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Bellemare, A.

Publications and source records attributed to Bellemare, A..

3 recordsLinked to original sources

Clinically significant acute pain disturbs motor cortex intracortical inhibition and facilitation in orthopedic trauma patients: A TMS study

ObjectivePrimary motor (M1) cortical excitability alterations are involved in the development and maintenance of chronic pain. Less is known about M1-cortical excitability implications in the acute phase of an orthopedic trauma. This study aims to assess acute M1-cortical excitability in patients with an isolated upper limb fracture (IULF) in relation to pain intensity. MethodsEighty-four (56 IULF patients <14 days post-trauma and 28 healthy controls) performed a single transcranial magnetic stimulation (TMS) session over M1 (resting motor threshold (rMT); short-intracortical inhibition (SICI); intracortical facilitation (ICF); long-interval cortical inhibition (LICI)). IULF patients were divided into two subgroups according to pain intensity (mild versus moderate to severe pain). ResultsReduced SICI and ICF were found in IULF patients with moderate to severe pain, whereas mild pain was not associated with M1 alterations. Age, sex, and time since the accident had no influence on TMS measures. DiscussionThese findings show altered M1 in the context of acute moderate to severe pain, suggesting early signs of altered GABAergic inhibitory and glutamatergic facilitatory activities.

neuroscience↗

Recruitment of occipital cortex by arithmetic processing follows computational bias in early blind

Arithmetic reasoning activates the occipital cortex of early blind people (EB). This activation of visual areas may reflect functional flexibility or the intrinsic computational role of specific occipital regions. We contrasted these competing hypotheses by characterizing the brain activity of EB and sighted participants while performing subtraction, multiplication and a control verbal task. In both groups, subtraction selectively activated a bilateral dorsal network commonly activated during spatial processing. Multiplication triggered more activity in temporal regions thought to participate in memory retrieval. No between-group difference was observed for the multiplication task whereas subtraction induced enhanced activity in the right dorsal occipital cortex of the blind individuals only. As this area overlaps and exhibits increased functional connectivity with regions showing selective tuning to auditory spatial processing, our results suggest that the recruitment of occipital regions during high-level cognition in the blind actually relates to the intrinsic computational role of the reorganized regions.

neuroscience↗

Visual experience shapes the neural networks remapping touch into external space

Localizing touch relies on the activation of skin-based and externally defined spatial frames of references. Psychophysical studies have demonstrated that early visual deprivation prevents the automatic remapping of touch into external space. We used fMRI to characterize how visual experience impacts on the brain circuits dedicated to the spatial processing of touch. Sighted and congenitally blind humans (male and female) performed a tactile temporal order judgment (TOJ) task, either with the hands uncrossed or crossed over the body midline. Behavioral data confirmed that crossing the hands has a detrimental effect on TOJ judgments in sighted but not in blind. Crucially, the crossed hand posture elicited more activity in a fronto-parietal network in the sighted group only. Psychophysiological interaction analysis revealed that the congenitally blind showed enhanced functional connectivity between parietal and frontal regions in the crossed versus uncrossed hand postures. Our results demonstrate that visual experience scaffolds the neural implementation of touch perception.\n\nSignificance statementAlthough we seamlessly localize tactile events in our daily life, it is not a trivial operation because the hands move constantly within the peripersonal space. To process touch correctly, the brain has therefore to take the current position of the limbs into account and remap them to their location in the external world. In sighted, parietal and premotor areas support this process. However, while visual experience has been suggested to support the implementation of the automatic external remapping of touch, no studies so far have investigated how early visual deprivation alters the brain network supporting touch localization. Examining this question is therefore crucial to conclusively determine the intrinsic role vision plays in scaffolding the neural implementation of touch perception.

neuroscience↗