Adaptation of the gain of the corrective lifting response in object manipulation transfers across the hand.

Our ability to skillfully manipulate objects is supported by rapid corrective responses that are initiated when we experience perturbations that interfere with movement goals. For example, the corrective lifting response is triggered when an object is heavier than expected and fails to lift off the surface. In this situation, the absence of expected sensory feedback signalling lift off initiates, within ~ 90 ms, an increase in lifting force. Importantly, when people repeatedly lift an object that, on occasional catch trials, is heavier than expected, the gain of the corrective response, defined as the rate of force increase, adapts to the 'catch' weight. In the present study, we investigated whether this response adaption transfers intermanually. In the training phase, participants used either their left or right hand (counterbalanced) to repeatedly lift a 3 N object that unexpectedly increased to 9 N on catch trials, leading to an increase in the gain of the lifting response across catch trials. Participants then lifted the object with their other hand. On the first catch trial, the gain remained elevated and thus transferred across the hands. This finding suggests that the history of lifts performed by one hand updates the corrective responses for both hands.

Literature review and protocol for a prospective multicentre cohort study on multimodal prediction of seizure recurrence after unprovoked first seizure.

INTRODUCTION: Epilepsy is a common neurological disorder characterised by recurrent seizures. Almost half of patients who have an unprovoked first seizure (UFS) have additional seizures and develop epilepsy. No current predictive models exist to determine who has a higher risk of recurrence to guide treatment. Emerging evidence suggests alterations in cognition, mood and brain connectivity exist in the population with UFS. Baseline evaluations of these factors following a UFS will enable the development of the first multimodal biomarker-based predictive model of seizure recurrence in adults with UFS. METHODS AND ANALYSIS: 200 patients and 75 matched healthy controls (aged 18-65) from the Kingston and Halifax First Seizure Clinics will undergo neuropsychological assessments, structural and functional MRI, and electroencephalography. Seizure recurrence will be assessed prospectively. Regular follow-ups will occur at 3, 6, 9 and 12 months to monitor recurrence. Comparisons will be made between patients with UFS and healthy control groups, as well as between patients with and without seizure recurrence at follow-up. A multimodal machine-learning model will be trained to predict seizure recurrence at 12 months. ETHICS AND DISSEMINATION: This study was approved by the Health Sciences and Affiliated Teaching Hospitals Research Ethics Board at Queen's University (DMED-2681-22) and the Nova Scotia Research Ethics Board (1028519). It is supported by the Canadian Institutes of Health Research (PJT-183906). Findings will be presented at national and international conferences, published in peer-reviewed journals and presented to the public via patient support organisation newsletters and talks. TRIAL REGISTRATION NUMBER: NCT05724719.