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PubMed2001

Role of the human motor cortex in rapid motor learning.

Recent studies suggest that the human primary motor cortex (M1) is involved in motor learning, but the nature of that involvement is not clear. Here, learning-related changes in M1 excitability were studied with transcranial magnetic stimulation (TMS) while na subjects practiced either a ballistic or a ramp pinch task to the 0.5-Hz beat of a metronome. Subjects rapidly learned to optimize ballistic contractions as indicated by a significant increase in peak pinch acceleration and peak force after the 60-min practice epoch. The increase in force and acceleration was associated with an increase in motor evoked potential (MEP) amplitude in a muscle involved in the training (flexor policis brevis) but not in a muscle unrelated to the task (abductor digiti minimi). MEPs returned to their baseline amplitude after subjects had acquired the new skill, whereas no practice-induced changes in MEP amplitude were observed after subjects had overlearned the task, or after practicing slow ramp pinches. Since the changes in MEP amplitude were observed only after TMS of M1 but not after direct stimulation of the corticospinal tract, these findings indicate task- and effector-specific involvement of human M1 in rapid motor learning.

Adolescent↗
PubMed1982

Hemispheric asymmetry for face recognition: some effects of visual masking, hemiretinal stimulation and learning task.

Five overlearned target faces were presented hemiretinally and identified by name on the recognition trials (Experiment 1). A post-exposure pattern mask was projected by the opposite eye to either the same (MASK) or the opposite (DISTRACTOR) hemisphere as the targets. Target exposure durations yielding 50% accuracy showed significant left-hemisphere and temporal hemiretinal superiorities in DISTRACTOR, but not in MASK. In Experiment 2, recognition accuracy for six faces at a constant exposure duration, under DISTRACTOR and no-mask control conditions, replicated the left-hemisphere advantage. Manipulation of the information accompanying targets during the initial learning task, to encourage either "social" or "physical" encoding of the faces, produced a "crossover" pattern of contrasting hemispheric asymmetries under the two encoding conditions. The overall results suggest that within this design, face recognition can be accomplished in three different ways, producing either no hemispheric asymmetry, undirectional asymmetry, or complex, contrasting asymmetries. These effects appear to have different functional loci. Hemiretinal differences and individual differences in encoding strategies also contributed to complex patterns of hemispheric asymmetry.

Adult↗
PubMedDate not supplied

Marijuana influenced changes in GSR activation peaking during paired-associate learning.

Activation Peaking (AP) refers to a patterned physiological response occurring during learning. Marijuana has been found to interfere with both paired-associate learning and phasic GSR activity. Therefore, a study was performed to assess the effects of marijuana intoxication on paired-associate learning and concomitant GSR AP. Two marijuana usage categories were employed--light and heavy usage Ss. Within each category four groups were run in a design to test state-dependent effects. Each S was seen twice with a seven-day inter-session interval. The groups were P-P, P-M, M-M and P-M with P equals placebo and M equals 14 mg delta-9 THC. At each sessions S learned a nine-word paired-associate list to a criterion of one correct recitation, and then received 100 percent overlearning. No usage or group differences were found in level of basal conductance, except lights showed habituation over sessions and heavies did not. Magnitude of phasic GSR activation, aligned for AP, was significantly reduced for both heavy usage and marijuana intoxicated Ss. Also, only on placebo days was an AP effect evident. The results were discussed in terms of marijuana's effects on learning and physiology with emphasis on possible mechanisms of action.

Adolescent↗
PubMed1980

Monoamine roles in retention and reversal of delayed response in cats.

Two experiments were performed to study the effects of manipulation of central monoamines upon behavior in a delayed response (DR) situation. In the first study, serotonin (5-HT) levels were increased by administration of 5-hydroxy-L-tryptophan (5-HTP) and RO4-4602, a decarboxylase inhibitor, to cats that had overlearned the DR. This intervention had no significant effect upon performance in the 0 sec delay condition, but significantly increase error and non-response scores during delay trials; the effect is specific to an "information holding" demand upon the animal and according to the neurochemical analysis appears to be due to a central effect of 5-HT. In a second experiment, dopamine levels were raised by L-DOPA administration during a reversal of the original DR situation, and the effect of L-DOPA on the evolution of response strategies was observed. All animals developed a position habit that proved impossible to correct but L-DOPA animals developed a significant position habit more quickly than controls, thus suggesting a possible relationship between the neostriatal dopamine accumulation and behavioral plasticity.

5-Hydroxytryptophan↗
PubMed1986

Repeated acquisition and delayed performance as a baseline to assess drug effects on retention in monkeys.

As an extension of previous research on repeated acquisition, a new baseline was developed to assess the effects of phencyclidine on retention in patas monkeys. Each session was divided into three phases: acquisition, delay, and performance. During acquisition, the subject acquired a four-response chain (which was different each session) by responding sequentially on three keys in the presence of four geometric forms. When the acquisition criterion (20 consecutive correct responses) was met, the keylights turned off and the delay (retention interval) began. After the delay, the keylights and a white light above the keys were turned on for 10 min (performance). The white light indicated that the response chain was the same as the chain acquired before the delay. Retention of the acquired response chain, as measured by percent "savings" in errors to criterion, decreased as the delay was increased from 5 to 180 min, and this "forgetting curve" tended to shift to the left with increasing doses of phencyclidine (administered IM 5 min before the performance phase). "Overlearning" the response chain before the 180-min delay increased retention and attenuated the disruptive effects of the lower dose of phencyclidine.

Animals↗
PubMed1987

Brain potentials related to seeing one's own name.

Subjects were assigned an assumed name and then shown a series of statements of the form, "My name / is / X", where X was the assumed name, their own first name, or one of a set of other false names. Their task was to respond positively to the "assumed" name and reject as false all other names, including their own. An N380 feature of the averaged task-related brain potentials, considered to be inversely related to the degree of contextual priming, was greatly enhanced for the false names compared to the assumed name. The N380 to one's own name was more similar to that of the false than the assumed name, indicating that the sentence context's priming of various names was under the subjects' attentional control, and that the late negativity could be modulated by this attention. In contrast, a large P510 feature distinguished one's own name from the false name, and this difference was unaffected by practice. Even in cases, then, where the context allows anticipation of one verbal event (here, the assumed name), a highly overlearned and salient stimulus such as one's own name continues to produce a distinctive neural response.

Adolescent↗
PubMed1994

Incomplete split-brain syndrome in a patient with chronic Marchiafava-Bignami disease.

A 40-year-old male patient is presented who survived Marchiafava-Bignami disease and recovered sufficiently to be assessed neurologically and neuropsychologically in some detail. Besides dementia, lack of initiative, and psychomotor retardation here ascribed to extracallosal damage, he showed a number of symptoms of hemispheric disconnection such as left-sided apraxia, poor bimanual coordination in specific laboratory tests, and deficits in the interhemispheric transfer of somaesthetic information. Other commissural functions, such as interhemispheric transfer of tactile, visual and auditory information as well as bilateral coordination in previously overlearned tasks, were nearly intact. The observed dysarthria could be meaningfully discussed in relationship to postcallosotomy mutism. It is concluded, that the partial interhemispheric disconnection syndrome in Marchiafava-Bignami disease lacks functional compensation which is different from the usual course in partial commissural section.

Adult↗
PubMed1988

Semantic, episodic, and autobiographical memory in a postmeningitic amnesic patient.

This study is concerned with the semantic and episodic memory performance of a highly intelligent and intellectually unimpaired patient, K.J., who became amnesic following meningitis. Although densely amnesic he showed unimpaired performance on tests of vocabulary and verbal fluency, while both speed and accuracy on semantic category judgment and sentence verification tests are unimpaired. It is concluded that semantic memory performance may be intact despite dense amnesia. However, this does not necessarily imply separate semantic and episodic memory systems. K.J. showed an impaired capacity for registering new material in semantic memory, and apparently normal autobiographical memory for events occurring well before his illness. The simplest interpretation of our results would therefore appear to be in terms of the sparing of old and overlearned memories rather than the specific preservation of semantic memory.

Amnesia↗
PubMedDate not supplied

Lateralized representation of affect, affect cognizance and the coronary-prone personality.

Forty-eight right-handed subjects equally divided among four cells defined by sex (male versus female) and familial handedness (at least one member of the immediate family who is left-handed or ambidextrous versus none) were asked to recall times they were angry, anxious and content while tonic SC and bilateral parietal alpha-band EEG power was recorded. Subjects also completed the Jenkins Activity Survey (JAS) and scales assessing their subjective success (SS) at achieving each affective state and the cognitive mode (verbal/visuospatial) they used to do so. Contrary to previous research, greater left parietal activity occurred during affective arousal. Subjects reporting no experienced arousal during the anger and anxious conditions were higher on the overall type A and speed and impatience scales of the JAS. 'Repression,' in the sense of greater autonomic arousal (as measured by increases in tonic SC above baseline) despite no distinction in SS, was observed in type A relative to non-type A subjects. For males this effect was most pronounced during self-stimulation of anxiety. For females, the contentment condition produced the effect. Type A subjects tended to produce greater relative left parietal activity than non-type A subjects. Results are discussed in terms of automatistic nonawareness of affective arousal as an overlearned, achievement-facilitating coping mechanism in type As.

Affect↗
PubMed2005

Oscillatory coupling in writing and writer's cramp.

Writing is a highly skilled and overlearned movement. In patients suffering from writer's cramp, a focal task-induced dystonia, writing is impaired or even impossible due to involuntary muscle contractions and abnormal posture, which occur as soon as the person picks up a pen or within writing a few words. The underlying pathophysiological mechanisms of this movement disorder are not fully understood up to now. The aim of the present study was to unravel the oscillatory network underlying physiological writing in healthy subjects and dystonic writing in writer's cramp patients. Using whole-head magnetoencephalography (MEG) and the analysis tool dynamic imaging of coherent sources (DICS) we studied oscillatory neural coupling during writing in eleven healthy subjects and eight patients suffering from writer's cramp. Simultaneous recording of brain activity with MEG and activity of forearm and hand muscles with surface electromyography (EMG) was performed while subjects were writing for five minutes with their dominant right hand. Applying DICS sources of strongest cerebro-muscular coherence and cerebro-cerebral coherence during writing were identified, which consistently included six brain areas in both, the control subjects and the patients: contralateral and ipsilateral sensorimotor cortex, ipsilateral cerebellum, contralateral thalamus, contralateral premotor and posterior parietal cortex. Coherence between cortical sources and muscles appeared primarily in the frequency of writing movements (3-7 Hz) while coherence between cerebral sources occurred primarily around 10 Hz (8-13 Hz). Interestingly, consistent coupling between both sensorimotor cortices was observed in patients only, whereas coupling between ipsilateral cerebellum and the contralateral posterior parietal cortex was found in control subjects only. These results are consistent with the often described bilateral pathophysiology and impaired sensorimotor integration in writer's cramp patients.

Adult↗
PubMed2003

Within-task switching in the verbal domain.

Task-switching, a term that covers a wide range of different cognitive processes, is a topic of considerable current interest. We draw particular attention to verbal within-task switching in neurological patients and healthy volunteers. The paradigm employs two types of fluency tasks: (i) semantic category verbal fluency in which subjects covertly produce words from a predefined superordinate semantic category and (ii) automatic speech tasks in which subjects produce words from overlearned sequences. In the single-category conditions, words are produced from one category at a time; in the switching conditions, words are produced alternately from three categories. For example, the semantic categories could be fruits, cars, and furniture and the automatic categories could be days of the week, letters of the alphabet, and months of the year. In a previous fMRI study of healthy volunteers, the main group effect of switching (semantic category and automatic speech) relative to single-category fluency (semantic category and automatic speech) showed significant activations (p < 0.05 corrected) only in bilateral superior posterior parietal cortex, Brain 125, 1024-1038). There was no significant prefrontal activation as a main effect of switching. In this paper we present further results from that experiment which show a surprising lack of consistent frontal lobe switch activations in single-subject analyses. These findings are discussed in relation to other neuroimaging studies of task-switching and the role of convergent neuropsychological data from patients with neurodegenerative disease.

Brain↗
PubMed2006

Building a motor simulation de novo: observation of dance by dancers.

Research on action simulation identifies brain areas that are active while imagining or performing simple overlearned actions. Are areas engaged during imagined movement sensitive to the amount of actual physical practice? In the present study, participants were expert dancers who learned and rehearsed novel, complex whole-body dance sequences 5 h a week across 5 weeks. Brain activity was recorded weekly by fMRI as dancers observed and imagined performing different movement sequences. Half these sequences were rehearsed and half were unpracticed control movements. After each trial, participants rated how well they could perform the movement. We hypothesized that activity in premotor areas would increase as participants observed and simulated movements that they had learnt outside the scanner. Dancers' ratings of their ability to perform rehearsed sequences, but not the control sequences, increased with training. When dancers observed and simulated another dancer's movements, brain regions classically associated with both action simulation and action observation were active, including inferior parietal lobule, cingulate and supplementary motor areas, ventral premotor cortex, superior temporal sulcus and primary motor cortex. Critically, inferior parietal lobule and ventral premotor activity was modulated as a function of dancers' ratings of their own ability to perform the observed movements and their motor experience. These data demonstrate that a complex motor resonance can be built de novo over 5 weeks of rehearsal. Furthermore, activity in premotor and parietal areas during action simulation is enhanced by the ability to execute a learned action irrespective of stimulus familiarity or semantic label.

Adolescent↗
PubMed2005

Tapping, grasping and aiming in ideomotor apraxia.

Very few studies have investigated sensorimotor control in apraxia using tasks that differ in movement complexity. Nevertheless, there is some evidence to suggest that spontaneous behaviour, although relatively preserved, can be rather clumsy or awkward, and that patients with ideomotor apraxia may have subtle kinematic abnormalities in movements made in the laboratory. It remains unclear whether patients with ideomotor apraxia perform normally on movements such as visually guided aiming, that may not depend on higher-order, more cognitive, processes and that are relatively unguided by overlearned contexts. In this study, three different sensorimotor tasks were given to the same sample of patients with quantified apraxic disturbance. Finger tapping, goal-directed grasping and aiming with and without visual feedback were examined in these patients. A clear dissociation was found between grossly impaired gesture imitation and intact motor programming of goal-directed movements with visual feedback. Apraxic patients were, however, impaired on aiming movements without visual feedback, suggesting that apraxia is associated with an increased reliance on integration of online visual information with feedforward/feedback somatosensory and motor signals. Furthermore, patients were impaired on single finger tapping which was a surprisingly good predictor of apraxia severity.

Aged↗
PubMed1997

Simultaneous bilateral thalamic hemorrhages following the administration of intravenous tissue plasminogen activator.

A patient suffered the onset of simultaneous bilateral thalamic hemorrhage several hours after the administration of intravenous tissue plasminogen activator. The patient exhibited features of the paramedian diencephalic syndrome, including executive dysfunction, anterograde amnesia, inattention, and disturbances of visual perception. During rehabilitation, she made significant gains in overlearned activities of daily living tasks, but her inability to retain new information left her severely disabled. The use of intravenous thrombolytic therapy is believed to account for this patient's unusual stroke syndrome. With recent evidence supporting the efficacy of intravenous thrombolysis in acute stroke, patients with multiple hemorrhagic strokes as a result of thrombolysis may become more common on rehabilitation services.

Aged↗
PubMed2000

An ecological approach to planning dysfunction: script execution.

Planning, which concerns many activities in everyday life, is a two-stage process. The first one predetermines a course of actions aimed at achieving some specific goals. It is founded on managerial knowledge or overlearned sequences of events and may be tested by script generation. The second stage entails monitoring and guiding the execution of the plan to a successful conclusion. It must take into account environmental contingencies and may be tested by script execution. If the frontal lobes intervene not only in managerial knowledge (Grafman, 1989) but also in binding the plan with contextual environment (Damasio, Tranel and Damasio, 1991; Shallice and Burgess, 1991), script execution would be more sensitive than script generation to planning deficits. To test this hypothesis, script execution and script generation were compared in 11 patients with a dysexecutive syndrome and 10 matched controls, using three scripts of daily life activities: (1) 'shopping for groceries'; (2) 'cooking'; (3) 'answering a letter and finding the way to post the reply'. Two way ANOVAs showed more errors in execution than in generation, more errors in patients than in controls, and a greater difference between execution and generation in patients than in controls. Furthermore, 'context neglect' and 'environmental adherence' were the two types of errors that best differentiated patients from controls. Finally, the total number of errors in execution correlated with the score on behavioral questionnaires answered by occupational therapists. These results confirm our hypothesis and suggest that script execution may be a valid ecological approach to estimate the severity of deficits in daily life activities.

Activities of Daily Living↗
PubMed2004

Deficits in the evolution of hand preshaping in Parkinson's disease.

Parkinson's disease (PD) results in various types of motor impairments including bradykinesia, tremor and rigidity. Recent research has implicated more fundamental processes at the source of the observed motor deficits. Among these, problems in the sequencing and/or timing of complex movements and in the execution of internally-guided tasks. Furthermore, PD patients exhibit procedural learning deficits which may complicate the interpretation of experimental results of studies involving novel sensorimotor tasks. The reach-to-grasp movement is a complex, overlearned sensorimotor task consisting of two semi-independent components, a relatively simple reach or transport phase and a more complex manipulation or prehension phase. In the present study, we used a novel technique in order to study the evolution of hand preshaping during the reach-to-grasp movement of PD patients and age-matched controls to objects of different shapes in three different spatial locations. Our results indicate that while PD patients are able to specify movement direction as well as controls, their hand preshaping exhibits substantial impairments. Other prehension measures, such as the time to peak aperture (TPA), indicate that PD patients delayed execution of the grasp until visual feedback of their hand was available. Overall, our results suggest that PD patients' internal guidance processes are severely disrupted, having to rely on visual feedback in order to modulate their hand shape to fit the contours of the target objects during a reach-to-grasp movement.

Aged↗
PubMed1997

Retrograde amnesia: a study of its relation to anterograde amnesia and semantic memory deficits.

This group study of 24 amnesic patients and 40 control subjects examined the hypothesis that retrograde memory deficits result from a combination of two impairment mechanisms: (1) a deficit in the retrieval of contents that is related to dysfunctioning of the hippocampal anterograde memory system, and (2) a deficit in the storage and/or retrieval of contents that is related to concomitant neocortical lesions. Retrograde amnesia was evaluated with the use of new Famous Persons and Autobiographical Memory Tests. The postulated components of retrograde memory impairment were assessed using the Wechsler Memory Scale and a new Semantic Memory Test, respectively. Regression analyses showed that recent episodic autobiography was exclusively related to the hippocampal component, while memory for famous persons and childhood autobiography was related to the neocortical component. In the case of details concerning people of recent fame, both components were identified as independent determinants. The temporal gradient of patients' impairment at the Famous Persons Test was marked for detailed knowledge, but small for overlearned knowledge. The present results thus support the combination hypothesis. They conform to the view that the transition from a hippocampus-dependent to a neocortex-dependent mnemonic representation of new contents is mediated by reiteration, and occurs within 5-10 years.

Adult↗
PubMed2004

[Processing of "scripts" and frontal lobe function in Huntington's disease].

According to Norman and Shallice, the basal ganglia are involved in the activation and maintenance of overlearned or routine scripts in action planning. This study aimed to investigate how patients with Huntington disease manipulate scripts. Ten patients with Huntington's disease and 12 normal control subjects matched by age and education were asked to re-establish the sequential order of series of script actions which were given with or without distractor elements (i.e. with or without actions belonging to trivial scripts). Compared with normal controls, patients with Huntington disease made significantly more errors in script sequencing. However there was no significant difference in performance between patients with Huntington disease and normal control subjects in inhibiting irrelevant actions. These results suggest that early Huntington's disease patients exhibit early impairment in their ability to produce temporally coherent sequences without deficit in their ability to eliminate distractors in the action domain. These results support in part the predictions of Norman and Shallice's model. From a neuroanatomical point of view, this dissociation of performance fits with what is known about the neuropathological progression of Huntington's disease in which neuronal loss progresses in a dorsal-to-ventral direction and with what was shown in patients with circumscribed frontal lobe damage. In these patients, impairment in script sequencing is related to lesions in the lateral prefrontal regions.

Adult↗