Biomedical subjects

Ji-Hang Lee

Publications and source records attributed to Ji-Hang Lee.

8 recordsLinked to original sources

PubMed2006

The human dorsal premotor cortex generates on-line error corrections during sensorimotor adaptation.

A number of different sites in the human brain have been shown to play a role in sensorimotor adaptation. However, the specific role played by each of these structures in the learning process is poorly understood. In the present study, the contribution of the dorsal aspect of the premotor cortex was examined by disrupting activity at this site using transcranial magnetic stimulation (TMS) while subjects wearing prism goggles pointed at visual targets. This manipulation slowed down the rate of adaptation when vision of the hand was available throughout the movement and reduced the presence of on-line trajectory corrections. This was accompanied by a reduced shift in the felt position of the arm. In contrast, TMS did not cause any alteration in the performance of this task when vision of the hand was available only at the end of the movement. Thus, we infer from this pattern of results that the human dorsal premotor cortex contributes to the generation of the visually based on-line error corrections that are responsible for the remapping of arm position sense underlying sensorimotor adaptation.

Adaptation, Physiological↗

PubMed2004

Enhanced accuracy in novel mirror drawing after repetitive transcranial magnetic stimulation-induced proprioceptive deafferentation.

When performing visually guided actions under conditions of perturbed visual feedback, e.g., in a mirror or a video camera, there is a spatial conflict between visual and proprioceptive information. Recent studies have shown that subjects without proprioception avoid this conflict and show a performance benefit. In this study, we tested whether deafferentation induced by repetitive transcranial magnetic stimulation (rTMS) can improve mirror tracing skills in normal subjects. Hand trajectory error during novel mirror drawing was compared across two groups of subjects that received either 1 Hz rTMS over the somatosensory cortex contralateral to the hand or sham stimulation. Mirror tracing was more accurate after rTMS than after sham stimulation. Using a position-matching task, we confirmed that rTMS reduced proprioceptive acuity and that this reduction was largest when the coil was placed at an anterior parietal site. It is thus possible, with rTMS, to enhance motor performance in tasks involving a visuoproprioceptive conflict, presumably by reducing the excitability of somatosensory cortical areas that contribute to the sense of hand position.

Adolescent↗

PubMed2004

Bilateral accommodations to anterior cruciate ligament deficiency and surgery.

UNLABELLED: OBJECTIVE To determine bilateral lower extremity joint accommodations during gait in anterior cruciate ligament deficient subjects and uninjured controls. DESIGN: Gait testing of 10 chronic anterior cruciate ligament deficient subjects prior to and 3 months following reconstructive surgery, and 10 uninjured controls. BACKGROUND: It is possible that bilateral joint accommodations could occur as a result of anterior cruciate ligament injury and in response to surgical repair. Few studies have investigated bilateral joint accommodations to anterior cruciate ligament injury and there is little consistency in the reported results. METHODS: Bilateral lower extremity kinematic and kinetic data were collected from 12 walking trials and inverse dynamics calculations were made to estimate bilateral knee and hip joint angle, moment, and power patterns during the stance phase of gait. RESULTS: Control subjects exhibited asymmetrical hip but symmetrical knee joint moment and power patterns. In contrast, the anterior cruciate ligament deficient subjects exhibited symmetrical hip and asymmetrical knee joint moment and power patterns prior to and following reconstructive surgery. CONCLUSIONS: Gait asymmetry in healthy subjects should not be considered pathological. In addition, chronic anterior cruciate ligament injury results in joint specific, bilateral lower extremity accommodations in gait mechanics. These accommodations persist 3 months following surgical repair.

Adaptation, Physiological↗

PubMed2002

Dorsal and ventral visual stream contributions to perception-action interactions during pointing.

The Ebbinghaus illusion, in which a central circle surrounded by large circles appears to be smaller than a central circle surrounded by small circles, affects the speed of pointing movements. When the central circle appears to be big, pointing movements directed towards it are faster than when the central circle appears to be small. This effect could be due to an interaction between ventral stream processing associated with determining relative object size and dorsal stream processing associated with sensorimotor output. Alternatively, the dorsal stream alone could mediate the effect via the transformation of object shape representations into motor output within the parietal lobe. Finally, ventral stream processing could be integrated into motor output through projections to the prefrontal cortex and subsequently to the motor areas of the cortex, thus bypassing the dorsal stream. These three alternatives were tested by disrupting either the ventral or dorsal stream processing using transcranial magnetic stimulation (TMS) while subjects made pointing movements as quickly and accurately as possible to the central target circles within the Ebbinghaus illusion display. The relative changes in reaction time, movement speed, and movement accuracy for small versus large appearing target circles were compared when TMS was delivered over each site as well as at a control site (SMA). The results showed that TMS over either the dorsal or ventral stream but not the SMA reduced the influence of the illusion on the pointing movement speed but did not affect reaction time or movement accuracy. A second control experiment was completed in which TMS was delivered during pointing movements to target circles of physically different sizes that were not surrounded by either large or small circles. This allowed us to determined whether the effect we observed in the main experiment was due specifically to the relative size information contained within the illusory display and the effect this has on the preparation of pointing responses or to an influence on basic perceptual and sensorimotor processes occurring within the ventral and dorsal streams, respectively. The results showed that the affect on pointing movement speed was still present with dorsal but not ventral stream stimulation. Taken together, this evidence suggests that the ventral stream contributes to pointing movements based on relative object size information via its projections to the prefrontal areas and not necessarily through interactions with the dorsal stream.

Analysis of Variance↗

PubMed2002

Cortical frames of reference for eye-hand coordination.

To reach for an object the brain must transform visual input from the eye into motor output of the arm. Recent neurophysiological experiments have shown that this transformation maps onto a network of brain areas including the posterior parietal (PPC) and premotor (PMC) cortices. In this chapter, we review evidence from our own experiments which demonstrate that this network can only partially complete the transformation when the eye and limb movement amplitudes are dissociated. We also discuss the effects of disrupting either the PPC or PMC using transcranial magnetic stimulation (TMS) on the ability to carry out the transformation successfully.

Animals↗

PubMed2002

Eye-hand interactions differ in the human premotor and parietal cortices.

In order to successfully look at and reach for a visual target the central nervous system must perform a complex sensorimotor transformation. How this transformation is mapped onto relevant brain structures has become the subject of much recent investigation. In the present paper we examined the contribution of the human premotor cortex (PMC) to this transformation process during a task requiring coordinated eye and hand movements. For this purpose, we made use of single-pulse transcranial magnetic stimulation (TMS) to temporarily disrupt the processing occurring in the PMC during task performance. Subjects made open-loop pointing movements accompanied by saccades of the same size or two or three times larger. Under normal circumstances without TMS, the pointing movement amplitude increased with saccade amplitude. When TMS was applied over the PMC 100-200 ms after target presentation, the influence of saccade amplitude on the pointing movement amplitude was increased. This is the opposite effect to that observed in a previous study [Journal of Neurophysiology 84 (200) 1677-1680] when TMS was applied over the posterior parietal cortex (PPC) during the same task. We suggest that this pattern of results is consistent with the coding of the reach plan in eye-centered coordinates in the PPC and limb-centered coordinates in the PMC.

Adult↗

PubMed2002

Gait mechanics in chronic ACL deficiency and subsequent repair.

OBJECTIVE: To determine how normal gait patterns may change as a result of chronic anterior cruciate ligament deficiency and subsequent reconstructive surgery. DESIGN: Gait testing of 10 chronic anterior cruciate ligament deficient subjects prior to and 3 months following reconstructive surgery, and 10 uninjured controls. BACKGROUND: There is controversy whether persons with chronic anterior cruciate ligament deficiency develop a "quadriceps avoidance" pattern and how anterior cruciate ligament reconstructive surgery influences gait mechanics in these same individuals. METHODS: Gait analysis was employed to determine kinematic, kinetic, and muscle Electromyographic data. RESULTS: Prior to surgery, no anterior cruciate ligament deficient subject exhibited a quadriceps avoidance pattern. Following surgery, the subjects exhibited a significantly greater knee extensor moment during early stance as compared to the control group. Prior to and following surgery, anterior cruciate ligament deficient subjects demonstrated a significantly greater hip extensor moment possibly to reduce anterior tibial translation. CONCLUSIONS; These data suggest that (1) development of a quadriceps avoidance pattern is less common than previously reported, (2) anterior cruciate ligament deficient subjects accommodate through alterations of hip joint mechanics, (3) surgical repair significantly alters lower extremity gait patterns, and (4) re-establishment of pre-injury gait patterns takes longer than 3 months to occur. RELEVANCE: The results suggest that chronic anterior cruciate ligament deficient subjects do not exhibit a quadriceps avoidance gait pattern. Surgical intervention significantly alters lower extremity gait mechanics in a population that has accommodated to anterior cruciate ligament deficiency.

Adult↗

PubMed2002

Reactive balance adjustments to unexpected perturbations during human walking.

The purpose of this investigation was to determine the effect of unexpected forward perturbations (FP) during gait on lower extremity joint mechanics and muscle Electromyographic (EMG) patterns in healthy adults. The muscles surrounding the hip were found to be most important in maintaining control of the trunk and preventing collapse in response to the FP. Distinct lower extremity joint moment and power patterns were observed in response to the FP but an overall positive moment of support (M(s)) was maintained. Therefore, reactive balance control was a synchronized effort of the lower extremity joints to prevent collapse during the FP.

Adult↗