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Biomedical subjects

Michel Bonnet

Publications and source records attributed to Michel Bonnet.

7 recordsLinked to original sources

Unsatisfactory results with the cementless Omnifit acetabular component due to polyethylene and severe osteolysis.

A high incidence of acetabular osteolysis (43%), associated with osteolytic lesions in the proximal femur (22.6%) and leading to a high revision rate, was experienced with the Omnifit total hip prosthesis. We reviewed the clinical and radiological results with 429 Omnifit total hips in 356 patients after a mean follow-up of 60 months. Time to revision and wear of the polyethylene liner with different acetabular shell types were specifically analysed. Pelvic osteolysis first became manifest in the acetabular bone opposite to the holes in the metal shell. Osteolysis occurred predominantly adjacent to the central hole in the metal shell of threaded cups; widespread and larger defects were found in press fit cups with peripheral screw holes. Kaplan Meier survival analysis demonstrated a higher probability for retaining the threaded cup at 6 years (96%; 95%-confidence interval: 93-99%) compared to the survival of the press fit cup (66%; 95%-CI: 56-77%). The results suggest a negative relationship between backside wear, the larger number of holes in the cup, the extent of osteolysis and survival rate of the press fit cups. Based on these findings and supported by similar reports about osteolysis related to the same cup design, it was hypothesised that backside wear due to the insufficient locking mechanism of the Omnifit acetabular cup was the major cause of the unsatisfactory results in our patients. For this reason we discontinued using this type of uncemented socket.

Adult↗

Electroencephalographic nogo potentials in a no-movement context: the case of motor imagery in humans.

The nogo potentials (N2/P3) were studied in a precuing auditory reaction time task in human subjects who had to either perform a button-press response (Press condition) or imagine they were performing it (Imagine condition). In the full precue condition (the subjects knew in advance which response they had to perform/imagine), in 25% of the trials, a nogo signal instructed the subject not to perform or not to imagine the prepared action. Clear N2/P3 components were obtained on nogo trials on the Press trials, but also on the Imagine ones: the N2 was of similar amplitude in both conditions, whereas the P3 was of smaller amplitude in the Imagine condition. The presence of nogo potential in motor imagery is discussed in terms of the functional significance of the N2/P3 complex.

Electroencephalography↗

Timing functions of the supplementary motor area: an event-related fMRI study.

Two previous studies in which we recorded slow brain potential shifts over the scalp revealed performance-dependent effects that sustained one prominent model of timing mechanisms. These effects seemed to be derived from the supplementary motor area (SMA). Event-related functional magnetic resonance imagery (fMRI) was used to check this hypothesis. Brain activations were contrasted in Time production and (control) Force production tasks involving left-hand responding. These tasks, presented in mixed order, were designed to be of equivalent difficulty and involve comparable levels of attention. Several brain areas were activated in both tasks relative to baseline: the SMA, the putamen, and the lateral cerebellum. Contrasts between tasks gave clear-cut differences. Activations specific to the Time task were found in the SMA proper and the left primary motor cortex. The Force task activated the right sensorimotor cortex and the left cerebellum, and, bilaterally, the infero-parietal cortex and the insula. The main result, i.e. prominent activation of the SMA proper in relation to temporal production, corroborates our previous studies based on slow cortical potentials. The data are referred to current evidence suggesting that timing processes are subtended by a striato-thalamo-cortical pathway including the SMA.

Adult↗

The nature of unilateral motor commands in between-hand choice tasks as revealed by surface Laplacian estimation.

From electroencephalographic recordings, we estimated the surface Laplacian over motor areas in a Stroop-like between-hand choice reaction time task in humans. Response-locked averages showed a (negative) "motor potential" over the primary motor areas contralateral to the response. At the same time, a positive wave was observed over the primary motor areas ipsilateral to the response. These data suggest that, when a between-hand choice is required, an inhibition of the primary motor cortex ipsilateral to the nonresponding hand is implemented. This observation is relevant to the interpretation of the lateralized readiness potential (LRP) because the LRP is blind to the respective contribution of the contralateral and ipsilateral motor cortices. In addition, a negative wave beginning about 200 ms before EMG onset and peaking about 50 ms before it occurred over the supplementary motor areas (FCz). This wave preceded the motor potential, which supports the view that the supplementary motor areas are upstream in a hierarchy of the motor command.

Adult↗

Executive control in the Simon effect: an electromyographic and distributional analysis.

Manual responses to lateralized stimuli are faster for spatially congruent stimulus-response associations than for incongruent associations, even if the stimulus location is irrelevant. This effect, however, decreases as reaction time increases. Recent data suggest that such a decrease reflects online, within-trial executive control. The present study was aimed at testing this hypothesis by analyzing the electromyographic activity of muscles involved in response execution. We focused on the particular trials in which an activation of the muscle involved to the incorrect response preceded the execution of the correct response. A sequential effect analysis, along with an analysis of the reaction time distributions, revealed that after such dual-activation trials, executive control was reinforced. In addition, a distribution analysis of the reaction times associated with such trials compared to the trials without incorrect activation, revealed online, within-trial changes in executive control. Arguments against a late motor locus of the effect of the irrelevant stimulus location are also provided. These results are discussed in terms of current models of cognitive control.

Adolescent↗

A transcranial magnetic stimulation study of information processing in the motor cortex: relationship between the silent period and the reaction time delay.

The present study was aimed at deciphering whether the delay in choice reaction time (RT) and the silent period (SP) caused by transcranial magnetic stimulation (TMS) of the motor cortex in the ongoing electromyogram are due to the same physiological mechanism. To this end, the effect of TMS was studied in 6 healthy volunteers performing a between-hand choice RT task. Specific predictions were derived from a logic inspired from the "postponed stages" hypothesis (Pashler & Johnson, 1989). This logic predicts a correlation between SP duration and RT when the stimulated cortex is involved in the response, and a stronger correlation when the stimulation is delivered later during the RT interval. The effect of TMS on RT was twofold: At early stimulation times, the stimulation shortened the RT and this effect was independent of the involvement of the stimulated motor cortex in the subsequent response. At later stimulation times, TMS had a disruptive effect, provided that the stimulated cortex was involved in the response. When the stimulated cortex was involved in the response, there was a correlation between SP and RT; this correlation was stronger when the stimulation occurred later. In contrast, there was no correlation between these two variables when the stimulated cortex was not involved.

Adult↗

[Treatment dynamics in sensorimotor disorders: the contribution of electrophysiology].

In the field of sensorimotor activities, progresses achieved over the last fifty years have been largely driven by the Reaction Time (RT) paradigm. Information processing models are set in the context of a global breakdown of sensorimotor activities in multiple concatenated stages, each aggregated in many fundamental operations that are functionally linked. If there is a consensus today about this breakdown, the way stages organize themselves in time however is still much debated. According to one hypothesis, there is no temporal overlap between each stages: the process occurs sequentially. According to another theory, the stages overlap over in time: the process occurs in a parallel manner. A behavioral analysis does not allow to determine between these two hypothesis because the RT represents the final product of the whole sensorimotor pathway, while the temporal organization of the processing of information depends on the nature of the transfer between individual stages. An all-or-nothing information transfer, also called discrete, leads to a sequential organization, while a progressive or continuous transfer brings about a parallel organization. Moreover, contrary to a preconceived notion, data obtained from classical neurophysiology are compatible with both a sequential organization and a parallel organization. Particularly, the great number of connections between the different elements of the nervous system has often seemed difficult to conciliate with a sequential organization. In fact, this argument is inadmissible because it stems from confusion between a temporal organization and an anatomical organization of the processing of information. More generally, our knowledge of the functional anatomy of sensorimotor activities imposes but few constraints on the temporal organization patterns of the processing of information. The lack of interest for the neurophysiological argument seems essentially due to the fact that theses arguments rest on research which is not aimed at the temporal organization of the sensorimotor information processing. Recently, approaches that integrate concepts and methods used in experimental psychology and neurosciences have contributed to putting in perspective the organization of information processing. Electromyography, EEG, reflexology and neuronal recording techniques have been used in the context of two inference logics. The first logic, that we call "factual", is based on the study of functional relations between RT and certain neuronal events. The second logic, that we call "chronometric", is based on the study of the relationships between RT and intervals resulting from the breakdown of the RT in relation to certain neuronal events. Generally speaking, most studies suggest that in tasks where the stimulus is composed of numerous attributes, information processing operates in parallel. On the other hand, when the stimulus is made up of a single attribute, information processing could be operating in a sequential manner. One weakness of this electrophysiological approach is that it has so far only examined relationships between physiological indicators and means RT. We propose here to offset these weaknesses by examining functional relationships between RT distribution variances and certain neuronal events linked to information processing.

Electrophysiology↗