Passive Stimulation Research Articles

Volition diminishes genetically mediated amygdala hyperreactivity

Individuals carrying the short allele of a common polymorphism in the promoter region of the serotonin transporter gene (5-HTTLPR) exhibit heightened amygdala responses to passive stimulation with aversive emotional material. In turn, the level of amygdala activation in response to emotion can be decreased by will, for example by using cognitive emotion regulation strategies. In the present study, 37 female subjects (s-carriers: n=21; l/l-homozygotes: n=16) performed an emotion regulation task during functional magnetic resonance imaging to determine whether cognitive emotion regulation can modulate the genetically determined amygdala hyperreactivity in 5-HTTLPR short allele carriers. Our results demonstrate that cognitive emotion regulation diminishes the difference in amygdala reactivity to threat-related stimuli between 5-HTTLPR genotype groups. Furthermore, we also provide evidence that the effect of cognitive regulation is mediated through altered coupling between the amygdala and prefrontal regulatory regions. Our findings demonstrate that while the presence of the 5-HTTLPR short allele leads to heightened responses in the amygdala, cognitive regulation can modify genetically mediated effects upon brain function by volitionally altering prefrontal-amygdala connectivity.

A new MRI-compatible devive for passive sensorimotor stimulation in newborns

A new MRI-compatible devive for passive sensorimotor stimulation in newborns

Different neural strategies for multimodal integration: comparison of two macaque monkey species

The integration of neck proprioceptive and vestibular inputs underlies the generation of accurate postural and motor control. Recent studies have shown that central mechanisms underlying the integration of these sensory inputs differ across species. Notably, in rhesus monkey (Macaca mulata), an Old World monkey, neurons in the vestibular nuclei are insensitive to passive stimulation of neck proprioceptors. In contrast, in squirrel monkey, a New World monkey, stimulation produces robust modulation. This has led to the suggestion that there are differences in how sensory information is integrated during self-motion in Old versus New World monkeys. To test this hypothesis, we recorded from neurons in the vestibular nuclei of another species in the Macaca genus [i.e., M. fascicularis (cynomolgus monkey)]. Recordings were made from vestibular-only (VO) and position-vestibular-pause (PVP) neurons. The majority (53%) of neurons in both groups were sensitive to neck proprioceptive and vestibular stimulation during passive body-under-head and whole-body rotation, respectively. Furthermore, responses during passive rotations of the head-on-body were well predicted by the linear summation of vestibular and neck responses (which were typically antagonistic). During active head movement, the responses of VO and PVP neurons were further attenuated (relative to a model based on linear summation) for the duration of the active head movement or gaze shift, respectively. Taken together, our findings show that the brain's strategy for the central processing of sensory information can vary even within a single genus. We suggest that similar divergence may be observed in other areas in which multimodal integration occurs.

Cortical Activity after Emotional Visual Stimulation in Minimally Conscious State Patients

Little is known about the propensity for certain emotional stimuli, such as historically familiar pictures, to activate a large neural network in patients exhibiting a minimally conscious state (MCS). A study was conducted in nine MCS patients and 10 healthy control subjects to explore the degree to which passive stimulation of pictures with different emotional valences--intimate family pictures (FPs), high-stimulating pictures (HSPs), and medium-stimulating pictures (MSPs), all selected from the International Affective Picture System (IAPS)--could elicit activation of large-scale visual networks during functional magnetic resonance imaging (fMRI) scaning. Good cortical activity was evoked in control subjects through visual networks, including the occipital, temporal, parietal, prefrontal, and orbito-frontal gyrus. Although the activation volume was less than that of normal control subjects, similar visual activation was found for MCS patients: six cases with FP, two cases with HSP, and three cases with MSP. We concluded that MCS patients can retain widely distributed visual cortical networks with the potential for visual cognitive function. Picture stimulation, especially with strong emotional FPs with which patients were familiar before brain injury, can elicit conscious brain activity. In this study, we have provided further evidence of the residual functional substrates in MCS patients with respect to increased cortical activity with emotional visual stimulation. The results of this study underscore the need for further research to confirm whether this type of stimulation can facilitate emergence from the MCS status.

Early, low-level auditory-somatosensory multisensory interactions impact reaction time speed

Several lines of research have documented early-latency non-linear response interactions between audition and touch in humans and non-human primates. That these effects have been obtained under anesthesia, passive stimulation, as well as speeded reaction time tasks would suggest that some multisensory effects are not directly influencing behavioral outcome. We investigated whether the initial non-linear neural response interactions have a direct bearing on the speed of reaction times. Electrical neuroimaging analyses were applied to event-related potentials in response to auditory, somatosensory, or simultaneous auditory–somatosensory multisensory stimulation that were in turn averaged according to trials leading to fast and slow reaction times (using a median split of individual subject data for each experimental condition). Responses to multisensory stimulus pairs were contrasted with each unisensory response as well as summed responses from the constituent unisensory conditions. Behavioral analyses indicated that neural response interactions were only implicated in the case of trials producing fast reaction times, as evidenced by facilitation in excess of probability summation. In agreement, supra-additive non-linear neural response interactions between multisensory and the sum of the constituent unisensory stimuli were evident over the 40–84 ms post-stimulus period only when reaction times were fast, whereas subsequent effects (86–128 ms) were observed independently of reaction time speed. Distributed source estimations further revealed that these earlier effects followed from supra-additive modulation of activity within posterior superior temporal cortices. These results indicate the behavioral relevance of early multisensory phenomena.

Application of videography during head impulse test in children: A possible replacement for the caloric test?

Objective: In the vestibular system, many pathologies, particularly in children, decrease the canalar reactivity in such a way that high and low frequencies are simultaneously affected. Since Curthoys and Halmagyi (1) described the Head Impulse Test (HIT) in 1988 we know that we can check each semicircular canal individually with passive high frequency stimulation. Our aim is to quantify the VOR gain as measured during the HIT, in order to increase the sensitivity in such a way that we could, at least in some cases, replace the caloric test. Study design: To evaluate the sensitivity of the HIT combined with videography, we have measured the horizontal VOR gain in a population of 36 acoustic neuroma patients, and compared the results with unilateral weakness (UW) as measured with the Jongkees formula in the caloric test. A patient sitting in front of a camera is instructed to gaze continuously at a steady target. Their face is filmed at 25 FPS (frames per second) with a CCD (charge-coupled device) black an...

Functional Magnetic Resonance Imaging of the Sensorimotor System in Preterm Infants

Preterm birth at <32 weeks' gestational age has a specific predilection for periventricular white matter injury. Early prediction of concomitant motor sequelae is a fundamental clinical issue. Recently, functional MRI was introduced as a noninvasive method for investigating the functional integrity of the neonatal brain. We aimed at implementing a unilateral passive forearm extension/flexion functional MRI paradigm in a routine clinical MRI setup to allow noninvasive mapping of the sensorimotor system in preterm infants and to relate the functional data to structural and behavioral data. Eight patients (median gestational age: 26.5 weeks; median birth weight: 885 g) were included. The functional MRI was performed at term-equivalent age (median: 39 weeks' postconceptional age) under chloral hydrate (50 mg/kg) sedation. In 5 of 8 patients, functional MRI data acquisition was successful. This resulted in 10 functional data sets (5 for passive stimulation of each forearm). Unilateral stimulation was associated with mainly bilateral activation of the primary sensorimotor cortex (n = 7 of 10 data sets), the prevailing hemodynamic response being a negative blood oxygenation level-dependent signal. Positive blood oxygenation level-dependent response or failure to activate the sensorimotor cortex (n = 3 of 10 data sets) were seen in those patients with aberrant structural/behavioral indices. Our data show the feasibility of passive unilateral sensorimotor stimulation during neonatal clinical MRI protocols. The bilateral activation pattern observed at this age is compatible with a bilaterally distributed sensorimotor system. Our data validate initial accounts for a raised incidence of negative blood oxygenation level-dependent responses in the primary sensorimotor cortex at this developmental stage. The negative blood oxygenation level-dependent response is likely to reflect a reduction of the oxy/deoxy-hemoglobin ratio during a maturational stage characterized by rapid formation of synapses, yet ineffective processing. Positive blood oxygenation level-dependent responses or failure to activate the sensorimotor cortex may be an early indicator of abnormal development and will have to be followed up carefully.

Neuroimaging activation studies in the vegetative state: predictors of recovery?

The vegetative state (VS) is a devastating clinical condition characterised by wakefulness without awareness. Functional neuroimaging permits to objectively measure brain responsiveness to external stimuli in VS. The literature on functional magnetic resonance imaging and positron emission tomography studies in these patients has been reviewed. Results from 15 studies were classified in: absent cortical activation or 'typical' activation of 'low level' primary sensory cortices and 'atypical' activation spreading to 'higher level' associative cortices. This descriptive review on 48 published cases suggests that 'atypical' activation patterns seem to herald recovery from VS with a 93% specificity and 69% sensitivity. Passive stimulation paradigms, however, do not permit to make strong claims about the absence or presence of consciousness. Recently proposed mental imagery paradigms permit to identify signs of consciousness in non-communicative brain damaged patients. The clinical application of these functional neuroimaging techniques awaits validation from ongoing multi-centric cohort studies in these challenging patients with chronic disorders of consciousness.

Cholinergic gating of improvement of tactile acuity induced by peripheral tactile stimulation

As shown in many animal experiments, cholinergic mechanisms participate in N-methyl-d-aspartate (NMDA) receptor-dependent neuroplasticity. Acetylcholine is thought to play a similar role in humans, where it modulates attention and learning. Here, we tested the cholinergic action on non-associative learning in the tactile domain. We studied the influence of scopolamine, a cholinergic antagonist, on changes in tactile acuity as induced by peripheral tactile coactivation. Coactivation is a non-associative tactile learning protocol and has been shown to improve tactile two-point discrimination of the stimulated finger in addition to selective changes of cortical processing. Under placebo conditions, tactile two-point discrimination was improved on the stimulated index finger. After application of scopolamine, tactile improvement was completely eliminated and tactile acuity was even impaired. No drug effects were found on the left index finger indicating that the drug had no effect on performance per se. The current results provide further evidence that in humans cholinergic mechanisms are also involved in non-associative learning induced by passive stimulation protocols.

Brain–computer interfaces in the continuum of consciousness

To summarize recent developments and look at important future aspects of brain-computer interfaces. Recent brain-computer interface studies are largely targeted at helping severely or even completely paralysed patients. The former are only able to communicate yes or no via a single muscle twitch, and the latter are totally nonresponsive. Such patients can control brain-computer interfaces and use them to select letters, words or items on a computer screen, for neuroprosthesis control or for surfing the Internet. This condition of motor paralysis, in which cognition and consciousness appear to be unaffected, is traditionally opposed to nonresponsiveness due to disorders of consciousness. Although these groups of patients may appear to be very alike, numerous transition states between them are demonstrated by recent studies. All nonresponsive patients can be regarded on a continuum of consciousness which may vary even within short time periods. As overt behaviour is lacking, cognitive functions in such patients can only be investigated using neurophysiological methods. We suggest that brain-computer interfaces may provide a new tool to investigate cognition in disorders of consciousness, and propose a hierarchical procedure entailing passive stimulation, active instructions, volitional paradigms, and brain-computer interface operation.

Temporal code in the vibrissal system - Part I: Vibrissa response to passive stimulation

In this paper we analyzed the afferent discharges of two nerves: one innervating three vibrissae (N1) and another one innervating the DELTA vibrissa (N2). Sustained mechanical stimulations were applied to the hair shaft of a whisker innervated by N1 in three different directions. The vibrissa selected for stimulation was the one that produced the higher electrical activity in the N1. The vibrissa was bent 1, 2 and 3 mm in each direction. The manual stimulation was applied to DELTA vibrissa and its electrical activity was registered. A custom-made photoresistive sensor registered the vibrissa displacements. We analyzed the multifiber discharge with a spike detection algorithm using the continuous wavelet transform (CWT). Directional sensibility in afferent responses was observed. RMS values had higher sensibility to deflection intensity in direction 1, while the responses in direction 2 and 3 were different. Median and dispersion of the inter-event times were decreased during different levels of the bent (events of 0.2 msec). The statistical analysis of the inter-event times showed significant differences among different stimulation levels. The inter-event times are decreased during passive movement with bent quantity induced to DELTA vibrissa. In this case the events duration was 0.6 ms.

Sustained increase of somatosensory cortex excitability by tactile coactivation studied by paired median nerve stimulation in humans correlates with perceptual gain

Cortical excitability can be reliably assessed by means of paired-pulse stimulation techniques. Recent studies demonstrated particularly for motor and visual cortex that cortical excitability is systematically altered following the induction of learning processes or during the development of pathological symptoms. A recent tactile coactivation protocol developed by Godde and coworkers showed that improvement of tactile performance in humans can be achieved also without training through passive stimulation on a time scale of a few hours. Tactile coactivation evokes plastic changes in somatosensory cortical areas as measured by blood oxygenation level-dependent (BOLD) activation in fMRI or SEP-dipole localization, which correlated with the individual gain in performance. To demonstrate changes in excitability of somatosensory cortex after tactile coactivation, we combined assessment of tactile performance with recordings of paired-pulse SEPs after electrical median nerve stimulation of both the right coactivated and left control hand at ISIs of 30 and 100 ms before, 3 h after and 24 h after tactile coactivation. Amplitudes and latencies of the first and second cortical N20/P25 response components were calculated. For the coactivated hand, we found significantly lowered discrimination thresholds and significantly reduced paired-pulse ratios (second N20/P25 response/first N20/P25 response) at an ISI of 30 ms after tactile coactivation indicating enhanced cortical excitability. No changes in paired-pulse behaviour were observed for ISIs of 100 ms. Both psychophysical and cortical effects recovered to baseline 24 h after tactile coactivation. The individual increase of excitability correlated with the individual gain in discrimination performance. For the left control hand we found no effects of tactile coactivation on paired-pulse behaviour and discrimination threshold. Our results indicate that changes in cortical excitability are modified by tactile coactivation and were scaled with the degree of improvement of the individual perceptual learning. Conceivably, changes of cortical excitability seem to constitute an additional important marker and mechanism underlying plastic reorganization.

Physiological Measures May Aid Conversion Disorder Diagnosis

Physiological Measures May Aid Conversion Disorder Diagnosis

Bimanual passive movement: functional activation and inter-regional coupling

The aim of this study was to investigate intra-regional activation and inter-regional connectivity during passive movement. During fMRI, a mechanic device was used to move the subject's index and middle fingers. We assessed four movement conditions (unimanual left/right, bimanual symmetric/asymmetric), plus Rest. A conventional intra-regional analysis identified the passive stimulation network, including motor cortex, primary and secondary somatosensory cortex, plus the cerebellum. The posterior (sensory) part of the sensory–motor activation around the central sulcus showed a significant modulation according to the symmetry of the bimanual movement, with greater activation for asymmetric compared to symmetric movements. A second set of fMRI analyses assessed condition-dependent changes of coupling between sensory–motor regions around the superior central sulcus and the rest of the brain. These analyses showed a high inter-regional covariation within the entire network activated by passive movement. However, the specific experimental conditions modulated these patterns of connectivity. Highest coupling was observed during the Rest condition, and the coupling between homologous sensory–motor regions around the left and right central sulcus was higher in bimanual than unimanual conditions. These findings demonstrate that passive movement can affect the connectivity within the sensory–motor network. We conclude that implicit detection of asymmetry during bimanual movement relies on associative somatosensory region in post-central areas, and that passive stimulation reduces the functional connectivity within the passive movement network. Our findings open the possibility to combine passive movement and inter-regional connectivity as a tool to investigate the functionality of the sensory–motor system in patients with very poor mobility.

EVENT-RELATED POTENTIALS DURING AUDITORY ODDBALL, AND COMBINED AUDITORY ODDBALL–VISUAL PARADIGMS

The purpose of the current study was to investigate the properties of a new modification of the classical auditory oddball paradigm (auditory oddball paradigm combined with passive visual stimulation, AERPs+VEPs) and compare the scalp topography obtained with the new paradigm and the classical auditory oddball paradigm (AERPs) in healthy humans. The responses to bimodal stimulation, and to the classical oddball paradigm were similar to those reported in other studies in terms of location, amplitudes, and latencies of P1, N1, P2, N2, and P300. The new modification of the oddball paradigm produced P300 at fronto-central locations in contrast to centro-parietal locations during the classical oddball paradigm. The amplitudes and latencies of P300 were also significantly larger during the new than the classical paradigm. Furthermore, the amplitudes of N1 and P2, but not N2 were significantly higher and differed in location during the new paradigm in response to both target and standard stimuli. The latencies of all three waves were significantly longer and the latency of P2 differed in location between the new and the classical paradigms in response to only the standard stimuli. The results of this study suggest that the new modification of the classical oddball paradigm produces different neural responses to the classical oddball paradigm. Therefore, this modification can be used to investigate dysfunctions in sensory and cognitive processing in clinical samples.

Dual Time Scales for Categorical Decision Making in Auditory Cortex

Category formation allows us to group perceptual objects into meaningful classes and is fundamental to cognition. Categories can be derived from similarity relationships of object features by using prototypes or multiple exemplars, or from abstract relationships of features and rules . A variety of brain areas have been implicated in categorization processes, but mechanistic insights on the single-cell and local-network level are still rare and limited to the matching of individual objects to categories . For directional categorization of tone steps, as in melody recognition , abstract relationships between sequential events (higher or lower in frequency) have to be formed. To explore the neuronal mechanisms of this categorical identification of step direction, we trained monkeys for more than two years on a contour-discrimination task with multiple tone sequences. In the auditory cortex of these highly trained monkeys, we identified two interrelated types of neuronal firing: Increased phasic responses to tones categorically represented the reward-predicting downward frequency steps and not upward steps; subsequently, slow modulations of tonic firing predicted the behavioral decisions of the monkeys, including errors. Our results on neuronal mechanisms of categorical stimulus identification and of decision making attribute a cognitive role to auditory cortex, in addition to its role in signal processing.

Cortical brain responses during passive nonpainful median nerve stimulation at low frequencies (0.5–4 Hz): An fMRI study

Previous findings have shown that the human somatosensory cortical systems that are activated by passive nonpainful electrical stimulation include the contralateral primary somatosensory area (SI), bilateral secondary somatosensory area (SII), and bilateral insula. The present study tested the hypothesis that these areas have different sensitivities to stimulation frequency in the condition of passive stimulation. Functional MRI (fMRI) was recorded in 24 normal volunteers during nonpainful electrical median nerve stimulations at 0.5, 1, 2, and 4 Hz repetition rates in separate recording blocks in pseudorandom order. Results of the blood oxygen level-dependent (BOLD) effect showed that the contralateral SI, the bilateral SII, and the bilateral insula were active during these stimulations. As a major finding, only the contralateral SI increased its activation with the increase of the stimulus frequency at the mentioned range. The fact that nonpainful median-nerve electrical stimuli at 4 Hz induces a larger BOLD response is of interest both for basic research and clinical applications in subjects unable to perform cognitive tasks in the fMRI scanner.

A compact planar distributed tactile display and effects of frequency on texture judgment

This paper describes the development of a planar distributed tactile display and the evaluation of the results of its effectiveness for displaying textures. The tactile display is composed of a 6 × 5 pin array actuated by 30 piezoelectric bimorphs. The distance between each pin's centers is 1.8 mm. Vertical excursion of each pin is controlled over a 0–0.7 mm range. Perceptual experiments were conducted to evaluate the performance of the system under three conditions: active touch, passive touch with vibration and passive touch without vibration. The experimental results showed that vibrational stimuli helped subjects discriminate tactile patterns. Measurements of the error rate during discrimination tasks were used to find an optimal vibration frequency for stimuli presented at a constant sensation level (32 SLdB above threshold). The experiment was repeated, this time holding the energy transferred mechanically to the fingertip tissue constant. At low frequencies, we found that the passive stimulation allowed subjects to discriminate just as well as active touch of static stimuli did. The results suggested new possibilities for displaying texture using passive touch, constant energy and spatially varied vibration frequency.

Characteristics of processing for trait adjectives in depressive persons: an event-related potential study.

Event-related potentials (ERP) following emotive words were investigated in 22 healthy subjects with high (HD) or low (LD) depressive scores. The ERP was recorded following a visual presentation of emotive adjectives. The adjectives presented included words that subjects felt to be fit or unfit to their own character or traits, and that they perceived as positive or negative. The latency of P300 (P1) for negative words was significantly longer than that for positive words at Pz in HD subjects. The N400 (N1) in HD subjects showed a longer latency than that in LD subjects (p<0.01) at Cz and Pz. However, there was no difference in amplitude between the fit and unfit category, nor in the positive or negative category of words between the LD and HD groups. The present study suggests that an excessive level of cognitive processing in response to passive stimulation by non-specific emotive words occurs in normal subjects with a depressive condition.

Stress echocardiography in horses - a review

Summary The increasing number of publications in the field of equine stress echocardiography demonstrates the growing interest in this area. Stress echocardiography consists of B- and/or M-mode echocardiography under active or passive stimulation of the heart, where the pre-stimulation images are compared to those obtained during or immediately after stimulation. In human medicine, stress echocardiography is mainly used as a routine tool in diagnosis and prognosis of coronary artery disease, but also in the evaluation of hypertrophied and dilated cardiomyopathy and valvular diseases. In horses, the principal indications include the detection of exercised-induced myocardial insufficiency and refining the prognosis of low- and mid-grade valvular diseases. The two major cardiac stressors that can be used in horses are (1) physical exercise, which has the major disadvantage of a rapid decline in heart rate in the immediate post-exercise period and (2) pharmacological stimulation, which ideally consists of dobutamine infusion in combination of a parasympatholytic drug, in order to overcome the strong dobutamine-induced baroreceptor reflex in horses. Most stress echocardiographic studies performed in horses demonstrated a significant decrease of left ventricular length, diameter, area and volume in response to stimulation. Other studies also revealed a stimulation-induced increase in the interventricular septum, left ventricular free wall thickness, and left ventricular fractional shortening. Some of these changes seemed to be more pronounced during pharmacological stimulation than after exercise. One study described the application of a semi-quantitative wall motion scoring system in horses. Exercise as well as pharmacological stress echocardiography enhances the diagnostic possibilities in equine medicine, because it increases the chance to detect a problem that is not present at rest. Furthermore, this technique could help to investigate the relationship between valvular insufficiencies and ventricular dysfunction.