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ABSTRACT: Due to the heterogeneous nature of most brain injuries, the contributions of gray and white matter involvement to motor deficits and recovery potential remain obscure. We tested the hypothesis that duration of hand motor impairment and recovery of skilled arm and hand motor function depends on the volume of gray and white matter damage of the frontal lobe. Lesions of the primary motor cortex (M1), M1 + lateral premotor cortex (LPMC), M1 + LPMC + supplementary motor cortex (M2) or multifocal lesions affecting motor areas and medial prefrontal cortex were evaluated in rhesus monkeys. Fine hand motor function was quantitatively assessed pre-lesion and for 3-12 months post-lesion using two motor tests. White and gray matter lesion volumes were determined using histological and quantitative methods. Regression analyses showed that duration of fine hand motor impairment was strongly correlated (R(2)>0.8) with the volume of gray and white matter lesions, with white matter lesion volume being the primary predictor of impairment duration. Level of recovery of fine hand motor skill was also well correlated (R(2)>0.5) with gray and white matter lesion volume. In some monkeys post-lesion skill exceeded pre-lesion skill in one or both motor tasks demonstrating that continued post-injury task practice can improve motor performance after localized loss of frontal motor cortex. These findings will assist in interpreting acute motor deficits, predicting the time course and expected level of functional recovery, and designing therapeutic strategies in patients with localized frontal lobe injury or neurosurgical resection.
Experimental Neurology 09/2009; 220(1):90-108. · 4.70 Impact Factor
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ABSTRACT: We studied possible frames of reference for kinesthetic perception of imposed hand motion direction in the frontal plane in ten young adult subjects with no history of neuromuscular disease. In one experiment, subjects were instructed to set unseen hand motion imposed by a motorized linear slide device parallel to the trunk-fixed longitudinal axis, seven visually specified axes and vertical (gravitational axis) while in a standard erect head/trunk posture and with head/trunk orientation varied. The visually specified axes were presented on a head-mounted display that also blocked vision of the external environment. In a second experiment using the same device, subjects set unseen hand motion parallel to vertical and to subjective oblique directions of 45 degrees clockwise (cw) and counter clockwise (ccw) from vertical in erect and varied head/trunk postures. Errors for setting hand motion to vertical and to verbally specified oblique axes (45 degrees cw and ccw from vertical) were lower than to the trunk longitudinal axis and visually specified axes. There were clear oblique effects in setting hand motion to visually specified axes and to subjective oblique (45 degrees cw and ccw) axes. When head and trunk orientation were varied, variable errors were higher for all axes, but remained lowest for vertical and subjective oblique axes. Moreover, errors for setting hand motion to all axes depended on head/trunk orientation. Overall, these results show that kinesthetic perception of imposed hand motion uses a subjective gravitational frame of reference that varies somewhat with head/trunk orientation.
Experimental Brain Research 04/2008; 186(2):237-48. · 2.39 Impact Factor
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ABSTRACT: We present a modification of the automated movement assessment panel [Gash DM, Zhang Z, Umberger G, Mahood K, Smith M, Smith C, et al. An automated movement assessment panel for upper limb motor functions in rhesus monkeys and humans. J Neurosci Methods 1999;89:111-7] that incorporates a three-dimensional load cell to record forces applied by monkeys while manipulating food targets. The absolute force-time integral (total absolute impulse) is used to characterize the total of the applied forces over time as the food (carrot chip with a hole punched through the center) is manipulated and lifted from a flat surface (easiest task) and threaded over a straight rod (medium difficulty) or curved rod (highest difficulty). The total impulse can be measured even on unsuccessful attempts to acquire the food. Thus, it can be used to evaluate changes in performance even before successful acquisition occurs as in learning or recovery following a nervous system insult. We show from tests in three rhesus monkeys that the total absolute impulse measure is sensitive to task complexity, learning and lesion of frontal lobe motor areas (in one case) and that there is good reliability in day-to-day performance (even with long periods between performances) after the monkey has learned the task. Importantly, the task requires minimal training as the monkeys can be successful on even the most difficult of these tasks with one or two training sessions, yet performance improvements continue to occur over several testing sessions. Furthermore, the three levels of task difficulty permit analysis of a progression of ability.
Journal of Neuroscience Methods 07/2006; 154(1-2):38-44. · 1.98 Impact Factor
