Melanie Burke

A systematic review of the diagnostic test accuracy of brief cognitive tests to detect amnestic mild cognitive impairment.

People with amnestic mild cognitive impairment (aMCI) are at an increased risk of developing dementia. Efficient ways of identifying this ‘at risk’ population are required for larger‐scale research studies. This systematic review describes the diagnostic accuracy of brief cognitive tests for detecting aMCI.

Sequence learning in two-dimensional smooth pursuit eye movements in humans

Sequence learning is common to all motor systems and is an essential aspect of human behavior necessary for the acquisition of motor skill. Many previous studies have demonstrated the ability to observe, store, and repeat sequences in a variety of modalities resulting in reduced reaction time. Recently, it has been found that subjects can make predictive smooth eye movements to a sequence of discrete horizontal target motions (C. J. Collins & Barnes, 2005). The present study extends that paradigm into two dimensions of motion in order to investigate qualitative and quantitative differences in sequences of vertical (V) and horizontal (H) eye movements. The subjects performed sequences of four discrete velocity ramps repeated either four or eight times in succession. Baseline measurements were obtained to discrete individual smooth pursuit velocity ramps to H and V predictable (PRD) and randomized (RND) targets. We found that subjects could rapidly learn and anticipate individual components of a four-ramp sequence in two dimensions. The results showed clear asymmetries in the eye movements made to horizontal and vertical targets. We found that the latencies to H targets were shorter than latencies to V targets in both the PRD and RND conditions. We also found higher initial eye velocity (50 ms after target onset) to H targets than vertical targets during the PRD condition. Because these differences in H and V eye movements are present in both RND and PRD trials, this suggests that the observed differences are not due to retention of information but are inherent asymmetries within the system.

Exploring structural learning in handwriting

Structural learning suggests that the human nervous system learns general rules that can be applied when controlling actions involving similar structures (e.g. using a variety of bicycles when learning to ride). These general rules can then facilitate skill acquisition in novel but related situations (e.g. a new bicycle). We tested this concept by investigating whether learned asymmetries in handwriting (greater ease in moving the hand rightwards and downwards within Western-educated populations) are present in the non-preferred hand as predicted by structural learning. We found these asymmetries in both hands of a right-handed population when tracing abstract shapes. We then ruled out biomechanical explanations by finding the same results with a left-handed population. These findings provide support for structural learning and explain: (1) the rapidity with which individuals can learn to write with their non-preferred hand; (2) the presence of a higher abstract (effector independent) level within voluntary motor control organisation.

The brain uses efference copy information to optimise spatial memory.

Does a motor response to a target improve the subsequent recall of the target position or can we simply use peripheral position information to guide an accurate response? We suggest that a motor plan of the hand can be enhanced with actual motor and efference copy feedback (GoGo trials), which is absent in the passive observation of a stimulus (NoGo trials). To investigate this effect during eye and hand coordination movements, we presented stimuli in two formats (memory guided or visually guided) under three modality conditions (eyes only, hands only (with eyes fixated), or eyes and hand together). We found that during coordinated movements, both the eye and hand response times were facilitated when efference feedback of the movement was provided. Furthermore, both eye and hand movements to remembered locations were significantly more accurate in the GoGo than in the NoGo trial types. These results reveal that an efference copy of a motor plan enhances memory for a location that is not only observed in eye movements, but also translated downstream into a hand movement. These results have significant implications on how we plan, code and guide behavioural responses, and how we can optimise accuracy and timing to a given target.

The neural correlates of inhibiting pursuit to smoothly moving targets

A previous study has shown that actively pursuing a moving target provides a predictive motor advantage when compared with passive observation of the moving target while keeping the eyes still [Burke, M. R., & Barnes, G. R. Anticipatory eye movements evoked after active following versus passive observation of a predictable motion stimulus. Brain Research, 15, 74–81, 2008b]. By using a novel paradigm based on combining a smooth pursuit stimulus with a go/no-go task, we have been able to reveal significant differences in brain activity for the inhibition of pursuit during the presentation of a smoothly moving target. Areas that show specific inhibitory and retinocentric velocity storage activity for the passive (no-go) condition include the dorsolateral pFC, the caudate, and the posterior cingulate. The FEFs, the supramarginal gyrus, the medial occipital gyrus, and the superior parietal lobe were found to be more involved in both the acquisition and response generation during no-go trials when compared with go trials. The go trials revealed higher activity than the no-go during the acquisition phase in the uncus and posterior cingulate. Furthermore, higher motor-related activity in the go task was found in the cerebellum. In summary, the areas involved in inhibiting smooth pursuit are consistent with the findings from the saccade literature, providing further evidence in support of overlapping cortical control networks.

The validity of the Memory Alteration Test and the Test Your Memory test for community-based identification of amnestic mild cognitive impairment

This study investigated the validity of two brief cognitive tests (Memory Alteration Test [M@T] and Test Your Memory [TYM] test) for identifying people with aMCI in the community.

The contribution of the right supra-marginal gyrus to sequence learning in eye movements

We investigated the role of the human right Supra-Marginal Gyrus (SMG) in the generation of learned eye movement sequences. Using MRI-guided transcranial magnetic stimulation (TMS) we disrupted neural activity in the SMG whilst human observers performed saccadic eye movements to multiple presentations of either predictable or random target sequences. For the predictable sequences we observed shorter saccadic latencies from the second presentation of the sequence. However, these anticipatory improvements in performance were significantly reduced when TMS was delivered to the right SMG during the inter-trial retention periods. No deficits were induced when TMS was delivered concurrently with the onset of the target visual stimuli. For the random version of the task, neither delivery of TMS to the SMG during the inter-trial period nor during the presentation of the target visual stimuli produced any deficit in performance that was significantly different from the no-TMS or control conditions. These findings demonstrate that neural activity within the right SMG is causally linked to the ability to perform short latency predictive saccades resulting from sequence learning. We conclude that neural activity in rSMG constitutes an instruction set with spatial and temporal directives that are retained and subsequently released for predictive motor planning and responses.

Cognitive control of saccadic eye movements in children with developmental coordination disorder

The ability to use advance information to prepare and execute a movement requires cognitive control of behaviour (e.g., anticipation and inhibition). Our aim was to explore the integrity of saccadic eye movement control in developmental coordination disorder (DCD) and typically developing (TD) children (8–12 years) and assess how these children plan and inhibit saccadic responses, the principal mechanisms within visual attention control. Eye movements and touch responses were measured (separately and concurrently) in Cued and Non-Cued conditions. We found that children with DCD had similar saccade kinematics to the TD group during saccade initiation. Advance information decreased hand movement duration in both groups during Cued trials, but decrements in accuracy were significantly worse in the DCD group. In addition, children with DCD exhibited greater inhibitory errors and inaccurate fixation during the Cued trials. Thus, children with DCD were reasonably proficient in executing saccades during reflexive (Non-Cued) conditions, but showed deficits in more complex control processes involving prediction and inhibition. These findings have implications for our understanding of motor control in children with DCD.

The involvement of the fronto-parietal brain network in oculomotor sequence learning using fMRI.

The basis of motor learning involves decomposing complete actions into a series of predictive individual components that form the whole. The present fMRI study investigated the areas of the human brain important for oculomotor short-term learning, by using a novel sequence learning paradigm that is equivalent in visual and temporal properties for both saccades and pursuit, enabling more direct comparisons between the oculomotor subsystems. In contrast with previous studies that have implemented a series of discrete ramps to observe predictive behaviour as evidence for learning, we presented a continuous sequence of interlinked components that better represents sequences of actions. We implemented both a classic univariate fMRI analysis, followed by a further multivariate pattern analysis (MVPA) within a priori regions of interest, to investigate oculomotor sequence learning in the brain and to determine whether these mechanisms overlap in pursuit and saccades as part of a higher order learning network. This study has uniquely identified an equivalent frontal-parietal network (dorsolateral prefrontal cortex, frontal eye fields and posterior parietal cortex) in both saccades and pursuit sequence learning. In addition, this is the first study to investigate oculomotor sequence learning during fMRI brain imaging, and makes significant contributions to understanding the role of the dorsal networks in motor learning.

Eye and hand movements during reconstruction of spatial memory

Recent behavioural and biological evidence indicates common mechanisms serving working memory and attention (eg Awh et al, 2006 Neuroscience 139 201–208). This study explored the role of spatial attention and visual search in an adapted Corsi spatial memory task. Eye movements and touch responses were recorded from participants who recalled locations (signalled by colour or shape change) from an array presented either simultaneously or sequentially. The time delay between target presentation and recall (0,5, or 10 s) and the number of locations to be remembered (2–5) were also manipulated. Analysis of the response phase revealed subjects were less accurate (touch data) and fixated longer (eye data) when responding to sequentially presented targets suggesting higher cognitive effort. Fixation duration on target at recall was also influenced by whether spatial location was initially signalled by colour or shape change. Finally, we found that the sequence tasks encouraged longer fixations on the signalled targets than simultaneous viewing during encoding, but no difference was observed during recall. We conclude that the attentional manipulations (colour/shape) mainly affected the eye movement parameters, whereas the memory manipulation (sequential versus simultaneous, number of items) mainly affected the performance of the hand during recall, and thus the latter is more important for ascertaining if an item is remembered or forgotten. In summary, the nature of the stimuli that is used and how it is presented play key roles in determining subject performance and behaviour during spatial memory tasks.