Primary Motor Cortex Area Research Articles

Dopaminergic modulation of the praxis network in Parkinson's disease.

Apraxia is a deficit in central motor planning impairing praxis functions such as gesture production or tool use that affects a substantial number of patients with advanced Parkinson's disease. We investigated the functional connectivity of the praxis network in patients in early stages of Parkinson's disease having an increased risk for apraxia and evaluated the influence of dopaminergic therapy on praxis abilities and related networks.13 patients with mild to moderate Parkinson's disease (ON and OFF dopaminergic therapy) and 13 healthy controls completed a praxis sensitive functional MRI task and apraxia assessments. Functional connectivity analyses included a graph theoretical approach analyzing the global efficiency within the praxis network followed by a seed-to-voxel functional connectivity analysis.Patients in the OFF but not in the ON state showed significantly lower praxis scores than controls. Patients in both states displayed higher global efficiency within the praxis network than controls revealing the bilateral supramarginal gyri as hubs. Seed-to-voxel functional connectivity analyses showed aberrations of right-hemispheric praxis areas in the OFF but not in the ON state. Patients in the ON state exhibited a significantly higher functional connectivity between the supramarginal gyrus and the primary motor cortex, basal ganglia, and frontal areas than in the OFF state.Dopaminergic therapy seems to normalize praxis abilities and related praxis networks in early stages of Parkinson's disease potentially by facilitating the propagation of long-term representations of object-related actions to motor execution areas.

Intra-operative motor function preservation for resection of primary motor cortex meningioma

Background: Resection of meningioma located at primary motor cortex (PMC) is a great challenge to neurosurgeons due to the possibility of motor cortex injury and drainage venous damage during surgery. Here, we presented our experience in resection of PMC meningioma, with the assistance of preoperative multi-model image planning and intraoperative electrophysiological monitor. By these techniques, patients in our study achieved gross tumor resection (GTR) with appropriate motor cortex and drainage venous protection, and the patients recovered well with less neurologic deficits. Methods: Thirty patients of PMC meningioma were selected for the study during January 2014 to December 2015. All the patients were performed head magnetic resonance imaging (MRI), magnetic resonance venography (MRV) and functional MRI scan before surgery, then all the imaging data were transferred to dextroscope workstation for virtual reality (VR) planning, to display the relationship of tumor, drainage venous and motor cortex. During the operation, somatosensory-evoked potentials (SSEP) was firstly used to locate the central sulcus (CS) and define the PMC area. Then the tumors were carefully removed by avoiding damage the cortex and drainage venous. After tumor resection, motor-evoked potentials (MEP) was applied to evaluate the motor function reservation. Results: All the patients received preoperative image planning, and the relationships of tumor, drainage venous and motor cortex were clearly presented. With the application of SSEP monitor, the CS was firstly determined before tumor resection. Twenty-five cases in our study achieved radical resection of Simpson I, and 5 cases were Simpson II resection. After tumor resection, MEP monitor was used to confirm the preservation of motor function. Four patients suffered from moderate muscle strength decrease postoperatively, 10 patients experienced slight muscle strength decrease, while other 16 patients shared normal muscle strength as preoperative status. When discharge, those affected patients were recommended for further movement rehabilitation therapy. Conclusions: Preoperative multi-model image planning and intraoperative electrophysiological monitor are very useful techniques for resection of PMC meningioma. They could help decrease motor cortex damage and protect the drainage venous during surgery, which is much safer and benefit patient for better prognosis.

Locating primary somatosensory cortex in human brain stimulation studies: experimental evidence.

Transcranial magnetic stimulation (TMS) over human primary somatosensory cortex (S1) does not produce immediate outputs. Researchers must therefore rely on indirect methods for TMS coil positioning. The "gold standard" is to use individual functional and structural magnetic resonance imaging (MRI) data, but the majority of studies don't do this. The most common method to locate the hand area of S1 (S1-hand) is to move the coil posteriorly from the hand area of primary motor cortex (M1-hand). Yet, S1-hand is not directly posterior to M1-hand. We localized the index finger area of S1-hand (S1-index) experimentally in four ways. First, we reanalyzed functional MRI data from 20 participants who received vibrotactile stimulation to their 10 digits. Second, to assist the localization of S1-hand without MRI data, we constructed a probabilistic atlas of the central sulcus from 100 healthy adult MRIs and measured the likely scalp location of S1-index. Third, we conducted two experiments mapping the effects of TMS across the scalp on tactile discrimination performance. Fourth, we examined all available neuronavigation data from our laboratory on the scalp location of S1-index. Contrary to the prevailing method, and consistent with systematic review evidence, S1-index is close to the C3/C4 electroencephalography (EEG) electrode locations on the scalp, ~7-8 cm lateral to the vertex, and ~2 cm lateral and 0.5 cm posterior to the M1-hand scalp location. These results suggest that an immediate revision to the most commonly used heuristic to locate S1-hand is required. The results of many TMS studies of S1-hand need reassessment. NEW & NOTEWORTHY Noninvasive human brain stimulation requires indirect methods to target particular brain areas. Magnetic stimulation studies of human primary somatosensory cortex have used scalp-based heuristics to find the target, typically locating it 2 cm posterior to the motor cortex. We measured the scalp location of the hand area of primary somatosensory cortex and found that it is ~2 cm lateral to motor cortex. Our results suggest an immediate revision of the prevailing method is required.

Does TMS Disruption of the Left Primary Motor Cortex Affect Verb Retrieval Following Exposure to Pantomimed Gestures?

Previous research suggests that meaning-laden gestures, even when produced in the absence of language (i.e., pantomimed gestures), influence lexical retrieval. Yet, little is known about the neural mechanisms that underlie this process. Based on embodied cognition theories, many studies have demonstrated motor cortex involvement in the representation of action verbs and in the understanding of actions. The present study aimed to investigate whether the motor system plays a critical role in the behavioral influence of pantomimed gestures on action naming. Continuous theta burst stimulation (cTBS) was applied over the hand area of the left primary motor cortex and to a control site (occipital cortex). An action-picture naming task followed cTBS. In the naming task, participants named action pictures that were preceded by videos of congruent pantomimed gestures, unrelated pantomimed gestures or a control video with no movement (as a neutral, non-gestural condition). In addition to behavioral measures of performance, cTBS-induced changes in corticospinal activity were assessed. We replicated previous finding that exposure to congruent pantomimed gestures facilitates word production, compared to unrelated or neutral primes. However, we found no evidence that the left primary motor area is crucially involved in the mechanism underlying behavioral facilitation effects of gesture on verb production. Although, at the group level, cTBS induced motor cortex suppression, at the individual level we found remarkable variability of cTBS effects on the motor cortex. We found cTBS induction of both inhibition of corticospinal activity (with slower behavioral of responses) and enhancement (with faster behavioral responses). Our findings cast doubt on assumptions that the motor cortex is causally involved in the impact of gestures on action-word processing. Our results also highlight the importance of careful consideration of interindividual variability for the interpretation of cTBS effects.

Cerebral Motor Functional Connectivity at the Acute Stage: An Outcome Predictor of Ischemic Stroke

Sixty-seven patients with first acute ischemic stroke onset between 3 to 7 days and 25 age- and sex- matched controls were analyzed for the performance of a resting-state functional MRI to investigate whether the functional connectivity (FC) of the motor network in acute ischemic stroke is independently associated with functional outcomes. The FC of cortical motor network and default mode network was analyzed. The FC was compared between controls, patients with favorable outcomes (modified Rankin Scale, mRS ≤1), and patients with unfavorable outcomes (mRS ≥2) at 3 months. Of the 67 patients, 23 (34%) exhibited unfavorable outcomes. In multivariate analysis, the FC between ipsilesional primary motor cortex (M1) and contralesional dorsal premotor area (PMd) ≤0.63, were independently associated with unfavorable outcomes (odds ratio = 6.32, P = 0.032), whereas the FC of default mode network was not different between groups. The interhemispheric FC of the motor network is an independent predictor of functional outcomes in patients with acute ischemic stroke.

The BOLD response in primary motor cortex and supplementary motor area during kinesthetic motor imagery based graded fMRI neurofeedback

There is increasing interest in exploring the use of functional MRI neurofeedback (fMRI-NF) as a therapeutic technique for a range of neurological conditions such as stroke and Parkinson's disease (PD). One main therapeutic potential of fMRI-NF is to enhance volitional control of damaged or dysfunctional neural nodes and networks via a closed-loop feedback model using mental imagery as the catalyst of self-regulation. The choice of target node/network and direction of regulation (increase or decrease activity) are central design considerations in fMRI-NF studies. Whilst it remains unclear whether the primary motor cortex (M1) can be activated during motor imagery, the supplementary motor area (SMA) has been robustly activated during motor imagery. Such differences in the regulation potential between primary and supplementary motor cortex are important because these areas can be differentially affected by a stroke or PD, and the choice of fMRI-NF target and grade of self-regulation of activity likely have substantial influence on the clinical effects and cost effectiveness of NF-based interventions. In this study we therefore investigated firstly whether healthy subjects would be able to achieve self-regulation of the hand-representation areas of M1 and the SMA using fMRI-NF training. There was a significant decrease in M1 neural activity during fMRI-NF, whereas SMA neural activity was increased, albeit not with the predicated graded effect. This study has important implications for fMRI-NF protocols that employ motor imagery to modulate activity in specific target regions of the brain and to determine how they may be tailored for neurorehabilitation.

PB11. Long term GABA alterations induced by anodal Transcranial Direct Current Stimulation (tDCS) in motor cortex: A proton magnetic resonance spectroscopy study

Background Transcranial direct current stimulation (tDCS) is a non-invasive technique that modulates excitability of neurons in the motor cortex. In particular, anodal tDCS leads to cortical facilitation and overall increase in excitability ( Nitsche et al., 2000 ). Objective Although the effects of anodal tDCS on modulating motor cortex activation have been reported, there is little evidence of long term reduction of GABA concentration following anodal stimulation. Therefore, to characterize the duration of after effects of primary motor cortex (M1) excitability following anodal stimulation, we performed repeated magnetic resonance spectroscopy (MRS) measurements of GABA for 60 min after the stimulation. Materials and methods Thirty-two right-handed healthy volunteers were recruited in RWTH Aachen University. GABA-edited spectra were acquired using 3 T Siemens scanner from a volume of interest of 3 × 3 × 3 cm (27 mL) carefully placed on the hand motor area of the left primary motor cortex [ Fig. 1 ]. MEGA-PRESS J-editing ( Mescher et al., 1998 ), was used for GABA detection. Data processing and quantification of spectra was performed with TARQUIN ( Wilson et al., 2011 ). Results An ANOVA was performed on percentage of GABA concentrations with stimulation (sham vs. anodal) and measurement (12 measurements: 2 pre-stimulation and 10 post-stimulation measurements taken every 6 min) as between- and within-participants factors. The main effects of stimulation was not significant F(1, 30) = 1.157, p = .291. However, main effect of measurement was significant F(11, 330) = 2.378 p = .008. Remarkably, the interaction of stimulation x measurement was significant F(11, 330) = 2.249, p = .0128 [ Fig. 2 ]. GABA concentration decreased significantly in the anodal stimulation group at first (20th minute) post-stimulation measurement, and then stayed the same at measurements eighth, ninth and tenth ts (3) Discussion and conclusion Our results revealed a significant early drop of GABA concentration within 20 min following anodal stimulation and late drop of GABA after 66th minutes until the last post stimulation measurement (86th min). Early and late decrease in GABA could be due to a decrease of activity of glutamic acid decarboxylase (GAD) 67 and long term depression like plasticity, respectively. This technique may open a new field of application for long-lasting neuroplastic induction, especially in the rehabilitation of stroke patients.

Decoding hindlimb kinematics from primate motor cortex using long short-term memory recurrent neural networks.

Recent machine learning techniques have become a powerful tool in a variety of tasks, including neural decoding. Deep neural networks, particularly recurrent models, leverage the temporal evolution of neural ensemble activity to decode complex movement and sensory signals. Using single-unit recordings from microelectrode arrays implanted in the leg area of primary motor cortex in non-human primates, we decode the positions and angles of hindlimb joints during a locomotion task using a long short-term memory (LSTM) network. The LSTM decoder improved decoding over traditional filtering methods, such as Wiener and Kalman filters. However, dramatic improvements over other machine learning (e.g. XGBoost) and latent state-space methods were not observed.

TMS Motor Thresholds Correlate With TDCS Electric Field Strengths in Hand Motor Area.

Transcranial direct current stimulation (TDCS) modulates cortical activity and influences motor and cognitive functions in both healthy and clinical populations. However, there is large inter-individual variability in the responses to TDCS. Computational studies have suggested that inter-individual differences in cranial and brain anatomy may contribute to this variability via creating varying electric fields in the brain. This implies that the electric fields or their strength and orientation should be considered and incorporated when selecting the TDCS dose. Unfortunately, electric field modeling is difficult to perform; thus, a more-robust and practical method of estimating the strength of TDCS electric fields for experimental use is required. As recent studies have revealed a relationship between the sensitivity to TMS and motor cortical TDCS after-effects, the aim of the present study was to investigate whether the resting motor threshold (RMT), a simple measure of transcranial magnetic stimulation (TMS) sensitivity, would be useful for estimating TDCS electric field strengths in the hand area of primary motor cortex (M1). To achieve this, we measured the RMT in 28 subjects. We also obtained magnetic resonance images from each subject to build individual three-dimensional anatomic models, which were used in solving the TDCS and TMS electric fields using the finite element method (FEM). Then, we calculated the correlation between the measured RMT and the modeled TDCS electric fields. We found that the RMT correlated with the TDCS electric fields in hand M1 (R2 = 0.58), but no obvious correlations were identified in regions outside M1. The found correlation was mainly due to a correlation between the TDCS and TMS electric fields, both of which were affected by individual's anatomic features. In conclusion, the RMT could provide a useful tool for estimating cortical electric fields for motor cortical TDCS.

T113. The changes in motor cortex localisation and organisation in motor eloquent tumorous brain lesions detected by navigated transcranial magnetic stimulation

Introduction Navigated transcranial magnetic stimulation (nTMS) is non invasive method to map the motor cortex including primary motor cortex (PrG - precentral gyrus) and premotor areas (PMa). This study aimed to investigate whether tumorous brain lesion induce a change in motor cortex localization or organisation investigated by nTMS. Methods We enrolled 10 patients with intraaxial motor tumor (gliomas). All patients underwent preoperative navigational MRI folowed by nTMS. Both lesional and non lesional hemispheres were stimulated. MEPs were recorded by EMG. The measured muscle was APB. MEPs latency for each positive stimulation point was measured. The surface of positive stimulation areas on the cortex were calculated for both hemispheres and results were compared. Results The positive MEPs responses were registered from PrG as well as from PMa with different latencies. There were mosaic distribution of short and long latencies of MEPs responses without dependence on the location in the PrG or PMa in both hemispheres. The positive motor area distributions were significantly larger from lesional than for non lesional hemisphere for both PrG and PMa areas (PrG lesional vs. non lesional surface = 947 mm2 vs. 393 mm2, PMa lesional vs. non lesional surface = 620 mm2 vs. 545 mm2). Conclusion The intraaxial motor eloquent tumors induce changes in motor cortex. The motor areas spread widely in the anterior-posterior direction in lesional hemisphere. The localisation short latencies found in PMa suggesting for detection of primary motor areas outside the PrG. This study was supported by the Charles University Research Fund Progress Q 39.

Brain Electrodynamic and Hemodynamic Signatures Against Fatigue During Driving.

Fatigue is likely to be gradually cumulated in a prolonged and attention-demanding task that may adversely affect task performance. To address the brain dynamics during a driving task, this study recruited 16 subjects to participate in an event-related lane-departure driving experiment. Each subject was instructed to maintain attention and task performance throughout an hour-long driving experiment. The subjects' brain electrodynamics and hemodynamics were simultaneously recorded via 32-channel electroencephalography (EEG) and 8-source/16-detector functional near-infrared spectroscopy (fNIRS). The behavior performance demonstrated that all subjects were able to promptly respond to lane-deviation events, even if the sign of fatigue arose in the brain, which suggests that the subjects were fighting fatigue during the driving experiment. The EEG event-related analysis showed strengthening alpha suppression in the occipital cortex, a common brain region of fatigue. Furthermore, we noted increasing oxygenated hemoglobin (HbO) of the brain to fight driving fatigue in the frontal cortex, primary motor cortex, parieto-occipital cortex and supplementary motor area. In conclusion, the increasing neural activity and cortical activations were aimed at maintaining driving performance when fatigue emerged. The electrodynamic and hemodynamic signatures of fatigue fighting contribute to our understanding of the brain dynamics of driving fatigue and address driving safety issues through the maintenance of attention and behavioral performance.

Corticocortical projections to area 1 in squirrel monkeys (Saimiri sciureus).

Cortical area 1 is a non-primary somatosensory area in the primate anterior parietal cortex that is critical to tactile discrimination. The corticocortical projections to area 1 in squirrel monkeys were determined by placing multiple injections of anatomical tracers into separate body part representations defined by multiunit microelectrode mapping in area 1. The pattern of labeled cells in the cortex indicated that area 1 has strong intrinsic connections within each body part representation and has inputs from somatotopically matched regions of areas 3b, 3a, 2 and 5. Somatosensory areas in the lateral sulcus, including the second somatosensory area (S2), the parietal ventral area (PV), and the presumptive parietal rostral (PR) and ventral somatosensory (VS) areas, also project to area 1. Topographically organized projections to area 1 also came from the primary motor cortex (M1), the dorsal and ventral premotor areas (PMd and PMv), and the supplementary motor area (SMA). Labeled cells were also found in cingulate motor and sensory areas on the medial wall of the hemisphere. Previous studies revealed a similar pattern of projections to area 1 in Old World macaque monkeys, suggesting a pattern of cortical inputs to area 1 that is common across anthropoid primates.

Structural changes in hand related cortical areas after median nerve injury and repair

Transection of the median nerve typically causes lifelong restriction of fine sensory and motor skills of the affected hand despite the best available surgical treatment. Inspired by recent findings on activity-dependent structural plasticity of the adult brain, we used voxel-based morphometry to analyze the brains of 16 right-handed adults who more than two years earlier had suffered injury to the left or right median nerve followed by microsurgical repair. Healthy individuals served as matched controls. Irrespective of side of injury, we observed gray matter reductions in left ventral and right dorsal premotor cortex, and white matter reductions in commissural pathways interconnecting those motor areas. Only left-side injured participants showed gray matter reduction in the hand area of the contralesional primary motor cortex. We interpret these effects as structural manifestations of reduced neural processing linked to restrictions in the diversity of the natural manual dexterity repertoire. Furthermore, irrespective of side of injury, we observed gray matter increases bilaterally in a motion-processing visual area. We interpret this finding as a consequence of increased neural processing linked to greater dependence on vision for control of manual dexterity after median nerve injury because of a compromised somatosensory innervation of the affected hand.

Cell based therapy enhances activation of ventral premotor cortex to improve recovery following primary motor cortex injury

Stroke results in enduring damage to the brain which is accompanied by innate neurorestorative processes, such as reorganization of surviving circuits. Nevertheless, patients are often left with permanent residual impairments. Cell based therapy is an emerging therapeutic that may function to enhance the innate neurorestorative capacity of the brain. We previously evaluated human umbilical tissue-derived cells (hUTC) in our non-human primate model of cortical injury limited to the hand area of primary motor cortex. Injection of hUTC 24 h after injury resulted in significantly enhanced recovery of fine motor function compared to vehicle treated controls (Moore et al., 2013). These monkeys also received an injection of Bromodeoxyuridine (BrdU) 8 days after cortical injury to label cells undergoing replication. This was followed by 12 weeks of behavioral testing, which culminated 3 h prior to perfusion in a final behavioral testing session using only the impaired hand. In this session, the neuronal activity initiating hand movements leads to the upregulation of the immediate early gene c-Fos in activated cells. Following perfusion-fixation of the brain, sections were processed using immunohistochemistry to label c-Fos activated cells, pre-synaptic vesicle protein synaptophysin, and BrdU labeled neuroprogenitor cells to investigate the hypothesis that hUTC treatment enhanced behavioral recovery by facilitating reorganization of surviving cortical tissues. Quantitative analysis revealed that c-Fos activated cells were significantly increased in the ipsi- and contra-lesional ventral premotor but not the dorsal premotor cortices in the hUTC treated monkeys compared to placebo controls. Furthermore, the increase in c-Fos activated cells in the ipsi- and contra-lesional ventral premotor cortex correlated with a decrease in recovery time and improved grasp topography. Interestingly, there was no difference between treatment groups in the number of synaptophysin positive puncta in either ipsi- or contra-lesional ventral or dorsal premotor cortices. Nor was there a significant difference in the density of BrdU labeled cells in the subgranular zone of the hippocampus or the subventricular zone of the lateral ventricle. These findings support the hypothesis that hUTC treatment enhances the capacity of the brain to reorganize after cortical injury and that bilateral plasticity in ventral premotor cortex is a critical locus for this recovery of function. This reorganization may be accomplished through enhanced activation of pre-existing circuits within ventral premotor, but it could also reflect ventral premotor projections to the brainstem or spinal cord.

Motor imagery of voluntary muscle relaxation of the foot induces a temporal reduction of corticospinal excitability in the hand

The object of this study was to clarify how the motor imagery of foot muscle relaxation influences corticospinal excitability for the ipsilateral hand. Twelve participants volitionally relaxed their right foot from a dorsiflexed position (actual relaxation), or imaged the same movement (imagery relaxation) in response to an auditory cue. Transcranial magnetic stimulation (TMS) was delivered to the hand area of the left primary motor cortex at different time intervals after an auditory cue. Motor evoked potentials (MEPs) were recorded from the right extensor carpi radialis (ECR) and flexor carpi radialis (FCR). MEP amplitudes of ECR and FCR caused by single-pulse TMS temporarily decreased during both actual relaxation and imagery relaxation as compared with those of the resting control. A correlation of MEP amplitude between actual relaxation and imagery relaxation was observed. Our findings indicate that motor imagery of muscle relaxation of the foot induced a reduction of corticospinal excitability in the ipsilateral hand muscles. This effect is likely produced via the same mechanism that functions during actual muscle relaxation.

Altered functional connectivity of the subthalamic nucleus during self-initiated movement in Parkinson's disease

Background and purposePatients with Parkinson's disease (PD) have difficulty performing self-initiated movements. The neural mechanism of this deficiency remains unclear. In the present study, we used functional magnetic resonance imaging (fMRI) to investigate the functional connectivity of the subthalamic nucleus (STN) during self-initiated movement in patients with PD. Materials and methodsfMRI were acquired from patients with PD and age- and sex-matched healthy control subjects during a self-initiated right hand tapping task. We selected the bilateral sensorimotor subregions of the STN as regions of interest for our connectivity analysis. Results and conclusionsWe found that the STN contralateral to voluntary hand movement exhibited enhanced connectivity with the midbrain, thalamus, putamen, and so on in patients with PD compared to control subjects. In contrast, the STN ipsilateral to the hand movement exhibited enhanced connectivity with the midbrain and insula in PD patients compared to control subjects. Connectivity between the STN contralateral to the hand movement and the primary motor cortex and supplementary motor area was positively correlated with the severity of bradykinesia. Our findings suggest that STN-related connectivity in the hyperdirect and indirect basal ganglia pathways is strengthened during self-initiated movement in patients with PD. These disrupted network connections may contribute to bradykinesia.

Information processing from the motor cortices to the subthalamic nucleus and globus pallidus and their somatotopic organizations revealed electrophysiologically in monkeys.

To understand how the information derived from different motor cortical areas representing different body parts is organized in the basal ganglia, we examined the neuronal responses in the subthalamic nucleus (STN), and the external (GPe) and internal (GPi) segments of the globus pallidus (input, relay and output nuclei, respectively) to stimulation of the orofacial, forelimb and hindlimb regions of the primary motor cortex (MI) and supplementary motor area (SMA) in macaque monkeys under the awake state. Most STN and GPe/GPi neurons responded exclusively to stimulation of either the MI or SMA, and one‐fourth to one‐third of neurons responded to both. STN neurons responding to the hindlimb, forelimb and orofacial regions of the MI were located along the medial–lateral axis in the posterolateral STN, while neurons responding to the orofacial region of the SMA were located more medially than the others in the anteromedial STN. GPe/GPi neurons responding to the hindlimb, forelimb and orofacial regions of the MI were found along the dorsal–ventral axis in the posterolateral GPe/GPi, and neurons responding to the corresponding regions of the SMA were similarly but less clearly distributed in more anteromedial regions. Moreover, neurons responding to the distal and proximal forelimb MI regions were found along the lateral–medial axis in the STN and the ventral–dorsal axis in the GPe/GPi. Most STN and GPe/GPi neurons showed kinaesthetic responses with similar somatotopic maps. These observations suggest that the somatotopically organized inputs from the MI and SMA are well preserved in the STN and GPe/GPi with partial convergence.

EEG electrode selection method based on BPSO with channel impact factor for acquisition of significant brain signal

A brain–computer interface (BCI) based on motor imagery is a system that transforms a subject's intentions into control signals by classifying electroencephalograph (EEG) signals obtained from imagining the movement of a subject's limbs. On imagining a limb's movement, the primary motor cortex area is prominently activated. For our new paradigm, however, we do not know which positions are activated or not. In that case, a simple approach is to use as many electrodes as possible. The problem is that using many electrodes also causes other problems. When applying a common spatial pattern (CSP), which is an EEG extraction method, using many electrodes causes an overfitting problem. In addition, there is difficulty using this technique for medical analysis. To overcome these problems, we suggest an optimal electrode selection method using binary particle swarm optimization (BPSO) with a channel impact factor. We examined optimal selected electrodes among all electrodes using four optimization methods and compared the classification accuracy and the number of selected electrodes between BPSO, BPSO with a channel impact factor, a genetic algorithm (GA), and a harmony search (HS) using a support vector machine (SVM). The results showed that BPSO with a channel impact factor selected five fewer electrodes and even improved accuracy by 20.4% compared with HS, GA, and BPSO.

Cortical disconnection of the ipsilesional primary motor cortex is associated with gait speed and upper extremity motor impairment in chronic left hemispheric stroke.

Advances in neuroimaging have enabled the mapping of white matter connections across the entire brain, allowing for a more thorough examination of the extent of white matter disconnection after stroke. To assess how cortical disconnection contributes to motor impairments, we examined the relationship between structural brain connectivity and upper and lower extremity motor function in individuals with chronic stroke. Forty-three participants [mean age: 59.7 (±11.2) years; time poststroke: 64.4 (±58.8) months] underwent clinical motor assessments and MRI scanning. Nonparametric correlation analyses were performed to examine the relationship between structural connectivity amid a subsection of the motor network and upper/lower extremity motor function. Standard multiple linear regression analyses were performed to examine the relationship between cortical necrosis and disconnection of three main cortical areas of motor control [primary motor cortex (M1), premotor cortex (PMC), and supplementary motor area (SMA)] and motor function. Anatomical connectivity between ipsilesional M1/SMA and the (1) cerebral peduncle, (2) thalamus, and (3) red nucleus were significantly correlated with upper and lower extremity motor performance (P ≤ 0.003). M1-M1 interhemispheric connectivity was also significantly correlated with gross manual dexterity of the affected upper extremity (P = 0.001). Regression models with M1 lesion load and M1 disconnection (adjusted for time poststroke) explained a significant amount of variance in upper extremity motor performance (R2 =0.36-0.46) and gait speed (R2 =0.46), with M1 disconnection an independent predictor of motor performance. Cortical disconnection, especially of ipsilesional M1, could significantly contribute to variability seen in locomotor and upper extremity motor function and recovery in chronic stroke. Hum Brain Mapp 39:120-132, 2018. © 2017 Wiley Periodicals, Inc.

Corticospinal excitability for hand muscles during motor imagery of foot changes with imagined force level.

The object of this study was to clarify whether corticospinal excitability controlling hand muscles changes concurrently with increases in the imagined contraction level of foot dorsiflexion. Twelve participants performed actual and imagined dorsiflexion of their right foot at three different EMG levels (10, 40 or 80% of the maximum voluntary contraction). During isometric actual- or imagined- dorsiflexion, transcranial magnetic stimulation (TMS) was delivered to the right hand area of the left primary motor cortex. Motor evoked potentials (MEPs) were recorded from the right extensor carpi radialis (ECR) and flexor carpi radialis (FCR). During actual contraction, MEP amplitudes of ECR and FCR increased with an increased EMG level of dorsiflexion. Similarly, during imagery contraction, MEP amplitudes of ECR and FCR increased with the intensity of imagery contraction. Furthermore, a correlation between MEP amplitude during actual contraction and imagery contraction was observed for both ECR and FCR. Motor imagery of foot contraction induced an enhancement of corticospinal excitability for hand muscles that was dependent on the imagined contraction levels, just as what was observed when there was an actual contraction.