Publications (110) View all
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Article: Illusory movements prevent cortical disruption caused by immobilization.
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ABSTRACT: Enforced limb disuse strongly disrupts the cortical networks that are involved in sensorimotor activities. This disruption causes a cortical reorganization that may be functionally maladaptive. In this study, we used functional magnetic resonance imaging (fMRI) to investigate whether it is possible to prevent this reorganization by compensating for the lack of actual kinesthetic perception with illusory movements induced by "neuromimetic" proprio-tactile feedback that is artificially delivered during immobilization. Sixteen healthy volunteers were equipped for five days with full-hand ortheses that prevented them from performing finger and hand movements but allowed for kinesthetic and tactile sensations. Eight participants received a twice-daily proprio-tactile treatment consisting of the perception of kinesthetic sensations resembling those felt during actual movements generated by miniature vibrators set in the ortheses at the finger and wrist levels. Eight untreated participants received no stimulation. The effects of hand immobilization and treatment were assessed by fMRI during a calibrated voluntary hand movement task and hand tactile stimulation before cast placement and immediately after cast removal. We found that the sensorimotor network was preserved in subjects who underwent this treatment during hand immobilization, while the sensorimotor network of untreated subjects was significantly altered. These findings suggest that sensory feedback and associated movement perception may counteract disuse-induced cortical plastic changes through recruitment of a large part of the cortical network used for actual performed movement. The possibility of guiding cortical plasticity with proprioceptive augmented feedback is potentially relevant for rehabilitation efforts.NeuroImage 05/2012; 62(1):510-9. · 5.89 Impact Factor -
Article: Effets Spinaux d'Une Stimulation Vestibulaire Electrique Chez L'Homme Mise en évidence d'une Prévalence Vestibulaire et du Rôle de la Latéralisation Motrice
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ABSTRACT: Les auteurs étudient les répercussions d'une stimulation vestibulaire électrique bipolaire et monaurale sur l'excitabilité de circuits réflexes spinaux (réflexe monosynaptique de Hoffmann). Cette stimulation provoque une augmentation de l'amplitude du réflexe H. Appliquée au côté gauche elle provoque en moyenne une facilitation significativement plus importante. Ce résultat corrèle étroitement avec la déviation de la trajectoire des sujets soumis à l'épreuve de la marche aveugle. Nous faisons l'hypothèse d'une prévalence vestibulaire. Les résultats montrent par ailleurs une différence de réactivité réflexe entre les deux jambes : la facilitation des réflexes H est toujours plus importante sur la jambe non-préférentielle. Les notions de prévalence vestibulaire et d'asymétrie de la réactivitité réflexe des membres postérieurs sont discutées dans le cadre d'un contrôle différentiel d'origine centrale de structures motrices ou sensorielles symétriques.07/2009; 78(1-6):399-409. -
Article: Proprio-tactile integration for kinesthetic perception: an fMRI study.
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ABSTRACT: This study aims to identify the cerebral networks involved in the integrative processing of somesthetic inputs for kinesthetic purposes. In particular, we investigated how muscle proprioceptive and tactile messages can result in a unified percept of one's own body movements. We stimulated either separately or conjointly these two sensory channels in order to evoke kinesthetic illusions of a clockwise rotation of 10 subjects' right hand in an fMRI environment. Results first show that, whether induced by a tactile or a proprioceptive stimulation, the kinesthetic illusion was accompanied by the activation of a very similar cerebral network including cortical and subcortical sensorimotor areas, which are also classically found in passive or imagined movement tasks. In addition, the strongest kinesthetic illusions occurred under the congruent proprio-tactile co-stimulation condition. They were specifically associated to brain area activations distinct from those evidenced under the unimodal stimulations: the inferior parietal lobule, the superior temporal sulcus, the insula-claustrum region, and the cerebellum. These findings support the hypothesis that heteromodal areas may subserve multisensory integrative mechanisms at cortical and subcortical levels. They also suggest the integrative processing might consist of detection of the spatial coherence between the two kinesthetic messages involving the inferior parietal lobule activity and of a detection of their temporal coincidence via a subcortical relay, the insula structure, usually linked to the relative synchrony of different stimuli. Finally, the involvement of the superior temporal sulcus in the feeling of biological movement and that of the cerebellum in the movement timing control are also discussed.Neuropsychologia 02/2008; 46(2):567-75. · 3.64 Impact Factor -
Article: Vibration-induced post-effects: a means to improve postural asymmetry in lower leg amputees?
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ABSTRACT: Muscle vibration has been shown to induce long-lasting and oriented alteration of standing posture in healthy individuals. The postural alterations can last several minutes following the end of vibration and are called post-effects. The goal of this study was to determine whether persons with lower leg amputation that show persistent postural asymmetry after usual rehabilitation experience these postural post-effects and if this could improve their weight bearing on the prosthesis. Centre of pressure (CP) position during stance was recorded prior to and up to 13 min after a 30s unilateral vibration applied during sitting to lateral neck (trapezius) or hip (gluteus medius) muscles in 14 individuals with unilateral lower leg amputation and 18 controls. The amputees' postural asymmetry was confirmed prior to the vibration intervention. A CP displacement, without an increase in CP velocity, was observed in both groups of participants over the 13 min post-vibration. For both the neck or hip vibration sites, the CP shifts were directed in the medio-lateral plane and were oriented either towards the vibrated side or the opposite side across subjects. This led to a decrease of postural asymmetry in half of the group of amputees. Within subject, the orientation of the post-effect was constant and changed to the opposite direction with vibration of the opposite body side. It is suggested that the post-effects are produced by a change of the postural reference consequent to the sustained proprioceptive message induced during the muscle vibration period. The orientation of the post-effects is discussed in relation to the notion of reference frame preference. All in all, because post-effect orientation is constant within subject and adaptive, future studies should investigate if individuals with lower leg amputation could benefit from postural post-effects induced by muscle vibration to improve function.Gait & Posture 11/2007; 26(4):595-602. · 2.12 Impact Factor -
Article: Cerebral correlates of the "Kohnstamm phenomenon": an fMRI study.
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ABSTRACT: This paper addresses the issue of the central correlates of the "Kohnstamm phenomenon", i.e. the long-lasting involuntary muscle contraction which develops after a prolonged isometric voluntary contraction. Although this phenomenon was described as early as 1915, the mechanisms underlying these post-effects are not yet understood. It was therefore proposed to investigate whether specific brain areas may be involved in the motor post-effects induced by either wrist muscle contraction or vibration using the fMRI method. For this purpose, experiments were carried out on the right wrist of 11 healthy subjects. Muscle activity (EMG) and regional cerebral blood flow were recorded during isometric voluntary muscle contraction and muscle vibration, as well as during the subsequent involuntary contractions (the post-effects) which occurred under both conditions. Brain activations were found to occur during the post-contraction and post-vibration periods, which were very similar under both conditions. Brain activation involved motor-related areas usually responsible for voluntary motor command (primary sensory and motor cortices, premotor cortex, anterior and posterior cingulate gyrus) and sensorimotor integration structures such as the posterior parietal cortex. Comparisons between the patterns of brain activation associated with the involuntary post-effects and those accompanying voluntary contraction showed that cerebellar vermis was activated during the post-effect periods whereas the supplementary motor area was activated only during the induction periods. Although post-effects originate from asymmetric proprioceptive inputs, they might also involve a central network where the motor and somatosensory areas and the cerebellum play a key role. In functional terms, they might result from the adaptive recalibration of the postural reference frame altered by the sustained proprioceptive inputs elicited by muscle contraction and vibration.NeuroImage 02/2007; 34(2):774-83. · 5.89 Impact Factor
