A 20-year tale on closing-in behavior in graphic copying tasks: Revisiting Della Sala's findings in new samples of patients with dementia and stroke.

Closing-in behavior (CIB) is characterized by the placement of the graphic copy near (Near CIB) or even on the top of (Overlap CIB) the stimulus to be reproduced. Although CIB has received little attention in the literature, Sergio Della Sala and colleagues made important contributions to the understanding of the phenomenon. They noted that CIB is often observed in Alzheimer's Disease but is also present in other forms of dementia and mild cognitive impairment and stroke; they argued that CIB may reflect a deficit in executive function, rather than working memory, and that the phenomenon occurs more frequently in dual task conditions.

Always expect the unexpected: eye position modulates visual cortex excitability in a stimulus-free environment.

Stimuli that potentially require a rapid defensive or avoidance action can appear from the periphery at any time in natural environments. de Wit et al. ( 127: 120-130, 2020) recently reported novel evidence suggestive of a fundamental neural mechanism that allows organisms to effectively deal with such situations.

The influence of hand posture on tactile processing: Evidence from a 7T functional magnetic resonance imaging study.

Although behavioral evidence has shown that postural changes influence the ability to localize or detect tactile stimuli, little is known regarding the brain areas that modulate these effects. This 7T functional magnetic resonance imaging (fMRI) study explores the effects of touch of the hand as a function of hand location (right or left side of the body) and hand configuration (open or closed). We predicted that changes in hand configuration would be represented in contralateral primary somatosensory cortex (S1) and the anterior intraparietal area (aIPS), whereas change in position of the hand would be associated with alterations in activation in the superior parietal lobule.

Can they touch? A novel mental motor imagery task for the assessment of back pain.

Introduction: As motor imagery is informed by the anticipated sensory consequences of action, including pain, we reasoned that motor imagery could provide a useful indicator of chronic back pain. We tested the hypothesis that mental motor imagery regarding body movements can provide a reliable assessment of low back pain.

Methods: Eighty-five subjects with back pain and forty-five age-matched controls were shown two names of body parts and asked to indicate if they could imagine moving so that the named body parts touched.

Apparent increase in lip size influences two-point discrimination.

Magnified vision of one's body part has been shown to improve tactile discrimination. We used an anesthetic cream (AC) to determine if somesthetic stimulation that alters the perception of the size of one's body would also improve two point-discrimination (2PD). In Experiment 1, application of AC caused an increase in perceived lip size and an improvement in a 2PD.

Efficacy of Transcranial Alternating Current Stimulation in the Enhancement of Working Memory Performance in Healthy Adults: A Systematic Meta-Analysis.

Background: Transcranial alternating current stimulation (tACS)-a noninvasive brain stimulation technique that modulates cortical oscillations in the brain-has shown the capacity to enhance working memory (WM) abilities in healthy individuals. The efficacy of tACS in the improvement of WM performance in healthy individuals is not yet fully understood.

Objective/hypothesis: This meta-analysis aimed to systematically evaluate the efficacy of tACS in the enhancement of WM in healthy individuals and to assess moderators of response to stimulation.

Lateralized and pathology in a case of Lewy body disease with corticobasal syndrome.

Introduction: Lewy body diseases are pathologically characterized by α-synuclein pathology. Alzheimer's disease (AD) co-pathology can influence phenotypes. In vivo AD biomarkers can suggest the presence of this co-pathology in unusual cases, but pathological validation remains essential.

Glutamate-Weighted Magnetic Resonance Imaging (GluCEST) Detects Effects of Transcranial Magnetic Stimulation to the Motor Cortex.

Transcranial magnetic stimulation (TMS) is used in several FDA-approved treatments and, increasingly, to treat neurological disorders in off-label uses. However, the mechanism by which TMS causes physiological change is unclear, as are the origins of response variability in the general population. Ideally, objective in vivo biomarkers could shed light on these unknowns and eventually inform personalized interventions.

Virtual Reality Treatment Displaying the Missing Leg Improves Phantom Limb Pain: A Small Clinical Trial.

Background: Phantom limb pain (PLP) is a common and in some cases debilitating consequence of upper- or lower-limb amputation for which current treatments are inadequate.

Objective: This small clinical trial tested whether game-like interactions with immersive VR activities can reduce PLP in subjects with transtibial lower-limb amputation.

Methods: Seven participants attended 5-7 sessions in which they engaged in a visually immersive virtual reality experience that did not require leg movements (Cool! ), followed by 10-12 sessions of targeted lower-limb VR treatment consisting of custom games requiring leg movement.

Virtual Reality Tools for Assessing Unilateral Spatial Neglect: A Novel Opportunity for Data Collection.

Unilateral spatial neglect (USN) is a syndrome characterized by inattention to or inaction in one side of space and affects between 23-46% of acute stroke survivors. The diagnosis and characterization of these symptoms in individual patients can be challenging and often requires skilled clinical staff. Virtual reality (VR) presents an opportunity to develop novel assessment tools for patients with USN.

Ever-ready for action: Spatial effects on motor system excitability.

Modulation of excitability in the motor system can be observed before overt movements but also in response to covert invitations to act. We asked whether such changes can be induced in the absence of even covert motor instructions, namely, as a function of the location of the hand with reference to the body. Participants received single-pulse TMS over the motor cortex while they placed their contralateral hand (right hand in Experiment 1, left hand in Experiment 2) to the right or left of their body midline, and looked either at or away from their hand.

Increasing perceived hand size improves motor performance in individuals with stroke: a home-based training study.

Background: Increasing perceived hand size with magnifying lenses improves tactile discrimination and induces changes in action performance. We previously demonstrated that motor skills (tested with grip force, finger tapping, and a reach to grasp tasks) improved when actions were performed with magnified compared to normal vision; twenty-eight percent of 25 participants with stroke exhibited significant improvement on a composite measure of motor performance with magnification as compared to a session without magnification.

Methods: To investigate the potential implications of magnification of vision for motor rehabilitation, we recruited individuals with stroke from the original cohort who exhibited an improvement of at least 10% in grip force and/or finger tapping for a home training protocol.

Impairments in action and perception after right intraparietal damage.

We examined visually-guided reaching and perception in an individual who underwent resection of a small tumor in right intraparietal sulcus (pIPS). In the first experiment, she reached to targets presented on a touch screen. Vision was occluded from reach onset on half of the trials, whereas on the other half she had vision during the entire reach.

The role of conflict, feedback, and action comprehension in monitoring of action errors: Evidence for internal and external routes.

The mechanisms and brain regions underlying error monitoring in complex action are poorly understood, yet errors and impaired error correction in these tasks are hallmarks of apraxia, a common disorder associated with left hemisphere stroke. Accounts of monitoring of language posit an internal route by which production planning or competition between candidate representations provide predictive signals that monitoring is required to prevent error, and an external route in which output is monitored using the comprehension system. Abnormal reliance on the external route has been associated with damage to brain regions critical for sensory-motor transformation and a pattern of gradual error 'clean-up' called conduite d'approche (CD).

Closing-in Behavior and Parietal Lobe Deficits: Three Single Cases Exhibiting Different Manifestations of the Same Behavior.

Closing-in behavior (CIB) is observed in copying tasks (graphic or gestural) when the copy is performed near or on the top of the model. This symptom has been classically considered to be a manifestation of constructional apraxia and is often associated with a visuospatial impairment. More recent work emphasizes the attentional and/or executive nature of the behavior and its association with frontal lobe dysfunction.

Magnifying vision improves motor performance in individuals with stroke.

Increasing perceived hand size using magnifying lenses improves tactile discrimination and motor performance in neurologically-intact individuals. We tested whether magnification of the hand can improve motor function in individuals with chronic stroke. Twenty-five individuals with a history of stroke more than 6 months prior to testing underwent a series of tasks exploring different aspects of motor performance (grip force, finger tapping, reaching and grasping, and finger matching) under two visual conditions: magnified or normal vision.

Apraxia, Neglect, and Agnosia.

Purpose Of Review: In part because of their striking clinical presentations, disorders of higher nervous system function figured prominently in the early history of neurology. These disorders are not merely historical curiosities, however. As apraxia, neglect, and agnosia have important clinical implications, it is important to possess a working knowledge of the conditions and how to identify them.

An Intrinsic Role of Beta Oscillations in Memory for Time Estimation.

The neural mechanisms underlying time perception are of vital importance to a comprehensive understanding of behavior and cognition. Recent work has suggested a supramodal role for beta oscillations in measuring temporal intervals. However, the precise function of beta oscillations and whether their manipulation alters timing has yet to be determined.

Magnifying the View of the Hand Changes Its Cortical Representation. A Transcranial Magnetic Stimulation Study.

Changes in the perceived size of a body part using magnifying lenses influence tactile perception and pain. We investigated whether the visual magnification of one's hand also influences the motor system, as indexed by transcranial magnetic stimulation (TMS)-induced motor evoked potentials (MEPs). In Experiment 1, MEPs were measured while participants gazed at their hand with and without magnification of the hand.

The parietal lobe and language.

Although the parietal lobe was considered by many of the earliest investigators of disordered language to be a major component of the neural systems instantiating language, most views of the anatomic substrate of language emphasize the role of temporal and frontal lobes in language processing. We review evidence from lesion studies as well as functional neuroimaging, demonstrating that the left parietal lobe is also crucial for several aspects of language. First, we argue that the parietal lobe plays a major role in semantic processing, particularly for "thematic" relationships in which information from multiple sensory and motor domains is integrated.

Immersive Low-Cost Virtual Reality Treatment for Phantom Limb Pain: Evidence from Two Cases.

Up to 90% of amputees experience sensations in their phantom limb, often including strong, persistent phantom limb pain (PLP). Standard treatments do not provide relief for the majority of people who experience PLP, but virtual reality (VR) has shown promise. This study provides additional evidence that game-like training with low-cost immersive VR activities can reduce PLP in lower-limb amputees.

Functional Reorganization of Right Prefrontal Cortex Underlies Sustained Naming Improvements in Chronic Aphasia via Repetitive Transcranial Magnetic Stimulation.

Background And Objective: While noninvasive brain stimulation techniques show promise for language recovery after stroke, the underlying mechanisms remain unclear. We applied inhibitory repetitive transcranial magnetic stimulation (rTMS) to regions of interest in the right inferior frontal gyrus of patients with chronic poststroke aphasia and examined changes in picture naming performance and cortical activation.

Methods: Nine patients received 10 days of 1-Hz rTMS (Monday through Friday for 2 weeks).

Asymmetry of post-mortem neuropathology in behavioural-variant frontotemporal dementia.

Antemortem behavioural and anatomic abnormalities have largely been associated with right hemisphere disease in behavioural-variant frontotemporal dementia, but post-mortem neuropathological examination of bilateral hemispheres remains to be defined. Here we measured the severity of post-mortem pathology in both grey and white matter using a validated digital image analysis method in four cortical regions sampled from each hemisphere in 26 patients with behavioural-variant frontotemporal dementia, including those with frontotemporal degeneration (i.e.

When perception trips action! The increase in the perceived size of both hand and target matters in reaching and grasping movements.

Reaching and grasping movements rely on visual information regarding the target characteristics (e.g. size) and the hand position during the action execution.