Frontal and frontoparietal injury differentially affect the ipsilateral corticospinal projection from the nonlesioned hemisphere in monkey (Macaca mulatta).

Upper extremity hemiplegia is a common consequence of unilateral cortical stroke. Understanding the role of the unaffected cerebral hemisphere in the motor recovery process has been encouraged, in part, by the presence of ipsilateral corticospinal projections (iCSP). We examined the neuroplastic response of the iCSP from the contralesional primary motor cortex (cM1) hand/arm area to spinal levels C5-T1 after spontaneous long-term recovery from isolated frontal lobe injury and isolated frontoparietal injury. High-resolution tract tracing, stereological, and behavioral methodologies were applied. Recovery from frontal motor injury resulted in enhanced numbers of terminal labeled boutons in the iCSP from cM1 compared with controls. Increases occurred in lamina VIII and the adjacent ventral sectors of lamina VII, which are involved in axial/proximal limb sensorimotor processing. Larger frontal lobe lesions were associated with greater numbers of terminal boutons than smaller frontal lobe lesions. In contrast, frontoparietal injury blocked this response; total bouton number was similar to controls, demonstrating that disruption of somatosensory input to one hemisphere has a suppressive effect on the iCSP from the nonlesioned hemisphere. However, compared with controls, elevated bouton numbers occurred in lamina VIII, at the expense of lamina VII bouton labeling. Lamina IX boutons were also elevated in two frontoparietal lesion cases with extensive cortical injury. Because laminae VIII and IX collectively harbor axial, proximal, and distal motoneurons, therapeutic intervention targeting the ipsilateral corticospinal linkage from cM1 may promote proximal, and possibly distal, upper-limb motor recovery following frontal and frontoparietal injury.

Vulnerability of the medial frontal corticospinal projection accompanies combined lateral frontal and parietal cortex injury in rhesus monkey.

Concurrent damage to the lateral frontal and parietal cortex is common following middle cerebral artery infarction, leading to upper extremity paresis, paresthesia, and sensory loss. Motor recovery is often poor, and the mechanisms that support or impede this process are unclear. Since the medial wall of the cerebral hemisphere is commonly spared following stroke, we investigated the spontaneous long-term (6 and 12 month) effects of lateral frontoparietal injury (F2P2 lesion) on the terminal distribution of the corticospinal projection (CSP) from intact, ipsilesional supplementary motor cortex (M2) at spinal levels C5 to T1. Isolated injury to the frontoparietal arm/hand region resulted in a significant loss of contralateral corticospinal boutons from M2 compared with controls. Specifically, reductions occurred in the medial and lateral parts of lamina VII and the dorsal quadrants of lamina IX. There were no statistical differences in the ipsilateral CSP. Contrary to isolated lateral frontal motor injury (F2 lesion), which results in substantial increases in contralateral M2 labeling in laminae VII and IX (McNeal et al. [2010] J. Comp. Neurol. 518:586-621), the added effect of adjacent parietal cortex injury to the frontal motor lesion (F2P2 lesion) not only impedes a favorable compensatory neuroplastic response but results in a substantial loss of M2 CSP terminals. This dramatic reversal of the CSP response suggests a critical trophic role for cortical somatosensory influence on spared ipsilesional frontal corticospinal projections, and that restoration of a favorable compensatory response will require therapeutic intervention.

A coordinate system for visual motion perception.

The purpose of this research was to determine the reference axes used by the visual system to specify direction of motion of objects by the visual system at the perceptual level. Ten young adults aligned motion of a moving luminous dot on a computer display to body-fixed and external vertical and horizontal plane axes while operating in a dark room. Accuracy of aligning dot motion to earth-fixed vertical, a displayed luminous line (external visual axis) of varied orientations, and head and trunk longitudinal axes was tested in one experiment with the display in the vertical frontal plane. In a second experiment, dot motion was aligned to head and trunk anterior/posterior (A-P) axes and to an external visual axis presented on a horizontal computer screen. Head and trunk orientations were varied in the frontal plane (left/right tilt) when testing vertical plane axes and by rotation of the head and/or trunk about a vertical axis when testing horizontal plane axes. Perceptual errors were lowest when aligning to earth-fixed vertical in the vertical plane and to an external oblique line in the horizontal plane when head and trunk orientations were varied. Perceptions of horizontal plane motion direction were accurate relative to the trunk-fixed A-P axis when only head orientation was varied, but large errors were made when trunk orientation was varied. Proprioceptive influences on visual perceptions of motion direction were shown by a dependence of perceptual errors on trunk and neck orientations when aligning to all axes. Furthermore, when aligning motion to an external line, the errors depended on orientation of the line in addition to trunk and neck orientations, but not when aligning to intrinsic axes or earth-fixed vertical in the presence of an external line. We conclude that the visual motion system defines direction relative to earth-fixed vertical and an external horizontal reference axis when available. The trunk-fixed A-P axis can be used to accurately define motion direction when operating without an external reference if a neutral trunk orientation is maintained.

Mechanical analysis of the Nautilus leg curl machine.

The present study assessed the capability of the Nautilus leg curl machine to reflect changes in the isokinetic resistance torque offered to the user commensurate with the human torque pattern generated by the knee flexor muscle group. An averaged isokinetic torque pattern was determined from the exercise machine and from a subject pool (N = 20) of physically active men performing prone knee flexion at two angular velocities (30 degrees/s and 60 degrees/s). The torque patterns of the exercise machine and the subject pool were expressed mathematically. Analysis of the linear regression coefficients established that the resistance torque pattern of the exercise machine was not similar to that of the subject pool (p less than .001). It was concluded that the present exercise machine system did not adequately alter the weight-stack load to provide a resistive torque suited to the biomechanical capabilities of the knee flexors under the two isokinetic conditions studied.