Attentional spatial cueing of the stop-signal affects the ability to suppress behavioural responses.

The ability to adapt to the environment is linked to the possibility of inhibiting inappropriate behaviours, and this ability can be enhanced by attention. Despite this premise, the scientific literature that assesses how attention can influence inhibition is still limited. This study contributes to this topic by evaluating whether spatial and moving attentional cueing can influence inhibitory control. We employed a task in which subjects viewed a vertical bar on the screen that, from a central position, moved either left or right where two circles were positioned. Subjects were asked to respond by pressing a key when the motion of the bar was interrupted close to the circle (go signal). In about 40% of the trials, following the go signal and after a variable delay, a visual target appeared in either one of the circles, requiring response inhibition (stop signal). In most of the trials the stop signal appeared on the same side as the go signal (valid condition), while in the others, it appeared on the opposite side (invalid condition). We found that spatial and moving cueing facilitates inhibitory control in the valid condition. This facilitation was observed especially for stop signals that appeared within 250ms of the presentation of the go signal, thus suggesting an involvement of exogenous attentional orienting. This work demonstrates that spatial and moving cueing can influence inhibitory control, providing a contribution to the investigation of the relationship between spatial attention and inhibitory control.

Methylphenidate is more effective to improve inhibitory control and working memory compared to tDCS in children and adolescents with attention deficit/hyperactivity disorder: a proof-of-concept study.

Introduction: Attention-deficit/hyperactivity disorder (ADHD) is characterized by an inappropriate, pervasive and persistent pattern of inattention, hyperactivity, and/or impulsivity and associated with substantial functional impairment. Despite considerable advances in the understanding and management of ADHD, some patients do not respond well to methylphenidate (MPH), the first-choice pharmacological treatment. Over the past decades, among non-invasive brain stimulation techniques, transcranial direct current stimulation (tDCS) has proven to be an effective and safe technique to improve behavior and cognition in children with neurodevelopmental disorders, including ADHD, by modifying cortical excitability. However, the effect of tDCS has never been directly compared with that of the MPH. The present randomized sham-controlled trial evaluated the effect of a single session of anodal tDCS compared with the administration of a single dose of MPH in children and adolescents with ADHD. Methods: After completing baseline assessment (T0), 26 children and adolescents with ADHD were exposed to 3 conditions with a 24-h interval-sessions: (A) a single session of anodal tDCS over the left dorsolateral prefrontal cortex (DLPFC); (B) a single session of sham tDCS over the left DLPFC; (C) a single dose of MPH. Results: Our results showed that after administering a single dose of MPH, children and adolescents with ADHD improved inhibitory control and visual-spatial WM compared with baseline, anodal, and sham tDCS. However, a single session of active tDCS over the left DLPFC was not effective compared with either baseline or sham tDCS. Discussion: In conclusion, our protocol in ADHD involving a single tDCS session did not demonstrate consistent improvements in neurocognitive features compared with baseline, sham tDCS, or single MPH administration. Different protocols need to be developed to further test the effectiveness of tDCS in improving ADHD symptoms.

The transitive inference task to study the neuronal correlates of memory-driven decision making: A monkey neurophysiology perspective.

A vast amount of literature agrees that rank-ordered information as A>B>C>D>E>F is mentally represented in spatially organized schemas after learning. This organization significantly influences the process of decision-making, using the acquired premises, i.e. deciding if B is higher than D is equivalent to comparing their position in this space. The implementation of non-verbal versions of the transitive inference task has provided the basis for ascertaining that different animal species explore a mental space when deciding among hierarchically organized memories. In the present work, we reviewed several studies of transitive inference that highlighted this ability in animals and, consequently, the animal models developed to study the underlying cognitive processes and the main neural structures supporting this ability. Further, we present the literature investigating which are the underlying neuronal mechanisms. Then we discuss how non-human primates represent an excellent model for future studies, providing ideal resources for better understanding the neuronal correlates of decision-making through transitive inference tasks.

Reward prospect affects strategic adjustments in stop signal task.

Interaction with the environment requires us to predict the potential reward that will follow our choices. Rewards could change depending on the context and our behavior adapts accordingly. Previous studies have shown that, depending on reward regimes, actions can be facilitated (i.e., increasing the reward for response) or interfered (i.e., increasing the reward for suppression). Here we studied how the change in reward perspective can influence subjects' adaptation strategy. Students were asked to perform a modified version of the Stop-Signal task. Specifically, at the beginning of each trial, a Cue Signal informed subjects of the value of the reward they would receive; in one condition, Go Trials were rewarded more than Stop Trials, in another, Stop Trials were rewarded more than Go Trials, and in the last, both trials were rewarded equally. Subjects participated in a virtual competition, and the reward consisted of points to be earned to climb the leaderboard and win (as in a video game contest). The sum of points earned was updated with each trial. After a learning phase in which the three conditions were presented separately, each subject performed 600 trials testing phase in which the three conditions were randomly mixed. Based on the previous studies, we hypothesized that subjects could employ different strategies to perform the task, including modulating inhibition efficiency, adjusting response speed, or employing a constant behavior across contexts. We found that to perform the task, subjects preferentially employed a strategy-related speed of response adjustment, while the duration of the inhibition process did not change significantly across the conditions. The investigation of strategic motor adjustments to reward's prospect is relevant not only to understanding how action control is typically regulated, but also to work on various groups of patients who exhibit cognitive control deficits, suggesting that the ability to inhibit can be modulated by employing reward prospects as motivational factors.

Restart errors reaction time of a two-step inhibition process account for the violation of the race model's independence in multi-effector selective stop signal task.

Goal-oriented actions often require the coordinated movement of two or more effectors. Sometimes multi-effector movements need to be adjusted according to a continuously changing environment, requiring stopping an effector without interrupting the movement of the others. This form of control has been investigated by the selective Stop Signal Task (SST), requiring the inhibition of an effector of a multicomponent action. This form of selective inhibition has been hypothesized to act through a two-step process, where a temporary global inhibition deactivating all the ongoing motor responses is followed by a restarting process that reactivates only the moving effector. When this form of inhibition takes place, the reaction time (RT) of the moving effector pays the cost of the previous global inhibition. However, it is poorly investigated if and how this cost delays the RT of the effector that was required to be stopped but was erroneously moved (Stop Error trials). Here we measure the Stop Error RT in a group of participants instructed to simultaneously rotate the wrist and lift the foot when a Go Signal occurred, and interrupt both movements (non-selective Stop version) or only one of them (selective Stop version) when a Stop Signal was presented. We presented this task in two experimental conditions to evaluate how different contexts can influence a possible proactive inhibition on the RT of the moving effector in the selective Stop versions. In one context, we provided the foreknowledge of the effector to be inhibited by presenting the same selective or non-selective Stop versions in the same block of trials. In a different context, while providing no foreknowledge of the effector(s) to be stopped, the selective and non-selective Stop versions were intermingled, and the information on the effector to be stopped was delivered at the time of the Stop Signal presentation. We detected a cost in both Correct and Error selective Stop RTs that was influenced by the different task conditions. Results are discussed within the framework of the race model related to the SST, and its relationship with a restart model developed for selective versions of this paradigm.

Response Preparation Affects Cognitive Motor Control.

OBJECTIVE: We investigated how the ability to control whether or not to inhibit an action is affected by the response preparation. BACKGROUND: The ability to control actions is a central skill to properly behave in complex environments. Increased levels of response preparation are associated with reduced response times, but how they directly affect the ability to control actions is not well explored. We investigated how the response preparation affects the ability to control the generation of actions in the context of a stop selective task. METHOD: Participants performed a visuo-motor stop selective task. RESULTS: We found that an increased level of response preparation reduced the ability to control actions. In the condition with high preparation, we observed shorter response times and increased probability of wrong responses to a request to stop, compared to a condition with a lower level of preparation. CONCLUSION: We demonstrated that high response preparation hinders action control. APPLICATION: Understanding the cognitive factors that affect the ability to properly control actions is crucial to develop devices that can be exploited in different contexts such as the aviation, industrial, and military. We demonstrated that subjects' response preparation is a key factor influencing their ability to flexibly control their reaction to different stimuli. This study offers a suitable paradigm that can be used to investigate which system features in a controlled task promote an optimal balance between response speed and error rate.

Neuronal population dynamics during motor plan cancellation in nonhuman primates.

To understand the cortical neuronal dynamics behind movement generation and control, most studies have focused on tasks where actions were planned and then executed using different instances of visuomotor transformations. However, to fully understand the dynamics related to movement control, one must also study how movements are actively inhibited. Inhibition, indeed, represents the first level of control both when different alternatives are available and only one solution could be adopted and when it is necessary to maintain the current position. We recorded neuronal activity from a multielectrode array in the dorsal premotor cortex (PMd) of monkeys performing a countermanding reaching task that requires, in a subset of trials, them to cancel a planned movement before its onset. In the analysis of the neuronal state space of PMd, we found a subspace in which activities conveying temporal information were confined during active inhibition and position holding. Movement execution required activities to escape from this subspace toward an orthogonal subspace and, furthermore, surpass a threshold associated with the maturation of the motor plan. These results revealed further details in the neuronal dynamics underlying movement control, extending the hypothesis that neuronal computation confined in an "output-null" subspace does not produce movements.

Comparing the Effect of Methylphenidate and Anodal tDCS on Inhibitory Control and Working-Memory in Children and Adolescents with Attention Deficit/Hyperactivity Disorder: A Study Protocol for a Randomized, within-Subject Trial.

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by inappropriate levels of attention, hyperactivity, and impulsivity that interfere with individual functioning. The international guidelines recommend targeting ADHD-related neurochemical brain abnormalities by intervening via drug treatment, such as methylphenidate (MPH), as first choice. Drug treatments are usually associated with a huge amount of cost for families and the healthcare system, suspension for low compliance, poor long-term efficacy, and side effects. Transcranial direct current stimulation (tDCS) has been suggested as a possible noninvasive means to safely manipulate brain activity and, in turn, improve behavior and cognition in developmental ages. Several studies have shown that tDCS has the potential to improve ADHD-related cognitive deficits, but the effect of tDCS compared with MPH has never been evaluated. The aim of the present within-subject, sham-controlled, randomized proof-of-concept study is to demonstrate the positive effect of one-session anodal tDCS analogous to the MPH drug on inhibitory control and working memory in children and adolescents with ADHD. We strongly believe that this study protocol will serve to accelerate research into low-cost, drug-free, feasible interventions for ADHD.

Boosting Numerical Cognition in Children and Adolescents with Mathematical Learning Disabilities by a Brain-Based Intervention: A Study Protocol for a Randomized, Sham-Controlled Clinical Trial.

Numbers are everywhere, and supporting difficulties in numerical cognition (e.g., mathematical learning disability (MLD)) in a timely, effective manner is critical for their daily use. To date, only low-efficacy cognitive-based interventions are available. The extensive data on the neurobiology of MLD have increased interest in brain-directed approaches. The overarching goal of this study protocol is to provide the scientific foundation for devising brain-based and evidence-based treatments in children and adolescents with MLD. In this double-blind, between-subject, sham-controlled, randomized clinical trial, transcranial random noise stimulation (tRNS) plus cognitive training will be delivered to participants. Arithmetic, neuropsychological, psychological, and electrophysiological measures will be collected at baseline (T0), at the end of the interventions (T1), one week (T2) and three months later (T3). We expect that tRNS plus cognitive training will significantly improve arithmetic measures at T1 and at each follow-up (T2, T3) compared with placebo and that such improvements will correlate robustly and positively with changes in the neuropsychological, psychological, and electrophysiological measures. We firmly believe that this clinical trial will produce reliable and positive results to accelerate the validation of brain-based treatments for MLD that have the potential to impact quality of life.

Neuronal Activity in the Premotor Cortex of Monkeys Reflects Both Cue Salience and Motivation for Action Generation and Inhibition.

Reward prospect weighs on motor decision processes, enhancing the selection of appropriate actions and the inhibition of others. While many studies have investigated the neuronal basis of reward representations and of cortical control of actions, the neuronal correlates of the influences of reward prospect on motor decisions are less clear. We recorded from the dorsal premotor cortex (PMd) of 2 male macaque monkeys performing a modified version of the Stop-signal (countermanding) task. This task challenges motor decisions by requiring responding to a frequent Go stimulus, but to suppress this response when a rare Stop signal is presented during the reaction time. We unbalanced the motivation to respond or to suppress the response by presenting a cue informing on three different rewards schedules: in one case, Go trials were rewarded more than Stop trials; in another case, Stop trials were rewarded more than Go trials; in the last case, both types of trials were rewarded equally. Monkeys adopted different strategies according to reward information provided by the cue: the higher the reward for Stop trials, the higher their ability to suppress the response and the slower their response to Go stimuli. PMd neuronal activity evolved in time and correlated with the behavior: PMd signaled first the cue salience, representing the chance to earn the highest reward at stake, then reflected the shaping of the motor choice by the motivation to move or to stop. These findings represent a neuronal correlate of the influence of reward information on motor decision.SIGNIFICANCE STATEMENT The motivation to obtain rewards drives how animals act over their environment. To explore the involvement of motor cortices in motivated behaviors, we recorded high-resolution neuronal activity in the premotor cortex of monkeys performing a task that manipulated the motivation to generate/withhold a movement through different cued reward probabilities. Our results show the presence of neuronal signals dynamically reflecting the salience of the cue, in the time immediately following its presentation, and a motivation-related activity in performing (or cancelling) a motor program, while the behavioral response approached. The encoding of multiple reward-related signals in this region leads to consider an important role of premotor areas in the reward circuitry supporting action.

Neuronal dynamics of signal selective motor plan cancellation in the macaque dorsal premotor cortex.

Primates adopt various strategies to interact with the environment. Yet, no study has examined the effects of behavioural strategies with regard to how movement inhibition is implemented at the neuronal level. We used a modified version of the stop-task by adding an extra signal - termed the Ignore signal - capable of influencing the inhibition of movements only within a specific strategy. We simultaneously recorded multisite neuronal activity from the dorsal premotor (PMd) cortex of macaque monkeys during the task and applied a state-space approach. As a result, we found that movement generation is characterized by neuronal dynamics that evolve between subspaces. When the movement is halted, this evolution is arrested and inverted. Conversely, when the Ignore signal is presented, inversion of the evolution is observed briefly and only when a specific behavioural strategy is adopted. Moreover, neuronal signatures during the inhibitory process were predictive of how PMd processes inhibitory signals, allowing the classification of the resulting behavioural strategy. Our data further corroborate the PMd as a critical node in movement inhibition.

Dorsal Premotor Cortex Neurons Signal the Level of Choice Difficulty during Logical Decisions.

Studies on the neuronal correlates of decision making have demonstrated that the continuous flow of sensorial information is integrated by sensorimotor brain areas in order to select one among simultaneously represented targets and potential actions. In contrast, little is known about how these areas integrate memory information to lead to similar decisions. Using serial order learning, we explore how fragments of information, learned and stored independently (e.g., A > B and B > C), are linked in an abstract representation according to their reciprocal relations (such as A > B > C) and how this representation can be accessed and manipulated to make decisions. We show that manipulating information after learning occurs with increased difficulty as logical relationships get closer in the mental map and that the activity of neurons in the dorsal premotor cortex (PMd) encodes the difficulty level during target selection for motor decision making at the single-neuron and population levels.

The small scale functional topology of movement control: Hierarchical organization of local activity anticipates movement generation in the premotor cortex of primates.

How neurons coordinate their collective activity for behavioural control is an open question in neuroscience. Several studies have progressively proven, on various scales, that the patterns of neural synchronization change accordingly with behavioural events. However, the topological features of the neural dynamics that underlie task-based cognitive decisions on the small scale level are not understood. We analysed the multiunit activity (MUA) from a multielectrode (96 channels) array of the dorsal premotor cortex (PMd) in rhesus monkeys during a countermanding reaching task. Within the framework of graph theory, we found that in the local PMd network motor execution is preceded by the emergence of hubs of anti-correlation that are organized in a hierarchical manner. Conversely, this organization is absent when monkeys correctly inhibit programmed movements. Thus, we interpret the presence of hubs as reflecting the readiness of the motor plan and the irrevocable signature of the onset of the incoming movement.

Visual salience of the stop signal affects the neuronal dynamics of controlled inhibition.

The voluntary control of movement is often tested by using the countermanding, or stop-signal task that sporadically requires the suppression of a movement in response to an incoming stop-signal. Neurophysiological recordings in monkeys engaged in the countermanding task have shown that dorsal premotor cortex (PMd) is implicated in movement control. An open question is whether and how the perceptual demands inherent the stop-signal affects inhibitory performance and their underlying neuronal correlates. To this aim we recorded multi-unit activity (MUA) from the PMd of two male monkeys performing a countermanding task in which the salience of the stop-signals was modulated. Consistently to what has been observed in humans, we found that less salient stimuli worsened the inhibitory performance. At the neuronal level, these behavioral results were subtended by the following modulations: when the stop-signal was not noticeable compared to the salient condition the preparatory neuronal activity in PMd started to be affected later and with a less sharp dynamic. This neuronal pattern is probably the consequence of a less efficient inhibitory command useful to interrupt the neural dynamic that supports movement generation in PMd.

Atrophic degeneration of cerebellum impairs both the reactive and the proactive control of movement in the stop signal paradigm.

The cognitive control of movement suppression, including performance monitoring, is one of the core properties of the executive system. A complex cortical and subcortical network involving cerebral cortex, thalamus, subthalamus, and basal ganglia has been regarded as the neural substrate of inhibition of programmed movements. Using the countermanding task, a suitable tool to explore behavioral components of movement suppression, the contribution of the cerebellum in the proactive control and monitoring of voluntary action has been recently described in patients affected by focal lesions involving in particular the cerebellar dentate nucleus. Here, we evaluated the performance on the countermanding task in a group of patients with cerebellar degeneration, in which the cerebellar cortex was diffusely affected, and showed that they display additionally a longer latency in countermanding engaged movements. Overall, the present data confirm the role of the cerebellum in executive control of action inhibition by extending the contribution to reactive motor suppression.

Visual salience of the stop-signal affects movement suppression process.

We investigated how the ability to suppress an impending movement is affected by the visual salience of the stop-signal in a reaching countermanding task. We found that when the stop-signal was easy to detect, stop performance was better than when the stop-signal was difficult to detect. In an exploratory analysis, we also found that the change in salience of the stop-signal can have an effect on the speed of response in trials following the stop-signal. This effect occurred together with strategic slowing down after an error in inhibiting was committed and together with a repetition priming effect due to the stop-signal presented in the previous trial. Our results suggest the need to investigate more in depth the afferent processing stage of the inhibitory control of movement and how task demands can affect its functioning.

Evaluation of relational reasoning by a transitive inference task in attention-deficit/hyperactivity disorder.

OBJECTIVE: Here we explored whether children with ADHD have a deficit in relational reasoning, a skill subtending the acquisition of many cognitive abilities and social rules. METHOD: We analyzed the performance of a group of children with ADHD during a transitive inference task, a task requiring first to learn the reciprocal relationship between adjacent items of a rank ordered series (e.g., A>B; B>C; C>D; D>E; E>F), and second, to deduct the relationship between novel pairs of items never matched during the learning (e.g., B>D; C>E). RESULTS: As a main result, we observed that children with ADHD were impaired in performing inferential reasoning problems. The deficit in relational reasoning was found to be related to the difficulty in managing a unified representation of ordered items. CONCLUSION: The present finding documented a novel deficit in ADHD, contributing to improving the understanding of the disorder. (PsycINFO Database Record

Reaching-related Neurons in Superior Parietal Area 5: Influence of the Target Visibility.

Reaching movements require the integration of both somatic and visual information. These signals can have different relevance, depending on whether reaches are performed toward visual or memorized targets. We tested the hypothesis that under such conditions, therefore depending on target visibility, posterior parietal neurons integrate differently somatic and visual signals. Monkeys were trained to execute both types of reaches from different hand resting positions and in total darkness. Neural activity was recorded in Area 5 (PE) and analyzed by focusing on the preparatory epoch, that is, before movement initiation. Many neurons were influenced by the initial hand position, and most of them were further modulated by the target visibility. For the same starting position, we found a prevalence of neurons with activity that differed depending on whether hand movement was performed toward memorized or visual targets. This result suggests that posterior parietal cortex integrates available signals in a flexible way based on contextual demands.