Departments of Neurology.
Radiology.
Neuroreport. 2020 May 7;31(7):523-529. doi: 10.1097/WNR.0000000000001433.
Bimanual mirror-symmetrical movement (MSM) is relatively easy to control movement. Different MSM tasks may have different activations and interhemispheric interactions. The purpose of this study is to compare anatomo-physiological features such as hemispheric activations and dominance of two different MSMs, namely melody-playing and rhythm. We examined functional MRI (fMRI) recordings in a group of fifteen right-handed pianists performing two separate tasks: bimanual rhythm and bimanual melody-playing on two different keyboards with standard key order for right hand and reversed for left hand, which allows homolog fingers' movements. Activations and laterality indices on fMRI were examined. The results show that significant cerebellar activations (especially in anterior cerebellum) in both groups. Significant primary sensorimotor cortical activations are observed in the melody-playing group. While there are also bilaterally symmetric activations, and laterality indices suggest overall lateralization towards the left hemisphere in both groups. Activations in the left fronto-parietal cortex, left putamen and left thalamus in conjunction with right cerebellar activations suggest that the left cortico-thalamo-cerebellar loop may be a dominant loop. Dynamic causal modeling (DCM) indicates the presence of causal influences from the left to the right cerebral cortex. In conclusion, melody-playing with bimanual MSM is a complex in-phase task and may help activate the bilateral cortical areas, and left hemisphere is dominant according to laterality indices and DCM results. On the other hand, bimanual rhythm is a simpler in-phase task and may help activate subcortical areas, which might be independent of the voluntary cortical task.
双手镜像对称运动(MSM)相对容易控制运动。不同的 MSM 任务可能有不同的激活和大脑两半球间的相互作用。本研究的目的是比较两种不同的 MSM,即旋律演奏和节奏,在大脑半球激活和优势方面的解剖生理特征。我们检查了 15 名右利手钢琴家在执行两种不同任务时的功能磁共振成像(fMRI)记录:双手用标准右手键盘演奏节奏,双手用左手键盘演奏旋律,左手键盘的键序与右手相反,允许同指运动。检查了 fMRI 上的激活和侧化指数。结果表明,两组都有显著的小脑激活(特别是在前小脑)。旋律演奏组观察到显著的初级感觉运动皮层激活。虽然也有双侧对称的激活,但侧化指数表明两组总体上偏向于左侧大脑半球。左额顶叶皮层、左壳核和左丘脑的激活以及右侧小脑的激活表明,左皮质-丘脑-小脑环可能是一个优势环路。动态因果建模(DCM)表明存在从左到右大脑皮层的因果影响。总之,双手 MSM 的旋律演奏是一种复杂的同相任务,可能有助于激活双侧皮质区域,根据侧化指数和 DCM 结果,左半球占优势。另一方面,双手节奏是一种更简单的同相任务,可能有助于激活皮质下区域,这可能与自愿的皮质任务无关。