RESUMO
Subthalamic beta band activity (13-35 Hz) is known as a real-time correlate of motor symptom severity in Parkinson's disease (PD) and is currently explored as a feedback signal for closed-loop deep brain stimulation (DBS). Here, we investigate the interaction of movement, dopaminergic medication, and deep brain stimulation on subthalamic beta activity in PD patients implanted with sensing-enabled, implantable pulse generators. We recorded subthalamic activity from seven PD patients at rest and during repetitive movements in four conditions: after withdrawal of dopaminergic medication and DBS, with medication only, with DBS only, and with simultaneous medication and DBS. Medication and DBS showed additive effects in improving motor performance. Distinct effects of each therapy were seen in subthalamic recordings, with medication primarily suppressing low beta activity (13-20 Hz) and DBS being associated with a broad decrease in beta band activity (13-35 Hz). Movement suppressed beta band activity compared to rest. This suppression was most prominent when combining medication with DBS and correlated with motor improvement within patients. We conclude that DBS and medication have distinct effects on subthalamic beta activity during both rest and movement, which might explain their additive clinical effects as well as their difference in side-effect profiles. Importantly, subthalamic beta activity significantly correlated with motor symptoms across all conditions, highlighting its validity as a feedback signal for closed-loop DBS.
RESUMO
Current efforts to optimise subthalamic deep brain stimulation in Parkinson's disease patients aim to harness local oscillatory activity in the beta frequency range (13-35 Hz) as a feedback-signal for demand-based adaptive stimulation paradigms. A high prevalence of beta peak activity is prerequisite for this approach to become routine clinical practice. In a large dataset of postoperative rest recordings from 106 patients we quantified occurrence and identified determinants of spectral peaks in the alpha, low and high beta bands. At least one peak in beta band occurred in 92% of patients and 84% of hemispheres off medication, irrespective of demographic parameters, clinical subtype or motor symptom severity. Distance to previously described clinical sweet spot was significantly related both to beta peak occurrence and to spectral power (rho -0.21, p 0.006), particularly in the high beta band. Electrophysiological landscapes of our cohort's dataset in normalised space showed divergent heatmaps for alpha and beta but found similar regions for low and high beta frequency bands. We discuss potential ramifications for clinicians' programming decisions. In summary, this report provides robust evidence that spectral peaks in beta frequency range can be detected in the vast majority of Parkinsonian subthalamic nuclei, increasing confidence in the broad applicability of beta-guided deep brain stimulation.
Assuntos
Estimulação Encefálica Profunda , Doença de Parkinson , Núcleo Subtalâmico , Ritmo beta/fisiologia , Humanos , Doença de Parkinson/tratamento farmacológicoRESUMO
The beer goggles effect refers to heightened perceptions of attractiveness resulting from intoxication. However, research in this area has produced mixed findings and has largely been reliant on self-report measures of perceived attractiveness. This study aimed to utilize an implicit measure to assess the beer goggles phenomenon in a preregistered study. One hundred twenty-nine heterosexual U.K. university students were recruited (74 female, Mage = 24.12 years, SDage = 9.09 years) in real-life drinking environments (classified post hoc as sober or lightly intoxicated based on Blood Alcohol Concentration [BAC]) to conduct a spatial cuing paradigm that measured the effect of distracting stimuli on task performance. Participants were asked to determine the orientation of a letter while ignoring any incidentally presented (un)attractive facial stimuli. Sober participants appeared to find attractive faces equally distracting, regardless of whether they were being cued to look toward or away from the face-a traditional attractiveness bias. Intoxicated participants, on the other hand, appeared to find attractive and unattractive faces equally distracting. Findings highlight the possibility that the beer goggles phenomenon results from a leveling of the playing field whereby attentional biases toward attractive faces are dampened as a result of light intoxication. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Assuntos
Intoxicação Alcoólica/psicologia , Beleza , Cerveja , Face , Autoimagem , Percepção Visual , Adolescente , Adulto , Atenção , Sinais (Psicologia) , Feminino , Humanos , Masculino , Orientação , Adulto JovemRESUMO
The study of nonconscious priming is rooted in a long research tradition in experimental psychology and plays an important role for a range of topics, including visual recognition, emotion, decision making, and memory. Prime stimuli can be transiently suppressed from awareness by using a variety of psychophysical paradigms. The aim is to understand which stimulus features can be processed nonconsciously and influence behavior toward subsequently presented probe stimuli. Here, we tested the notion that continuous flash suppression (CFS), a relatively new method of interocular suppression, selectively disrupts stimulus identification mediated by the ventral "vision-for-perception" pathway, while preserving action-relevant stimulus features processed by the dorsal "vision-for-action" pathway. Given the far-reaching implications of this notion for the influential two visual systems hypothesis, and visual cognition in general, we investigated its empirical basis in a series of seven masked priming experiments using CFS. We did not find evidence for nonconscious priming of object categorization by action-relevant features. Based on these results, we recommend skepticism about the notion that the processing of action-relevant features under CFS is selectively preserved in the "vision-for-action" pathway. Second, we conclude that CFS experiments are less informative than approaches using visible stimuli, when the aim is to gather data in relation to the two visual systems hypothesis. Third, we propose that future nonconscious priming studies should carefully consider the position of suppression paradigms within a functional hierarchy of unconscious processing, thus constraining hypothesis generation to effects that are plausible given the employed methodology. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
Assuntos
Conscientização/fisiologia , Atividade Motora/fisiologia , Reconhecimento Visual de Modelos/fisiologia , Mascaramento Perceptivo/fisiologia , Inconsciente Psicológico , Adulto , Análise de Variância , Teorema de Bayes , Sinais (Psicologia) , Humanos , Tempo de Reação/fisiologia , Percepção VisualRESUMO
Continuous flash suppression (CFS) is an interocular suppression technique that uses high-contrast masks flashed to one eye to prevent conscious perception of images shown to the other eye. It has become widely used due to its strength and prolonged duration of suppression and its nearly deterministic control of suppression onset and offset. Recently, it has been proposed that action-relevant visual processing ascribed to the dorsal stream remains functional, while processing in the ventral stream is completely suppressed, when stimuli are invisible under CFS. Here we tested the hypothesis that the potentially dorsal-stream-based analysis of prime-stimulus elongation during CFS affects the categorization of manipulable target objects. In two behavioral experiments, we found evidence for priming in a shape task, but none for priming in a category task, when prime stimuli were rendered invisible using CFS. Our results thus support the notion that the representation of CF-suppressed stimuli is more limited than previously thought.