Re-learning mental representation of walking after a brain lesion. Effects of a cognitive-motor training with a robotic orthosis.

Introduction: Stroke-related deficits often include motor impairments and gait dysfunction, leading to a limitation of social activities and consequently affecting the quality of life of stroke survivors. Neurorehabilitation takes advantage of the contribution of different techniques in order to achieve more benefits for patients. Robotic devices help to improve the outcomes of physical rehabilitation. Moreover, motor imagery seems to play a role in neurological rehabilitation since it leads to the activation of the same brain areas as actual movements. This study investigates the use of a combined physical and cognitive protocol for gait rehabilitation in stroke patients. Methods: Specifically, we tested the efficacy of a 5-week training program using a robotic orthosis (P.I.G.R.O.) in conjunction with motor imagery training. Twelve chronic stroke patients participated in the study. We evaluated balance and gait performance before and after the training. Six of them underwent fMRI examination before and after the training to assess the effects of the protocol on brain plasticity mechanisms in motor and imagery tasks. Results: Our results show that the rehabilitation protocol can effectively improve gait performance and balance and reduce the risk of falls in stroke patients. Furthermore, the fMRI results suggest that rehabilitation is associated with cerebral plastic changes in motor networks. Discussion: The present findings, if confirmed by future research, have the potential to advance the development of new, more effective rehabilitation approaches for stroke patients, improving their quality of life and reducing the burden of stroke-related disability.

Preferred music listening is associated with perceptual learning enhancement at the expense of self-focused attention.

Can preferred music listening improve following attentional and learning performances? Here we suggest that this may be the case. In Experiment 1, following preferred and non-preferred musical-piece listening, we recorded electrophysiological responses to an auditory roving-paradigm. We computed the mismatch negativity (MMN - the difference between responses to novel and repeated stimulation), as an index of perceptual learning, and we measured the correlation between trial-by-trial EEG responses and the fluctuations in Bayesian Surprise, as a quantification of the neural attunement with stimulus informational value. Furthermore, during music listening, we recorded oscillatory cortical activity. MMN and trial-by-trial correlation with Bayesian surprise were significantly larger after subjectively preferred versus non-preferred music, indicating the enhancement of perceptual learning. The analysis on oscillatory activity during music listening showed a selective alpha power increased in response to preferred music, an effect often related to cognitive enhancements. In Experiment 2, we explored whether this learning improvement was realized at the expense of self-focused attention. Therefore, after preferred versus non-preferred music listening, we collected Heart-Beat Detection (HBD) accuracy, as a measure of the attentional focus toward the self. HBD was significantly lowered following preferred music listening. Overall, our results suggest the presence of a specific neural mechanism that, in response to aesthetically pleasing stimuli, and through the modulation of alpha oscillatory activity, redirects neural resources away from the self and toward the environment. This attentional up-weighting of external stimuli might be fruitfully exploited in a wide area of human learning activities, including education, neurorehabilitation and therapy.

Nice and easy: Mismatch negativity responses reveal a significant correlation between aesthetic appreciation and perceptual learning.

Neurocomputational models of cognition have framed aesthetic appreciation within the domain of knowledge acquisition and learning, suggesting that aesthetic appreciation might be considered as a hedonic feedback on successful perceptual learning dynamics. Such hypothesis, however, has never been empirically demonstrated yet. In order to investigate the relationship between aesthetic appreciation and learning, we measured the EEG mismatch negativity (MMN) response to more or less appreciated musical intervals, which is considered as a reliable index of perceptual learning. To this end, we measured the MMN to frequency (Hz) standard and frequency deviant musical intervals (Experiment 1) while participants were asked to judge their beauty. For each single stimulus, we also computed an information-theoretic index of perceptual learning (Bayesian surprise). We found that more appreciated musical intervals were associated with a larger MMN responses, which, in turn, correlated with trial-by-trial fluctuations in Bayesian surprise (Experiment 1). Coherently with previous results, Bayesian surprise was also found to correlate with slower RTs in a detection task of the same stimuli, evidencing that motor behavior is inhibited in presence of surprising sensory states triggering perceptual learning (Experiment 2). Our results provide empirical evidence of the existence of a positive correlation between aesthetic appreciation and EEG indexes of perceptual learning. We argue that the sense of beauty might have evolved to signal the nervous system new sensory knowledge acquisition and motivate the individual to search for informationally profitable stimuli. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Memorisation and implicit perceptual learning are enhanced for preferred musical intervals and chords.

Is it true that we learn better what we like? Current neuroaesthetic and neurocomputational models of aesthetic appreciation postulate the existence of a correlation between aesthetic appreciation and learning. However, even though aesthetic appreciation has been associated with attentional enhancements, systematic evidence demonstrating its influence on learning processes is still lacking. Here, in two experiments, we investigated the relationship between aesthetic preferences for consonance versus dissonance and the memorisation of musical intervals and chords. In Experiment 1, 60 participants were first asked to memorise and evaluate arpeggiated triad chords (memorisation phase), then, following a distraction task, chords' memorisation accuracy was measured (recognition phase). Memorisation resulted to be significantly enhanced for subjectively preferred as compared with non-preferred chords. To explore the possible neural mechanisms underlying these results, we performed an EEG study, directed to investigate implicit perceptual learning dynamics (Experiment 2). Through an auditory mismatch detection paradigm, electrophysiological responses to standard/deviant intervals were recorded, while participants were asked to evaluate the beauty of the intervals. We found a significant trial-by-trial correlation between subjective aesthetic judgements and single trial amplitude fluctuations of the ERP attention-related N1 component. Moreover, implicit perceptual learning, expressed by larger mismatch detection responses, was enhanced for more appreciated intervals. Altogether, our results showed the existence of a relationship between aesthetic appreciation and implicit learning dynamics as well as higher-order learning processes, such as memorisation. This finding might suggest possible future applications in different research domains such as teaching and rehabilitation of memory and attentional deficits.

Low-frequency BOLD fluctuations demonstrate altered thalamocortical connectivity in diabetic neuropathic pain.

BACKGROUND: In this paper we explored thalamocortical functional connectivity in a group of eight patients suffering from peripheral neuropathic pain (diabetic pain), and compared it with that of a group of healthy subjects. We hypothesized that functional interconnections between the thalamus and cortex can be altered after years of ongoing chronic neuropathic pain. RESULTS: Functional connectivity was studied through a resting state functional magnetic resonance imaging (fMRI) paradigm: temporal correlations between predefined regions of interest (primary somatosensory cortex, ventral posterior lateral thalamic nucleus, medial dorsal thalamic nucleus) and the rest of the brain were systematically investigated. The patient group showed decreased resting state functional connectivity between the thalamus and the cortex. CONCLUSION: This supports the idea that chronic pain can alter thalamocortical connections causing a disruption of thalamic feedback, and the view of chronic pain as a thalamocortical dysrhythmia.

Reorganization and enhanced functional connectivity of motor areas in repetitive ankle movements after training in locomotor attention.

We examined the functional changes in the activity of the cerebral areas involved in motor tasks, prior to and following a 1-week period of locomotor attention training consisting of physical and mental practice, in normal subjects. In a previous study, we examined the effect of the same kind of training on motor circuits using an fMRI paradigm of motor imagery. In this work, we investigated whether the expanded activations found in the previous study were present also using an overt foot motor task consisting of ankle dorsiflexion; a control task requiring hand movements was also administered. In this article, we also discuss the changes in functional connectivity between the pretraining and posttraining conditions during foot movements. The foot task showed a posttraining reorganization of the sensorimotor areas, which is in line with earlier studies on lower limb motor learning, while the control hand movement task only produced a modification in the left premotor cortex. These results confirm the effect of training on functional reorganization and underline its task specificity. After training, we also observed enhanced connectivity in the sensorimotor areas, suggesting that functional connectivity of the sensorimotor network can be modulated by focusing attention on the movements involved in ambulation.