Julien Voisin

Listening in Silence Activates Auditory Areas: A Functional Magnetic Resonance Imaging Study

Directing attention to some acoustic features of a sound has been shown repeatedly to modulate the stimulus-induced neural responses. On the contrary, little is known about the neurophysiological impact of auditory attention when the auditory scene remains empty. We performed an experiment in which subjects had to detect a sound emerging from silence (the sound was detectable after different durations of silence). Two frontal activations (right dorsolateral prefrontal and inferior frontal) were found, regardless of the side where sound was searched for, consistent with the well established role of these regions in attentional control. The main result was that the superior temporal cortex showed activations contralateral to the side where sound was expected to be present. The area extended from the vicinity of Heschls gyrus to the surrounding areas (planum temporale/anterior lateral areas). The effect consisted of both an increase in the response to a sound delivered after attention was directed to detect its emergence and a baseline shift during the silent period. Thus, in absence of any acoustic stimulus, the search for an auditory input was found to activate the auditory cortex.

Listening to a walking human activates the temporal biological motion area.

A vivid perception of a moving human can be evoked when viewing a few point-lights on the joints of an invisible walker. This special visual ability for biological motion perception has been found to involve the posterior superior temporal sulcus (STSp). However, in everyday life, human motion can also be recognized using acoustic cues. In the present study, we investigated the neural substrate of human motion perception when listening to footsteps, by means of a sparse sampling functional MRI design. We first showed an auditory attentional network that shares frontal and parietal areas previously found in visual attention paradigms. Second, an activation was observed in the auditory cortex (Heschls gyrus and planum temporale), likely to be related to low-level sound processing. Most strikingly, another activation was evidenced in a STSp region overlapping the temporal biological motion area previously reported using visual input. We thus propose that a part of the STSp region might be a supramodal area involved in human motion recognition, irrespective of the sensory modality input.

Haptic discrimination of object shape in humans : contribution of cutaneous and proprioceptive inputs

Using two-dimensional (2D) angles composed of two straight, 8-cm-long arms that formed an angle, we investigated the importance of cutaneous feedback from the exploring index finger, and proprioceptive feedback from the shoulder (scanning movements made with the outstretched arm), to the human ability to discriminate small differences in the angles. Using a two-alternative forced-choice paradigm, subjects identified the larger angle in each pair explored (standard angle, 90°; comparison angles, 91° to 103°). Subjects were tested under four experimental conditions: (1) active touch (reference condition); (2) active touch with digital anaesthesia; (3) passive touch (a computer-controlled device displaced the angle under the subject’s immobile digit); and (4) passive touch with digital anaesthesia. When only proprioceptive feedback from the shoulder was available (condition 2), there was a significant increase in discrimination threshold, from 4.0° in the reference condition (condition 1) to 7.2°, indicating that cutaneous feedback from the exploring digit contributed to task performance. When only cutaneous feedback from the finger was available (condition 3), there was also a significant increase in threshold from 4.2° in the active condition to 8.7°. This suggested that proprioceptive feedback from the shoulder, potentially from a variety of deep (muscle and joint) but also cutaneous receptors, contributed to the ability to discriminate small changes in 2D angles. When both sources of feedback were eliminated (condition 4), subjects were unable to discriminate even the largest difference presented (13°). The results suggest that this sensory task is truly an integrative task drawing on sensory information from two different submodalities and so, following the definition of Gibson, is haptic in nature. The results are discussed in relation to the potential neural mechanisms that might underlie a task that requires integration across two anatomically separate body parts and two distinct modalities.

Haptic discrimination of object shape in humans: two-dimensional angle discrimination.

The human ability to recognize objects on the basis of their shape, as defined by active exploratory movements, is dependent on sensory feedback from mechanoreceptors located both in the skin and in deep structures (haptic feedback). Surprisingly, we have little information about the mechanisms for integrating these different signals into a single sensory percept. With the eventual aim of studying the underlying central neural mechanisms, we developed a shape discrimination test that required active exploration of objects, but was restricted to one component of shape, two-dimensional (2D) angles. The angles were machined from 1-cm-thick Plexiglas, and consisted of two 8-cm-long arms that met to form an angle of 90° (standard) or 91° to 103° (comparison angles). Subjects scanned pairs of angles with the index finger of the outstretched arm and identified the larger angle of each pair explored. Discrimination threshold (75% correct) was 4.7° (range 0.7° to 12.1°), giving a precision of 5.2% (0.8–13.4%: difference/standard). Repeated blocks of trials, either in the same session or on different days, had no effect on discrimination threshold. In contrast, the motor strategy was partly modified: scanning speed increased but dwell-time at the intersection did not change. Finally, 2D angle discrimination was not significantly modified by rotating the orientation of one of the angles in the pair (0°, 4° or 8° rotation towards the midline, in the vertical plane), providing evidence that subjects evaluated each angle independently in each trial. Subject reports indicated that they relied on cutaneous feedback from the exploring digit (amount of compression of the finger at the angle) and mental images of the angles, most likely arising from proprioceptive information (from the shoulder) generated during the to-and-fro scans over the angle. In terms of shoulder angles, the mean discrimination threshold here was 0.54° (range 0.08° to 1.36°). These values are lower than previous estimates of position sense at the shoulder. In light of the subjects’ strategies, it therefore seems likely that both cutaneous and proprioceptive (including both dynamic and static position-related signals) feedback contributed to the haptic discrimination of 2D angles.

Is somatosensory excitability more affected by the perspective or modality content of motor imagery

Beneficial effects of mental practice likely arise because motor imagery involves largely similar neural networks as physical execution of the same movement. While it is known that the involvement of the motor system is favoured by focusing on the kinaesthetic modality and by the first person perspective, little is known about the impact of these factors on the somatosensory system. The present paper examines the effects on the somatosensory excitability of both perspective (the point of view of the person imagining a motor act) and modality (visual versus kinaesthetic) during mental practice. Seventeen healthy subjects participated. Quality of mental practice was controlled using chronometric tests and a subjective questionnaire. Excitability of the somatosensory system was assessed through the steady-state electroencephalographical response to a continuous train of electrical stimuli applied to the radial nerve, at the same time subjects were instructed to perform one of five tasks designed to separate the effects of perspective, modality and motor versus non-motor imagery. Kinaesthetic motor imagery exerts the largest effect on somatosensory excitability whereas visual motor imageries (1st and 3rd person perspectives) produce the same lower effect that static visual imagery does. Strikingly, specific effect of kinaesthetic motor imagery correlates with the selfselected speed to imagine and execute the same movement. These findings suggest a key role of the kinaesthetic content of motor imagery in recruiting the sensorimotor system.

The modulation of somatosensory resonance by psychopathic traits and empathy

A large number of neuroimaging studies have shown neural overlaps between first-hand experiences of pain and the perception of pain in others. This shared neural representation of vicarious pain is thought to involve both affective and sensorimotor systems. A number of individual factors are thought to modulate the cerebral response to others pain. The goal of this study was to investigate the impact of psychopathic traits on the relation between sensorimotor resonance to others pain and self-reported empathy. Our group has previously shown that a steady-state response to non-painful stimulation is modulated by the observation of other peoples bodily pain. This change in somatosensory response was interpreted as a form of somatosensory gating (SG). Here, using the same technique, SG was compared between two groups of 15 young adult males: one scoring very high on a self-reported measure of psychopathic traits [60.8 ± 4.98; Levensons Self-Report Psychopathy Scale (LSRP)] and one scoring very low (42.7 ± 2.94). The results showed a significantly greater reduction of SG to pain observation for the high psychopathic traits group compared to the low psychopathic traits group. SG to pain observation was positively correlated with affective and interpersonal facet of psychopathy in the whole sample. The high psychopathic traits group also reported lower empathic concern (EC) scores than the low psychopathic traits group. Importantly, primary psychopathy, as assessed by the LSRP, mediated the relation between EC and SG to pain observation. Together, these results suggest that increase somatosensory resonance to others pain is not exclusively explained by trait empathy and may be linked to other personality dimensions, such as psychopathic traits.

The influence of visual perspective on the somatosensory steady-state response during pain observation.

The observation and evaluation of other’s pain activate part of the neuronal network involved in the actual experience of pain, including those regions subserving the sensori-discriminative dimension of pain. This was largely interpreted as evidence showing that part of the painful experience can be shared vicariously. Here, we investigated the effect of the visual perspective from which other people’s pain is seen on the cortical response to continuous 25 Hz non-painful somatosensory stimulation (somatosensory steady-state response: SSSR). Based on the shared representation framework, we expected first-person visual perspective (1PP) to yield more changes in cortical activity than third-person visual perspective (3PP) during pain observation. Twenty healthy adults were instructed to rate a series of pseudo-dynamic pictures depicting hands in either painful or non-painful scenarios, presented either in 1PP (0–45° angle) or 3PP (180° angle), while changes in brain activity was measured with a 128-electode EEG system. The ratings demonstrated that the same scenarios were rated on average as more painful when observed from the 1PP than from the 3PP. As expected from previous works, the SSSR response was decreased after stimulus onset over the left caudal part of the parieto-central cortex, contralateral to the stimulation side. Moreover, the difference between the SSSR was of greater amplitude when the painful situations were presented from the 1PP compared to the 3PP. Together, these results suggest that a visuospatial congruence between the viewer and the observed scenarios is associated with both a higher subjective evaluation of pain and an increased modulation in the somatosensory representation of observed pain. These findings are discussed with regards to the potential role of visual perspective in pain communication and empathy.

Transcranial direct current stimulation over multiple days enhances motor performance of a grip task

BACKGROUND Recovery of handgrip is critical after stroke since it is positively related to upper limb function. To boost motor recovery, transcranial direct current stimulation (tDCS) is a promising, non-invasive brain stimulation technique for the rehabilitation of persons with stroke. When applied over the primary motor cortex (M1), tDCS has been shown to modulate neural processes involved in motor learning. However, no studies have looked at the impact of tDCS on the learning of a grip task in both stroke and healthy individuals. OBJECTIVE To assess the use of tDCS over multiple days to promote motor learning of a grip task using a learning paradigm involving a speed-accuracy tradeoff in healthy individuals. METHODS In a double-blinded experiment, 30 right-handed subjects (mean age: 22.1±3.3 years) participated in the study and were randomly assigned to an anodal (n=15) or sham (n=15) stimulation group. First, subjects performed the grip task with their dominant hand while following the pace of a metronome. Afterwards, subjects trained on the task, at their own pace, over 5 consecutive days while receiving sham or anodal tDCS over M1. After training, subjects performed de novo the metronome-assisted task. The change in performance between the pre and post metronome-assisted task was used to assess the impact of the grip task and tDCS on learning. RESULTS Anodal tDCS over M1 had a significant effect on the speed-accuracy tradeoff function. The anodal tDCS group showed significantly greater improvement in performance (39.28±15.92%) than the sham tDCS group (24.06±16.35%) on the metronome-assisted task, t(28)=2.583, P=0.015 (effect size d=0.94). CONCLUSIONS Anodal tDCS is effective in promoting grip motor learning in healthy individuals. Further studies are warranted to test its potential use for the rehabilitation of fine motor skills in stroke patients.

Effect of pain on deafferentation-induced modulation of somatosensory evoked potentials

There is a large body of evidence showing substantial sensorimotor reorganizations after an amputation. These reorganizations are believed to contribute to the development of phantom limb pain, but alternatively, pain might influence the plasticity triggered by the deafferentation. The aim of this study was to test whether pain impacts on deafferentation-induced plasticity in the somatosensory pathways. Fifteen healthy subjects participated in 2 experimental sessions (Pain, No Pain) in which somatosensory evoked potentials (SSEPs) associated with electrical stimulation of the ulnar nerve were assessed before and after temporary ischemic deafferentation induced by inflation of a cuff around the wrist. In the Pain session capsaicin cream was applied on the dorsum of the hand 30 minutes prior to cuff inflation. Results show that pain decreased the amplitude of the N20 (main effect of condition, p = 0.033), with a similar trend for the P25. Temporary ischemic deafferentation had a significant effect on SSEPs (main effect of time), with an increase in the P25 (p = 0.013) and the P45 amplitude (p = 0.005), together with a reduction of the P90 amplitude (p = 0.002). Finally, a significant time x condition interaction, reflecting state-dependent plasticity, was found for the P90 only, the presence of pain decreasing the reduction of amplitude observed in response to deafferentation. In conclusion, these results show that nociceptive input can influence the plasticity induced by a deafferentation, which could be a contributing factor in the cortical somatosensory reorganization observed in chronic pain populations.

Efficacy of Sensory Interventions on School Participation of Children With Sensory Disorders: A Systematic Review

Research demonstrates lower school participation in children with sensory disorders. However, the scientific body of evidence supporting existing sensory intervention modalities is difficult to tackle. More specifically, the literature appears poorly organized, with a highly variable terminology, often with nonoverlapping definitions and lack of good keywords classification that would help organize the diversity of approaches. This systematic review organizes the body of evidence for 3 specific approaches (sensory based, sensorimotor, and sensory integration) and questions their efficacy in improving school participation for children with sensory disorders. Two methods were compared: first, a standard systematic review of the literature in 3 databases using appropriate keywords and descriptors, then an original method based on forward and backward citation connections. A total of 28 studies were retrieved, of which only 7 used the standard method for systematic reviews. For sensory-based approaches, the efficacy of weighted-vest varies according to different factors such as the protocol of use. For sensorimotor approaches, the efficacy of therapy balls, air cushions, platform swing, and physical exercise varies according to the child’s sensory characteristics. The efficacy of the sensory integration approach remains mixed across studies.