1
|
Finotti G, Degni LAE, Badioli M, Dalbagno D, Starita F, Bardi L, Huang Y, Wei J, Sirigu A, Gazzola V, di Pellegrino G, Garofalo S. Cortical Beta Power Reflects the Influence of Pavlovian Cues on Human Decision-Making. J Neurosci 2025; 45:e0414242024. [PMID: 39715687 PMCID: PMC11800743 DOI: 10.1523/jneurosci.0414-24.2024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Revised: 07/25/2024] [Accepted: 09/05/2024] [Indexed: 12/25/2024] Open
Abstract
Reward-predictive cues can affect decision-making by enhancing instrumental responses toward the same (specific transfer) or similar (general transfer) rewards. The main theories on cue-guided decision-making consider specific transfer as driven by the activation of previously learned instrumental actions induced by cues sharing the sensory-specific properties of the reward they are associated with. However, to date, such theoretical assumption has never been directly investigated at the neural level. We hypothesize that such reactivation occurs within the premotor system and could be mapped by lateralized beta (12-30 Hz) desynchronization, a widely used marker of action selection and decision-making policy. To test this hypothesis, 42 participants (22 females) performed a pavlovian-to-instrumental transfer paradigm, while electroencephalographic activity was recorded. We anticipated increased beta desynchronization during the transfer phase when cues promoting specific transfer were presented, compared with cues predicting general transfer and neutral cues. The evidence collected confirmed our hypothesis, thus providing the first neural evidence in favor of the theorized reactivation of instrumental actions and corroborating the presence of two dissociable neural pathways underpinning specific and general transfer.
Collapse
Affiliation(s)
- Gianluca Finotti
- Department of Psychology, Center for studies and research in Cognitive Neuroscience, University of Bologna, Cesena 47521, Italy
| | - Luigi A E Degni
- Department of Psychology, Center for studies and research in Cognitive Neuroscience, University of Bologna, Cesena 47521, Italy
- International School of Advanced Studies, University of Camerino, Camerino 62032, Italy
| | - Marco Badioli
- Department of Psychology, Center for studies and research in Cognitive Neuroscience, University of Bologna, Cesena 47521, Italy
| | - Daniela Dalbagno
- Department of Psychology, Center for studies and research in Cognitive Neuroscience, University of Bologna, Cesena 47521, Italy
| | - Francesca Starita
- Department of Psychology, Center for studies and research in Cognitive Neuroscience, University of Bologna, Cesena 47521, Italy
| | - Lara Bardi
- Department of Experimental Psychology, Ghent University, Gent 9000, Belgium
- Institute of Cognitive Sciences Marc Jeannerod CNRS, UMR 5229, France and IMind Center of Excellence for Autism, Le Vinatier Hospital, Bron 69675, France
| | - Yulong Huang
- Institute of Cognitive Sciences Marc Jeannerod CNRS, UMR 5229, France and IMind Center of Excellence for Autism, Le Vinatier Hospital, Bron 69675, France
| | - Junjie Wei
- Netherlands Institute for Neuroscience, KNAW, Amsterdam 1105BA, The Netherlands
- Department of Psychology, University of Amsterdam, Amsterdam 1018 WT, The Netherlands
| | - Angela Sirigu
- Institute of Cognitive Sciences Marc Jeannerod CNRS, UMR 5229, France and IMind Center of Excellence for Autism, Le Vinatier Hospital, Bron 69675, France
| | - Valeria Gazzola
- Netherlands Institute for Neuroscience, KNAW, Amsterdam 1105BA, The Netherlands
- Department of Psychology, University of Amsterdam, Amsterdam 1018 WT, The Netherlands
| | - Giuseppe di Pellegrino
- Department of Psychology, Center for studies and research in Cognitive Neuroscience, University of Bologna, Cesena 47521, Italy
| | - Sara Garofalo
- Department of Psychology, Center for studies and research in Cognitive Neuroscience, University of Bologna, Cesena 47521, Italy
| |
Collapse
|
2
|
Derosiere G, Shokur S, Vassiliadis P. Reward signals in the motor cortex: from biology to neurotechnology. Nat Commun 2025; 16:1307. [PMID: 39900901 PMCID: PMC11791067 DOI: 10.1038/s41467-024-55016-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2024] [Accepted: 11/25/2024] [Indexed: 02/05/2025] Open
Abstract
Over the past decade, research has shown that the primary motor cortex (M1), the brain's main output for movement, also responds to rewards. These reward signals may shape motor output in its final stages, influencing movement invigoration and motor learning. In this Perspective, we highlight the functional roles of M1 reward signals and propose how they could guide advances in neurotechnologies for movement restoration, specifically brain-computer interfaces and non-invasive brain stimulation. Understanding M1 reward signals may open new avenues for enhancing motor control and rehabilitation.
Collapse
Affiliation(s)
- Gerard Derosiere
- Lyon Neuroscience Research Center, Impact team, INSERM U1028 - CNRS UMR5292, Lyon 1 University, Bron, France.
| | - Solaiman Shokur
- Translational Neural Engineering Laboratory, Neuro-X Institute, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
- Sensorimotor Neurotechnology Lab (SNL), The BioRobotics Institute, Health Interdisciplinary Center and Department of Excellence in Robotics and AI, Scuola Superiore Sant'Anna, Pisa, Italy
- MySpace Lab, Department of Clinical Neurosciences, University Hospital of Lausanne, University of Lausanne, Lausanne, Switzerland
- MINE Lab, Università Vita-Salute San Raffaele, Milano, Italy
| | - Pierre Vassiliadis
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute (INX), École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland.
- Defitech Chair of Clinical Neuroengineering, INX, EPFL Valais, Clinique Romande de Réadaptation, Sion, Switzerland.
| |
Collapse
|
3
|
El Zein M, Mennella R, Sequestro M, Meaux E, Wyart V, Grèzes J. Prioritized neural processing of social threats during perceptual decision-making. iScience 2024; 27:109951. [PMID: 38832023 PMCID: PMC11145357 DOI: 10.1016/j.isci.2024.109951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Revised: 04/24/2024] [Accepted: 05/07/2024] [Indexed: 06/05/2024] Open
Abstract
Emotional signals, notably those signaling threat, benefit from prioritized processing in the human brain. Yet, it remains unclear whether perceptual decisions about the emotional, threat-related aspects of stimuli involve specific or similar neural computations compared to decisions about their non-threatening/non-emotional components. We developed a novel behavioral paradigm in which participants performed two different detection tasks (emotion vs. color) on the same, two-dimensional visual stimuli. First, electroencephalographic (EEG) activity in a cluster of central electrodes reflected the amount of perceptual evidence around 100 ms following stimulus onset, when the decision concerned emotion, not color. Second, participants' choice could be predicted earlier for emotion (240 ms) than for color (380 ms) by the mu (10 Hz) rhythm, which reflects motor preparation. Taken together, these findings indicate that perceptual decisions about threat-signaling dimensions of facial displays are associated with prioritized neural coding in action-related brain regions, supporting the motivational value of socially relevant signals.
Collapse
Affiliation(s)
- M. El Zein
- Cognitive and Computational Neuroscience Laboratory (LNC), INSERM U960, DEC, Ecole Normale Supérieure, PSL University, 75005 Paris, France
- Center for Adaptive Rationality, Max-Planck for Human Development, Berlin, Germany
- Centre for Political Research (CEVIPOF), Sciences Po, Paris, France
- Humans Matter, Paris, France
| | - R. Mennella
- Cognitive and Computational Neuroscience Laboratory (LNC), INSERM U960, DEC, Ecole Normale Supérieure, PSL University, 75005 Paris, France
- Laboratory of the Interactions Between Cognition Action and Emotion (LICAÉ, EA2931), UFR STAPS, Université Paris Nanterre, Nanterre, France
| | - M. Sequestro
- Cognitive and Computational Neuroscience Laboratory (LNC), INSERM U960, DEC, Ecole Normale Supérieure, PSL University, 75005 Paris, France
| | - E. Meaux
- Cognitive and Computational Neuroscience Laboratory (LNC), INSERM U960, DEC, Ecole Normale Supérieure, PSL University, 75005 Paris, France
| | - V. Wyart
- Cognitive and Computational Neuroscience Laboratory (LNC), INSERM U960, DEC, Ecole Normale Supérieure, PSL University, 75005 Paris, France
- Institut du Psychotraumatisme de l’Enfant et de l’Adolescent, Conseil Départemental Yvelines et Hauts-de-Seine, Versailles, France
| | - J. Grèzes
- Cognitive and Computational Neuroscience Laboratory (LNC), INSERM U960, DEC, Ecole Normale Supérieure, PSL University, 75005 Paris, France
| |
Collapse
|
4
|
Vescovo E, Cardellicchio P, Tomassini A, Fadiga L, D'Ausilio A. Excitatory/inhibitory motor balance reflects individual differences during joint action coordination. Eur J Neurosci 2024; 59:3403-3421. [PMID: 38666628 DOI: 10.1111/ejn.16365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 03/07/2024] [Accepted: 04/06/2024] [Indexed: 06/15/2024]
Abstract
Joint action (JA) is a continuous process of motor co-regulation based on the integration of contextual (top-down) and kinematic (bottom-up) cues from partners. The fine equilibrium between excitation and inhibition in sensorimotor circuits is, thus, central to such a dynamic process of action selection and execution. In a bimanual task adapted to become a unimanual JA task, the participant held a bottle (JA), while a confederate had to reach and unscrew either that bottle or another stabilized by a mechanical clamp (No_JA). Prior knowledge was manipulated in each trial such that the participant knew (K) or not (No_K) the target bottle in advance. Online transcranial magnetic stimulation (TMS) was administered at action-relevant landmarks to explore corticospinal excitability (CSE) and inhibition (cortical silent period [cSP]). CSE was modulated early on before the action started if prior information was available. In contrast, cSP modulation emerged later during the reaching action, regardless of prior information. These two indexes could thus reflect the concurrent elaboration of contextual priors (top-down) and the online sampling of partner's kinematic cues (bottom-up). Furthermore, participants selected either one of two possible behavioural strategies, preferring early or late force exertion on the bottle. One translates into a reduced risk of motor coordination failure and the other into reduced metabolic expenditure. Each strategy was characterised by a specific excitatory/inhibitory profile. In conclusion, the study of excitatory/inhibitory balance paves the way for the neurophysiological determination of individual differences in the combination of top-down and bottom-up processing during JA coordination.
Collapse
Affiliation(s)
- Enrico Vescovo
- Center for Translational Neurophysiology of Speech and Communication, Istituto Italiano di Tecnologia, Ferrara, Italy
- Department of Neuroscience and Rehabilitation, Section of Physiology, University of Ferrara, Ferrara, Italy
| | - Pasquale Cardellicchio
- Department of Neuroscience and Rehabilitation, Section of Physiology, University of Ferrara, Ferrara, Italy
- Physical Medicine and Rehabilitation Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy
| | - Alice Tomassini
- Center for Translational Neurophysiology of Speech and Communication, Istituto Italiano di Tecnologia, Ferrara, Italy
| | - Luciano Fadiga
- Center for Translational Neurophysiology of Speech and Communication, Istituto Italiano di Tecnologia, Ferrara, Italy
- Department of Neuroscience and Rehabilitation, Section of Physiology, University of Ferrara, Ferrara, Italy
| | - Alessandro D'Ausilio
- Center for Translational Neurophysiology of Speech and Communication, Istituto Italiano di Tecnologia, Ferrara, Italy
- Department of Neuroscience and Rehabilitation, Section of Physiology, University of Ferrara, Ferrara, Italy
| |
Collapse
|
5
|
Rizvi A, Bell K, Yang D, Montenegro MP, Kim H, Bao S, Wright DL, Buchanan JJ, Lei Y. Effects of transcranial direct current stimulation over human motor cortex on cognitive-motor and sensory-motor functions. Sci Rep 2023; 13:20968. [PMID: 38017091 PMCID: PMC10684512 DOI: 10.1038/s41598-023-48070-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Accepted: 11/22/2023] [Indexed: 11/30/2023] Open
Abstract
The primary motor cortex (M1) is broadly acknowledged for its crucial role in executing voluntary movements. Yet, its contributions to cognitive and sensory functions remain largely unexplored. Transcranial direct current stimulation (tDCS) is a noninvasive neurostimulation method that can modify brain activity, thereby enabling the establishment of a causal link between M1 activity and behavior. This study aimed to investigate the online effects of tDCS over M1 on cognitive-motor and sensory-motor functions. Sixty-four healthy participants underwent either anodal or sham tDCS while concurrently performing a set of standardized robotic tasks. These tasks provided sensitive and objective assessments of brain functions, including action selection, inhibitory control, cognitive control of visuomotor skills, proprioceptive sense, and bimanual coordination. Our results revealed that anodal tDCS applied to M1 enhances decision-making capacity in selecting appropriate motor actions and avoiding distractors compared to sham stimulation, suggesting improved action selection and inhibitory control capabilities. Furthermore, anodal tDCS reduces the movement time required to accomplish bimanual movements, suggesting enhanced bimanual performance. However, we found no impact of anodal tDCS on cognitive control of visuomotor skills and proprioceptive sense. This study suggests that augmenting M1 activity via anodal tDCS influences cognitive-motor and sensory-motor functions in a task-dependent manner.
Collapse
Affiliation(s)
- Aoun Rizvi
- Program of Motor Neuroscience, Department of Kinesiology and Sport Management, Texas A&M University, College Station, TX, 77843, USA
| | - Kara Bell
- Program of Motor Neuroscience, Department of Kinesiology and Sport Management, Texas A&M University, College Station, TX, 77843, USA
| | - Daniel Yang
- Program of Motor Neuroscience, Department of Kinesiology and Sport Management, Texas A&M University, College Station, TX, 77843, USA
| | - Maria P Montenegro
- Program of Motor Neuroscience, Department of Kinesiology and Sport Management, Texas A&M University, College Station, TX, 77843, USA
| | - Hakjoo Kim
- Program of Motor Neuroscience, Department of Kinesiology and Sport Management, Texas A&M University, College Station, TX, 77843, USA
| | - Shancheng Bao
- Program of Motor Neuroscience, Department of Kinesiology and Sport Management, Texas A&M University, College Station, TX, 77843, USA
| | - David L Wright
- Program of Motor Neuroscience, Department of Kinesiology and Sport Management, Texas A&M University, College Station, TX, 77843, USA
| | - John J Buchanan
- Program of Motor Neuroscience, Department of Kinesiology and Sport Management, Texas A&M University, College Station, TX, 77843, USA
| | - Yuming Lei
- Program of Motor Neuroscience, Department of Kinesiology and Sport Management, Texas A&M University, College Station, TX, 77843, USA.
| |
Collapse
|
6
|
Neige C, Vassiliadis P, Ali Zazou A, Dricot L, Lebon F, Brees T, Derosiere G. Connecting the dots: harnessing dual-site transcranial magnetic stimulation to quantify the causal influence of medial frontal areas on the motor cortex. Cereb Cortex 2023; 33:11339-11353. [PMID: 37804253 DOI: 10.1093/cercor/bhad370] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 09/18/2023] [Accepted: 09/19/2023] [Indexed: 10/09/2023] Open
Abstract
Dual-site transcranial magnetic stimulation has been widely employed to investigate the influence of cortical structures on the primary motor cortex. Here, we leveraged this technique to probe the causal influence of two key areas of the medial frontal cortex, namely the supplementary motor area and the medial orbitofrontal cortex, on primary motor cortex. We show that supplementary motor area stimulation facilitates primary motor cortex activity across short (6 and 8 ms) and long (12 ms) inter-stimulation intervals, putatively recruiting cortico-cortical and cortico-subcortico-cortical circuits, respectively. Crucially, magnetic resonance imaging revealed that this facilitatory effect depended on a key morphometric feature of supplementary motor area: individuals with larger supplementary motor area volumes exhibited more facilitation from supplementary motor area to primary motor cortex for both short and long inter-stimulation intervals. Notably, we also provide evidence that the facilitatory effect of supplementary motor area stimulation at short intervals is unlikely to arise from spinal interactions of volleys descending simultaneously from supplementary motor area and primary motor cortex. On the other hand, medial orbitofrontal cortex stimulation moderately suppressed primary motor cortex activity at both short and long intervals, irrespective of medial orbitofrontal cortex volume. These results suggest that dual-site transcranial magnetic stimulation is a fruitful approach to investigate the differential influence of supplementary motor area and medial orbitofrontal cortex on primary motor cortex activity, paving the way for the multimodal assessment of these fronto-motor circuits in health and disease.
Collapse
Affiliation(s)
- Cécilia Neige
- Université Bourgogne Franche-Comté, INSERM UMR1093-CAPS, UFR des Sciences du Sport, F-21078, Dijon, France
- Université Claude Bernard Lyon 1, CNRS, INSERM, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, PsyR2 Team, F-69500, Bron, France
- Centre Hospitalier le Vinatier, 95 Boulevard Pinel, 300 3969678 Bron Cedex, France
| | - Pierre Vassiliadis
- Institute of Neuroscience, Université Catholique de Louvain, Avenue E. Mounier 53 & 73, 1200, Brussels, Belgium
- Defitech Chair for Clinical Neuroengineering, Neuro-X Institute (INX) and Brain Mind Institute (BMI), École Polytechnique Fédérale de Lausanne (EPFL), 1202, Geneva, Switzerland
| | - Abdelkrim Ali Zazou
- Institute of Neuroscience, Université Catholique de Louvain, Avenue E. Mounier 53 & 73, 1200, Brussels, Belgium
| | - Laurence Dricot
- Institute of Neuroscience, Université Catholique de Louvain, Avenue E. Mounier 53 & 73, 1200, Brussels, Belgium
| | - Florent Lebon
- Université Bourgogne Franche-Comté, INSERM UMR1093-CAPS, UFR des Sciences du Sport, F-21078, Dijon, France
| | - Thomas Brees
- Institute of Neuroscience, Université Catholique de Louvain, Avenue E. Mounier 53 & 73, 1200, Brussels, Belgium
| | - Gerard Derosiere
- Institute of Neuroscience, Université Catholique de Louvain, Avenue E. Mounier 53 & 73, 1200, Brussels, Belgium
- Université Claude Bernard Lyon 1, CNRS, INSERM, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, Impact Team, F-69500, Bron, France
| |
Collapse
|
7
|
Molle L, Coste A, Benoit CE, Derosiere G, Janaqi S, Perrey S, Dupeyron A. Inhalation boosts perceptual awareness and decision speed. J Neurophysiol 2023; 130:516-523. [PMID: 37529836 DOI: 10.1152/jn.00492.2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 07/27/2023] [Accepted: 07/28/2023] [Indexed: 08/03/2023] Open
Abstract
The emergence of consciousness is one of biology's biggest mysteries. During the past two decades, a major effort has been made to identify the neural correlates of consciousness, but in comparison, little is known about the physiological mechanisms underlying first-person subjective experience. Attention is considered the gateway of information to consciousness. Recent work suggests that the breathing phase (i.e., inhalation vs. exhalation) modulates attention, in such a way that attention directed toward exteroceptive information would increase during inhalation. One key hypothesis emerging from this work is that inhalation would improve perceptual awareness and near-threshold decision-making. The present study directly tested this hypothesis. We recorded the breathing rhythms of 30 humans performing a near-threshold decision-making task, in which they had to decide whether a liminal Gabor was tilted to the right or the left (objective decision task) and then to rate their perceptual awareness of the Gabor orientation (subjective decision task). In line with our hypothesis, the data revealed that, relative to exhalation, inhalation improves perceptual awareness and speeds up objective decision-making, without impairing accuracy. Overall, the present study builds on timely questions regarding the physiological mechanisms underlying consciousness and shows that breathing shapes the emergence of subjective experience and decision-making.NEW & NOTEWORTHY Breathing is a ubiquitous biological rhythm in animal life. However, little is known about its effect on consciousness and decision-making. Here, we measured the respiratory rhythm of humans performing a near-threshold discrimination experiment. We show that inhalation, compared with exhalation, improves perceptual awareness and accelerates decision-making while leaving accuracy unaffected.
Collapse
Affiliation(s)
- Ludovic Molle
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
- Department of Physical Medicine and Rehabilitation, Nîmes University Hospital, Univ Montpellier, Nîmes, France
| | - Alexandre Coste
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
| | - Charles-Etienne Benoit
- Inter-University Laboratory of Human Movement Biology, EA 7424, Univ Lyon, University Claude Bernard Lyon 1, Villeurbanne, France
| | - Gerard Derosiere
- Institute of Neuroscience, Laboratory of Neurophysiology, Université catholique de Louvain, Brussels, Belgium
- Lyon Neuroscience Research Center - Impact team, Inserm U1028, CNRS UMR5292, Lyon 1 University, Bron, France
| | - Stefan Janaqi
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
| | - Stéphane Perrey
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
| | - Arnaud Dupeyron
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France
- Department of Physical Medicine and Rehabilitation, Nîmes University Hospital, Univ Montpellier, Nîmes, France
| |
Collapse
|
8
|
Chen XJ, Kwak Y. Contribution of the sensorimotor beta oscillations and the cortico-basal ganglia-thalamic circuitry during value-based decision making: A simultaneous EEG-fMRI investigation. Neuroimage 2022; 257:119300. [PMID: 35568351 DOI: 10.1016/j.neuroimage.2022.119300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2021] [Revised: 04/20/2022] [Accepted: 05/09/2022] [Indexed: 10/18/2022] Open
Abstract
In decision neuroscience, the motor system has primarily been considered to be involved in executing choice actions. However, a competing perspective suggests its engagement in the evaluation of options, traditionally considered to be performed by the brain's valuation system. Here, we investigate the role of the motor system in value-based decision making by determining the neural circuitries associated with the sensorimotor beta oscillations previously identified to encode decision options. In a simultaneous EEG-fMRI study, participants evaluated reward and risk associated with a forthcoming action. A significant sensorimotor beta desynchronization was identified prior to and independent of response. The level of beta desynchronization showed evidence of encoding the reward levels. This beta desynchronization covaried, on a trial-by-trial level, with BOLD activity in the cortico-basal ganglia-thalamic circuitry. In contrast, there was only a weak covariation within the valuation network, despite significant modulation of its BOLD activity by reward levels. These results suggest that the way in which decision variables are processed differs in the valuation network and in the cortico-basal ganglia-thalamic circuitry. We propose that sensorimotor beta oscillations indicate incentive motivational drive towards a choice action computed from the decision variables even prior to making a response, and it arises from the cortico-basal ganglia-thalamic circuitry.
Collapse
Affiliation(s)
- Xing-Jie Chen
- Department of Psychological and Brain Sciences, University of Massachusetts, Amherst, MA 01003, USA
| | - Youngbin Kwak
- Department of Psychological and Brain Sciences, University of Massachusetts, Amherst, MA 01003, USA.
| |
Collapse
|
9
|
Fievez F, Derosiere G, Verbruggen F, Duque J. Post-error Slowing Reflects the Joint Impact of Adaptive and Maladaptive Processes During Decision Making. Front Hum Neurosci 2022; 16:864590. [PMID: 35754776 PMCID: PMC9218087 DOI: 10.3389/fnhum.2022.864590] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Accepted: 05/12/2022] [Indexed: 11/28/2022] Open
Abstract
Errors and their consequences are typically studied by investigating changes in decision speed and accuracy in trials that follow an error, commonly referred to as “post-error adjustments”. Many studies have reported that subjects slow down following an error, a phenomenon called “post-error slowing” (PES). However, the functional significance of PES is still a matter of debate as it is not always adaptive. That is, it is not always associated with a gain in performance and can even occur with a decline in accuracy. Here, we hypothesized that the nature of PES is influenced by one’s speed-accuracy tradeoff policy, which determines the overall level of choice accuracy in the task at hand. To test this hypothesis, we had subjects performing a task in two distinct contexts (separate days), which either promoted speed (hasty context) or cautiousness (cautious context), allowing us to consider post-error adjustments according to whether subjects performed choices with a low or high accuracy level, respectively. Accordingly, our data indicate that post-error adjustments varied according to the context in which subjects performed the task, with PES being solely significant in the hasty context (low accuracy). In addition, we only observed a gain in performance after errors in a specific trial type, suggesting that post-error adjustments depend on a complex combination of processes that affect the speed of ensuing actions as well as the degree to which such PES comes with a gain in performance.
Collapse
Affiliation(s)
- Fanny Fievez
- Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium
| | - Gerard Derosiere
- Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium
| | | | - Julie Duque
- Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium
| |
Collapse
|
10
|
Derosiere G, Thura D, Cisek P, Duque J. Hasty sensorimotor decisions rely on an overlap of broad and selective changes in motor activity. PLoS Biol 2022; 20:e3001598. [PMID: 35389982 PMCID: PMC9017893 DOI: 10.1371/journal.pbio.3001598] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 04/19/2022] [Accepted: 03/10/2022] [Indexed: 12/27/2022] Open
Abstract
Humans and other animals are able to adjust their speed–accuracy trade-off (SAT) at will depending on the urge to act, favoring either cautious or hasty decision policies in different contexts. An emerging view is that SAT regulation relies on influences exerting broad changes on the motor system, tuning its activity up globally when hastiness is at premium. The present study aimed to test this hypothesis. A total of 50 participants performed a task involving choices between left and right index fingers, in which incorrect choices led either to a high or to a low penalty in 2 contexts, inciting them to emphasize either cautious or hasty policies. We applied transcranial magnetic stimulation (TMS) on multiple motor representations, eliciting motor-evoked potentials (MEPs) in 9 finger and leg muscles. MEP amplitudes allowed us to probe activity changes in the corresponding finger and leg representations, while participants were deliberating about which index to choose. Our data indicate that hastiness entails a broad amplification of motor activity, although this amplification was limited to the chosen side. On top of this effect, we identified a local suppression of motor activity, surrounding the chosen index representation. Hence, a decision policy favoring speed over accuracy appears to rely on overlapping processes producing a broad (but not global) amplification and a surround suppression of motor activity. The latter effect may help to increase the signal-to-noise ratio of the chosen representation, as supported by single-trial correlation analyses indicating a stronger differentiation of activity changes in finger representations in the hasty context. Many have argued that the regulation of the speed-accuracy tradeoff relies on an urgency signal, which implements "collapsing decision thresholds" by tuning neural activity in a global manner in decision-related structures. This study indicates that the reality is more subtle, with several aspects of "urgency" being specifically targeted to particular corticospinal populations within the motor system.
Collapse
Affiliation(s)
- Gerard Derosiere
- Institute of Neuroscience, Laboratory of Neurophysiology, Université Catholique de Louvain, Brussels, Belgium
- * E-mail:
| | - David Thura
- Lyon Neuroscience Research Center–Impact Team, Inserm U1028, CNRS UMR5292, Lyon 1 University, Bron, France
| | - Paul Cisek
- Department of Neuroscience, Université de Montréal, Montréal, Canada
| | - Julie Duque
- Institute of Neuroscience, Laboratory of Neurophysiology, Université Catholique de Louvain, Brussels, Belgium
| |
Collapse
|
11
|
Chen XJ, van den Berg B, Kwak Y. Reward and expectancy effects on neural signals of motor preparation and execution. Cortex 2022; 150:29-46. [DOI: 10.1016/j.cortex.2022.01.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 11/01/2021] [Accepted: 01/27/2022] [Indexed: 11/03/2022]
|
12
|
Derosiere G, Thura D, Cisek P, Duque J. Trading accuracy for speed over the course of a decision. J Neurophysiol 2021; 126:361-372. [PMID: 34191623 DOI: 10.1152/jn.00038.2021] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Humans and other animals often need to balance the desire to gather sensory information (to make the best choice) with the urgency to act, facing a speed-accuracy tradeoff (SAT). Given the ubiquity of SAT across species, extensive research has been devoted to understanding the computational mechanisms allowing its regulation at different timescales, including from one context to another, and from one decision to another. However, animals must frequently change their SAT on even shorter timescales-that is, over the course of an ongoing decision-and little is known about the mechanisms that allow such rapid adaptations. The present study aimed at addressing this issue. Human subjects performed a decision task with changing evidence. In this task, subjects received rewards for correct answers but incurred penalties for mistakes. An increase or a decrease in penalty occurring halfway through the trial promoted rapid SAT shifts, favoring speeded decisions either in the early or in the late stage of the trial. Importantly, these shifts were associated with stage-specific adjustments in the accuracy criterion exploited for committing to a choice. Those subjects who decreased the most their accuracy criterion at a given decision stage exhibited the highest gain in speed, but also the highest cost in terms of performance accuracy at that time. Altogether, the current findings offer a unique extension of previous work, by suggesting that dynamic cha*nges in accuracy criterion allow the regulation of the SAT within the timescale of a single decision.NEW & NOTEWORTHY Extensive research has been devoted to understanding the mechanisms allowing the regulation of the speed-accuracy tradeoff (SAT) from one context to another and from one decision to another. Here, we show that humans can voluntarily change their SAT on even shorter timescales-that is, over the course of a decision. These rapid SAT shifts are associated with dynamic adjustments in the accuracy criterion exploited for committing to a choice.
Collapse
Affiliation(s)
- Gerard Derosiere
- Institute of Neuroscience, Laboratory of Neurophysiology, Université catholique de Louvain, Brussels, Belgium
| | - David Thura
- Lyon Neuroscience Research Center, Lyon 1 University, Bron, France
| | - Paul Cisek
- Department of Neuroscience, Université de Montréal, Montreal, Quebec, Canada
| | - Julie Duque
- Institute of Neuroscience, Laboratory of Neurophysiology, Université catholique de Louvain, Brussels, Belgium
| |
Collapse
|
13
|
Quoilin C, Dricot L, Genon S, de Timary P, Duque J. Neural bases of inhibitory control: Combining transcranial magnetic stimulation and magnetic resonance imaging in alcohol-use disorder patients. Neuroimage 2020; 224:117435. [PMID: 33039622 DOI: 10.1016/j.neuroimage.2020.117435] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Revised: 07/28/2020] [Accepted: 10/04/2020] [Indexed: 12/22/2022] Open
Abstract
Inhibitory control underlies the ability to inhibit inappropriate responses and involves processes that suppress motor excitability. Such motor modulatory effect has been largely described during action preparation but very little is known about the neural circuit responsible for its implementation. Here, we addressed this point by studying the degree to which the extent of preparatory suppression relates to brain morphometry. We investigated this relationship in patients suffering from severe alcohol use disorder (AUD) because this population displays an inconsistent level of preparatory suppression and major structural brain damage, making it a suitable sample to measure such link. To do so, 45 detoxified patients underwent a structural magnetic resonance imaging (MRI) and performed a transcranial magnetic stimulation (TMS) experiment, in which the degree of preparatory suppression was quantified. Besides, behavioral inhibition and trait impulsivity were evaluated in all participants. Overall, whole-brain analyses revealed that a weaker preparatory suppression was associated with a decrease in cortical thickness of a medial prefrontal cluster, encompassing parts of the anterior cingulate cortex and superior-frontal gyrus. In addition, a negative association was observed between the thickness of the supplementary area (SMA)/pre-SMA and behavioral inhibition abilities. Finally, we did not find any significant correlation between preparatory suppression, behavioral inhibition and trait impulsivity, indicating that they represent different facets of inhibitory control. Altogether, the current study provides important insight on the neural regions underlying preparatory suppression and allows highlighting that the excitability of the motor system represents a valuable read-out of upstream cognitive processes.
Collapse
Affiliation(s)
- Caroline Quoilin
- Institute of Neuroscience, Université catholique de Louvain, Ave Mounier, 53 - Bte B1.53.04, 1200 Brussels, Belgium.
| | - Laurence Dricot
- Institute of Neuroscience, Université catholique de Louvain, Ave Mounier, 53 - Bte B1.53.04, 1200 Brussels, Belgium
| | - Sarah Genon
- Institute of Neuroscience and Medicine, Brain and Behavior (INM-7), Jülich Forschungszentrum, Germany
| | - Philippe de Timary
- Institute of Neuroscience, Université catholique de Louvain, Ave Mounier, 53 - Bte B1.53.04, 1200 Brussels, Belgium; Department of adult psychiatry, Cliniques universitaires Saint-Luc, Brussels, Belgium
| | - Julie Duque
- Institute of Neuroscience, Université catholique de Louvain, Ave Mounier, 53 - Bte B1.53.04, 1200 Brussels, Belgium
| |
Collapse
|
14
|
Andereggen L, Widmer HR, Santo SD, Andres RH. Functional muscle strength recovery from nail gun injury to the primary motor cortex. Regen Med 2020; 15:1603-1609. [PMID: 32609065 DOI: 10.2217/rme-2019-0146] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
Aim: Functional recovery following injury to the primary motor cortex is an uncommon phenomenon, given the limited ability of neurons of the adult central nervous system to regenerate. Case description: We report on a patient with near complete functional muscle strength recovery from a marked monoparesis due to nail gun injury to the medial primary motor cortex. Besides surgical decision-making, we discuss possible related mechanisms and current challenges in the regenerative processes responsible for the functional recovery. Discussion: To achieve a favorable outcome, surgical decision-making to prevent secondary damage is of upmost importance. Lesion-induced inflammatory response may potentiate endogenous neurogenesis and neuronal plasticity and potentially contribute to the regenerative process involved.
Collapse
Affiliation(s)
- Lukas Andereggen
- Department of Neurosurgery, Neurocenter & Regenerative Neuroscience Cluster, Inselspital, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland
| | - Hans Rudolf Widmer
- Department of Neurosurgery, Neurocenter & Regenerative Neuroscience Cluster, Inselspital, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland
| | - Stefano Di Santo
- Department of Neurosurgery, Neurocenter & Regenerative Neuroscience Cluster, Inselspital, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland
| | - Robert Hans Andres
- Department of Neurosurgery, Neurocenter & Regenerative Neuroscience Cluster, Inselspital, Bern University Hospital, University of Bern, CH-3010 Bern, Switzerland
| |
Collapse
|
15
|
Advanced TMS approaches to probe corticospinal excitability during action preparation. Neuroimage 2020; 213:116746. [DOI: 10.1016/j.neuroimage.2020.116746] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2019] [Revised: 03/02/2020] [Accepted: 03/13/2020] [Indexed: 12/13/2022] Open
|
16
|
Al‐Ozzi TM, Botero-Posada LF, Lopez Rios AL, Hutchison WD. Single unit and beta oscillatory activities in subthalamic nucleus are modulated during visual choice preference. Eur J Neurosci 2020; 53:2220-2233. [DOI: 10.1111/ejn.14750] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Revised: 03/31/2020] [Accepted: 04/11/2020] [Indexed: 12/27/2022]
Affiliation(s)
- Tameem M. Al‐Ozzi
- Department of Physiology University of Toronto Toronto ON Canada
- Department of Surgery University of Toronto Toronto ON Canada
- Krembil Research Institute Toronto ON Canada
| | - Luis F. Botero-Posada
- Hospital Universitario y Centros Especializados de Saint Vicente Fundacion Rionegro/Medellin Colombia
| | - Adriana L. Lopez Rios
- Hospital Universitario y Centros Especializados de Saint Vicente Fundacion Rionegro/Medellin Colombia
| | - William D. Hutchison
- Department of Physiology University of Toronto Toronto ON Canada
- Department of Surgery University of Toronto Toronto ON Canada
- Krembil Research Institute Toronto ON Canada
- Hospital Universitario y Centros Especializados de Saint Vicente Fundacion Rionegro/Medellin Colombia
- Division of Neurosurgery Toronto Western Hospital – University Health Network Toronto ON Canada
| |
Collapse
|
17
|
Tuning the Corticospinal System: How Distributed Brain Circuits Shape Human Actions. Neuroscientist 2020; 26:359-379. [DOI: 10.1177/1073858419896751] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Interactive behaviors rely on the operation of several processes allowing the control of actions, including their selection, withholding, and cancellation. The corticospinal system provides a unique route through which multiple brain circuits can exert control over bodily motor acts. In humans, the influence of these modulatory circuits on the corticospinal system can be probed using various transcranial magnetic stimulation (TMS) protocols. Here, we review neural data from TMS studies at the basis of our current understanding of how diverse pathways—including intra-cortical, trans-cortical, and subcortico-cortical circuits—contribute to action control by tuning the activity of the corticospinal system. Critically, when doing so, we point out important caveats in the field that arise from the fact that these circuits, and their impact on the corticospinal system, have not been considered equivalently for action selection, withholding, and cancellation. This has led to the misleading view that some circuits or regions are specialized in specific control processes and that they produce particular modulatory changes in corticospinal excitability (e.g., generic vs. specific modulation of corticospinal excitability). Hence, we point to the need for more transversal research approaches in the field of action control.
Collapse
|
18
|
Shevinsky CA, Reinagel P. The Interaction Between Elapsed Time and Decision Accuracy Differs Between Humans and Rats. Front Neurosci 2019; 13:1211. [PMID: 31803002 PMCID: PMC6877602 DOI: 10.3389/fnins.2019.01211] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2019] [Accepted: 10/28/2019] [Indexed: 12/24/2022] Open
Abstract
A stochastic visual motion discrimination task is widely used to study rapid decision-making in humans and animals. Among trials of the same sensory difficulty within a block of fixed decision strategy, humans and monkeys are widely reported to make more errors in the individual trials with longer reaction times. This finding has posed a challenge for the drift-diffusion model of sensory decision-making, which in its basic form predicts that errors and correct responses should have the same reaction time distributions. We previously reported that rats also violate this model prediction, but in the opposite direction: for rats, motion discrimination accuracy was highest in the trials with the longest reaction times. To rule out task differences as the cause of our divergent finding in rats, the present study tested humans and rats using the same task and analyzed their data identically. We confirmed that rats' accuracy increased with reaction time, whereas humans' accuracy decreased with reaction time in the same task. These results were further verified using a new temporally local analysis method, ruling out that the observed trend was an artifact of non-stationarity in the data of either species. The main effect was found whether the signal strength (motion coherence) was varied in randomly interleaved trials or held constant within a block. The magnitude of the effects increased with motion coherence. These results provide new constraints useful for refining and discriminating among the many alternative mathematical theories of decision-making.
Collapse
Affiliation(s)
| | - Pamela Reinagel
- Division of Biological Sciences, University of California, San Diego, La Jolla, CA, United States
| |
Collapse
|
19
|
Derosiere G, Thura D, Cisek P, Duque J. Motor cortex disruption delays motor processes but not deliberation about action choices. J Neurophysiol 2019; 122:1566-1577. [PMID: 31411932 DOI: 10.1152/jn.00163.2019] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Decisions about actions typically involve a period of deliberation that ends with the commitment to a choice and the motor processes overtly expressing that choice. Previous studies have shown that neural activity in sensorimotor areas, including the primary motor cortex (M1), correlates with deliberation features during action selection. However, the causal contribution of these areas to the decision process remains unclear. Here, we investigated whether M1 determines choice commitment or whether it simply reflects decision signals coming from upstream structures and instead mainly contributes to the motor processes that follow commitment. To do so, we tested the impact of a disruption of M1 activity, induced by continuous theta burst stimulation (cTBS), on the behavior of human subjects in 1) a simple reaction time (SRT) task allowing us to estimate the duration of the motor processes and 2) a modified version of the tokens task (Cisek P, Puskas GA, El-Murr S. J Neurosci 29: 11560-11571, 2009), which allowed us to estimate subjects' time of commitment as well as accuracy criterion. The efficiency of cTBS was attested by a reduction in motor evoked potential amplitudes following M1 disruption compared with those following a sham stimulation. Furthermore, M1 cTBS lengthened SRTs, indicating that motor processes were perturbed by the intervention. Importantly, all of the behavioral results in the tokens task were similar following M1 disruption and sham stimulation, suggesting that the contribution of M1 to the deliberation process is potentially negligible. Taken together, these findings favor the view that M1 contribution is downstream of the decision process.NEW & NOTEWORTHY Decisions between actions are ubiquitous in the animal realm. Deliberation during action choices entails changes in the activity of the sensorimotor areas controlling those actions, but the causal role of these areas is still often debated. With the use of continuous theta burst stimulation, we show that disrupting the primary motor cortex (M1) delays the motor processes that follow instructed commitment but does not alter volitional deliberation, suggesting that M1 contribution may be downstream of the decision process.
Collapse
Affiliation(s)
- Gerard Derosiere
- Laboratory of Neurophysiology, Institute of Neuroscience, Université Catholique de Louvain, Brussels, Belgium
| | - David Thura
- Lyon Neuroscience Research Center - IMPACT Team, INSERM U1028 - CNRS UMR 5292, Bron, France
| | - Paul Cisek
- Department of Neurosciences, Université de Montréal, Montréal, Québec, Canada
| | - Julie Duque
- Laboratory of Neurophysiology, Institute of Neuroscience, Université Catholique de Louvain, Brussels, Belgium
| |
Collapse
|
20
|
Quoilin C, Fievez F, Duque J. Preparatory inhibition: Impact of choice in reaction time tasks. Neuropsychologia 2019; 129:212-222. [PMID: 31015024 DOI: 10.1016/j.neuropsychologia.2019.04.016] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Revised: 03/22/2019] [Accepted: 04/19/2019] [Indexed: 12/11/2022]
Abstract
By applying transcranial magnetic stimulation (TMS) over primary motor cortex (M1) to elicit motor-evoked potentials (MEPs) in muscles of the contralateral hand during reaction time (RT) tasks, many studies have reported a strong global suppression of motor excitability during action preparation, a phenomenon called preparatory inhibition. Several hypotheses have been put forward regarding the role of this broad suppression, with the predominant view that it reflects inhibitory processes assisting action selection. However, this assumption is still a matter of debate. Here, we aimed at directly addressing this idea by comparing MEPs in a task that required subjects to select a finger response within a set of predefined options (choice RT task: left or right index finger abduction) or when subjects simply had to provide the same finger response on every trial, in the absence of choice (simple RT task). Moreover, we minimized any effect that could be associated with other forms of inhibition. In both versions of the task, TMS was applied on both M1 (double-coil protocol) at several time points between the go signal and the left or right index finger response, eliciting MEPs bilaterally in the prime mover (index finger agonist) and in an irrelevant muscle (pinky agonist). Overall, MEP suppression was moderate in this study compared to past research; it was only found for the irrelevant muscle. As such, MEPs in the index agonist were facilitated when elicited in a responding hand (e.g. left MEPs preceding left responses) and remained mostly unchanged in a non-responding hand (e.g. left MEPs preceding right responses). In contrast, MEPs were almost always suppressed in the pinky muscle when elicited in the non-responding hand. This finding contrasts with previous studies where preparatory inhibition usually concerns both relevant and irrelevant muscles. Yet importantly, the suppression was more consistent in the choice than in the simple RT task, supporting the view that preparatory inhibition may assist action selection.
Collapse
Affiliation(s)
- Caroline Quoilin
- Institute of Neuroscience, Université Catholique de Louvain, Brussels, Belgium; Laboratory for Experimental Psychopathology, Psychological Sciences Research Institute, Université Catholique de Louvain, Louvain-la-Neuve, Belgium.
| | - Fanny Fievez
- Institute of Neuroscience, Université Catholique de Louvain, Brussels, Belgium
| | - Julie Duque
- Institute of Neuroscience, Université Catholique de Louvain, Brussels, Belgium; Laboratory for Experimental Psychopathology, Psychological Sciences Research Institute, Université Catholique de Louvain, Louvain-la-Neuve, Belgium
| |
Collapse
|