Cortical Responses Research Articles

Control of neurovascular coupling by ATP-sensitive potassium channels.

Regional blood flow within the brain is tightly coupled to regional neuronal activity, a process known as neurovascular coupling (NVC). In this study, we demonstrate the striking role of SUR2- and Kir6.1-dependent ATP-sensitive potassium (KATP) channels in control of NVC in the sensory cortex of conscious mice, in response to mechanical stimuli. We demonstrate that either globally increased (pinacidil-activated) or decreased (glibenclamide-inhibited) KATP activity markedly disrupts NVC; pinacidil-activation is capable of completely abolishing stimulus-evoked cortical hemodynamic responses, while glibenclamide slows and reduces the response. The response is similarly slowed and reduced in SUR2 KO animals, while animals expressing gain-of-function (GOF) mutations in Kir6.1, which underlie Cantú syndrome, exhibit baseline reduction of NVC as well as increased sensitivity to pinacidil. In revealing the dramatic effects of either increasing or decreasing SUR2/Kir6.1-dependent KATP activity on NVC, whether pharmacologically or genetically induced, the study has important implications both for monogenic KATP channel diseases and for more common brain pathologies.

Neural Dynamics of the Processing of Speech Features: Evidence for a Progression of Features from Acoustic to Sentential Processing.

When we listen to speech, our brain's neurophysiological responses "track" its acoustic features, but it is less well understood how these auditory responses are enhanced by linguistic content. Here, we recorded magnetoencephalography (MEG) responses while subjects of both sexes listened to four types of continuous-speech-like passages: speech-envelope modulated noise, English-like non-words, scrambled words, and a narrative passage. Temporal response function (TRF) analysis provides strong neural evidence for the emergent features of speech processing in cortex, from acoustics to higher-level linguistics, as incremental steps in neural speech processing. Critically, we show a stepwise hierarchical progression of progressively higher order features over time, reflected in both bottom-up (early) and top-down (late) processing stages. Linguistically driven top-down mechanisms take the form of late N400-like responses, suggesting a central role of predictive coding mechanisms at multiple levels. As expected, the neural processing of lower-level acoustic feature responses is bilateral or right lateralized, with left lateralization emerging only for lexical-semantic features. Finally, our results identify potential neural markers, linguistic level late responses, derived from TRF components modulated by linguistic content, suggesting that these markers are indicative of speech comprehension rather than mere speech perception.Significance Statement We investigate neural processing mechanisms as speech evolves from acoustic signals to meaningful language, using stimuli ranging from without any linguistic information to fully well-formed linguistic content. Computational models based on speech and linguistic hierarchy reveal that cortical responses time-lock to emergent features from acoustics to linguistic processes at the sentence level, with increasing the semantic information in the acoustic input. Temporal response functions (TRFs) uncovered millisecond-level processing dynamics as speech and language stages unfold. Each speech feature undergoes early and late processing stages, with the former driven by bottom-up activation and the latter influenced by top-down mechanisms. These insights enhance our understanding of the hierarchical nature of auditory language processing.

Subregions in the ventromedial prefrontal cortex integrate threat and protective information to meta-represent safety.

Pivotal to self-preservation is the ability to identify when we are safe and when we are in danger. Previous studies have focused on safety estimations based on the features of external threats and do not consider how the brain integrates other key factors, including estimates about our ability to protect ourselves. Here, we examine the neural systems underlying the online dynamic encoding of safety. The current preregistered study used 2 novel tasks to test 4 facets of safety estimation: Safety Prediction, Meta-representation, Recognition, and Value Updating. We experimentally manipulated safety estimation changing both levels of external threats and self-protection. Data were collected in 2 independent samples (behavioral N = 100; MRI N = 30). We found consistent evidence of subjective changes in the sensitivity to safety conferred through protection. Neural responses in the ventromedial prefrontal cortex (vmPFC) tracked increases in safety during all safety estimation facets, with specific tuning to protection. Further, informational connectivity analyses revealed distinct hubs of safety coding in the posterior and anterior vmPFC for external threats and protection, respectively. These findings reveal a central role of the vmPFC for coding safety.

How does orientation-tuned normalization spread across the visual field?

Visuocortical responses are regulated by gain control mechanisms, giving rise to fundamental neural and perceptual phenomena such as surround suppression. Suppression strength, determined by the composition and relative properties of stimuli, controls the strength of neural responses in early visual cortex, and in turn, the subjective salience of the visual stimulus. Notably, suppression strength is modulated by feature similarity; for instance, responses to a center-surround stimulus in which the components are collinear to each other are weaker than when they are orthogonal. However, this feature-tuned aspect of normalization, and how it may affect the gain of responses, has been understudied. Here, we examine the contribution of the tuned component of suppression to contrast response modulations across the visual field. To do so, we used functional magnetic resonance imaging (fMRI) to measure contrast response functions (CRFs) in early visual cortex (areas V1 - V3) in 10 observers while they viewed full-field center-surround gratings. The center stimulus varied in contrast between 2.67-96% and was surrounded by a collinear or orthogonal surround at full contrast. We found substantially stronger suppression of responses when the surround was parallel to the center, manifesting as shifts in the population CRF. The magnitude of the CRF shift was strongly dependent on voxel spatial preference, and seen primarily in voxels whose receptive field spatial preference corresponds to the area straddling the center-surround boundary in our display, with little-to-no modulation elsewhere.

Unpleasant odors compared to pleasant ones cause higher cortical activations detectable by fNIRS and observable mostly in females.

Olfactory perception can be studied in deep brain regions at high spatial resolutions with functional magnetic resonance imaging (fMRI), but this is complex and expensive. Electroencephalography (EEG) and functional near-infrared spectroscopy (fNIRS) are limited to cortical responses and lower spatial resolutions but are easier and cheaper to use. Unlike EEG, available fNIRS studies on olfaction are few, limited in scope, and contradictory. Here, we investigated fNIRS efficacy in assessing the hedonic valence of pleasant and unpleasant odors, using ten channels on each hemisphere, covering the orbitofrontal cortex and adjacent areas involved in olfactory and cognitive tasks. Measurements on 22 subjects (11 males and 11 females) showed statistically significant higher increases in oxygenated hemoglobin concentration for the unpleasant odor, compared to the pleasant one (mean difference = 1.025 × 10-1 μM). No difference in activation was found between the hemispheres. Conversely, differences were observed between the sexes: for the first time, we show that higher activations for the unpleasant odor relative to the pleasant one are detectable by fNIRS in females (mean difference = 1.704 × 10-1 μM), but not in an equal-sized and equal-age group of males. Moreover, females had greater activations relative to males for the unpleasant odor (mean difference = 1.285 × 10-1 μM). Therefore, fNIRS can capture peculiarities of olfactory activations, highlighting differences between odors with opposite valence and between sexes. This evidence positions fNIRS next to EEG as suitable technologies for cortical investigations of olfactory perception, providing complementary information (late and early response components, respectively), with lower costs and easier operation (albeit at lower resolutions) compared to fMRI.

Delayed Cortical Responses During Reactive Balance After Stroke Associated With Slower Kinetics and Clinical Balance Dysfunction

Background Slowed balance and mobility after stroke have been well-characterized. Yet the effects of unilateral cortical lesions on whole-body neuromechanical control is poorly understood, despite increased reliance on cortical resources for balance and mobility with aging. Objective. We tested whether individuals post stroke show impaired cortical responses evoked during reactive balance, and the effect of asymmetrical interlimb contributions to balance recovery and the evoked cortical response. Methods Using electroencephalography, we assessed cortical N1 responses evoked over fronto-midline regions (Cz) during backward support-surface perturbations loading both legs and posterior-lateral directions that preferentially load the paretic or nonparetic leg in individuals’ post-stroke and age-matched controls. We tested relationships between cortical responses and clinical balance/mobility function, as well as to center of pressure (CoP) rate of rise (RoR) during balance recovery. Results Cortical N1 responses were smaller and delayed after stroke (P < .047), regardless of perturbation condition. In contrast to controls, slower cortical response latencies associated with lower clinical function in stroke (Mini Balance Evaluation Systems Test: r = −.61, P = .007; Timed-Up-and-Go: r = .53, P = .024; walking speed: r = −.46, P = .055). Paretic-loaded balance recovery revealed slower CoP RoR (P = .012) that was associated with delayed cortical response latencies (r = −.70, P = .003); these relationships were not present during bilateral and nonparetic-loaded conditions, nor in the older adults control group. Conclusions Individuals after stroke may be limited in their balance ability by the slowed speed of their cortical responses to destabilization. In particular, paretic leg loading may reveal cortical response impairments that reflect reduced paretic motor capacity.

Comparing approaches for predicting behavioural speech-in-noise performance using cortical responses to unattended stimuli.

The cortical tracking of the acoustic envelope is a phenomenon where the brain's electrical activity, as recorded by electroencephalography (EEG) signals, fluctuates in accordance with changes in stimulus intensity (the acoustic envelope of the stimulus). Understanding speech in a noisy background is a key challenge for people with hearing impairments. Speech stimuli are therefore more ecologically valid than clicks, tone pips, or speech tokens (e.g., syllables) for assessing hearing. However, it remains unclear whether EEG responses to speech provide an advantage in predicting speech intelligibility. This study aimed to assess the ability of cortical responses to speech and speech-related sounds to predict behavioural speech-in-noise performance in listeners with normal hearing when they are not attending to the stimuli. Twenty native English-speaking adults with normal hearing (aged 18 to 40 years) participated in a speech reception task, listening to English Matrix sentences presented at signal-to-noise ratios (SNRs) of -15, -10, -5, 0, and ∞ (no background noise) dB, and then identifying the words they heard in the sentences. In the EEG experiment, the participants then listened to continuous speech, broadband noise modulated by the envelope of speech, and repeating short /da/ stimuli presented at the same SNR levels as in the Matrix test. For the latter, Auditory Late Response (ALR) was estimated from the EEG, and for the former, the strength of the envelope-tracking responses was calculated. Cortical responses to all stimuli showed monotonic relationships with the signal-to-noise ratio at the group level and in most individuals, although there was considerable variability. EEG analysis in the delta band showed no significant difference in the number of participants with predicted speech reception thresholds (SRTs) within an error margin of 7 dB-the level at which SRT prediction is considered applicable-regardless of the type of cortical response used. In the theta band, however, SRT predictions based on cortical responses to continuous speech performed worse, showing a significantly lower number of predictions within an error margin of 7 dB compared to those based on cortical responses to modulated noise and the repeating /da/ sound. The proportion of individual SRT predictions with an error margin within 7 dB was, at best, 30 %. For people with normal hearing, cortical responses to continuous speech and modulated noise predicted speech-in-noise performance at the group level but not at the individual level, due to variability in cortical tracking of the acoustic envelope. Predicting the SRT on an individual level remains a major and clinically important challenge.

Cortical responses to conflicting binocular stimuli in mouse primary visual cortex.

Binocular vision requires that the brain integrate information coming from each eye. These images are combined (fused) to generate a meaningful composite image. Differences between images, within a range, provide useful information about depth (stereopsis). Interocular disparities that are not effectively combined result in diplopia and rivalry. The neural mechanisms underlying these binocular interactions remain poorly understood. Using a combination of visually evoked potential (VEP) recordings, unit recordings, and 2-photon calcium imaging in the binocular region of mouse primary visual cortex (bV1), we probed the neural mechanisms underlying the processing of two distinct forms of disparate binocular signals. Using a dichoptic display, introduction of a spatial interocular phase disparity in grating stimuli reduced VEP magnitude through decreased neuronal firing in the early phase of the response (40-80 ms after stimulus onset, corresponding to the VEP negativity). Introduction of an interocular orientation disparity also decreased VEP magnitude, but this difference was driven by an increase in firing in the late portion of the visual response (100-200 ms after stimulus onset, corresponding to the VEP positivity). This increase in activity was observed for both regular-spiking (putative excitatory) and fast-spiking (putative parvalbumin-positive inhibitory) units. By contrast, visually evoked calcium responses of somatostatin-positive interneurons decreased with introduction of the interocular orientation disparity. Based on these results, we propose that interocular phase differences largely suppress bV1 responses via feedforward thalamocortical interactions, whereas interocular orientation differences prolong visually evoked activity in bV1 through somatostatin-positive interneuron-mediated disinhibition.

The effects of different challenge-level balance tasks on stroke cortical responses and balance assessment using EEG

The effects of different challenge-level balance tasks on stroke cortical responses and balance assessment using EEG

Aperiodic spectral slope tracks the effects of brain state on saliency responses in the human auditory cortex

Alteration of responses to salient stimuli occurs in a wide range of brain disorders and may be rooted in pathophysiological brain state dynamics. Specifically, tonic and phasic modes of activity in the reticular activating system (RAS) influence, and are influenced by, salient stimuli, respectively. The RAS influences the spectral characteristics of activity in the neocortex, shifting the balance between low- and high-frequency fluctuations. Aperiodic ‘1/f slope’ has emerged as a promising composite measure of these brain state dynamics. However, the relationship of 1/f slope to state-dependent processes, such as saliency, is less explored, particularly intracranially in humans. Here, we record pupil diameter as a measure of brain state and intracranial local field potentials in auditory cortical regions of human patients during an auditory oddball stimulus paradigm. We find that phasic high-gamma band responses in auditory cortical regions exhibit an inverted-u shaped relationship to tonic state, as reflected in the 1/f slope. Furthermore, salient stimuli trigger state changes, as indicated by shifts in the 1/f slope. Taken together, these findings suggest that 1/f slope tracks tonic and phasic arousal state dynamics in the human brain, increasing the interpretability of this metric and supporting it as a potential biomarker in brain disorders.

The emergence of visual category representations in infants' brains.

Organizing the continuous stream of visual input into categories like places or faces is important for everyday function and social interactions. However, it is unknown when neural representations of these and other visual categories emerge. Here, we used steady-state evoked potential electroencephalography to measure cortical responses in infants at 3-4 months, 4-6 months, 6-8 months, and 12-15 months, when they viewed controlled, gray-level images of faces, limbs, corridors, characters, and cars. We found that distinct responses to these categories emerge at different ages. Reliable brain responses to faces emerge first, at 4-6 months, followed by limbs and places around 6-8 months. Between 6 and 15 months response patterns become more distinct, such that a classifier can decode what an infant is looking at from their brain responses. These findings have important implications for assessing typical and atypical cortical development as they not only suggest that category representations are learned, but also that representations of categories that may have innate substrates emerge at different times during infancy.

Lateralization-specific adaptation in auditory cortical evoked potentials: Comparison with frequency-specificity.

'Opponent channels model' (OCM) is the widely accepted model for cortical representation of sound lateralization. Stimulus-specific 'release from adaptation' (RFA) in cortical responses has been used in previous studies to test the predictions of this model. However, these attempts were shown to be prone to confounds of spurious responses such as those to auditory motion and sound onset. The present study aims to determine whether a multiple-adaptor RFA algorithm could be employed for relatively confound-free quantification of the population response of lateralization-specific auditory cortical neurons, and provide useful data for estimation of the OCM hemifield tuning curves. Two experiments were conducted on 12 volunteers with normal hearing. In Exp.1, quadruple tone pips of either low or high frequency were presented as adaptor, followed by a single tone pip of either frequency as probe. In Exp.2, tone pips were replaced with dichotic click train pips with left-leading and right-leading interaural time difference (ITD). Frequency- and ITD-specific RFA in cortical responses N1 and P2 was quantified using global field magnitude difference between ERPs to mismatched and matched adaptor-probe pairs. RFA level measured was lower for ITD mismatch than frequency mismatch. Nonetheless, it allowed measurement of ITD-specific cortical neurons' population response, without any spurious response confound. We proposed a method for extraction of ITD-specific response magnitude from the N1 response to a lateralized sound. Using it, one can reliably measure the activity of lateralization-specific cortical neurons, i.e. elicited by moderate ITD changes. This allows estimation of hemifield tuning curves in OCM using ERP data.

Tympanic Pre-Operative Electrically Evoked Auditory Late Response (TympEALR) as an Alternative to Trans-Tympanic Tests Using Anesthesia in Cochlear Implant Candidacy.

Background/Objectives: Before a cochlear implant is considered, patients undergo various audiological tests to assess their suitability. One key test measures the auditory brainstem response (ABR) to acoustic stimuli. However, in some cases, even with maximum sound stimulation, no response is detected. Methods: The promontory test involves electrical stimulation near the auditory nerve, allowing patients to associate the sensation. Ideally, the electrode is placed in the middle ear after opening the eardrum. This method, along with trans-tympanic electrically evoked ABR in local anesthesia (LA-TT-EABR) and the cortical equivalent (LA-TT-EALR), helps assess the auditory nerve's existence and excitability. The TympEALR test, utilizing a "tympanic LA-TT-EALR", provides an alternative measurement. Previous research has shown the possibility of deriving brainstem and cortical potentials through trans-tympanic electrical stimulation, allowing for objective assessment of the auditory nerve's integrity and potentially objectifying patient sensations. Results: Sixteen patients have been tested using TympEALR. In seven of these, we found a positive response. The morphology was similar to other electrically evoked cortical auditory responses (EALR), e.g., using cochlear implants or trans-tympanic stimulation electrodes. We observed a higher influence of electrical artifacts than in other EALRs. Conclusions: TympEALR showed positive results in nearly half of the study participants, potentially avoiding invasive procedures. TympEALR can be a valuable alternative to trans-tympanic methods. More research is needed to determine if a negative result suggests against cochlear implantation.

Neural Signatures of Word Learning During Adult-Child Interactions

Abstract Early language acquisition relies on the successful communication of specific word meanings when speaking or encoding labels. Here, we tested for evidence of this communication within the parallel functional neural activation that occurred for adults and children as unfamiliar objects were labelled by the caregiver. Measuring event-related hemodynamic responses with functional near-infrared spectroscopy (fNIRS) simultaneously recorded from both individuals, we compared cortical responses that were time-locked to spontaneous instances of object labelling during openly structured interactions. Most notably, children’s responses differed between words learned and not learned in the right posterior temporal cortex, with relatively greater positive activation when children were not learning. The findings bear relevance to investigations of coordination between speakers and listeners during word-learning interactions.

Transient destabilization of interhemispheric functional connectivity induced by spreading depolarization.

Cortical spreading depolarization (CSD), a slowly propagating wave of transient cellular depolarization, is a reliable cortical response to various brain insults (stroke, trauma, seizures) and underlying mechanism of migraine aura. Little is known about CSD effects on brain network activity. Using undirected (mutual information, MI) and directed (transfer entropy, TE) measures, we studied the dynamics of cross-hemispheric connectivity associated with the development of unilateral CSD in freely behaving rats and the involvement of inhibitory transmission in mechanisms of the coupling changes. We show that the development of CSD in the cortex of one hemisphere is followed by the transient loss of undirected functional connectivity (MI) between ipsilateral and contralateral cortical regions. The post-CSD functional disconnection of the hemispheres was accompanied by an increase in driving force from an unaffected contralateral cortex to an affected one (TE). Mild cortical disinhibition produced by pretreatment with an inhibitory receptor blocking agent (penthylenetetrazole) did not affect CSD but attenuated (MI) or eliminated (TE) the CSD-induced connectivity changes. The effects of CSD on functional connectivity in awake rodents were similar at the individual and group levels, suggesting that the described connectivity response may be a promising network biomarker of CSD occurrence in patients.

Multimodal Characterization of Cortical Neuron Response to Permanent Magnetic Field Induced Nanomagnetic Force Maps.

Nanomagnetic forces deliver precise mechanical cues to biological systems through the remote pulling of magnetic nanoparticles under a permanent magnetic field. Cortical neurons respond to nanomagnetic forces with cytosolic calcium influx and event rate shifts. However, the underlying consequences of nanomagnetic force modulation on cortical neurons remain to be elucidated. Here, we integrate electrophysiological and optical recording modalities with nanomagnetic forces to characterize the in vitro functional response to mechanical cues. Neurons exposed to chitosan functionalized magnetic nanoparticles for 24 h and then exposed to magnetic fields capable of generating forces of 2-160 pN present elevated cytosolic calcium in neurons and a time-dynamic electrophysiological spike rate and magnitude response. Extracellular recordings with microelectrode arrays revealed a 2-8 pN force-specific increase in electrophysiological spiking with a trend in reduced activity following 2 min of continuous force exposure. Nanomagnetic forces in the 16-160 pN range produced increased electrophysiological activity and remained excited for up to 4 h under continuous stimulation before silencing. Furthermore, the neuronal response to nanomagnetic forces at 16-160 pN can be electrophysiologically mediated without calcium influx by altering the magnetic nanoparticle-neuron interactions. These results demonstrate that low pN nanomagnetic forces mediate neuronal function and suggest that magnetic nanoparticle interactions and force magnitudes can be harnessed to provoke different responses in cortical neurons.

Intelligibility Sound Therapy Enhances the Ability of Speech-in-Noise Perception and Pre-Perceptual Neurophysiological Response.

Aural rehabilitation with hearing aids can decrease the attentional requirements of cognitive resources by amplifying deteriorated-frequency sound in hearing loss patients and improving auditory discrimination ability like speech-in-noise perception. As aural rehabilitation with an intelligible-hearing sound also can be hopeful, the aim of this study was to evaluate the effectiveness of aural rehabilitation with intelligible-hearing sound for hearing loss patients. Adult native Japanese speakers (17 males and 23 females, 68.43 ± 9.23 years) with hearing thresholds exceeding 30 dB at any of the following frequencies: 125, 250, 500, 1000, 2000, 3000, 4000, 8000, 10,000, and 12,000 Hz in either ear, were recruited. on any side were recruited and underwent the Mini-Mental State Examination Japanese. We conducted a self-evaluation questionnaire for hearing problems of voice, a gap detection test, a fast speech test, a speech-in-noise test, a pure tone audiogram, and a speech perception test using a Japanese 67-S, cortical auditory-evoked fields, and magnetic mismatch negativity before and after the non-intelligible-hearing (N = 20) and intelligible-hearing (N = 20) sound therapy, which involved listening to music for one hour a day for 35 days. The better hearing ear was defined using a four-frequency pure-tone average at the thresholds of 500, 1000, 2000, and 4000 Hz. After the sound therapy, the speech-in-noise test with a signal-to-noise ratio +10 in the better hearing ear showed significant improvement (p < 0.05), and N1m-P2m amplitudes showed a significant increase in the Lt superior temporal gyrus in response to the stimulus from the better hearing ear (p < 0.05). A significant enhancement of the magnetic mismatch negativity amplitude at the Lt superior temporal gyrus was exhibited after the sound therapy (p < 0.01). Intelligible-hearing sound therapy can improve the ability of speech-in-noise perception in the better hearing ear and enhancement of central cortex response, which reflects the ability of working memory, was proved by cortical auditory-evoked fields and magnetic mismatch negativity. Intelligible-hearing sound therapy can be a valuable aural rehabilitation method for sensory neural hearing loss, the same as hearing aids.

Effectiveness of unilateral lower-limb exoskeleton robot on balance and gait recovery and neuroplasticity in patients with subacute stroke: a randomized controlled trial

BackgroundImpaired balance and gait in stroke survivors are associated with decreased functional independence. This study aimed to evaluate the effectiveness of unilateral lower-limb exoskeleton robot-assisted overground gait training compared with conventional treatment and to explore the relationship between neuroplastic changes and motor function recovery in subacute stroke patients.MethodsIn this randomized, single-blind clinical trial, 40 patients with subacute stroke were recruited and randomly assigned to either a robot-assisted training (RT) group or a conventional training (CT) group. All outcome measures were assessed at the enrollment baseline (T0), 2nd week (T1) and 4th week (T2) of the treatment. The primary outcome was the between-group difference in the change in the Berg balance scale (BBS) score from baseline to T2. The secondary measures included longitudinal changes in the Fugl-Meyer assessment of the lower limb (FMA-LE), modified Barthel index (mBI), functional ambulation category (FAC), and locomotion assessment with gait analysis. In addition, the cortical activation pattern related to robot-assisted training was measured before and after intervention via functional near-infrared spectroscopy.ResultsA total of 30 patients with complete data were included in this study. Clinical outcomes improved after 4 weeks of training in both groups, with significantly better BBS (F = 6.341, p = 0.018, partial η2 = 0.185), FMA-LE (F = 5.979, p = 0.021, partial η2 = 0.176), FAC (F = 7.692, p = 0.010, partial η2 = 0.216), and mBI scores (F = 7.255, p = 0.042, partial η2 = 0.140) in the RT group than in the CT group. Both groups showed significant improvement in gait speed and stride cadence on the locomotion assessment. Only the RT group presented a significantly increased stride length (F = 4.913, p = 0.015, partial η2 = 0.267), support phase (F = 5.335, p = 0.011, partial η2 = 0.283), and toe-off angle (F = 3.829, p = 0.035, partial η2 = 0.228) on the affected side after the intervention. The RT group also showed increased neural activity response over the ipsilesional motor area and bilateral prefrontal cortex during robot-assisted weight-shift and gait training following 4 weeks of treatment.ConclusionsOverground gait training with a unilateral exoskeleton robot showed improvements in balance and gait functions, resulting in better gait patterns and increased gait stability for stroke patients. The increased cortical response related to the ipsilesional motor areas and their related functional network is crucial in the rehabilitation of lower limb gait in post-stroke patients.

Feedback scales the spatial tuning of cortical responses during both visual working memory and long-term memory.

Perception, working memory, and long-term memory each evoke neural responses in visual cortex. While previous neuroimaging research on the role of visual cortex in memory has largely emphasized similarities between perception and memory, we hypothesized that responses in visual cortex would differ depending on the origins of the inputs. Using fMRI, we quantified spatial tuning in visual cortex while participants (both sexes) viewed, maintained in working memory, or retrieved from long-term memory a peripheral target. In each condition, BOLD responses were spatially tuned and aligned with the targets polar angle in all measured visual field maps including V1. As expected given the increasing sizes of receptive fields, polar angle tuning during perception increased in width up the visual hierarchy from V1 to V2, V3, hV4, and beyond. In stark contrast, the tuned responses were broad across the visual hierarchy during long-term memory (replicating a prior result) and during working memory. This pattern is consistent with the idea that mnemonic responses in V1 stem from top-down sources, even when the stimulus was recently viewed and is held in working memory. Moreover, in long-term memory, trial-to-trial biases in these tuned responses (clockwise or counterclockwise of target), predicted matched biases in memory, suggesting that the reinstated cortical responses influence memory guided behavior. We conclude that feedback widens spatial tuning in visual cortex during memory, where earlier visual maps inherit broader tuning from later maps thereby impacting the precision of memory.

The Impact of Task Difficulty on Neural Modulation Throughout A Visuomotor Multi-day Practice Training

The effectiveness of rehabilitation is contingent upon the motor recovery process which typically involves long-term motor skill re-acquisition. Given that the learning process can be modulated by task difficulty, elucidating the underlying neural mechanism is essential for optimizing rehabilitation prescription to suit different patient conditions. This study aimed to investigate the impact of task difficulty on cortical response during force-control training via electroencephalography (EEG). An 8-day visuomotor force-tracking training experiment was conducted. Healthy right-handed participants (N=33) were recruited and randomly assigned to 3 groups, and each group was tasked with a different level of difficulty. The task difficulty was manipulated by variation in force-production complexity and execution sequence assignments, with real-time visual feedback provided to participants for self-output adjustment. Behavioral performance was quantitatively assessed using a pre-defined score metric related to performance accuracy. The EEG signals were collected, and corresponding event-related desynchronization (ERD) and relative functional connectivity (FC) during the task execution were analyzed within the alpha- (8-13Hz) and beta- (15-30Hz) bands. A post-training experiment was also performed to evaluate the near-transfer capability of learning. Results showed all the behavioral performances improved during practice, while higher task difficulty level was affiliated with better post-training near-transfer ability. The dynamic neural response to training could be mediated by changes in difficulty level, where increased task complexity corresponded with the heightened activities in the beta-band priorly within the right dorsolateral prefrontal area. Additionally, stronger alpha-band functional connectivity was observed to be predominantly associated with the left motor area (LMA) during challenging tasks, and the intensification in connectivity persisted selectively post-training which appeared to be acritical factor for skill transfer performance improvement. These findings illustrated the dynamic neural mechanism through which task difficulty affects behavioral performance during long-term motor training with accurate force-control purpose. The selectively strengthened functional connectivity may contribute to facilitating new task execution after training interventions. Therefore, beneficial neural modulation can be expected to be feasible by well-designed task difficulty strategies for effective motor rehabilitation.