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Blumenthal, G. H.

Publications and source records attributed to Blumenthal, G. H..

4 recordsLinked to original sources

Overlap in neural representations of coordinated wrist and finger movements in human motor cortex

Dexterous hand function underlies many essential human activities, from tool use to expression through gestures. Coordinated digit movements are enabled by the intricate musculature of the hand and forearm, which also imposes mechanical coupling between the digits and wrist, constraining their independent control. It remains unclear whether motor cortex inherits these constraints in its activity or encodes digit and wrist independently. To address this problem, we asked individuals with intracortical microelectrode arrays implanted in motor cortex to attempt flexion and extension of individual digits, either in isolation or in combination with attempted wrist movements. We could accurately decode which digit was moving based on cortical recordings, and channels selective for digit identity were arranged somatotopically across the recording arrays. Nevertheless, the activity during flexion or extension overlapped between digits, and movement direction of a given digit could be reliably inferred by a decoder trained on movements of other digits. This directional signal was largely invariant to the digits initial posture. The population axis describing digit movement direction was aligned with the axes associated with wrist flexion-extension or pronation-supination. This alignment persisted during simultaneous wrist and digit movements, which complicated efforts to control them individually. However, by decoding wrist and digit motion from activity orthogonal to the shared direction axis, a participant was able to achieve continuous control of virtual hand movements with improved speed and reduced unintended movements. Together, the results identify both a code for digit identity and a low-dimensional flexion-extension signal which is shared across the digits and wrist. This arrangement is consistent with muscle-like biomechanical constraints on motor cortical activity, which must be accounted for to improve coordinated BCI control.

neuroscience↗

Distinct neural modes carry information about grasp force and phase in the sensorimotor cortex

Humans perform a variety of complex hand movements to manipulate objects, requiring precise control of changing forces. Understanding the role of sensorimotor cortex and the cortical dynamics underlying these actions is crucial for developing interventions that restore dexterous hand function after injury or disease. In this study, two individuals with tetraplegia resulting from cervical spinal cord injury attempted a series of isometric grasps. Neural activity was recorded from the motor and somatosensory cortices using intracortical microelectrode arrays while participants attempted to exert a static force or to ramp force up and down. Despite their inability to execute movement, and with limited afferent input, the spiking activity in motor and somatosensory cortex was modulated with the task. Within the neural response we identified independent neural modes - distinct patterns of population-level neural activity - that were informative about both the timing and magnitude of the force. Moreover, distinct neural modes were observed during static and dynamic grasping conditions, suggesting independent control schemes for maintaining and changing forces. These modes were related to phases of the task, including the onset, offset, holding periods, as well as phases of increasing and decreasing force. These results will inform the design of intracortical brain-computer interface (iBCI) systems that can leverage these naturally occurring patterns of grasp and force control to restore dexterous hand function. Significance StatementRestoring dexterous hand function after injury remains a major challenge, partly due to an incomplete understanding of the cortical dynamics underlying grasping and force control. In this study, we investigated neural activity within the motor and somatosensory cortices of individuals with tetraplegia attempting to perform grasps to different target forces with varying temporal profiles. We identified distinct neural modes modulated during specific phases of grasp that encode force information throughout the task. These findings suggest that brain-computer interfaces could leverage these native neural modes to restore grasping and force modulation.

neuroscience↗

Trunk sensory and motor cortex ispreferentially integrated with hindlimb sensoryinformation that supports trunk stabilization

Sensorimotor integration in the trunk system has been poorly studied despite its importance for examining functional recovery after neurological injury or disease. Here, we mapped the relationship between thoracic dorsal root ganglia and trunk sensory cortex (S1) to create a detailed map of the extent and internal organization of trunk primary sensory cortex, and trunk primary motor cortex (M1) and showed that both cortices are somatotopically complex structures that are larger than previously described. Surprisingly, projections from trunk S1 to trunk M1 were not anatomically organized. We found relatively weak sensorimotor integration between trunk M1 and S1 and between trunk M1 and forelimb S1 compared to extensive integration between trunk M1 and hindlimb S1 and M1. This strong trunk/hindlimb connection was identified for high intensity stimuli that activated proprioceptive pathways. To assess the implication of this integration, the responses in sensorimotor cortex were examined during a postural control task and supported sensorimotor integration between hindlimb sensory and lower trunk motor cortex. Together, these data suggest that trunk M1 is guided predominately by hindlimb proprioceptive information that reached the cortex directly via the thalamus. This unique sensorimotor integration suggests an essential role for the trunk system in postural control, and its consideration could be important for understanding studies regarding recovery of function after spinal cord injury. SignificanceThis work identifies extensive sensorimotor integration between trunk and hindlimb cortices, demonstrating that sensorimotor integration is an operational mode of the trunk cortex in intact animals. The functional role of this integration was demonstrated for postural control when the animal was subjected to lateral tilts. Furthermore, these results provide insight into cortical reorganization after spinal cord injury making clear that sensorimotor integration after SCI is an attempt to restore sensorimotor integration that existed in the intact system. These results could be used to tailor rehabilitative strategies to optimize sensorimotor integration for functional recovery.

neuroscience↗

At-level allodynia after mid-thoracic contusion in the rat

The rat mid-thoracic contusion model has been used to study at-level tactile allodynia after spinal cord injury (SCI), one of the more common types of allodynia. An important advantage of this model is that not all animals develop allodynia and, therefore, it could be used to more clearly examine mechanisms that are strictly related to pain development separately from mechanisms related to the injury itself. However, how to separate those that develop allodynia from those that do not is unclear. The aims of the current study were to identify where allodynia and spasticity develop and use this information to identify metrics that separate animals that develop allodynia from those that do not in order study difference in their behavior. To accomplish these aims, a standardized grid was used to localize pain on the dorsal trunk and map it to thoracic dermatomes, providing for the development of a pain score that relied on supraspinal responses and separated subgroups of animals. Similar to human studies, the development of allodynia often occurred with the development of spasticity or hyperreflexia. Moreover, the time course and prevalence of pain phenotypes (at-, above-, or below level) produced by this model were similar to that observed in humans who have sustained an SCI. However, the amount of spared spinal matter in the injured cord did not explain the development of allodynia, as was previously reported. This approach can be used to study the mechanism underlying the development of allodynia separately from mechanisms related to the injury alone.

physiology↗