Brain activation during execution and motor imagery of novel and skilled sequential hand movements.

This experiment used functional magnetic resonance imaging (fMRI) to compare functional neuroanatomy associated with executed and imagined hand movements in novel and skilled learning phases. We hypothesized that 1 week of intensive physical practice would strengthen the motor representation of a hand motor sequence and increase the similarity of functional neuroanatomy associated with executed and imagined hand movements. During fMRI scanning, a right-hand self-paced button press sequence was executed and imagined before (NOVEL) and after (SKILLED) 1 week of intensive physical practice (n = 54; right-hand dominant). The mean execution rate was significantly faster in the SKILLED (3.8 Hz) than the NOVEL condition (2.5 Hz) (P < 0.001), but there was no difference in execution errors. Activation foci associated with execution and imagery was congruent in both the NOVEL and SKILLED conditions, though activation features were more similar in the SKILLED versus NOVEL phase. In the NOVEL phase, activations were more extensive during execution than imagery in primary and secondary cortical motor volumes and the cerebellum, while during imagery activations were greater in the striatum. In the SKILLED phase, activation features within these same volumes became increasingly similar for execution and imagery, though imagery more heavily activated premotor areas, inferior parietal lobe, and medial temporal lobe, while execution more heavily activated the precentral/postcentral gyri, striatum, and cerebellum. This experiment demonstrated congruent activation of the cortical and subcortical motor system during both novel and skilled learning phases, supporting the effectiveness of motor imagery-based mental practice techniques for both the acquisition of new skills and the rehearsal of skilled movements

Brain Activation in Primary Motor and Somatosensory Cortices during Motor Imagery Correlates with Motor Imagery Ability in Stroke Patients

Aims. While studies on healthy subjects have shown a partial overlap between the motor execution and motor imagery neural circuits, few have investigated brain activity during motor imagery in stroke patients with hemiparesis. This work is aimed at examining similarities between motor imagery and execution in a group of stroke patients. Materials and Methods. Eleven patients were asked to perform a visuomotor tracking task by either physically or mentally tracking a sine wave force target using their thumb and index finger during fMRI scanning. MIQ-RS questionnaire has been administered. Results and Conclusion. Whole-brain analyses confirmed shared neural substrates between motor imagery and motor execution in bilateral premotor cortex, SMA, and in the contralesional inferior parietal lobule. Additional region of interest-based analyses revealed a negative correlation between kinaesthetic imagery ability and percentage BOLD change in areas 4p and 3a; higher imagery ability was associated with negative and lower percentage BOLD change in primary sensorimotor areas during motor imagery

An fMRI Study of Command Following and Communication Using Overt and Covert Motor Responses: Implications for Disorders of Consciousness

We used functional magnetic resonance imaging (fMRI) to explore neural mechanisms of command following or communicating using executed or imagined movements, in order to understand why most covertly aware patients cannot communicate. 15 healthy participants executed or imagined arm movements that were either selected by them or pre-determined. We also explored non-volitional motor activity by passively moving participants. Response selection involved greater activity in high-level associative areas in frontal and parietal regions than following commands. Furthermore, there was no interaction between response and modality. Neural activity during passive movement exceeded that of active (volitional) movement in sensorimotor regions. Our results suggest that the ability to select between motor responses is not dependent on how that response is expressed (via motor execution/imagery). They also suggest a potential neural basis of the distinction in cognitive abilities seen in DOCs. Finally, passive movement could be applied to study unresponsive patients’ motor systems

Cervical dystonia : abnormal cerebral activation patterns related to preparation and execution of hand movement

Cervical dystonia (CD) is a movement disorder characterized by sustained involuntary muscular contractions which cause repetitive twisting movements and abnormal postures of the head. CD is primarily a brain disorder. Several studies show that CD patients have abnormal brain activity not only during movement execution but also movement preparation. An important area for movement preparation is the parietal cortex where sensory information is integrated in the movement preparation plan. In CD, this parietal cortex seems to function abnormally since extra sensory information (by touching the chin or cheek) can temporarily reduce dystonia. This thesis investigated execution and preparation of movement in CD and healthy controls by letting the subjects perform and imagine a flexion/ extension movement in a normal, non-dystonic hand. Imagination of movement activates specific brain areas which are related to preparation of movement. Both tasks showed lower parietal cortex activity in CD compared to healthy controls. Induced impairment of the parietal cortex by transcranial magnetic stimulation (TMS) in healthy controls showed specific brain activation changes that were similar to brain activation patterns in CD patients without TMS. Parietal cortex TMS in CD reduced the already low activity even further and increased activity in other brain regions. These results confirm that the parietal cortex is impaired in CD. This functional impairment seems to be compensated by other brain regions during movement in normal, non-dystonic body parts. However, the electromyography study in this thesis showed that full compensation is not reached, although visually the movement looked normal. Execution of a flexion/ extension movement of a normal, non-dystonic hand in CD patients demonstrated lower muscle strength during wrist flexion and longer muscle activation during wrist extension. Nevertheless, in CD other factors besides impaired compensation mechanisms may be in play to undermine the neck movements in CD patients in such a way that it becomes dystonic.

Handedness impacts the neural correlates of kinesthetic motor imagery and execution: A FMRI study

The human brain functional lateralization has been widely studied over the past decades, and neuroimaging studies have shown how activation of motor areas during hand movement execution (ME) is different according to hand dominance. Nevertheless, there is no research directly investigating the effects of the participant's handedness in a motor imagery (MI) and ME task in both right and left‐handed individuals at the cortical and subcortical level. Twenty‐six right‐handed and 25 left‐handed participants were studied using functional magnetic resonance imaging during the imagination and execution of repetitive self‐paced movements of squeezing a ball with their dominant, non‐dominant, and both hands. Results revealed significant statistical difference (p < 0.05) between groups during both the execution and the imagery task with the dominant, non‐dominant, and both hands both at cortical and subcortical level. During ME, left‐handers recruited a spread bilateral network, while in right‐handers, activity was more lateralized. At the critical level, MI between‐group analysis revealed a similar pattern in right and left‐handers showing a bilateral activation for the dominant hand. Differentially at the subcortical level, during MI, only right‐handers showed the involvement of the posterior cerebellum. No significant activity was found for left‐handers. Overall, we showed a partial spatial overlap of neural correlates of MI and ME in motor, premotor, sensory cortices, and cerebellum. Our results highlight differences in the functional organization of motor areas in right and left‐handed people, supporting the hypothesis that MI is influenced by the way people habitually perform motor actions

Direct Instrumental Conditioning of Neural Activity Using Functional Magnetic Resonance Imaging-Derived Reward Feedback

Successful learning is often contingent on feedback. In instrumental conditioning, an animal or human learns to perform specific responses to obtain reward. Instrumental conditioning is often used by behavioral psychologists to train an animal (or human) to produce a desired behavior. Shaping involves reinforcing those behaviors, which in a stepwise manner are successively closer to the desired behavior until the desired behavior is reached. Here, we aimed to extend this traditional approach to directly shape neural activity instead of overt behavior. To achieve this, we scanned 22 human subjects with functional magnetic resonance imaging and performed image processing in parallel with acquisition. We delineated regions of interest (ROIs) in finger and toe motor/somatosensory regions and used an instrumental shaping procedure to induce a regionally specific increase in activity by providing an explicit monetary reward to reinforce neural activity in the target areas. After training, we found a significant and regionally specific increase in activity in the ROI being rewarded (finger or toe) and a decrease in activity in the nonrewarded region. This demonstrates that instrumental conditioning procedures can be used to directly shape neural activity, even without the production of an overt behavioral response. This procedure offers an important alternative to traditional biofeedback-based approaches and may be useful in the development of future therapies for stroke and other brain disorders

The dissociation between command following and communication in disorders of consciousness: An fMRI study in healthy subjects

Neuroimaging studies have identified a subgroup of patients with a Disorder of Consciousness (DOC) who, while being behaviorally non-responsive, are nevertheless able to follow commands by modulating their brain activity in motor imagery (MI) tasks. These techniques have even allowed for binary communication in a small number of DOC patients. However, the majority of patients who can follow commands are unable to use their responses to communicate. A similar dissociation between present command following (CF) and absent communication abilities has been reported in overt behavioral assessments. However, the neural correlates of this dissociation in both overt and covert modalities are unknown. Here, we used functional magnetic resonance imaging (fMRI) to explore the neural mechanisms underlying CF and selection of responses for binary communication using either executed or imagined movements. Fifteen healthy participants executed or imagined two different types of arm movements that were either pre-determined by the experimenters (CF) or decided by them (action selection, AS). Action selection involved greater activity in high-level associative areas in frontal and parietal regions than CF. Additionally, motor execution (ME), as compared to MI, activated contralateral motor cortex, while the opposite contrast revealed activation in the ipsilateral sensorimotor cortex and the left inferior frontal gyrus. Importantly, there was no interaction between the task (CF/AS) and modality (MI/ME). Our results suggest that the neural processes involved in following a motor command or selecting between two motor actions are not dependent on how the response is expressed (via ME/MI). They also suggest a potential neural basis for the distinction in cognitive abilities seen in DOC patients