Decoding of Motor Imagery Involving Whole-body Coordination.

The present study investigated whether different types of motor imageries can be classified based on the location of the activation peaks or the multivariate pattern analysis (MVPA) of functional magnetic resonance imaging (fMRI) and compared the difference between visual motor imagery (VI) and kinesthetic motor imagery (KI). During fMRI scanning sessions, 25 participants imagined four movements included in the Motor Imagery Questionnaire-Revised (MIQ-R): knee lift, jump, arm movement, and waist bend. These four imagined movements were then classified based on the peak location or the patterns of fMRI signal values. We divided the participants into two groups based on whether they found it easier to generate VI (VI group, n = 10) or KI (KI group, n = 15). Our results show that the imagined movements can be classified using both the location of the activation peak and the spatial activation patterns within the sensorimotor cortex, and MVPA performs better than the activation peak classification. Furthermore, our result reveals that the KI group achieved a higher MVPA decoding accuracy within the left primary somatosensory cortex than the VI group, suggesting that the modality of motor imagery differently affects the classification performance in distinct brain regions.

Kinesthetic motor-imagery training improves performance on lexical-semantic access.

The objective of this study was to evaluate the effect of Motor Imagery (MI) training on language comprehension. In line with literature suggesting an intimate relationship between the language and the motor system, we proposed that a MI-training could improve language comprehension by facilitating lexico-semantic access. In two experiments, participants were assigned to a kinesthetic motor-imagery training (KMI) group, in which they had to imagine making upper-limb movements, or to a static visual imagery training (SVI) group, in which they had to mentally visualize pictures of landscapes. Differential impacts of both training protocols on two different language comprehension tasks (i.e., semantic categorization and sentence-picture matching task) were investigated. Experiment 1 showed that KMI training can induce better performance (shorter reaction times) than SVI training for the two language comprehension tasks, thus suggesting that a KMI-based motor activation can facilitate lexico-semantic access after only one training session. Experiment 2 aimed at replicating these results using a pre/post-training language assessment and a longer training period (four training sessions spread over four days). Although the improvement magnitude between pre- and post-training sessions was greater in the KMI group than in the SVI one on the semantic categorization task, the sentence-picture matching task tended to provide an opposite pattern of results. Overall, this series of experiments highlights for the first time that motor imagery can contribute to the improvement of lexical-semantic processing and could open new avenues on rehabilitation methods for language deficits.

Correlation between kinesthetic motor imagery of an amputated limb and phantom limb pain.

BACKGROUND: Phantom limb pain (PLP) is a frequent painful sensation in amputees, and motor imagery (MI) is a useful approach for the treatment of this type of pain. However, it is not clear regarding the best MI modality for PLP. OBJECTIVES: The purpose of this study was to investigate the relationship between the PLP and MI modality in upper limb amputees. STUDY DESIGN: Observational study. METHODS: Eleven patients who underwent unilateral upper limb amputation participated in this study. The MI modality (kinesthetic and visual) and PLP intensity were evaluated using the Kinesthetic and Visual Imagery Questionnaire (KVIQ)-20 and a visual analog scale. MI ability was also assessed during the hand mental rotation task. We examined the correlation between MI modalities, ability, and pain intensity. RESULTS: The total KVIQ kinesthetic score was negatively correlated with pain intensity (r = -0.71, P < 0.01): the more vivid the kinesthetic imagery, the weaker the pain. In particular, the reduction in pain intensity was associated with strong kinesthetic imagery of opposing movements of the deficient thumb (r = -0.81, P < 0.01). The KVIQ visual score and MI ability were not associated with pain intensity. CONCLUSIONS: Our data showed that the reduction of PLP could be associated with the kinesthetic modality of MI but not with visual modality or MI ability. In other words, it was suggested that the more vivid the sensation of moving muscles and joints in the defect area, the lower the PLP intensity. To reduce PLP, clinicians may prefer interventions using the kinesthetic modality.

Enhanced Pitch Discrimination for Cochlear Implant Users with a New Haptic Neuroprosthetic.

The cochlear implant (CI) is the most widely used neuroprosthesis, recovering hearing for more than half a million severely-to-profoundly hearing-impaired people. However, CIs still have significant limitations, with users having severely impaired pitch perception. Pitch is critical to speech understanding (particularly in noise), to separating different sounds in complex acoustic environments, and to music enjoyment. In recent decades, researchers have attempted to overcome shortcomings in CIs by improving implant technology and surgical techniques, but with limited success. In the current study, we take a new approach of providing missing pitch information through haptic stimulation on the forearm, using our new mosaicOne_B device. The mosaicOne_B extracts pitch information in real-time and presents it via 12 motors that are arranged in ascending pitch along the forearm, with each motor representing a different pitch. In normal-hearing subjects listening to CI simulated audio, we showed that participants were able to discriminate pitch differences at a similar performance level to that achieved by normal-hearing listeners. Furthermore, the device was shown to be highly robust to background noise. This enhanced pitch discrimination has the potential to significantly improve music perception, speech recognition, and speech prosody perception in CI users.

Sensory features of mental images in the framework of human actions.

What determines the sensory impression of a self-generated motor image? Motor imagery is a process in which subjects imagine executing a body movement with a strong kinesthetic and/or visual component from a first-person perspective. Both sensory modalities can be combined flexibly to form a motor image. 90 participants of varying ages had to freely generate motor images from a large set of movements. They were asked to rate their kinesthetic as well as their visual impression, the perceived vividness, and their personal experience with the imagined movement. Data were subjected to correlational analyses, linear regressions, and representation similarity analyses. Results showed that both action characteristics and experience drove the sensory impression of motor images with a strong individual component. We conclude that imagining actions that impose varying demands can be considered as reexperiencing actions by using one's own sensorimotor representations that represent not only individual experience but also action demands.

Mu-Beta event-related (de)synchronization and EEG classification of left-right foot dorsiflexion kinaesthetic motor imagery for BCI.

The left and right foot representation area is located within the interhemispheric fissure of the sensorimotor cortex and share spatial proximity. This makes it difficult to visualize the cortical lateralization of event-related (de)synchronization (ERD/ERS) during left and right foot motor imageries. The aim of this study is to investigate the possibility of using ERD/ERS in the mu, low beta, and high beta bandwidth, during left and right foot dorsiflexion kinaesthetic motor imageries (KMI), as unilateral control commands for a brain-computer interface (BCI). EEG was recorded from nine healthy participants during cue-based left-right foot dorsiflexion KMI tasks. The features were analysed for common average and bipolar references. With each reference, mu and beta band-power features were analysed using time-frequency (TF) maps, scalp topographies, and average time course for ERD/ERS. The cortical lateralization of ERD/ERS, during left and right foot KMI, was confirmed. Statistically significant features were classified using LDA, SVM, and KNN model, and evaluated using the area under ROC curves. An increase in high beta power following the end of KMI for both tasks was recorded, from right and left hemispheres, respectively, at the vertex. The single trial analysis and classification models resulted in high discrimination accuracies, i.e. maximum 83.4% for beta ERS, 79.1% for beta ERD, and 74.0% for mu ERD. With each model the features performed above the statistical chance level of 2-class discrimination for a BCI. Our findings indicate these features can evoke left-right differences in single EEG trials. This suggests that any BCI employing unilateral foot KMI can attain classification accuracy suitable for practical implementation. Given results stipulate the novel utilization of mu and beta as independent control features for discrimination of bilateral foot KMI in a BCI.

Role of the Embodied Cognition Process in Perspective-Taking Ability During Childhood.

This study examined developmental changes in Level-2 visual perspective taking (VPT2) in 90 children aged 4-12 years and tested the role of their ability to mentally simulate changes to their bodily locations (self-motion imagery; SMI). Performance of a mental toy rotation task and a self-motion (SM) task (changing location of children) was superior to that of VPT2 and SMI tasks. Task performance of SMI was better than that of VPT2 before 10;0 (years;months). Furthermore, egocentric responses in VPT2 and SMI tasks were significantly more frequent than those in the mental rotation and SM tasks before 10;3. These findings suggest the involvement of embodied cognitive processes in perspective taking and the advantage of utilizing bodily information by age 10.

Does hypnotic assessment predict the functional equivalence between motor imagery and action?

Motor imagery is influenced by individual and contextual factors. We investigated whether the psychophysiological trait of hypnotisability modulates its subjective experience and cortical correlates similarly to what was previously shown for head postures mental images. EEG was acquired in 18 high (highs) and 15 low (lows) hypnotizable subjects (Stanford Hypnotic Susceptibility Scale, A). The experimental conditions were: baseline, a complex arm/hand movement, visual (1st person) and kinesthetic imagery of the movement. After each imagery condition, participants scored the vividness and easeness of their performance and their ability to mantain the requested modality of imagery. Subjective reports, chronometric visual/kinesthetic indices, absolute beta and fronto-central midline alpha powers were analyzed. Findings confirmed earlier reports of better kinestetic imagery ability in highs than in lows and better visual than kinesthetic imagery in lows, as well as smaller restructuring of the cortical activity in highs than in lows, during all tasks. Also, they show that hypnotisability accounts for most of the correlations between brain regions for both alpha and beta changes. Thus, imagined and actual movements were less demanding processes in highs at subjective and cortical levels. Finally, hypnotic assessment assists to plan personalized mental training for neuro-rehabilitation and sports and predict their efficacy.

Visual motor imagery predominance in professional Spanish dancers.

Purpose: The main objectives of the study were to analyse the predominant motor imagery modality used by professional Spanish dancers and to compare Spanish dancers' ability to perform mental motor imagery with that of non-dancers, and to analyse differences between male and female dancers. As a secondary aim, to compare the motor imagery ability between two styles of Spanish dance: classical Spanish dancers and Flamenco dancers. Methods: A total of 74 participants were classified into two groups: professional Spanish dancers (n = 37) and sedentary participants (n = 37). The professional Spanish dancer group was composed of two dance disciplines: flamenco dancers (n = 17), and classical dancers (n = 20). Results: Professional Spanish dancers used predominantly visual imagery modalities over kinesthetics to generate motor imagery, with a moderate effect size (p < .01, d = 0.68). Regarding the ability to generate motor imagery, significant intergroup differences between professional Spanish dancers and sedentary participants were observed in all variables, with a large effect size (p < .05, d > 0.80). Differences were obtained between men and women among non-dancers group (t = -3.34; p = .03; d = 0.5). No differences between Flamenco and classical dancers were observed. Conclusion: Visual motor imagery modality was easier than the kinaesthetic modality in the generation of motor imagery for professional Spanish dancers regardless of the dance style. Spanish dancers had a greater ability to perform motor imagery compared with non-dancer individuals, needing less time to perform these mental tasks. Men non-dancers had a greater ability to generate motor imagery than women. Reinforcing the training of kinaesthetic motor imagery might be useful for professional Spanish dancers.

Visual and kinesthetic modes affect motor imagery classification in untrained subjects.

The understanding of neurophysiological mechanisms responsible for motor imagery (MI) is essential for the development of brain-computer interfaces (BCI) and bioprosthetics. Our magnetoencephalographic (MEG) experiments with voluntary participants confirm the existence of two types of motor imagery, kinesthetic imagery (KI) and visual imagery (VI), distinguished by activation and inhibition of different brain areas in motor-related α- and ß-frequency regions. Although the brain activity corresponding to MI is usually observed in specially trained subjects or athletes, we show that it is also possible to identify particular features of MI in untrained subjects. Similar to real movement, KI implies muscular sensation when performing an imaginary moving action that leads to event-related desynchronization (ERD) of motor-associated brain rhythms. By contrast, VI refers to visualization of the corresponding action that results in event-related synchronization (ERS) of α- and ß-wave activity. A notable difference between KI and VI groups occurs in the frontal brain area. In particular, the analysis of evoked responses shows that in all KI subjects the activity in the frontal cortex is suppressed during MI, while in the VI subjects the frontal cortex is always active. The accuracy in classification of left-arm and right-arm MI using artificial intelligence is similar for KI and VI. Since untrained subjects usually demonstrate the VI imagery mode, the possibility to increase the accuracy for VI is in demand for BCIs. The application of artificial neural networks allows us to classify MI in raising right and left arms with average accuracy of 70% for both KI and VI using appropriate filtration of input signals. The same average accuracy is achieved by optimizing MEG channels and reducing their number to only 13.

Subjective vividness of motor imagery has a neural signature in human premotor and parietal cortex.

Motor imagery (MI) is the process in which subjects imagine executing a body movement with a strong kinesthetic component from a first-person perspective. The individual capacity to elicit such mental images is not universal but varies within and between subjects. Neuroimaging studies have shown that these inter-as well as intra-individual differences in imagery quality mediate the amplitude of neural activity during MI on a group level. However, these analyses were not sensitive to forms of representation that may not map onto a simple modulation of overall amplitude. Therefore, the present study asked how far the subjective impression of motor imagery vividness is reflected by a spatial neural code, and how patterns of neural activation in different motor regions relate to specific imagery impressions. During fMRI scanning, 20 volunteers imagined three different types of right-hand actions. After each imagery trial, subjects were asked to evaluate the perceived vividness of their imagery. A correlation analysis compared the rating differences and neural dissimilarity values of the rating groups separately for each region of interest. Results showed a significant positive correlation in the left vPMC and right IPL, indicating that these regions particularly reflect perceived imagery vividness in that similar rated trials evoke more similar neural patterns. A decoding analysis revealed that the vividness of the motor image related systematically to the action specificity of neural activation patterns in left vPMC and right SPL. Imagined actions accompanied by higher vividness ratings were significantly more distinguishable within these areas. Altogether, results showed that spatial patterns of neural activity within the human motor cortices reflect the individual vividness of imagined actions. Hence, the findings reveal a link between the subjective impression of motor imagery vividness and objective physiological markers.

Vividness and accuracy: Two independent aspects of motor imagery.

Motor imagery is the mental execution of an action without any actual movement. Although numerous studies have utilized questionnaires to evaluate the vividness of motor imagery, it remains unclear whether it is related to the accuracy of motor imagery. To examine the relationship between vividness and accuracy, we investigated brain activity during kinesthetic and visual motor imagery, by using a novel sequential finger-tapping task. We estimated accuracy by measuring the fidelity of the actual performance and evaluated vividness by using a visual analog scale. We found that accuracy of visual motor imagery was correlated with the activity in the left visual cortex, as well as with bilateral sensorimotor regions. In contrast, vividness of visual motor imagery was associated with the activity in the right orbitofrontal cortex. However, there was no correlation in the brain activity between the right orbitofrontal cortex and visuomotor regions or between vividness and accuracy of motor imagery. In addition, we did not find any correlation in the kinesthetic imagery condition. We conclude that vividness of visual motor imagery is associated with the right orbitofrontal cortex and is independent of processes occurring in sensorimotor regions, which would be responsible for the accuracy of visual motor imagery.

Diminished Kinesthetic and Visual Motor Imagery Ability in Adults With Chronic Low Back Pain.

BACKGROUND: Low back pain (LBP) is the most prevalent musculoskeletal problem among adults. It has been observed that patients with chronic pain have maladaptive neuroplastic changes and difficulty in imagination processes. OBJECTIVE: To assess the ability of patients with chronic LBP (CLBP) to generate kinesthetic and visual motor images and the time they spent on this mental task compared with asymptomatic participants. DESIGN: A prospective, cross-sectional study. SETTING: Primary health care center in Madrid, Spain. PARTICIPANTS: A total of 200 participants were classified into 2 groups: asymptomatic participants (n = 100) and patients with CLBP (n = 100). METHODS: After consenting to participate, all recruited participants received a sociodemographic questionnaire, a set of self-report measures and completed the Revised Movement Imagery Questionnaire. MAIN OUTCOMES MEASUREMENTS: Visual and Kinesthetic Motor Imagery Ability using the Revised Movement Imagery Questionnaire. A mental chronometry using a stopwatch and psychosocial variables using self-reported questionnaires. RESULTS: Our results indicated that patients with CLBP had difficulty generating kinesthetic and visual motor images and also took a longer time to imagine them. A regression analysis indicated that in the CLBP group, the predictor variable for fear of activity and coping symptom self-efficacy was visual motor imagery (explaining 16.2% of the variance); however, the predictor variable for LBP disability and pain management self-efficacy was kinesthetic motor imagery (explaining 17.8% of the variance). CONCLUSIONS: It appears that patients with CLBP have greater difficulty generating visual and kinesthetic motor images compared with asymptomatic participants, and they also need more time to perform these mental tasks. LEVEL OF EVIDENCE: II.

Classification of left and right foot kinaesthetic motor imagery using common spatial pattern.

BACKGROUND AND OBJECTIVES: Brain-computer interface (BCI) systems typically deploy common spatial pattern (CSP) for feature extraction of mu and beta rhythms based on upper-limbs kinaesthetic motor imageries (KMI). However, it was not used to classify the left versus right foot KMI, due to its location inside the mesial wall of sensorimotor cortex, which makes it difficult to be detected. We report novel classification of mu and beta EEG features, during left and right foot KMI cognitive task, using CSP, and filter bank common spatial pattern (FBCSP) method, to optimize the subject-specific band selection. We initially proposed CSP method, followed by the implementation of FBCSP for optimization of individual spatial patterns, wherein a set of CSP filters was learned, for each of the time/frequency filters in a supervised way. This was followed by the log-variance feature extraction and concatenation of all features (over all chosen spectral-filters). Subsequently, supervised machine learning was implemented, i.e. logistic regression (Logreg) and linear discriminant analysis (LDA), in order to compare the respective foot KMI classification rates. Training and testing data, used in the model, was validated using 10-fold cross validation. Four methodology paradigms are reported, i.e. CSP LDA, CSP Logreg, and FBCSP LDA, FBCSP Logreg. All paradigms resulted in an average classification accuracy rate above the statistical chance level of 60.0% (P < 0.01). On average, FBCSP LDA outperformed remaining paradigms with kappa score of 0.41 and classification accuracy of 70.28% ± 4.23. Similarly, this paradigm enabled discrimination between right and left foot KMI cognitive task at highest accuracy rate i.e. maximum 77.5% with kappa = 0.55 and the area under ROC curve as 0.70 (in single-trial analysis). The proposed novel paradigms, using CSP and FBCSP, established a potential to exploit the left versus right foot imagery classification, in synchronous 2-class BCI for controlling robotic foot, or foot neuroprosthesis.

Asymmetric Thickness of Oblique Capitis Inferior and Cervical Kinesthesia in Patients With Unilateral Cervicogenic Headache.

OBJECTIVE: The purpose of this study was to compare the thickness of the oblique cervical inferior (OCI) and the error of the head reposition test between the painful and nonpainful sides of patients with cervicogenic headache (CeH) and between the patients and the asymptomatic group. METHODS: Thirteen patients (24.5 ± 4.8 years) and 14 asymptomatic participants (23.9 ± 2.7 years) were included. The head reposition test was recorded by a 3-dimensional motion analysis system. The thickness of the OCI was recorded by ultrasonography. The measured outcomes were compared between the painful and nonpainful sides and with the asymptomatic participants. RESULTS: The thickness of the OCI in the rest condition on the painful side (9.92 ± 2.31 mm) was smaller than that of the nonpainful side (10.56 ± 2.24 mm). The constant error of the head-to-target test toward the nonpainful side was smaller in the patients with CeH (-1.6 ± 4.3°) than in the asymptomatic group (3.3 ± 3.7°, P = 0.005). CONCLUSION: Asymmetric OCI and cervical proprioception were demonstrated in patients with CeH.

Age and gender differences in motor imagery.

BACKGROUND: Few studies have explored the effects of ageing and gender in the dimensions of motor imagery (MI) such as vividness (vivid images and sensations of mental movements) and timing (the duration of an imagined movement). This study aims 1) to investigate the effect of age and gender effect in vividness and timing capabilities on MI, and 2) to examine the relationship between these two dimensions of MI. METHODS: A population of 72 (47% of males) good imagers including 41 young subjects and 31 older subjects were assessed on MI vividness using the Vividness of Movement Imagery Questionnaire (VMIQ-2) and on MI timing using the performances of the real Timed Up and Go (rTUG) test and its imagined version (iTUG). The main outcome variables were the VMIQ-2 score and the delta-TUG, i.e. the difference between rTUG and iTUG. RESULTS: Mental vividness was affected by ageing with a loss of visual dominance in favor of kinesthetic imagery in older subjects compared to younger ones; however, no difference between both groups was found in timing measured by delta-TUG. Vividness capabilities were similar between men and women, but women performed better in timing. VMIQ-2 scores were not associated with delta-TUG; only gender was significantly associated with delta-TUG. CONCLUSIONS: This study revealed 1) an age-related transfer from a visual to a kinesthetic MI ability, but no impact on timing of MI; 2) a gender effect on timing with no impact on mental vividness; 3) no association between vividness and timing capabilities.

Hypnotizability influences the cortical representation of visually and kinaesthetically imagined head position.

The study investigates the cortical representation of the visual and kinesthetic image of a rotated position of the head in highly (highs) and low hypnotizable individuals (lows) of both gender. Participants were invited to imagine maintaining their head rotated toward one side by seeing their chin aligned with their right shoulder (V, visual imagery), and in a different condition, by feeling tension in their neck muscles (K, kinaesthetic imagery). Vividness of imagery and cognitive effort were reported after each task. Alpha and beta band absolute power was studied. Highs reported higher vividness than lows only for the kinaesthetic modality of imagery. The cortical desyncronization observed during visual and kinaesthetic imagery were different in high females (HM), low females (LF), high males (HM) and low males (LM). In fact, only HF and LM exhibited significant power changes during the kinaesthetic task, whereas visual imagery was associated with cortical desynchronization in all subgroups except HM. The study supports earlier findings of an advantage of highs in kinesthetic imagery, shows an intriguing interaction of hypnotizability and gender, and indicates topographical difference in the four subgroups of participants suggesting differences in underlying generators.

Motor imagery training: Kinesthetic imagery strategy and inferior parietal fMRI activation.

Motor imagery (MI) is the mental simulation of action frequently used by professionals in different fields. However, with respect to performance, well-controlled functional imaging studies on MI training are sparse. We investigated changes in fMRI representation going along with performance changes of a finger sequence (error and velocity) after MI training in 48 healthy young volunteers. Before training, we tested the vividness of kinesthetic and visual imagery. During tests, participants were instructed to move or to imagine moving the fingers of the right hand in a specific order. During MI training, participants repeatedly imagined the sequence for 15 min. Imaging analysis was performed using a full-factorial design to assess brain changes due to imagery training. We also used regression analyses to identify those who profited from training (performance outcome and gain) with initial imagery scores (vividness) and fMRI activation magnitude during MI at pre-test (MIpre ). After training, error rate decreased and velocity increased. We combined both parameters into a common performance index. FMRI activation in the left inferior parietal lobe (IPL) was associated with MI and increased over time. In addition, fMRI activation in the right IPL during MIpre was associated with high initial kinesthetic vividness. High kinesthetic imagery vividness predicted a high performance after training. In contrast, occipital activation, associated with visual imagery strategies, showed a negative predictive value for performance. Our data echo the importance of high kinesthetic vividness for MI training outcome and consider IPL as a key area during MI and through MI training.

The neural basis of kinesthetic and visual imagery in sports: an ALE meta - analysis.

Imagery is a widely spread technique in the sport sciences that entails the mental rehearsal of a given situation to improve an athlete's learning, performance and motivation. Two modalities of imagery are reported to tap into distinct brain structures, but sharing common components: kinesthetic and visual imagery. This study aimed to investigate the neural basis of those types of imagery with Activation Likelihood Estimation algorithm to perform a meta - analysis. A systematic search was used to retrieve only experimental studies with athletes or sportspersons. Altogether, nine studies were selected and an ALE meta - analysis was performed. Results indicated significant activation of the premotor, somatosensory cortex, supplementary motor areas, inferior and superior parietal lobule, caudate, cingulate and cerebellum in both imagery tasks. It was concluded that visual and kinesthetic imagery share similar neural networks which suggests that combined interventions are beneficial to athletes whereas separate use of those two modalities of imagery may seem less efficient from a neuropsychological approach.

Functional but Inefficient Kinesthetic Motor Imagery in Adolescents with Autism Spectrum Disorder.

Whether action representation in individuals with autism spectrum disorder (ASD) is deficient remains controversial, as previous studies of action observation or imitation report conflicting results. Here we investigated the characteristics of action representation in adolescents with ASD through motor imagery (MI) using a hand rotation and an object rotation task. Comparable with the typically-developing group, the individuals with ASD were able to spontaneously use kinesthetic MI to perform the hand rotation task, as manifested by the significant biomechanical effects. However, the ASD group performed significantly slower only in the hand rotation task, but not in the object rotation task. The findings suggest that the adolescents with ASD showed inefficient but functional kinesthetic MI, implicating that their action representation might be preserved.