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Piitulainen, H.

Publications and source records attributed to Piitulainen, H..

7 recordsLinked to original sources

Patellar tendon-tap intensity modulates response gain but not variability across cortical proprioceptive and stretch-reflex responses

Cortical proprioceptive processing to passive movements can be quantified with evoked and induced responses in magnetoencephalographic (MEG) signals. We examined how intensity of proprioceptive stimulation (i.e., tendon-tap evoked movement) scales cortical processing of proprioceptive afference from the knee joint, and whether it affects stimulus-to-stimulus response variability. Twenty-one healthy volunteers (28.2{+/-}5 yr, 10 females) underwent a total of 100 right patellar tendon taps (5.0--6.0s inter-stimulus interval) evoked by a novel MEG-compatible stimulator under higher and lower intensity conditions. Strength of cortical evoked and induced MEG and electromyographic responses from the vastus lateralis and medialis muscles were quantified, and their variability were assessed using a matched sliding-window coefficient of variation (CoV). Higher intensity stimulation elicited significantly stronger cortical evoked (~11%) and induced (~17% for beta suppression and ~18% for beta rebound) responses, and muscular response (~27%) than lower intensity stimulation (p<0.05). The stimulus intensity did not affect response variability, with comparable CoV values between higher and lower intensity condition (p>0.05), but the muscular responses showed greater variability than the cortical ones in both intensity conditions (CoV: ~30% vs. ~10%, p<0.001). In addition, the variability in cortical and muscular responses were not significantly correlated (p>0.05). Our results indicate that patellar tendon-tap intensity scaled cortical and muscular response gain, but did not measurably alter response variability. The distinct variability profiles of cortical evoked fields and stretch-reflex muscular response suggest that proprioceptive afference evoked by tendon-tap is transformed differently across cortical and spinal levels.

neuroscience↗

Feasibility and repeatability of MEG-compatible patellar-tendon stimulator for eliciting knee-joint proprioceptive cortical responses

BackgroundCortical processing of the knee-joint proprioception is largely unknown. Magnetoencephalography (MEG) can be used to quantify the cortical processing of the proprioceptive afference, but MEG-compatible and well-controlled stimulation of the knee joint is technically challenging, and thus has received less attention. New methodWe introduced a novel MEG-compatible stimulator that delivers controlled patellar tendon stretches to activate muscle afferent of the knee extensors. The stimulus intensity is adjustable, allowing graded activation of proprioceptive input and, when required, elicitation of the patellar-tendon reflex. ResultsThe novel stimulator elicited clear muscular and cortical responses in both intensity conditions. Cortical responses demonstrated moderate to excellent intersession reliability for peak evoked field amplitude (ICC: 0.69-0.96), beta suppression (0.89-0.90) and beta rebound (0.96-0.97). Notably, beta suppression peaked more laterally than expected in both hemispheres. Peak EMG amplitudes in VL and VM muscles were reliable for both intensity conditions (ICC: 0.66-0.89), and stimulus kinematics remained consistent throughout measurements. Comparison with existing methodsPrevious robotic or motor-driven devices have been used to evoke cortical responses to knee-joint proprioceptive stimulation, but mechanical coupling across adjacent joints may limit knee-specific input. The present stimulator provides mechanically simple and MEG-compatible alternative that targets knee extensor afferents more directly, reduces distal joint involvement. ConclusionThe novel stimulator is a feasible and repeatable tool to study cortical processing of proprioceptive afference from the knee-joint using MEG. The spatially unexpected beta rhythm suppression suggests that knee-joint proprioceptive afference may involve more unique sensorimotor cortical neuronal network than previously recognized.

neuroscience↗

Cortical adaptation to muscle fatigue does not alter early proprioceptive processing in primary sensorimotor cortex

Muscle fatigue potentially interferes with proprioceptive afference from peripheral "movement sensors"-- the proprioceptors, which may hinder the crucial sensorimotor integration and thus locomotor performance. However, little is known about how muscle fatigue affects cortical processing of proprioceptive afference. Twenty-four healthy volunteers (30.7 {+/-} 6.5 yrs, 13 females) participated in the experiment, which included magnetoencephalography (MEG) recordings during ankle proprioceptive stimulation (2-Hz passive movements), and fatigue tasks comprised of isometric ankle plantar flexion. Corticokinematic coherence (CKC) between foot acceleration and MEG signals was examined before (PRE) and [~]3 min after (POST) the fatigue tasks to quantify the cortical proprioceptive processing. CKC peaked in the gradiometer pairs above the foot region of the primary sensorimotor (SM1) cortex in each participant. CKC strength did not show significant difference between PRE and POST at 2 Hz (0.30 {+/-} 0.12 vs. 0.30 {+/-} 0.14, p = 0.981) or its first harmonic at 4 Hz (0.38 {+/-} 0.14 vs. 0.37 {+/-} 0.13, p = 0.724). However, 4-Hz MEG power was [~]30% lower in POST than in PRE. Surprisingly, fatigue-induced bilateral increase of alpha and beta power was observed in SM1 hand regions during the movement stimulation. Our results indicated that the early processing of proprioceptive afference from the ankle joint was negligibly affected by muscle fatigue, or it recovered rapidly. The effects of muscle fatigue on the proprioceptive processing appear to extend beyond the primary somatotopic regions to bilateral SM1 neuronal networks. This cortical adaptation to muscle fatigue potentially preserves proprioceptive processing by modulating SM1 inhibitory neurons, offering a novel perspective for future research on proprioception.

neuroscience↗

Volitional hand activation intensifies cortical proprioceptive processing in the primary sensorimotor cortex

Proprioception refers to the sense of position and movement of the body and is essential for the planning and execution of movements, especially skilled hand movements. The somatotopic organization of the fingers in the human sensorimotor (SM1) cortex has previously been studied using passive tactile stimulation and active movements. However, the finger representations in response to proprioceptive stimulation in the SM1 cortex are incompletely understood. To address this, we investigated cortical representations of the index and ring fingers during kinematically matched passive and active finger movements using 3T fMRI and an MRI-compatible proprioceptive stimulator. Both active and passive conditions elicited significant activations in the SM1 cortex, with stronger and more extensive responses observed during the active condition. The results indicated that volitional activation of the fingers intensifies cortical proprioceptive processing in the SM1 cortex. This observation could be explained by the active state of the SM1 cortex and the increased sensitivity of peripheral proprioceptors during the active condition. Key pointsVolitional activation of the fingers intensifies cortical processing of proprioceptive afference and modulates the organization of finger representations in the SM1 cortex. This could be explained by the active state of the SM1 cortex and the increased sensitivity of peripheral proprioceptors during the active condition. Proprioceptive finger representations followed the classical somatotopic organization at the group level, although this organization was not consistently observed across all subjects.

neuroscience↗

Temporally stable beta sensorimotor oscillations and cortico-muscular coupling underlie force steadiness

As humans, we seamlessly hold objects in our hands, and may even lose consciousness of these objects. This phenomenon raises the unsettled question of the involvement of the cerebral cortex, the core area for voluntary motor control, in dynamically maintaining steady muscle force. To address this issue, we measured magnetoencephalographic brain activity from healthy adults who maintained a steady pinch grip. Using a novel analysis approach, we uncovered fine-grained temporal modulations in the [~]20-Hz sensorimotor brain rhythm and its coupling with muscle activity, with respect to several aspects of muscle force (rate of increase/decrease or plateauing high/low). These modulations preceded changes in force features by [~]40 ms and possessed behavioral relevance, as less salient or absent modulation predicted a more stable force output. These findings have consequences for the existing theories regarding the functional role of cortico-muscular coupling, and suggest that steady muscle contractions are characterized by a stable rather than fluttering involvement of the sensorimotor cortex.

neuroscience↗

More comprehensive proprioceptive stimulation of the hand amplifies its cortical processing

Corticokinematic coherence (CKC) quantifies the phase coupling between limb kinematics and cortical neurophysiological signals reflecting proprioceptive feedback to the primary sensorimotor (SM1) cortex. We studied CKC to proprioceptive stimulation (i.e. movement-actuator-evoked movements) of right-hand digits (index, middle, ring and little) performed simultaneously or separately. CKC was computed between magnetoencephalography (MEG) and finger acceleration signals. The strongest CKC was obtained by stimulating the fingers simultaneously at fixed 3-Hz frequency, and can, therefore, be recommended as design for fast functional localization of the hand area in the primary sensorimotor (SM1) cortex using MEG. The peaks of CKC sources were concentrated in the hand region of the SM1 cortex, but did not follow consistent somatotopic order. This result suggests that spatial specificity of MEG is not sufficient to separate proprioceptive finger representations of the same hand adequately or that their representations are overlapping.

neuroscience↗

Attenuated post-movement beta rebound in Parkinson’s disease to proprioceptive afferent feedback

Motor symptoms are defining traits in the diagnosis of Parkinsons disease (PD). A crucial component in motor function and control of movements is the integration of efferent signals from the motor network to the peripheral motor system, and afferent proprioceptive sensory feedback. Previous studies have indicated abnormal movement-related cortical oscillatory activity in PD, but the role of the proprioceptive afference on abnormal oscillatory activity in PD has not been elucidated. In the present study, we examine the role of proprioception by studying the cortical processing of proprioceptive stimulation in PD patients, ON/OFF levodopa medication, as compared to that of healthy controls (HC). We used a proprioceptive stimulator that generated precisely controlled passive movements of the index finger and measured the induced cortical oscillatory responses following the proprioceptive stimulation using magnetoencephalography (MEG). Both PD patients and HC showed a typical initial mu/beta-band (8-30 Hz) desynchronization during the passive movement. However, the subsequent beta rebound after the passive movement that was apparent in HC was much attenuated and almost absent in PD patients. Furthermore, we found no difference in the degree of beta rebound attenuation between patients ON and OFF levodopa medication. Our results hence demonstrate a disease-related deterioration in cortical processing of proprioceptive afference in PD, and further suggest that such disease-related loss of proprioceptive function is due to processes outside the dopaminergic system affected by levodopa medication.

neuroscience↗