The size coding of responses: The size of switches and the force feedback.

We aimed to understand which factors have a functional role in the size coding of responses, either the size of the switches or the force required to trigger each switch. This question is of relevance because it allows a better understanding of processes underlying action coding. In each trial, participants saw a small or large object. Depending on its colour, the participants had to press one of two switches. In the "size" condition, the response device consisted of two switches of different visual size, but both required the same amount of force. In the "force-feedback" condition, the response device consisted in two switches of identical visual size, but one switch required more force than the other. We found a compatibility effect in the "size," not in the "force-feedback" condition, supporting that the size-coding of responses would be due to the size of the switches.

Perinatal inflammation exposure and developmental outcomes 7 years after neonatal arterial ischaemic stroke.

AIM: To test the association between perinatal inflammation exposure and Full-Scale IQ (FSIQ) score 7 years after neonatal arterial ischaemic stroke (NAIS). METHOD: We conducted a cross-sectional ancillary study nested in a multicentric longitudinal French cohort of infants born at term with NAIS between November 2003 and October 2006. Seventy-three children were included (45 males, 28 females). The a priori defined primary outcome measure was the FSIQ score assessed with the Wechsler Intelligence Scale for Children, Fourth Edition at 7 years of age. RESULTS: Seventeen (23%) of the included children were exposed to perinatal inflammation. Exposure to perinatal inflammation was independently associated with an increase of FSIQ score (coefficient 13.4, 95% confidence interval 1.3-25.4; p = 0.03). Children exposed to perinatal inflammation had a higher median cerebral volume, a lower median lesion volume, and less extensive lesion distributions compared to non-exposed children. INTERPRETATION: We propose the existence of two NAIS categories: arteritis-associated NAIS in children exposed to perinatal inflammation and embolism-associated NAIS in children non-exposed to perinatal inflammation. Identifying these two NAIS categories would open the possibility for specific curative strategies: anti-inflammatory strategy in arteritis-associated NAIS and recanalization strategy in embolism-associated NAIS.

When the vibrations allow for anticipating the force to be produced: an extend to Pfister et al. (2014).

According to the ideomotor theory, action selection is done by the mental anticipation of its perceptual consequences. If the distal information processed mainly by vision and hearing are considered essential for the representation of the action, the proximal information processed by the sense of touch and proprioception is of less importance. Recent works seem to show the opposite. Nevertheless, it is necessary to complete these results by offering a situation, more ecological, where response and effect can occur on the same effector. So, the goal of our work was to implement a more relevant spatial correspondence because to touch is not the same action that to hear or to see. To do so, participants pressed a specific key after the presentation of a stimulus. The key vibrated depending on the pressure exerted on it. In a compatible condition, high pressure on a key triggered a high vibration, while in an incompatible condition high pressure triggered a low vibration on the same effectors. As expected, the response times were faster in the compatible condition than the incompatible condition. This means that proximal information participates actively in the selection of action.

Manual dexterity, but not cerebral palsy, predicts cognitive functioning after neonatal stroke.

AIM: To disentangle the respective impacts of manual dexterity and cerebral palsy (CP) in cognitive functioning after neonatal arterial ischaemic stroke. METHOD: The population included 60 children (21 females, 39 males) with neonatal arterial ischaemic stroke but not epilepsy. The presence of CP was assessed clinically at the age of 7 years and 2 months (range 6y 11mo-7y 8mo) using the definition of the Surveillance of CP in Europe network. Standardized tests (Nine-Hole Peg Test and Box and Blocks Test) were used to quantify manual (finger and hand respectively) dexterity. General cognitive functioning was evaluated with the Wechsler Intelligence Scale for Children, Fourth Edition. Simple and multiple linear regression models were performed while controlling for socio-economic status, lesion side, and sex. RESULTS: Fifteen children were diagnosed with CP. In simple regression models, both manual dexterity and CP were associated with cognitive functioning (ß=0.41 [p=0.002] and ß=0.31 [p=0.019] respectively). However, in multiple regression models, manual dexterity was the only associated variable of cognitive functioning, whether or not a child had CP (ß=0.35; p=0.007). This result was reproduced in models with other covariables (ß=0.31; p=0.017). INTERPRETATION: As observed in typically developing children, manual dexterity is related to cognitive functioning in children having suffered a focal brain insult during the neonatal period. WHAT THIS PAPER ADDS: Manual dexterity predicts cognitive functioning after neonatal arterial ischaemic stroke. Correlations between manual dexterity and cognitive functioning occur irrespective of sex, lesion side, presence of cerebral palsy, and socio-economic status. Residual motor ability may support cognitive functioning.

Multimodal Outcome at 7 Years of Age after Neonatal Arterial Ischemic Stroke.

OBJECTIVES: To evaluate the epileptic, academic, and developmental status at age 7 years in a large population of term-born children who sustained neonatal arterial ischemic stroke (NAIS), and to assess the co-occurrence of these outcomes. STUDY DESIGN: A cohort study including 100 term newborns with NAIS was designed. Two infants died during the neonatal period, 13 families were lost to follow-up, and 5 families declined to participate in this evaluation. Thus, 80 families completed the 7-year clinical assessment. Epileptic status, schooling, motor abilities, global intellectual functioning, spoken language, and parental opinions were recorded. Principal component analysis was applied. RESULTS: Rates of impaired language, cerebral palsy, low academic skills, active epilepsy, and global intellectual deficiency were 49%, 32%, 28%, 11%, and 8%, respectively. All were highly correlated. Eventually, 59% of children were affected by at least 1 of the aforementioned conditions. In 30% of cases, the viewpoints of health practitioners and parents did not match. CONCLUSION: The prevalence of severe disabilities at 7 years after NAIS is low, but most children exhibit some impairment in developmental profile. TRIAL REGISTRATION: ClinicalTrials.gov (NCT02511249), Programme Hospitalier de Recherche Clinique Régional (0308052), Programme Hospitalier de Recherche Clinique Interrégional (1008026), and EudraCT (2010-A00329-30).

Effectiveness of a pain neuroscience education programme on the physical activity of patients with chronic low back pain compared with a standard back school programme: protocol for a randomised controlled study (END-LC).

INTRODUCTION: Education is recognised as an effective and necessary approach in chronic low back pain. Nevertheless, data regarding the effectiveness of education in promoting physical activity in the medium term or long term are still limited, as are the factors that could lead to successful outcomes. Our study aims to assess the effectiveness of a pain neuroscience education programme compared with traditional back school on physical activity 3 months and 1 year after educational sessions coupled with a multidisciplinary rehabilitation programme. Additionally, we seek to evaluate the effects of these educational interventions on various factors, including pain intensity and psychobehavioural factors. Finally, our goal is to identify the determinants of success in educational sessions combined with the rehabilitation programme. METHODS AND ANALYSIS: The study will involve 82 adults with chronic low back pain. It will be a monocentric, open, controlled, randomised, superiority trial with two parallel arms: an experimental group, 'pain neuroscience education', and a control group, 'back school'. The primary outcome is the average number of steps taken at home over a week, measured by an actigraph. Secondary outcomes include behavioural assessments. Descriptive and inferential analysis will be conducted. Multivariate modelling will be performed using actimetric data and data from the primary and secondary outcomes. ETHICS AND DISSEMINATION: The Committee for Personal Protection of Ile de France VII (CPP) gave a favourable opinion on 22 June 2023 (National number: 2023-A00346-39). The study was previously registered with the National Agency for the Safety of Medicines and Health Products (IDRCB: 2023-A00346-39). Participants signed an informed consent during the inclusion visit. This protocol is the version submitted to the CPP entitled 'Protocol Version N°1 of 03/29/2023'. The results of the study will be presented nationally and internationally through conferences and publications. TRIAL REGISTRATION NUMBER: NCT05840302.

Flexible weighting of body-related effects in action production.

A previous study on ideomotor action control showed that predictable action effects in the agent's environment influenced how an action is carried out. If participants were required to perform a forceful keypress, they exerted more force when these actions would produce a quiet compared to a loud tone, and this observation suggests that anticipated proprioceptive and auditory action effects are integrated with each other during action planning and control. In light of the typically weak influence of body-related effect found in recent work, we aimed to extend this pattern of results to the intra-modal case of integrating proprioceptive/tactile feedback of a movement and following vibro-tactile effects. Our results suggest that the same weighted integration process as for the cross-modal case applies to the intra-modal case. These observations support the idea of a common mechanism which binds all action-related features in an integrated action representation, irrespective of whether these features relate to exafferent or reafferent signals.

Nuanced effects of music interventions on rehabilitation outcomes after stroke: a systematic review.

Background: Music is affordable and easily integrated in rehabilitation exercises, and has demonstrated different effects on the brain. We hypothesized that music interventions could improve rehabilitation outcomes after stroke. Objective: the aim of our review is to determine the effectiveness of different types of music interventions according to the rehabilitation objectives after stroke. Method: A systematic review of randomized controlled trials, clinical controlled trials and cross-over design performed on PubMed and PEDro in May 2018. All of these studies focus on acute, sub-acute or chronic stroke rehabilitation with music or rhythmic auditory stimulation intervention in adults during clinical outcomes. Two independent reviewers extracted the data and assessed the risk of bias before bringing it together. Results: Twenty-seven studies were included and analyzed. Our review found positive effects on physical status (upper-limb activity; gait parameters, balance), on cognition (neglect, attention, communication) and mood. The analysis of the quality of the evidence showed that a majority of the studies had a high risk of bias. Conclusion: Focusing on high to moderate level evidence, our review highlighted that rhythmic auditory stimulation has a positive effect on gait and balance; that receptive music therapy improves mood as well as some cognitive functions; that there is not enough evidence to determine the effectiveness of active music therapy and melodic intonation therapy. High-quality trials with large samples would be necessary to further assess and/or recommend these interventions.

Grasping a Chestnut Burr.

This work aimed to assess the role of manual laterality in action coding strategies and, subsequently, in environmental features relevant for each hand's action. Relying on Eder and Hommel's (2013) proposal, we distinguished stimulus-related and end state-related consequences in a Simon paradigm where right-handed participants were divided into two groups, one responding with gloves and one without. Two objects were presented pictorially: one for which sensory consequences of grasping were negatively valenced (a chestnut burr), and one for which they were positively valenced (an apricot). By these means, stimulus and end-state effects could be assessed separately, along with the relevance of each feature of the experimental settings. Results showed that the use of one's dominant or non dominant hand gives rise to different repercussions of stimulus-related and end state-related effects on response: Responses made with the right (dominant) hand were based on an elaborated coding (representing features of stimulus-related and end state-related consequences of action). In contrast, responses made with the left (non dominant) hand seemed to be based on a less elaborated coding (not taking into account end-state consequences of an action).

How does simulation of an observed external body state influence categorisation of an easily graspable object?

Several works have provided evidence of a resonant motor effect while observing a hand interacting with painful stimuli. The aim of this work is to show that participants are sensitive to the observation of an injured hand when they have to categorise an easily graspable object with their own hand. In Experiment 1, participants indicated whether or not photographs of objects (graspable or non-graspable, left or right oriented) could be grasped with their dominant hand, by tapping a key on a keyboard. Target objects were preceded by primes consisting of photographs of hands (injured vs healthy) in a grasping posture (power grasp). Experiment 2 consisted of two phases: In the first phase, participants had to categorise square or circle shapes. After their response (Group 1: tapping a key vs Group 2: constricting a hand grip), photograph of two types of hand (injured vs healthy) was displayed on the computer screen. In the second phase, participants had to indicate whether objects could be easily grasped with their dominant hand. Target objects were preceded by primes (square and circle) as shown in the first phase. Results show that response times were slower when the graspable target objects were right oriented and preceded by the photograph or a geometric shape associated with an injured hand. This response delay was accentuated in the handgrip condition. These results highlight that the view of an injured hand activates motor programme and pain mechanisms associated with participants relative to the consequences of the simulated grasping action.