@article {4459, title = {A somato-cognitive action network alternates with effector regions in motor cortex.}, journal = {Nature}, volume = {617}, year = {2023}, month = {05/2023}, pages = {351-359}, abstract = {

Motor cortex (M1) has been thought to form a continuous somatotopic homunculus extending down~the precentral gyrus from foot to face representations, despite evidence for concentric functional zones and maps of complex actions. Here, using precision functional magnetic resonance imaging (fMRI) methods, we find that the classic homunculus is interrupted by regions with distinct connectivity, structure and function, alternating with effector-specific (foot, hand and mouth) areas. These inter-effector regions exhibit decreased cortical thickness and strong functional connectivity to each other, as well as to the cingulo-opercular network (CON), critical for action and physiological control, arousal, errors and pain. This interdigitation of action control-linked and motor effector regions was verified in the three largest fMRI datasets. Macaque and pediatric (newborn, infant and child) precision fMRI suggested cross-species homologues and developmental precursors of the inter-effector system. A battery of motor and action fMRI tasks documented concentric effector somatotopies, separated by the CON-linked inter-effector regions. The inter-effectors lacked movement specificity and co-activated during action planning (coordination of hands and feet) and axial body movement (such as of the abdomen or eyebrows). These results, together with previous studies demonstrating stimulation-evoked complex actions and connectivity to internal organs such as the adrenal medulla, suggest that M1 is punctuated by a system for whole-body action planning, the somato-cognitive action network (SCAN). In M1, two parallel systems intertwine, forming an integrate-isolate pattern: effector-specific regions (foot, hand and mouth) for isolating fine motor control and the SCAN for integrating goals, physiology and body movement.

}, keywords = {Animals, Brain Mapping, Child, Cognition, Datasets as Topic, Foot, Hand, Humans, Infant, Infant, Newborn, Macaca, Magnetic Resonance Imaging, Motor Cortex, Mouth}, issn = {1476-4687}, doi = {10.1038/s41586-023-05964-2}, author = {Gordon, Evan M and Chauvin, Roselyne J and Van, Andrew N and Rajesh, Aishwarya and Nielsen, Ashley and Newbold, Dillan J and Lynch, Charles J and Seider, Nicole A and Krimmel, Samuel R and Scheidter, Kristen M and Monk, Julia and Miller, Ryland L and Metoki, Athanasia and Montez, David F and Zheng, Annie and Elbau, Immanuel and Madison, Thomas and Nishino, Tomoyuki and Myers, Michael J and Kaplan, Sydney and Badke D{\textquoteright}Andrea, Carolina and Demeter, Damion V and Feigelis, Matthew and Ramirez, Julian S B and Xu, Ting and Barch, Deanna M and Smyser, Christopher D and Rogers, Cynthia E and Zimmermann, Jan and Botteron, Kelly N and Pruett, John R and Willie, Jon T and Brunner, Peter and Shimony, Joshua S and Kay, Benjamin P and Marek, Scott and Norris, Scott A and Gratton, Caterina and Sylvester, Chad M and Power, Jonathan D and Liston, Conor and Greene, Deanna J and Roland, Jarod L and Petersen, Steven E and Raichle, Marcus E and Laumann, Timothy O and Fair, Damien A and Dosenbach, Nico U F} } @article {2199, title = {Cortical activity during motor execution, motor imagery, and imagery-based online feedback.}, journal = {Proc Natl Acad Sci U S A}, volume = {107}, year = {2010}, month = {03/2010}, pages = {4430-5}, abstract = {

Imagery\ of\ motor\ movement plays an important role in learning of complex\ motor\ skills, from learning to serve in tennis to perfecting a pirouette in ballet. What and where are the neural substrates that underlie\ motorimagery-based\ learning? We measured electrocorticographic\ cortical\ surface potentials in eight human subjects during overt action and kinesthetic\ imagery\ of the same movement, focusing on power in "high frequency" (76-100 Hz) and "low frequency" (8-32 Hz) ranges. We quantitatively establish that the spatial distribution of local neuronal population\ activity\ during\ motorimagery\ mimics the spatial distribution of\ activity\ during actual\ motor\ movement. By comparing responses to electrocortical stimulation with\ imagery-induced\ cortical\ surface\ activity, we demonstrate the role of primary\ motor\ areas in movement\ imagery. The magnitude of\ imagery-induced\ corticalactivity\ change was approximately 25\% of that associated with actual movement. However, when subjects learned to use this\ imagery\ to control a computer cursor in a simple\ feedback\ task, the\ imagery-induced\ activity\ change was significantly augmented, even exceeding that of overt movement.

}, keywords = {Adolescent, Adult, Biofeedback, Psychology, Cerebral Cortex, Child, Electric Stimulation, Electrocardiography, Female, Humans, Male, Middle Aged, Motor Activity, Young Adult}, issn = {1091-6490}, doi = {10.1073/pnas.0913697107}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20160084}, author = {Miller, K.J. and Gerwin Schalk and Fetz, Eberhard E and den Nijs, Marcel and Ojemann, J G and Rao, Rajesh P N} } @article {2242, title = {Advances in the application of technology to epilepsy: the CIMIT/NIO Epilepsy Innovation Summit.}, journal = {Epilepsy Behav}, volume = {16}, year = {2009}, month = {09/2009}, pages = {3-46}, abstract = {

In 2008, a group of clinicians, scientists, engineers, and industry representatives met to discuss advances in the application of engineering technologies to the diagnosis and treatment of patients with epilepsy. The presentations also provided a guide for further technological development, specifically in the evaluation of patients for epilepsy surgery, seizure onset detection and seizure prediction, intracranial treatment systems, and extracranial treatment systems. This article summarizes the discussions and demonstrates that cross-disciplinary interactions can catalyze collaborations between physicians and engineers to address and solve many of the pressing unmet needs in epilepsy.

}, keywords = {Adult, Anticonvulsants, Brain Mapping, Child, Drug Resistance, Electric Stimulation Therapy, Electroencephalography, Engineering, Epilepsy, Humans, Magnetic Resonance Imaging, Medical Laboratory Science, Microelectrodes, Nanoparticles, Neurons, Neurosurgery, Neurotoxins, Predictive Value of Tests, Seizures, Spectroscopy, Near-Infrared, Tomography, Emission-Computed, Single-Photon, Tomography, Optical, Transcranial Magnetic Stimulation}, issn = {1525-5069}, doi = {10.1016/j.yebeh.2009.06.028}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19780225}, author = {Schachter, Steven C and Guttag, John and Schiff, Steven J and Schomer, Donald L} } @article {2185, title = {Non-invasive brain-computer interface system: towards its application as assistive technology.}, journal = {Brain Res Bull}, volume = {75}, year = {2008}, month = {04/2008}, pages = {796-803}, abstract = {

The quality of life of people suffering from severe motor disabilities can benefit from the use of current assistive technology capable of ameliorating communication, house-environment management and mobility, according to the user{\textquoteright}s residual motor abilities.\ Brain-computer interfaces\ (BCIs) are systems that can translate\ brain\ activity into signals that control external devices. Thus they can represent the only technology for severely paralyzed patients to increase or maintain their communication and control options. Here we report on a pilot study in which a system was implemented and validated to allow disabled persons to improve or recover their mobility (directly or by emulation) and communication within the surrounding environment. The system is based on a software controller that offers to the user a communication interface that is matched with the individual{\textquoteright}s residual motor abilities. Patients (n=14) with severe motor disabilities due to progressive neurodegenerative disorders were trained to use the system prototype under a rehabilitation program carried out in a house-like furnished space. All users utilized regular assistive control options (e.g., microswitches or head trackers). In addition, four subjects learned to operate the system by means of a non-invasive EEG-based BCI. This system was controlled by the subjects{\textquoteright} voluntary modulations of EEG sensorimotor rhythms recorded on the scalp; this skill was learnt even though the subjects have not had control over their limbs for a long time. We conclude that such a prototype system, which integrates several different assistive technologies including a BCI system, can potentially facilitate the translation from pre-clinical\ demonstrations to a\ clinical\ useful BCI.

}, keywords = {Activities of Daily Living, Adolescent, Adult, Brain, Child, Electroencephalography, Evoked Potentials, Motor, Female, Humans, Learning, Male, Middle Aged, Motor Skills, Muscular Dystrophy, Duchenne, Pilot Projects, Prostheses and Implants, Robotics, Self-Help Devices, Software, Spinal Muscular Atrophies of Childhood, User-Computer Interface, Volition}, issn = {0361-9230}, doi = {10.1016/j.brainresbull.2008.01.007}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18394526}, author = {Cincotti, F and Mattia, Donatella and Aloise, Fabio and Bufalari, Simona and Gerwin Schalk and Oriolo, Giuseppe and Cherubini, Andrea and Marciani, Maria Grazia and Babiloni, Fabio} } @article {2188, title = {Unique cortical physiology associated with ipsilateral hand movements and neuroprosthetic implications.}, journal = {Stroke}, volume = {39}, year = {2008}, month = {12/2008}, pages = {3351-9}, abstract = {

BACKGROUND AND PURPOSE:\ 

Brain computer interfaces\ (BCIs) offer little direct benefit to patients with hemispheric stroke because current platforms rely on signals derived from the contralateral motor cortex (the same region injured by the stroke). For BCIs to assist hemiparetic patients, the implant must use unaffected cortex ipsilateral to the affected limb. This requires the identification of distinct electrophysiological features from the motor cortex associated with ipsilateral hand movements.

METHODS:\ 

In this study we studied 6 patients undergoing temporary placement of intracranial electrode arrays. Electrocorticographic (ECoG) signals were recorded while the subjects engaged in specific ipsilateral or contralateral hand motor tasks. Spectral changes were identified with regards to frequency, location, and timing.

RESULTS:\ 

Ipsilateral hand movements were associated with electrophysiological changes that occur in lower frequency spectra, at distinct anatomic locations, and earlier than changes associated with contralateral hand movements. In a subset of 3 patients, features specific to ipsilateral and contralateral hand movements were used to control a cursor on a screen in real time. In ipsilateral derived control this was optimal with lower frequency spectra.

CONCLUSIONS:\ 

There are distinctive cortical electrophysiological features associated with ipsilateral movements which can be used for device control. These findings have implications for patients with hemispheric stroke because they offer a potential methodology for which a single hemisphere can be used to enhance the function of a stroke induced hemiparesis.

}, keywords = {Adolescent, Adult, Artificial Limbs, Bionics, Brain Mapping, Child, Dominance, Cerebral, Electroencephalography, Female, Hand, Humans, Male, Middle Aged, Motor Cortex, Movement, Paresis, Prosthesis Design, Psychomotor Performance, Stroke, User-Computer Interface, Volition}, issn = {1524-4628}, doi = {10.1161/STROKEAHA.108.518175}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18927456}, author = {Wisneski, Kimberly and Nicholas R Anderson and Gerwin Schalk and Smyth, Matt and Moran, D and Leuthardt, E C} }