Interference Effect of Prior Explicit Information on Motor Sequence Learning in Relapsing-Remitting Multiple Sclerosis Patients

Background: Multiple sclerosis (MS) is the most widespread disabling neurological condition in young adults around the world. The purpose of this study was to investigate the impact of explicit information (EI) on motor-sequence learning in MS patients. Methods: Thirty patients with relapsing-remitting MS (RRMS), age: 29.5 (SD = 5.6) years and 30 healthy gender-, age-, and education-matched control group participants, age: 28.8 (SD = 6.0) years, were recruited for this study. The participants in the healthy group were then randomly assigned into an EI (n = 15) group and a no-EI (n = 15) group. Similarly, the participants in the control group were then randomly assigned into EI (n = 15) and no-EI (n = 15) groups. The participants performed a serial reaction time (SRT) task and reaction times. A retention test was performed after 48 hours. Results: All participants reduced their reaction times across acquisition (MS group: 46.4 (SD = 3.3) minutes, P < 0.001, and healthy group: 39.4 (SD = 3.3) minutes, P < 0.001). The findings for the within-participants effect of repeated measures of time were significant (F(5.06, 283.7) = 71.33. P < 0.001). These results indicate that the interaction between group and time was significant (F(5.06, 283.7) = 6.44. P < 0.001), which indicated that the reaction time in both groups was significantly changed between the MS and healthy groups across times (B1 to B10). The main effect of the group (MS and healthy) (F(1, 56) = 22.78. P < 0.001) and also the main effect of no-EI vs EI (F(1, 56) = 4.71. P < 0.001) were significant.Conclusion: This study demonstrated that that RRMS patients are capable of learning new skills, but the provision of EI prior to physical practice is deleterious to implicit learning. It is sufficient to educate MS patients on the aim and general content of the training and only to provide feedback at the end of the rehabilitative session.

The effects of bromazepam over the central and frontal areas during a motor task: an EEG study / Os efeitos do bromazepam nas áreas corticais central e frontal durante execução de uma tarefa motora: um estudo de EEG

The present study investigates the influence of bromazepam while executing a motor task. Specifically, we intend to analyze the changes in alpha absolute power under two experimental conditions, bromazepam and placebo. We also included analyses of theta and beta frequencies. We collected electroencephalographic data before, during, and after motor task execution. We used a Two Way ANOVA to investigate the condition (PL × Br6 mg) and moment (pre and post) variables for the following electrodes: Fp1, Fp2, F7, F3, Fz, F4, F8, C3, CZ and C4. We found a main effect for condition on the electrodes FP1, F7, F3, Fz, F4, C3 and CZ, for alpha and beta bands. For beta band we also found a main effect for condition on the electrodes Fp2, F8 and C4; for theta band we identified a main effect for condition on C3, Cz and C4 electrodes. This finding suggests that the motor task did not have any influence on the electrocortical activity in alpha, and that the existing modifications were a consequence due merely to the drug use. Despite its anxiolytic and sedative action, bromazepam did not show any significant changes when the individuals executed a finger extension motor task.

O presente estudo investiga a influência do bromazepam durante a execução de uma tarefa motora. Especificamente, pretende-se analisar as mudanças na potência absoluta de alfa sob duas condições experimentais, bromazepam e placebo. Nós também incluímos as analises das frequências teta e beta. Foram coletados dados eletroencefalográficos antes, durante e depois da execução da tarefa motora. Usamos uma Anova de 2 fatores para investigar a condição (PL × Br6 mg) e variáveis no momento (pré e pós) para os seguintes eletrodos: Fp1, Fp2, F7, F3, Fz, F4, F8, C3, C4 e CZ. Encontramos um efeito principal para a condição e eletrodos FP1, F7, F3, Fz, F4, C3 e CZ para alfa e beta. Para beta também foi encontrado um efeito principal para condição nos eletrodos Fp2, F8 e C4; para theta nós identificamos um efeito principal para condition em C3, Cz e C4. Este achado sugere que a tarefa motora não tem qualquer influência sobre a atividade eletrocortical alfa e que as modificações existentes foram uma consequência devido o uso de drogas. Apesar de sua ação ansiolítica e sedativa, o bromazepam não apresentou mudança significativa quando os indivíduos executaram uma tarefa motora.

Changes of Motor Deactivation Regions in Patients with Intracranial Lesions

OBJECTIVE: There is a rich literature confirming the default mode network found compatible with task-induced deactivation regions in normal subjects, but few investigations of alterations of the motor deactivation in patients with intracranial lesions. Therefore, we hypothesized that an intracranial lesion results in abnormal changes in a task-induced deactivation region compared with default mode network, and these changes are associated with specific attributes of allocated regions. METHODS: Blood oxygenation level dependent (BOLD) functional magnetic resonance imaging (fMRI) during a motor task were obtained from 27 intracranial lesion patients (mean age, 57.3 years; range 15-78 years) who had various kinds of brain tumors. The BOLD fMRI data for each patient were evaluated to obtain activation or deactivation regions. The distinctive deactivation regions from intracranial lesion patients were evaluated by comparing to the literature reports. RESULTS: There were additive deactivated regions according to intracranial lesions: fusiform gyrus in cavernous hemangioma; lateral occipital gyrus in meningioma; crus cerebri in hemangiopericytoma; globus pallidus, lateral occipital gyrus, caudate nucleus, fusiform gyrus, lingual gyrus, claustrum, substantia nigra, subthalamic nucleus in GBM; fusiform gyrus in metastatic brain tumors. CONCLUSION: There is increasing interest in human brain function using fMRI. The authors report the brain function migrations and changes that occur in patients with intracranial lesions.

Frequency and precision of feedback and the adaptive process of learning a dual motor task / Frequência e precisão de "feedback" e o processo adaptativo de aprendizagem de uma tarefa motora de dupla demanda / Frecuencia y necesidad de feedback en el proceso adaptativo de aprendizaje de una tarea motora dual

This work investigated the effects of frequency and precision of feedback on the learning of a dual-motor task. One hundred and twenty adults were randomly assigned to six groups of different knowledge of results (KR), frequency (100%, 66% or 33%) and precision (specific or general) levels. In the stabilization phase, participants performed the dual task (combination of linear positioning and manual force control) with the provision of KR. Ten non-KR adaptation trials were performed for the same task, but with the introduction of an electromagnetic opposite traction force. The analysis showed a significant main effect for frequency of KR. The participants who received KR in 66% of the stabilization trials showed superior adaptation performance than those who received 100% or 33%. This finding reinforces that there is an optimal level of information, neither too high nor too low, for motor learning to be effective.

O presente estudo investigou os efeitos da frequência e precisão de "feedback" na aprendizagem de uma tarefa motora de dupla demanda. Cento e vinte adultos foram aleatoriamente designados a seis grupos de diferentes níveis de frequência (100%, 66% ou 33%) e precisão (específico ou geral) de conhecimento de resultados (CR). Na fase de estabilização, a tarefa combinada de posicionamento linear e controle de força manual foi executada com CR. Dez tentativas de adaptação sem CR foram executadas na mesma tarefa, com a introdução de uma força eletromagnética contrária à direção do movimento. A análise indicou efeito significativo no fator "frequência de CR". Aqueles que receberam CR em 66% das tentativas de estabilização obtiveram desempenho de adaptação superior quando comparados àqueles que receberam 100% ou 33% de CR. Esse achado reforça a existência de um nível ótimo de informação, nem muito alto nem muito baixo, para que a aprendizagem seja otimizada.

El presente estudio investigó los efectos de la frecuencia y necesidad de feedback en el aprendizaje de una tarea motora de dupla demanda. 120 adultos fueron aleatoriamente designados a seis grupos de diferentes niveles de frecuencia (100%, 66% o 33%) y necesidad (específico o general) de conocimiento de resultados (CR). En la fase de estabilización, la tarea de posicionamiento lineal y control de fuerza manual fue ejecutada con CR. Diez tentativas de adaptación sin CR fueron ejecutadas durante la misma tarea, con la introducción de una fuerza electromagnética contraria a la dirección del movimiento. El análisis indicó efecto significativo en el factor "Frecuencia de CR": aquellos que recibieron CR en 66% de las tentativas de estabilización obtuvieron desempeño de adaptación superior cuando comparados a aquellos que recibieron 100% o 33% de CR. Ese resultado refuerza la existencia de un nivel óptimo de información, ni muy alto ni muy bajo, para que el aprendizaje sea optimizado.

Efeito da velocidade do estímulo no desempenho de uma tarefa de antecipação-coincidência em destros e canhotos / Stimulus velocity effect on the performance of a coincidence-anticipation task of right- and left-handers

Destros e canhotos diferem quando comparados em algumas tarefas motoras, parecendo os canhotos usufruir de alguma vantagem em tarefas visuo-motoras. Neste estudo foi analisado, em cada grupo de preferência manual, o efeito da velocidade do estímulo, do sexo e da mão de execução no desempenho de uma tarefa simples de antecipação-coincidência. Participaram 12 destros e 12 canhotos de ambos os sexos, estudantes universitários de Desporto. Empregou-se o "Bassin Anticipation Timer" para avaliar a capacidade de antecipação-coincidência em três velocidades: 268 cm/s, 402,3 cm/s e 536,4 cm/s (6, 9 e 12 mph, respectivamente). Os sujeitos executaram a tarefa tanto com a mão preferida como com a mão não preferida. Principais resultados: 1) apenas os destros foram afetados pela variável velocidade do estímulo, apresentando antecipação das respostas e maior variabilidade na velocidade 268 cm/s, enquanto nas velocidades 402,3 cm/s e 536,4 cm/s as respostas foram enviesadas no sentido do atraso da resposta e com variabilidade menos acentuada na velocidade mais alta; 2) o sexo teve um efeito significativo apenas nos canhotos, sendo o sexo masculino mais preciso e menos enviesado nas suas respostas do que o sexo feminino; 3) a assimetria manual manifestou-se apenas nos canhotos na velocidade de 268 cm/s e no Erro Variável. Concluímos que cada grupo de preferência manual parece comportar-se de forma diferenciada em tarefas perceptivas de Antecipação-Coincidência onde a velocidade do estímulo é manipulada.

Right- and left-handers differ when compared in some motor tasks, and left-handers enjoy some advantage over right-handers in visuo-motor tasks. In this study we intend to analyze the effect of stimulus speed, in a simple coincidence-anticipation task, depending on handedness. Twelve right-handers and twelve left-handers of both sexes, students of Physical Education, participated in this study. The Bassin Anticipation Timer was used to evaluate the coincidence-anticipation ability at three different and random velocities: 268 cm/s, 402.3 cm/s e 536.4 cm/s (6, 9 e 12 mph, respectively). The subjects were evaluated performing the task with the preferred hand and non-preferred hand. The results revealed that: 1) only right-handers were affected by the variable stimulus speed, anticipating responses and being more variable at 268cm/s, while at 402.3 cm/s and 536.4 cm/s responses were late; moreover they were less variable at 536.4cm/s; 2) sex as a main factor was significant only in the left-handed group, males being more accurate and less biased in their responses than females; 3) manual asymmetry was only apparent in the left-handed group at the 268cm/s and in the variable error. The perceptual component of the task seems to be crucial in distinguishing right-handers and left-handers where the speed of the stimulus is manipulated.

A Study of Optimal SOAmin for Motor and Language Tasks in Event-related fMRl using Stochastic Design

PURPOSE: The minimum stimulus onset asynchronoy(SOAmin) is one of important experimental parameters for an event-related fMRl experiment designed with the stochastic stimulus. In this study, the most efficient SOAmin is explored for the stronger activation in motor and language tasks with the stimulus designed stochastically. MATERIALS AND METHODS: The event-related fMRl during motor and language tasks were obtained in four normal right-handed subjects. EPI-BOLD sequence is used at 1.5 Tesla MR system for the acquisition of event-related fMRl. For each task the subjects are responded for the stimulus' with 2, 3, 4, and 6 seconds SOAmin. The obtained images are processed with SPM99, and the p value is set as 0.05 for the significant activation detection. The Z value and the number of activated pixels are compared for each task. RESULTS: For the motor task, the primary and supplementary motor areas are activated, and for the language task the consistent activated signals are detected in the Broca's. The activated signal is to be stronger for the shorter SOAmin for both motor and language tasks. At primary motor area, the activated signals is the strongest for 3 seconds SOAmin and for the supplementary motor area the result with 2 seconds SOAmin shows the strongest activation. And the result of language task shows the strongest activation at the 2 seconds SOAmin. CONCLUSION: In the event-related fMRl of motor and language tasks with the stochastically designed stimulus, the 2 or 3 seconds SOAmin is efficient for more activated and clustered activation.

Functional Magnetic Resonance Imaging during Motor Activation in Patients with Schizophrenia / 신경정신의학

OBJECTIVES: Recently, functional magnetic resonance imaging(fMRI) has been an important tool for mapping in various functional brain disorders. And it is known that soft neurologic signs are frequently found in schizophrenia. The purpose of this study was to investigate the pattern of cerebral activation to motor tasks examining soft neurologic signs in patients with schizophrenia, non-schizophrenic psychoses, and control subjects, using functional MRI. METHODS: Nine patients with schizophrenia, and six patients with non-schizophrenic psychoses, and six healthy control subjects were examined. A paradigm, in a resting condition followed by an activation state(finger-to-thumb opposition task and fistring task by right hand) was used for blood oxygen level dependent f-MRI. Activated voxels in both motor cortices and supplementary motor cortex were recorded and the lateralization index of cortical response was measured. RESULTS: Patients with schizophrenia showed typical increased activation in right motor cortex and reversed lateralization by finger-to-thumb opposition task compared with non-schizophrenic psychoses and contol subjects. CONCLUSION: The present study provides evidence for specific reversed lateralizaiton in fMRI brain activation by motor task in patients with schizophrenia. FMRI will be used as a powerful tool for elucidating the pathophysiology of schizophrenia.

Functional MR Imaging of Cerbral Motor Cortex: Comparison between Conventional Gradient Echo and EPI Techniques

PURPOSE: To evaluate the differences of functional imaging patterns between conventional spoiled gradient echo(SPGR) and echo planar imaging(EPI) methods in cerebral motor cortex activation. MATERIALS AND METHODS: Functional MR imaging of cerebral motor cortex activation was examined on a 1.5T MR unit with SPGR (TR/TE/flip angle=50ms/40ms/30degree, FOV=300mm, matrix size=256x256, slice thickness=5mm) and an interleaved single shot gradient echo EPI (TR/TE/flip angle=3000ms/40ms/90 degree, FOV=300mm, matrix size=128x128, slice thickness=5mm) techniques in five male healthy volunteers. A total of 160 imaging in one slice and 960 images in 6 slices were obtained with SPGR and EPI, respectively. A right finger movement was accomplished with a paradigm of an 8 activation/ 8 rest periods. The cross-correlation was used for a statistical mapping algorithm. We evaluated any differences of the time series and the signal intensity changes between the rest and activation periods obtained with two techniques. Also, the locations and areas of the activation sites were compared between two techniques. RESULTS: The acivation sites in the motor cortex were accurately localized with both methods. In the signal intensity changes between the rest and activation periods at the activation regions, no significant differences were found between EPI and SPGR. Signal to noise ratio (SNR) of the time series data was higher in EPI than in SPGR by two folds. Also, larger pixels distributed over small p-values at the activation sites in EPI. CONCLUSIONS: Good quality functional MR imaging of the cerebral motor cortex activation could be obtained with both SPGR and EPI. However, EPI os preferable because it provides more precise information on hemodynamics related to neural activities than SPGR due to high sensitivity.