Task-related enhancement in corticomotor excitability during haptic sensing with the contra- or ipsilateral hand in young and senior adults.

BACKGROUND: Haptic sensing with the fingers represents a unique class of manipulative actions, engaging motor, somatosensory and associative areas of the cortex while requiring only minimal forces and relatively simple movement patterns. Using transcranial magnetic stimulation (TMS), we investigated task-related changes in motor evoked potential (MEP) amplitude associated with unimanual haptic sensing in two related experiments. In Experiment I, we contrasted changes in the excitability of the hemisphere controlling the task hand in young and old adults under two trial conditions, i.e. when participants either touched a fine grating (smooth trials) or touched a coarse grating to detect its groove orientation (grating trials). In Experiment II, the same contrast between tasks was performed but with TMS applied over the hemisphere controlling the resting hand, while also addressing hemispheric (right vs. left) and age differences. RESULTS: In Experiment I, a main effect of trial type on MEP amplitude was detected (p = 0.001), MEPs in the task hand being ~50% larger during grating than smooth trials. No interaction with age was detected. Similar results were found for Experiment II, trial type having a large effect on MEP amplitude in the resting hand (p < 0.001) owing to selective increase in MEP size (~2.6 times greater) for grating trials. No interactions with age or side (right vs. left) were detected. CONCLUSIONS: Collectively, these results indicate that adding a haptic component to a simple unilateral finger action can elicit robust corticomotor facilitation not only in the working hemisphere but also in the opposite hemisphere. The fact that this facilitation seems well preserved with age, when task difficulty is adjusted, has some potential clinical implications.

Somatosensory Plasticity in Hemiplegic Cerebral Palsy Following Constraint Induced Movement Therapy.

BACKGROUND: Children with hemiplegic cerebral palsy (HCP) experience upper limb somatosensory and motor deficits. Although constraint-induced movement therapy (CIMT) improves motor function, its impact on somatosensory function remains underinvestigated. OBJECTIVE: The objective of this study was to evaluate somatosensory perception and related brain responses in children with HCP, before and after a somatosensory enhanced CIMT protocol, as measured using clinical sensory and motor assessments and magnetoencephalography. METHODS: Children with HCP attended a somatosensory enhanced CIMT camp. Clinical somatosensory (tactile registration, 2-point discrimination, stereognosis, proprioception, kinesthesia) and motor outcomes (Quality of Upper Extremity Skills [QUEST] Total/Grasp, Jebsen-Taylor Hand Function Test, grip strength, Assisting Hand Assessment), as well as latency and amplitude of magnetoencephalography somatosensory evoked fields (SEF), were assessed before and after the CIMT camp with paired sample t-tests or Wilcoxon signed-rank tests. RESULTS: Twelve children with HCP (mean age: 7.5 years, standard deviation: 2.4) participated. Significant improvements in tactile registration for the affected (hemiplegic) hand (Z = 2.39, P = 0.02) were observed in addition to statistically and clinically significant improvements in QUEST total (t = 3.24, P = 0.007), QUEST grasp (t = 3.24, P = 0.007), Assisting Hand Assessment (Z = 2.25, P = 0.03), and Jebsen-Taylor Hand Function Test (t = -2.62, P = 0.03). A significant increase in the SEF peak amplitude was also found in the affected hand 100 ms after stimulus onset (t = -2.22, P = 0.04). CONCLUSIONS: Improvements in somatosensory clinical function and neural processing in the affected primary somatosensory cortex in children with HCP were observed after a somatosensory enhanced CIMT program. Further investigation is warranted to continue to evaluate the effectiveness of a sensory enhanced CIMT program in larger samples and controlled study designs.

Differential modulation of corticospinal excitability during haptic sensing of 2-D patterns vs. textures.

BACKGROUND: Recently, we showed a selective enhancement in corticospinal excitability when participants actively discriminated raised 2-D symbols with the index finger. This extra-facilitation likely reflected activation in the premotor and dorsal prefrontal cortices modulating motor cortical activity during attention to haptic sensing. However, this parieto-frontal network appears to be finely modulated depending upon whether haptic sensing is directed towards material or geometric properties. To examine this issue, we contrasted changes in corticospinal excitability when young adults (n = 18) were engaged in either a roughness discrimination on two gratings with different spatial periods, or a 2-D pattern discrimination of the relative offset in the alignment of a row of small circles in the upward or downward direction. RESULTS: A significant effect of task conditions was detected on motor evoked potential amplitudes, reflecting the observation that corticospinal facilitation was, on average, ~18% greater in the pattern discrimination than in the roughness discrimination. CONCLUSIONS: This differential modulation of corticospinal excitability during haptic sensing of 2-D patterns vs. roughness is consistent with the existence of preferred activation of a visuo-haptic cortical dorsal stream network including frontal motor areas during spatial vs. intensive processing of surface properties in the haptic system.

Tactile-dependant corticomotor facilitation is influenced by discrimination performance in seniors.

BACKGROUND: Active contraction leads to facilitation of motor responses evoked by transcranial magnetic stimulation (TMS). In small hand muscles, motor facilitation is known to be also influenced by the nature of the task. Recently, we showed that corticomotor facilitation was selectively enhanced when young participants actively discriminated tactile symbols with the tip of their index or little finger. This tactile-dependent motor facilitation reflected, for the large part, attentional influences associated with performing tactile discrimination, since execution of a concomitant distraction task abolished facilitation. In the present report, we extend these observations to examine the influence of age on the ability to produce extra motor facilitation when the hand is used for sensory exploration. METHODS: Corticomotor excitability was tested in 16 healthy seniors (58-83 years) while they actively moved their right index finger over a surface under two task conditions. In the tactile discrimination (TD) condition, participants attended to the spatial location of two tactile symbols on the explored surface, while in the non discrimination (ND) condition, participants simply moved their finger over a blank surface. Changes in amplitude, in latency and in the silent period (SP) duration were measured from recordings of motor evoked potentials (MEP) in the right first dorsal interosseous muscle in response to TMS of the left motor cortex. RESULTS: Healthy seniors exhibited widely varying levels of performance with the TD task, older age being associated with lower accuracy and vice-versa. Large inter-individual variations were also observed in terms of tactile-specific corticomotor facilitation. Regrouping seniors into higher (n = 6) and lower performance groups (n = 10) revealed a significant task by performance interaction. This latter interaction reflected differences between higher and lower performance groups; tactile-related facilitation being observed mainly in the former group. Latency measurements and SP durations were not affected by task conditions. CONCLUSIONS: The present findings provide further insights into the factors influencing task-dependent changes in corticomotor excitability in the context of aging. Our results, in particular, highlight the importance of adjusting task demands and controlling for attention when attempting to elicit task-specific motor facilitation in older persons engaged in fine manual actions. Such information could be critical in the future for planning interventions to re-educate or maintain hand function in the presence of neurological impairments.

Characterization of human tactile pattern recognition performance at different ages.

This study examined tactile pattern recognition performance in human observers (N = 44) in the context of a letter recognition task at the fingertip. Participants were recruited from three different age groups (youth, n = 17; young adults, n = 14; seniors, n = 13) to examine age-related differences in performance. The influence of gender (males vs females) and hand (right vs left) was also examined. Performance was characterized in terms of both response accuracy and associated response times (RTs). Patterns of confusion between letters were also examined. Results showed that age was the most important factor in determining the capacity of our participants to perform fast and accurate pattern recognition. In this respect, younger participants (i.e., youth and young adults) clearly outperformed seniors by showing not only better accuracy and less confusion but also 2-3 times faster RT. By comparison, the combined influence of "hand" and "gender" on recognition performance was only marginal. These results indicate that the ability to perform complex tactile pattern recognition is already well established in youth 10-14 years of age with only minor refinements occurring later in early adulthood. With advancing age, such ability becomes far less efficient, as judged by the drastic increase in RT observed in seniors, in spite of a relatively good accuracy. This suggests that alterations not only at the peripheral receptor level but also at the central processing level might play an important role in limiting the ability of seniors to perform fast and efficient pattern recognition at the fingertip.

Task-specific increase in corticomotor excitability during tactile discrimination.

Task-dependant changes in corticomotor excitability have been described mainly in the context of grasp-oriented actions, neglecting the sensory aspects of hand function. Here, we contrasted task-dependant facilitation in small hand muscles [i.e., first dorsal interosseous (FDI) and abductor digiti minimi (ADM)] in the context of finger movements involving either discrimination or non discrimination (ND) of tactile features. Healthy young individuals (n = 16) were trained to produce rhythmic to and fro movements at the sound of metronome ticks (0.8 Hz frequency, 5 s total duration) with either the index or the little finger of the right hand. In the tactile discrimination (TD) condition, participants were asked to attend to the location of two different 2-D tactile shapes disposed on the explored surface, whereas in the ND condition, the finger was moved over a blank surface. In both conditions, a transcranial magnetic stimulation (TMS) pulse was delivered at a specific time point in the course of the finger movement. Corticomotor excitability was assessed by monitoring changes in the amplitude and latency of motor evoked potentials (MEPs) in the FDI and ADM. Changes in the duration of the silent period were also assessed. The analysis revealed a significant large effect of task conditions (P < 0.001) on MEP amplitude, owing to the increase in MEP size observed during the TD, as compared to the ND condition. No interaction between "Task" and "Muscle" was detected, however, indicating that MEPs in the two muscles were equally affected by the task conditions. No significant changes were detected for variations in MEP latency or in the SP duration. An additional control experiment performed in a subset of the participants (n = 9) showed that MEP facilitation was substantially reduced when attention to sensations arising from finger contact with the shapes was diverted away by completion of a concurrent cognitive task (counting backward by three). These findings provide further insights into the factors influencing task-dependant changes in corticomotor excitability during hand actions. Our results highlight the importance of behavioral context and attention, in particular, in leading to further enhancement in corticomotor excitability when the finger is actively engaged in TD.

Selective increase in motor excitability with intraactive (self) versus interactive touch.

Corticomotor facilitation was investigated using transcranial magnetic stimulation in healthy young adults when they actively stroked either their own left palm (intraactive) or the experimenter's palm (interactive touch) with their right index finger. We predicted, based on the sensory cancellation hypothesis, that corticomotor facilitation would be lower with intraactive touch. Motor evoked potential amplitude in the right first dorsal interosseous was affected by mode of touch, but not by sex. In contrast to our prediction, motor evoked potential facilitation was larger (mean 14%) during intraactive touch. The present results are in agreement with recent evidence suggesting that self-touch represents a unique class of sensorimotor experiences that are critical for the elaboration of internal body structure representation.