Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 19 de 19
Filtrar
Más filtros

Banco de datos
Tipo del documento
Intervalo de año de publicación
1.
Cereb Cortex ; 33(12): 7582-7594, 2023 06 08.
Artículo en Inglés | MEDLINE | ID: mdl-36977633

RESUMEN

People who are blind demonstrate remarkable abilities within the spared senses and compensatory enhancement of cognitive skills, underscored by substantial plastic reorganization in relevant neural areas. However, little is known about whether people with blindness form top-down models of the world on short timescales more efficiently to guide goal-oriented behavior. This electroencephalography study investigates this hypothesis at the neurophysiological level, focusing on contingent negative variation (CNV) as a marker of anticipatory and preparatory processes prior to expected events. In sum, 20 participants with blindness and 27 sighted participants completed a classic CNV task and a memory CNV task, both containing tactile stimuli to exploit the expertise of the former group. Although the reaction times in the classic CNV task did not differ between groups, participants who are blind reached higher performance rates in the memory task. This superior performance co-occurred with a distinct neurophysiological profile, relative to controls: greater late CNV amplitudes over central areas, suggesting enhanced stimulus expectancy and motor preparation prior to key events. Controls, in contrast, recruited more frontal sites, consistent with inefficient sensory-aligned control. We conclude that in more demanding cognitive contexts exploiting the spared senses, people with blindness efficiently generate task-relevant internal models to facilitate behavior.


Asunto(s)
Ceguera , Variación Contingente Negativa , Percepción del Tacto , Humanos , Electroencefalografía , Masculino , Femenino , Adolescente , Adulto Joven , Adulto , Persona de Mediana Edad , Ceguera/fisiopatología , Ceguera/psicología
2.
Neuroimage ; 259: 119407, 2022 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-35752414

RESUMEN

Somatosensory short-term memory is essential for object recognition, sensorimotor learning, and, especially, Braille reading for people who are blind. This study examined how visual sensory deprivation and a compensatory focus on somatosensory information influences memory processes in this domain. We measured slow cortical negativity developing during short-term tactile memory maintenance (tactile contralateral delay activity, tCDA) in frontal and somatosensory areas while a sample of 24 sighted participants and 22 participants who are blind completed a tactile change-detection task where varying loads of Braille pin patterns served as stimuli. Auditory cues, appearing at varying latencies between sample arrays, could be used to reduce memory demands during maintenance. Participants who are blind (trained Braille readers) outperformed sighted participants behaviorally. In addition, while task-related frontal activation featured in both groups, participants who are blind uniquely showed higher tCDA amplitudes specifically over somatosensory areas. The site specificity of this component's functional relevance in short-term memory maintenance was further supported by somatosensory tCDA amplitudes first correlating across the whole sample with behavioral performance, and secondly showing sensitivity to varying memory load. The results substantiate sensory recruitment models and provide new insights into the effects of visual sensory deprivation on tactile processing. Between-group differences in the interplay between frontal and somatosensory areas during somatosensory maintenance also suggest that efficient maintenance of complex tactile stimuli in short-term memory is primarily facilitated by lateralized activity in somatosensory cortex.


Asunto(s)
Memoria a Corto Plazo , Corteza Somatosensorial , Ceguera , Electroencefalografía , Humanos , Memoria a Corto Plazo/fisiología , Lectura , Corteza Somatosensorial/fisiología , Tacto/fisiología
3.
Hum Brain Mapp ; 43(15): 4750-4790, 2022 10 15.
Artículo en Inglés | MEDLINE | ID: mdl-35860954

RESUMEN

The model-free algorithms of "reinforcement learning" (RL) have gained clout across disciplines, but so too have model-based alternatives. The present study emphasizes other dimensions of this model space in consideration of associative or discriminative generalization across states and actions. This "generalized reinforcement learning" (GRL) model, a frugal extension of RL, parsimoniously retains the single reward-prediction error (RPE), but the scope of learning goes beyond the experienced state and action. Instead, the generalized RPE is efficiently relayed for bidirectional counterfactual updating of value estimates for other representations. Aided by structural information but as an implicit rather than explicit cognitive map, GRL provided the most precise account of human behavior and individual differences in a reversal-learning task with hierarchical structure that encouraged inverse generalization across both states and actions. Reflecting inference that could be true, false (i.e., overgeneralization), or absent (i.e., undergeneralization), state generalization distinguished those who learned well more so than action generalization. With high-resolution high-field fMRI targeting the dopaminergic midbrain, the GRL model's RPE signals (alongside value and decision signals) were localized within not only the striatum but also the substantia nigra and the ventral tegmental area, including specific effects of generalization that also extend to the hippocampus. Factoring in generalization as a multidimensional process in value-based learning, these findings shed light on complexities that, while challenging classic RL, can still be resolved within the bounds of its core computations.


Asunto(s)
Imagen por Resonancia Magnética , Refuerzo en Psicología , Generalización Psicológica , Humanos , Aprendizaje , Imagen por Resonancia Magnética/métodos , Recompensa
4.
Eur J Neurosci ; 52(11): 4453-4467, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-30447162

RESUMEN

This study used event-related potentials (ERPs) to elucidate how the human visual system processes three-dimensional (3-D) object shape structure. In particular, we examined whether the perceptual mechanisms that support the analysis of 3-D shape are differentially sensitive to higher order surface and volumetric part structure. Observers performed a whole-part novel object matching task in which part stimuli comprised sub-regions of closed edge contour, surfaces or volumetric parts. Behavioural response latency data showed an advantage in matching surfaces and volumetric parts to whole objects over contours, but no difference between surfaces and volumes. ERPs were analysed using a convergence of approaches based on stimulus dependent amplitude modulations of evoked potentials, topographic segmentation, and spatial frequency oscillations. The results showed early differential perceptual processing of contours, surfaces, and volumetric part stimuli. This was first reliably observed over occipitoparietal electrodes during the N1 (140-200 ms) with a mean peak latency of 170 ms, and continued on subsequent P2 (220-260 ms) and N2 (260-320 ms) components. The differential sensitivity in perceptual processing during the N1 was accompanied by distinct microstate patterns that distinguished among contours, surfaces and volumes, and predominant theta band activity around 4-7 Hz over right occipitoparietal and orbitofrontal sites. These results provide the first evidence of early differential perceptual processing of higher order surface and volumetric shape structure within the first 200 ms of stimulus processing. The findings challenge theoretical models of object recognition that do not attribute functional significance to surface and volumetric object structure during visual perception.


Asunto(s)
Percepción de Forma , Percepción Visual , Electroencefalografía , Potenciales Evocados , Potenciales Evocados Visuales , Humanos , Estimulación Luminosa , Tiempo de Reacción , Visión Ocular
5.
Cogn Affect Behav Neurosci ; 20(4): 730-745, 2020 08.
Artículo en Inglés | MEDLINE | ID: mdl-32462432

RESUMEN

Appraising sequential offers relative to an unknown future opportunity and a time cost requires an optimization policy that draws on a learned estimate of an environment's richness. Converging evidence points to a learning asymmetry, whereby estimates of this richness update with a bias toward integrating positive information. We replicate this bias in a sequential foraging (prey selection) task and probe associated activation within the sympathetic branch of the autonomic system, using trial-by-trial measures of simultaneously recorded cardiac autonomic physiology. We reveal a unique adaptive role for the sympathetic branch in learning. It was specifically associated with adaptation to a deteriorating environment: it correlated with both the rate of negative information integration in belief estimates and downward changes in moment-to-moment environmental richness, and was predictive of optimal performance on the task. The findings are consistent with a framework whereby autonomic function supports the learning demands of prey selection.


Asunto(s)
Adaptación Psicológica/fisiología , Frecuencia Cardíaca/fisiología , Aprendizaje/fisiología , Desempeño Psicomotor/fisiología , Sistema Nervioso Simpático/fisiología , Adolescente , Adulto , Cardiografía de Impedancia , Electrocardiografía , Femenino , Humanos , Masculino , Recompensa , Estrés Fisiológico/fisiología , Adulto Joven
6.
Neuroimage ; 185: 208-221, 2019 01 15.
Artículo en Inglés | MEDLINE | ID: mdl-30342238

RESUMEN

The current study investigates a new neurobiological model of human hand choice: The Posterior Parietal Interhemispheric Competition (PPIC) model. The model specifies that neural populations in bilateral posterior intraparietal and superior parietal cortex (pIP-SPC) encode actions in hand-specific terms, and compete for selection across and within hemispheres. Actions with both hands are encoded bilaterally, but the contralateral hand is overrepresented. We use a novel fMRI paradigm to test the PPIC model. Participants reach to visible targets while in the scanner, and conditions involving free choice of which hand to use (Choice) are compared with when hand-use is instructed. Consistent with the PPIC model, bilateral pIP-SPC is preferentially responsive for the Choice condition, and for actions made with the contralateral hand. In the right pIP-SPC, these effects include anterior intraparietal and superior parieto-occipital cortex. Left dorsal premotor cortex, and an area in the right lateral occipitotemporal cortex show the same response pattern, while the left inferior parietal lobule is preferentially responsive for the Choice condition and when using the ipsilateral hand. Behaviourally, hand choice is biased by target location - for targets near the left/right edges of the display, the hand in ipsilateral hemispace is favoured. Moreover, consistent with a competitive process, response times are prolonged for choices to more ambiguous targets, where hand choice is relatively unbiased, and fMRI responses in bilateral pIP-SPC parallel this pattern. Our data provide support for the PPIC model, and reveal a selective network of brain areas involved in free hand choice, including bilateral posterior parietal cortex, left-lateralized inferior parietal and dorsal premotor cortices, and the right lateral occipitotemporal cortex.


Asunto(s)
Mapeo Encefálico/métodos , Encéfalo/fisiología , Conducta de Elección/fisiología , Modelos Neurológicos , Desempeño Psicomotor/fisiología , Adulto , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética/métodos , Masculino , Adulto Joven
7.
Neuroimage Clin ; 39: 103499, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37634375

RESUMEN

It is becoming increasingly clear that limb loss induces wider spread reorganization of representations of the body that are nonadjacent to the affected cortical territory. Data from upper extremity amputees reveal intrusion of the representation of the ipsilateral intact limb into the former hand territory. Here we test for the first time whether this reorganization of the intact limb into the deprived cortex is specific to the neurological organization of the upper limbs or reflects large scale adaptation that is triggered by any unilateral amputation. BOLD activity was measured as human subjects with upper limb and lower limb traumatic amputation and their controls moved the toes on each foot, open and closed each hand and pursed their lips. Subjects with amputation were asked to imagine moving the missing limb while remaining still. Bayesian pattern component modeling of fMRI data showed that intact ipsilateral movements and contralateral movements of the hand and foot were distinctly represented in the deprived sensorimotor cortex years after upper limb amputation. In contrast, there was evidence reminiscent of contralateral specificity for hand and foot movements following lower limb amputation, like that seen in controls. We propose the cortical reorganization of the intact limb to be a function of use-dependent plasticity that is more specific to the consequence of upper limb loss of forcing an asymmetric reliance on the intact hand and arm. The contribution of this reorganization to phantom pain or a heightened risk of overuse and resultant maladaptive plasticity needs investigating before targeting such reorganization in intervention.


Asunto(s)
Amputación Quirúrgica , Amputación Traumática , Humanos , Teorema de Bayes , Extremidad Superior , Extremidad Inferior
8.
Sci Rep ; 13(1): 6486, 2023 04 20.
Artículo en Inglés | MEDLINE | ID: mdl-37081031

RESUMEN

Heuristics can inform human decision making in complex environments through a reduction of computational requirements (accuracy-resource trade-off) and a robustness to overparameterisation (less-is-more). However, tasks capturing the efficiency of heuristics typically ignore action proficiency in determining rewards. The requisite movement parameterisation in sensorimotor control questions whether heuristics preserve efficiency when actions are nontrivial. We developed a novel action selection-execution task requiring joint optimisation of action selection and spatio-temporal skillful execution. State-appropriate choices could be determined by a simple spatial heuristic, or by more complex planning. Computational models of action selection parsimoniously distinguished human participants who adopted the heuristic from those using a more complex planning strategy. Broader comparative analyses then revealed that participants using the heuristic showed combined decisional (selection) and skill (execution) advantages, consistent with a less-is-more framework. In addition, the skill advantage of the heuristic group was predominantly in the core spatial features that also shaped their decision policy, evidence that the dimensions of information guiding action selection might be yoked to salient features in skill learning.


Asunto(s)
Heurística , Aprendizaje , Humanos , Recompensa , Toma de Decisiones
9.
PLoS One ; 17(10): e0275262, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36227882

RESUMEN

The current study used a high frequency TMS protocol known as continuous theta burst stimulation (cTBS) to test a model of hand choice that relies on competing interactions between the hemispheres of the posterior parietal cortex. Based on the assumption that cTBS reduces cortical excitability, the model predicts a significant decrease in the likelihood of selecting the hand contralateral to stimulation. An established behavioural paradigm was used to estimate hand choice in each individual, and these measures were compared across three stimulation conditions: cTBS to the left posterior parietal cortex, cTBS to the right posterior parietal cortex, or sham cTBS. Our results provide no supporting evidence for the interhemispheric competition model. We find no effects of cTBS on hand choice, independent of whether the left or right posterior parietal cortex was stimulated. Our results are nonetheless of value as a point of comparison against prior brain stimulation findings that, in contrast, provide evidence for a causal role for the posterior parietal cortex in hand choice.


Asunto(s)
Lóbulo Parietal , Estimulación Magnética Transcraneal , Mano , Lóbulo Parietal/fisiología , Ritmo Teta/fisiología , Estimulación Magnética Transcraneal/métodos
10.
eNeuro ; 9(2)2022.
Artículo en Inglés | MEDLINE | ID: mdl-35168952

RESUMEN

Disorders of the medial temporal lobe (MTL) adversely affect visual working memory (vWM) performance, including feature binding. It is unclear whether these impairments generalize across visual dimensions or are specifically spatial. To address this issue, we compared performance in two tasks of 13 epilepsy patients, who had undergone a temporal lobectomy, and 15 healthy controls. In the vWM task, participants recalled the color of one of two polygons, previously displayed side by side. At recall, a location or shape probe identified the target. In the perceptual task, participants estimated the centroid of three visible disks. Patients recalled the target color less accurately than healthy controls because they frequently swapped the nontarget with the target color. Moreover, healthy controls and right temporal lobectomy patients made more swap errors following shape than space probes. Left temporal lobectomy patients, showed the opposite pattern of errors instead. Patients and controls performed similarly in the perceptual task. We conclude that left MTL damage impairs spatial binding in vWM, and that this impairment does not reflect a perceptual or attentional deficit.


Asunto(s)
Epilepsia del Lóbulo Temporal , Memoria a Corto Plazo , Cognición , Epilepsia del Lóbulo Temporal/complicaciones , Epilepsia del Lóbulo Temporal/cirugía , Humanos , Trastornos de la Memoria/etiología , Recuerdo Mental , Técnicas Estereotáxicas , Lóbulo Temporal/cirugía
11.
Front Physiol ; 13: 752900, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36703933

RESUMEN

Humans show remarkable habituation to aversive events as reflected by changes of both subjective report and objective measures of stress. Although much experimental human research focuses on the effects of stress, relatively little is known about the cascade of physiological and neural responses that contribute to stress habituation. The cold pressor test (CPT) is a common method for inducing acute stress in human participants in the laboratory; however, there are gaps in our understanding of the global state changes resulting from this stress-induction technique and how these responses change over multiple exposures. Here, we measure the stress response to repeated CPT exposures using an extensive suite of physiologic measures and state-of-the-art analysis techniques. In two separate sessions on different days, participants underwent five 90 s CPT exposures of both feet and five warm water control exposures, while electrocardiography (ECG), impedance cardiography, continuous blood pressure, pupillometry, scalp electroencephalography (EEG), salivary cortisol and self-reported pain assessments were recorded. A diverse array of adaptive responses are reported that vary in their temporal dynamics within each exposure as well as habituation across repeated exposures. During cold-water exposure there was a cascade of changes across several cardiovascular measures (elevated heart rate (HR), cardiac output (CO) and Mean Arterial Pressure (MAP) and reduced left ventricular ejection time (LVET), stroke volume (SV) and high-frequency heart rate variability (HF)). Increased pupil dilation was observed, as was increased power in low-frequency bands (delta and theta) across frontal EEG electrode sites. Several cardiovascular measures also habituated over repeated cold-water exposures (HR, MAP, CO, SV, LVET) as did pupil dilation and alpha frequency activity across the scalp. Anticipation of cold water induced stress effects in the time-period immediately prior to exposure, indexed by increased pupil size and cortical disinhibition in the alpha and beta frequency bands across central scalp sites. These results provide comprehensive insight into the evolution of a diverse array of stress responses to an acute noxious stressor, and how these responses adaptively contribute to stress habituation.

12.
Front Behav Neurosci ; 15: 615796, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33692674

RESUMEN

Anxiety is characterized by low confidence in daily decisions, coupled with high levels of phenomenological stress. Ventromedial prefrontal cortex (vmPFC) plays an integral role in maladaptive anxious behaviors via decreased sensitivity to threatening vs. non-threatening stimuli (fear generalization). vmPFC is also a key node in approach-avoidance decision making requiring two-dimensional integration of rewards and costs. More recently, vmPFC has been implicated as a key cortical input to the sympathetic branch of the autonomic nervous system. However, little is known about the role of this brain region in mediating rapid stress responses elicited by changes in confidence during decision making. We used an approach-avoidance task to examine the relationship between sympathetically mediated cardiac stress responses, vmPFC activity and choice behavior over long and short time-scales. To do this, we collected concurrent fMRI, EKG and impedance cardiography recordings of sympathetic drive while participants made approach-avoidance decisions about monetary rewards paired with painful electric shock stimuli. We observe first that increased sympathetic drive (shorter pre-ejection period) in states lasting minutes are associated with choices involving reduced decision ambivalence. Thus, on this slow time scale, sympathetic drive serves as a proxy for "mobilization" whereby participants are more likely to show consistent value-action mapping. In parallel, imaging analyses reveal that on shorter time scales (estimated with a trial-to-trial GLM), increased vmPFC activity, particularly during low-ambivalence decisions, is associated with decreased sympathetic state. Our findings support a role of sympathetic drive in resolving decision ambivalence across long time horizons and suggest a potential role of vmPFC in modulating this response on a moment-to-moment basis.

13.
Sci Rep ; 10(1): 16157, 2020 09 30.
Artículo en Inglés | MEDLINE | ID: mdl-32999327

RESUMEN

Sensory processing deficits and altered long-range connectivity putatively underlie Multisensory Integration (MSI) deficits in Autism Spectrum Disorder (ASD). The present study set out to investigate non-social MSI stimuli and their electrophysiological correlates in young neurotypical adolescents and adolescents with ASD. We report robust MSI effects at behavioural and electrophysiological levels. Both groups demonstrated normal behavioural MSI. However, at the neurophysiological level, the ASD group showed less MSI-related reduction of the visual P100 latency, greater MSI-related slowing of the auditory P200 and an overall temporally delayed and spatially constrained onset of MSI. Given the task design and patient sample, and the age of our participants, we argue that electro-cortical indices of MSI deficits in ASD: (a) can be detected in early-adolescent ASD, (b) occur at early stages of perceptual processing, (c) can possibly be compensated by later attentional processes, (d) thus leading to normal MSI at the behavioural level.


Asunto(s)
Atención/fisiología , Percepción Auditiva/fisiología , Trastorno del Espectro Autista/fisiopatología , Encéfalo/fisiopatología , Potenciales Evocados/fisiología , Percepción Visual/fisiología , Estimulación Acústica , Adolescente , Trastorno del Espectro Autista/psicología , Niño , Electroencefalografía , Femenino , Humanos , Masculino , Estimulación Luminosa , Tiempo de Reacción/fisiología
14.
Psychon Bull Rev ; 26(1): 305-314, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30039397

RESUMEN

Action choices are influenced by recent past and predicted future action states. Here, we demonstrate that recent hand-choice history affects both current hand choices and response times to initiate actions. Participants reach to contact visible targets using one hand. Hand choice is biased in favour of which hand was used recently, in particular, when the biomechanical costs of responding with either hand are similar, and repeated choices lead to reduced response times. These effects are also found to positively correlate. Participants who show strong effects of recent history on hand choice also tend to show strong effects of recent history on response times. The data are consistent with a computational efficiency interpretation whereby repeated action choices confer computational gains in the efficiency of underpinning processes. We discuss our results within the framework of this model, and with respect to balancing predicted gains and losses, and speculate about the possible underlying mechanisms in neural terms.


Asunto(s)
Conducta de Elección , Lateralidad Funcional/fisiología , Mano/fisiología , Desempeño Psicomotor/fisiología , Tiempo de Reacción , Adolescente , Adulto , Fenómenos Biomecánicos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
15.
Biol Psychol ; 142: 132-139, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-30685414

RESUMEN

Multisensory integration (MSI) is crucial for human communication and social interaction and has been investigated in healthy populations and neurodevelopmental disorders. However, the use of stimuli with high ecological validity is sparse, especially in event-related potential (ERP) studies. The present study examined the ERP correlates of MSI in healthy adults using short (500 ms) ecologically valid professional actor-produced emotions of fear or disgust as vocal exclamation or facial expression (unimodal conditions) or both (bimodal condition). Behaviourally, our results show a general visual dominance effect (similarly fast responses following bimodal and visual stimuli) and an MSI-related speedup of responses only for fear. Electrophysiologically, both P100 and N170 showed MSI-related amplitude increases only following fear, but not disgust stimuli. Our results show for the first time that the known differential neural processing of fear and disgust also holds for the integration of dynamic auditory and visual information.


Asunto(s)
Asco , Potenciales Evocados/fisiología , Miedo/fisiología , Detección de Señal Psicológica/fisiología , Estimulación Acústica/métodos , Adulto , Fenómenos Ecológicos y Ambientales , Emociones/fisiología , Expresión Facial , Femenino , Voluntarios Sanos , Humanos , Masculino , Simulación de Paciente , Estimulación Luminosa/métodos , Tiempo de Reacción , Voz , Adulto Joven
16.
Psychopharmacology (Berl) ; 235(3): 749-759, 2018 03.
Artículo en Inglés | MEDLINE | ID: mdl-29273820

RESUMEN

BACKGROUND: Caffeine has a well-established effect on reaction times (RTs) but the neurocognitive mechanisms underlying this are unclear. METHODS: In the present study, 15 female participants performed an oddball task after ingesting caffeine or a placebo, and electroencephalographic data were obtained. Single-trial P3b latencies locked to the stimulus and to the response were extracted and mediation models were fitted to the data to test whether caffeine's effect on RTs was mediated by its effect on either type of P3b latencies. RESULTS: Stimulus-locked latencies showed clear evidence of mediation, with approximately a third of the effect of caffeine on RTs running through the processes measured by stimulus-locked latencies. Caffeine did not affect response-locked latencies, so could not mediate the effect. DISCUSSION: These findings are consistent with caffeine's effect on RTs being a result of its effect on perceptual-attentional processes, rather than motor processes. The study is the first to apply mediation analysis to single-trial P3b data and this technique holds promise for mental chronometric studies into the effects of psychopharmacological agents. The R code for performing the single trial analysis and mediation analysis are included as supplementary materials.


Asunto(s)
Atención/efectos de los fármacos , Cafeína/farmacología , Estimulantes del Sistema Nervioso Central/farmacología , Corteza Motora/efectos de los fármacos , Tiempo de Reacción/efectos de los fármacos , Adolescente , Adulto , Cognición/efectos de los fármacos , Electroencefalografía , Potenciales Evocados , Femenino , Humanos , Adulto Joven
17.
Restor Neurol Neurosci ; 33(4): 405-19, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26409401

RESUMEN

PURPOSE: Lateralised lesions can disrupt inhibitory cross-callosal fibres which maintain interhemispheric equilibrium in attention networks, with a consequent attentional bias towards the ipsilesional field. Some evidence of this imbalance has also been found in hemianopic patients (Tant et al., 2002). The aim of the present study was to reduce this attentional bias in hemianopic patients by using multisensory stimulation capable of activating subcortical structures responsible for orienting attention, such as the superior colliculus. METHODS: Eight hemianopic patients underwent a course of multisensory stimulation treatment for two weeks and their behavioural and electrophysiological performance was tested at three time intervals: baseline 1 (before treatment), control baseline 2 (two weeks after baseline 1 and immediately before treatment as a control for practice effects) and finally after treatment. RESULTS: The results show improvements on various clinical measures, on orienting responses in the hemianopic field, and a reduction of electrophysiological activity (P3 amplitude) in response to stimuli presented in the intact visual field. CONCLUSIONS: These results suggest that the primary visual deficit in hemianopic patients might be accompanied by an ipsilesional attentional bias which might be reduced by multisensory stimulation.


Asunto(s)
Atención/fisiología , Encéfalo/fisiopatología , Hemianopsia/fisiopatología , Hemianopsia/rehabilitación , Estimulación Física/métodos , Percepción Visual/fisiología , Adulto , Anciano , Encéfalo/patología , Enfermedad Crónica , Potenciales Evocados , Femenino , Lateralidad Funcional/fisiología , Hemianopsia/patología , Hemianopsia/psicología , Humanos , Masculino , Persona de Mediana Edad , Resultado del Tratamiento , Pruebas del Campo Visual , Campos Visuales/fisiología , Adulto Joven
18.
Front Behav Neurosci ; 9: 192, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26283935

RESUMEN

Neuropsychological training methods of visual rehabilitation for homonymous vision loss caused by postchiasmatic damage fall into two fundamental paradigms: "compensation" and "restoration". Existing methods can be classified into three groups: Visual Scanning Training (VST), Audio-Visual Scanning Training (AViST) and Vision Restoration Training (VRT). VST and AViST aim at compensating vision loss by training eye scanning movements, whereas VRT aims at improving lost vision by activating residual visual functions by training light detection and discrimination of visual stimuli. This review discusses the rationale underlying these paradigms and summarizes the available evidence with respect to treatment efficacy. The issues raised in our review should help guide clinical care and stimulate new ideas for future research uncovering the underlying neural correlates of the different treatment paradigms. We propose that both local "within-system" interactions (i.e., relying on plasticity within peri-lesional spared tissue) and changes in more global "between-system" networks (i.e., recruiting alternative visual pathways) contribute to both vision restoration and compensatory rehabilitation, which ultimately have implications for the rehabilitation of cognitive functions.

19.
Neuropsychologia ; 75: 74-87, 2015 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-26004059

RESUMEN

Patients who suffer traumatic brain injury frequently report difficulty concentrating on tasks and completing routine activities in noisy and distracting environments. Such impairments can have long-term negative psychosocial consequences. A cognitive control function that may underlie this impairment is the capacity to select a goal-relevant signal for further processing while safeguarding it from irrelevant noise. A paradigmatic investigation of this problem was undertaken using a dichotic listening task (study 1) in which comprehension of a stream of speech to one ear was measured in the context of increasing interference from a second stream of irrelevant speech to the other ear. Controls showed an initial decline in performance in the presence of competing speech but thereafter showed adaptation to increasing audibility of irrelevant speech, even at the highest levels of noise. By contrast, patients showed linear decline in performance with increasing noise. Subsequently attempts were made to ameliorate this deficit (study 2) using a cognitive training procedure based on attention process training (APT) that included graded exposure to irrelevant noise over the course of training. Patients were assigned to adaptive and non-adaptive training schedules or to a no-training control group. Results showed that both types of training drove improvements in the dichotic listening and in naturalistic tasks of performance in noise. Improvements were also seen on measures of selective attention in the visual domain suggesting transfer of training. We also observed augmentation of event-related potentials (ERPs) linked to target processing (P3b) but no change in ERPs evoked by distractor stimuli (P3a) suggesting that training heightened tuning of target signals, as opposed to gating irrelevant noise. No changes in any of the above measures were observed in a no-training control group. Together these findings present an ecologically valid approach to measure selective attention difficulties after brain injury, and provide a means to ameliorate these deficits.


Asunto(s)
Atención/fisiología , Trastornos de la Percepción Auditiva/fisiopatología , Trastornos de la Percepción Auditiva/terapia , Lesiones Encefálicas/complicaciones , Corteza Cerebral/fisiopatología , Terapia Cognitivo-Conductual , Adulto , Trastornos de la Percepción Auditiva/etiología , Pruebas de Audición Dicótica , Electroencefalografía , Potenciales Evocados Auditivos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pruebas Neuropsicológicas , Ruido , Percepción del Habla/fisiología , Adulto Joven
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA