Early life experience sets hard limits on motor learning as evidenced from artificial arm use

The study of artificial arms provides a unique opportunity to address long-standing questions on sensorimotor plasticity and development. Learning to use an artificial arm arguably depends on fundamental building blocks of body representation and would therefore be impacted by early-life experience. We tested artificial arm motor-control in two adult populations with upper-limb deficiencies: a congenital group - individuals who were born with a partial arm, and an acquired group - who lost their arm following amputation in adulthood. Brain plasticity research teaches us that the earlier we train to acquire new skills (or use a new technology) the better we benefit from this practice as adults. Instead, we found that although the congenital group started using an artificial arm as toddlers, they produced increased error noise and directional errors when reaching to visual targets, relative to the acquired group who performed similarly to controls. However, the earlier an individual with a congenital limb difference was fitted with an artificial arm, the better their motor control was. Since we found no group differences when reaching without visual feedback, we suggest that the ability to perform efficient visual-based corrective movements is highly dependent on either biological or artificial arm experience at a very young age. Subsequently, opportunities for sensorimotor plasticity become more limited.

Proprioceptive imprecision in Ehlers-Danlos Syndrome does not affect the extent of sensorimotor plasticity

SummaryPurposeTo explore the effect of joint hypermobility on acuity, and plasticity, of hand proprioception.Materials and MethodsWe compared proprioceptive acuity between EDS patients and controls. We then measured any changes in their estimate of hand position after participants adapted their reaches in response to altered visual feedback of their hand. The Beighton Scale was used to quantify the magnitude of joint hypermobility.ResultsThere were no differences between the groups in the accuracy of estimates of hand location, nor in the visually-induced changes in hand location. However, EDS patients’ estimates were less precise when based purely on proprioception and could be moderately predicted by Beighton score.ConclusionsEDS patients are less precise at estimating their hand’s location when only afferent information is available, but the presence of efferent signalling may reduce this imprecision. Those who are more hypermobile are more likely to be imprecise. This deficit likely has peripheral origins since we found no differences in the extent of sensorimotor plasticity.

Early life experience sets hard limits on motor learning as evidenced from artificial arm use

The study or artificial arms provides a unique opportunity to address long-standing questions on sensorimotor plasticity and development. Learning to use an artificial arm arguably depends on fundamental building blocks of body representation and would therefore be impacted by early-life experience. We tested artificial arm motor-control in two adult populations with upper-limb deficiency: congenital one-handers – who were born with a partial arm, and amputees – who lost their biological arm in adulthood. Brain plasticity research teaches us that the earlier we train to acquire new skills (or use a new technology) the better we benefit from this practice as adults. Instead, we found that although one-hander started using an artificial arm as toddlers, they produced increased error noise and directional errors when reaching to visual targets, relative to amputees who performed similarly to controls. However, the earlier a one-hander was fitted with an artificial arm the better their motor control was. We suggest that visuomotor integration, underlying the observed deficits, is highly dependent on either biological or artificial arm experience at a very young age. Subsequently, opportunities for sensorimotor plasticity become more limited.

Agonist-antagonist myoneural interface amputation preserves proprioceptive sensorimotor neurophysiology in lower limbs

The brain undergoes marked changes in function and functional connectivity after limb amputation. The agonist-antagonist myoneural interface (AMI) amputation is a procedure that restores physiological agonist-antagonist muscle relationships responsible for proprioceptive sensory feedback to enable greater motor control. We compared results from the functional neuroimaging of individuals (n = 29) with AMI amputation, traditional amputation, and no amputation. Individuals with traditional amputation demonstrated a significant decrease in proprioceptive activity, measured by activation of Brodmann area 3a, whereas functional activation in individuals with AMIs was not significantly different from controls with no amputation (P < 0.05). The degree of proprioceptive activity in the brain strongly correlated with fascicle activity in the peripheral muscles and performance on motor tasks (P < 0.05), supporting the mechanistic basis of the AMI procedure. These results suggest that surgical techniques designed to restore proprioceptive peripheral neuromuscular constructs result in desirable central sensorimotor plasticity.

Visuo-motor rotation influences representational acuity but not space representation

Prism adaptation is a well-known experimental procedure to study sensorimotor plasticity. It has been shown that following prism exposure, after-effects are not only restricted to the sensorimotor level but extend as well to spatial cognition. In the present study, we used a visuo-motor rotation task which approaches the perturbations induced by prism exposure. We induced either leftward or rightward 15-degree rotations and we presented the perturbation either abruptly (from one trial to the next) or gradually (over a 34-trial transition). First, we found that none of the conditions produced cognitive after-effects in perceptive line bisection task. This result has a strong methodological impact for prospective investigations focusing on sensorimotor plasticity while sparing space cognition; it is particularly relevant when investigating sensorimotor plasticity in patients with specific representational feature to preserve from aggravation. Second, another interesting result was the increase of the sensitivity with which we discriminate the center of the line, that we propose to call representational acuity. It improved following the perturbation more particularly after gradual exposure and persisted for some time after the sensorimotor adaptation. These innovative results are discussed in terms of sensorimotor processes underpinning the transfer of visuomotor plasticity to spatial cognition.

Physiological effects of subthalamic nucleus deep brain stimulation surgery in cervical dystonia

BackgroundSubthalamic nucleus deep brain stimulation (STN DBS) surgery is clinically effective for treatment of cervical dystonia; however, the underlying physiology has not been examined. We used transcranial magnetic stimulation (TMS) to examine the effects of STN DBS on sensorimotor integration, sensorimotor plasticity and motor cortex excitability, which are identified as the key pathophysiological features underlying dystonia.MethodsTMS paradigms of short latency afferent inhibition (SAI) and long latency afferent inhibition (LAI) were used to examine the sensorimotor integration. Sensorimotor plasticity was measured with paired associative stimulation paradigm, and motor cortex excitability was examined with short interval intracortical inhibition and intracortical facilitation. DBS was turned off and on to record these measures.ResultsSTN DBS modulated SAI and LAI, which correlated well with the acute clinical improvement. While there were no changes seen in the motor cortex excitability, DBS was found to normalise the sensorimotor plasticity; however, there was no clinical correlation.ConclusionModulation of sensorimotor integration is a key contributor to clinical improvement with acute stimulation of STN. Since the motor cortex excitability did not change and the change in sensorimotor plasticity did not correlate with clinical improvement, STN DBS demonstrates restricted effects on the underlying physiology.Clinical trial registrationNCT01671527.