Performance of efficient and precise motor output requires proper planning of movement parameters as well as integration of sensory feedback. Peripheral sensory information is projected not only to parietal somatosensory areas but also to cortical motor areas, particularly the supplementary motor area (SMA). These afferent sensory pathways to the frontal cortices are likely involved in the integration of sensory information for assistance in motor program planning and execution. It is not well understood how and where sensory information from the limb contralateral to motor output is modulated, but the SMA is a potential cortical source as it is active both before and during motor output and is particularly involved in movements that require coordination and bilateral upper-limb selection and use. A promising physiological index of sensory inflow to the SMA is the frontal N30 component of the median nerve (MN) somatosensory-evoked potential (SEP), which is generated in the SMA. The SMA has strong connections with ipsilateral areas 2, 5 and secondary somatosensory cortex (S2) as well as ipsilateral primary motor cortex (M1). As such, the SMA proves a fruitful candidate to assess how sensory information is modulated across the upper-limbs during the various stages of motor output. This thesis inquires into how somatosensory information is modulated in both the SMA and primary somatosensory cortical areas (S1) during the planning and execution of a motor output contralateral to sensory input across the upper-limbs, and further, how and what effect ipsilateral primary motor cortex (iM1) has upon modulation of sensory inputs to the SMA.

Performance of efficient and precise motor output requires proper planning of movement parameters as well as integration of sensory feedback. Peripheral sensory information is projected not only to parietal somatosensory areas but also to cortical motor areas, particularly the supplementary motor area (SMA). These afferent sensory pathways to the frontal cortices are likely involved in the integration of sensory information for assistance in motor program planning and execution. It is not well understood how and where sensory information from the limb contralateral to motor output is modulated, but the SMA is a potential cortical source as it is active both before and during motor output and is particularly involved in movements that require coordination and bilateral upper-limb selection and use. A promising physiological index of sensory inflow to the SMA is the frontal N30 component of the median nerve (MN) somatosensory-evoked potential (SEP), which is generated in the SMA. The SMA has strong connections with ipsilateral areas 2, 5 and secondary somatosensory cortex (S2) as well as ipsilateral primary motor cortex (M1). As such, the SMA proves a fruitful candidate to assess how sensory information is modulated across the upper-limbs during the various stages of motor output. This thesis inquires into how somatosensory information is modulated in both the SMA and primary somatosensory cortical areas (S1) during the planning and execution of a motor output contralateral to sensory input across the upper-limbs, and further, how and what effect ipsilateral primary motor cortex (iM1) has upon modulation of sensory inputs to the SMA.

Το ακουστικό σύστημα έχει να μας διδάξει πολλά σχετικά με τις κεντρικές ακουστικές διαδικασίες, όμως ο τρόπος με τον οποίο συμπεριφέρεται και λειτουργεί σε διάφορα νοσήματα (αυτισμός, σ.Αsperger, σχιζοφρένεια), όσο και σε καταστάσεις τόσο προβληματικές (δυσλεξία, αλκοολισμός, κώμα) όσο και φυσιολογικές (εκμάθηση ξένων γλωσσών), είναι ακόμη άγνωστος. Ο λεπτός κρίκος που παρεμβάλλεται μεταξύ όλων αυτών των καταστάσεων και της λειτουργίας του ακουστικού συστήματος είναι ένα (ακουστικό) προκλητό δυναμικό, το αρνητικό δυναμικό ασυμφωνίας (ΑΔΑ). Το δυναμικό αυτό εκλύεται από τον εγκέφαλο οποτεδήποτε ένας διαφορετικός ήχος επιδράσει σε μια ακολουθία σταθερών ήχων. Πρόκειται για ένα αυτόματο φαινόμενο το οποίο υπάρχει στη φύση, είναι όμως δυνατό να εκλυθεί και να μελετηθεί και πειραματικά. Στην παρούσα εργασία αναλύεται το δυναμικό ΑΔΑ, περιγράφονται κάποιες κλινικές χρησιμότητες και μερικά πλεονεκτήματά του και αναλυτικά η μεθοδολογία και η πειραματική διάταξη που ακολουθήθηκε για την ανάδειξη του σημαντικού αυτού δυναμικού. Η πειραματική διάταξη που χρησιμοποιήθηκε στην παρούσα εργασία, επέτρεψε την ανίχνευση ισχυρών και διακριτών δυναμικών ΑΔΑ. Η διάταξη είναι εύκολα αναπαραγώγιμη και θα μπορούσε να τύχει πολλών κλινικών εφαρμογών. / By studying the function of the auditory system, it is possible to also elucidate the function of several central auditory procedures. It is however largely unknown how these are related to diseases such as autism, Asperger's syndrome, schizophrenia, but also to other situations such as dyslexia, coma, alcoholism, or the learning of foreign languages. The tiny bond that connects all these functions with central auditory processes is an auditory evoked potential called mismatch negativity (MMN). The MMN is elicited whenever a deviant sound interferes in a sequence of standard tones. Elicitation of MMN potentials is an automatic procedure that happens in nature all the time. It can however also be produced and detected in the laboratory. The present work starts with a detailed description of the MMN potential. Some of its advantages, as well as its clinical uses are also presented. This work also includes a very detailed description of the methhodology used to detect and study MMN potentials in experimental conditions. The experimental setup used in this work allowed us to detect substantial and discernible MMNs. This setup, and hence the study of MMNs is easily replicable, could therefore be also used in clinical praxis.

Des sons émotionnels furent présentés comme stimuli cibles lors d'une tâche auditive de type oddball. Les effets acoustiques furent départagés des effets émotionnels à l'aide d'une tâche contrôle similaire utilisant une version brouillée des sons originaux et dépourvue de propriétés émotionnelles. Les résultats du oddball émotionnel qui ont différé du oddball contrôle ont montré des effets de valence inversés dans les composantes électrophysiologiques P2 et P300; la valence négative ayant une amplitude plus grande dans la fenêtre de 130-270ms mais moins intense autour de 290-460ms, lorsque comparée aux valences positives et neutres. Les résultats P2 peuvent être interprétés comme une mobilisation attentionnelle précoce privilégiant les stimuli potentiellement dangereux, tandis que les résultats de la P300 pourrait indiquer une évaluation moins détaillée de ces stimuli. / In an auditory oddball task, negatively (disgust) and positively (laughter) valenced sounds were presented as rare targets. To disentangle acoustic effects from emotional ones, a control oddball was conceived with a non‐emotional scrambled version of the original target sounds as rare targets. Results from the emotional oddball that differed from the control oddball showed an inverse effect of valence in the P2 and P300 range, with negative valence having higher mean amplitude values in the 130‐270ms range, but lower values in the 290‐460 range when compared to ERPs elicited by positive and neutral valence. The P2 results are interpreted as early mobilization of attentional resources towards potentially threatening stimuli, while the P300 results could reflect less detailed evaluation of such stimuli.

Percevoir et synchroniser ses mouvements à une pulsation régulière en musique est une capacité largement répandue chez l’Homme, et fondamentale aux comportements musicaux. La pulsation et la métrique en musique désignent généralement une organisation temporelle périodique perçue à partir de stimuli acoustiques complexes, et cette organisation perceptuelle implique souvent une mise en mouvement périodique spontanée du corps. Cependant, les mécanismes neuraux sous-tendant cette perception sont à l’heure actuelle encore méconnus. Le présent travail a donc eu pour objectif de développer une nouvelle approche expérimentale, inspirée par l’approche électrophysiologique des potentiels évoqués stationnaires, afin d’explorer les corrélats neuraux à la base de notre perception de la pulsation et de la métrique induite à l’écoute de rythmes musicaux. L’activité neurale évoquée en relation avec la perception d’une pulsation a été enregistrée par électroencéphalographie (EEG) chez des individus sains, dans divers contextes : (1) dans un contexte d’imagerie mentale d’une métrique appliquée de manière endogène sur un stimulus auditif, (2) dans un contexte d’induction spontanée d’une pulsation à l’écoute de patterns rythmiques musicaux, (3) dans un contexte d’interaction multisensorielle, et (4) dans un contexte de synchronisation sensorimotrice. Pris dans leur ensemble, les résultats de ces études corroborent l’hypothèse selon laquelle la perception de la pulsation en musique est sous-tendue par des processus de synchronisation et de résonance de l’activité neurale dans le cerveau humain. De plus, ces résultats suggèrent que l’approche développée dans le présent travail pourrait apporter un éclairage significatif pour comprendre les mécanismes neuraux de la perception de la pulsation et des rythmes musicaux, et, dans une perspective plus générale, pour explorer les mécanismes de synchronisation neurale. / The ability to perceive a regular beat in music and synchronize to it is a widespread human skill. Fundamental to musical behavior, beat and meter refer to the perception of periodicities while listening to musical rhythms, and usually involve spontaneous entrainment to move on these periodicities. However, the neural mechanisms underlying entrainment to beat and meter in Humans remain unclear. The present work tests a novel experimental approach, inspired by the steady-state evoked potential method, to explore the neural dynamics supporting the perception of rhythmic inputs. Using human electroencephalography (EEG), neural responses to beat and meter were recorded in various contexts: (1) mental imagery of meter, (2) spontaneous induction of a beat from rhythmic patterns, (3) multisensory integration, and (4) sensorimotor synchronization. Our results support the view that entrainment and resonance phenomena subtend the processing of musical rhythms in the human brain. Furthermore, our results suggest that this novel approach could help investigating the link between the phenomenology of musical beat and meter and neurophysiological evidence of a bias towards periodicities arising under certain circumstances in the nervous system. Hence, entrainment to music provides an original framework to explore general entrainment phenomena occurring at various levels, from the inter-neural to the inter-individual level. / Thèse de doctorat réalisé en cotutelle avec l'Université catholique de Louvain, Belgique (Faculté de médecine, Institut de Neuroscience)

Thèse numérisée par la Division de la gestion de documents et des archives de l'Université de Montréal

Many phenomena in the BAEP are difficult to explain on the basis of the accepted hypothesis of its origin (after Jewett, 1970). The alternative mechanism of origin to which these phenomena point is summation of oscillations. Therefore, simulation of the BAEP by a mathematical model consisting of the addition of four sine waves was tested. The model did simulate a normal BAEP as well variations in the waveform produced by reversing click polarity. This simulation gives further clues to the origin of the BAEP. The four sine waves begin simultaneously; corresponding BAEP oscillations must, therefore, originate from a single structure. These oscillations begin in less than half a millisecond after the click. This suggests that the structure from which they arise is outside the brainstem. This alternative mechanism indicates that wave latencies do not reflect nervous conduction between discrete nuclei, and interpretation of BAEP abnormality need to be reconsidered. It also implies that mathematical frequency analysis is more appropriate, but this could be applied only when these methods have been perfected. Meanwhile, through visual analysis and recognition of oscillations, abnormality can be detected and described in terms that may have physiological significance.

Die Validierung und Etablierung einer zuverlässigen Methode zur Erfassung der Narkosetiefe bleibt bis heute, speziell in der Kinderanästhesie, problematisch. Ziel der vorliegenden Arbeit war die Erstellung einer deskriptiven Verlaufsanalyse akustisch evozierter Potentiale mittlerer Latenz (MLAEP‘s) im Kindesalter. Unter Allgemeinanästhesie wurde mit Hilfe des AEPex-Monitors die Validität, Reagibilität und Korrelation der MLAEP‘s im Vergleich zu den beiden wichtigen hämodynamischen Parametern Herzfrequenz und mittlerer arterieller Blutdruck untersucht. Ein besonderer Schwerpunkt hierbei lag auf der Untersuchung der Praktikabilität des eingesetzten AEP-Monitorings. Dazu wurden 56 Kinder, davon 29 unter total intravenöser Anästhesie und 27 unter balancierter Anästhesie in die Studie eingeschlossen. Die Steuerung der Narkosetiefe erfolgte nach rein klinischen Kriterien. Nachträglich wurden die zu analysierenden Patienten in 3 verschiedene Altersgruppen (2-<4, 4-<10 und 10-<17 Lebensjahr) unterteilt und auf Auffälligkeiten hin untersucht. Die Anwendung des AEPex-Monitors war unkompliziert und ohne größeren personellen oder zeitlichen Aufwand in den Anästhesiearbeitsplatz zu integrieren. Während unter inhalativer Anästhesie zum Teil eine Zunahme der Amplituden Na/Pa und Pa/Nb bei der visuellen Inspektion des Signals beobachtet wurde, waren die Ergebnisse unter total intravenöser Anästhesie denen Erwachsener vergleichbar. Sowohl die Veränderungen des Blutdruckes als auch des AEPex waren ein- bis eineinhalb Minuten nach Applikation eines Propofolbolus als zuverlässiges Korrelat für eine Veränderung im Sedierungslevel darstellbar. Zusätzlich konnte in dieser Studie gezeigt werden, dass akustisch evozierte Potentiale mittlerer Latenz mit dem mittleren arteriellen Blutdruck, aber nicht mit der Herzfrequenz, unter intraoperativ hämodynamisch stabilen Bedingungen korrelieren (HI: rs(xy•z) = 0,583; p = 0,003). Jüngere Kinder (2-<4 LJ.) zeigten entweder tendenziell oder signifikant höhere Werte. Nach der Integration altersspezifischer Besonderheiten in der Weiterentwicklung prozessierter AEP-Parameter und der Überwindung gerätespezifischer Unzulänglichkeiten scheint auch im Kindesalter eine Hypnosetiefenbestimmung möglich.

[Truncated abstract] Controlled and automatic processing are broad categories, and how best to measure these constructs and their impact on functioning after mild traumatic brain injury (TBI) remains uncertain. The purpose of this thesis was to examine automatic and controlled processing aspects of attention after mild TBI using the Paced Auditory Serial Addition Task (PASAT) and event-related potentials (ERPs). The PASAT is one of the most frequently used tests to evaluate attentional functioning. It has been demonstrated to be a measure sensitive to both acute and longer-term effects of mild TBI, presumably due to demands for rapid processing and executive attentional control. ERPs provide a noninvasive neurophysiological index of sensory processing and cognitive functions and have demonstrated sensitivity to even minor cognitive dysfunction. The parameters provided by this functional technique may be those most likely to distinguish individuals with mild TBI from controls. Initially, it was hypothesized that successful novice PASAT performance requires the engagement of executive attention to establish novel controlled information processing strategies. Ten individuals who had suffered a mild TBI an average of 15.20 months previously were therefore expected to demonstrate processing abnormalities on the PASAT, relative to 10 healthy matched controls. Although the mild TBI group reported significant intensification of subjective symptoms since their injury, compared to controls, the mild TBI group provided a similar amount of correct PASAT responses. ... In the first experiment a visual search task consisting of an automatic detection and a controlled search condition was developed. In the second experiment the search task was performed concurrently with the PASAT task in a dual-task paradigm. In the mild TBI group, prior failure to establish more efficient forms of information processing with practice was found to significantly interfere with simultaneous performance of the PASAT task and the attention demanding condition of the search task. The pattern of impaired performance was considered to reflect a reduction in processing resources rather than a deficit in resource allocation. Dual-task performance in the control group was not associated with a large interference effect. In general, the results of this thesis suggest that individuals with mild TBI are impaired in their ability to progress from the stage of effortful controlled information processing to a stage of more efficient, automatic processing, and thus suffer a subtle attentional deficit. Following mild TBI, performance levels equivalent to controls may only be achieved with an abnormal expenditure of cognitive effort. As a result of the neuropathologic consequences of injury, individuals who have sustained a mild TBI are less able to benefit from practice, experience difficulty coping with simultaneous performance of secondary task, and are susceptible to distressing subjective symptomatology.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2006. / Härtill 4 uppsatser.