The Influence of Mirror-Visual Feedback on Training-Induced Motor Performance Gains in the Untrained Hand

The well-documented observation of bilateral performance gains following unilateral motor training, a phenomenon known as cross-limb transfer, has important implications for rehabilitation. It has recently been shown that provision of a mirror image of the active hand during unilateral motor training has the capacity to enhance the efficacy of this phenomenon when compared to training without augmented visual feedback (i.e., watching the passive hand), possibly via action observation effects [1]. The current experiment was designed to confirm whether mirror-visual feedback (MVF) during motor training can indeed elicit greater performance gains in the untrained hand compared to more standard visual feedback (i.e., watching the active hand). Furthermore, discussing the mechanisms underlying any such MVF-induced behavioural effects, we suggest that action observation and the cross-activation hypothesis may both play important roles in eliciting cross-limb transfer. Eighty participants practiced a fast-as-possible two-ball rotation task with their dominant hand. During training, three different groups were provided with concurrent visual feedback of the active hand, inactive hand or a mirror image of the active hand with a fourth control group receiving no training. Pre- and post-training performance was measured in both hands. MVF did not increase the extent of training-induced performance changes in the untrained hand following unilateral training above and beyond those observed for other types of feedback. The data are consistent with the notion that cross-limb transfer, when combined with MVF, is mediated by cross-activation with action observation playing a less unique role than previously suggested. Further research is needed to replicate the current and previous studies to determine the clinical relevance and potential benefits of MVF for cases that, due to the severity of impairment, rely on unilateral training programmes of the unaffected limb to drive changes in the contralateral affected limb

Constitutive expression of the 27-kDa heat shock protein (Hsp27) in sensory and motor neurons of the rat nervous system.

In this study, the constitutive expression of the 27-kDa heat shock protein (Hsp27) in the adult rat central nervous system has been examined by immunohistochemistry and by two-dimensional gel Western blot analysis. Hsp27 immunoreactivity was observed primarily in motoneurons of cranial nerve nuclei and spinal cord, and in primary sensory neurons and their central processes. Also, Hsp27 immunoreactivity was present in neurons of the arcuate nucleus and of the reticular formation. However, only a subset of these neurons was Hsp27-immunoreactive. Most general somatic efferent motoneurons of the hypoglossal nucleus and spinal motor columns and most special visceral efferent motoneurons of the cranial nerve nuclei were Hsp27-positive. In contrast, fewer general somatic efferent motoneurons for eye muscles were Hsp27-positive, and only a small proportion of general visceral efferent neurons, i.e., parasympathetic and sympathetic preganglionic neurons, were stained for Hsp27. Many pseudounipolar sensory neurons were Hsp27-immunoreactive, and the patterns of staining in central sensory nuclei suggested that specific subpopulations of sensory neurons contained Hsp27. The cellular distribution of Hsp27 was uniform throughout the cytoplasm, including the perikaryon, axon and dendrites, the latter often exhibiting varicosities or beading in distal processes. Western blot analyses revealed that at least three phosphorylated isoforms of Hsp27 were present in the spinal cord. These results suggest that constitutively expressed Hsp27 may be related to functional subpopulations of motoneurons and primary sensory neurons