Giovanna Pelamatti

Verbal free recall in high altitude: Proper names vs common names

Exposure to extreme altitude is known to cause a general impairment of cognitive functions. In this study we investigated the effect of high altitude on the recall of supraspan lists of proper and common names. High altitude seems to have a dramatic effect on the recall of proper names, while common names are more resistant to hypoxia. This effect, however, seems to selectively concern the early items of the lists. This damage to the primacy effect in proper name recall seems permanent over time. The absence of damage in recalling names from the last serial position clearly shows how STM functions are relatively more resistant to the lack of cognitive sources caused by hypoxia.

Effect of Transcranial Magnetic Stimulation (TMS) on Parietal and Premotor Cortex during Planning of Reaching Movements

Background Cerebral activation during planning of reaching movements occurs both in the superior parietal lobule (SPL) and premotor cortex (PM), and their activation seems to take place in parallel. Methodology The activation of the SPL and PM has been investigated using transcranial magnetic stimulation (TMS) during planning of reaching movements under visual guidance. Principal Findings A facilitory effect was found when TMS was delivered on the parietal cortex at about half of the time from sight of the target to hand movement, independently of target location in space. Furthermore, at the same stimulation time, a similar facilitory effect was found in PM, which is probably related to movement preparation. Conclusions This data contributes to the understanding of cortical dynamics in the parieto-frontal network, and suggests that it is possible to interfere with the planning of reaching movements at different cortical points within a particular time window. Since similar effects may be produced at similar times on both the SPL and PM, parallel processing of visuomotor information is likely to take place in these regions.

Performance of gesture in children with and without DCD: effects of sensory input modalities

This study aimed to investigate the extent to which gesture performance depends on input modality and whether gestural development patterns differ in children with and without developmental coordination disorder (DCD). Therefore, development of limb gesture was studied in 140 children--105 control children (94 males, 11 females) and in 35 children with DCD (29 males, six females) divided into three age bands: 5 to 6 years, 7 to 8 years, and 9 to 10 years. Transitive gestural skills were investigated through four input modalities: Imitation, Visual plus Tactile, Visual, and Verbal. Results indicate that limb gestural skills in normally developing children follow a progressive maturation pattern: Imitation, Visual plus Tactile, and visual routes appear to mature before the verbal route and appear to be available earlier to enable the child to perform a correct gesture. The performance of children with DCD throughout the four modalities suggested a general maturational delay. When gestures were required through the Verbal modality, there was a specific deficit in using sensory-motor information and in integrating it into a motor representation. In the Verbal modality, children with DCD performed consistently worse than their control peers and the difference in performance tended to increase rather than improve with age.

Motor excitability evaluation in developmental stuttering: a transcranial magnetic stimulation study.

INTRODUCTION Developmental stuttering (DS) is viewed as a motor speech-specific disorder, although several lines of research suggest that DS is a symptom of a broader motor disorder. We investigated corticospinal excitability in adult DS and normal speakers. METHODS Transcranial magnetic stimulation (TMS) was administered over left/right hand representation of the motor cortex while recording motor evoked potentials (MEPs) from the contralateral first dorsal interosseous (FDI) muscle. Resting, active motor thresholds, silent period threshold and duration were measured. A stimulus-response curve at resting was also obtained to evaluate MEP amplitudes. RESULTS Lower corticospinal responses in the left hemisphere of DS were found, as indicated by a reduction of peak-to-peak MEP amplitudes compared to normal speakers. CONCLUSIONS This provides further evidence that DS may be a general motor deficit that also involves motor non-speech-related structures. Moreover, our results confirm that DS may be related to left hemisphere hypoactivation and/or lower left hemisphere dominance. The present data and protocol may be useful for diagnosis of subtypes of DS that may benefit from pharmacological treatment by targeting the general level of cortical excitability.

Investigating the efficacy of paroxetine in developmental stuttering.

Objectives:Paroxetine has been reported to be useful for management of stuttering symptoms, but only a few reports have examined its effects. We have investigated the efficacy of paroxetine in a randomized, placebo-controlled study. Methods:Five stuttering subjects received paroxetine at 20 mg once daily at night for 12 weeks, and 5 received placebo. The percentages of stuttered words and stuttering-associated movements during speech were measured at baseline and after 6 and 12 weeks of treatment. Moreover, left primary motor cortex excitability was measured using transcranial magnetic stimulation. Specifically, resting and active motor thresholds and the cortical silent period (CSP) were obtained at the same periods in both groups. Results:Paroxetine did not affect the percentage of stuttered words between groups. Stuttering-associated movements, however, during speech in facial muscular districts were significantly reduced in subjects treated with paroxetine. Finally, paroxetine administration shortened the CSP with no effect on motor thresholds. Conclusion:Paroxetine may be useful in qualitative management of stuttering symptoms and may act on the stuttering brain by diminution of intracortical inhibition, as revealed by the shortening of the CSP after paroxetine administration.

Involvement of ipsilateral parieto-occipital cortex in the planning of reaching movements: evidence by TMS.

Involvement of the ipsilateral hemisphere during planning of reaching movements is still matter of debate. While it has been demonstrated that the contralateral hemisphere is dominant in visuo-motor integration, involvement of the ipsilateral hemisphere has also been proposed. Furthermore, a dominant role for left posterior parietal cortex has been shown in this process, independently of the hand and visual field involved. In this study, the possible involvement of ipsilateral parieto-occipital cortex in planning of reaching movements was investigated by transcranial magnetic stimulation (TMS). TMS was applied on four points of the parietal and occipital cortex at 50% (Time 1), 75% (Time 2) and 90% (Time 3) of reaction time from a go-signal to hand movement. The only effect observed was an increase in reaction time when a region around the parieto-occipital junction was stimulated at Time 2. These results provide further support to the hypothesis that, in the posterior parietal cortex, planning of reaching movements also relies on the ipsilateral hemisphere, in addition to the contralateral or dominant one.

Adolescents’ Appraisal of Homophobic Epithets: The Role of Individual and Situational Factors

ABSTRACT Homophobic epithets have become commonly used insults among adolescents. However, evidence suggests that there are differences in how these homophobic epithets are evaluated based on beliefs held by the observer and the context in which they are used. To examine this, Italian high school students were asked to rate the offensiveness of homophobic epithets, as well as to consider how they or others would react to homophobic epithets across various situations. Homophobic beliefs and beliefs about the social acceptability of homophobic epithets were also examined. It was found that greater perceived social acceptability of homophobic epithets was related to dismissive reactions to their use, whereas homophobic beliefs were predictive of negative emotional reactions but in varying ways depending on the specific context. The results indicate that homophobic epithets may not always be perceived as homophobic by adolescents, and that attempts to alter the social acceptability of these insults may be an effective manner of reducing their use.

Relation between Motor and Cognitive Skills in Italian Basketball Players Aged between 7 and 10 Years Old

There is evidence supporting a correlation between motor, attention and working memory in children. This present study focuses on children aged between 7 and 10 years, who have been playing basketball in the last two years. The aim of this study is to verify the correlation between cognitive and motor abilities and to understand the importance of this correlation in basketball practice. A total of 75 children who were 7.2–10.99 years old were assessed in terms of their attention, motor manual sequences and visuo-spatial working memory. A regression analysis was provided. In this sample, the motor abilities of children were found to be correlated with attention (denomination task, R2 = 0.07), visuo-spatial working memory (R2 = 0.06) and motor manual sequencing (aiming and catching task, R2 = 0.05; and manual dexterity task, R2 = 0.10). These correlations justify the suggestion to introduce deeper cognitive involvement during basketball training. The development of executive functions could have an important impact on basketball practice and the introduction of attention and memory tasks could help coaches to obtain optimal improvement in performance during the training sessions.

An evaluation of the Movement ABC-2 Test for use in Italy: A comparison of data from Italy and the UK

BACKGROUND The standardized test within the Movement Assessment Battery for Children-2nd edition (MABC-2) is used worldwide to assess motor problems in children. Ideally, any country using a test developed in another country should produce national norms to ensure that it functions effectively in the new context. AIM The first objective of this study was to explore the differences in motor performance between Italian and British children. The second was to examine the structural validity of the test for the Italian sample. METHOD A total of 718 Italian (IT) and 765 British (UK) children, aged 3-10 years, were individually tested on the age-appropriate items of the MABC-2 Test. RESULTS Developmental trends emerged on every task and differences between IT and UK children were obtained on 11 of 27 task comparisons. Interactions between age and country indicated that differences were not consistently in favor of one culture. Confirmatory factor analysis generally supported the proposed structure of the MABC-2 Test. CONCLUSION Although the differences between the IT and the UK children were relatively few, those that did emerge emphasize the need for population specific norms and suggest that cultural diversity in motor experiences should be considered when evaluating motor abilities in children.

PTMS66 Transcranial magnetic stimulation in the study of the excitability of primary motor cortex in adult developmental stutterers

Introduction: Paired associative stimulation (PAS) protocol where transcranial magnetic stimulation (TMS) pulse is preceded 25 ms by median nerve stimulation (MNS), PAS25, is capable of producing long-term potentiation (LPT) like changes and increase in motor cortex excitability. However, when an MNS pulse is applied 25 ms before a TMS pulse it leads to reduction of TMS elicited motor evoked potential amplitude (MEP), a phenomenon known as short-latency afferent inhibition (SAI). The dynamics of interaction between these two opposing physiological processes has not been investigated yet. Objective: To evaluate the dynamics of motor cortex excitability changes during PAS25 protocol in a group of healthy subjects (control group CG) and in a group of drug-naive PD patients (PDG); presence of deficient SAI has been already reported in PD patients. Methods: PDG had 9 patients (3 female), mean age 52.3 years, mean duration of the disease 2.5 years, and Hoehn and Yahr stage range 1 2.5 (mea 1.9); CG had 11 subjects (3 female), mean age 50.2 years. MEP amplitudes from 180 MNS-TMS successive pairs were collapsed into 18 time-bins and averaged across groups. MEP amplitudes were normalised and expressed as a percentage of pre-PAS control MEP amplitudes obtained at rest. Two-factorial repeated-measured ANOVA, with factors GROUP and TIME-BIN, was used. Results: Factor TIME-BIN, p < 0.001; factor GROUP, p < 0.001; interaction TIME-BIN × GROUP, p < 0.001. In CG MEP amplitudes were consistently diminished throughout the PAS protocol staying on average at 35.6% (range 25 45%). In PDG, in the first third of the PAS protocol MEP amplitudes remained close to 100%, while during the rest of the protocol they increased close to the 140% level and they stayed like this almost until the end. Conclusions: Results suggest that SAI mechanisms operate independently from LTP mechanisms during PAS protocol. An impairment of SAI is present even at the early stages of PD, before dopaminergic medication.