Complex Motor Sequences Research Articles

A Study of Neurological Soft Signs and Cognition in Schizophrenia.

Neurological soft signs (NSS) are delicate neurological abnormalities that comprise deficits in motor coordination, problems with the sequencing of complex motor acts, and sensory integration difficulties. These are nonspecific with no specific localization in the brain. NSS are found in many patients with Schizophrenia. Cognitive dysfunctions are also present in more than two-thirds of patients with Schizophrenia. This study aims at assessing the NSS and its association with cognitive impairment in patients with Schizophrenia. A total of 100 Schizophrenia patients were included in the study. The Heidelberg scale was used for assessing the NSS. The Montreal Cognitive Assessment Scale(MoCA) for cognitive impairment, the Positive and Negative Syndrome Scale(PANSS) for Schizophrenia, and the Brief Psychiatric Rating Scale (BPRS) were used to assess the severity. Statistical analysis was performed by Pearson's Chi-square test, Kruskal-Wallis test, Wilcoxon rank testsand Spearman rank correlation along with mean and standard deviation. NSS were present in 68% (N=68) of the patients with motor coordination being maximally affected. Cognitive impairment was found in 73% (N=73) of patients with a MoCA score <26. Patients with predominant negative symptoms had higher NSS scores and lower MoCA scores. A "statistically significant" correlation was observed between cognitive impairment and NSS. Most patients with NSS and impaired cognition were in the "markedly ill" category of BPRS. A significant association was observed between cognitive deficits, negative symptoms, and NSS in Schizophrenia.NSS and cognitive dysfunctions are integral parts of Schizophrenia symptomdomains and need to be assessed as the negative symptoms and severity of illness are associated with NSS, especially problems with motor coordination and cognitive dysfunctions.

Timed Sequence Task: A New Paradigm to Study Motor Learning and Flexibility in Mice.

Motor learning and flexibility allow animals to perform routine actions efficiently while keeping them flexible. A number of paradigms are used to test cognitive flexibility, but not many of them focus specifically on the learning of complex motor sequences and their flexibility. While many tests use operant or touchscreen boxes that offer high throughput and reproducibility, the motor actions themselves are mostly simple presses of a designated lever. To focus more on motor actions during the operant task and to probe the flexibility of these well trained actions, we developed a new operant paradigm for mice, the "timed sequence task." The task requires mice to learn a sequence of lever presses that have to be emitted in precisely defined time limits. After training, the required pressing sequence and/or timing of individual presses is modified to test the ability of mice to alter their previously trained motor actions. We provide a code for the new protocol that can be used and adapted to common types of operant boxes. In addition, we provide a set of scripts that allow automatic extraction and analysis of numerous parameters recorded during each session. We demonstrate that the analysis of multiple performance parameters is necessary for detailed insight into the behavior of animals during the task. We validate our paradigm in an experiment using the valproate model of autism as a model of cognitive inflexibility. We show that the valproate mice show superior performance at specific stages of the task, paradoxically because of their propensity to more stereotypic behavior.

Testosterone levels mediate the dynamics of motor oscillatory coding and behavior in developing youth

Recent investigations have studied the development of motor-related oscillatory responses to delineate maturational changes from childhood to young adulthood. While these studies included youth during the pubertal transition period, none have probed the impact of testosterone levels on motor cortical dynamics and performance. We collected salivary testosterone samples and recorded magnetoencephalography during a complex motor sequencing task in 58 youth aged 9–15 years old. The relationships between testosterone, age, task behavior, and beta (15–23 Hz) oscillatory dynamics were examined using multiple mediation modeling. We found that testosterone mediated the effect of age on movement-related beta activity. We also found that the effect of age on movement duration was mediated by testosterone and reaction time. Interestingly, the relationships between testosterone and motor performance were not mediated by beta activity in the left primary motor cortex, which may indicate the importance of higher-order motor regions. Overall, our results suggest that testosterone has unique associations with neural and behavioral indices of complex motor performance, beyond those already characterized in the literature. These findings are the first to link developmental changes in testosterone levels to maturation of beta oscillatory dynamics serving complex motor planning and execution, and specific measures of motor performance.

Neurological and cerebellar soft signs in bipolar disorder: The role of staging, type and history of psychotic symptoms

AimBipolar disorder (BD) patients show neurological abnormalities in form of neurological and cerebellar soft signs (NSS and CSS). NSS represents heterogeneous group of symptoms representing i.a. deficits of motor coordination, sequencing of complex motor acts and sensory integration. CSS were introduced as group of the neurological deficits of posture, gait, kinetic functions, eye movements and speech, associated more specifically to cerebellar abnormalities than NSS. Studies show significant effect size variability of those symptoms in BD group suggesting the existence of differing subpopulations. The aim of our study was to evaluate the effect of BD type, stage and the history of psychotic symptoms (HoPS) on the severity of CSS and NSS as none of the previous studies had verified the role of those categories. MethodsThis study involved 181 participants: 116 euthymic BD patients (66 BD I, 50 BD II) and 65 healthy controls (HC). CSS was assessed with the International Cooperative Ataxia Rating Scale and NSS with Neurological Evaluation Scale. Patients were divided into early and late stage of the disorder according to Kapczinski's criteria. Rater was blind to patients' stage, type and HoPS. ResultsStaging was related to vast majority of CSS and NSS scores. HoPS was related to oculomotor deficits. The effect of BD type was the least significant. Late stage BD showed more severe CSS and NSS than HC in every measure. There were no differences between early stage BD and HC, apart of posture and gait disturbances. Except of sensory integration scores, late stage BD showed higher CSS and NSS rates than early stage patients. ConclusionIn this hitherto the largest study of neurological abnormalities in BD we have shown significant role of staging in CSS and NSS severity. Progression criteria based on inter-episode psychosocial functioning may stand as unrecognised factor responsible for variability observed in previous studies evaluating neurological abnormalities in BD. Our study suggests that in clinical practice NSS and CSS may be potentially used as easy-to-assess biological marker of BD staging. Observed severity of neurological impairments of BD patients may more likely correspond to the disease progression than to BD type and HoPS.

Motor sequences; separating the sequence from the motor. A longitudinal rsfMRI study

In motor learning, sequence specificity, i.e. the learning of specific sequential associations, has predominantly been studied using task-based fMRI paradigms. However, offline changes in resting state functional connectivity after sequence-specific motor learning are less well understood. Previous research has established that plastic changes following motor learning can be divided into stages including fast learning, slow learning and retention. A description of how resting state functional connectivity after sequence-specific motor sequence learning (MSL) develops across these stages is missing. This study aimed to identify plastic alterations in whole-brain functional connectivity after learning a complex motor sequence by contrasting an active group who learned a complex sequence with a control group who performed a control task matched for motor execution. Resting state fMRI and behavioural performance were collected in both groups over the course of 5 consecutive training days and at follow-up after 12 days to encompass fast learning, slow learning, overall learning and retention. Between-group interaction analyses showed sequence-specific decreases in functional connectivity during overall learning in the right supplementary motor area (SMA). We found that connectivity changes in a key region of the motor network, the superior parietal cortex (SPC) were not a result of sequence-specific learning but were instead linked to motor execution. Our study confirms the sequence-specific role of SMA that has previously been identified in online task-based learning studies, and extends it to resting state network changes after sequence-specific MSL.

Speech Fluency Improvement in Developmental Stuttering Using Non-invasive Brain Stimulation: Insights From Available Evidence.

Developmental stuttering (DS) is a disturbance of the normal rhythm of speech that may be interpreted as very debilitating in the most affected cases. Interventions for DS are historically based on the behavioral modifications of speech patterns (e.g., through speech therapy), which are useful to regain a better speech fluency. However, a great variability in intervention outcomes is normally observed, and no definitive evidence is currently available to resolve stuttering, especially in the case of its persistence in adulthood. In the last few decades, DS has been increasingly considered as a functional disturbance, affecting the correct programming of complex motor sequences such as speech. Compatibly, understanding of the neurophysiological bases of DS has dramatically improved, thanks to neuroimaging, and techniques able to interact with neural tissue functioning [e.g., non-invasive brain stimulation (NIBS)]. In this context, the dysfunctional activity of the cortico-basal-thalamo-cortical networks, as well as the defective patterns of connectivity, seems to play a key role, especially in sensorimotor networks. As a consequence, a direct action on the functionality of “defective” or “impaired” brain circuits may help people who stutter to manage dysfluencies in a better way. This may also “potentiate” available interventions, thus favoring more stable outcomes of speech fluency. Attempts aiming at modulating (and improving) brain functioning of people who stutter, realized by using NIBS, are quickly increasing. Here, we will review these recent advancements being applied to the treatment of DS. Insights will be useful not only to assess whether the speech fluency of people who stutter may be ameliorated by acting directly on brain functioning but also will provide further suggestions about the complex and dynamic pathophysiology of DS, where causal effects and “adaptive''/‘‘maladaptive” compensation mechanisms may be strongly overlapped. In conclusion, this review focuses future research toward more specific, targeted, and effective interventions for DS, based on neuromodulation of brain functioning.

Comparison of whole-body sensorimotor skill learning between strength athletes, endurance athletes and healthy sedentary adults

Motor sequences represent an integral part of human motor ability. Apart from simple movement sequences, complex coordinated movement sequences are the building blocks for peak athletic performance. Accordingly, optimized temporal and spatial coordination of muscle action across multiple limbs may be a distinguishing feature between athletes and non-athletes in many sports. In the present study, we aimed to assess differences between strength and endurance athletes and non-athletes during learning of a complex whole-body serial reaction time task (CWB-SRTT). For this purpose, 26 nonathletes (NAG) and 25 athletes (AG) learned the CWB-SRTT over 2 days separated by 7 days. Mean response times of participants were recorded and statistically analyzed for sequence-specific and non-sequence-specific improvements, as well as differences in learning rates and retention. Furthermore, AG was subdivided into strength (SG) and endurance (EG) athletes, and all analysis steps were repeated. Our results show a better mean response time of AG compared to NAG. However, we could not detect differences in sequence-specific or non-sequence-specific learning, as well as different retention rates between NAG and AG or SG and EG. We assume here that a potential lack of motor transfer between general athletic abilities and the specific complex motor sequence mainly accounts for our findings.

A neuronal circuit that generates the temporal motor sequence for the defensive response in zebrafish larvae

Animals use a precisely timed motor sequence to escape predators. This requires the nervous system to coordinate several motor behaviors and execute them in a temporal and smooth manner. We here describe a neuronal circuit that faithfully generates a defensive motor sequence in zebrafish larvae. The temporally specific defensive motor sequence consists of an initial escape and a subsequent swim behavior and can be initiated by unilateral stimulation of a single Mauthner cell (M-cell). The smooth transition from escape behavior to swim behavior is achieved by activating a neuronal chain circuit, which permits an M-cell to drive descending neurons in bilateral nucleus of medial longitudinal fascicle (nMLF) via activation of an intermediate excitatory circuit formed by interconnected hindbrain cranial relay neurons. The sequential activation of M-cells and neurons in bilateral nMLF via activation of hindbrain cranial relay neurons ensures the smooth execution of escape and swim behaviors in a timely manner. We propose an existence of a serial model that executes a temporal motor sequence involving three different brain regions that initiates the escape behavior and triggers a subsequent swim. This model has general implications regarding the neural control of complex motor sequences.

Thalamic control of cortical dynamics in a model of flexible motor sequencing.

SUMMARYThe neural mechanisms that generate an extensible library of motor motifs and flexibly string them into arbitrary sequences are unclear. We developed a model in which inhibitory basal ganglia output neurons project to thalamic units that are themselves bidirectionally connected to a recurrent cortical network. We model the basal ganglia inhibitory patterns as silencing some thalamic neurons while leaving others disinhibited and free to interact with cortex during specific motifs. We show that a small number of disinhibited thalamic neurons can control cortical dynamics to generate specific motor output in a noise-robust way. Additionally, a single “preparatory” thalamocortical network can produce fast cortical dynamics that support rapid transitions between any pair of learned motifs. If the thalamic units associated with each sequence component are segregated, many motor outputs can be learned without interference and then combined in arbitrary orders for the flexible production of long and complex motor sequences.

A comparative study on neurological soft signs in patients suffering from schizophrenia, their first-degree relatives and healthy control

Introduction: Neurological soft signs (NSS) can be defined as a group of minor nonlocalizable neurological abnormalities, including simple motor coordination, complex motor sequencing, and sensory integration dysfunctions. Research has postulated complex etiopathogenesis of schizophrenia which is amalgamation of various genetic, biological, and psychosocial factors. This study provides us opportunity to endorse the neurodevelopmental hypothesis in schizophrenia.Aim: The aim of this study is to study and compare NSS in patients suffering from schizophrenia, first-degree relatives and healthy controls.Methods: A cross-sectional, observational, noninterventional, single time assessment, and hospital-based study was carried out on 60 patients, 60 first-degree relatives, and 60 healthy controls. Evaluation was done using the Positive and Negative Syndrome Scale and the Cambridge Neurological Inventory (Part 2). Results were obtained, tabulated, and analyzed.Results: We observed that patients with schizophrenia had more NSS than healthy control as well as their first-degree relatives. Similarly, first-degree relatives of patients with schizophrenia had more NSS than healthy control. The most common soft sign in patients as well as relatives was Oseretsky test. Most of the patients performed poorly on tests for motor coordination and sensory integration so did their first-degree relatives.Conclusion: NSS can be potential endophenotype for patients suffering from schizophrenia. Patients with schizophrenia had more NSS than healthy control as well as their first-degree relatives. Similarly, first-degree relatives of patients with schizophrenia had more NSS than healthy control. This suggests a role of common genetic and/or environmental factors in the pathogenesis of these abnormalities in the two groups. This is in with support neurodevelopmental hypothesis of schizophrenia.

Neurological Soft Signs and Brain Abnormalities in Schizophrenia: A Literature Review.

Neurological soft signs (NSS) are subtle neurological impairments in sensory integration, motor coordination, balance, and sequencing of complex motor acts. The prevalence of NSS is well over 50% in schizophrenic patients compared to about 5% in healthy controls. About 30% of schizophrenia patients are resistant to treatment. The main reason for not finding better pharmaceutical agents is the inability to elicit the underlying neurophysiological and neuroanatomical basis of schizophrenia. The most common NSS can be divided into three domains: motor coordination, sequencing of complex motor acts, and sensory integration. Here, the neuroimaging correlates of the abovementioned NSS are reviewed. Most of the studies found a negative correlation of NSS subs cores motor coordination and complex motor tasks with the cerebellum, inferior frontal gyrus, and postcentral gyrus. There was a negative correlation between cortical thickness and NSS total scores in the left paracentral lobule, precuneus, middle frontal cortex, right inferior temporal cortex, left/right superior parietal cortex. Instead of considering NSS as a mere trait or state markers, its active inclusion in patient management is required to improve patients' quality of life. Future studies on larger cohorts, combining different imaging modalities are needed to elucidate how these factors might relate to each other and contribute to NSS.

The effect of instruction on motor skill learning.

Many motor skills are learned with the help of instructions. In the context of complex motor sequences, instructions often break down the movement into chunks that can then be practiced in isolation. Thus, instructions shape an initial cognitive representation of the skill, which in turn guides practice. Are there ways of breaking up a motor sequence that are better than others? If participants are instructed in a way that hinders performance, how much practice does it take to overcome the influence of the instruction? To answer these questions, we used a paradigm in which participants were asked to perform finger sequences as fast and accurately as possible on a keyboard-like device. In the initial phases of training, participants had to explicitly remember and practice two- or three-digit chunks. These chunks were then combined to form seven 11-digit sequences that participants practiced for the remainder of the study. Each sequence was broken up into chunks in a way such that the instruction was either aligned or misaligned with the basic execution-level constraints. We found that misaligned chunk instruction led to an initial performance deficit compared with the aligned chunk instruction. Overall, instructions still influenced the temporal pattern of performance after 10 days of subsequent training, with shorter interpress intervals within a chunk compared with between chunks. However, for the misaligned instructed sequences, this temporal pattern was altered more rapidly, such that participants could overcome the induced performance deficit in the last week. At the end of training, participants found idiosyncratic, but interindividually stable, ways of performing each sequence.NEW & NOTEWORTHY Instructions often break down motor sequences into smaller parts, such that they can be more easily remembered. Here, we show that different ways of breaking down a finger sequence can subsequently lead to better or worse performance. The initial instruction still influenced the temporal performance pattern after 10 days of practice. The results demonstrate that the initial cognitive representation of a motor skill strongly influences how a skill is learned and performed.

Neurological Signs at the First Psychotic Episode as Correlates of Long-Term Outcome: Results From the AESOP-10 Study.

Minor neurological signs are subtle deficits in sensory integration, motor coordination, and sequencing of complex motor acts present in excess in the early stages of psychosis. Still, it remains unclear whether at least some of these signs represent trait or state markers for psychosis and whether they are markers of long-term disease outcome of clinical utility. We examined the relationship between neurological function at illness onset assessed with the Neurological Evaluation Scale and subsequent illness course in 233 patients from AESOP-10 (Aetiology and Ethnicity in Schizophrenia and Other Psychoses), a 10-year follow-up study of a population-based cohort of individuals recruited at the time of their first episode of psychosis in the United Kingdom. In 56 of these patients, we also explored changes in neurological function over time. We included a group of 172 individuals without psychosis as controls. After 10 years, 147 (63%) patients had developed a non-remitting course of illness, and 86 (37%) a remitting course. Already at first presentation, patients who developed a non-remitting course had significantly more primary, motor coordination, and total signs than both remitting patients and healthy controls. While Motor Coordination signs did not change over time, rates of Primary, Sensory Integration, and Total signs increased, independently of illness course type. These findings suggest that motor coordination problems could be a useful early, quick, and easily detectable marker of subsequent clinical outcome. With other motor abnormalities, a measure of motor incoordination could contribute to the identification of the most vulnerable individuals, who could benefit from targeted and more assertive treatment approaches.

Multiple caffeine doses maintain vigilance, attention, complex motor sequence expression, and manual dexterity during 77 hours of total sleep deprivation

Sleep deprivation (SD) and fatigue have detrimental effects on performance in operational settings. Few studies have investigated the cumulative effects of SD and fatigue on performance under heavy workload demands. Therefore, we investigated the efficacy of multiple repeated doses of caffeine as a countermeasure to SD and fatigue during 77 h total SD (TSD) during the early morning hours. Twenty-three males and females, 18 – 35 years of age, who identified as moderate caffeine consumers completed the Psychomotor Vigilance Task (PVT) 141 times during the experimental test period. Caffeine was administered in a multi-dose paradigm over three nights without sleep. Participants received either caffeine (200 mg) or placebo at the beginning of each 2-h test block from 0100 – 0900 (800 mg total per night). While PVT speed declined for both groups across all 3 nights, the caffeine group consistently out-performed the placebo group. Caffeine maintained attentiveness (1-5 s lapses) on night 1, but this advantage was lost on nights 2 and 3. Caffeine outperformed placebo for responsive lapses (5-9 s lapses) across all three nights, but caffeine performance was still notably worse than at baseline. Prolonged non-responsive lapses (beyond 10 s) were only reduced by caffeine on night 2. Caffeine was more effective than placebo across all nights at sustaining completion speed of a complex motor sequence task and a manual coordination task. Essentially, caffeine is an effective countermeasure for SD, as it mitigates declines in speed and failures to respond, and sustains motor planning and coordination. However, caffeine does not restore normal functioning during SD and cannot be considered as a replacement for sleep.

Neurological soft signs (NSS) and brain morphology in patients with chronic schizophrenia and healthy controls.

Subtle abnormalities in sensory integration, motor coordination and sequencing of complex motor acts or neurological soft signs (NSS) are characteristic phenomena in patients with schizophrenia at any stage of the illness. Previous MRI studies in schizophrenia found NSS to be associated with cortical, thalamic and cerebellar changes. Since these studies mainly focused on first-episode or recent onset schizophrenia, the cerebral correlates of NSS in chronic schizophrenia remained rather unclear. 49 middle-aged patients with chronic schizophrenia with a mean duration of illness of 20.3 ± 14.0 years and 29 healthy subjects matched for age and sex were included. NSS were examined on the Heidelberg Scale and correlated to grey matter (GM) by using whole brain high resolution magnetic resonance imaging (3 Tesla) with SPM12/CAT12 analyses. As expected, NSS in patients were significantly (p≤0.001) elevated in contrast to healthy controls, a finding, which not only applied to NSS total score, but also to the respective subscales “motor coordination”, “sensory integration”, “complex motor tasks”, “right/left and spatial orientation” and “hard signs”. Within the patient group NSS total scores were significantly correlated to reduced GM in right lingual gyrus, left parahippocampal gyrus, left superior temporal gyrus, left thalamus (medial dorsal nucleus) and left posterior lobe of the cerebellum (declive). Respective negative associations could also be revealed for the subscales “motor coordination”, “complex motor tasks” and “right/left and spatial orientation”. These findings remained significant after FWE-correction for multiple comparisons and were confirmed when years of education, chlorpromazine-equivalents or variables indicating the severity of psychopathology were introduced as additional covariates. According to our results lingual, parahippocampal, superior temporal, inferior and middle frontal gyri, thalamus and cerebellum have to be considered as important sites of NSS in chronic schizophrenia. That these findings only applied for patients but not healthy controls may indicate a different pathogenesis of NSS.

A Novel Application of Levenshtein Distance for Assessment of High-Level Motor Planning Underlying Performance During Learning of Complex Motor Sequences

Few studies have examined high-level motor plans underlying cognitive-motor performance during practice of complex action sequences. These investigations have assessed performance through fairly simple metrics without examining how practice affects the structures of action sequences. By adapting the Levenshtein distance (LD) method to the motor domain, we propose a computational approach to accurately capture performance dynamics during practice of action sequences. Practice performance dynamics were assessed by computing the LD based on the number of insertions, deletions, and substitutions of actions needed to transform any sequence into a reference sequence (having a minimal number of actions to complete the task). Also, combining LD-based performance with mental workload metrics allowed assessment of cognitive-motor efficiency dynamics. This approach was tested on the Tower of Hanoi task. The findings revealed that throughout practice this method could capture: i) action sequence performance improvements as indexed by a reduced LD (decrease of insertions and substitutions), ii) structural modifications of the high-level plans, iii) an attenuation of mental workload, and iv) enhanced cognitive-motor efficiency. This effort complements prior work examining the practice of complex action sequences in healthy adults and has potential for probing cognitive-motor impairment in clinical populations as well as the development/assessment of cognitive robotic controllers.

TO STUDY THE PRESENCE OF NEUROLOGICAL SOFT SIGNS IN CONTROL POPULATION AND TO COMPARE FINDINGS WITH PATIENT POPULATIONS.

Background: The study was conducted at the Mental Health &amp; Hospital, Agra. It is a tertiary referral center and a postgraduate teaching hospital. The hospital has a wide catchments area which includes diagnosis of schizophrenia and bipolar affective disorder.&#x0D; Result: The total number of neurological soft signs present in a subject. Schizophrenia group had the highest number of NSS (mean±SD= 10.43±4.13) then were the bipolar group (mean±SD= 5.63±3.46) and least number of NSS were in control group (mean±SD=1.03±1.73) i.e. bipolar group was intermediate between schizophrenia and control group in terms of total number of positive NSS. Results of one way ANOVA revealed significant group differences F (2, 87) =62.05, p&lt;.01. Games-Howell post hoc comparisons revealed significant differences in Schizophrenia vs Bipolar group (p&lt; .01), Schizophrenia Vs Control group (p&lt; .01) as well as in Bipolar Vs Control group (p&lt; .01) i.e. schizophrenia group had significantly higher number of positive NSS than bipolar and control group. Also bipolar group had significantly higher number of positive NSS than control group.&#x0D; Conclusion: On various subscales of Neurological Evaluation Scale, schizophrenia patients differed from bipolar patients on all the subscale but not on the sequencing of complex motor acts subscale. Neurological Soft Signs are present even during the symptom free period and therefore they are not due to the effects of active illness. Hence, these Neurological Soft Signs in our study may represent a trait like abnormality in both schizophrenia and bipolar disorder.&#x0D; Keywords: Neurology, Schizophrenia, Bipolar Disorder &amp; Sign

Conditioning transcranial magnetic stimulation of ventral premotor cortex shortens simple reaction time

The ventral premotor cortex (PMv) is a key area of the sensorimotor control loop, it subtends complex motor sequences, especially when the hand is involved. However, its specific contribution to simple motor response to sensory cue is still not completely clear. To investigate the role of PMv, we used transcranial magnetic stimulation (TMS) to interfere with its function during a simple reaction time (SRT) task. We ran two experiments where participants were required to respond as fast as possible to a median nerve stimulation (go-signal), while sub-M1-threshold single pulse TMS was delivered either on left (contralateral) PMv or right (ipsilateral to sensory stimulus and motor response) PMv, 5–65 ms after the go-signal. TMS delivered on either PMv up to 25 ms after the go-signal shortened reaction time. This is the time window compatible with the arrive of sensory afferences, as if conditioning before sensory afferences arrive lower the threshold needed to release the pre-planned motor program to the primary motor cortex. This is in line with a putative PMv function of buffer of pre-planned motor program not strictly lateralized in one hemisphere.

Frequency-tagged visual evoked responses track syllable effects in visual word recognition

The processing of syllables in visual word recognition was investigated using a novel paradigm based on steady-state visual evoked potentials (SSVEPs). French words were presented to proficient readers in a delayed naming task. Words were split into two segments, the first of which was flickered at 18.75 Hz and the second at 25 Hz. The first segment either matched (congruent condition) or did not match (incongruent condition) the first syllable. The SSVEP responses in the congruent condition showed increased power compared to the responses in the incongruent condition, providing new evidence that syllables are important sublexical units in visual word recognition and reading aloud. With respect to the neural correlates of the effect, syllables elicited an early activation of a right hemisphere network. This network is typically associated with the programming of complex motor sequences, cognitive control and timing. Subsequently, responses were obtained in left hemisphere areas related to phonological processing.

Trajectory of neurological examination abnormalities in antipsychotic-naïve first-episode psychosis population: a 1 year follow-up study.

Neurological Examination Abnormalities (NES) are quantified by measuring subtle, partially localizable (cerebello-thalamo-prefrontal cortical circuit) and heritable neurological signs comprising sensory integration, motor coordination and complex motor sequencing that are associated with first-episode psychosis (FEP). A few studies have evaluated NES longitudinally and as a predictor for diagnostic and response classification, but these studies have been confounded, underpowered and divergent. We examined (1) baseline and longitudinal NES differences between diagnostic and year 1 response groups; (2) if NES predicts diagnostic and response groups and (3) relationships between clinical variables and NES measures in antipsychotic-naïve FEP. NES and clinical measures were obtained for FEP-schizophrenia (FEP-SZ, n = 232), FEP non-schizophrenia (FEP-NSZ, n = 117) and healthy controls (HC, n = 204). Response groups with >25% improvement in average year 1 positive and negative symptomatology scores were classified as responsive (n = 97) and <25% improvement as non-responsive (n = 95). Analysis of covariance, NES trajectory analysis and logistic regression models assessed diagnostic and response group differences. Baseline and longitudinal NES relationships with clinical variables were performed with Spearman correlations. Data were adjusted for age, sex, race, socioeconomic status and handedness. Cognitive perceptual (COGPER) score was better than repetitive motor (REPMOT) at differentiating FEP-SZ from FEP-NSZ and distinguishing responders from non-responders. We identified significant group-specific associations between COGPER and worse GAF, positive and negative symptomatology and some of these findings persisted at 1-year assessment. NES are an easy to administer, bedside-elicited, endophenotypic measure and could be a cost-effective clinical tool in antipsychotic-naïve FEP.