Bimanual coordination: electrophysiological and psychophysical study. Thesis for the degree “ Doctor of Philosophy” By Anna Gribova Submitted to the senate of the Hebrew University in Jerusalem December 2001 This work was carried out under the supervision of Prof. Eilon Vaadia Prof Hagai Bergman Acknowledgments I would like to thank my supervisor prof. Eilon Vaadia for the long way we went together, for encouraging me to find and express my own ideas during my PhD work and for his all time available support and supervision during my work. I would like to thank my second supervisor prof. Hagai Bergman for very helpful advises and support during my work. I would like to thank all my collaborators, especially Simone Cardoso de Oliviera and Opher Donchin for sharing the years of experimental work. I would like to thank my parents, especially my mother for giving me support and strength to believe in myself. And finally, I would like to thank my Yoga Teachers: Andre Siderski, Shandor Remete, Zipi Negev and Orit Sen-Gupta who help me to go my own way through many others. I thank Luxemburg foundation for the price I got. I thank Mifal ha-Paise foundation by M.Landau for the fellowship during the last year of my research. I thank Alexandra Mahler and Gil Alroy for the help in editing this work. Bimanual coordination: electrophysiological and psychophysical study. ABSTRACT This work combines psychophysical studies in humans and monkeys with neural recordings from monkeys, in an attempt to study the mechanisms of coordination and execution of bimanual movements. The results of our study suggest that bimanual movement is a different entity from unimanual movement. The notion that bimanual movement is planned as a whole may explain the “bimanual coupling” paradigm and “bimanual specific activity”, found previously in our lab. In addition, it leads to a more holistic view of motor planning problem, its preferences and restrictions. Using the non-structured scribbling task in humans, we demonstrated that both hands are naturally coupled when special restrictions are not imposed. We advanced one step further by showing that non-symmetric bimanual movement is unexpectedly hard to perform and requires special learning. These simple experiments revealed the existence of a common plan for both hands. In the center-out task in both humans and monkeys we continued to study the dynamics of inter-arm coupling and found that it is high even before movement starts, and that it gradually decreases towards the end of the movement. This type of dynamics supports the notion that according to the brain original blueprint the two arms are coupled and that decoupling occurs due to a separate proprio-receptive negative feedback to each arm. As a possible neural correlate to this phenomenon, we found in monkeys that the LFP cross-correlations are high before movement starts and decrease as the movement is performed. The time scales for the inter-arm coupling decrease and the LFP cross-correlation decrease were very similar. In the same center-out task we compared bimanual performance with the unimanual movement from which it is composed and showed that the bimanual movement does not have a higher reaction time (RT) then the unimanual one. Furthermore we demonstrated in monkeys that the preparatory neural activity is significantly longer for unimanual non-dominant movements and equal for the bimanual and unimanual dominant movements. These findings support the notion that bimanual movement is not a combination of unimanual ones. Supplementary motor area (SMA) lesion study in monkeys revealed some transient changes in behavior; followed by some compensatory changes in primary motor cortex (MI). We found that MI activity in the absence of SMA is involved in the control of both sides of the body. The present study indicates that each hemisphere has information about both arms. Under normal conditions, this control is most likely obscured by the inhibition imposed by SMA on MI. A comparison of right and left MI reveals that there are functional differences between the two sides of the brain. These differences are small and further research with a larger monkey database is required to substantiate our conclusions. Contents: Introduction 1. General introduction and working hypothesis Prolog………………………………………………………………….1-4 Scientific background…………………………………………………4-10 Working hypothesis…………………………………………………..10-13 2. The interconnection between the various parts of this work ….....14-15 Experiments and results Chapter A: Psychophysics of Scribbling 1. Introduction ………………………………………………………….16-22 2. Methods ……………………………………………………………...17-18 3. Results ………………………………………………………………...18-22 4. Intermediate summary, discussion and conclusions …………………..22-24 Chapter B: Psychophysiology article (in preparation) Chapter C: SMA lesion in two monkeys 1. Introduction ………………………………………………………………25 2. Methods ………………………………………………………………..25-35 3. Results …………………………………………………………………35-46 4. Intermediate summary, discussion and conclusions …………………….46-49 Chapter D: Comparison of right and left arm-related MI in four monkeys 1. Introduction ……………………………………………………………..49-50 2. Methods …………………………………………………………………50-53 3. Results ………………………………………………………………….54-59 4. Intermediate summary, discussion and conclusions ……………………..59-60 Chapter E: General conclusions and discussion: 1. Overall summary and conclusion ……………………………………61-64 2. Further suggestions for implementation of this research ………….64-66 3. Appendix 0: Protocol of writing experiments. Reference list. ………………………………………………………..67-77 Appendix: Additional publications Introduction Section 1: General introduction and working hypothesis. Prolog. On the course of this work, emphasis was placed on combining psychophysical and physiological approaches in order to study the mechanisms involved in the coordination and execution of bimanual movements. Natural movements almost always require the coordination of different limbs. For example, when one observes how the two arms move, one can see that there is a natural tendency to move both arms in some correlated fashion. Yet, we can clearly operate each arm alone. Let us consider the following example. If you are a righthanded person, try to write a word using the left hand; now do it using both hands as a simultaneous drawing. Which of the two tasks is easier? For most subjects, the second is easier. In general, tasks in which the two hands move in a similar way are easier. For example, if you try to write using your dominant hand, while the other hand is typing the same text on the keyboard – you will find that this is an impossible task. Arm movements can be divided to three categories: 1) Unimanual movements where only one of the arms moves. Some movements are typically unimanual: e.g. writing, drawing. 2) Symmetric bimanual movements where both arms move together or in opposite directions around a plane of symmetry. Examples of symmetric limb movements are hand clapping, walking, hand movements associated with speech. 1 3) Non-symmetric bimanual movements where the two hands move in a nonsymmetric fashion, e.g.: tying shoelaces, playing the piano or violin, some kinds of dancing. If one executes a movement, which involves more than one limb – one actually performs at least two movements. Thus: inter-limb-coordination may be considered as generation of a “unitary motor action” from elements of several movements. Taking the example of bimanual movements, it is common knowledge that the more different the movement executed simultaneously by the two hands, the more difficult it is. For example, it is very easy to draw a triangle or a circle using one hand. But, to draw simultaneously a triangle with one hand and a circle with the other is very difficult. Yet, to draw two circles (or triangles) simultaneously, using both hands is, again, an easy task. These simple observations reveal some of the restrictions and preferences of the motor system. This shows that there are different types of bimanual movements and that they are not merely the sum of two unimanual movements. All these observations should be included in the concept of coordination. To execute any movement, the motor system has to compute desired values for each point in time for each muscle, joint and limb. This complex computation is, no doubt, a time-consuming process. Therefore, it also reasonable that the nervous system contain internal representation of compound bimanual movements as unitary motor actions. An important feature of the system is the redundancy in the degrees of freedom. Namely, each movement can be executed in several different ways. Bernstein defined motor coordination as “the process of mastering redundant degrees of freedom of the moving organ, in other words its conversion to a controllable system ” (Bernstein, 1967,1990). In other words, this mastery means finding some optimal time-efficient algorithms to control high degree of freedom (DF) system. This “controllable system” is a real time computational one. Therefore, minimization of the time required for each computation during the movement is of prime 2 importance. Let us assume that “easy” motor tasks (like symmetrical bimanual movements) are less demanding computationally, while harder tasks requires more complex, time-consuming computation. To apply this approach to definitions of difficulty for “bimanual coordination,” we may define coordination that require less computations – as “easier.” Looking at the same issue in terms of DF, we may describe “difficulty” as follows: The number of DF of a movement proportional to the number of joints associated with it. In relation to bimanual coordination, we introduce the term: “Functional DF (FDF),” which is the actual number of independent uses of the joints while a certain movement is executed. This is to indicate that the system may be designed to reduce the actual number of DF while executing a certain movement. Note that the number of independently moving joints is always equal to or less than the anatomical number of joints in the given limb (DF ≥ FDF). The difficulty in bimanual coordination is, therefore, proportional to the level of interlimb independence in the movement: namely, it is proportional to the FDF. In summary, I suggest that the level of difficulty of interlimb coordination reflects the need to increase the number of controlled degrees of freedom in order to execute the particular movement. To demonstrate the interesting impact of such an approach, let us briefly consider an example from robotics. What are the differences between robots and humans from the mechanical point of view? The most striking difference is the perfectly smooth and very rapid performance of multi-joint and multi-limb manipulations by humans as compared with robots. The main advantage of the real brain is probably its ability to coordinate the joints in time and in space in a very efficient mode. The timing problem is readily solved, but the space problem (where to place the joint) remains a restricting factor in modern robots. To generate a finer movement by a robot (particularly in space) – we need to increase the number of DF. The result: The cost in computation demands rise exponentially (!). These computational problems limit the possible number of joints in all artificial systems. In simplistic terms, one could say that the robots are limited by the fact that the number of FDF is always equal to the DF (the sum of the degrees of 3 freedom of the joints). This, I believe, is the main advantage of the living brain. It can reduce the number of DF to number of FDF according to functional demands. This means that our brain does not have to continuously calculate the coordinates for each joint, but only for the independent joints. Therefore, we find that human (and other animals) can easily coordinate joints and limbs on a very short time scale. This notion serves as a guideline throughout this study. Scientific Background Psychophysics. Whenever we perform simultaneous movement of multiple body parts, their movement has to be coordinated in some way. One straightforward suggestion could be that isolated movements, e.g. of one arm, are easier to produce than bimanual movements. If true, movement coordination requires an extra process and it should be reflected in greater processing time. Indeed, some studies have reported that bimanual movement requires longer reaction times then unimanual ones (Kelso et. al., 1979, Garry et. al., 2000). Other studies, however, did not confirm this hypothesis, since they observed this effect only in certain bimanual tasks (Aglioti et. al., 1993, Anson et. al., 1993). Studies of interlimb coupling in 5-12-month-old infants (Fagard et. al., 1997, Bresson et. al., 1977, Corbetta et. al., 1996, Gesell et. al., 1947) demonstrated that although there are fluctuations between uni- and bimanual reaching during the first year of life, frequent bimanual reaching (5-6 months, end of the first year) alternate with periods of frequent unimanual reaching (7-9 months). Yomanishi et. al. (1980) first found that two coordination patterns of arm movements, corresponding to in-phase (symmetric) and anti-phase (opposite) were “preferred” by the motor system. This preference is expressed in two ways: first, movement variability is lower, and second, other phasing patterns tend to shift toward in-phase or 4 anti-phase. Later, other studies revealed strong tendency to produce spatially (Franz et. al., 1996,2001, Swinnen et. al., 1997, Bogaerts et. al., 2001) and temporally coupled arm movements (Franz et. al., 1997, Eliassen et. al., 2000, Kelso et. al., 1984, Semjen et. al., 1995, Byblow et. al., 1998, 2000, Walter & Swinnen 1990, Swinnen et. al., 1996, 1997 a&b), supporting the hypothesis of unified, rather then separate, coding of bimanual movement. Cunningham et. al. (1989) studied the human psychophysics of movement trajectories in different map transformations. They showed that a transformation of 180º has significantly smaller effect on performance, in comparison with other transformations. This may explain why human subjects make opposite movements as easily as symmetrical ones. Tuller and Kelso (1989) examined between-hand rhythmic movement patterns in normal (musicians and nonmusicians) and split-brain subjects. Only two phase-locked states, in-phase and anti-phase, were shown to be stable in all subjects. Split-brain subjects showed an even greater tendency toward these patterns, thus refuting the notion that reduced cortical interactions between the hemispheres allows independent visuomotor control of the hands in such a task. However, in spatial coupling, interhemispheric interactions may play a more central role. Split-brain subjects are more adapt then normal subject at decoupling spatial aspects of bimanual movements (Franz et. al., 1996, Eleassen et. al., 2000). It has been suggested that spatial coupling may be a simple byproduct of biomechanical coupling of two arms, but two studies contradict this hypothesis. Franz and Ramachandran (1998) showed that amputees with phantom limb effects produce spatial coupling even though the amputated limb cannot move, and similar results were obtained in normal subjects who move one arm, while imagining movement of the other (Heuer et. al., 1998). To summarize this section, there are two main contradictory hypotheses put forward by psychologists, relating to bimanual motor planning: 5 According to one hypothesis there is a "coordinating schema" (originally suggested for the interaction of reach and grasp, Hoff & Arbib, 1993), which coordinates between two independent motor plans by rescaling the individual movements such that they are temporally aligned. Proponents of this hypothesis claim it is conceivable that the coordinative schema requires additional cognitive resources, and probably also additional time to fulfill its task. Demonstration of longer reaction time for bimanual as compared with unimanual movement could support this notion. The other hypothesis is that bimanual movements are not generated on the basis of two independent motor plans, but rather by a single common movement plan, a "generalized motor program" (GMP) (Schmidt 1975, Schmidt et al., 1979). As a variant of this notion, the term "coordinative structure" was coined for collectives (synergies) of muscles that can be controlled jointly as a single functional unit (Easton, 1972, Turvey, 1977). Like the GMP, the "coordinative structure" enhances coding efficiency by reducing the number of separately controlled degrees of freedom (Bernstein, 1967,1990, Turvey, 1977), and explains the tendency towards common timing of bimanual movements. In this framework, a bimanual movement, similarly to a unimanual movement, should be a motor pattern, and, therefore, no differences between bimanual and unimanual movements should be expected. Physiology. Physiological studies of bimanual coordination mainly focused on two cortical areas. One is the supplementary motor area (SMA) and the other is the primary motor area (MI). MI is related to movement parameters such as force (Evarts et. al., 1983), direction of movement (Gourgopolous et. al., 1982, 1995, and Schwartz et. al, 1988), muscle activity (Scott et. al., 1997), velocity and acceleration (Fu et. al., 1995), and is also involved in bimanual coordination (Donchin et. al., 1998, 2001 a&b, Kermadi et. al., 1998). SMA is a secondary motor cortex thought to be associated with learned non-automated complex motor tasks (Halsband et. al., 1993; Lang et. al., 1990,1988), initiation and programming of sequences of complex movements (Brinkman and 6 Porter, 1979; Luppino et. al., 1991, Chen et. al., 1995), internally initiated movements (Kurata and Wise, 1988; Halsband et. al., 1993), the control of posture (Wiesendanger et. al., 1987; Viallet et. al., 1992) and bimanual movements (Wisendanger et. al., 1994,96; Uhl et. al., 1996, Tanji et. al., 1988, Donchin et. al., 1998, 2001 a&b). The SMA is reciprocally connected with its contralateral homotopic area, and bilaterally, with the upper parts of area 6 and with MI (Karol and Pandya, 1971; Pandya and Vignolo, 1971). The SMA also receives dense heterotopic callosal projections from the contralateral rostral and caudal cingulate motor areas, moderate projections from the lateral premotor cortex, and sparse projections from the MI. The involvement of subcortical structures in bilateral coordination may also be important, since the SMA is connected with a number of subcortical structures involved in motor functions. These connections include bilateral ones with the striatum, ipsilateral connection with the thalamus, red nucleus, pontine nuclei, and dorsal column nuclei, and direct bilateral corticospinal projections (Jones et. al., 1977; Kuypers and Lawrence, 1967; Porter, 1990; Luppino et. al., 1994). Parkinson disease (PD) is associated with a loss of nigral dopaminergic neurons projecting to the striatum, particularly to the dorsal putamen (Brooks et. al., 1990). The major output of the putamen is to the SMA (Alexander et. al., 1990), via the pallidum and ventrolateral thalamus. Disruption of the nigrostriatal projections may be responsible for the development of akinesia in PD, as it results in functional deafferentation of the SMA (Dick et. al. 1986, DeLong et. al 1990). Indeed, compared with normal subjects, PD patients exhibit a relatively reduced signal in the SMA, as was shown in PET (Playford et. al., 1992, Rascol et. al., 1992) and fMRI studies (Sabatini et. al., 2000). It is known that PD patients experience difficulty in performing two different tasks simultaneously (Brown et. al., 1993). Schwab et. al. (1954) reported that the ability of PD patients to perform two simultaneous tasks, squeezing a bulb ergograth with one hand and drawing triangles with the other hand was impaired. The similarity of 7 “mirror movement” symptoms caused by SMA lesion and Parkinson disease symptoms reflects the tight connections between the basal ganglia and the SMA, and further support the notion that coordination requires interactions between different structures. This issue deserves further research. All this suggests that bimanual coordination may involve complex interactions between many brain areas, rather than localized activation of a single area. Further support to this view was provided by lesion studies as described in the next section. Lesion studies. Brinkman et. al. (1981,1984) studied short-term and long-term behavioral effects in unilateral lesions of the SMA. Two SMA-lesioned monkeys showed a characteristic deficit of bimanual coordination in which the two hands tended to behave in a similar manner, instead of sharing the task between them. Callosal section immediately abolished the bimanual deficit, although the clumsiness returned transiently. It is known that lesions in the SMA in humans (Viallet 1992; Chan et. al., 1988, Shimamura et. al., 2001) and in monkeys (Brinkman et. al., 1981,84) cause a tendency toward mirror movements of the two hands. Brinkman demonstrated that callosotomy abolished the mirror movement tendency, suggesting that most of the hand synergy networks pass through the corpus callosium. Chan and Ross (1988) described a patient with a right-sided infarction involving the SMA that developed mirror movements and had a particular difficulty in performing nonsymmetrical movements, like threading a needle or climbing a rope. When he was asked to pretend to drive a car, instead of moving both hands in the same circular direction in order to turn the steering wheel, he moved them in an arc either up or down towards each other. He recognized the error but was unable to perform the task correctly. When asked to imitate the examiner, however, he could reproduce the correct movement after some hesitation. This person was right-handed in writing, and 8 when he was asked to write with his left hand, the writing was always mirror-imaged. Bimanual coordination is also impaired in chronic schizophrenia probably due to SMA disfunctioning or/and faulty callosal integration (Bellgrove et. al., 2001). Conclusion There are two main hypothesis relating to bimanual motor planning: The first, mainly based on psychophysical research in humans and some electrophysiological studies, suggests that there is a common movement plan. The second, based on psychophysical studies and the “well-known” physiological fact that motor areas control their contra lateral side of the body, suggests that there are two independent motor plans for both hands. The well-known dogma of contralateral control is based on work recording ONLY one side of the brain during movement of contralateral hand ONLY. In recent years more and more groups have reported a relatively high ipsilateral and bilateral activity in motor cortical areas during unimanual movement. To summarize this section, although electrophysiological and lesion studies have allowed us to amass a great deal of knowledge regarding the role of different motor areas participating in motor control, neither of the two possibilities has been completely rejected or accepted. The current level of physiological research does not enable us to see the whole picture of a multiple motor areas network functioning to produce a certain movement. Working hypothesis. We hypothesize that there are two main neural networks participating in motor planning. The first, codes “bimanual default” movements, the second - unimanual dominant movements. These functional networks, which partly overlap, are able to reorganize and adapt themselves according to behavioral demands. In absence of other instructions, the “bimanual default” leads to bimanual symmetric movement. 9 Different motor areas are associated with these motor programs: MI is mostly engaged in coding default (bimanual symmetric) movements, while SMA and the Basal Ganglia (BG) play an important role in breaking the default symmetry. Rationale Evolutionary, physiological systems developed according to functional demands. In this context, I suggest that symmetrical movements are more “natural” and common (walking, climbing trees, grasping food, etc). This may explain why the motor system was designed for symmetrical movements. On the other hand, from the early childhood humans are forced to use one hand more frequently and more precisely (eating, writing, etc). Therefore it is conceivable that during the development of motor behavior, in addition to the “bimanual neural network,” the brain developed a “unimanual dominant neural network” that partly overlaps with the previous one. When the SMA is injured, in the absence of symmetry-breaking mechanisms, the system tends to mirror movements. Mirror movements can be seen as the inability to increase the system’s degrees of freedom for non-symmetric (independent) movement. It has been found (Woolsey et. al., 1952; Penfield and Welch, 1951; Welker et. al., 1957) that stimulation of the SMA in anesthetized animals elicits complex movements, often involving more than one joint, and, only rarely, distal extremity movement. It should be stressed that our hypothesis and the mentioned above investigations are distinguish between the proximal and the distal parts of the body. In the early evolution of man, he learned to work with the distal arm (fingers) in a very independent manner. It is known that the two MI are poorly connected through the corpus callosium for the hand and fingers, and well connected for the upper arm (Rouiller et. al., 1994). Functionally, there is a fundamental difference between the control of the proximal and distal parts of the limb (Gazzaniga et. al., 1998, Jakobson et. al., 1994). Therefore, “bimanual symmetrical default” is related more to the proximal part of the arm. 10 If we accept for a moment that the role of the SMA is to increase the number of DF in the motor system, this may explain the appearance of complex multijoint movements after stimulation of the SMA. It is important to note that the SMA modulates the MI to generate complex multijoint movement (without the MI this effect is not seen). It is known that a BG lesion is followed by reduced activity in the SMA (Jenkins et. al., 1992; Dick et. al., 1986; Deeke et. al., 1987). This is usually explained by the dense neuron projection from BG to SMA. It is likely that in BG diseases like PD, some of the motor deficits are not caused by damage to the BG itself, but by decreased SMA activity. Therefore the behavioral deficits of coordination are similar in these two kinds of lesions. An example of this similarity is shown in our SMA lesion study. Experimental predictions of the working hypothesis: 1. The hypothesis assumes that limbs should be programmed to move in a coordinated fashion as a default choice. Interhand coupling reduces the FDF (functional degrees of freedom) and, therefore, simplify the computation of the movement. 2. The hypothesis assumes that performance of nonsymmetric movements requires a mechanism that breaks the default coupling. This suggests that such movements must be acquired through special learning processes. 3. The hypothesis assumes that unimanual movements resemble a particular case of bimanual nonsymmetric movements, movements of the non-dominant hand alone should be “more complicated” then in bimanual tasks. Namely, we expect longer preparation time for unimanual then for bimanual symmetric movements. 4. The hypothesis assumes that SMA (or BG) have a role in decoupling, therefore, in the absence of SMA (or BG) function, neural activity in the MI should be more related to bimanual symmetric movements then under normal conditions. 11 Section 2: The interconnection between the various parts of this work This work began with my participarion in recording neuronal activity in the MI and the SMA in monkeys during their performance of unimanual and bimanual task. In this research, carried out together with Opher Donchin and Orna Steinberg, we showed that bimanual specific neuronal activity exists in these brain areas (Donchin et. al., 1998, Donchin et. al., 2001 a&b), and concluded that bimanual movement is a different entity from unimanual movement. In order to understand the nature of this specific representation of bimanual movements, I studied several of their behavioral aspects. First, unstructured natural movements, which allowed us to test the natural tendencies of humans in producing bimanual movements. Second, well structured, center-out unimanual and bimanual movements, where we could control most of the movement parameters. In addition to the behavioral study in monkeys and humans, we recorded neural activity in monkeys during a center-out unimanual and bimanual task. Analysis of the neural recordings showed some neural correlates with the behavioral phenomena we observed. In the previous recordings (Donchin et. al., 1998, 2001) we did not find any functional difference between MI and SMA motor areas. Therefore to address the specific role of the SMA in bimanual coordination, we made lesions in the arm-related area of the SMA. Laterality analysis revealed the neural code meaning of hand preference. We suggest that hand preference plays an important role in bimanual motor planning. Cross-correlation analysis and its role in bimanual coordination were investigated with my collaborator, Simone Cardoso de Olievera. In our paper (Cardoso et. al., 2001) we describe how the neural network as a whole participates in motor coordination planning. To summarize, we integrated psychophysical, electrophysiological and lesion study approaches in order to arrive at a more holistic understanding of the nature of bimanual coordination. 12 Experiments and results Chapter A: Scribbling psychophysics. Introduction It is very easy to perform the same movement with both hands, while it pretty complicated to perform different movements simultaneously. In recent years, this bimanual coupling phenomenon has been extensively studied in various labs (Franz et. al., 1996, 1997, 2001, Eliassen et. al., 2000, Kelso et. al., 1984, Semjen et. al., 1995, Byblow et. al., 1998, 2000, Walter & Swinnen 1990, Swinnen et. al., 1996, 1997 a&b). These experiments involved relatively simple, well-instructed and structured tasks. People generally continuously draw circles, ovals or lines with two hands, using a different frequency of drawing for each hand. In these kinds of tasks it was shown that there is a tendency to temporal lock of the phase between the two hands to in-phase or anti-phase. In addition to the temporal coupling, spatial coupling was also found, where people tend to draw two ovals with both hands, although asked to draw a circle and line (Franz, 1997). This spatial coupling exists also in amputee patients who only imagine the drawing by the non-existent limb while drawing with the other (Franz et. al., 1998). Temporal coupling is enhanced in split-brain patients (Tuller et. al., 1989), whereas spatial coupling is reduced in split-brain patients (Franz et. al., 1996, 2000, Eliasen et. al., 2000). These facts lead to the conclusion that the nature of such coupling is not mechanical (some muscles in the periphery), but neural (a common plan for both hands). Knowing that such coupling exists in a well-instructed structured task, we posed the question: How does person move without any instructed constraints. For this purpose, we seated the person near a mechanical two-arm manipulandum and asked him/her to 13 perform a “chaotic movement”, where the only requirement was to move the manipulandum with both hands. The duration of the experiment was 1-3 min. Methods Behavioral setup The experimental setup is described in the papers attached to this dissertation (Donchin et al., 1998, Donchin et. al., 2001 a,b). Subjects simultaneously moved two separate manipulanda, one with each arm. Each manipulandum consisted of a lowweight, low-friction, two-joint mechanical arm, moveable only in the horizontal plane. The X and Y positions of the manipulandum handles were continuously recorded during performance of the task. The instructions were given verbally to each subject before the experiment. Two different groups participated in the experiments. The first, consisting of 9 healthy students (6 males, 3 females), aged 24-40 years, were asked to perform a “chaotic movement”, where the only requirement was to move the manipulandum with both hands. The duration of the experiment was 1-3 min. The second group consisted of 10 healthy students (7 males, 3 females) was taken mostly from our lab, who were strongly motivated to “prove us wrong.” This group was shown the results of the first group and was told that our prediction was that by default arms are strongly coupled. They then were asked to perform a “non-symmetric” movement, in order to show that both arms can be consciously decoupled. The duration of this experiment was 1-3 min. The experimental procedures were in accord with the Declaration of Helsinki (“Ethical Principles for Medical Research Involving Human Subjects”, adopted by the 18th WMA General Assembly Helsinki, Finland, June 1964 and continuously amended, last by the 52nd WMA General Assembly, Edinburgh, Scotland, October 2000). 14 Data analysis The simplest way of evaluating arm interdependency was to plot the trajectory components of both arms. As trajectory components, we took X and Y coordinates in Cartesian space, and phase and amplitude as polar coordinates. To quantify this interdependency, we calculated the correlation coefficients between the two arms for each trajectory component. These correlation coefficients were calculated for short (330-380 ms for X and Y coordinates, 80-120 ms for phase) nonoverlapping pieces of data. These lengths were chosen because this was the typical time period range of the data. The distribution of the correlation coefficient for all the data was then plotted separately for each trajectory component. Results The surprising finding from the first set of experiments was that although people tried to move their two hands randomly, there was very high inter-arm coupling during the movements. It is evident from the X and Y coordinate traces for each hand that both hands tend to perform symmetric in-phase or anti-phase movements (Fig 1). The Y inter-hand coordination was largely in anti-phase, whereas the X coordinate was usually in-phase. An additional interesting finding is that the X and Y coordinate are apparently meaningful for humans, because the coupling pattern can be orthogonal in the X compared with the Y coordinate. (X is right/left movement; Y is forward/toward the body movement). 15 Fig. 1: Bimanual “chaotic” scribbling: This figure is depicts a typical example of movement in an unstructured bimanual “chaotic” task by one subject. A. Two-dimensional traces of both hands; red - right hand; blue – left hand. B. X-projection of the movement; red - right hand; blue – left hand. C. Y-projection of the movement; red - right hand; blue – left hand. To obtain some independency from X and Y coordinate system, we used the polar coordinate system. In these coordinates the phase measurement is of prime importance, because r (amplitude) largely reflects the size of the movement (Fig 2). In these coordinates the inter-hand coupling is even more evident. Fig. 2: Bimanual “chaotic” scribbling: In here the same data as in Fig. 1 is plotted in polar coordinates. Red - right hand; blue – left hand. 16 Subjects, who performed the “non-symmetric” scribbling, reported that to do so they used different tricks, like thinking about playing different music with each arm, imagining Brownian motion or juggling. The subjects also reported that this task was unexpectedly hard to perform and demanded high concentration. When I attempted to prolong the duration of the experiment, most of the subjects asked me to terminate the experiment, because they felt too tired to continue. Analysis of the last minute of the experiment usually showed a greater tendency to inter-arm coupling than during the first minute. This means that it was hard to perform something really non-symmetric for even two minutes. Further analysis of the “non-symmetric” scribbling experiments showed that on the average, the correlation between the hands was lower than in the “chaotic scribbling”, but still quite high, indicating that in this condition as well the two arm were moving in a coordinated, rather than independent fashion (Fig 3). Fig. 3: This figure shows “chaotic” compared with “non-symmetric” scribbling Partial X and Y projections of movement plotted according to the same format as before. Normalized distribution of the correlation coefficients between the X and Y projections of the two arms is plotted separately. Cross correlation coefficients were calculated in a 375 ms time window, the average time period for all the data. A. “Chaotic” scribbling B. Nonsymmetric scribbling 17 Calculation of the distribution of phase correlation coefficients showed an even stronger tendency of both hands to work in symmetric fashion in both “chaotic” and “nonsymmetric” scribbling. An example of phase analysis of “non-symmetric” scribbling is shown in Fig. 4. Fig. 4: Phase correlations in nonsymmetric scribbling. A. Partial plot of data phases in polar coordinates for right and left hand. B. Normalized distribution of phase correlation coefficients. The cross correlation coefficients were calculated in a 100 ms time window, the average time period for all data. One person from our laboratory volunteered to learn to decouple the arms during several sessions on different days. Each day after performing a non-symmetric task he was shown the results. This allowed him to draw conclusions from his performance and to prepare a new tactic for the following day. The experiment was carried out for 4 days. Upon termination of the experiment he successfully fulfilled most of our criteria for non-symmetric performance most of the time, possibly because he know exactly which type of analysis would be applied to the data. Even at the last session, he reported that it was extremely hard to remain in non-symmetric fashion of movement during the two-minute period. 18 Intermediate summary, discussion and conclusions To summarize this section: we show that in a simple unstructured task, as close as possible to a natural movement, both hands are strongly coupled by default. Every person can consciously reduce this coupling, but significant decoupling demands special training. The main difference between our task and tasks reported in the literature is that our assignment involved minimal instructional constraints and, therefore, was closer to what humans tend to do naturally. What is the neural basis of inter-arm coupling? We know that our brain is a dynamic system that can change according to our daily needs. If we look at the most frequently used types of movement we perform, we notice that many of them are unimanual (using one hand, while the other is “paralyzed” in place) or bimanual symmetric (where both hands move in-phase or anti-phase). For example, hand movement during walking, opening a bottle, catching and talking are bimanual symmetric, whereas writing, drawing, reaching and pointing are performed using one hand only. However, bimanual nonsymmetric movements are much less common, and usually require special skills. We should bear in mind that our body is a multi-joint system with high degree of freedom. The control of such a system entails a very high computational cost. We know that our movements are relatively fast for such a high computational time. This leads us to suggest that our system most likely uses some time efficient algorithms to reduce the computational cost. One possible way to reduce the computational amount is by coding, in addition to the coordinates of each joint, the correlation value with other joints. This is reasonable in view of the fact that most of the time the joints do not move independently and, the functional number of degrees of freedom is much lower then the anatomical one. Therefore computation of the functional degrees of freedom is also lower then would be expected on the basis of the anatomical number of joints. The existence of inter-arm coupling, showed in our experiments, further supports the hypothesis of inter-joint coupling in order to reduce the computational cost for each movement. Assuming this notion is correct, we can readily understand why the 19 performance of really non-symmetric (high degree of freedom) movements demands special learning Going back to the experimental results, we showed that both hands are not independent in the simple natural task. Therefore, the FDF (functional degree of freedom) of the two hands system is lower then ADF (anatomical degree of freedom). However, in our experiments we showed only inter-dependency of the movement of both manipulanda by two hands. The next question is how this inter-hand coupling is reflected by the coupling of the different joints within and between the hands. Another student in our lab. investigates this issue now. He runs the similar series of experiments using the OPTOTRACK system, which enables us to track the position of each joint of each arm independently. 20 Chapter B: Psychophysiology article (in preparation) Neuronal correlates of temporal bimanual coordination: a combined physiological and behavioral study in monkeys and humans. Gribova A.1, Donchin O.1,3, Bergman H.1 , Vaadia E.1 , Cardoso de Oliveira, S.1,2 1: Department of Physiology and the Interdisciplinary Center for Neural Computation, The Hebrew University, Hadassah Medical School, P.O.B. 12272, Jerusalem 91120, Israel 2: present address: Institut for Arbeitsphysiologie an der Universitהt Dortmund, Ardeystr. 67, 44139 Dortmund, Germany 3: present address: Department of Biomedical Engineering, Johns Hopkins University, 720 Rutland Ave. 416 Taylor Bldg., Baltimore, MD 21205, USA Abbreviated Title: Neural correlates of bimanual coordination Text: 34 Pages Figures: 7 Tables: 1 Abstract: 205 Words Introduction: 698 Words Discussion: 1838 Words 21 Correspondence to: Simone Cardoso de Oliveira Institute for Arbeitsphysiologie An der University Dortmund Ardeystr. 67 D-44139 Dortmund Tel: ++49-(0)231-1084-311 Fax: ++49-(0)231-1084-340 email: [email protected] Acknowledgements: The research was supported in part by the Israel Science Foundation, the Israel Academy of Sciences and Humanities, the United States-Israel Binational Science Foundation, the German-Israeli Foundation for Scientific Research and Development (GIF) and the DFG (CA 245/1-1). We thank the MINERVA foundation that supported S.C.d.O. as a postdoctoral fellow, Mifal Hapise foundation for a fellowship to A.G. and the Clore Foundation for a fellowship to O.D.. We also thank G. Goelman for obtaining the MRI-pictures. Histological evaluation was performed in collaboration with S. Haber (Univ. Rochester, USA). 22 Abstract: This study investigates the programming/planning mechanisms of bimanual coordination by analyzing unimanual and bimanual movements in a combined behavioral and physiological approach. Human subjects and rhesus monkeys performed the same bimanual task. While the monkeys were engaged in the task, neuronal activity was recorded simultaneously in the two hemispheres of motor cortex. Both for monkeys and humans, the reaction times of bimanual movements never significantly exceeded the one of unimanual movements of the slowest arm. Consistent with this, the longest delay between neural activity onset and movement initiation occurred with unimanual movements of the slower arm and not with bimanual movements. Both results suggest that the programming of bimanual movements does not require more processing time than unimanual ones. In both species, movement initiation (before: reaction time) of the two arms was highly correlated. However, once movements began, the temporal correlation between the arms progressively declined. Movement decorrelation was preceded by a net decorrelation of neuronal population activity, suggesting that neuronal interactions are related to the level of bimanual coupling and decoupling. Our results suggest that bimanual movements are jointly programmed and initiated. We identified neuronal processing time and neuronal interactions as functional correlates that may underlie bimanual programming and temporal coupling in monkeys and humans. 23 Introduction: Whenever we perform simultaneous actions of multiple body parts, their movements have to be coordinated in some way to produce a joint movement pattern. How is this coordination achieved? Are the individual movement components programmed separately, and later combined into a coordinated complex movement, or is the whole movement pattern planned in a joint effort? The most popular example of motor coordination between multiple movements is the coordination between arms in bimanual movements. On the basis of behavioral findings, at least 3 different hypotheses about the mechanisms of bimanual coordination have been proposed. One hypothesis holds that there may be an independent cognitive instance, a "coordinating schema" (originally suggested for the interaction of reach and grasp, Hoff & Arbib, 1993), which could coordinate between two independent motor plans by rescaling the individual movements such that they are temporally aligned. In this view, it is conceivable that the coordinative schema will require additional cognitive resources, and probably also additional time to fulfill it's task. Finding increased reaction times for bimanual as compared to unimanual movements could support this idea. Indeed, some studies have reported that bimanual movements require longer reaction times than unimanual ones (Kelso et al 1979, Garry at al. 2000). Other studies, however, could not always confirm this hypothesis, since they found prolonged reaction times only in certain bimanual tasks (Aglioti at al. 1993, Anson & Bird, 1993). However, there are also other possibilities how bimanual coordination may come about. One of them is that the two independent motor plans interact directly with each other, resulting in crosstalk-effects (Marteniuk et al., 1984, Heuer et al., 2001). Crosstalk occurs probably on different levels, accounting both for high-level interactions at the programming stage and execution-related interactions. Recent studies have suggested that at least some components of crosstalk between bimanual movements are not static, but rather decay with increasing processing time (Heuer et al., 1998). The question arises whether these changes in crosstalk will be observable 24 during the execution of bimanual movements and will be reflected in changing levels of temporal coupling between the arms. Previous psychophysical work suggests that temporal coupling is strongest at the time when movements are started (Boessenkool et al., 1999), and that coupling may deteriorate with time (Fowler et al., 1991). If this decoupling is a result of crosstalk between the motor codes of the two arms, one may expect to find signs of these interactions within the nervous system, at the level where the motor codes are generated. An alternative view takes the trend to produce spatially and temporally coupled movements (Kelso et al., 1979, Franz et al., 1997, Eliassen et al., 2000, Kelso 1984, Semjen et al., 1995, Byblow et al., 1998, 2000, Walter & Swinnen, 1990, Swinnen et al., 1996, 1997 a&b) as support for the hypothesis that bimanual movements are not generated on the basis of two independent motor plans, but rather by a single common movement plan, a "generalized motor program" (GMP) (Schmidt 1975, Schmidt et al., 1979). As a variant of this idea, the term "coordinative structure" was coined for collectives (synergies) of muscles that can be controlled jointly as a single functional unit (Easton, 1972, Turvey 1977). Like the GMP, the "coordinative structure" enhances coding efficiency by reducing the number of separately controlled degrees of freedom (Bernstein, 1967, Turvey, 1977), and explains the tendency for common timing of bimanual movements. In this framework, a bimanual movement should be a motor pattern just as a unimanual movement, and therefore, no differences between bimanual and unimanual movements have to be expected. In order to test the plausibility of the mentioned above models of bimanual coordination, we addressed the hypotheses derived from them in a unimanual and bimanual reaching task. To get access not only to the behavioral level, but also to the underlying neuronal mechanisms, we combined the behavioral investigation with recording neuronal activity from the brain of monkeys engaged in the same bimanual task. To reveal interactions between the motor plans for both hands, we recorded in both hemispheres of primary motor cortex. 25 Previous studies provided first evidence that primary motor cortex may not only produce the motor programs of the contralateral arm, but may also be involved in bimanual coordination (Donchin et al., 1998, Kermadi et al., 1998, Cardoso de Oliveira et al., submitted, Dochin et al., submitted). A comparison of neuronal activities during bimanual and unimanual movements had revealed that the neuronal codes for both types of movements are different (Donchin et al., 1998 and submitted). This finding renders first support to the idea that composed movements are not coded by their components, but by a unified code for the whole motor pattern, as suggested by the idea of the GMP model. On the other side, however, it is also evident that hand-specific coding also exists in motor cortex (Evarts, 1979, Georgopoulos, 1982, Kakei et al., 1999). Together with the idea that each motor cortical hemisphere mainly controls the contralateral arm, one could expect that if the neural codes for both arms interact, this interaction should show up in interhemispheric correlations of neuronal activity. Indeed, studies on split-brain patients suggest that the corpus callosum is involved in both spatial and temporal crosstalk (Franz et al., 1996, Eliassen et al., 2000). By comparing behavioral interactions between the arms to the neuronal interactions, we aimed at elucidating whether neuronal interactions really can be involved in bimanual coordination. In addition, examining the time course of neuronal activation will also help to infer whether preparation of bimanual movements is more time-consuming than that of unimanual movements. This study deals with selected aspects of neuronal activity that have direct bearing to the questions raised above. Other details of the neurophysiological data are presented in separate studies (Steinberg et al., 2001 submitted, Donchin et al., 1998, 2001 a&b, Cardoso de Oliveira et al., in press). 26 Methods: Behavioral paradigm The same experimental setup was used for experiments with humans and monkeys. The experimental setup and the principle of the task design have already been described in Donchin et al., (1998 & in press). A sketch of a monkey engaged in performance of the task is shown in Fig. 1A. Subjects moved simultaneously two separate manipulanda, one with each arm. Each manipulandum was a low-weight, low-friction, two-joint mechanical arm, moveable only in the horizontal plane. Movement of each manipulandum caused movement of a corresponding cursor on a vertically oriented 21” video screen located ~50 cm in front of the subject. The movement of each cursor was mapped to its corresponding manipulandum movement such that each millimeter of manipulandum movement caused one millimeter of movement of the cursor on the video display. The time course of typical unimanual and bimanual trials was as follows. A trial began when the subject placed both cursors within 0.8 cm diameter ‘origins’ (Fig. 1A) and held them still during a hold period (of 500 ms in monkeys G and F, or 1000 ms in monkey P and humans). For each arm, a target (also 0.8 cm diameter) could appear at a distance of 3 cm (all three monkeys) from the origin, and in one of eight different directions. For humans, targets could occur at long (5 cm) or short (2.5 cm) distances from the origins. If only one target appeared — signaling a unimanual trial — the subject moved the appropriate arm and brought the corresponding cursor into the target, but did not move the other arm. If two targets appeared — signaling a bimanual trial — the subject moved both arms, such that the two cursors moved into the targets on the screen. Three types of bimanual movements were studied: parallel, opposite and perpendicular. Unimanual movements comprised movements in eight different directions (in the four cardinal directions, plus those directions 45 degrees from the cardinal directions, Fig. 1C). For humans, we also included long unimanual movements, which were components of the bimanual movement types. Monkey F and Monkey G performed parallel and opposite movements in eight directions. Monkey P 27 performed parallel, opposite and 90 degree movements in two different directions. Human subjects performed parallel and 90 degrees movements with same or different amplitudes and opposite movements. Reaction time was not restricted, but targets had to be reached within 1 s (monkey F, G and humans) or 1.5 s (monkey P) from target appearance. For bimanual trials, the subjects were additionally required to begin movement of the arms within a maximal inter-arm-interval (IAI) of 200 ms, and the targets had to be reached with an IAI of 400 ms. Following target acquisition, both arms had to be held still in the target circle for at least 500 ms. No inter-trial interval was imposed, but successful trials were rewarded with a liquid reward and were followed by a 2-second pause to allow for its consumption. In experiments with human subjects, no reward was administered, but a click signaled successful trials. In all sessions, the different movement types were presented in pseudo-random order. During the behavior hand positions and trial events were recorded continuously using in-house software built around data acquisition boards (DAP 3200e, Microstar Laboratories, Bellevue, WA, USA). 28 Fig. 1: The behavioral task. A: The monkey moved two manipulanda in the horizontal plane. The position of each manipulandum was displayed as a cross-shaped cursor on a vertical screen in front of the monkey. Each trial began by presenting two origin circles in the middle of the display (circles with crosses). After the monkey placed the cursors into the origins and held them immobile for a constant delay, the origin circles went off and two target circles appeared at different locations. In unimanual trials, one circle appeared in the same location as the origin (for the non-moved hand). The other circle was displaced from the origin in one of the eight directions shown in C. B: Sketch of the raisin boards used. Each well was supplied with a raisin and the monkey’s task was to retrieve them at its own pace, and with either hand. The upper board tested simple reaching, while the lower one required finger coordination to produce a precision grip. C: Unimanual movements could be in one of the eight directions shown here. D: Schematic representation of the bimanual movements used in our task. Upward arrows in C and D correspond to forward movements of the monkey, and downward arrows to backward movements towards the chest of the monkey. 29 Monkeys Three female rhesus monkeys (Macaca mulatta) (monkey F, 3.5 kg, monkey G, 3.5 kg, and monkey P, 4 kg) were trained in the task. They were familiarized with the task in a step-by-step procedure lasting for 6-10 months. The behavioral data presented here were collected after extensive training, and after the monkeys reached a stable level of performance in all movements types. During the sessions used for this study, neuronal activity was also recorded (see below). After completion of this set of recordings, monkey G has been trained in a different set of movements. This second set of recordings and recordings from monkey P have been analyzed also in another study that deals in more detail with LFP dynamics (Cardoso de Oliveira et al., submitted). In order to test the hand preference in monkeys, we used two ‘raisin board’ tasks (see Fig. 1B). The first consisted of a 12.5 x 34 cm perspex board into which 9 wells of 4 cm diameter were drilled. This arrangement allowed fast retrieval of food reward out of the wells by whole-arm reaching grasping. The second was a 10 x 20 cm perspex board with 15 elongated slots (15 mm long, 6 mm deep and 6 mm wide) oriented randomly at 0, 45, 90, 135 or 180 degrees. The spatial dimensions of the wells required retrieval of food by opposing thumb and index finger in a precision grip (Brinkman, 1984). Each well was loaded with a raisin by the experimenter. The monkey sat in the primate chair and was presented the board, which was positioned in the middle, ~ 30 cm in front of the monkey’s chest. The monkey rapidly collected all raisins from the wells. The behavior of the monkey was videotaped, and hand preference was determined by counting how often the monkey used either hand to retrieve the raisins. Human subjects All human subjects (age 23-32, 2 female, 4 male, 5 right-handed, 2 left-handed, according to a modified Edinburgh inventory questionnaire, Oldfield, 1971) gave their informed consent and were naive to the purpose of the experiment. None of the subjects was aware of any neurological or neuromuscular abnormalities. The experimental procedures were in agreement with the Declaration of Helsinki ("Ethical 30 Principles for Medical Research Involving Human Subjects", adopted by the 18th WMA General Assembly Helsinki, Finland, June 1964 and continuously amended. last by 52nd WMA General Assembly, Edinburgh, Scotland, October 2000) . Each human subject performed 3-6 sessions on different days. Only sessions with at least 60 % successfully performed trials were included in this study. In some subjects, the first session did not conform to this criterion and were discarded. Recording of neuronal activity in monkeys After completing the training period, two recording chambers (exposing the primary motor cortex) and a head holder were implanted on the skull. Surgery was performed as described before (Donchin et al., 1998, and in press, Cardoso et al, submitted). The animals’ care and all surgical procedures were in accordance with the NIH Guide for the Care and Use of Laboratory Animals (rev. 1996) and all applicable Hebrew University regulations. During recording sessions, the monkey was seated in a primate chair placed in a dark chamber with its head fixed. Single unit activity and LFPs were recorded by eight glass-coated tungsten microelectrodes (impedance 0.2-0.8 MΩ at 1 kHz) in the two hemispheres (four electrodes in each hemisphere). Electrodes were individually driven. Therefore the depth of electrodes could vary, but the perpendicular distance between electrodes was approximately 500 μm. The electrode signals were amplified and filtered by a multi-channel analog data processor (MCP, Alpha-Omega, Nazareth, Israel). The raw wideband signal was subjected to two different ranges of band-pass filters in order to yield spike activity (filtered between 300 Hz and 8 kHz) and LFP signals (filtered between 1 and 150 Hz). Neurons were selected for recording on the basis of the isolation quality of their spike waveforms and stability of their firing rates. We used the MSD sorter (Alpha-Omega, Nazareth, Israel) to isolate the spiking activity of up to three neurons per electrode based on an eight-point template-matching algorithm. Spike occurrences and behavioral events were recorded with a temporal resolution of 24 kHz, but were down-sampled off-line to a resolution of 400 Hz. The waveforms of all detected 31 spikes and all unclassified threshold crossings were also sampled at 24 kHz allowing off-line confirmation of spike sorting. The LFP data were sampled at 400 Hz. Selection of recording sites Four electrodes were advanced into the brain at each penetration coordinate. After penetrating the dura mater, electrodes were separately advanced until well-isolated units were detected. Recording sites were not especially selected for activity related to movements, but for the occurrence of stable single unit recordings (as judged by stability of spike amplitude and spike rate). At the end of each recording session, we tested for neuronal responses to passive manipulation and tactile stimulation of the limbs, tail, trunk and head. Evoked activity was evaluated by listening to the amplified spike signal passed directly into a loudspeaker. Finally, we applied intracortical microstimulation (ICMS) with 50 ms trains of 200 μs cathodal pulses at 300 Hz with an intensity of 10-80 μA (BPG-2 and BSI-2, BAK Electronics, Germantown, MD). When ICMS evoked movements, we documented the movements evoked and the threshold stimulation intensity. Stimulation and passive manipulation were performed at the end of each recording session, as well as in dedicated mapping penetrations. For this study, we only included recording sites that were well within the arm representation, as determined by passive stimulation and ICMS. Confirmation of recordings sites: After completion of recordings, monkey G and F were sacrificed and the brains histologically processed and Nissl stained. Penetration positions were determined by mapping them onto the surface of the brain using the chamber coordinates and positions. Since monkey P is still participating in experiments, the locations of the recording sites in this monkey were confirmed by magnetic resonance images. Most of our recordings were in the exposed part of primary motor cortex, but some of the more anterior sites in monkey G were located in the caudal portion of dorsal premotor cortex. 32 Data analysis: Behavioral data All trials were aligned upon the beginning of movement of the hand that moved first. Movement onsets (Mon) were determined by an off-line algorithm, and doublechecked manually. The algorithm (courtesy of A. Arieli) calculated the zero intercept of a line passing through two points on the velocity profile. One point was at 2/3 of the peak speed and the other was at 1/3 of the peak speed. It also included corrections for different special cases of unusual velocity profiles. Alternatively, we also used an online movement onset definition, which was defined using two velocity thresholds, checked at different intervals. The more restrictive (15 mm/s) was averaged over a greater time window (approximately 100 ms) and this prevented slow drift of the arms. The less restrictive (30 mm/s) was averaged over a shorter time window. The end of movement (Moff) was similarly determined offline, based on two thresholds, which were set to 5 and 3 times the averaged velocity noise in a 100 ms window before movement onset. Movement offset was detected at the time when the more restrictive threshold was crossed, if after the crossing the average velocity remained for 200 ms below the less restrictive threshold. Reaction time (RT) and movement time (MT) were calculated separately for each hand and each movement. RT was defined as the time interval between target onset and Mon of the respective hand. MT was defined as the interval between Mon and Moff. To elucidate differences in the execution of bimanual and unimanual movements, we compared the RT, time to peak velocity (TTP), and MT of a given arm in bimanual movements to the corresponding unimanual movements (non-parametric Mann Whitney test, Siegel, 1956, p.126). To assess the time course of bimanual correlations, we also determined the times of additional movement landmarks of the velocity profile. These were the times when movements reached 1/3 of their peak velocities (t1), 2/3 of their peak velocities (t2) and peak velocity (t3) during the accelerating phase, and the times at which 2/3 (t4) and 1/3 (t5) of the peak velocity were reached in the decelerating phase. Temporal 33 correlations between the movements of both arms were assessed by correlating these temporal landmarks of both arms with each other, using the non-parametric Spearman rank correlation coefficient (Siegel, p. 202 ff). To compare the inter-arm synchronization at the beginning and the end of the movement, we compared the time difference (inter-hand-interval, IHI) between the temporal landmarks of each movement (RTs, t1-t5, MTs, the arrival times at the target = target acquisition time, TAT). Neuronal data All cell recordings were assessed for inter-trial stability, and only stable portions were analyzed. To compare the onsets of movements to the beginning of significant neuronal activation, we determined the onsets of neural activity changes for each cell using the CUSUM algorithm (Ellaway 1977, Davey et al. 1986). This procedure was performed on the basis of the average firing rate within a time window of 200 ms before to 300 ms after movement onset (as defined by the offline detection algorithm). We used two thresholds, the stricter one being four times the confidence limit as defined in Ellaway (1977) and the less strict one 1.5 times the confidence limit. Onsets were limited to the time from target appearance to 400 ms after movement initiation. The distribution of activity onsets of each bimanual movement type was compared to the one of the corresponding unimanual movements. The significance of the difference was tested using the non-parametric Mann Whitney test. We next sought to compare the time course of movement correlations to the correlations between neural activities within the cortical hemispheres. To that end, we analyzed the LFP signals of each pair and movement type within several time windows corresponding to behavioral landmarks. These windows contained the LFPs from Mon to the averaged TTP, from the averaged TTP to the averaged movement offset (Moff), and from Moff to 200ms after Moff. In addition, two windows of 200 ms duration were analyzed before Mon (-400 to -200 ms before Mon , and -200 ms to Mon). The average Mon, TTP and Moff were determined from the same movement type, and were always taken from the first hand to move. Mean interhemispheric correlations 34 within these windows were calculated by averaging the LFP-correlations as revealed by the JPETC-method (Cardoso de Oliveira et al., submitted). Briefly, the JPETC method is an adaptation of the JPSTH method, developed by Aertsen and coworkers for single neuron data (Aertsen et al. '89). The JPETC analyzes the correlations between the trial-by-trial deviations of the LFP signal around their mean over trials. Here, we restricted the analysis to synchronous correlations, corresponding to the diagonal of the JPETC. After determining the average correlation in these windows for each pair and movement type, we summarized the data by averaging over all pairs and movement types. 35 Results: Data: Data were recorded during 11-26 recording sessions in monkeys and 3-6 sessions in human subjects (for details see table 1). Between 1000 and 3000 (monkeys) and 300500 (humans) movements were executed in each session, resulting in 30-200 (monkeys) and 10-20 (humans) repetitions of each movement type. The neural activity analysis includes data from 3 monkeys recorded during performance of center-out task. Seventy-two units were recorded from the left and 57 from the right hemisphere of monkey F, 130 from the left and 132 from the right hemisphere of monkey G, and 249 from the left and 237 from the right hemisphere of monkey P. The LFP signals from 48, 112 and 248 (monkeys, F, G, and P, respectively) recording sites were chosen for analysis. Hand preference All but two human subjects were right-handed as judged by a modified Edinburgh inventory questionnaire (Oldfield, 1971). The hand preference of monkeys was determined by the raisin board tasks and by performance in the bimanual task. Fig. 2 A demonstrates that all three monkeys preferred to pick up raisins with the right hand. In bimanual movements, the right arm was leading more often than the left arm. In addition, in two out of the three monkeys, the reaction times of the right arm were significantly smaller than those of the left arm, both during unimanual and bimanual movements (Fig. 2 B, monkey G and F, Mann Whitney Test, p<0.05). 36 Fig. 2: Hand preference in monkeys. A.: The left column of the figure shows the percentage of usage of the right (black bars) and left (white bars) hand in the two raisin tasks (average values over 10 days for monkey G and 23 days for monkey P), and the percentage of movements in which each hand began to move first in the bimanual movements. In monkey F, the raisin task was not done. B.: The right column of the figure shows the average RT for each hand in unimanual and bimanual movements (white bars for the left hand, black bars for the right). Error bars display standard deviations and the asterisks indicate a significant difference between the hands (p<0.01, Mann-Whitney test). Reaction times and movement times Fig. 3 compares RTs of unimanual and bimanual movements (the latter being defined by movement initiation of the first hand). In contrast to Fig. 2, we did not include all unimanual and bimanual movement types, but specifically compare bimanual movements to those unimanual movements that composed them. In all monkeys and human subjects, the RTs of bimanual movements were not significantly longer than those of the slower hand. RTs were usually shortest for the unimanual movements of the dominant hand and longest for the unimanual non-dominant trials, while RT for bimanual trials was in between. In addition, we did the same comparison for each hand separately. Significance was tested by a Mann-Whitney test, and significance thresholds were p<10-6 for monkeys, and p<0.01 for humans (the reason for such a strict threshold in monkey was the large number of observations). The results and significance values are shown in table 1. 37 Fig.3: Comparison of RTs in bimanual and unimanual movements. For each subject, we show the average RT of the non-dominant hand during unimanual movements (white bar), the RT of the leading hand during bimanual movements (gray bar), and the RT of the dominant hand during unimanual movements (black bar). In all monkeys and four human subject, the right hand was dominant. Bars indicate standard deviations. Also in this analysis, reaction times in bimanual movements were generally not longer for bimanual movements than for unimanual movements of the slower arm. In all monkeys and 4 out of six human subjects, the highest reaction times were found in unimanual movements, mostly of the subdominant arm (only in case of the dominant arm). Only in one single human subject, the RTs of the subdominant arm in bimanual movements significantly exceeded the one of the same arm in unimanual movements. In two monkeys (P and F) and two human subjects (R and E), bimanual RTs of the subdominant arm were even faster than unimanual ones, indicating that, if anything, bimanual performance accelerates reactions of the non-dominant arm. For the dominant arm, however, there was no such clear trend. Monkey P and subject E showed an acceleration of the dominant arm during bimanual movements, but the 2 other monkeys (F and G) and 2 subjects (M and A) showed a significant slowing of responses during bimanual performance. We did not find any significant difference between the different movement types. Usage of the online movement onset definition gave similar results, with a tendency of RTs to be even shorter in bimanual movements than in unimanual ones. We also compared MT and TTP values in bimanual movements to the corresponding unimanual movements (Table 1). MTs and TTPs showed opposite trends in humans 38 and monkeys. In monkeys, bimanual movement durations were generally smaller than unimanual ones. In humans, in contrast, bimanual movement times were longer than unimanual ones. Similarly, the length of the accelerating phase of the movement (the TTP value) in monkeys was always shorter during bimanual than unimanual (both hands). In contrast, 4 humans showed significantly longer bimanual TTPs than unimanual ones. The difference between monkeys and humans in the relative duration of bimanual movements is the only clear difference between species noted in this study. It may be related to the very different amount of training. While monkeys were over-trained in the task, humans had not undergone training before data collection. Monkey P, 22 sessions Uniright RT MT TTP 343(326,83) 729(728,18) 262(252,82) Right in bimanual 335(319,81) 612(594,173) 190(169,63) Left in bimanual 340(321,87) 632(621,151) 199(189,58) Unileft 348(334,87) 677(673,16) 264(252,72) Right signif. 6.5 * 10-7 3 * 10-185 0 Left signif. 5.6 * 10-8 2.1 * 10-60 0 Right signif. 0 1 * 10-14 1 * 10-147 Left signif. 1.6 * 10-6 1 * 10-121 0 Right signif. 3 * 10-7 0.0177 1 * 10-37 Left signif. 2 * 10-16 2 * 10-73 1 * 10-171 Right signif. 0.4655 0.009 0.0071 Left signif. 0.4589 2 * 10-6 2 * 10-8 Left signif. 0.0122 1 * 10-18 1 * 10-14 Monkey G, 26 sessions Uniright RT MT TTP 234(227,48) 492(484,12) 231(217,68) Right in bimanual 254(247,49) 506(496,138) 211(197,65) Left in bimanual 279(269,63) 478(471,146) 222(204,72) Unileft 280(264,78) 519(524,14) 262(247,81) Monkey F, 11sessions Uniright RT MT TTP 238(234,46) 380(379,84) 274(267,66) Right in bimanual 241(239,45) 387(376,97) 263(249,66) Left in bimanual 271(259,64) 386(386,90) 227(217,62) Right in bimanual 292(284,73) 610(589,163) 249(244,67) Left in bimanual 295(292,68) 600(569,164) 238(232,66) Unileft 280(267,72) 414(411,94) 257(244,70) Subject I, 4 sessions Uniright RT MT TTP 291(280,64) 594(559,16) 240(237,62) Unileft 297(282,79) 560(531,16) 219(212,52) Subject D, 4 sessions(note: this subject was left-handed!) Uniright RT MT 263(252,59) 583(534,14) Right in bimanual 267(259,59) 649(624,159) TTP 257(247,55) 276(272,66) Left in bimanual 281 (272,56) 609(581,152) Unileft 290(279,63) 539(511,14) Right signif. 0.0339 1 * 10-16 271(267,69) 245(234,65) 3 * 10-8 39 Subject A, 3 sessions Uniright RT MT TTP 293(272,96) 556(541,16) 275(264,68) Right in bimanual 302(287,86) 618(584,189) 291(283,70) Left in bimanual 313(299,90) 578(554,186) 266(254,76) Right in bimanual 351(338,92) 600(570,319) 325(326,86) Left in bimanual 322(314,87) 653(620,274) 309(309,79) Unileft 301(277,93) 570(551,15) 267(247,79) Right signif. 0.0034 9 * 10-8 2 * 10-4 Left signif. 8 * 10-4 0.2166 0.4455 Right signif. 0.256 0.0337 0.0115 Left signif. 5 * 10-4 0.3823 0.3015 Right signif. 0.0747 0.0189 3 * 10-9 Left signif. 5 * 10-4 0.0994 0.35 Right signif. 7 * 10-18 1 * 10-45 1 * 10-12 Left signif. 1 * 10-43 0.0303 8 * 10-10 Subject R, 3 sessions Uniright RT MT TTP 347(326,83) 649(566,23) 313(294,87) Unileft 335(324,77) 653(619,19) 310(294,85) Subject M, 3 sessions (note: this subject was left-handed!) Uniright RT MT TTP 221(227,32) 460(489,13) 189(179,54) Right in bimanual 230(224,51) 495(474,161) 222(217,55) Left in bimanual 240(233,65) 479(444,156) 205(198,45) Right in bimanual 282(277,57) 519(516,82) 263(257,63) Left in bimanual 307(302,64) 526(521,87) 266(257,65) Unileft 219(217,39) 484(504,13) 204(197,45) Subject E, 6 sessions Uniright RT MT TTP 295(289,58) 486(482,81) 251(242,61) Unileft 333(324,70) 532(529,80) 277(269,67) Table 1: Summary of RTs, MTs and TTPs of all monkeys and human subjects. The first number always is the mean value; in brackets follow the median value and the standard deviation. Uniright = mean values (for all sessions and all trials) during unimanual right movement, etc. Prior to averaging, outliers have been eliminated. They were defined as RTs and MTs <50 or >1500, and TTPs <50 and >500. The two right most columns indicated the error probabilities of a Mann-Whitney U-test comparing values during unimanual movements to the movements of the same arm in bimanual movements. Delays between onsets of neural activity and movement initiation In the single-unit activity recorded from the MIs of the three monkeys, we determined the onsets of evoked activity prior to movement initiation. Fig. 4 shows the delays between activity onsets and movement initiation during bimanual and unimanual movements. Since results did not differ between the individual bimanual and unimanual movement types, we present average values of all unimanual and all 40 bimanual movement types. In all 3 monkeys, this delay was the same for unimanual right and bimanual movements. Unimanual left movements, however, were associated with a significantly longer delay between activity onset and movement initiation. Fig. 4: Activity onsets. In this figure we plot the mean (over all repetitions, trial-types and recording days) time delay between of activity onsets and movement initiation in bimanual (open bars) and the corresponding unimanual movements (gray for unimanual right, filled bars for unimanual left). Negative numbers indicate that activity began before movement onset. In all three monkeys, the activity onset in bimanual movements is not significantly different from the corresponding unimanual movements of the right hand, but significantly later then the activity onset during the movements of the left hand. Significance was tested in a Mann-Whitney test (p<0.01). Temporal correlations between the movements of the two arms To unravel temporal coordination between the arms, we analyzed the temporal relations between the movements of the two arms, and how these relations changed over time. These temporal relations were determined by calculating the crosscorrelation coefficients between five different landmarks of the movements of both arms. These landmarks were: reaction time (RT), the times elapsed till velocity had risen to 1/3 (t1) and 2/3 (t2) of the peak velocity, the time till the peak velocity was reached (t3), the times till velocity dropped to 2/3 (t4) or 1/3 (t5) of the peak velocity, and, finally, the time till the end of the movement (MT). Fig. 5 shows the mean correlations of these landmarks for each subject separately. In all subjects, correlations were decreasing over time. For the mean over all subjects (all humans 41 and all monkeys), we calculated the slope of a regression line fit to it and the significance of the linear regression coefficients. Both slopes were negative and p values of the linear regression were highly significant (p<0.01). In order to test whether the decorrelation seen here was the result of an accumulative effect of errors during the movement, we also correlated the lengths of the time windows between two subsequent time steps of the above analysis (the time differences between the time taken to reach first 1/3 of peak velocity from the movement onset (w1), time of 1/3 of the peak velocity and tame taken first to reach 2/3 peak velocity (w2), and so on). Fig. 5 B shows the result of this analysis. The correlations decreased also in this case, indicating that the decrease was not an accumulating effect, but correlations indeed became markedly weaker during movements. Again, the slopes of the linear fit were negative and the linear fit was highly significant (p<0.01). The slopes of the linear fit did not show any consistent relation to the different types of bimanual movements. Fig. 5 also shows that the average level of correlations between the arms was higher in monkeys than in humans, but this difference was not significant (Mann-Whitney Test, p=0.21). Nevertheless, the negative slopes of regression lines were very similar. This indicates that while a species difference may exist in the average strength of inter-arm coupling, the phenomenon of progressive decorrelation is common for both humans and monkeys. 42 Fig. 5: Temporal correlations during bimanual movements: A.: The left panel shows an example of the mean velocity profile of all trials from the same movement type, and the time points at which 1/3, 2/3, peak velocity, etc are reached. All times are measured from the beginning of movement, besides RT, which is measured from target onset. The right panel shows the mean correlations (of all trials, movement types and days) for each time point and each subject separately (different line styles represent different subjects). The significance of a linear regression of the mean value (p) and the slopes of the regression lines (s) are shown as numbers in the upper right corner of each plot. Fig. 5 B shows the correlations of the lengths of time intervals (w1-w6, w6 being the interval between t5 and TAT) elapsing between the temporal landmarks analyzed in Fig. 5 A. The first values of these plots correspond to the time interval between reaching 1/3 of the maximal velocity and movement onset and therefore are the same values as the second values in fig. 5 A. In order to address whether not only the correlations, but also the time differences between the arms changed over time, we analyzed also the differences between RTs, MTs, TATs of the two hands and their variability (Fig. 6A). In all subjects (humans and monkeys), the standard deviations of the RT differences were significantly smaller than the MT and AT differences (p<0.05, Wilcoxon signed rank test). This result was very consistent through all movement types. In all monkeys and most subjects, the mean values of RT, MT and TAT differences were not significantly different (only in human E, MT differences were smaller than RT differences). In 43 order to assess the time course of the increase in variability and compare it to the time course of movement decorrelation (Fig. 5), we also calculated the differences and standard deviations for the behavioral landmarks along the velocity profile (t1-t5,). Fig. 6 B shows that along the movement, there was a progressive increase in variability of the time differences between corresponding times in the movements of both arms. Fitting a regression line to the mean over all subjects yielded a positive slope. Fig. 6: Differences (inter-hand intervals, IHI) of RT, MT and TAT in monkeys and humans. This figure shows the means (big bars) and standard deviations (thin bars) of RT differences (left black bars), MT differences (gray bars) and TAT differences (right black bars) between the arms. For all the subjects (monkeys and humans) the standard deviations of RT difference were significantly lower than the MT or TAT differences (p<0.05, Wilcoxon signed rank test). There were no consistent significant differences between the mean values of RT, MT and TAT differences. 44 LFP correlations In order to compare the behavioral correlations to the interactions between neruronal populations within and between the motor cortical hemispheres, we calculated the average correlations between them in several time windows before and during movement (see methods). Because neuronal correlations were noisy, we chose to average over longer time windows than those in Fig. 5, separating two windows of 200 ms before movement onset, an acceleration phase (from Mon to- TTP), a deceleration phase (TTP to Moff ), and 200 ms after Moff. Averaging the mean correlations in these windows over all recorded pairs yielded the average time course of neuronal correlations for each movement type. Since all movement types showed a consistent time course, we averaged over all movement types, which is displayed in Fig. 7. In two monkeys, (monkey G and P), and both within and between hemispheres, there was a strong decrease in correlation over time. This decrease started already before movement onset (the first time window is significantly different from all the subsequent ones, Mann Whitney test, p<0.001). There is an further decrease after movement was initiated (the second window is also significantly different from all the subsequent ones, Mann Whitney test, p<0.001). A similar decrease was also seen with unimanual movements (not shown). In one monkey (monkey F), we observed no significant change in correlation. This monkey, however, showed also only a very mild decrease in correlation of behavior (see Fig. 5, uppermost line in the monkeys' plot. In addition, the amount of data available from this monkey was much smaller than in the other two monkeys (only 6 recording days as compared to 30 in monkey P and 14 in monkey G), which resulted in more data variability and less reliability of statistical tests. 45 Fig. 7: Time course of interhemispheric LFP correlations during bilateral movements. Synchronous LFP correlations were averaged within time windows corresponding to the behavioral landmarks of movement onset (Mon), TTP, and movement offset (Moff), as determined by the mean of these values of the first hand moving. Additionally, we present two 200 ms wide time windows before movement onset and one window after movement onset. Correlations between the hemispheres decrease during movements, starting already before movement onsets. Discussion This paper describes two behavioral phenomena in bimanual coordination that occur both in human and non-human primates. For each of those, we identified corresponding neuronal phenomena that may constitute their physiological basis. Motor programming of bimanual movements does not require more processing time than unimanual movements First, we found that bimanual movements did not require longer reaction times than unimanual movements of the slower arm. This is in contrast to a view assuming that motor programming is a time-consuming process which can be prolonged by concurrently planned movements of the other arm (Spijkers et al., 2000). Previous studies on this question have produced ambiguous results. Despite the tendency for bimanual RT to exceed unimanual RT reported by Kelso et al (1979), there are 46 several cases where this has not been found. Garry & Franks (2000) saw increased reaction times for bilateral movements only when an accuracy constraint was imposed on the left, non-dominant hand. Anson et al. (1993) reported longer bimanual RT only for finger extension, but not for elbow flexion movements, and Aglioti et al. (1993) in finger, but not shoulder movements (in patients with callosal agenesis or callosotomy). In agreement with the latter studies, our results showed also no consistent RT difference between bimanual and unimanual movements. The bimanual RTs in all monkeys and human subjects were equal or lower than the unimanual RTs of the slower hand. In a few cases, the slower hand was even a sped up in bimanual as compared to unimanual movements. This advantage in bimanual movements may be due to coupling to the faster, dominant arm. Revisiting the studies cited above, it seems that the exact task can account for the differences between the results. Variations in additional constraints, such as movement accuracy, have been shown to lengthen bimanual responses (Garry & Franks, 2000). There seems also to be a difference between proximal and distal movements (Aglioti et al., 1993, Anson et al., 1993). The fact that our movements entailed mainly proximal movements supports the notion that in proximal movements, bimanual RTs are equally short as unimanual RTs, while in distal movements, this is not the case. A possible explanation for this phenomenon may be related to the fact that the proximal representations of both arms are much more densely interconnected between the cortical hemispheres than the distal ones (Rouiller et al., 1994), and thus, interlimb coupling may be more efficient between proximal joints. Another relevant parameter could be a different amount of training allowed for the experimental subjects. In our study, we discarded the very first sessions of human subjects, where performance was still erratic, and our monkeys extensively over -trained in the bimanual task. On the other hand, the studies that did show longer RTs for bimanual movements, used a single experimental session, probably resulting in less efficient learning. One more finding of our study supports the notion that temporal demands on bimanual movements are affected by training. Bimanual movement times in humans were significantly longer than unimanual movement times. In our over-trained 47 monkeys, however, bimanual movements were even faster than unimanual ones. This suggests that the time needed for execution of bimanual movements is strongly related to the amount of training, and that bimanual movements only need more time than unimanual ones when they are not well trained. One possible explanation for this would be that prolongation of movement times is caused by independent motor errors in the two arms, which have to be corrected by additional small compensatory movements. With increased training, the subjects may learn to make their movement plans more accurate, resulting in smaller deviations of the desired trajectory. The successful refinement of the two motor plans may lead to enhanced coupling of the arms, and that may also explain why the level of temporal correlation between the arms was higher in monkeys than in humans. The approximately equal RTs for bimanual and unimanual movements may be explained on the physiological basis by the fact that the delay between neuronal activity onset and movement initiation was not longer for bimanual than for unimanual movements. This indicates that the neural processes specifying the motor commands were produced at comparable speeds. It has been previously shown that the level of neuronal activity in motor cortex is strongly related to the point in time when a movement will be initiated (Evarts, 1974, Lecas et al., 1986). Insofar, the good correspondence of physiological and behavioral data could have been expected. However, it was unclear before, whether this would also hold for composite bimanual movements. Another result further confirms the notion that reaction times are strictly related to neuronal activity in motor cortex. Bimanual movements were initiated at smaller delays from activity onset than unimanual movements of the left arm, which is consistent with the fact that the RTs of all monkeys were longest for unimanual movements of the non-dominant hand. In addition to processing time, it has also been shown that bimanual movements do not require more average activation than unimanual ones (Donchin et al., in press). This is in agreement with a recent fMRI study, showing also no difference between 48 the MI activation during unimanual as compared to bimanual movements (Jencke et al., 2000). It is noteworthy that we did not find any difference in RTs and MTs of different bimanual movement types, although it is known that symmetric movements are more easily performed than non-symmetric movements. One explanation for this finding could be the fact that the main part of recording (including humans) was done in the stable part of the learning curve. Any possible differences between the easier, symmetric and more difficult, non-symmetric movements may have been eliminated by then by learning processes. From the behavioral and physiological results discussed above we conclude that simultaneous and coordinated bimanual movements do neither require additional processing time nor stronger activation than unimanual ones. The question now arises, which other parameters can account for coordination between the arms. The second part of the discussion gives a potential answer to this question, by relating temporal coordination between arms to temporal correlations of neuronal activity. Progressive decorrelation of movements is accompanied by neuronal decorrelation Second, the temporal coupling between movements of the arm underwent a continuous decrease during movement execution, with RTs being more strongly correlated than successive temporal landmarks along the velocity profiles. Temporal decorrelation was also expressed in the fact that the variability of RT differences was significantly lower than that of MT and TAT differences. This finding of progressive bimanual decorrelation is consistent with several previous studies. Boessenkool et al (1999) found significant bimanual correlation only for reaction times. Fowler et al. (1991) also reported a progressive decorrelation of bimanual movements. 49 Assuming that each arm is controlled mainly by the activity in the contrateral cortical hemisphere, one can hypothesize that temporal coupling between the arms may be accomplished by correlated activity in the two hemispheres. Confirming this hypothesis, interhemispheric correlations, like behavioral correlations between the arms, decreased during movements. The one monkey that showed almost no behavioral decorrelation also did not show a significant neuronal decorrelation (monkey F, Figs. 5 and 7). The fact that decorrelation began already at movement onset or even before, and thus preceded the behavioral decoupling, is consistent with the idea that the two phenomena are causally related. Previous work from our lab (in partly different sets of movement types and different data sets) supports the idea that inter-hemispheric local field potential correlations are related to the mode of bimanual coordination. In a subset of interhemispheric pairs, activity correlations are transiently increased around movement onset. These increases were found to be strongest during bimanual symmetric movements, and less strong during bimanual asymmetric and unimanual movements (Cardoso de Oliveira et al., submitted). The behavioral and neuronal decorrelation raises the question as to its behavioral significance. Why do movements start in a more coupled way and become decoupled over time? Closer observation of movement kinematics suggests that independent noise and proprioceptive feedback may account for progressive decorrelation. In our task, velocity profiles were not bell-shaped and symmetric, but rather skewed to the left, such that the acceleration phase was steeper and less variable than the deceleration phase. An example of this can be seen in the average velocity profile shown in Fig. 6. Asymmetric velocity profiles are observed especially when the final location of the movement must be precisely controlled. MacKenzie et al. (1987) found that the smaller the target the more time is spent in deceleration. Milner et al. (1990) further demonstrated that increased requirements for accuracy produce an increased asymmetry in the velocity profile. The current notion of motor control explains these findings by a combined feedforward - feedback model, in which a fast, ballistic 50 feedforward program is first issued and, in the later stages of movement, complemented by a feedback-based mechanism (Desmurget & Grafton, 2000). Independent errors in the trajectories of the two arms would lead to independent feedback. Proprioceptive feedback is relayed to the motor cortex, explaining why neuronal activity becomes decorrelated. On the other hand, noise will cause deviations from the desired feedback. Deviations from the desired trajectory will make the movement slower, because corrective movements have to be produced, and more variable, because different corrective movements are produced by the two arms, leading to a deterioration of bimanual coupling. All these arguments suggest that behavioral and neuronal decorrelation occur because of unspecific, independent noise related to movement execution. The fact that we observed similar decorrelations in symmetric and non-symmetric bimanual movements supports the idea that independent, execution related noise is responsible for neuronal and behavioral decorrelation. Progressive decoupling occurs also within the same hemisphere and for unimanual movements However, we found decorrelation also within the same hemisphere. This finding can be explained taking into account that there is also a considerable ipsilateral representation in primary motor cortex (Wasserman et al., 1994), and many single cells are active during both ipsilateral and contralateral movements (Tanji et al.1988, Donchin et al. 1998, Kermadi et al. 1998). Thus, it is possible that interactions between the motor codes of the two arms also take place between the ipsilaterally and contralaterally dominated neuronal populations within each hemisphere. The fact that decorrelation also occurred during unimanual movements seems more difficult to explain. It may be plausible, however, under the mentioned above hypothesis that behavioral decorrelation is the result of independent feedback. Clearly, the proprioceptive feedback from the two arms is independent, irrespective of whether the arms move or not. Thus, it may be explained that also decorrelations also occur when only one arm moves while the other is stationary. 51 We conclude that motor processing time and behavioral decorrelation are reflected in primary motor cortex. Together with previous accounts of bimanual related activity (Donchin et al., 1998, in press, submitted) and dynamic LFP correlations (Cardoso et al., submitted), these results strongly support a view in which MI and its interhemispheric connections are involved in bimanual coordination. 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(1994): Cortical motor representation of the ipsilateral hand and arm. Experimental Brain Research 100: 121-132 55 Chapter C: SMA lesion Introduction Although, the SMA is often associated with “coordinating bimanual movements”, this notion is still disputable. Human EEG and brain imaging studies demonstrated the specific activation of SMA during bimanual movements (Lang et. al., 1988, Viviani et. al., 1998, Toyokura et. al., 1999). SMA lesions caused deficits in bimanual coordination and “mirror movements” in monkeys (Brinkman et. al., 1981,1984) and humans (Viallet 1992; Chan et. al., 1988). However, efforts to replicate bimanual deficits in SMA-lesioned monkeys did not show any effect on bimanual coordination (Kazennikov et. al., 1998, Kermadi et. al., 1997). Analysis of recordings from the behaving monkey in our laboratory did not show any difference between the MI and the SMA in the neural activity related to the control of bimanual movements (Donchin et. al., 1998, 2001 a&b, Steinberg et. al., 2001). Other neuronal recordings from a monkey performing pull and grasp bimanual tasks showed similar results (Kermadi et. al., 2000). To investigate the role of SMA in bimanual coordination we made a small ibotenic acid bilateral lesion in the arm-related area of the SMA. In contrast to previous SMA lesion studies (Brinkman et. al., 1981, 1984), we analyzed behavior and neural activity in the MI from monkeys in both the normal and in the post lesion state. Methods: Behavioral paradigm Two female rhesus monkeys (Macaca mulatta) (monkey G, 3.5 kg, and monkey P, 4 kg) were trained to move two manipulanda, one with each arm. The experimental setup is described in the papers attached to this dissertation (Donchin et al., 1998, Donchin et. al., 2001 a,b). A sketch of the monkey engaged in the performance of the 56 task is shown in Fig. 1A. The movement of each manipulandum caused a corresponding cursor to move on a vertically oriented 21” video screen located ~50 cm in front of the monkey. The movement of each cursor was mapped to its corresponding manipulandum movement, such that each millimeter of manipulandum movement caused one millimeter of movement of the cursor on the video display. The time course of typical unilateral and bilateral trials was as follows: a trial began when the monkey placed both cursors within 0.8 cm diameter ”origins” and held them still for 500 ms (monkey G) or 1000 ms (monkey P). In all cases where the monkey had to keep its arms still, we defined onset of movements by using two velocity thresholds, checked at different intervals. The more restrictive (15 mm/s) was averaged over a greater time window (~ 100 ms), preventing slow drift of the arms. The less restrictive (30 mm/s) was averaged over a shorter time window (~ 10 ms), allowing rapid detection of true movement initiation. For each arm, a target (also 0.8 cm diameter) appeared at a distance of 3 cm (monkey P) from the origin. For monkey G, targets were placed at long (5 cm) or short (2.5 cm) distances from the origins. If only one target appeared — signaling a unilateral trial — the monkey moved the appropriate arm and brought the corresponding cursor into the target, but did not move the other arm (Fig. 1B). If two targets appeared — signaling a bilateral trial — the monkey moved both arms, such that the two cursors moved into the targets on the screen (Fig. 1C). Three types of bilateral movement were studied: parallel, opposite and perpendicular. The types of bilateral trials used during the recordings are shown in Fig. 1C. Note that for monkey G, the bilateral movements also entailed movements of different amplitudes, but opposite movements were not included. Unilateral movements comprised movements in eight different directions (in all four cardinal directions, plus those directions 45 degrees from the cardinal directions, Fig. 1B). Monkey P performed movements only of the same amplitude, opposite movements were included. For monkey G, we also included long unilateral movements, which were components of the bilateral movement types. The monkeys’ reaction time was not restricted, but targets had to be reached within 1s (monkey G), 1.5 s (monkey P) from the time of target appearance. For bilateral trials, 57 the animal was additionally required to begin movement of the arms within a maximal inter-arm-interval (IAI) of 200 ms and the targets had to be reached with an IAI of 400 ms. Following acquisition of the targets, the monkey held both arms still in the target circle for at least 500 ms. No intertrial interval was imposed, but successful trials were rewarded with a liquid reward and followed by a 2-second pause to allow for its consumption. In all sessions, trials were presented pseudo-randomly without separation into blocks. Fig 1: Reaching task A. The monkey is performing a reaching task. B. Unimanual right and left ” short” movement in eight directions and unimanual ” long” movements C. Example of bimanual movements. Right arrow - right hand, left arrow – left hand. 58 In addition to this behavioral paradigm, we tested the monkeys´ hand preferences in a “raisin board” task. The first consisted of a 12.5 x 34 cm Perspex board in which 9 wells of 6 cm diameter were drilled. This arrangement allowed fast retrieval of a food reward from the wells by whole-arm reaching grasping. The second was a 10 x 20 cm Perspex board with 15 elongated slots (15 mm long, 6 mm deep and 6 mm wide) oriented randomly at 0, 45, 90, 135 or 180 degrees (Fig. 3A). The spatial dimensions of the wells required retrieval of food by opposing thumb and index finger in a precision grip (Brinkman, 1984). Each well was loaded with a raisin by the experimenter. The monkey sat in the primate chair and was presented with the board, which was positioned in the middle, ~ 30 cm in front of the monkey’s chest. The monkey rapidly collected all the raisins from the wells. The monkeys’ behavior was taped on video, and the frequency with which the monkey used either hand to retrieve the raisins was counted. Surgery Surgery was performed as described (Donchin et. al., 1998, 2001 a&b; Cardoso de Oliveira 2001). Animal care and all surgical procedures were in accordance with the NIH Guide for the Care and Use of Laboratory Animals (rev. 1996) and all applicable Hebrew University regulations. Recording During recording sessions, the monkey was seated in a primate chair placed in a dark chamber with its head fixed. Single unit activity and local field potentials (LFPs) were recorded by eight glass-coated tungsten microelectrodes (impedance 0.2-0.8 MΩ at 1 kHz) in the two hemispheres (four electrodes in each hemisphere). The electrodes were individually driven, allowing the depth-distance between electrodes to vary from one session to another, but the perpendicular distance between the electrodes was ~500 μm. Electrode signals were amplified and filtered by a multi-channel analog data processor (MCP, Alpha-Omega, Nazareth, Israel). The raw wideband signal was subjected to two different ranges of band-pass filters in order to yield spike activity 59 (filtered between 300 Hz and 8 kHz) and local field potentials (LFPs) signals (filtered between 1 and 150 Hz). The LFP data were sampled at 400 Hz and stored on a disk. Fifty-Hertz noise caused by the A/C power line was attenuated using a digital notch filter applied off-line (49.8 to 50.2, 99.8 to 100.2 and 149.8 to 150.2 Hz 4-pole butterworth filter, applied forward and backward to prevent phase shifts). Selection of recording sites At each penetration coordinate, four electrodes were advanced into the brain, with a lateral distance of 350-700 micron. After penetrating the dura, the electrodes were separately advanced until well-isolated units were detected. Recording sites were not selected for activity related to movements, but for the occurrence of stable single unit recordings (as judged by the stability of spike amplitude and spike rate). LFP channels numbered 0 to 3 were always recorded by microelectrodes in the right hemisphere, and channels numbered 4 to 7 were recorded in the left hemisphere. Upon termination of each recording session, we tested for neuronal responses to passive manipulation and tactile stimulation of the limbs, tail, trunk and head. Evoked activity was evaluated by listening to the amplified spike signal passed directly into a loudspeaker. Finally, we applied intracortical microstimulation (ICMS) with 50 ms trains of 200 μs cathodal pulses at 300 Hz with an intensity of 10-80 μA (BPG-2 and BSI-2, BAK Electronics, Germantown, MD). When ICMS evoked movements, we documented the movements evoked and the threshold stimulation intensity. Stimulation and passive manipulation were performed at the end of each recording session, as well as in dedicated mapping penetrations. For this study, we included only recording sites that were well within the arm representation, as determined by passive stimulation and microstimulation. SMA lesion The lesion was made by several microinjection of 1ul of ibotenic acid each into the area 2mmX10mm of SMA areas mapped previously as arm-related area. A quantity of 1 mg of ibotenic acid (Sigma 12765, p581) was dissolved in 0.1 ml sterile saline, 60 yielding 10mg/ml. Each 1ul of ibotenic acid was gradually (0.1-0.2 ul) applied in 6080 sec intervals between boluses. After each injection, the Hamilton syringe was left in place for an additional 5 min. Histology In the end of experiment monkey Galileo was sacrificed and her brain was sliced and stained for the reconstruction of the lesion areas. The example for such a reconstruction is plotted in Fig2. Fig 2: Reconstruction of SMA lesion sites. Here we draw the middle part of SMA lesioned area in monkey G. The black blobs indicate the centers of the ibotenic acid lesion. Monkey P is still in life. Based on the last MRI session the positions of the SMA lesion in this monkey are questioned. 61 Data analysis: All recording sites were assessed for inter-trial stability of single units and LFP signals and for the occurrence of excessive noise. Recordings with recurring artifacts, and those with strong 50 Hz noise persisting after notch filtering were excluded from analysis. We also excluded data in which the single units or LFP-recordings changed considerably across trials (e.g., baseline shifts or changes in noise level). No selection was made on the basis of task-related activity. All single unit activity and LFP traces were aligned upon beginning of movement, determined by an off-line algorithm, and double-checked manually. The movement initiation detection algorithm (courtesy of A. Arieli, The Weizmann Institute) calculated the zero intercept of a line passing through two points on the velocity profile. One point was at 2/3 of the peak speed and the other was at 1/3 of peak speed. It also included corrections for different special cases of unusual velocity profiles. For purposes of alignment of the neural activity data, the beginning of movement in the bilateral trials was determined by the first arm to begin moving. Performance rate was calculated by the percentage of successful trials in the total number of trials. Reaction time (RT) and movement time (MT) were calculated separately for each hand for each kind of movement. Off-line definition of movement onset was calculated using the Amos Arieli algorithm. On-line movement onset definition was based on two thresholds, as described above. All these parameters were compared during the normal state and after SMA lesions in the same monkey. The significance of the differences was tested using the non-parametric Mann Whitney test (S. Siegal, Nonparametric statistics for the behavioral sciences, 1956, International Student’s Edition). The onset of neural activity changes was determined for each peri-stimulus time histogram (PSTH), using the CUSUM algorithm (Ellaway 1977;Davey et. al., 1986). Onsets were limited to the time from target appearance to 400 ms after movement initiation. The trial-by-trial firing rate of the cell was averaged from activation onset until 500ms after activation onset (termed the activation epoch). The firing rate 62 during this epoch is termed the evoked activity. This was compared with a baselinefiring rate taken 350ms before activation onset to 100ms before activation onset (the baseline epoch). While this period could, in principle, overlap the reaction time, the algorithm guarantees that the neural activity is unchanged prior to response onset and, therefore, our results were insensitive to the precise timing of the baseline epoch. Generally, this was a period during which the monkeys’ arms were motionless at the origin position, and we averaged activity in this period for each neuron across the different types of movement. In cases with no response onset, as might occur for example in non-preferred movement directions, we arbitrarily selected a default 500 ms period from 100 ms before movement initiation (the average activation onset across responsive units) to 400 ms after movement initiation. PSTH onset distribution was compared in normal and SMA lesioned monkey. The significance of the difference between the normal and the lesioned state was tested using the nonparametric Mann Whitney test. The average firing rate was calculated by averaging the neural activity of each cell in a time window of -200:300 ms around off-line movement onset. The significance of the difference between the normal and the lesioned state was tested using the nonparametric Mann Whitney test. Directional tuning of the cells was calculated by eye for all the data. The Laterality index was calculated for the average firing rate during unimanual movements in a time window –200:300 ms around movement onset according the formula: Laterality index = (ContraResponse-IpsiResponse)/(ContraResponse+IpsiResponse) The distribution of the laterality index is –1 to1. Cells responding mainly to the contralateral side were give numbers closer to 1, while cells related mostly to the ipsilateral arm tended to have a laterality index close to -1. This measurement is not related to the directional tuning, but to the magnitude of the response. The 63 significance of the differences in laterality index distributions between the two hemispheres was tested according to the chi square method. Cross-correlation analysis As a first approach towards studying correlations between LFPs, we calculated classical cross-correlograms between LFP channels, which depict the time average of the correlation between the channels. We applied this analysis to two different epochs of the trial. The first was the interval between 750 and 250 ms before movement onset, during which the monkey held its hands stationary at the origins and waited for the target/s to appear. We call this time window the hold period. The second window contained the time from 250 ms before to 1000 ms after movement onset, thus including the time for motor preparation and movement execution. We call this time window the movement period. For all possible pair-wise combinations of simultaneously recorded LFPs, we calculated the correlograms obtained during these two time windows, using time delays between -200 and +200 ms, and a bin width of 2.5 ms, which was our sampling resolution time. Correlation strength was expressed as the correlation coefficient. The correlograms obtained for all trials recorded under the same conditions (during the same movement type or during the hold period) were averaged to reduce noise. Examples of such correlograms are shown in Fig. 10. From each correlogram, we determined the maximum value. Negative correlations constituted only about one percent of our total sample and were not analyzed separately. For correlation peaks > 0.1, we also determined the time lag of the maximum correlation. The conventional crosscorrelation is affected both by the similarities of the average signal (here, the mEPs) in the two electrodes and by possible trial-wise interactions between them. A common way to distinguish between these two aspects is to calculate a ‘shift-predictor’ to approximate the correlation between the averages, and then subtract it from the correlograms to derive an estimate of the ”pure” trial-wise correlation. We calculated the shift-predictor by correlating the i-th trial of one electrode with the i+1-st trial of the other, and the last trial with the first trial. 64 The shift predictor was also used to define a confidence limit for oscillatory components in crosscorrelograms. Whenever we found at least one satellite peak (on each side of the main correlogram peak), which exceeded these values, we scored a correlogram as having a significant oscillatory component. As a confidence limit for oscillatory correlation, we chose the mean (over all delays) of the predictor+/- 3 standard deviations (again, over delays). Results Before describing the results, it is important to mention an experimental problem. For one of the monkeys (Monkey P) it was quite clear that neural recordings from the area we considered SMA, was problematic. The monkey is still in its home cage and thus final conclusions are limited. Yet, we have several evidence suggesting that we did not ablate a significant portion of SMA, and maybe did not even record in the classical area called SMA-proper. The cells in the sampled area were rare, smaller then in other monkeys, and their activity was unstable. This may explain the different results we got after the „SMA lesions“ between the two monkeys. In the other monkey, both neural activity and SMA lesion were confirmed to be as planned, and therefore the major conclusion relating to SMA activity and SMA lesion must be confined to Monkey G. 65 Behavior After SMA lesion, transient deficits can be seen in the performance of raisins and center-out tasks. Fig. 3B shows this result demonstrating that Monkey G took significantly more time to complete the raisin task after SMA lesion. Fig 3: Raisin task A. Two kinds of raisin boards: Board I (big wells) controls proximal reaching; Board II (small wells) is more related to distal collecting B. Performance of raisin task before and after SMA lesion. Black – is normal, yellow – after left SMA lesion, red – after right SMA lesion. There was a transient decrease in performance rate of the reaching task, especially for the bimanual movements (Fig. 4). Although some transient effects are evident in the unimanual movements as well, the strongest effect can be seen in the “bimanual long” movements. Unfortunately, we did not test Monkey G for the performance of 66 Fig 4: Average success rate before and after SMA lesion. The success rate was calculated for each day for each type of movement, according to the formula: (successful trials)/(all attempted trials), and then averaged for similar types of trials. Black – is normal, yellow – after left SMA lesion, red – after right SMA lesion, green – five months after lesion, called recovery. “unimanual long” movements. Therefore, we cannot claim that this effect is “purely” bimanual. This monkey showed a significant increase in RT and time to peak of velocity in unimanual forward movements, especially of the dominant hand, and an increase in RT in all types of bimanual movements (Fig. 5). In bimanual trials for some types of movement, both hands were affected after unilateral SMA lesions. Significance was tested by Mann-Whitney test: asterisks indicate a significant difference after-lesion 67 Fig 5: Reaction time in unimanual and bimanual “short movement” changes after SMA lesion. Asterisks indicate significant changes in RT (p<0.01), tested by the non-parametric Mann-Whitney test. Black – is normal, yellow – after left SMA lesion, red – after right SMA lesion, green - five months after lesion, called recovery. A. Unimanual movements. Each bar represents the mean RT for each period. As can be seen, RT increased after SMA lesion, mostly for the forward movements. B. Bimanual movements. Each bar represents the mean RT for each period; the first bar of each color represents the RT for the right hand, the second bar color represents the RT for the left hand. state compared with the normal state. MT does not show any significant changes after SMA lesions. Significant changes were also observed after lesion in the velocity profiles (Fig. 6,7), although there was no significant difference between the velocity profiles of bimanual and unimanual movement in normal and lesion states (Fig. 6). 68 Fig 6: Velocity profiles of bimanual movements A. Velocity profiles before and after SMA lesion. Colors as in the previous pictures: black is normal, yellow - after left SMA lesion, red - after right SMA lesion, green - recovery. B. Comparison of bimanual velocity profiles to unimanual movements constructing them. Monkey P behavioral data fluctuated considerably, so we were unable to discern any significant behavioral changes. 69 Fig 7: Velocity profiles in unimanual movements before and after SMA lesion. The changes for the forward direction right hand were found significant in both time to peak and peak velocity (p<0.01, Mann Whitney test). Black – is normal, yellow – after left SMA lesion, red – after right SMA lesion, green - recovery. A. Mean time to peak velocity for each period, plotted in star plot for each movement direction. B. Mean of velocity peak value for each period plotted in star plot. Neural activity Monkey G showed a significant increase in firing rate, especially in the left (dominant) hemisphere, in MI after SMA lesion (Fig. 8). This rise persisted for several months after the lesion was induced. Monkey P did not exhibit a significant change in firing rate, probably because from the onset of the experiment it was twice as high as normally found. Monkey G preparatory activity before the bimanual movements was significantly prolonged after SMA lesion. This effect was even stronger for non-symmetrical bimanual movements (Fig. 9). The significance of this change using the MannWhitney test was very high: p<4e-25. In contrast, following the lesion of the cortical tissue (probably in cingulated), Monkey P does not give the similar result. In both 70 Fig 8: Firing rate before and after SMA lesion. The average firing rate for each hemisphere before and after lesion is shown. Asterisks indicate a significant difference from normal (p<0.01,MannWhitney test) A. Monkey G; black is normal, red – after bilateral SMA lesion, green recovery B. Monkey P; black is normal, red – after bilateral SMA lesion. Recovery period was not recorded in this monkey. monkeys the duration of the preparatory activity before unimanual movement did not revealed any consistent change following SMA lesion. Fig 9: Preparatory activity onset before and after SMA lesion. Averaged onsets of neural activity in bimanual symmetric and non-symmetric movements are plotted relative to movement onset. Black bar is normal, red bar - after bilateral SMA lesion. Asterisks indicate a the significant difference from normal (p<0.01, MannWhitney test) A. Monkey Galileo B. Monkey Poisson 71 Directional cell tuning in MI changed significantly after SMA lesion in Monkey G (Table1). The percentage of cells tuned to both ipsilateral and contralateral arms increased significantly after SMA lesion. Monkey P did not exhibit similar changes. Monkey G normal Contra Ipsi Bilateral Task related Total In % task related Contra Ipsi Bilateral Monkey G after SMA lesion Contra Ipsi Bilateral Task related Total In % task related Contra Ipsi bilateral Monkey P normal Contra Ipsi Bilateral Task related total In % of task related Contra Ipsi bilateral Monkey P after lesion Contra Ipsi Bilateral Task related Total In % of task related Contra Ipsi bilateral Right hemisphere 18 10 7 56 80 Left hemisphere 18 2 5 65 89 32.14 % 17.87 % 12.5 % 27.69 % 3.08 % 7.69 % 8 3-4 19 48 53 8 3 5 31 38 16.67 % 8.33 % 39.58 % 25.81 % 9.68 % 16.13 % Right hemisphere 95 9 38 157 164 Left hemisphere 91 7 40 170 188 60.51 % 5.73 % 21.2 % 53.53 % 4.12 % 23.53 % 9 4 11 39 45 25 2 7 37 49 23.08 % 10.26 % 28.21 % 67.57 % 5.41 % 18.92 % Table 1:Lateralization of tuning in MI before and after lesion This tuning was calculated by eye on the whole data (before the division it to the stable parts). The cells counted as bilateral were excluded from ipsilateral and contralateral. In addition to the directional tuning, we measured the relative strength of contralateral versus ipsilateral responses during unimanual center-out movements. We called this measurement the Laterality index. In both monkeys the laterality index in the MI was 72 significantly lower after SMA lesion (Fig. 10). This finding was consistent in both hemispheres. This means that after SMA lesion both sides of the brain respond with a similar magnitude to each side of the body. Fig 10: Laterality index distribution before and after SMA lesion. In both monkeys the decrease in the laterality index after the lesion was significant according to chi-square (p<0.01) A. Laterality index distribution in Galileo; black is normal, red - after bilateral SMA lesion, green – recovery. B. Laterality index distribution in Poisson; black is normal, red - after bilateral SMA lesion. The recovery period was not recorded. After SMA lesion, Monkey G showed slightly more bilateral somato-sensory responses (66.6% of responses were bilateral after the lesion compared to 56.2% in normal monkey). While in Monkey P the lesion had a much smaller effect (47% of responses were bilateral after the lesion compared to 37.7% in normal monkey). It important to mention that in the normal and SMA-lesioned monkeys, the passive sensory-motor responses were frequently bilateral. These electrophysiological findings, together with the directional tuning changes can probably account for the common “mirror movement” symptom found in SMA lesion patients. This raises the question: where does this MI bilaterality, which is mostly exposed in the absence of SMA, originate? There are two likely explanations: 73 1. Bilaterality always existed in the MI, but in normal monkey it obscured by the SMA. 2. After SMA lesion, MI activity is modified to take some of the SMA functions. One way to address these issues is to check the changes in inter- and intrahemispheric network connectivity before and after SMA lesion. Both monkeys showed a significant increase in LFP correlations between the hemispheres, while inter-hemispheric LFP correlations did not change significantly. (Fig 11, 12, 13 ). Fig 11: Example of LFP correlation matrix for one normal day (Monkey G) 74 Fig 12: Example of LFP correlation matrix for one day after SMA lesion (Monkey G). The increased intra-hemispheric connection observed in Monkey G, returned to normal within several months of SMA lesion. 75 Fig 13: LFP max cross-correlation coefficients before and after SMA lesion. Maximal LFP correlation coefficients were plotted before (black) and after lesion (red). As can be seen, both monkeys showed significant increase in intrahemispheric correlation after the lesion, whereas the correlations within the same hemisphere did not change. A. Monkey G B. Monkey P Intermediate summary and discussion For purpose of the discussion, we will use the results we obtained from Monkey G, since the lesion in Monkey P, did not hit SMA It is known that the various motor areas are interconnected anatomically in reciprocal connections. Therefore it is reasonable to assume that even in simple motor tasks several motor areas communicate and operate in parallel during preparation of movement. Therefore, even if we neutralize (by a lesion) one part of the brain, this may not fully explain its function, since other areas remain intact. Further, it is known that the brain most important quality its plasticity, namely – the ability to adapt and compensate for tissue loss. Our SMA lesion experiment, while still preliminary, demonstrates this fact in several ways and also demonstrates how the remaining areas (the two MIs) adapt after the lesion. Yet, as any lesion study it can only provide hints about the real way MI and SMA operate together. 76 It should be noted that in contrast to previous SMA lesion research in monkeys (Brinkman et. al., 1981,84) and stroke studies in humans (Viallet et. al., 1992; Chan et. al., 1988), the ablations we made in the SMA were minimal. The small size of the lesion may also explain how the monkey recovered completely from the lesion, and due to the relative fast recovery process allowed us to study neural mechanisms that may be involved in this recovery process. After SMA lesion, there were some transient behavioral difficulties, although most of them reverted to normal 5 months after the injury. Indeed, we found several changes in neural activity, which partly rebound to the normal 5 months after SMA lesion. To summarize the neural activity changes, observed in MI after SMA lesion: a. Higher in single cell firing rate b. Longer time of preparatory activity c. Greater number of bilaterally tuned cells d. Lower laterality index of single unit activity e. Greater LFP correlation between hemispheres Let us assume that the MI, as a lower region of the brain, is related largely to coding “bimanual default,” that is symmetrical movements. If so, it should be similarly active when it controls the ipsilateral and the contralateral sides of the body. However, we know that this is not the case! The results of figure 10 and table 1, suggest that in fact it is still possible that MI is potentially could function in a more symmetric way, but normally, the SMA veils this tendency. Our results, showing that MI cells become more symmetric after lesion suggest that SMA breaks the symmetry, possibly by inhibiting activity that could activate the ipsilateral arm. An increase in an intrahemispheric connectivity further enhances this trend. This may also explain why after SMA lesion in humans they tend to to perform “mirror movements.” Some of the behavioral deficits and changes in neural activity after SMA lesion were similar to those in MPTP-treated monkeys (a monkey model of Parkinson’s disease). The increase in RT for forward directions after SMA lesion was similar to the RT changes in MPTP-treated monkey (Camarata et. al., 1992). 77 Brain imaging studies in humans showed that in PD patients, compared with normal controls, there is a relatively reduced signal in the rostral part of the SMA (Playford et. al., 1992, Rascol et. al., 1992, Sabatini et. al., 2000), together with a significant bilateral increase in the activity of the primary sensory-motor cortex, lateral premotor cortex, caudal part of the SMA and anterior cingulated cortex (Sabatini et. al., 2000). All these findings suggest that some of the symptoms observed in Parkinson patients are a result or reduction of excitatory inputs from the BG to the cortex, thereby decreasing firing in SMA, resembling the partial SMA lesion we introduced in our experiment. Most of the behavioral deficits we observed were relatively small and transient. This finding is not surprising, given our knowledge of brain plasticity, and in particular given the studies in humans who show the remarkable neural recovery after SMA lesion. The most interesting finding in our study was the neuronal activity changes reflecting the plasticity of the neural system and, probably, some of the ways to which the system resorts to restore the function of the lesioned parts. For example, the augmented correlation between the hemispheres may reflect neural network reformation processes. In turn, the increased inter-hemispheric connectivity, may contribute to the greater control of both sides of the body by each hemisphere. 78 Chapter D: Comparison of right and left arm-related MI. Introduction. Hand preference is perhaps the most evident behavioral asymmetry observed in humans (Bryden et. al., 1977, 2000, Sainburg and Kalakanis, 2000) and monkeys. Anatomic brain asymmetries found in humans (Amunts et. al., 1996,1997, 2000) and monkeys (Nudo et. al., 1992) may be associated with hand preference, but a functional relationship between asymmetries of the motor system and hand preference has not been established (for review see Haaland and Harrington, 1996). It has been shown that several motor areas participate in planning the movement of one (Alexander et. al., 1990, Gourgopolous et. al., 1982, 1995, Scott et. al., 1997, Fu et. al., 1995) and both arms (Toyokura et. al., 1999, Tanji et. al., 1988, Donchin et. al., 1998, Kermadi et. al., 2000). In the early stages of this project we provided evidence that each of the two hemispheres contain and may be able to contribute to the control of movements of both arms (Donchin et. al., 1998, 2001 a&b, Steinberg et. al., 2001, Cardoso et. al., 2001). Further, our psychophysical experiments suggest a common mechanism for initiation of movements of the two arms, which may be responsible for coupling between the arms at movement initiation. These mechanisms allow for the non- dominant arm to move faster in bimanual, compared with unimanual trials. There have been other psychophysical studies of inter-hand coupling (Boessenkool et. al., 1999, Swinnen et. al., 1996, 1997, Franz et. al., 1996, 1997, 2001, Bogaerts et. al., 2001) and dominant hand leading (Byblow et. al., 2000). In recent years have witnessed a surge of human brain imaging studies comparing the activity of both hemispheres during the performance of motor tasks (Kawashima et. al., 1998, van Mier et. al., 1998, Jenkins et. al., 1997, Sabatini et. al., 1993, Yahagi and Kasai, 1999, Civari et. al., 2000). However, the role of inter-hemisphere dominance in motor planning is still obscure. In the present study we compared MI neural activity in each hemisphere while 79 monkeys perform unimanual and bimanual reaching movements, in effort to: (1) Elucidate the nature of functional differences between hemispheres and (2) Study the behavioral correlates of these differences. Methods The behavioral tasks The behavioral tasks were the same as described above. Three macaque rhesus monkeys were trained to perform proximal center-out tasks, where we also recorded neuronal activity. One monkey (monkey G) participated in two different behavioral and recording sessions, which were analyzed separately. Two of the three monkeys also performed a “more natural” raisin task were they were required to pick up raisins from the big and small holes of plastic boards (Brinkman et. al., 1981). The reason for using the different boards was that boards with big holes were used for proximal reaching task, whereas small holes in different orientations were used as a task involving distal precise grasping. Hand Preference The hand preference of each monkey was evaluated using several methods. 1. The reaction time (RT) was compared between the two hands during the performance of unimanual right and left center-out reaching movements. 2. RT was compared between the two hands in the performance of bimanual center-out task. 3. The percentage of bimanual trials, which were initiated by the left and right hand, was calculated. 4. The percentage of raisin reaching and grasping, which was initiated by the left and right hand, was calculated. 80 Activation of neuronal population Average firing rate was calculated in a time window of -200:300 ms around the movement onset, defined according to the Amos Arieli movement onset algorithm described previously (Donchin et. al., 1998,2001; Cardoso et. al., 2001, Gribova et. al., 2001). The significance of differences in firing rates between the hemispheres was tested using Mann Whitney non-rank analysis. (Sidney Siegel, Nonparametric statistics for the behavioral science, 1956). A compound peri-stimulus time histogram (PSTH) was calculated by averaging the PSTH of all the cells for the different kinds of trials. Directional tuning in different movement types Directional tuning of single cells was defined on the basis of neural activity during the performance of unimanual center-out movements. Cell PSTHs were plotted for unimanual left and unimanual right movements in eight directions. Tuning preferred direction was determined both by eye and by fitting the data to cosine (using R2 as described by Gourgopolous et. al., 1982). To compute the R2 we averaged the firing rate in a 750 ms response window of -250:500 ms before and after movement onset (defined as off-line). Cells that were directionally tuned only to the contralateral arm were defined as contralateral; cells that were directionally tuned only to the ipsilateral arm were defined as ipsilateral; cells that were tuned to both the ipsilateral and contralateral arms were defined as bilateral. Cells counted as bilateral were not included in the ipsilateral and contralateral groups. LFP Directional tuning LFP directional tuning was evaluated using two parameters: the depth of modulation (max(LFP)-min(LFP)) in the response window or the sum of the RMS signal in the response window. The response window was defined as -200:300 ms around movement onset. Finally, the data was fitted to cosine using the R2 as for single units. 81 Laterality index To assess the degree of laterality of neuronal activity we computed a “laterality index” based on for the average firing rate (for single cells) and the LFP signal during the unimanual movements in a window –200:300 ms around movement onset. The laterality index is given by: Laterality index = (ContraResponse-IpsiResponse)/(ContraResponse+IpsiResponse) As the equation shows, the values of the laterality index range from –1 to1. For Cells/LFP that mainly respond to the contralateral side, the value approaches 1, while for cells/LFP that relate mostly to the ipsilateral arm the values reach -1. This measure is not related to the directional tuning, but to the magnitude of the response. The significance of the differences in laterality index distributions between the two hemispheres was tested according to chi-square method. The calculation of chisquare takes into account the interdependency of the response of the same cell to eight different directions of unimanual movement. Onset time of neuronal activity To compare onsets of movement to the beginning of significant neuronal activation, we determined the onset of neural activity changes for each cell, using the CUSUM algorithm (Ellaway, 1977, Davey et. al., 1986). This calculation was made on the basis of the average firing rate within a time window of 200 ms before to 300 ms after movement onset (as defined by the offline detection algorithm). We used two thresholds, the stricter one being 4 x the confidence limit, as defined in Ellaway (1977) and a less strict one, 1.5 x the confidence limit. Onsets were limited to time from target appearance to 400 ms after movement initiation. Distribution of activity onsets in the MI in one side of the brain was compared with that at the MI in the other side. The significance of the difference was tested, using the non-parametric Mann Whitney test. 82 Crosscorrelation analysis Cross-correlation analysis was applied to the LFP signal, as described above for SMA lesions. (See page 37) 83 Results 1. Hand preference – behavioral results According to the hand preference test, all three monkeys were defined as right-handed (Fig. 1), the magnitude of hand dominance of the individual monkey varied from task to task. For example, according to raisins task, monkey P appeared to be strongly right-handed, while in the center-out task she seemed to be a near balance between the left and right side. This monkey exhibited the smallest inter-hand interval (IHI) in the bimanual trials. Fig. 1: Hand preference in monkeys. A.: The plots in left column show the percentage of usage of the right (black bars) and left (white bars) hands in the two raisin tasks (average values over 10 days for monkey G and 23 days for monkey P), and the percentage of movements in which each hand was first to move in the bimanual movement. Monkey F, did not perform the raisin task. B.: The right column shows the average RT for each hand in unimanual and bimanual movements (white - left hand, black bars – right hand). Error bars display the standard deviations; the asterisks indicate a significant between-hand difference (p<0.01, Mann-Whitney test). 2. Firing rate and movement related activation of single unit and LFP A comparison of average firing rates showed a slight non-significant difference between the two MI in the behaving monkey. All three monkeys revealed a higher firing rate for the dominant (left) hemisphere. The compound PSTH consistently shows that in the bimanual movements the left (dominant) hemisphere is significantly 84 more active then the right hemisphere in all three monkeys (Fig.2). This finding supports the above-described one, which was weaker mostly because it was averaged for all kinds of trials. Another unexpected result, seen in the compound PSTH, is that the left (dominant) hemisphere was active both during the contralateral and ipsilateral unimanual movements, while the right (non-dominant) hemisphere was active mostly during the contralateral unimanual movements (Fig. 2). Fig. 2: Compound PSTH in monkeys. Average PSTH, relative to the movement onset, is plotted for each hemisphere activity in unimanual right, left and bimanual trials separately. Red is right hemisphere, green is left hemisphere. The comparison of medians of LFP modulation in the right and left hemisphere showed that the modulation was significantly (p<<0.01) higher in the left (dominant) hemisphere in all 3 monkeys, Fig. 3. Fig. 3: Median of LFP modulation The median of LFP modulation is plotted in the percentage of the maximal value between the left (black bar) and right (white bar) hemisphere for each monkey. All monkeys showed significantly (p<<0.01, Mann Whitney test) higher modulation for the left (dominant) hemisphere. 85 Two of the three monkeys showed a higher presentation of the dominant (right) hand. The percentage of ipsilaterally tuned cells in the right (non-dominant) hemisphere was higher then in the left. Monkey P showed a more similar distribution of tuned cell percentage in each hemisphere, probably due to weak hand dominance in the centerout task. (Table 1) Monkey F normal In % of task related Contra ipsi bilateral Monkey G (session2) In % task related Contra Ipsi Bilateral Monkey G (session 1) In % task related Contra Ipsi Bilateral Monkey P normal In % of task related Contra Ipsi bilateral Right hemisphere 42.65 % 14.71 % 17.65 % Left hemisphere (27 %) (18%) (18%) Right hemisphere 32.14 % 17.87 % 12.5 % (25%) (15.87%) (8%) 27.69 % 3.08 % 7.69 % (50%) (15.63%) (6%) Left hemisphere (38%) (22%) (9%) Right hemisphere 60.51 % 5.73 % 21.2 % (40%) (9%) (3%) Left hemisphere Right hemisphere 24.32 % 18.92 % 39.19 % 44.09 % 8.6 % 17.2 % 47.06 % 22.06 % 11.76 % (27%) (14%) (9%) Left hemisphere (31%) (14%) (15%) 53.53 % 4.12 % 23.53 % (31%) (16%) (11%) Table 1: Lateralization of tuning in MI. The first number in the table is calculated using eye measurement, while the number in brackets is calculated by R2 measurement with threshold 0.7 (window of response is [250:500] msec). The both methods of measurements give similar results. The cells, which were counted in the bilateral category, were not counted as ipsi and contra. Both methods of measurement: by eye and by R2 produced similar results. The difference between the numbers cells obtained using the two measurements is due to the fact that the R-square method was applied to the data after selecting it for stable parts, so that the data set was smaller. Calculation of the tuning of the mean modulation of LFP gave results similar to those for cells tuning. An even stronger tendency toward high cortical representation of the dominant (right) arm is evident: the percentage of cells tuned to the contra lateral side was high in the left hemisphere, whereas the percentage for ipsilateral presentation was higher in the right hemisphere. Since there was not sufficient stable data for monkey F, it is not presented in the table. (Table 2) Calculation of LFP tuning, using 86 RMS function instead of depth of LFP modulation, produced very similar results. Monkey G (2 session) Contra Ipsi Bilateral Left hemisphere (22-7)/52 = 28.85% (10-7)/52 = 5.77% 7/52 = 13.46% Right hemisphere (3-1)/52 = 3.85% (10-1)/52 = 17.31% 1/52 = 1.92% Monkey G (1 session) Contra Ipsi Bilateral Left hemisphere (8-3)/39 = 12.82% (9-3)/39 = 15.38% 3/39 = 7.69% Right hemisphere (3-3)/42 = 0% (14-3)/42 = 26.19% 3/42 = 7.14% Monkey P Contra Ipsi Bilateral Left Hemisphere (24-5)/116 = 16.38% (18-5)/116 = 11.21% 5/116 = 4.31% Right hemisphere (8-3)/116 = 4.31% (20-3)/116 = 14.66% 3/116 = 2.59% Table 2: Mean modulation LFP tuning by R2 method Threshold is 0.7, window of response taken is [-250:300]msec. The cells, which were counted in the bilateral category, were not counted as ipsi and contra. Laterality index calculation of LFP RMS function revealed a similar tendency of the non-dominant hemisphere to respond with more similar strength to the contralateral and ipsilateral sides of the body then the dominant hemisphere. Distribution of the Laterality index in most of the monkeys showed significantly lower indexes for the right hemisphere than for the left (dominant) one (Fig. 4). Again, monkey P exhibited a non-significant difference between the hemispheres, probably due to weak hand dominance. Fig. 4: Laterality indices distribution of LFP. Distribution of the laterality index of LFP RMS function for each hemisphere is displayed separately. Each line represents a different monkey; left column - left hemisphere MI, right column - right MI. The red line plotted on each distribution indicates the zero indexes where the response to the ipsilateral and contralateral side of the body was equal. For each monkey, the p value of the difference between the right and left hemisphere is indicated in red letters (Mann Whitney non-parametric test). The same result can 87 be seen in the cell laterality index, while in the cells themselves the significance of the inter-hemispheric difference was lower. (Fig. 5 Fig. 5: Laterality indices distribution of single units. Distribution of the laterality index of cells firing rate for each hemisphere is displayed separately. Each line represents a different monkey; left column - left hemisphere MI, right column - right MI. The red line plotted on each distribution indicates the zero index where the response to the ipsilateral and contralateral side of the body was equal. For each monkey, the p value of the difference between the right and left hemisphere is indicated in red letters (Mann Whitney non-parametric test). PSTH onset distribution did not show any consistently significant difference between the right and left MI (Table 3). Monkey F All Less then 0 Right hemisphere -80.29 (-60.32) -140.45 (-92.35) Left hemisphere -112.83 (-146.9) -152.76 (-150.66) significance 0.0278 0.0642 Monkey G (1st session) All Less then 0 Right hemisphere -58.86 (-57.53) -124.56 (-107.95) Left hemisphere -40.74 (-56.16) -102.76 (-98.84) significance 0.3712 0.0596 Monkey P All Less then 0 Right hemisphere -117.24 (-108.57) -116.53 (-124.64) Left hemisphere -114.49 (-69.28) -156.38 (-107.96) significance 0.2744 0.1204 Table 3: Mean (and median) of neural activity (cells) onsets in left and right hemispheres MI. Neural activity onsets were taken relative to the beginning of movement calculated off-line. First line in the table indicates the mean (median) of the all PSTH onsets, while the second line take into account only the cells, which were significantly activated before the movement onset. (The significance was tested by Mann Whitney test between the means through all trial-types of the cells) 88 3. Intra-hemispheric and inter-hemispheric interactions Cross-correlation analysis in 2 monkeys (Monkey G 2sess., Monkey P) showed that intra-hemispheric LFP cross-correlations were slightly, but significantly, higher in the left hemisphere (Fig. 6). Fig6: Mean of LFP cross-correlations The means LFP cross-correlations peak values calculated separately for each hemisphere of two monkeys are plotted. The black bar is for the right MI, gray – left MI and white for the correlations between the right and left hemispheres. Intermediate summary discussion and conclusions Our work shows that there is a functional difference between the arm-related areas of the left and right MI. This difference most probably originates in the behavioral hand difference observed in the same monkeys. However, it bears mention that the neuronal asymmetry between the right and left MI was much weaker than the behavioral hand preference. This weak expression of hand preference in neuronal activity could stem from a real physiological difference or might be a byproduct of insufficient neuronal data. Further works with neuronal recordings from behaving monkeys should resolve this issue. We found that the tuning as well as the laterality index of both the cells and the LFP reflects control of both sides of the body by the right (non-dominant) hemisphere. In 89 the LFP signal the result are more prominent. For example, it is clear from comparing figure 4 to figure 5 that the distribution of laterality indices for LFP is narrower as compared to the distribution for cells. This suggests that the inputs to a given cortical cell are generally more bilateral (small laterality indices), and these inputs are “filtered” by different MI cells – the majority of which sends as output – stronger contra lateral signals. The result may also partly account for the better performance of the non-dominant hand in bimanual movements than in unimanual ones. We did not find any difference in neuronal activity related to different types of bimanual movements. This is probably due to the fact that at the recording stage, all the monkeys were over-trained. It is known that over-training makes movements more automatic. Conceivably motor-learning experiments now in progress in our laboratory will produce different results. 90 General conclusion and discussion: Section 1: Overall summary and conclusions. This study, along with other experiments conducted in our laboratory, aimed at elucidating the nature of bimanual coordination and its underling neuronal substrate. The major significance of this work is in demonstrating that bimanual movements are generated and represented in the brain as a distinct entity, rather then a composition of two unimanual movements. This notion is very different from the classical “contralateral” approach, which is widely taught and used among neural scientists. The idea that bimanual movement is planned as a whole may explain the “bimanual coupling” paradigm, which is now being studied very intensively. The hypothesis that planning of bimanual movement is one entity also leads to a more holistic view of the motor planning problem, it preferences and restrictions. Using the non-structured scribbling task in humans, we further demonstrated the phenomenon of bimanual coupling. In most previous works the subjects were tested while making highly structured movements. In the scribbling task the movements of each arm seem to be very chaotic. Yet, we demonstrated that here as well, the two arms naturally couple, even no restrictions were imposed. We advanced one step forward by showing that this non-symmetric bimanual movement is unexpectedly hard to perform and requires special learning. These simple experiments reveal the existence of a common plan for both hands, which satisfies the performance of most kinds of movements in our daily life. A possible reason for this common plan is its simplification of real time movement computation. In the center-out task in humans and monkeys, we continued to investigate the dynamics of inter-arm coupling and found that this coupling is high even before movement starts, gradually decreasing toward the end of the movement. This result provides experimental evidence that movements of the two arms are planned initially by a common central mechanism and this supports the hypothesis that bimanual movements are represented in the brain as a distinct entity. To achieve appropriate 91 motor behavior, decoupling mechanisms must come into action as the movement is executed, even in bimanual movements. This is necessary to adjust the movements to different loads, obstacles and to differences in muscular strength of the two arms. Our results support the notion that decoupling is mediated by somato-sensory feedback from the limbs, and possibly also by visual feedback. The neural level at which these decoupling correction are performed is a subject for additional research. However, a possible neural correlate at the cortical level is demonstrated in our study as well; While the LFP cross-correlations high before the movement onset, they decreased as the movement progressed. Interestingly, the time scales for the decrease in inter-arm coupling and the LFP cross-correlation were very similar, further supporting the notion that modulation of interhemisphric correlation is modulated by the feedback to achieve the necessary corrections for each arm by decoupling the centrally generated commands. In the same center-out task we compared bimanual performance with the unimanual movement constructing it, and showed that the bimanual movement does not have a higher RT then the unimanual one. Furthermore, we found that preparatory neural activity in monkeys is significantly longer for unimanual non-dominant movements and equal for bimanual and unimanual dominant movements. These findings provide additional support to the claim that bimanual movements are not a combination of unimanual ones, and that it is the unimanual movement, which requires additional processing – most likely by inhibition imposed on the non-moving arm. The study of SMA lesions revealed transient changes in behavior, followed by compensatory changes in MI. In the absence of a functioning SMA: a. Firing rate of MI cells was increased, supporting the hypothesis that that SMA is a source of some kind of inhibition, which may play a role in decoupling the arms. b. The number of bilaterally tuned cells in the MI increased and the magnitude of neural response to both sides of the body become more similar. These changes reveal the existence or development of more symmetrical control of both sides of the body by the MI. 92 c. MI prolongs preparatory activity before movement onset. This may be due to compensation for the missing functional areas. d. The inter-hemispheric connectivity between the two spared motor areas (MI) is increased - This may both enhance neural network reformation and contribute to the bilateral control of the body by each hemisphere. The result may also support the hypothesis that SMA induces de-correlation and thus decoupling. Cumulatively, our results suggest that in the absence of SMA, MI is even more involved in the control of both sides of the body. Adding to this the discovery “bimanual related activity” in the normal MI, our findings further support the notion that motor planning starts with, a “default plan” of a “bimanual symmetric” movement, which is modulated to produce other types of movements (where symmetry may break) by interactions between SMA and MI which includes inhibitory decoupling influences from SMA to MI. A comparison of the right and left MI exposed, as expected, various functional differences between the two sides of the brain. However, at our hands, these were small, and call for further research. In sum, we showed here that that the two arms tend to be coupled in scribbling as well as and center-out task, in both humans and monkeys and demonstrated neural correlates to these phenomena. We also investigated behaviorally and physiologically the decoupling mechanisms and suggest that it evolve during movement execution by sensory feedback and mediated by inter-hemispheric interactions and inhibitory influence of SMA on MI. As a whole, these results support my working hypothesis which holds that the primary motor cortex attempts to initiate by default, a symmetric movements of the two arms (using common plan for the two sides), while sensory inputs together or via SMA influences can modulate and modify this plan during its execution. 93 Section 2: Significance and possible clinical implementations I would like to outline some practical outcomes, which might emerge from the results, the conclusions and the philosophy of this work: 1. Parkinson’s’ disease: Our study of SMA lesions in monkeys shows that there are some similar behavioral deficits in monkeys after SMA lesion and after MPTP treatment (animal model of Parkinson’s disease). This finding, together with the similar coordination pattern found in PD patients and SMA lesion patients (difficulty to perform different movements by both arms simultaneously), support the notion that some of PD symptoms originate in weaker activation of the SMA by BG and not the BG themselves. These findings may change present approach to the treatment of PD patients. For example, a “long-shot” suggestion may be to monitor SMA activity and stimulate when necessary. 2. Hemiplegia and CVA induced paralysis: Hemiplegia is motor deficit where some limbs on one side of the body are either weak or completely paralyzed. In many cases this was caused by damages to one side of the brain (mainly in the cortex and white matter of motor areas, depriving the motor system of cortical contribution to motor control). There are many stroke patients with damage to one side of the motor cortical area. As a result, they suffer from a weakness or the inability to move an arm/leg in the contralateral side. Assuming that “bimanual symmetric default” exists, it should be possible to more efficiently improve the control over the weak part of the body by training subjects to attempt to make, or even just imagine they make bimanual movements. This may facilitate ipsilateral activation in the spared hemisphere and help restoring motor functions to the impaired side of the body. As an anecdote, I would like to bring here the results of some preliminary experiments. Using this approach, I taught my left hand to write in three 94 languages (Hebrew, Russian, English). I used the following algorithm: first write with the left (non-dominant) hand, then with both hands together, and then again with the left hand. I found that following a week or two of such exercises it was possible to bring the non-dominant hand to a better writing level. However, I also found that the improvement could only last by continuing the training. A short protocol of this experiment is enclosed in Appendix 0. For some people, who were born left-handed and who were forced to use the right hand, this algorithm may be useful for reversing the habit. Psychologists attach a great deal of importance to this possibility, because they contend, that the original changing of hand preference may lead to mental complications. An additional advantage in enhancing the use of the non-dominant hand is derived from Oriental medicine and Yoga, where the idea is to bring the body to the most balanced form. The Feldenkrais method of therapy, taken from Yoga, is based on the same notion. 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