This thesis describes a series of experiments in human observers using neurophysiological and behavioural approaches to investigate the effects of varying haptic stimuli, attentional demand and age on motor control and perception during haptic sensing (i.e., using the hand to seek sensory information by touch). In Experiments I-IV, transcranial magnetic stimulation (TMS) was used to explore changes in corticomotor excitability when participants were actively engaged in haptic sensing tasks. These studies showed that corticospinal excitability, as reflected in motor evoked potential (MEP) amplitude, was greatly enhanced when participants were engaged in different forms of haptic sensing. Interestingly, this extra corticomotor facilitation was absent when participants performed finger movements without haptic sensing or when attention was diverted away from haptic input by a concurrent cognitive task (Exp I). This provided strong evidence that the observed corticomotor facilitation was likely central in origin and related to haptic attention. Neuroimaging has shown activation of the parieto-frontal network likely subserves this aspect of haptic perception. Further, this haptic-specific corticomotor facilitation was finely modulated depending on whether participants focused attention on identifying material (texture) as opposed to geometric properties of scanned surfaces (Exp II). With regards to aging effects, haptic-related corticomotor facilitation was associated with higher recognition accuracy in seniors (Exp III). In line with this, seniors exhibited similar levels of haptic-related corticomotor facilitation to young adults when task demands were adjusted for age (Exp IV). Interestingly, both young and senior adults also showed substantial corticomotor facilitation in the ‘resting’ hand when the ipsilateral hand was engaged in haptic sensing (Exp IV). Simply touching the stimulus without being required to identify its properties (no attentional task demands) produced no extra corticomotor facilitation in either hand or age group, attesting again to the specificity of the effects with regards to haptic attention. In Experiments V-VI, the ability to recognise 2-D letters by touch was investigated using kinematic and psychophysical measures. In Experiment V, we characterized how age affected contact forces deployed at the fingertip. This investigation showed that older adults exhibited lower normal force and increased letter-to-letter variability in normal force when compared to young adults. This difference in contact force likely contributed to longer contact times and lower recognition accuracy in older adults, suggesting a central contribution to age-related declines in haptic perception. Consistent with this interpretation, Experiment VI showed that haptic letter recognition in older adults was characterized not only by lower recognition accuracy but also by substantial increases in response times and specific patterns of confusion between letters. All in all, these investigations highlight the critical interaction of central factors such as attentional demand with aging effects on motor and perceptual aspects of haptic sensing. Of particular significance is the clear demonstration that corticomotor excitability is greatly enhanced when a haptic sensing component (i.e., attending to specific haptic features) is added to simple finger movements performed at minimal voluntary effort levels (typically <15 % of the maximal effort). These observations underline the therapeutic potential of active sensory training strategies based on haptic sensing tasks for the re-education of motor and perceptual deficits in hand function (e.g., subsequent to a stroke). The importance of adjusting attentional demands and stimuli is highlighted, particularly with regards to special considerations in the aging population.

The reticular-activating hypofrontality model of acute exercise (RAH) predicts exercise-induced hypoactivity in frontal cortex which mediates executive function. Connors Continuous Performance Test (CCPT) was used to investigate changes in executive function during- and post treadmill running in healthy volunteers (n=30, 15 male). In a randomized order, subjects performed the CCPT at rest, during low- (LI; 63% maximal heart rate; MHR) and moderate intensity (MI; 75% MHR). Separately, subjects then performed isocalorifically matched exercise bouts of LI, MI and high intensity interval training (HIT) consisting of 4x4 min with 90% MHR and 3 min recovery at 60-70% MHR. Repeated measures ANOVAs revealed main effects of exercise intensity for reaction time RT during- (p≤0.001) and post exercise (p≤0.0001). Subsequent analyses showed an overall increase of RT during exercise compared to rest (p≤0.005). RT decreased significantly from rest to post exercise levels in an exercise intensity dependent, linear fashion (p≤0.0001). Commission errors showed a non significant linear trend to increase both during (p=0.057), and post exercise (p=0.052) as a function of intensity. In a follow up study, we sought to relate observed exercise effects to frontal cortex activity through the use of transcranial direct current stimulation (tDCS) (n=4) and transcranial magnetic stimulation (TMS) over the dorsolateral prefrontal cortex (DLPFC). Prior to TMS stimulation cortical excitability was estimated post running through motor-evoked potentials (MEP) elicited from the primary motor cortex (M1) induced by single burst TMS and measured in the first dorsal interosseous (FDI) muscle using electromyography. At rest, inhibitory cathodal tDCS with left DLPFC cathode and right supraorbital anode led to improved reaction time and increased amount of commission errors, whereas anodal stimulatory tDCS in the immediate post exercise period was unable to recover the post exercise effect. Continuous theta burst stimulation over the left DLPFC post running further impaired inhibitory control and facilitated reaction time. Different findings during- and after- exercise suggests that potential contributing mechanisms such as computational and metabolic factors may be differentially active during these respective conditions. Furthermore, the fact that an inhibitory TMS protocol pronounced the post running effects even more and that we were able to mimic the reported RAH effects at rest with inhibitory frontal tDCS, but observed different patterns during exercise, suggests that the latter state cannot be fully explained by reducing activity in the left frontal cortex alone. Failure to modify the after exercise effect with stimulatory tDCS also supports an interplay of different factors and might emphasize the strong, robust effects of exercise that cannot simply be attenuated by current application. Increases in MEP post running for 35min paired with the observed performance decrements imply an excited state of M1 and might serve as an explanatory cross-link to central fatigue suggesting that a hypofrontal state might enhance the motor cortical drive to activate muscles.

No description available.

Background and aims: The primary motor cortex (M1) controls voluntary motor behaviours. M1 has been identified to play a major role in the execution of voluntary corticospinal tasks as well as self-initiated corticobulbar tasks. However, the involvement of M1 in more complex corticubulbar tasks, such as swallowing, is not yet fully understood. Swallowing is quite different from other voluntary motor tasks as it has both voluntary and reflexive components. The degree of M1 involvement in the pharyngeal, or more reflexive, component of swallowing is unclear. Studies investigating the role of M1 in swallowing have yielded contradictory findings regarding the specific functional contribution of M1 to swallowing. Therefore, further investigation is warranted to clarify the role of M1 in pharyngeal swallowing. Discrete saliva or water swallowing has been utilized in most studies investigating neurophysiology of swallowing in health and disease. However, individuals most frequently complete multiple, consecutive swallows during the ingestion of liquid. Biomechanical differences between discrete and continuous water swallows have been identified using videofluoroscopic swallowing study (VFSS). However, no studies have investigated the pharyngeal pressure differences between these two swallowing tasks. Additional insights into task differences may be revealed through evaluation of pharyngeal pressure utilizing pharyngeal manometry. This research programme sought to clarify the role of M1 in reflexively and volitionally initiated pharyngeal swallowing. In order to understand M1 involvement in the execution of swallowing, comparative tasks that require known dependence on M1 were also included in this research programme. This research programme addressed the biomechanical changes in motor behaviours as a result of neural disruption during the performance of a number of motor tasks. This neural disruption was intrinsically generated through application of dual task (DT) paradigm and extrinsically generated using single pulse transcranial magnetic stimulation (TMS). A secondary aim of this research programme was to identify the differences in pharyngeal pressure generation between discrete and continuous swallowing. Methods: Twenty-four right handed participants (12 males, average age= 24.4, SD= 6.3) were recruited to this research programme. A number of motor tasks that vary in complexity were tested. These tasks included: volitional swallowing, reflexive swallowing, eyebrow movement, jaw movement and finger tapping with right, left, or bilateral index fingers. Participants performed multiple trials of several tasks in each study. Repetitions of tasks during a single session may affect performance due to factors such as fatigue or practice. A baseline study was undertaken to determine within-participant variability of measures across repeated trials. Following the baseline study, the role of M1 in pharyngeal swallowing was investigated in two main studies in counter balanced order. The role of M1 in pharyngeal swallowing was evaluated by investigating swallowing parameters during neural disruption using a DT paradigm. Participants performed tasks in isolation (baseline) and with interference that consisted of pairing swallowing with comparative task that activates M1 (fingers tapping and eyebrow movement tasks). In the other study, single pulse TMS was utilized to create an electrophysiological disruption to the areas of M1 associated with muscular representation of a number of motor behaviours (swallowing tasks, jaw movement and fingers tapping tasks). Stimulation was provided to both hemispheres in random order to evaluate laterality effects. Swallowing parameters and the performance of the other motor tasks were evaluated when performed with and without electrophysiological disruption. Differences in pharyngeal pressure generation between discrete and continuous swallowing were investigated using pharyngeal manometry. Pharyngeal pressures were recorded at three locations: upper pharynx, mid-pharynx and upper esophageal sphincter (UES) during four swallowing types: discrete saliva swallowing, discrete 10 ml swallowing, volitional continuous swallowing, and reflexive continuous swallowing. The research paradigm used in this research programme identified the effect of experimental conditions on the rate and regularity of task performance. In addition, pharyngeal manometry was utilised to measure the effect of experimental conditions on the pattern of the pharyngeal pressure generation during swallowing. Within subject differences from baseline were identified by means of Repeated Measures Analyses of Variance (RM-ANOVA). Results: Initial analysis of the data revealed that repetition of tasks within a session did not affect the rate and regularity of voluntary corticospinal tasks, voluntary corticiobulbar tasks nor swallowing tasks. In addition, repeating the swallowing tasks during a session did not affect pharyngeal pressure as measured by pharyngeal manometry. When motor tasks were performed concurrently in the DT paradigm, rate and regularity of eyebrow movements were significantly decreased when paired with swallowing tasks, whereas rate and regularity of swallowing were significantly decreased when paired with left finger tapping, but not right finger tapping. However, there was no significant effect of any task on the pattern of pharyngeal pressure generation. Extrinsically generated disruption using TMS significantly reduced rate and regularity of finger tapping tasks and regularity of jaw movement and swallowing tasks. In addition, interruption of pharyngeal M1 during the volitional swallowing task produced significant increase in the duration but not the amplitude of the pharyngeal pressure. Pharyngeal pressure generation differed between swallowing types and boluses types, in that saliva swallowing produced longer pharyngeal pressure duration and lower nadir pressure than water swallows. Discrete water bolus swallowing produced longer UES opening compared to both saliva swallowing or continuous water swallowing. Conclusion: The results of this research programme provided valuable methodological information regarding the effect of trials on task performance as well as identifying pharyngeal pressure differences between discrete and continuous swallowing. In addition to the methodological contribution, this research programme expanded on previous knowledge of neural control of swallowing, in that it extended the findings regarding potential role of M1 in pharyngeal swallowing. Given the absent effect of task repetition on the performance of corticospinal and corticobulbar motor tasks, it is speculated that outcomes of research investigating the effect of experimental manipulation on motor tasks performance is due to the experimental tasks, rather than natural variance in the data. The effect of swallowing on the rate and regularity of eyebrow movement, when performed concurrently using DT paradigm, suggest bilateral functional overlapping to a significant degree between neural substrates that control swallowing and orofacial muscles. These results offer partial support of bilateral representation of swallowing in the cortex. In addition, results further revealed potential involvement of right M1 in the regulation of pharyngeal swallowing as evidenced by a disruptive effect of left finger tapping on the rate and regularity of swallowing. The results from the hemispheric TMS disruption study support the active involvement M1 in the execution of voluntary corticospinal and corticobulbar motor tasks. In addition, the current findings extended previous knowledge of neural control of pharyngeal swallowing by documenting the effect of neural disruption on the regularity and pharyngeal pressure measures during volitional and reflexive swallowing. The current programme documented potential role of M1 in the control of pharyngeal swallowing possibly by modulating the motor plan at the swallowing CPG in the brainstem. This project is the first to document pharyngeal pressure differences between discrete and continuous swallowing. These findings contribute valuable information to the swallowing literature as limited number of studies investigated the biomechanical differences between discrete and continuous liquid ingestion. This knowledge will assist clinicians and researchers in identifying the pharyngeal pressure differences between normal and abnormal swallowing in different swallowing types and ultimately guide their rehabilitation decisions. Data from this research programme will add to the existing knowledge of neurophysiology of swallowing, thereby facilitating understanding of swallowing pathophysiology which is crucial for appropriate management of swallowing disorders.

Die funktionelle Magnetresonanztomographie (fMRT) mit einer Feldstärke von 3 T ist in der prächirurgischen Nutzen-Risiko-Evaluation von Patienten mit Hirntumoren in bzw. im Bereich funktionell bedeutsamer Regionen, wie beispielsweise in Nachbarschaft zum Sulcus centralis, gut etabliert. Das Konzept der Neuroplastizität umfasst unter anderem Mechanismen zur zerebralen kortikalen Reorganisation nach Hirnschädigung. Ziel der vorliegenden prospektiven fMRT-Verlaufsstudie ist die Evaluation der noch wenig bekannten längerfristigen funktionellen Veränderungen des Gehirns nach neurochirurgischer Intervention. Zu diesem Zwecke wurden 14 Patienten mit Hirntumoren innerhalb oder in der Nähe des primären motorischen Cortex (MI) in die Studie eingeschlossen, welche sich einer neurochirurgischen Behandlung unterzogen. Bei 12 der Patienten wurde sowohl prä- als auch postoperativ eine funktionelle Bildgebung (fMRT) anhand des motorischen Paradigmas des unimanuellen und bimanuellen Fingertappens in einem 3 T MRT-Scanner durchgeführt. Wegen Bewegungsartefakten konnten lediglich 9 der Patienten in die weitere Auswertung eingeschlossen werden. Als Kontrollgruppe diente eine einmalige Untersuchung von neun gesunden Probanden. An längerfristigen Reorganisationsmustern konnten bei Patienten ohne Handparese sowohl die Rekrutierung der geschädigten als auch der intakten Hemisphäre des kortikalen motorischen Netzwerkes aufgezeigt werden. Tumorwachstum im Bereich des supplementär-motorischen Areals (SMA) ging mit einer bilateralen Rekrutierung der rostralen Portion des SMA (SMAr) einher. Die postoperative Reorganisation des motorischen Netzwerkes umfasste unter kontraläsionalen Fingertappen eine Lateralisierung der Aktivierung der SMAr zur nicht betroffenen Hemisphäre. Diese war umso ausgeprägter je größer das Tumorvolumen oder je näher der Tumor zur SMAr gelegen war. Demnach kann eine Dysfunktion der ipsilateralen SMAr präoperativ durch eine bilaterale und postoperativ durch eine kontraläsionale Rekrutierung kompensiert werden.

Rett Syndrome (RTT) is a neurodevelopmental disorder primarily caused by mutations in the X-linked gene methyl-CpG-binding protein 2 (MECP2). The mosaic brain environment in heterozygous (MECP2+/-) females consists of both MeCP2-wildtype (MeCP2+) and Mecp2-mutant (MeCP2-) neurons. To separate possible cell autonomous and cell non-autonomous effects three-dimensional morphological analysis was performed on individually genotyped layer V pyramidal neurons in the primary motor cortex of heterozygous (Mecp2+/-) and wild-type (Mecp2+/+) mature female mice (>8 months old) from the Mecp2tm1.1Jae line. Mecp2+/+ neurons and Mecp2+ were found to be indistinguishable while Mecp2- neurons have significantly reduced basal dendritic length (p<0.05), predominantly in the region 70-130 μm from the cell body, culminating in a total reduction of 15%. Mecp2- neurons have three (17%) fewer total branch points, lost specifically at the second and third branch orders. Thus the reduced total dendritic length in Mecp2- neurons is a result of fewer higher-order branches. Soma and nuclear areas of 30 Mecp2+/- female mice (5-21 months) with X chromosome inactivation (XCI) ratios ranging from 12% to 56% were analyzed. On average Mecp2- somata and nuclei were 15% and 13% smaller than Mecp2+ neurons respectively. The variation observed in the soma and nuclear sizes of Mecp2- neurons was not due to age, but was found to be correlated with the XCI ratio. Animals with a balanced XCI ratio (approximately 50% Mecp2-) were found to have Mecp2- neurons with a less severe cellular phenotype (11-17% smaller than Mecp2+). Animals with a highly skewed XCI ratio favouring expression of the wild-type allele (less than 30% Mecp2-) were found to have a more severe Mecp2- cellular phenotype (17-22% smaller than Mecp2+). These data support indicate that mutations in Mecp2 exert both cell autonomous and cell non- autonomous effects on neuronal morphology. / Graduate

A full-sine (biphasic) pulse waveform is most commonly used for repetitive transcranial magnetic stimulation (TMS), but little is known about how variations in duration or amplitude of distinct pulse segments influence the effectiveness of a single TMS pulse to elicit a corticomotor response. Using a novel TMS device, we systematically varied the configuration of full-sine pulses to assess the impact of configuration changes on resting motor threshold (RMT) as measure of stimulation effectiveness with single-pulse TMS of the non-dominant motor hand area (M1). In young healthy volunteers, we (i) compared monophasic, half-sine, and full-sine pulses, (ii) applied two-segment pulses consisting of two identical half-sines, and (iii) manipulated amplitude, duration, and current direction of the first or second full-sine pulse half-segments. RMT was significantly higher using half-sine or monophasic pulses compared with full-sine. Pulses combining two half-sines of identical polarity and duration were also characterized by higher RMT than fullsine stimuli resulting. For full-sine stimuli, decreasing the amplitude of the halfsegment inducing posterior-anterior oriented current in M1 resulted in considerably higher RMT, whereas varying the amplitude of the half-segment inducing anterior-posterior current had a smaller effect. These findings provide direct experimental evidence that the pulse segment inducing a posterior anterior directed current in M1 contributes most to corticospinal pathway excitation. Preferential excitation of neuronal target cells in the posterior-anterior segment or targeting of different neuronal structures by the two half-segments can explain this result. Thus, our findings help understanding the mechanisms of neural stimulation by full-sine TMS.

Traditionally, language was proposed to be mediated by various left hemisphere perisylvian structures and the associated role of the motor cortices was limited to tasks such as articulation. Recent theoretical models have proposed that effector specific words with motor related meaning are represented somatotopically on the primary motor (Brodmann’s Area 4) and premotor (Brodmann’s Area 6) cortices. For example, it has been reported that when verbs associated with the hand (e.g., pick) are processed, the primary and premotor areas involved with moving the hand are engaged. However, fundamental methodological problems exist within the reported research. This thesis aimed to address and correct the inconsistencies and methodological limitations within the existing literature to provide more conclusive evidence regarding the involvement of the primary and premotor cortices in processing verbs with motor related meaning. This thesis also aimed to investigate whether the names of effectors (nouns) also involve processing by the motor cortices, either generally or somatotopically. Three behavioural dual task experiments and one fMRI experiment were conducted. Results indicated no evidence of somatotopically organised overlapping activation in the primary or premotor cortex between the various semantic categories of words and related effector movements. However, in the fMRI experiment, motor related verbs in general yielded significant overlapping activity between reading all effector related verbs and moving all effectors in the pre-supplementary motor area of the premotor cortex. These findings indicate that an embodied language involving somatotopic representations of effector specific verbs on the primary or premotor cortex is unlikely to be the case. Rather there appears to be a more general representation of effector related verbs in a more cognitive than motor area of the premotor cortex. The findings of this thesis are consistent a wealth of evidence supporting the motor cortices being generally associated with motor related language and with the idea that semantic representations are distributed throughout the brain according to the embodied cognitive framework, rather than being localised to amodal regions that process all words.

Traditionally, language was proposed to be mediated by various left hemisphere perisylvian structures and the associated role of the motor cortices was limited to tasks such as articulation. Recent theoretical models have proposed that effector specific words with motor related meaning are represented somatotopically on the primary motor (Brodmann’s Area 4) and premotor (Brodmann’s Area 6) cortices. For example, it has been reported that when verbs associated with the hand (e.g., pick) are processed, the primary and premotor areas involved with moving the hand are engaged. However, fundamental methodological problems exist within the reported research. This thesis aimed to address and correct the inconsistencies and methodological limitations within the existing literature to provide more conclusive evidence regarding the involvement of the primary and premotor cortices in processing verbs with motor related meaning. This thesis also aimed to investigate whether the names of effectors (nouns) also involve processing by the motor cortices, either generally or somatotopically. Three behavioural dual task experiments and one fMRI experiment were conducted. Results indicated no evidence of somatotopically organised overlapping activation in the primary or premotor cortex between the various semantic categories of words and related effector movements. However, in the fMRI experiment, motor related verbs in general yielded significant overlapping activity between reading all effector related verbs and moving all effectors in the pre-supplementary motor area of the premotor cortex. These findings indicate that an embodied language involving somatotopic representations of effector specific verbs on the primary or premotor cortex is unlikely to be the case. Rather there appears to be a more general representation of effector related verbs in a more cognitive than motor area of the premotor cortex. The findings of this thesis are consistent a wealth of evidence supporting the motor cortices being generally associated with motor related language and with the idea that semantic representations are distributed throughout the brain according to the embodied cognitive framework, rather than being localised to amodal regions that process all words.

Traditionally, language was proposed to be mediated by various left hemisphere perisylvian structures and the associated role of the motor cortices was limited to tasks such as articulation. Recent theoretical models have proposed that effector specific words with motor related meaning are represented somatotopically on the primary motor (Brodmann’s Area 4) and premotor (Brodmann’s Area 6) cortices. For example, it has been reported that when verbs associated with the hand (e.g., pick) are processed, the primary and premotor areas involved with moving the hand are engaged. However, fundamental methodological problems exist within the reported research. This thesis aimed to address and correct the inconsistencies and methodological limitations within the existing literature to provide more conclusive evidence regarding the involvement of the primary and premotor cortices in processing verbs with motor related meaning. This thesis also aimed to investigate whether the names of effectors (nouns) also involve processing by the motor cortices, either generally or somatotopically. Three behavioural dual task experiments and one fMRI experiment were conducted. Results indicated no evidence of somatotopically organised overlapping activation in the primary or premotor cortex between the various semantic categories of words and related effector movements. However, in the fMRI experiment, motor related verbs in general yielded significant overlapping activity between reading all effector related verbs and moving all effectors in the pre-supplementary motor area of the premotor cortex. These findings indicate that an embodied language involving somatotopic representations of effector specific verbs on the primary or premotor cortex is unlikely to be the case. Rather there appears to be a more general representation of effector related verbs in a more cognitive than motor area of the premotor cortex. The findings of this thesis are consistent a wealth of evidence supporting the motor cortices being generally associated with motor related language and with the idea that semantic representations are distributed throughout the brain according to the embodied cognitive framework, rather than being localised to amodal regions that process all words.