Search

The results of the physical modelling of the formation processes of upward discharges from grounded objects in the artificial thunderstorm cell’s electric field are presented. We established the considerable influence of the electrode tip’s radius on the pulse streamer corona stem’s parameters and, subsequently, on the probability of the transformation of the impulse streamer corona first flash’s stem into a first stage of upward leader. We determined the diapason of the optimal tip radii for a lightning rod or lightning conductor, which allows for the most probable formation of the first impulse streamer corona, with the parameters providing the best conditions for the upward leader’s start, the purpose of which is the lowering of the probability of lightning striking the object under protection. A considerable difference between the electrical characteristics of the first impulse corona flash with and without the streamer–leader transition was established. It was shown that the amplitude of the streamer corona flash current impulse is considerable, but not the main defining factor of the streamer–leader transition. It is established that the charge value of the streamer corona first flash is not a threshold requirement for the formation of the upward leader from a ground object, but only defines the probability of the successful upward leader formation. Based on the analysis of the experimental data received, we suggest that there is a dependency between the probability of upward positive leader formation from the grounded objects and the charge value of the first pulse streamer corona flash for the rod (centered) and rope (elongated) lightning conductors and objects in the electric field of the thundercloud and downward lightning leader. The obtained results can be used for mathematical modelling of the formation processes of upward discharges from grounded objects in the artificial thunderstorm’s electric field, as in a natural thunderstorm situation.

Abstract Background There is an increasing demand by non-commercial funders that trialists should provide access to trial data once the primary analysis is completed. This has to take into account concerns about identifying individual trial participants, and the legal and regulatory requirements. Methods Using the good practice guideline laid out by the work funded by the Medical Research Council Hubs for Trials Methodology Research (MRC HTMR), we anonymised a dataset from a recently completed trial. Using this example, we present practical guidance on how to anonymise a dataset, and describe rules that could be used on other trial datasets. We describe how these might differ if the trial was to be made freely available to all, or if the data could only be accessed with specific permission and data usage agreements in place. Results Following the good practice guidelines, we successfully created a controlled access model for trial data sharing. The data were assessed on a case-by-case basis classifying variables as direct, indirect and superfluous identifiers with differing methods of anonymisation assigned depending on the type of identifier. A final dataset was created and checks of the anonymised dataset were applied. Lastly, a procedure for release of the data was implemented to complete the process. Conclusions We have implemented a practical solution to the data anonymisation process resulting in a bespoke anonymised dataset for a recently completed trial. We have gained useful learnings in terms of efficiency of the process going forward, the need to balance anonymity with data utilisation and future work that should be undertaken.

Present-day global mean sea level rise is caused by ocean thermal expansion, ice mass loss from glaciers and ice sheets, as well as changes in terrestrial water storage. For that reason, sea level is one of the best indicators of climate change as it integrates the response of several components of the climate system to internal and external forcing factors. Monitoring the global mean sea level allows detecting changes (e.g., in trend or acceleration) in one or more components. Besides, assessing closure of the sea level budget allows us to check whether observed sea level change is indeed explained by the sum of changes affecting each component. If not, this would reflect errors in some of the components or missing contributions not accounted for in the budget. Since the launch of TOPEX/Poseidon in 1992, a precise 27-year continuous record of sea level change is available. It has allowed major advances in our understanding of how the Earth is responding to climate change. The last two decades are also marked by the launch of the GRACE satellite gravity mission and the development of the Argo network of profiling floats. GRACE space gravimetry allows the monitoring of mass redistributions inside the Earth system, in particular land ice mass variations as well as changes in terrestrial water storage and in ocean mass, while Argo floats allow monitoring sea water thermal expansion due to the warming of the oceans. Together, satellite altimetry, space gravity, and Argo measurements provide unprecedented insight into the magnitude, spatial variability, and causes of present-day sea level change. With this observational network, we are now in a position to address many outstanding questions that are important to planning for future sea level rise. Here, we detail the network for observing sea level and its components, underscore the importance of these observations, and emphasize the need to maintain current systems, improve their sensors, and supplement the observational network where gaps in our knowledge remain.

Dysregulated consolidation of emotional memories is a core feature of posttraumatic stress disorder (PTSD). Brain Derived Neurotrophic Factor (BDNF) influences synaptic plasticity and emotional memory consolidation. The BDNF Val66Met polymorphism has been associated with PTSD risk and memory deficits respectively, although findings have been inconsistent, potentially due to a failure to control for important confounds such as sex, ethnicity, and the timing/extent of previous trauma experiences. Furthermore, very little research has examined the impact of BDNF genotypes on emotional memory in PTSD populations. This study investigated the interaction effects of Val66Met and PTSD symptomatology in an emotional recognition memory task in 234 participants divided into healthy control (n = 85), trauma exposed (TE: n = 105) and PTSD (n = 44) groups. Key findings revealed impaired negative recognition memory in PTSD compared to control and TE groups and in participants with the Val/Met compared to the Val/Val genotype. There was a group × genotype interaction showing no Met effect in the TE group despite significant effects in PTSD and controls. Results suggest that people previously exposed to trauma who do not develop PTSD may be protected from the BDNF Met effect, however more research is needed to replicate findings and to explore the epigenetic and neural processes involved., (© 2023. The Author(s).)

Background: Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive tool commonly used to drive neural plasticity in the young adult and aged brain. Recent data from mouse models have shown that even at subthreshold intensities (0.12 T), rTMS can drive neuronal and glial plasticity in the motor cortex. However, the physiological mechanisms underlying subthreshold rTMS induced plasticity and whether these are altered with normal ageing are unclear., Objective: To assess the effect of subthreshold rTMS, using the intermittent theta burst stimulation (iTBS) protocol on structural synaptic plasticity in the mouse motor cortex of young and aged mice., Methods: Longitudinal in vivo 2-photon microscopy was used to measure changes to the structural plasticity of pyramidal neuron dendritic spines in the motor cortex following a single train of subthreshold rTMS (in young adult and aged animals) or the same rTMS train administered on 4 consecutive days (in young adult animals only). Data were analysed with Bayesian hierarchical generalized linear regression models and interpreted with the aid of Bayes Factors (BF)., Results: We found strong evidence (BF > 10) that subthreshold rTMS altered the rate of dendritic spine losses and gains, dependent on the number of stimulation sessions and that a single session of subthreshold rTMS was effective in driving structural synaptic plasticity in both young adult and aged mice., Conclusion: These findings provide further evidence that rTMS drives synaptic plasticity in the brain and uncovers structural synaptic plasticity as a key mechanism of subthreshold rTMS induced plasticity., Competing Interests: Declaration of competing interest The authors declare that there are no conflicts of interest, including any financial or personal relationship with other people or organisations that could inappropriately influence our work., (Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.)

Despite research advances, it remains unclear if long-term, regular cannabis use harms cognition once intoxication has passed. Our meta-analysis aimed to investigate the association between cognitive functioning and long-term (mean ≥2 years), regular (mean ≥4 days/week), recreational cannabis use in adults during abstinence (mean ≥12 hr). We searched PubMed, PsycINFO, CINAHL, Scopus, and Dissertations and Theses International for English-language articles from the date each database began until May 22, 2019. We identified study inclusion by completing abstract and full text screening using predetermined criteria and Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. We classified cognitive performance into 6 cognitive domains (attention, executive function, learning and memory, decision making, information processing, and working memory), and included a global measure. Effect sizes were calculated for each domain using univariate meta-analyses. There were 30 studies with a total 849 participants who used cannabis (M = 30.7-years-old, SD = 5.5-years-old) and 764 control participants (M = 30.3-years-old, SD = 5.9-years-old). Cannabis was associated with significant but small-magnitude deficits in executive function, learning and memory, and global cognition, while decision making had moderate deficits. There were small-magnitude and nonsignificant group differences for information processing, working memory, and attention. Cannabis use duration, age of onset, and prolonged abstinence (≥25 days) did not influence outcomes, except group differences in executive function were nonsignificant in analyses of prolonged abstinence. Our results suggest that long-term, regular cannabis use is associated with small to moderate deficits in some cognitive domains. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Repetitive transcranial magnetic stimulation (rTMS) is commonly used to modulate cortical plasticity in clinical and non-clinical populations. Clinically, rTMS is delivered to targeted regions of the cortex at high intensities (>1 T). We have previously shown that even at low intensities, rTMS induces structural and molecular plasticity in the rodent cortex. To determine whether low intensity rTMS (LI-rTMS) alters behavioural performance, daily intermittent theta burst LI-rTMS (120 mT) or sham was delivered as a priming or consolidating stimulus to mice completing 10 consecutive days of skilled reaching training. Relative to sham, priming LI-rTMS (before each training session), increased skill accuracy (~9%) but did not alter the rate of learning over time. In contrast, consolidating LI-rTMS (after each training session), resulted in a small increase in the rate of learning (an additional ~1.6% each day) but did not alter the daily skill accuracy. Changes in behaviour with LI-rTMS were not accompanied with long lasting changes in brain-derived neurotrophic factor (BDNF) expression or in the expression of plasticity markers at excitatory and inhibitory synapses for either priming or consolidation groups. These results suggest that LI-rTMS can alter specific aspects of skilled motor learning in a manner dependent on the timing of intervention.

Background: Bipolar disorder (BD) and temporal lobe epilepsy (TLE) overlap in domains including epidemiology, treatment response, shared neurotransmitter involvement and temporal lobe pathology. Comparison of cognitive function in both disorders may indicate temporal lobe mediated processes relevant to BD. This systematic review examines neuropsychological test profiles in euthymic bipolar disorder type I (BD-I) and pre-surgical TLE and compares experimental designs used., Methods: A search of PubMed, PsychINFO, and Scopus using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was conducted. Inclusion criteria were comparison group or pre- to post-surgical patients; reported neuropsychological tests; participants aged 18-60 years. Fifty six studies met criteria: 27 BD-I; 29 TLE., Results: Deficits in BD-I compared to healthy controls (HC) were in executive function, attention span and verbal memory. Deficits in TLE compared to HC were in executive function and memory. In the pre- to post-surgical comparisons, verbal memory in left temporal lobe (LTL) and, less consistently, visuospatial memory in right temporal lobe (RTL) epilepsy declined following surgery. BD-I studies used comprehensive test batteries in well-defined euthymic patients compared to matched HC groups. TLE studies used convenience samples pre- to post-surgery, comparing LTL and RTL subgroups, few included comparisons to HC (5 studies). TLE studies typically examined a narrow range of known temporal lobe-mediated neuropsychological functions, particularly verbal and visuospatial memory., Conclusion: Both disorders exhibit deficits in executive function and verbal memory suggestive of both frontal and temporal lobe involvement. However, deficits in TLE are measured pre- to post-surgery and not controlled at baseline pre-surgery. Further research involving a head-to-head comparison of the two disorders on a broad range of neuropsychological tests is needed to clarify the nature and extent of cognitive deficits and potential overlaps.

Rodent models of transcranial magnetic stimulation (TMS) play a crucial role in aiding the understanding of the cellular and molecular mechanisms underlying TMS induced plasticity. Rodent-specific TMS have previously been used to deliver focal stimulation at the cost of stimulus intensity (12 mT). Here we describe two novel TMS coils designed to deliver repetitive TMS (rTMS) at greater stimulation intensities whilst maintaining spatial resolution. Two circular coils (8 mm outer diameter) were constructed with either an air or pure iron-core. Peak magnetic field strength for the air and iron-cores were 90 and 120 mT, respectively, with the iron-core coil exhibiting less focality. Coil temperature and magnetic field stability for the two coils undergoing rTMS, were similar at 1 Hz but varied at 10 Hz. Finite element modeling of 10 Hz rTMS with the iron-core in a simplified rat brain model suggests a peak electric field of 85 and 12.7 V/m, within the skull and the brain, respectively. Delivering 10 Hz rTMS to the motor cortex of anaesthetized rats with the iron-core coil significantly increased motor evoked potential amplitudes immediately after stimulation (n = 4). Our results suggest these novel coils generate modest magnetic and electric fields, capable of altering cortical excitability and provide an alternative method to investigate the mechanisms underlying rTMS-induced plasticity in an experimental setting.

Cross-limb transfer (CLT) describes the observation of bilateral performance gains due to unilateral motor practice. Previous research has suggested that CLT may be reduced, or absent, in older adults, possibly due to age-related structural and functional brain changes. Based on research showing increases in CLT due to the provision of mirror visual feedback (MVF) during task execution in young adults, our study aimed to investigate whether MVF can facilitate CLT in older adults, who are known to be more reliant on visual feedback for accurate motor performance. Participants (N = 53) engaged in a short-term training regime (300 movements) involving a ballistic finger task using their dominant hand, while being provided with either visual feedback of their active limb, or a mirror reflection of their active limb (superimposed over the quiescent limb). Performance in both limbs was examined before, during and following the unilateral training. Furthermore, we measured corticospinal excitability (using TMS) at these time points, and assessed muscle activity bilaterally during the task via EMG; these parameters were used to investigate the mechanisms mediating and predicting CLT. Training resulted in significant bilateral performance gains that did not differ as a result of age or visual feedback (both p > 0.1). Training also elicited bilateral increases in corticospinal excitability (p < 0.05). For younger adults, CLT was significantly predicted by performance gains in the trained hand (β = 0.47), whereas for older adults it was significantly predicted by mirror activity in the untrained hand during training (β = 0.60). The present study suggests that older adults are capable of exhibiting CLT to a similar degree to younger adults. The prominent role of mirror activity in the untrained hand for CLT in older adults indicates that bilateral cortical activity during unilateral motor tasks is a compensatory mechanism. In this particular task, MVF did not facilitate the extent of CLT.

The well-documented observation of bilateral performance gains following unilateral motor training, a phenomenon known as cross-limb transfer, has important implications for rehabilitation. It has recently been shown that provision of a mirror image of the active hand during unilateral motor training has the capacity to enhance the efficacy of this phenomenon when compared to training without augmented visual feedback (i.e., watching the passive hand), possibly via action observation effects [1]. The current experiment was designed to confirm whether mirror-visual feedback (MVF) during motor training can indeed elicit greater performance gains in the untrained hand compared to more standard visual feedback (i.e., watching the active hand). Furthermore, discussing the mechanisms underlying any such MVF-induced behavioural effects, we suggest that action observation and the cross-activation hypothesis may both play important roles in eliciting cross-limb transfer. Eighty participants practiced a fast-as-possible two-ball rotation task with their dominant hand. During training, three different groups were provided with concurrent visual feedback of the active hand, inactive hand or a mirror image of the active hand with a fourth control group receiving no training. Pre- and post-training performance was measured in both hands. MVF did not increase the extent of training-induced performance changes in the untrained hand following unilateral training above and beyond those observed for other types of feedback. The data are consistent with the notion that cross-limb transfer, when combined with MVF, is mediated by cross-activation with action observation playing a less unique role than previously suggested. Further research is needed to replicate the current and previous studies to determine the clinical relevance and potential benefits of MVF for cases that, due to the severity of impairment, rely on unilateral training programmes of the unaffected limb to drive changes in the contralateral affected limb.

Objectives: Mania in bipolar disorder (BD) and partial (focal) seizures (PS) arising from the temporal lobes, have a number of similarities. Typically, a chronic course of the disorders is punctuated by acute illness episodes. Common features of episodes may include sensory, perceptual, cognitive and affective changes. Both respond to anticonvulsant treatment. Common mechanisms imputed include neurotransmitters and kindling processes. Further investigation may improve understanding of the occurrence of both mania and PS, casting light on the relevance of temporal lobe mediated processes and pathology. One avenue of investigation is to compare aetiological factors and determine the extent of overlap which may indicate shared brain localization or pathophysiology. Aetiology includes predisposing, precipitating or perpetuating factors. This paper examines the literature on precipitating factors of mania, first or subsequent episode, and of PS in diagnosed epilepsy, which is the second or subsequent seizure, to identify the extent and nature of their overlap., Method: Narrative review based on a literature search of PubMed and Google Scholar., Results: Precipitating factors for both mania and PS were stress, sleep deprivation, antidepressant medication and, tentatively, emotion. For mania alone, goal-attainment events, spring and summer season, postpartum, and drugs include steroids and stimulants. For PS alone, winter season, menstruation and specific triggers in complex reflex epilepsies. Those not substantiated include lunar phase and menopause. A wide range of chemicals may provoke isolated seizures but by definition epilepsy requires at least two seizures., Conclusions: The overlap of precipitating factors in mania and PS imply that common brain processes may contribute to both, consistent with findings from neuroscience research., (Copyright © 2015 Elsevier B.V. All rights reserved.)

Background: The continued refinement of non-invasive brain stimulation (NBS) techniques is indicative of promising clinical and rehabilitative interventions that are able to modulate cortical excitability. Intermittent theta burst stimulation (iTBS) is one such technique that can increase cortical excitability, purportedly via LTP-like mechanisms. While iTBS may have the capacity to promote recovery after neurological injury, and to combat cognitive and motor decline, recent reports observed highly variable effects across individuals, questioning the efficacy of iTBS as a clinical tool., Objective: The aim of this study was to examine intra-individual reliability and inter-individual variability in responses to iTBS., Methods: Thirty healthy participants completed two experimental sessions of the iTBS protocol 1-3 weeks apart. Motor evoked potentials in response to single pulse TMS were used to assess corticospinal excitability prior to, and up to 36 min following, iTBS., Results: At the group level, iTBS evoked statistically significant increases in motor cortical excitability across both sessions (P < 0.001), with 22 out of 30 participants exhibiting increases in excitability in both sessions. A strong intraclass correlation demonstrated that both the direction, and magnitude of the plastic changes were reliable at the individual level., Conclusions: Overall, our results suggest that iTBS is capable of inducing relatively robust and consistent effects within and between young individuals. As such, the capacity for iTBS to be exploited in clinical and rehabilitative interventions should continue to be explored., (Copyright © 2014 Elsevier Inc. All rights reserved.)

Provision of a mirror image of a hand undertaking a motor task (i.e., mirror therapy) elicits behavioural improvements in the inactive hand. A greater understanding of the neural mechanisms underpinning this phenomenon is required to maximise its potential for rehabilitation across the lifespan, e.g., following hemiparesis or unilateral weakness. Young and older participants performed unilateral finger abductions with no visual feedback, with feedback of the active or passive hands, or with a mirror image of the active hand. Transcranial magnetic stimulation was used to assess feedback-related changes in two neurophysiological measures thought to be involved in inter-manual transfer of skill, namely corticospinal excitability (CSE) and intracortical inhibition (SICI) in the passive hemisphere. Task performance led to CSE increases, accompanied by decreases of SICI, in all visual feedback conditions relative to rest. However, the changes due to mirror feedback were not significantly different to those observed in the other (more standard) visual conditions. Accordingly, the unimanual motor action itself, rather than modifications in visual feedback, appears more instrumental in driving changes in CSE and SICI. Therefore, changes in CSE and SICI are unlikely to underpin the behavioural benefits of mirror therapy. We discuss implications for rehabilitation and directions of future research.

To make a decision may rely on accumulating evidence in favor of one alternative until a threshold is reached. Sequential-sampling models differ by the way of accumulating evidence and the link with action implementation. Here, we tested a model's prediction of an early action implementation specific to potential actions. We assessed the dynamics of action implementation in go/no-go and between-hand choice tasks by transcranial magnetic stimulation of the motor cortex (single- or paired-pulse TMS; 3-ms interstimulus interval). Prior to implementation of the selected action, the amplitude of the motor evoked potential first increased whatever the visual stimulus but only for the hand potentially involved in the to-be-produced action. These findings suggest that visual stimuli can trigger an early motor activation specific to potential actions, consistent with race-like models with continuous transmission between decision making and action implementation., (Copyright © 2013 Society for Psychophysiological Research.)

The present study investigated age-related changes in the attentional demands associated with interlimb coordination involving upper and lower limbs performed at three different movement frequencies. Younger and older adults performed rhythmical, 180° out-of-phase flexion-extension movements of the knee and elbow with either ipsilateral (right arm, right leg) or contralateral (right arm, left leg) limbs at 20, 60, and 100 % of each individual's maximum movement frequency. A concurrent vocal reaction time task (dual task) was used to assess attentional load. There were two major findings: (1) The attentional cost associated with undertaking the required coordination patterns was greatest at the slowest movement frequency, and this additional attentional load was most pronounced for older adults; (2) the manipulation of movement frequency had a distinct effect on the coordination performance: moving at the fastest frequency degraded the accuracy and stability of coordination, while moving at the slowest movement frequency led to increased temporal variability, particularly in older adults. Coordination performance at slowest movement frequency required the greatest cognitive demand in older adults relative to other movement frequencies, suggesting that going 'slow and steady' is not necessarily less attentionally demanding for older adults.

The ability to coordinate upper and lower limbs--a prerequisite for many everyday activities--is known to decline with age. Here we report 2 experiments in which transcranial magnetic stimulation (TMS) was used to assess corticospinal excitatory and inhibitory processes in younger and older adults during cyclical hand-foot movements. In experiment 1, motor evoked potentials (MEP) and silent period (SP) durations were measured from the active right extensor carpi radialis (ECR) muscle while it executed rhythmic oscillations in conjunction with the right or left foot. Younger adults exhibited increased SP with ipsilateral limb combinations and decreased SP with contralateral limb combinations, relative to a baseline hand only condition. Strikingly, older adults exhibited a reduced SP when ipsilateral limbs moved in opposite directions. This effect was found to be most pronounced in those older adults who exhibited poor coordination performance, suggesting that the inability to regulate inhibitory processes may underlie age-related degradation of task performance. Experiment 2 examined motor evoked potentials and SP duration in the left extensor carpi radialis which maintained a tonic contraction while the coordination task was undertaken by the right arm and right or left foot. For younger adults, coordination of ipsilateral limbs was accompanied by increased inhibition in the ipsilateral motor cortex than during the coordination of contralateral limbs. No differences in SP between conditions were noted for the older adults. In summary, older adults' reduced ability to coordinate upper and lower limbs may be related to the capacity to regulate inhibitory function in both hemispheres. This study suggests for the first time a direct link between age-related differences in interlimb coordination and the control of corticospinal inhibitory processes., (Copyright © 2012 Elsevier Inc. All rights reserved.)

This study tested the postulation that change in the ability to modulate corticospinal excitability and inhibitory processes underlie age-related differences in response preparation and generation during tasks requiring either rapid execution of a motor action or actively withholding that same action. Younger (n = 13, mean age = 26.0 years) and older adults (n = 13, mean age = 65.5 years) performed an RT task in which a warning signal (WS) was followed by an imperative signal (IS) to which participants were required to respond with a rapid flexion of the right thumb (go condition) or withhold their response (no-go condition). We explored the neural correlates of response preparation, generation, and inhibition using single- and paired-pulse TMS, which was administered at various times between WS and IS (response preparation phase) and between IS and onset of response-related muscle activity in the right thumb (response generation phase). Both groups exhibited increases in motor-evoked potential amplitudes (relative to WS onset) during response generation; however, this increase began earlier and was more pronounced for the younger adults in the go condition. Moreover, younger adults showed a general decrease in short-interval intracortical inhibition during response preparation in both the go and no-go conditions, which was not observed in older adults. Importantly, correlation analysis suggested that for older adults the task-related increases of corticospinal excitability and intracortical inhibition were associated with faster RT. We propose that the declined ability to functionally modulate corticospinal activity with advancing age may underlie response slowing in older adults.

Background/objective: Long-term changes in the motor cortex can be induced by practicing motor tasks with simultaneous application of peripheral nerve stimulation. This combination may augment motor rehabilitation after stroke but has been used primarily during contraction of the affected hand. The authors tested the effect of a right hand movement that electrically stimulated left hand contraction on right motor cortex excitability., Methods: Three tasks were used in 15 healthy subjects--a motor and stimulation task (MS(task)), stimulation only task (S(task)), and motor only task (M(task)). The MS(task) consisted of isometric thumb abduction of the right hand that triggered paired electrical stimulation of the left abductor pollicis brevis (APB) and first dorsal interosseus (FDI) motor points. The S(task) was performed 1 week later and matched the stimulation received in the MS(task). The M(task) was performed as a control. Transcranial magnetic stimulation applied to the right motor cortex assessed corticospinal excitability, short latency intracortical inhibition, and intracortical facilitation of the FDI and APB before, immediately after, and 30 minutes after task performance., Results: Corticospinal excitability increased in the FDI and APB following the MS(task) but not following the S(task) or M(task). The increased excitability present 30 minutes after the MS(task) also correlated with excitability measures recorded 1 week later., Conclusion: A bilateral motor and electrical stimulation task can drive persistent adaptation within the corticospinal system. Hemiplegic subjects who have poor voluntary movement of the affected hand may be able to contract the unaffected hand to activate and train homologous movements.

Selecting the adequate alternative in choice situations may involve an inhibition process. Here we assessed response implementation during the reaction time of a between-hand choice task with single- or paired-pulse (3 or 15 ms interstimulus intervals [ISIs]) transcranial magnetic stimulation of the motor cortex. The amplitude of the single-pulse motor evoked potential (MEP) initially increased for both hands. At around 130 ms, the single-pulse MEP kept increasing for the responding hand and decreased for the nonresponding hand. The paired-pulse MEP revealed a similar pattern for both ISIs with no effect on short intracortical inhibition and intracortical facilitation measures. The results suggest that the incorrect response implementation was selectively suppressed before execution of the correct response, preventing errors in choice context. The results favor models assuming that decision making involves an inhibition process., (Copyright © 2010 Society for Psychophysiological Research.)

The phenomenon of cross-limb transfer, in which unilateral strength training can result in bilateral strength gains, has recently been tested for ballistic movements. Performance gains associated with repetitive motor practice, and the associated transfer, occur within a few minutes. In this study, young and older adults were trained to perform ballistic abductions of their dominant (right) index finger as quickly as possible. Performance was assessed bilaterally before, during, and after this training. Both groups exhibited large performance gains in the right hand as a result of training (P < 0.001; young 84% improvement, older 70% improvement), which were not significantly different between groups (P = 0.40). Transcranial magnetic stimulation revealed that the performance improvements were accompanied by increases in excitability, together with decreases in intracortical inhibition, of the projections to both the trained muscle and the homologous muscle in the contralateral limb (P < 0.05). The young group also exhibited performance improvements as a result of cross-limb transfer in the left (untrained) hand (P < 0.005), equivalent to 75% of the performance increase in the trained hand. In contrast, there were no significant performance gains in the left hand for the older group (P = 0.23). This was surprising given that the older group exhibited a significantly greater degree of mirror activity than the young group (P < 0.01) in the left first dorsal interosseus muscle (FDI) during right hand movements. Our findings suggest that older adults exhibit a reduced capacity for cross-limb transfer, which may have implications for motor rehabilitation programs after stroke.

Preparatory modulations relative to the timing of upcoming stimuli may involve activation or suppression mechanisms. Here, we assessed the interplay between these mechanisms with transcranial magnetic stimulation (TMS) of the motor cortex. Single- or paired-pulse TMS with 3- or 15-ms interstimulus intervals was delivered during the interval between the warning and the imperative stimuli (i.e., the foreperiod) of a choice reaction time task. Temporal uncertainty was manipulated through between-block variation of the foreperiod duration (500 or 2500ms). The shortening of reaction time for the short foreperiod was accompanied with a decrease in amplitude of the single-pulse motor evoked potential (MEP), indicating corticospinal suppression. The co-occurring increase in amplitude of both paired-pulse MEPs (3 and 15ms) expressed relative to single-pulse MEPs reveals released short intracortical inhibition (SICI) and enhanced intracortical facilitation (ICF). These results suggest that temporal preparation is associated with both corticospinal suppression and cortical activation., (Copyright © 2010 Elsevier B.V. All rights reserved.)

Primary motor cortex (M1) plays a role in motor learning, although the exact nature of that involvement remains unclear. The present study examined the relationship between motor learning and cortical plasticity by manipulating augmented feedback during motor training. Two groups of 10 participants performed a wrist flexion-extension waveform-tracking task with either concurrent and terminal augmented feedback after every trial (100% FB) or only terminal feedback after every alternate trial (50% FB). Single- and paired-pulse transcranial magnetic stimulation (TMS) was used to assess cortical excitability short-interval intracortical inhibition (SICI) and intracortical facilitation (ICF) before, after, and 24 h following (retention) motor training. The 50% FB group performed better at retention than the 100% FB group, indicative of enhanced learning due to reduced FB scheduling. Cortical excitability did not change during acquisition for either group, however, the 50% FB group had elevated M1 excitability at retention, suggesting M1 involvement in the consolidation of learning. Reduced SICI following practice suggests a reduction of intracortical inhibition during motor skill acquisition. ICF was unchanged. It is concluded that the nature of M1 modulation associated with the acquisition and retention of a novel motor skill appears to vary with the nature and complexity of task requirements., (Copyright © 2010 Elsevier B.V. All rights reserved.)

We investigated how volitional contractions affect interhemispheric inhibition (IHI) from the active to the passive hemisphere. Younger and older adults isometrically contracted their dominant thumb (abductor pollicis brevis, APB) to various force targets. In ballistic contraction trials, transcranial magnetic stimulation (TMS) was administered very shortly after the onset of APB activity. In tonic contraction trials, TMS was delivered while the target force was maintained. In control trials both thumbs remained quiescent. In all trials, a test stimulus (TS) was directed to the APB hotspot in the non-dominant hemisphere (130% left APB resting motor threshold, RMT). In half the trials, a conditioning stimulus (130% right APB RMT) was applied to the APB hotspot in the dominant hemisphere 10 ms prior to the TS. Targeted ballistic contractions of the right APB were found to modulate (increase) IHI measured in the left APB, as previously reported for tonic contractions. Furthermore, the extent of the IHI increase was found to scale with the strength of the contralateral ballistic or tonic contraction. Less pronounced, but statistically significant, IHI increases were also observed in the left abductor digiti minimi and extensor carpi radialis during right APB contraction. For these muscles, however, the extent of the IHI modulation was independent of APB contraction strength. The capacity to modulate inhibition during contractions was unaffected by advancing age. During volitional actions, the ability to modulate IHI most adaptively in the homologous muscle of the resting limb may contribute to the prevention of mirror movements.

The study investigated event-related EEG potentials during concurrent performance of interlimb coordination and visual oddball tasks by younger and older adults. Coordination task difficulty was equated between age groups by allowing participants to perform the task at self-determined frequencies. The amplitude of the P3b component of the event-related potentials (ERPs) elicited by visual task targets showed a different pattern across midline sites (Fz, Cz, Pz) for younger and older adults. While younger adults showed a parietal maximum, P3b amplitudes in older adults did not differ across midline site, with lower amplitudes at central and parietal sites than younger adults but higher amplitude at the frontal site. Younger adults also had significantly shorter P3b latency than older adults. The results suggest that older adults may rely more on cognitive control of their movements than younger adults.

We investigated how ballistic contractions of the left thumb affect the excitability of the ipsilateral motor cortex using transcranial magnetic stimulation (TMS). TMS was applied at the motor hotspot for the right abductor pollicis brevis (APB) muscle. In 'self-triggered' trials, participants made targeted, isometric, contractions of the left APB. The right APB was either relaxed or maintained a tonic contraction. TMS was administered as soon as possible after electromyographic onset in the left APB. In 'control' trials, the left thumb remained quiescent and TMS was triggered by the computer. In each condition, 20-24 trials were conducted. Half these trials involved a single test stimulus, TS (130% APB resting motor threshold, RMT). In the other trials, short-interval intracortical inhibition (SICI) was investigated by applying a conditioning stimulus (70% APB RMT) 3 ms prior to the TS. SICI ratios were not significantly different in self-triggered and control trials. However, when the right APB was active, significantly shorter silent periods (SPs) were observed in self-triggered trials when compared with control trials. Our results support the view that SICI and SP are mediated by different inhibitory circuits, and that ipsilateral GABA(B)-ergic circuits (assessed by SP), but not GABA(A)-ergic circuits (assessed by SICI), are affected in the period immediately following voluntary ballistic contractions.

Performing two tasks simultaneously often degrades performance of one or both tasks. While this dual-task interference is classically interpreted in terms of shared attentional resources, where two motor tasks are performed simultaneously interactions within primary motor cortex (i.e., activity-dependent coupling) may also be a contributing factor. In the present study TMS (transcranial magnetic stimulation) was used to examine the contribution of activity-dependent coupling to dual-task interference during concurrent performance of a bimanual coordination task and a discrete probe reaction time (RT) task involving the foot. Experiments 1 and 2 revealed that activity-dependent coupling within the leg corticomotor pathway was greater during dual-task performance than single-task performance, and this was associated with interference on the probe RT task (i.e., increased RT). Experiment 3 revealed that dual-task interference occurred regardless of whether the dual-task involved two motor tasks or a motor and cognitive task, however activity-dependent coupling was present only when a dual motor task was performed. This suggests that activity-dependent coupling is less detrimental to performance than attentional processes operating upstream of the corticomotor system. Finally, while prioritising the RT task reduced, but did not eliminate, dual-task interference the contribution of activity-dependent coupling to dual-task interference was not affected by task prioritisation. This suggests that although activity-dependent coupling may contribute to dual motor-task interference, attentional processes appear to be more important. It also suggests that activity-dependent coupling may not be subject to modulation by attentional processes.

The study examined the neurophysiological correlates of age-related changes in the coordination of hand and foot movements. Young and older adults (N=30) performed cyclical isodirectional and non-isodirectional hand-foot movements with contralateral and ipsilateral limb combinations. Motor evoked potentials (MEPs) and silent period durations following transcranial magnetic stimulation (TMS) were measured from the right extensor carpi radialis (ECR) muscle during the interlimb coordination tasks. Older adults demonstrated lower coordination stability than younger adults, particularly when performing non-isodirectional movements with ipsilateral limbs. For all coordination tasks, MEP amplitude was lower in older compared with young participants. Young adults showed significantly longer silent period durations when the coordination pattern involved ipsilateral limbs than during contralateral limb coordination. In contrast, silent period durations did not differ between contralateral and ipsilateral limb coordination in older adults. These results suggest that deterioration in motor performance with advancing age may be associated with a decreased ability to modulate inhibitory function.

The paired-pulse transcranial magnetic stimulation (TMS) paradigm is increasingly employed to examine intracortical inhibitory processes in different motor tasks. Short-interval intracortical inhibition (SICI) has been shown to vary with the size of the MEP elicited by the test TMS pulse. This suggests that factors that alter MEP size, such as changes in cortical excitability, may confound the interpretation of SICI. However, the effect of excitability on SICI has not been systematically investigated. The present study examined SICI in 11 volunteers. The effect of test TMS intensities ranging from 90 to 150% resting motor threshold (RMT) on SICI was examined in three excitability states in the right first dorsal interosseous muscle: rest, isometric abduction of the left index finger (Contra) and isometric abduction of the right index finger (Active). For all excitability states SICI was not observed when test TMS intensity was less than 110% resting motor threshold. This was true even for the Active condition in which 90 and 100% test TMS intensities elicited large and consistent MEPs. For all conditions moderately suprathreshold test TMS intensities (110-120% RMT) yielded the greatest measure of SICI; increasing test TMS intensities resulted in a progressive reduction in the estimate of SICI. These results suggest that estimates of SICI are systematically affected by the intensity of the test TMS pulse, regardless of excitability state. The results suggest that SICI should be examined using a constant test TMS intensity regardless of changes in cortical excitability and test MEP size.

Objective: The allocation of attention to sensory stimulation and movement might influence cortical activity. Two experiments were conducted to investigate the effect of variation of intensity of attention (Experiment 1) and direction of attention (Experiment 2) on cortical excitability and short-interval intracortical inhibition (SICI) during performance of a simple index finger abduction task., Methods: Subjects responded to subtle cutaneous electrical stimulation delivered to the index finger while single and paired TMS pulses were delivered during muscle relaxation between successive responses. In Experiment 1, attentional resources allocated to the task were manipulated using a dual task paradigm involving a backward-counting task. In Experiment 2, spatial attention was varied by delivering cutaneous stimuli to the responding or the non-responding index finger., Results: In Experiment 1, SICI was reduced during performance, but was unaffected by variation in the intensity of attention. The results of Experiment 2, however, showed that SICI was significantly lower when attention was directed to the responding hand compared with when it was directed to the non-responding hand., Conclusions: While SICI was not affected by variation of attentional resources, it was influenced by spatial attention., Significance: These findings may be relevant in future investigations of the underlying neurophysiology of plasticity.

The use of activity-dependent interventions has shown some success in promoting recovery of upper limb function in chronic stroke patients. This study compared the neurophysiological and behavioural changes associated with two such rehabilitation protocols: unilateral and bilateral movement training. Twelve chronic stroke patients were randomly assigned to the two training protocols involving six daily practice sessions. Each session consisted of 50 trials of a dowel placement task performed either with both impaired and unimpaired arm moving synchronously (bilateral training group) or with only the impaired arm moving (unilateral training). Kinematic measurements of upper limb movements were made in four unilateral test trials performed prior to and following each practice session. Functional assessments of the impaired upper limb and neurophysiological assessments, using transcranial magnetic stimulation (TMS), of the affected and non-affected cortical hemispheres were made prior to and following the intervention sessions. Individuals receiving bilateral training showed a reduction in movement time of the impaired limb and increased upper limb functional ability compared to individuals receiving unilateral training. In some patients changes to upper limb function were associated with changes to the cortical representation of a target muscle in the non-affected hemisphere. Overall, these findings suggest that a short-term bilateral training intervention may be effective in facilitating upper limb motor function in chronic stroke patients.

Previous behavioural studies have provided a framework for understanding coordination dynamics using traditional dual-task methodology. The central cost associated with stabilising bimanual coordination patterns has been inferred from performance trade-offs during the concurrent performance of a probe reaction time (RT) task. The present study aimed to provide a direct measure of central cost by assessing electrophysiological correlates of performance trade-offs under dual-task conditions. Event-related potentials (ERPs) were recorded from 16 participants while an anti-phase bimanual coordination task and a visual three-stimulus task were performed under single task conditions and under dual-task conditions in which either task was prioritised. The visual task required a foot response to low probability target stimuli, while low probability distracter and high probability standard stimuli were ignored. Consistent with previous research, there was a performance trade-off between pattern stability and RT to visual targets when the coordination task was prioritised relative to when the visual task was prioritised. This was accompanied by a significant reduction in central P3a amplitude elicited by distracter stimuli and parietal P3b amplitude elicited by target stimuli. These findings indicate that prioritisation and thus stabilisation of the motor task reduced the amount of central/perceptual and automatic attentional resources available to perform the visual task providing insight into CNS mechanisms that constrain the coordination of movement through the allocation of attentional resources.

Studies investigating whether simultaneous bilateral movements can facilitate performance of the impaired limb(s) of stroke patients have returned mixed results. In the present study we compared unilateral limb performance (amplitude, cycle duration) with performance during an interlimb coordination task involving both homologous (both arms, both legs) and non-homologous (one arm, one leg) limbs in stroke participants (n=7) and healthy age-matched controls (n=7). In addition, the effect of on-line augmented visual feedback on interlimb coordination was investigated. Participants performed cyclical flexion-extension movements of the arms and legs in the sagittal plane paced by an auditory metronome (1 Hz). Movement amplitudes were larger and cycle durations shorter during homologous limb coordination than non-homologous coordination. Compared with unilateral movements both groups had reduced movement amplitudes and the stroke group increased cycle duration when interlimb coordination tasks were performed. These effects were most evident during non-homologous (arm and leg) coordination. No evidence of facilitation of the impaired limb(s) was found in any of the interlimb coordination conditions. Augmented visual feedback had minimal effect on the movements of control participants but lead to an increase of cycle duration for stroke participants.

Primary motor cortex (M1) excitability is modulated by both ipsilateral limb movement and passive observation of movement of the contralateral limb. An interaction of these effects within M1 may account for recent research suggesting improved functional recovery of the impaired arm following stroke by viewing a mirror reflection of movements of the unimpaired arm superimposed over the (unseen) impaired arm. This hypothesis was tested in the present study using single-pulse transcranial magnetic stimulation (TMS) in eight neurologically healthy subjects. Excitability of M1 ipsilateral to a phasic, unilateral hand movement was measured while subjects performed paced (1 Hz), unilateral index finger-thumb opposition movements. Motor evoked potentials (MEPs) were obtained from the inactive first dorsal interosseous (FDI) in each of four viewing conditions: Active (viewing the active hand), Central (viewing a mark positioned between hands), Inactive (viewing the inactive hand) and Mirror (viewing a mirror-reflection of the active hand in a mirror oriented in the mid-sagittal plane) and with both hands at rest (Rest). MEPs were significantly enhanced during ipsilateral hand movement compared with the Rest condition (P<0.05). Largest MEPs were obtained in the Mirror condition, and this was significant compared with both the Inactive and Central viewing conditions (P<0.05). There was no difference between the dominant and non-dominant hand. Excitability of M1 ipsilateral to a unilateral hand movement is facilitated by viewing a mirror reflection of the moving hand. This finding provides neurophysiological evidence supporting the application of mirror therapy in stroke rehabilitation.

Motor performance induces a postexercise increase in corticomotor excitability that may be associated with motor learning. We investigated whether there are hemispheric differences in the extent and/or time course of changes in corticomotor excitability following a manipulation task (Purdue pegboard) and their relationship with motor performance. Single- and paired-pulse (3 ms) transcranial magnetic stimulation (TMS) was used to assess task-induced facilitation of the muscle evoked potential (MEP) and intracortical inhibition (ICI) for three intrinsic hand muscles acting on digits 1, 2, and 5. Fifteen right-handed subjects performed three 30-s pegboard trials with left or right hand in separate sessions. TMS was applied to contralateral motor cortex before and after performance. Number of pegs placed was higher with the right hand, and performance improved (motor learning) with both hands over the three trials. MEP facilitation following performance was short-lasting (<15 min), selective for muscles engaged in gripping the pegs, and of similar magnitude in left and right hands. ICI was reduced immediately following performance with the right hand, but not the left. The extent of MEP facilitation was positively correlated with motor learning for the right hand only. We conclude that the pegboard task induces a selective, short-lasting change in excitability of corticospinal neurons controlling intrinsic hand muscles engaged in the task. Only left hemisphere changes were related to motor learning. This asymmetry may reflect different behavioral strategies for performance improvement with left and right upper limb in this task or hemispheric differences in the control of skilled hand movements.

The purpose of this research was to examine the role of distance and location information in the production of rapid aiming movements. Participants performed an aiming task consisting of horizontal left-handed elbow flexion movements that translated to movements of a cursor on an oscilloscope screen. The location of the home position and the target on the oscilloscope screen were fixed but the initial angle of the elbow was varied randomly. Participants were informed that the required distance was always constant. Initial impulse and error correction phases were analyzed to examine whether separate spatial codes for distance and position were used in the control of these two movement phases. The results indicated that initial impulse endpoints and the final positions of the limb overshot the target from the leftmost starting positions, while they undershot the target from the rightmost starting positions. Also, varying the initial angle of the elbow had a greater influence on the final position of the limb than initial impulse endpoints.

Previous studies have reported that unilateral proximal arm movements are initiated more quickly in response to visual stimuli directed to the ispilateral hemifield than to the contralateral hemifield. This is thought to reflect differences in intrahemispheric and interhemispheric visuomotor integration. When bilateral movements are performed, this difference in reaction time (RT) is abolished owing to the involvement of bilaterally distributed motor pathways. However, these experiments typically use simple motor tasks that do not emphasise spatial precision. We investigated the hemispheric control of precise unilateral and bilateral arm movements in 12 subjects using a lateralized visual stimulus paradigm and found an ipsilateral RT advantage for both unilateral and bilateral movements. We conclude that the requirement to execute spatially precise movements restricts control to the contralateral hemisphere regardless of whether unilateral or bilateral movements are performed.

Previous investigations of bilateral-unilateral reaction time (RT) differences have reported equivocal findings. Studies where bilateral RT has been found longer than unilateral RT have often emphasized movement precision, while studies reporting non-significant differences have placed little emphasis on precision. To test the hypothesis that movement precision is an important factor in the bilateral unilateral difference, we investigated the influence of changes in spatial accuracy constraints on RT for unilateral and bilateral movements. Ten self-declared right-handed subjects performed fast and accurate 45 degrees unilateral and bilateral elbow flexion movements to small (1.5 degrees) and large (12.0 degrees) targets. For bilateral movements, spatial accuracy was emphasized for only one arm (the "aiming" arm), while the contralateral ("mirroring") arm performed a simultaneous flexion movement with no emphasis on movement accuracy. We found that while changes in target size had no significant effect on movement latency, changing the hand (right vs left) for which accuracy was emphasized did. When subjects performed right-arm aiming, bilateral movements, unilateral and bilateral RT did not differ significantly. In contrast, when subjects performed left-arm aiming, bilateral movements, RT was significantly longer than for unilateral movements. We conclude that while spatial accuracy per se (i.e., target size) does not differentiate bilateral and unilateral movements, the role of the left hand (i.e., aiming vs mirroring) does. Differences in the hemispheric control of right- and left-hand aiming movements are discussed.

Two experiments are reported that investigated the effects of target size and inertial load on the control of rapid aiming movements. Based on kinematic profiles, movements were partitioned into their preprogrammed initial impulse- and feedback-based error correction phases. Electromyographic (EMG) rise rates were examined to investigate whether participants used a speed-sensitive or speed-insensitive control strategy. The results from both experiments showed that initial impulse velocity and EMG rise rates varied as a function of target size, i.e., a speed-sensitive strategy. This was the case whether participants were allowed to make error corrections to their movements (experiment 1) or were instructed to produce initial impulses that hit the target (experiment 2). Both experiments also showed that initial impulse velocity and endpoint variability were inversely related to inertial load. The results from experiment 2 indicated that, while the manipulation of inertial load had no effect on EMG rise rates for movements to a large target, EMG slopes were modulated between inertial load conditions when the target was small.