Prism adaptation produces neglect-like patterns of hand path curvature in healthy adults

Prism adaptation in the healthy brain: the shift in line bisection judgments is long lasting and fluctuates

Rightward prism adaptation has been shown to ameliorate visuospatial biases in right brain-damaged patients with neglect, and a single session of prism adaptation can lead to improvements that last up to several hours. Leftward prism adaptation in neurologically healthy individuals induces neglect-like biases in visuospatial tasks. The duration of these effects in healthy individuals, typically assumed to be ephemeral, has never been investigated. Here we assessed the time-course of the adaptation-induced modifications in a classical perceptual line bisection task that was repeatedly administered for approximately 40min after a single session of adaptation to either a leftward or rightward prismatic deviation. Consistent with previous reports, only adaptation to leftward-deviating prisms induced a visuospatial shift on perceptual line bisection judgments. The typical pattern of pseudoneglect was counteracted by a rightward shift in midline judgments, which became significant between 5 and 10 min after adaptation, fluctuated between being significant or not several times in the 40 min following adaptation, and was present as late as 35 min. In contrast, the sensorimotor aftereffect was present immediately after adaptation to both rightward and leftward deviating prisms, decayed initially then remained stable until 40 min. These results demonstrate that both the sensorimotor and visuospatial effects last for at least 35 min, but that the visuospatial shift needs time to fully develop and fluctuates. By showing that the effects of prism adaptation in the undamaged brain are not ephemeral, these findings reveal the presence of another, so-far neglected dimension in the domain of the cognitive effects induced by prism adaptation, namely time. The prolonged duration of the induced visuospatial shift, previously considered to be a feature of prism adaptation unique to brain-damaged subjects, also applies to the normal brain.

How many motoric body representations can we grasp?

At present there is a debate on the number of body representations in the brain. The most commonly used dichotomy is based on the body image, thought to underlie perception and proven to be susceptible to bodily illusions, versus the body schema, hypothesized to guide actions and so far proven to be robust against bodily illusions. In this rubber hand illusion study we investigated the susceptibility of the body schema by manipulating the amount of stimulation on the rubber hand and the participant's hand, adjusting the postural configuration of the hand, and investigating a grasping rather than a pointing response. Observed results showed for the first time altered grasping responses as a consequence of the grip aperture of the rubber hand. This illusion-sensitive motor response challenges one of the foundations on which the dichotomy is based, and addresses the importance of illusion induction versus type of response when investigating body representations.

Eye movements and visuoverbal descriptions exhibit heterogeneous and dissociated patterns before and after prismatic adaptation in unilateral spatial neglect

This prospective study examined the effects of prismatic adaptation on visual exploration strategies in patients with left unilateral spatial neglect (USN). Photo-oculographic gaze recordings were obtained, as the subjects (28 brain-damaged; 15 control) performed a free visual exploration task before and after a session of prismatic adaptation. (i) Before prismatic adaptation, the pattern of visual exploration described two subgroups of patients (symmetrical exploration of hemispaces - similar to the control subjects, deficient exploration of left hemispace). Twelve of 20 patients failed to describe significant elements in the left part of the displayed image. Several visuoverbal patterns were observed, some dissociating visual exploration and verbal description. (ii) Immediately after prismatic adaptation, patients with asymmetrical visual exploration presented a significant increase in the number of point fixations and saccades in the left hemispace. Patients with symmetrical exploration presented the opposite pattern. Improved pattern of visual exploration contrasted with an absence of improved verbal description. Eye movements and visuoverbal descriptions exhibit heterogeneous and dissociated patterns before and after prismatic adaptation. This results demonstrate that prismatic adaptation has no effect in certain patients, suggesting that therapeutic indications and evaluation of prismatic test results should take into consideration the heterogeneous nature of USN.

Walking trajectory in neglect patients

A lateral deviation of the walking trajectory is often observed in stroke patients with unilateral spatial neglect. However, existing research appears to be contradictory regarding the direction of this deviation. The aim of the present study was to gain more insight into the walking trajectory of neglect patients. Twelve right hemisphere stroke patients (six neglect, six no neglect), eight left hemisphere stroke patients (none neglect) and 10 healthy control subjects were instructed to walk towards a target while a two-dimensional ultrasonic positioning system recorded their walking trajectory. Patients' recovery of walking ability was assessed and they were tested for the presence of neglect. Neglect patients showed a larger lateral deviation in their walking trajectory compared to stroke patients without neglect or controls. Neglect patients with good walking ability showed a deviation to the contralesional side. Neglect patients with limited walking ability showed a deviation to the ipsilesional side. Within the neglect group we found no relation between the severity of neglect and lateral deviation. Differences in walking ability may account for the contradictory results between studies regarding the lateral deviation in neglect patients' walking trajectory. We suggest that when a neglect patient's walking ability is limited, walking towards a target becomes a dual task: heading control and walking. A limited walking ability will cause a higher task priority of walking compared to heading control. This shift in task priority may be causing the change in walking trajectory deviation.

Phoria adaptation after sustained symmetrical convergence: influence of saccades

We recorded divergence eye movements after short (4 s) and long (36 s) periods of sustained symmetrical convergence (30 degrees) in nine normal human subjects using the search coil technique. Following the long period of convergence, alignment after the initial 1,250 ms of divergence was more converged than after the short period of convergence, showing short-term "phoria adaptation". The first 1,000 ms of divergence, however, could be slower, faster or relatively unchanged, depending upon the subject. A change in the timing and/or amplitude of associated saccades (which accelerate ongoing vergence) between the long and short stimuli accounted for much of the difference in the rate of divergence. The differences in saccade pattern during early divergence following the long and short periods of convergence may reflect changes in attentional focus (to near or to far).

Effect of ageing on the ability to adapt to a visual distortion during walking

Degradation of major sensory systems such as proprioception, the vestibular system and vision may be a factor that contributes to the decline in walking stability in older people. In the present study this was examined by introducing a visual distortion by means of prism glasses shifting subject's view 10 degrees to the right while subjects walked towards a target (exposure condition). Shifting the view while walking towards a target will cause subjects to alter their heading in such a way that their walking trajectory describes a curvilinear path. It was expected that older people, when compared to young people, would have greater difficulty adjusting their heading and would show a greater decrease in heading stability, quantified by means of the standard deviation of the lateral position (SDLP). This was indeed the case. When performance in a pre- and post-exposure condition, in which subjects walked without prism glasses, were compared to each other, older people (O group) showed a greater decrease in heading stability than young people (Y group) and middle aged people (M group). Furthermore, it appeared that during the exposure condition adaptation effects were present in the Y and M group, which were absent in the O group. It is discussed that this adaptation is a form of realignment of the proprioceptive and visual system. The absence of realignment in the O group is argued to be caused by degradation of the proprioceptive system, which results in a lowering of the proprioceptive bias of vision.

Bias and sensitivity in the haptic perception of geometry

Our ability to recognize and manipulate objects relies on our haptic sense of the objects' geometry. But little is known about the acuity of haptic perception compared to other senses like sight and hearing. Here, we determined how accurately humans could sense various geometric features of objects across the workspace. Subjects gripped the handle of a robot arm which was programmed to keep the hand inside a planar region with straight or curved boundaries. With eyes closed, subjects moved the manipulandum along this virtual wall and judged its curvature or direction. We mapped their sensitivity in different parts of the workspace. We also tested subjects' ability to discriminate between boundaries with different degrees of curvature, to sense the rate of change of curvature, and to detect the elongation or flattening of ellipses. We found that subjects' estimates of the curvature of their hand path were close to veridical, and did not change across the workspace though they did vary somewhat with hand path direction. Subjects were less accurate at judging the direction of the hand path in an egocentric frame of reference, and were slightly poorer at discriminating between arcs of different curvature than at detecting absolute curvature. They also consistently mistook flattened ellipses and paths of decreasing curvature (inward spirals) for circles-and mistook arcs of true circles for arcs of tall ellipses or outward spirals. Nevertheless, the sensitivity of haptic perception compared well with that of spatial vision in other studies. Furthermore, subjects detected curvature and directional deviations much smaller than those that actually arise for most reaching movements. These findings suggest that our haptic sense is acute enough to guide and train motor systems and to form accurate representations of shapes.

Egocentric body-centered coordinates modulate visuomotor performance

Parietal damage has been hypothesized to distort the body-centered coordinate frame and produce the ipsilesional spatial bias characteristic of unilateral neglect. The present studies investigated the role of the egocentric frame in normal visuomotor performance by manipulating the alignment of the body midline in neurologically-intact adults. The results from two experiments indicate that: (1) rightward rotation causes a right visual field advantage in detection times for lateralized targets; (2) rightward rotation evokes an increase in visual sensitivity to right visual field targets and a decrease in sensitivity to left visual field targets; and (3) leftward rotation does not affect response latency or sensitivity, however, response criterion is mildly affected. By demonstrating that the alignment of the body-centered frame can induce neglect-like asymmetries in visuomotor performance in neurologically-intact subjects, the results support a role for an altered body-centered representation in clinical neglect.

Links between vision and somatosensation. Vision can improve the felt position of the unseen hand

During reaching movements, sensory signals must be transformed into appropriate motor commands. Anatomical, electrophysiological, and neuropsychological evidence suggest that there is no single, supramodal map of space that is used to guide reaching. Instead, movements appear to be planned and controlled within multiple coordinate systems, each one attached to a different body part. Recent neuropsychological investigations demonstrating that somatosensory impairments can be ameliorated by visual cues, and visual impairments by proprioceptive cues, have been interpreted as evidence that arm-centered representations may exist in humans. A critical difference between the findings obtained in the monkey and in humans, however, is that in the latter case, vision of the limb appears be critical for visual somatosensory binding. Here, we report a case study of a patient (C.T.) recovering from unilateral somatosensory impairment, including tactile extinction, who executed reaches toward visually defined or proprioceptively defined locations. We demonstrate that when the target location of a reach was defined proprioceptively, by passively positioning our patient's impaired hand beneath the table surface, vision of the workspace immediately adjacent to the unseen hand dramatically increased the endpoint accuracy of her reaching movements, even though such cues could not possibly signal the position of the target directly.