both the vertex of the Müller-Lyer (ML) figure in a closed-loop procedure. Participants pointed to the right vertex of a visual stimulus in two conditions: a control condition wherein the figure (in-ML, neutral, out-ML) presented at response planning remained unchanged throughout the movement, and an experimental condition wherein a neutral figure presented at response planning was perturbed to an illusory figure (in-ML, out-ML) at movement onset. Consistent with previous work from our group (Heath et al. in Exp Brain Res 158:378-384, 2004; Heath et al. in J Mot Behav 37:179-185, 2005b), action-bias present in both conditions; thus illusory bias was introduced into during online control. Although primary saccades were influenced by illusory configurations (control conditions; see Binsted and Elliott in Hum Mov Sci 18:103-117, 1999a), illusory bias developed within the secondary "corrective" saccades during experimental trials (i.e., following a veridical primary saccade). These results support the position that a unitary spatial representation underlies both action and perception and this representation is common to both the manual and oculomotor systems.

Manual asymmetries in goal-directed movement: examination of the motor output hypothesis

Two experiments are reported which examined the viability of motor output hypothesis as an explanation for manual asymmetries in goal-directed movement. Experiment 1 isolated the variability due to force generation by directly assessing precision of force production during an isometric wrist flexion task. Experiment 2 examined the additional role of externally based and internally created timing patterns on the performance of a repetitive force production task. Virtually no effects involving hand were apparent in either experiment. These findings provide no support for a hypothesis based solely on motor output to adequately account for hand differences in the performance of rapid, goal-directed movement.