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与运动学习相关的小脑-初级运动皮层连接变化具有躯体定位特异性。

Cerebellar-M1 Connectivity Changes Associated with Motor Learning Are Somatotopic Specific.

作者信息

Spampinato Danny A, Block Hannah J, Celnik Pablo A

机构信息

Departments of Biomedical Engineering, and.

Departments of Physical Medicine and Rehabilitation, and.

出版信息

J Neurosci. 2017 Mar 1;37(9):2377-2386. doi: 10.1523/JNEUROSCI.2511-16.2017. Epub 2017 Jan 30.

Abstract

One of the functions of the cerebellum in motor learning is to predict and account for systematic changes to the body or environment. This form of adaptive learning is mediated by plastic changes occurring within the cerebellar cortex. The strength of cerebellar-to-cerebral pathways for a given muscle may reflect aspects of cerebellum-dependent motor adaptation. These connections with motor cortex (M1) can be estimated as cerebellar inhibition (CBI): a conditioning pulse of transcranial magnetic stimulation delivered to the cerebellum before a test pulse over motor cortex. Previously, we have demonstrated that changes in CBI for a given muscle representation correlate with learning a motor adaptation task with the involved limb. However, the specificity of these effects is unknown. Here, we investigated whether CBI changes in humans are somatotopy specific and how they relate to motor adaptation. We found that learning a visuomotor rotation task with the right hand changed CBI, not only for the involved first dorsal interosseous of the right hand, but also for an uninvolved right leg muscle, the tibialis anterior, likely related to inter-effector transfer of learning. In two follow-up experiments, we investigated whether the preparation of a simple hand or leg movement would produce a somatotopy-specific modulation of CBI. We found that CBI changes only for the effector involved in the movement. These results indicate that learning-related changes in cerebellar-M1 connectivity reflect a somatotopy-specific interaction. Modulation of this pathway is also present in the context of interlimb transfer of learning. Connectivity between the cerebellum and motor cortex is a critical pathway for the integrity of everyday movements and understanding the somatotopic specificity of this pathway in the context of motor learning is critical to advancing the efficacy of neurorehabilitation. We found that adaptive learning with the hand affects cerebellar-motor cortex connectivity, not only for the trained hand, but also for an untrained leg muscle, an effect likely related to intereffector transfer of learning. Furthermore, we introduce a novel method to measure cerebellar-motor cortex connectivity during movement preparation. With this technique, we show that, outside the context of learning, modulation of cerebellar-motor cortex connectivity is somatotopically specific to the effector being moved.

摘要

小脑在运动学习中的功能之一是预测并解释身体或环境的系统性变化。这种适应性学习形式由小脑皮质内发生的可塑性变化介导。给定肌肉的小脑至大脑通路的强度可能反映了依赖小脑的运动适应性的各个方面。这些与运动皮质(M1)的连接可以通过小脑抑制(CBI)来估计:在运动皮质上进行测试脉冲之前,向小脑施加经颅磁刺激的条件脉冲。此前,我们已经证明,给定肌肉表征的CBI变化与使用受累肢体学习运动适应任务相关。然而,这些效应的特异性尚不清楚。在这里,我们研究了人类CBI变化是否具有躯体定位特异性,以及它们与运动适应的关系。我们发现,用右手学习视觉运动旋转任务会改变CBI,不仅涉及右手的第一背侧骨间肌,还涉及未受累的右腿肌肉胫骨前肌,这可能与学习的效应器间转移有关。在两个后续实验中,我们研究了简单的手部或腿部运动准备是否会产生躯体定位特异性的CBI调制。我们发现CBI仅在参与运动的效应器中发生变化。这些结果表明,小脑 - M1连接性的学习相关变化反映了躯体定位特异性相互作用。在学习的肢体间转移背景下也存在该通路的调制。小脑与运动皮质之间的连接是日常运动完整性的关键通路,了解该通路在运动学习背景下的躯体定位特异性对于提高神经康复疗效至关重要。我们发现用手进行适应性学习会影响小脑 - 运动皮质连接性,不仅针对训练过的手,还针对未训练的腿部肌肉,这种效应可能与学习的效应器间转移有关。此外,我们引入了一种在运动准备期间测量小脑 - 运动皮质连接性的新方法。通过这项技术,我们表明,在学习背景之外,小脑 - 运动皮质连接性的调制在躯体定位上特定于正在运动的效应器。

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