Faculty Bibliography

In order to study prehension in a reproducible manner, we trained monkeys to perform a task in which rectangular, spherical, and cylindrical objects were grasped, lifted, held, and lowered in response to visual cues. The animal's hand movements were monitored using digital video, together with simultaneously recorded spike trains of neurons in primary somatosensory cortex (S-I) and posterior parietal cortex (PPC). Statistically significant task-related modulation of activity occurred in 78% of neurons tested in the hand area; twice as many cells were facilitated during object acquisition as were depressed. Cortical neurons receiving inputs from tactile receptors in glabrous skin of the fingers and palm, hairy skin of the hand dorsum, or deep receptors in muscles and joints of the hand modulated their firing rates during prehension in consistent and reproducible patterns. Spike trains of individual neurons differed in duration and amplitude of firing, the particular hand behavior(s) monitored, and their sensitivity to the shape of the grasped object. Neurons were classified by statistical analysis into groups whose spike trains were tuned to single task stages, spanned two successive stages, or were multiaction. The classes were not uniformly distributed in specific cytoarchitectonic fields, nor among particular somatosensory modalities. Sequential deformation of parts of the hand as the task progressed was reflected in successive responses of different members of this population. The earliest activity occurred in PPC, where 28% of neurons increased firing prior to hand contact with objects; such neurons may participate in anticipatory motor control programs. Activity shifted rostrally to S-I as the hand contacted the object and manipulated it. The shape of the grasped object had the strongest influence on PPC cells. The results suggest that parietal neurons monitor hand actions during prehension, as well as the physical properties of the grasped object, by shifting activity between populations responsive to hand shaping, grasping, and manipulatory behaviors

This report describes the use of multimedia technology for simultaneous recording of single unit responses in cerebral cortex, and imaging of hand kinematics as monkeys grasp and manipulate objects. These imaging methods allow direct correlation of full-frame, full-field video images with the actual spike trains recorded with microelectrodes. Our implementation of digital video provides high-resolution snapshots of the hand motor behavior every 33.3 ms, and a precise calibration and display of the synchronously recorded electrophysiological activity digitized at rates up to 44.5 kHz on the same platform. These imaging methods permit non-invasive, non-traumatic monitoring of both trained and spontaneous activity in experimental animals, while providing synchronized digitized records of neuronal spike trains. We also describe software instruments that quantify and analyze the digitized spike trains. One instrument employs user-selectable objective criteria for distinguishing spikes from noise, separates individual action potential waveforms by their amplitude and duration, and compiles time stamps for each spike train. A second instrument constructs rasters and histograms of repeated behavioral trials using the timing of the corresponding video frame for alignment. These analyses reveal functional classes of cortical neurons signaling specific stages of prehension

1. Textures formed by periodic dot arrays are defined by the dot density, spacing, and angular orientation with respect to the direction of motion. In this report we evaluate the effects of the dot density (intensive cues) and arrangement (spatial cues) on the ability of human subjects to discriminate texture patterns scanned across an OPTACON tactile stimulator that selective stimulates rapidly adapting cutaneous mechanoreceptors. We compared dot arrays arranged on the index finger in specific patterns (horizontal, vertical, diamond, up diagonal, or down diagonal orientation) and spaced 4.8, 7.2, or 9.6 mm apart (high, medium, and low density) with the use of a two-alternative forced-choice protocol. 2. Textures are well discriminated when their elements are tightly spaced along one axis and widely spaced on all other axes. Humans distinguish textures that differ only in orientation with mean accuracy of 75% at low density and 65% at medium density, but discriminate high-density textures poorly (mean accuracy = 48%). Accuracy is related to the angular disparity between patterns, and to similarity of spacing and orientation along major and minor axes of the arrays. Vertical and horizontal patterns are more accurately distinguished than the oblique ones, and diamond arrays are the least well discriminated. Diagonal and diamond textures are often confounded, and the up and down diagonal patterns are confused with each other particularly as the texture density rises. The preference for the vertical and horizontal patterns may relate to an interaction between the orientation axis of the texture and its direction of motion across the skin. 3. Intensive cues provided by the total number of applied stimuli supplement the spatial cues inherent to the pattern orientation, because textures that differ in both spacing and orientation are discriminated better than those that differ only in orientation or spacing. Mean accuracy ranges from 96% for comparisons of high- and low-density textures, which differ in the total number of dots by a factor of 2, to 80% when medium-density patterns are compared with high- or low-density textures. 4. Textures that differ in density but not in orientation are less well discriminated than those of different orientation. For example, 82% of patterns that differ in both density and orientation are distinguished correctly in pairings of low- and medium-density textures, whereas those that differ only in density are discriminated correctly on 45% of trials. Subjects seem to use spatial rather than intensive cues when discriminating patterns of similar density, suggesting that the similarity of form (the spatial arrangement of the closely spaced dots) is more readily apparent than small differences in spacing along the axis of motion. 5. Subjects are most most successful in differentiating texture patterns when they are able to mentally picture the orientation and spacing of the pattern. We found a strong correlation between the subjects' ability to discriminate textures of a given spacing and their ability to identify the specific texture by matching it to the appropriate visual representation. Subjects are able to identify correctly all five orientations at low and medium densities, with mean accuracy of 76%, but recognize only the vertical arrays when high-density patterns are presented. The ability to image the textures is noteworthy, because subjects received no feedback about performance. 6. Spatial imaging of textures appears limited by the diameter of cutaneous receptive fields on the hand. We propose that the structural axis of a regular texture array results from perceptual linkage of adjacent elements along one principal axis by continuous bands of neural activity when their spacing is smaller than the receptive field diameter.(ABSTRACT TRUNCATED)

1. In these experiments we assess the relative importance of the spatial and temporal properties of a moving tactile stimulus in determining the ability of humans to discriminate its direction of motion. Movement along the finger was simulated by applying a series of pulses to adjacent locations on the skin using the tactile array of an OPTACON stimulator. Simulated motion permitted us to vary independently the overall distance moved as well as the spacing, timing, and number of sequential stimuli. Different combinations of spatiotemporal parameters allowed us to further examine the relationship of apparent velocity of motion and sweep duration to behavioral performance. Discrimination accuracy was measured using signal detection techniques to calculate the discrimination parameter d' and PCmax, a bias-free measure of the percent correct identification of the direction of motion. 2. In experiments where the path length was constant, discriminability of the direction of motion increased as the spacing between successive pulses narrowed. Similarly, for a given interpulse spacing, the accuracy of discrimination increased linearly with distance, saturating at perfect performance. These apparent spatial effects on performance actually reflect the total number of stimuli presented to the skin rather than their proximity. Sweeps containing the same number of pulses are equally discriminable regardless of either their spacing or the total distance crossed on the skin. d' values obtained at 1.2-, 2.4-, and 4.8-mm spacings appear indistinguishable when plotted as a function of the total number of pulses in a sweep. 3. Experiments in which both the distance moved and the spacing between pulses was varied randomly confirmed that discrimination accuracy depends on the total number of pulses in a sweep rather than the spatial dimensions of the path traversed. Stimulation of only two points that mark the start and stop locations on the skin appears insufficient to enable subjects to discriminate correctly the direction of motion. Two-point stimulation elicits random performance whether the points lie 1.2 or 4.8 mm apart. Discriminability rises linearly to near-perfect performance when eight or more pulses are delivered sequentially. Extrapolation of the d' and PCmax curves suggests a mean threshold of approximately three points for 75% correct discrimination of the direction of motion across the skin. 4. The relationship of stimulus spacing to discriminability over a fixed path suggests that direction discrimination does not simply involve computation of the location of the start and stop points on the skin or their spatial disparity.(ABSTRACT TRUNCATED AT 400 WORDS)

To determine the feasibility and efficacy of early discharge planning, initiated by admitting department personnel, a randomized, controlled trial was undertaken in 2 acute care, university-affiliated hospitals. The intervention tested was referral of patients by admitting personnel to nursing, social work, physiotherapy, occupational therapy, or dietary services for potential discharge planning. A 1-page, 65-item questionnaire was designed to identify patients for referral to the various allied health services. A copy of this was sent to the appropriate service, according to predefined criteria. The questionnaire took an average of 4 min to complete. The criteria used were highly predictive of length of stay, the most important being age, followed by living outside St. John's, admission within the previous 3 months, emergency admission, and being in need of community services. In Hospital A, the cases (n = 421) referred for early discharge planning had significantly shorter length of stay (Mantel-Cox, p = 0.03) than controls (n = 420), who were identical for all factors predictive of prolonged length of stay. The reduction in length of stay amounted to a mean of 0.8 d. In Hospital B (n = 758), the intervention was less effective because of a lower proportion of patients with factors associated with prolonged hospital stay and, perhaps, because of inadequate implementation of the program. We conclude that identification, by admitting department personnel, of patients who may benefit from early discharge planning is feasible. This process will reduce length of hospital stay, but its effectiveness is dependent on case mix variables and enthusiastic implementation of the program.

1. To assess the mechanisms used by cortical neurons to sense motion across the skin, we applied pulsatile stimuli to a series of adjacent positions on the glabrous skin of the hand using a computer-controlled OPTACON stimulator. We describe responses of 129 single neurons in primary somatosensory cortex of alert monkeys to a horizontal bar pattern that was displaced proximally or distally in 1.2-mm steps at 10-, 20-, and 40-ms intervals (100, 50, and 25 Hz, respectively). These frequencies span the range in which apparent motion is transformed perceptually in humans from a smooth uninterrupted sweep into a series of distinct pulses that are resolved as separate events. The experiments are thus designed to decipher the neural correlates distinguishing continuous motion from discrete taps. 2. Cortical receptive fields mapped with moving bar patterns spanned 5-24 rows on the tactile array (16.2 +/- 5.4, mean +/- SD). Over 40% of the fields encompassed 18 or more rows (greater than or equal to 21.6 mm), allowing these neurons to integrate spatial information from an entire image displayed on the OPTACON. Cortical receptive fields are considerably larger than those of mechanoreceptors mapped with the same moving bar patterns (4.2 +/- 2.3 rows, mean +/- SD), reflecting convergent inputs in subcortical and cortical relays. Responses were either relatively uniform across the field or strongest at the initial point of entry, depending on the frequency of stimulation. A sharply defined field center was absent from most of the cells recorded in this study. 3. Temporal frequency of stimulation appears to be a major determinant of cortical firing patterns. Low-frequency stimuli are more effective in activating cortical neurons, producing more spikes per sweep and greater phase-locking to individual stimuli than do high frequencies. The total spike output of cortical neurons is proportional to the pulse interval over the range 10-40 ms, increasing linearly by an average of 5.9 spikes/10-ms increase in pulse period. Peak firing rates and modulation amplitude are also highest when pulses are presented at long intervals, falling significantly as the stimulation frequency rises. The reduction in firing at high pulse rates is apparently due to central mechanisms, as both rapidly adapting and Pacinian corpuscle afferents display nearly constant spike outputs and uniform sensitivity within the field when tested with identical bar patterns. Central networks thus behave as low-pass filters, reducing cortical responses to rapidly applied sequential stimuli.(ABSTRACT TRUNCATED AT 400 WORDS)