Service de neurologie et kinésithérapie, hôpital Erasme, ULB, Bruxelles, Belgium.
J Neuroradiol. 2013 Oct;40(4):267-80. doi: 10.1016/j.neurad.2012.10.001. Epub 2013 Feb 21.
We investigated the cerebral networks involved in execution and mental imagery of sequential movements of the left foot, both performed at slow and fast speed. Twelve volunteers were scanned with a 3T MRI during execution and imagination of a sequence of ankle movements. Overt movement execution and motor imagery shared a common network including the premotor, parietal and cingulate cortices, the striatum and the cerebellum. Motor imagery recruited specifically the prefrontal cortex, whereas motor execution recruited specifically the sensorimotor cortex. We also found that slow movements specifically recruited frontopolar and right dorsomedian prefrontal areas bilaterally, during both execution and mental imagery, whereas fast movements strongly activated the sensorimotor cerebral cortex. Finally, we noted that anterior vermis, lobules VI/VII and VIII of the cerebellum were specifically activated during fast movements, both in imagination and execution. We show that the selection of the neural networks underlying voluntary movement of the foot is depending on the speed strategy and is sensitive to execution versus imagery. Moreover, to the light of surprising recent findings in monkeys showing that the vermis should no longer be considered as entirely isolated from the cerebral cortex (Coffman et al., 2011 [2]), we suggest that the anterior vermis contributes to computational aspects of fast commands, whereas more lateral cerebellar superior lobe and lobule VIII would regulate patterning and sequencing of submovements in conjunction with movement rate. We also suggest that execution of overt slow movements, which strongly involves prefrontal executive cortex as during motor mental imagery, is associated with conscious mental representation of the ongoing movements.
我们研究了左足的慢和快速度连续运动的执行和心理意象所涉及的大脑网络。12 名志愿者在执行和想象踝关节运动序列时,用 3T MRI 进行扫描。明显的运动执行和运动想象共享一个共同的网络,包括运动前皮质、顶叶和扣带皮质、纹状体和小脑。运动想象特别招募了前额叶皮质,而运动执行特别招募了感觉运动皮质。我们还发现,在执行和想象时,慢运动特别募集了双侧额极和右侧背内侧前额叶区域,而快运动强烈激活了感觉运动大脑皮质。最后,我们注意到小脑的前蚓部、VI/VII 和 VIII 叶在快速运动时,无论是在想象还是执行中,都被特异性激活。我们表明,足部自愿运动的神经网络的选择取决于速度策略,并且对执行和想象敏感。此外,鉴于最近在猴子身上发现的令人惊讶的结果表明,蚓部不应再被认为与大脑皮层完全分离(Coffman 等人,2011[2]),我们建议前蚓部有助于快速命令的计算方面,而更外侧的小脑上叶和 VIII 叶将与运动速度一起调节亚运动的模式和序列。我们还建议,与运动想象中的情况一样,明显的慢速运动执行与正在进行的运动的有意识的心理表示有关。