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Effect of behavioural practice targeted at the motor action selection network after stroke
Author(s) -
Stewart Jill Campbell,
Baird Jessica F.,
Lewis Allison F.,
Fritz Stacy L.,
Fridriksson Julius
Publication year - 2022
Publication title -
european journal of neuroscience
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.346
H-Index - 206
eISSN - 1460-9568
pISSN - 0953-816X
DOI - 10.1111/ejn.15754
Subject(s) - premotor cortex , psychology , neuroscience , supplementary motor area , action selection , physical medicine and rehabilitation , stroke (engine) , task positive network , motor cortex , sensory system , cued speech , anterior cingulate cortex , posterior parietal cortex , functional magnetic resonance imaging , cognitive psychology , medicine , cognition , dorsum , default mode network , anatomy , mechanical engineering , stimulation , engineering , perception
Motor action selection engages a network of frontal and parietal brain regions. After stroke, individuals activate a similar network, however, activation is higher, especially in the contralesional hemisphere. The current study examined the effect of practice on action selection performance and brain activation after stroke. Sixteen individuals with chronic stroke (Upper Extremity Fugl–Meyer motor score range: 18–61) moved a joystick with the more‐impaired hand in two conditions: Select (externally cued choice; move right or left based on an abstract rule) and Execute (simple response; move same direction every trial). On Day 1, reaction time (RT) was longer in Select compared to Execute, which corresponded to increased activation primarily in regions in the contralesional action selection network including dorsal premotor, supplementary motor, anterior cingulate and parietal cortices. After 4 days of practice, behavioural performance improved (decreased RT), and only contralesional parietal cortex significantly increased during Select. Higher brain activation on Day 1 in the bilateral action selection network, dorsolateral prefrontal cortex and contralesional sensory cortex predicted better performance on Day 4. Overall, practice led to improved action selection performance and reduced brain activation. Systematic changes in practice conditions may allow the targeting of specific components of the motor network during rehabilitation after stroke.