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1.
J Neurosci ; 44(34)2024 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-38951036

RESUMO

The implementation of low-dimensional movement control by the central nervous system has been debated for decades. In this study, we investigated the dimensionality of the control signals received by spinal motor neurons when controlling either the ankle or knee joint torque. We first identified the low-dimensional latent factors underlying motor unit activity during torque-matched isometric contractions in male participants. Subsequently, we evaluated the extent to which motor units could be independently controlled. To this aim, we used an online control paradigm in which participants received the corresponding motor unit firing rates as visual feedback. We identified two main latent factors, regardless of the muscle group (vastus lateralis-medialis and gastrocnemius lateralis-medialis). The motor units of the gastrocnemius lateralis could be controlled largely independently from those of the gastrocnemius medialis during ankle plantarflexion. This dissociation of motor unit activity imposed similar behavior to the motor units that were not displayed in the feedback. Conversely, it was not possible to dissociate the activity of the motor units between the vastus lateralis and medialis muscles during the knee extension tasks. These results demonstrate that the number of latent factors estimated from linear dimensionality reduction algorithms does not necessarily reflect the dimensionality of volitional control of motor units. Overall, individual motor units were never controlled independently of all others but rather belonged to synergistic groups. Together, these findings provide evidence for a low-dimensional control of motor units constrained by common inputs, with notable differences between muscle groups.


Assuntos
Eletromiografia , Neurônios Motores , Músculo Esquelético , Humanos , Masculino , Adulto , Músculo Esquelético/fisiologia , Neurônios Motores/fisiologia , Adulto Jovem , Volição/fisiologia , Torque , Contração Isométrica/fisiologia , Articulação do Joelho/fisiologia , Articulação do Tornozelo/fisiologia
2.
Conscious Cogn ; 123: 103727, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38972289

RESUMO

The intentional binding effect refers to the phenomenon where the perceived temporal interval between a voluntary action and its sensory consequence is subjectively compressed. Prior research revealed the importance of tactile feedback from the keyboard on this effect. Here we examined the necessity of such tactile feedback by utilizing a touch-free key-press device without haptic feedback, and explored how initial/outcome sensory modalities (visual/auditory/tactile) and their consistency influence the intentional binding effect. Participants estimated three delay lengths (250, 550, or 850 ms) between the initial and outcome stimuli. Results showed that regardless of the combinations of sensory modalities between the initial and the outcome stimuli (i.e., modal consistency), the intentional binding effect was only observed in the 250 ms delay condition. This findings indicate a stable intentional binding effect both within and across sensory modalities, supporting the existence of a shared mechanism underlying the binding effect in touch-free voluntary actions.


Assuntos
Retroalimentação Sensorial , Intenção , Desempenho Psicomotor , Percepção do Tato , Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Percepção do Tato/fisiologia , Retroalimentação Sensorial/fisiologia , Desempenho Psicomotor/fisiologia , Percepção Visual/fisiologia , Percepção do Tempo/fisiologia , Percepção Auditiva/fisiologia , Volição/fisiologia
3.
J Physiol ; 602(15): 3755-3768, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38979883

RESUMO

Volitional modulation of neural activity is not confined to the cortex but extends to various brain regions. Yet, it remains unclear whether neurons in the basal ganglia structure, the external globus pallidus (GPe), can be volitionally controlled. Here, we employed a volitional conditioning task to compare the volitional modulation of GPe and primary motor cortex (M1) neurons as well as the underlying circuits and control mechanisms. The results revealed that the volitional modulation of GPe neuronal activity engaged both M1 and substantia nigra pars reticulata (SNr) neurons, indicating the involvement of the cortex-GPe-SNr loop. In contrast, the volitional modulation of M1 neurons primarily occurred through the engagement of M1 local circuitry. Furthermore, lesioning M1 neurons did not affect the volitional learning or volitional control signal in GPe, whereas lesioning of GPe neurons impaired the learning process for the volitional modulation of M1 neuronal activity at the intermediate stage. Additionally, lesion of GPe neurons enhanced M1 neuronal activity when performing the volitional control task without reward delivery and a random reward test. Taken together, our findings demonstrated that GPe neurons could be volitionally controlled by engagement of the cortical-basal ganglia circuit and inhibit learning process for the volitional modulation of M1 neuronal activity by regulating M1 neuronal activity. Thus, GPe neurons can be effectively harnessed for independent volitional modulation for neurorehabilitation in patients with cortical damage. KEY POINTS: The cortical-basal ganglia circuit contributes to the volitional modulation of GPe neurons. Volitional modulation of M1 neuronal activity mainly engages M1 local circuitry. Bilateral GPe lesioning impedes volitional learning at the intermediate stages. Lesioning of GPe neurons inhibits volitional learning process by regulating M1 neuronal activity.


Assuntos
Globo Pálido , Córtex Motor , Neurônios , Volição , Globo Pálido/fisiologia , Animais , Masculino , Volição/fisiologia , Córtex Motor/fisiologia , Neurônios/fisiologia , Gânglios da Base/fisiologia , Vias Neurais/fisiologia , Aprendizagem/fisiologia , Recompensa
4.
J Neurosci ; 44(32)2024 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-38960719

RESUMO

Little is known about the electrophysiologic activity of the intact human spinal cord during volitional movement. We analyzed epidural spinal recordings from a total of five human subjects of both sexes during a variety of upper extremity movements and found that these spinal epidural electrograms contain spectral information distinguishing periods of movement, rest, and sensation. Cervical epidural electrograms also contained spectral changes time-locked with movement. We found that these changes were primarily associated with increased power in the theta (4-8 Hz) band and feature increased theta phase to gamma amplitude coupling, and this increase in theta power can be used to topographically map distinct upper extremity movements onto the cervical spinal cord in accordance with established myotome maps of the upper extremity. Our findings have implications for the development of neurostimulation protocols and devices focused on motor rehabilitation for the upper extremity, and the approach presented here may facilitate spatiotemporal mapping of naturalistic movements.


Assuntos
Movimento , Humanos , Masculino , Feminino , Movimento/fisiologia , Adulto , Volição/fisiologia , Medula Cervical/fisiologia , Espaço Epidural/fisiologia , Vértebras Cervicais/fisiologia , Eletromiografia/métodos , Pessoa de Meia-Idade
5.
Integr Psychol Behav Sci ; 58(3): 908-915, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38351379

RESUMO

Neuroscience has convinced people that much of their behavior is determined by causes unknown to them and beyond their control. However, are advances in neuroscience truly a prerequisite for such beliefs? Robert Kane's theory of ultimate responsibility is libertarian theory. Its innovative nature makes it possible to discuss the neurophysiological basis of its postulates. Using the functions of the midbrain dopaminergic system as an example, this article provides an overview of this neurophysiological basis. According to Kane, if we are to be ultimately responsible for our wills as well as for our actions, some actions in our lives must lack sufficient motives and causes. These are self-forming actions. Dopamine is hypothesized to mediate self-forming action execution. Dopamine not only mediates action but also ensures synaptic plasticity in the brain, that is, learning from action; hence, dopamine changes the acting individual and provides the formation of our own wills. The basal ganglia, which are the main target of dopamine in the brain, act through parallel pathways and are involved in decision-making processes. Dopamine is also involved in the regulation of the neurodynamical properties of prefrontal cortex networks with random spiking noise. It can be assumed that the activity of the dopaminergic system is closely related to the physiological basis of free will.


Assuntos
Dopamina , Humanos , Dopamina/fisiologia , Dopamina/metabolismo , Volição/fisiologia , Encéfalo/fisiologia
6.
Psychon Bull Rev ; 31(1): 340-352, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37620630

RESUMO

It has been shown that cognitive performance could be improved by expressing volition (e.g., making voluntary choices), which necessarily involves the execution of action through a certain effector. However, it is unclear if the benefit of expressing volition can generalize across different effectors. In the present study, participants made a choice between two pictures either voluntarily or forcibly, and subsequently completed a visual search task with the chosen picture as a task-irrelevant background. The effector for choosing a picture could be the hand (pressing a key), foot (pedaling), mouth (commanding), or eye (gazing), whereas the effector for responding to the search target was always the hand. Results showed that participants responded faster and had a more liberal response criterion in the search task after a voluntary choice (vs. a forced choice). Importantly, the improved performance was observed regardless of which effector was used in making the choice, and regardless of whether the effector for making choices was the same as or different from the effector for responding to the search target. Eye-movement data for oculomotor choice showed that the main contributor to the facilitatory effect of voluntary choice was the post-search time in the visual search task (i.e., the time spent on processes after the target was found, such as response selection and execution). These results suggest that the expression of volition may involve the motor control system in which the effector-general, high-level processing of the goal of the voluntary action plays a key role.


Assuntos
Motivação , Volição , Humanos , Volição/fisiologia , Movimentos Oculares , Desempenho Psicomotor/fisiologia
7.
Neurol Sci ; 45(3): 861-871, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37870645

RESUMO

Debates about the concept of Free Will date back to ancient times. About 40 years ago, Benjamin Libet designed an experiment showing that the conscious intention to move is preceded by a specific pattern of brain activation. His finding suggested that unconscious processes determine our decisions. Libet-style experiments have continued to dominate the debate about Free Will, pushing some authors to argue that the existence of Free Will is a mere illusion. We believe that this dispute is because we often measure Free Will using arbitrary human decisions rather than deliberate actions. After reviewing the definition of Free Will and the related literature, we conclude that the scientific evidence does not disprove the existence of Free Will. However, our will encounters several constraints and limitations that should be considered when evaluating our deeds' personal responsibility.


Assuntos
Autonomia Pessoal , Prisioneiros , Humanos , Encéfalo , Estado de Consciência/fisiologia , Intenção , Volição/fisiologia
8.
Neurosci Biobehav Rev ; 157: 105503, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38072144

RESUMO

The neuroscience of volition is an emerging subfield of the brain sciences, with hundreds of papers on the role of consciousness in action formation published each year. This makes the state-of-the-art in the discipline poorly accessible to newcomers and difficult to follow even for experts in the field. Here we provide a comprehensive summary of research in this field since its inception that will be useful to both groups. We also discuss important ideas that have received little coverage in the literature so far. We systematically reviewed a set of 2220 publications, with detailed consideration of almost 500 of the most relevant papers. We provide a thorough introduction to the seminal work of Benjamin Libet from the 1960s to 1980s. We also discuss common criticisms of Libet's method, including temporal introspection, the interpretation of the assumed physiological correlates of volition, and various conceptual issues. We conclude with recent advances and potential future directions in the field, highlighting modern methodological approaches to volition, as well as important recent findings.


Assuntos
Neurociências , Volição , Humanos , Volição/fisiologia , Encéfalo/fisiologia , Estado de Consciência/fisiologia
9.
Science ; 382(6670): 517-518, 2023 11 03.
Artigo em Inglês | MEDLINE | ID: mdl-37917674

RESUMO

A brain-machine interface demonstrates volitional control of hippocampal activity.


Assuntos
Interfaces Cérebro-Computador , Hipocampo , Navegação Espacial , Volição , Animais , Ratos , Hipocampo/fisiologia , Volição/fisiologia
10.
Science ; 382(6670): 566-573, 2023 11 03.
Artigo em Inglês | MEDLINE | ID: mdl-37917713

RESUMO

The hippocampus is critical for recollecting and imagining experiences. This is believed to involve voluntarily drawing from hippocampal memory representations of people, events, and places, including maplike representations of familiar environments. However, whether representations in such "cognitive maps" can be volitionally accessed is unknown. We developed a brain-machine interface to test whether rats can do so by controlling their hippocampal activity in a flexible, goal-directed, and model-based manner. We found that rats can efficiently navigate or direct objects to arbitrary goal locations within a virtual reality arena solely by activating and sustaining appropriate hippocampal representations of remote places. This provides insight into the mechanisms underlying episodic memory recall, mental simulation and planning, and imagination and opens up possibilities for high-level neural prosthetics that use hippocampal representations.


Assuntos
Mapeamento Encefálico , Interfaces Cérebro-Computador , Hipocampo , Volição , Animais , Ratos , Hipocampo/fisiologia , Imaginação/fisiologia , Memória Episódica , Rememoração Mental/fisiologia , Volição/fisiologia , Navegação Espacial
11.
eNeuro ; 10(6)2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-37236786

RESUMO

Studies of voluntary visual spatial attention have used attention-directing cues, such as arrows, to induce or instruct observers to focus selective attention on relevant locations in visual space to detect or discriminate subsequent target stimuli. In everyday vision, however, voluntary attention is influenced by a host of factors, most of which are quite different from the laboratory paradigms that use attention-directing cues. These factors include priming, experience, reward, meaning, motivations, and high-level behavioral goals. Attention that is endogenously directed in the absence of external attention-directing cues has been referred to as "self-initiated attention" or, as in our prior work, as "willed attention" where volunteers decide where to attend in response to a prompt to do so. Here, we used a novel paradigm that eliminated external influences (i.e., attention-directing cues and prompts) about where and/or when spatial attention should be directed. Using machine learning decoding methods, we showed that the well known lateralization of EEG alpha power during spatial attention was also present during purely self-generated attention. By eliminating explicit cues or prompts that affect the allocation of voluntary attention, this work advances our understanding of the neural correlates of attentional control and provides steps toward the development of EEG-based brain-computer interfaces that tap into human intentions.


Assuntos
Atenção , Volição , Humanos , Atenção/fisiologia , Volição/fisiologia , Visão Ocular , Motivação , Sinais (Psicologia) , Percepção Espacial/fisiologia , Tempo de Reação/fisiologia
12.
Neurosci Biobehav Rev ; 151: 105199, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37119992

RESUMO

In 1983 Benjamin Libet and colleagues published a paper apparently challenging the view that the conscious intention to move precedes the brain's preparation for movement. The experiment initiated debates about the nature of intention, the neurophysiology of movement, and philosophical and legal understanding of free will and moral responsibility. Here we review the concept of "conscious intention" and attempts to measure its timing. Scalp electroencephalographic activity prior to movement, the Bereitschaftspotential, clearly begins prior to the reported onset of conscious intent. However, the interpretation of this finding remains controversial. Numerous studies show that the Libet method for determining intent, W time, is not accurate and may be misleading. We conclude that intention has many different aspects, and although we now understand much more about how the brain makes movements, identifying the time of conscious intention is still elusive.


Assuntos
Intenção , Volição , Humanos , Volição/fisiologia , Eletroencefalografia/métodos , Encéfalo/fisiologia , Estado de Consciência/fisiologia , Movimento/fisiologia
13.
Eur J Neurosci ; 57(10): 1723-1735, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-36967647

RESUMO

Gaze following is a major element of non-verbal communication and important for successful social interactions. Human gaze following is a fast and almost reflex-like behaviour, yet it can be volitionally controlled and suppressed to some extent if inappropriate or unnecessary, given the social context. In order to identify the neural basis of the cognitive control of gaze following, we carried out an event-related fMRI experiment, in which human subjects' eye movements were tracked while they were exposed to gaze cues in two distinct contexts: A baseline gaze following condition in which subjects were instructed to use gaze cues to shift their attention to a gazed-at spatial target and a control condition in which the subjects were required to ignore the gaze cue and instead to shift their attention to a distinct spatial target to be selected based on a colour mapping rule, requiring the suppression of gaze following. We could identify a suppression-related blood-oxygen-level-dependent (BOLD) response in a frontoparietal network comprising dorsolateral prefrontal cortex (dlPFC), orbitofrontal cortex (OFC), the anterior insula, precuneus, and posterior parietal cortex (PPC). These findings suggest that overexcitation of frontoparietal circuits in turn suppressing the gaze following patch might be a potential cause of gaze following deficits in clinical populations.


Assuntos
Fixação Ocular , Lobo Frontal , Rede Nervosa , Lobo Parietal , Volição , Lobo Parietal/fisiologia , Lobo Frontal/fisiologia , Humanos , Sinais (Psicologia) , Rede Nervosa/fisiologia , Fixação Ocular/fisiologia , Volição/fisiologia , Imageamento por Ressonância Magnética , Masculino , Feminino
14.
Elife ; 112022 11 03.
Artigo em Inglês | MEDLINE | ID: mdl-36326239

RESUMO

Volition - the sense of control or agency over one's voluntary actions - is widely recognized as the basis of both human subjective experience and natural behavior in nonhuman animals. Several human studies have found peaks in neural activity preceding voluntary actions, for example the readiness potential (RP), and some have shown upcoming actions could be decoded even before awareness. Others propose that random processes underlie and explain pre-movement neural activity. Here, we seek to address these issues by evaluating whether pre-movement neural activity in mice contains structure beyond that present in random neural activity. Implementing a self-initiated water-rewarded lever-pull paradigm in mice while recording widefield [Ca++] neural activity we find that cortical activity changes in variance seconds prior to movement and that upcoming lever pulls could be predicted between 3 and 5 s (or more in some cases) prior to movement. We found inhibition of motor cortex starting at approximately 5 s prior to lever pulls and activation of motor cortex starting at approximately 2 s prior to a random unrewarded left limb movement. We show that mice, like humans, are biased toward commencing self-initiated actions during specific phases of neural activity but that the pre-movement neural code changes over time in some mice and is widely distributed as behavior prediction improved when using all vs. single cortical areas. These findings support the presence of structured multi-second neural dynamics preceding self-initiated action beyond that expected from random processes. Our results also suggest that neural mechanisms underlying self-initiated action could be preserved between mice and humans.


Assuntos
Córtex Motor , Movimento , Animais , Humanos , Camundongos , Movimento/fisiologia , Córtex Motor/fisiologia , Volição/fisiologia , Desempenho Psicomotor/fisiologia
15.
Proc Natl Acad Sci U S A ; 119(27): e2116321119, 2022 07 05.
Artigo em Inglês | MEDLINE | ID: mdl-35759657

RESUMO

Correlated activity of neurons can lead to long-term strengthening or weakening of the connections between them. In addition, the behavioral context, imparted by execution of physical movements or the presence of a reward, can modulate the plasticity induced by Hebbian mechanisms. In the present study, we have combined behavior and induced neuronal correlations to strengthen connections in the motor cortex of adult behaving monkeys. Correlated activity was induced using an electrical-conditioning protocol in which stimuli gated by voluntary movements were used to produce coactivation of neurons at motor-cortical sites involved in those movements. Delivery of movement-dependent stimulation resulted in small increases in the strength of associated cortical connections immediately after conditioning. Remarkably, when paired with further repetition of the movements that gated the conditioning stimuli, there were substantially larger gains in the strength of cortical connections, which occurred in a use-dependent manner, without delivery of additional conditioning stimulation. In the absence of such movements, little change was observed in the strength of motor-cortical connections. Performance of the motor behavior in the absence of conditioning also did not produce any changes in connectivity. Our results show that combining movement-gated stimulation with further natural use of the "conditioned" pathways after stimulation ends can produce use-dependent strengthening of connections in adult primates, highlighting an important role for behavior in cortical plasticity. Our data also provide strong support for combining movement-gated stimulation with use-dependent physical rehabilitation for strengthening connections weakened by a stroke or spinal cord injury.


Assuntos
Córtex Motor , Plasticidade Neuronal , Volição , Animais , Estimulação Elétrica , Haplorrinos , Córtex Motor/fisiologia , Movimento/fisiologia , Plasticidade Neuronal/fisiologia , Volição/fisiologia
16.
Nat Rev Neurosci ; 23(2): 104-114, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34931068

RESUMO

Memory recollections and voluntary actions are often perceived as spontaneously generated irrespective of external stimuli. Although products of our neurons, they are only rarely accessible in humans at the neuronal level. Here I review insights gleaned from unique neurosurgical opportunities to record and stimulate single-neuron activity in people who can declare their thoughts, memories and wishes. I discuss evidence that the subjective experience of human recollection and that of voluntary action arise from the activity of two internal neuronal generators, the former from medial temporal lobe reactivation and the latter from frontoparietal preactivation. I characterize properties of these generators and their interaction, enabling flexible recruitment of memory-based choices for action as well as recruitment of action-based plans for the representation of conceptual knowledge in memories. Both internal generators operate on surprisingly explicit but different neuronal codes, which appear to arise with distinct single-neuron activity, often observed before participants' reports of conscious awareness. I discuss prediction of behaviour based on these codes, and the potential for their modulation. The prospects of editing human memories and volitions by enhancement, inception or deletion of specific, selected content raise therapeutic possibilities and ethical concerns.


Assuntos
Memória/fisiologia , Neurônios/fisiologia , Volição/fisiologia , Animais , Humanos , Memória Episódica , Rememoração Mental/fisiologia
17.
Brain ; 144(12): 3651-3663, 2021 12 31.
Artigo em Inglês | MEDLINE | ID: mdl-34623400

RESUMO

Brain-machine interfaces allow neuroscientists to causally link specific neural activity patterns to a particular behaviour. Thus, in addition to their current clinical applications, brain-machine interfaces can also be used as a tool to investigate neural mechanisms of learning and plasticity in the brain. Decades of research using such brain-machine interfaces have shown that animals (non-human primates and rodents) can be operantly conditioned to self-regulate neural activity in various motor-related structures of the brain. Here, we ask whether the human brain, a complex interconnected structure of over 80 billion neurons, can learn to control itself at the most elemental scale-a single neuron. We used the unique opportunity to record single units in 11 individuals with epilepsy to explore whether the firing rate of a single (direct) neuron in limbic and other memory-related brain structures can be brought under volitional control. To do this, we developed a visual neurofeedback task in which participants were trained to move a block on a screen by modulating the activity of an arbitrarily selected neuron from their brain. Remarkably, participants were able to volitionally modulate the firing rate of the direct neuron in these previously uninvestigated structures. We found that a subset of participants (learners), were able to improve their performance within a single training session. Successful learning was characterized by (i) highly specific modulation of the direct neuron (demonstrated by significantly increased firing rates and burst frequency); (ii) a simultaneous decorrelation of the activity of the direct neuron from the neighbouring neurons; and (iii) robust phase-locking of the direct neuron to local alpha/beta-frequency oscillations, which may provide some insights in to the potential neural mechanisms that facilitate this type of learning. Volitional control of neuronal activity in mnemonic structures may provide new ways of probing the function and plasticity of human memory without exogenous stimulation. Furthermore, self-regulation of neural activity in these brain regions may provide an avenue for the development of novel neuroprosthetics for the treatment of neurological conditions that are commonly associated with pathological activity in these brain structures, such as medically refractory epilepsy.


Assuntos
Encéfalo/fisiologia , Aprendizagem/fisiologia , Neurorretroalimentação/métodos , Neurônios/fisiologia , Volição/fisiologia , Adulto , Interfaces Cérebro-Computador , Eletrocorticografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
18.
Respir Physiol Neurobiol ; 293: 103702, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34033947

RESUMO

BACKGROUND: The aim of this study was to investigate differences in reflexive and volitional cough airflows in advanced stage head and neck cancer survivors as it relates to aspiration status and time since treatment. The hypothesis is that those who aspirate several years after treatment completion would demonstrate reduced airflows for all cough parameters compared to those recently status post treatment completion given the known progressive deterioration associated with radiotherapy. METHODS: Demographic and airflow data during both reflexive and volitional cough tasks and aspiration status as determined during fiberoptic endoscopic evaluation of swallow function were collected from 33 Head and Neck Cancer (HNC) survivors. RESULTS: Omnibus MANOVA for dependent airflow variables and independent variables aspiration status, time since treatment and cough type (reflex or volitional) was significant (F(3,1) = 184, p < 0.000) indicating that peak expiratory flow rates (PEFR) were reduced under reflex (mean PEFR 1.88 SD 0.7) versus volitional (mean PEFR 2.3, SD 0.7) cough types; reduced for aspirators versus non-aspirators (F(2,1) = 4.1, p = 0.04) and reduced for those in the subacute versus chronic phase status post Intensity Modulated Radiotherapy (IMRT) (F(2,1) = 10.05, p = 0.002). CONCLUSION: Findings of reduced reflexive compared to volitional cough airflows in head and neck cancer survivors are consistent with those from both healthy and other diseased populations. Additional findings that aspirators demonstrate reduced cough airflows compared to non-aspirators supports the hypothesis. Surprisingly, those recently status post treatment completion show worse cough airflows compared to those remotely status post treatment completion.


Assuntos
Tosse/fisiopatologia , Transtornos de Deglutição/fisiopatologia , Neoplasias de Cabeça e Pescoço/radioterapia , Lesões por Radiação/fisiopatologia , Reflexo/fisiologia , Aspiração Respiratória/fisiopatologia , Volição/fisiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Sobreviventes de Câncer , Estudos Transversais , Transtornos de Deglutição/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Lesões por Radiação/complicações , Aspiração Respiratória/etiologia , Fatores de Tempo
19.
PLoS One ; 16(4): e0249667, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33836028

RESUMO

The purpose of this study was to validate the Volition in Exercise Questionnaire in Italian language (VEQ-I). The translation and cultural adaptation of the VEQ-I was conducted using the forward-backward translation method. VEQ-I eighteen items correspond to the six-factors structure of the original version. The construct validity was verified by the confirmatory factor analysis (CFA) (CFI = 0.960; TLI = 0.943; RMSEA = 0.039; and SRMR = 0.040). The eighteen items were well distributed in six subscales and the six-factors structure of the questionnaire was supported. Internal Consistency value of the questionnaire was investigated for each subscale of the VEQ-I. Cronbach's alpha and Omega values of the Reasons, Postponing Training, Unrelated Thoughts, Self-Confidence, Approval from Others and Coping with Failure subscales were 0.76 (α) and 0.76 (ω), 0.76 (α) and 0.76 (ω), 0.87 (α) and 0.88 (ω), 0.85 (α) and 0.85 (ω), 0.70 (α) and 0.72 (ω) and 0.74 (α) and 0.74 (ω), respectively. They were acceptable in all the six subscales. The concurrent validity was assessed using the correlation among the subscales of VEQ-I measures and those contained in two questionnaires: Psychobiosocial States in Physical Education (PBS-SPE) and Exercise Motivations Inventory (EMI-2).


Assuntos
Psicometria/métodos , Volição/fisiologia , Adaptação Psicológica , Adulto , Avaliação da Deficiência , Exercício Físico , Feminino , Humanos , Itália , Masculino , Psicometria/estatística & dados numéricos , Qualidade de Vida , Reprodutibilidade dos Testes , Inquéritos e Questionários , Traduções
20.
Neuroimage ; 235: 118002, 2021 07 15.
Artigo em Inglês | MEDLINE | ID: mdl-33789136

RESUMO

The dorso-posterior parietal cortex (DPPC) is a major node of the grasp/manipulation control network. It is assumed to act as an optimal forward estimator that continuously integrates efferent outflows and afferent inflows to modulate the ongoing motor command. In agreement with this view, a recent per-operative study, in humans, identified functional sites within DPPC that: (i) instantly disrupt hand movements when electrically stimulated; (ii) receive short-latency somatosensory afferences from intrinsic hand muscles. Based on these results, it was speculated that DPPC is part of a rapid grasp control loop that receives direct inputs from the hand-territory of the primary somatosensory cortex (S1) and sends direct projections to the hand-territory of the primary motor cortex (M1). However, evidence supporting this hypothesis is weak and partial. To date, projections from DPPC to M1 grasp zone have been identified in monkeys and have been postulated to exist in humans based on clinical and transcranial magnetic studies. This work uses diffusion-MRI tractography in two samples of right- (n = 50) and left-handed (n = 25) subjects randomly selected from the Human Connectome Project. It aims to determine whether direct connections exist between DPPC and the hand control sectors of the primary sensorimotor regions. The parietal region of interest, related to hand control (hereafter designated DPPChand), was defined permissively as the 95% confidence area of the parietal sites that were found to disrupt hand movements in the previously evoked per-operative study. In both hemispheres, irrespective of handedness, we found dense ipsilateral connections between a restricted part of DPPChand and focal sectors within the pre and postcentral gyrus. These sectors, corresponding to the hand territories of M1 and S1, targeted the same parietal zone (spatial overlap > 92%). As a sensitivity control, we searched for potential connections between the angular gyrus (AG) and the pre and postcentral regions. No robust pathways were found. Streamline densities identified using AG as the starting seed represented less than 5 % of the streamline densities identified from DPPChand. Together, these results support the existence of a direct sensory-parietal-motor loop suited for fast manual control and more generally, for any task requiring rapid integration of distal sensorimotor signals.


Assuntos
Imagem de Tensor de Difusão , Mãos/fisiologia , Atividade Motora/fisiologia , Córtex Motor/anatomia & histologia , Rede Nervosa/anatomia & histologia , Lobo Parietal/anatomia & histologia , Adulto , Conectoma , Conjuntos de Dados como Assunto , Feminino , Lateralidade Funcional/fisiologia , Humanos , Masculino , Córtex Motor/diagnóstico por imagem , Rede Nervosa/diagnóstico por imagem , Lobo Parietal/diagnóstico por imagem , Córtex Somatossensorial/anatomia & histologia , Córtex Somatossensorial/diagnóstico por imagem , Volição/fisiologia
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