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Introduction: Sensorimotor synchronization (SMS) is the human ability to align body movement rhythms with external rhythmic stimuli. While the effects of rhythmic stimuli containing only temporal information on SMS have been extensively studied, less is known about how spatial information affects SMS performance. This study investigates the neural mechanisms underlying SMS with rhythmic stimuli that include both temporal and spatial information, providing insights into the influence of these factors across different sensory modalities. Methods: This study compared the effects temporal information and spatial information on SMS performance across different stimuli conditions. We simultaneously recorded the electroencephalogram (EEG), the electromyogram (EMG), and behavioral data as subjects performed synchronized tapping to rhythmic stimuli. The study analyzed SMS performance under conditions including auditory, visual, and auditory-visual motion stimuli (containing both temporal and spatial information), as well as auditory, visual, and auditory-visual non-motion stimuli (containing only temporal information). Specifically, the research examined behavioral data (i.e., mean asynchrony, absolute asynchrony, and variability), neural oscillations, cortico-muscular coherence (CMC), and brain connectivity. Results: The results demonstrated that SMS performance was superior with rhythmic stimuli containing both temporal and spatial information compared to stimuli with only temporal information. Moreover, sensory-motor neural entrainment was stronger during SMS with rhythmic stimuli containing spatial information within the same sensory modality. SMS with both types of rhythmic stimuli was found to be dynamically modulated by neural oscillations and cortical-muscular coupling in the beta band (13-30 Hz). Discussion: These findings provide deeper insights into the combined effects of temporal and spatial information, as well as sensory modality, on SMS performance. The study highlights the dynamic modulation of SMS by neural oscillations and CMC, particularly in the beta band, offering valuable contributions to understanding the neural basis of sensorimotor synchronization. [ABSTRACT FROM AUTHOR]

Studies show that movement observation (MO), movement imagery (MI), or movement execution (ME) based brain–computer interface systems are promising in promoting the rehabilitation and reorganization of damaged motor function. This study was aimed to explore and compare the motor function rehabilitation mechanism among MO, MI, and ME. 64-channel electroencephalogram and 4-channel electromyogram data were collected from 39 healthy participants (25 males, 14 females; 18–23 years old) during MO, ME, and MI. We analyzed and compared the inter-cortical, inter-muscular, cortico-muscular, and spatial coherence under MO, ME, and MI. Under MO, ME, and MI, cortico-muscular coherence was strongest at the beta-lh band, which means the beta frequency band for cortical signals and the lh frequency band for muscular signals. 56.25–96.88% of the coherence coefficients were significantly larger than 0.5 (ps < 0.05) at the beta-lh band. MO and ME had a contralateral advantage in the spatial coherence between cortex and muscle, while MI had an ipsilateral advantage in the spatial coherence between cortex and muscle. Our results show that the cortico-muscular beta-lh band plays a critical role in the synchronous coupling between cortex and muscle. Also, our findings suggest that the primary motor cortex (M1), dorsolateral prefrontal cortex (DLPFC), supplementary motor area (SMA), and premotor cortex (PMC) are the specific regions of MO, ME, and MI. However, their pathways of regulating muscles are different under MO, ME, and MI. This study is important for better understanding the motor function rehabilitation mechanism in MO, MI, and ME. [ABSTRACT FROM AUTHOR]

Motor preparation is a dynamic process that is tuned to task demands such as urgency. This study examined the effect of urgency to move on cortico-muscular coherence (CMC) in the beta frequency band during motor preparation. Participants (n = 25) prepared for a rapid wrist flexion movement under two distinct scenarios: high (350 ms to prepare) and low (1400 ms to prepare) urgency. Before participants performed the ballistic actions, they were required to hold a light contraction of the flexor carpi radialis muscle for 3 s. During this holding time, we simultaneously obtained EEG and EMG signals to estimate their coherence —a measure of how much brain and muscle activity is synchronized at specific rhythms— over the last 1 s of the contraction interval.Contrary to our hypothesis, we found greater CMC in conditions of low urgency rather than high urgency. This finding suggests that participants prioritized attending to the visual stimuli, dividing their attention to capture the preparation go-signal, rather than preparing the motor system, leading to a reduction in CMC. This interpretation suggests a cognitive-motor trade-off, wherein attentional resources are allocated more to sensory processing that to motor preparedness in urgent situations.

This article discusses the neurophysiological analysis of cortical myoclonic tremor and excessive startle in ARHGEF9 deficiency. The study describes the clinical and neurophysiological phenotype of a patient with intellectual disability, cortical myoclonic tremor, and excessive startle due to a de novo variant in ARHGEF9. The patient exhibited symptoms such as jerky movements, intellectual disability, and tremors. Neurophysiological evaluations were conducted, revealing abnormal interactions between hyperexcitable cortical areas and impaired GABAergic and glycinergic neurotransmission. The findings expand the understanding of rare genetic movement disorders and may have implications for diagnosis and treatment. [Extracted from the article]

Introduction: To investigate cortical network changes using Magnetoencephalography (MEG) signals in Parkinson's disease (PD) patients undergoing Magnetic Resonance-guided Focused Ultrasound (MRgFUS) thalamotomy. Methods: We evaluated the MEG signals in 16 PD patients with drug-refractory tremor before and after 12-month from MRgFUS unilateral lesion of the ventralis intermediate nucleus (Vim) of the thalamus contralateral to the most affected body side. We recorded patients 24 h before (T0) and 24 h after MRgFUS (T1). We analyzed signal epochs recorded at rest and during the isometric extension of the hand contralateral to thalamotomy. We evaluated cortico-muscular coherence (CMC), the out-strength index from non-primary motor areas to the pre-central area and connectivity indexes, using generalized partial directed coherence. Statistical analysis was performed using RMANOVA and post hoc t-tests. Results: Most changes found at T1 compared to T0 occurred in the beta band and included: (1) a re-adjustment of CMC distribution; (2) a reduced outstrength from non-primary motor areas toward the precentral area; (3) strongly reduced clustering coefficient values. These differences mainly occurred during motor activation and with few statistically significant changes at rest. Correlation analysis showed significant relationships between changes of out-strength and clustering coefficient in non-primary motor areas and the changes in clinical scores. Discussion: One day after MRgFUS thalamotomy, PD patients showed a topographically reordered CMC and decreased cortico-cortical flow, together with a reduced local connection between different nodes. These findings suggest that the reordered cortico-muscular and cortical-networks in the beta band may represent an early physiological readjustment related to MRgFUS Vim lesion. [ABSTRACT FROM AUTHOR]

IntroductionTo investigate cortical network changes using Magnetoencephalography (MEG) signals in Parkinson’s disease (PD) patients undergoing Magnetic Resonance-guided Focused Ultrasound (MRgFUS) thalamotomy.MethodsWe evaluated the MEG signals in 16 PD patients with drug-refractory tremor before and after 12-month from MRgFUS unilateral lesion of the ventralis intermediate nucleus (Vim) of the thalamus contralateral to the most affected body side. We recorded patients 24 h before (T0) and 24 h after MRgFUS (T1). We analyzed signal epochs recorded at rest and during the isometric extension of the hand contralateral to thalamotomy. We evaluated cortico-muscular coherence (CMC), the out-strength index from non-primary motor areas to the pre-central area and connectivity indexes, using generalized partial directed coherence. Statistical analysis was performed using RMANOVA and post hoct-tests.ResultsMost changes found at T1 compared to T0 occurred in the beta band and included: (1) a re-adjustment of CMC distribution; (2) a reduced out-strength from non-primary motor areas toward the precentral area; (3) strongly reduced clustering coefficient values. These differences mainly occurred during motor activation and with few statistically significant changes at rest. Correlation analysis showed significant relationships between changes of out-strength and clustering coefficient in non-primary motor areas and the changes in clinical scores.DiscussionOne day after MRgFUS thalamotomy, PD patients showed a topographically reordered CMC and decreased cortico-cortical flow, together with a reduced local connection between different nodes. These findings suggest that the reordered cortico-muscular and cortical-networks in the beta band may represent an early physiological readjustment related to MRgFUS Vim lesion.

[Display omitted] • FAME2, compared to EPM1, had confined beta-cortico-muscular coherence (CMC) and increased centrality index in the sensorimotor region contralateral to movement. • In FAME2, CMC distribution and increased centrality index could counteract the severity and the spreading of the myoclonus. • In FAME2, there was a main decline in the network connectivity indexes, possibly linked to neuropsychological comorbidities. Familial Adult Myoclonic Epilepsy (FAME) presents with action-activated myoclonus, often associated with epilepsy, sharing various features with Progressive Myoclonic Epilepsy (PMEs), but with slower course and limited motor disability. We aimed our study to identify measures suitable to explain the different severity of FAME2 compared to EPM1, the most common PME, and to detect the signature of the distinctive brain networks. We analyzed the EEG-EMG coherence (CMC) during segmental motor activity and indexes of connectivity in the two patient groups, and in healthy subjects (HS). We also investigated the regional and global properties of the network. In FAME2, differently from EPM1, we found a well-localized distribution of beta-CMC and increased betweenness-centrality (BC) on the sensorimotor region contralateral to the activated hand. In both patient groups, compared to HS, there was a decline in the network connectivity indexes in the beta and gamma band, which was more obvious in FAME2. In FAME2, better localized CMC and increased BC in comparison with EPM1 patients could counteract the severity and the spreading of the myoclonus. Decreased indexes of cortical integration were more severe in FAME2. Our measures correlated with different motor disabilities and identified distinctive brain network impairments. [ABSTRACT FROM AUTHOR]

• Cortico-muscular coherence and cortico-cortical out-strength were assessed on MEG-EMG signals in patients with essential tremor. • MRgFUS treatment of thalamic ViM nucleus resulted in immediate changes in cortico-muscular coherence. • A reorganization of the cortico-cortical communication occurred mainly long after MRgFUS treatment. Drug-resistant essential tremor (ET) can be treated by Magnetic-Resonance-guided Focused-Ultrasound (MRgFUS) targeted to thalamic ventralis-intermediate nucleus (ViM). We are presenting the results obtained in ET patients by evaluating the cortico-muscular coherence (CMC) and the out-strength among cortical areas. We recorded MEG-EMG signals in 16 patients with predominant tremor on the right upper limb. The examination was performed the day before MRgFUS (T0) treatment, 24 hours (T1), and 3-months (T2) after lesioning the left ViM. Normalized CMC (nCMC) and cortico-cortical out-strength among cortical areas were assessed during isometric extension of the right hand. According to the Essential Tremor Rating Assessment Scale, 13 of 16 patients were considered responders. At T1, in the beta-band, nCMC increased in the left hemisphere, namely in the areas directly involved in motor functions. At T2, the nCMC in non-motor areas decreased and the out-strength from other examined cortical areas toward the left motor-area decreased. In patients positively responding to MRgFUS, the CMC increased in the motor-area of the treated hemisphere immediately after the treatment, while the reorganization of CMC and cortico-cortical out-strength toward the cortical motor area occurred with a delay. The effective treatment with MRgFUS corresponds with a readjustment of the CMC and of the communication between cortical areas. [ABSTRACT FROM AUTHOR]

In severely affected stroke survivors, cortico-muscular control is disturbed and volitional upper limb movements often absent. Mental rehearsal of the impaired movement in conjunction with sensory feedback provision are suggested as promising rehabilitation exercises. Knowledge about the underlying neural processes, however, remains vague. In male and female chronic stroke patients with hand paralysis, a brain-computer interface controlled a robotic orthosis and turned sensorimotor β-band desynchronization during motor imagery (MI) of finger extension into contingent hand opening. Healthy control subjects performed the same task and received the same proprioceptive feedback with a robotic orthosis or visual feedback only. Only when proprioceptive feedback was provided, cortico-muscular coherence (CMC) increased with a predominant information flow from the sensorimotor cortex to the finger extensors. This effect (1) was specific to the β frequency band, (2) transferred to a motor task (MT), (3) was proportional to subsequent corticospinal excitability (CSE) and correlated with behavioral changes in the (4) healthy and (5) poststroke condition; notably, MIrelated enhancement of β-band CMC in the ipsilesional premotor cortex correlated with motor improvements after the intervention. In the healthy and injured human nervous system, synchronized activation of motor-related cortical and spinal neural pools facilitates, in accordance with the communication-through-coherence hypothesis, cortico-spinal communication and may, thereby, be therapeutically relevant for functional restoration after stroke, when voluntary movements are no longer possible. [ABSTRACT FROM AUTHOR]

Introduction: Sensorimotor synchronization (SMS) is the human ability to align body movement rhythms with external rhythmic stimuli. While the effects of rhythmic stimuli containing only temporal information on SMS have been extensively studied, less is known about how spatial information affects SMS performance. This study investigates the neural mechanisms underlying SMS with rhythmic stimuli that include both temporal and spatial information, providing insights into the influence of these factors across different sensory modalities., Methods: This study compared the effects temporal information and spatial information on SMS performance across different stimuli conditions. We simultaneously recorded the electroencephalogram (EEG), the electromyogram (EMG), and behavioral data as subjects performed synchronized tapping to rhythmic stimuli. The study analyzed SMS performance under conditions including auditory, visual, and auditory-visual motion stimuli (containing both temporal and spatial information), as well as auditory, visual, and auditory-visual non-motion stimuli (containing only temporal information). Specifically, the research examined behavioral data (i.e., mean asynchrony, absolute asynchrony, and variability), neural oscillations, cortico-muscular coherence (CMC), and brain connectivity., Results: The results demonstrated that SMS performance was superior with rhythmic stimuli containing both temporal and spatial information compared to stimuli with only temporal information. Moreover, sensory-motor neural entrainment was stronger during SMS with rhythmic stimuli containing spatial information within the same sensory modality. SMS with both types of rhythmic stimuli was found to be dynamically modulated by neural oscillations and cortical-muscular coupling in the beta band (13-30 Hz)., Discussion: These findings provide deeper insights into the combined effects of temporal and spatial information, as well as sensory modality, on SMS performance. The study highlights the dynamic modulation of SMS by neural oscillations and CMC, particularly in the beta band, offering valuable contributions to understanding the neural basis of sensorimotor synchronization., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Zhang, Xie, Tao, Ge, Xiong, Xu, Li and Han.)

DNA deletions involving 6q22.1 region result in developmental encephalopathy (DE), often associated with movement disorders and epilepsy. The phenotype is attributed to the loss of the NUS1 gene included in the deleted region. Here we report three patients with 6q22.1 deletions of variable length all showing developmental delay, and rhythmic cortical myoclonus. Two patients had generalized seizures beginning in infancy. Myoclonic jerks had polygraphic features consistent with a cortical origin, also supported by cortico-muscular coherence analysis displaying a significant peak around 20 Hz contralateral to activated segment. Deletions in 6q22.1 region, similarly to NUS1 loss-of-function mutations, give rise to DE and cortical myoclonus via a haploinsufficiency mechanism. A phenotype of progressive myoclonic epilepsy (PME) may also occur. • 6q22.1 deletions result in developmental delay, movement disorders, and epilepsy. • The syndrome is attributed to the loss of NUS1 gene included in the deleted region. • We report three patients with 6q22.1 deletion all showing cortical rhythmic jerks. • 6q22.1 deletions give rise to myoclonus via a haploinsufficiency mechanism. • 6q22.1 deletion can cause progressive myoclonus epilepsy syndrome. [ABSTRACT FROM AUTHOR]

Humans have a natural tendency to move to music, which has been linked to the tight coupling between the auditory and motor system and the active role of the motor system in the perception of musical rhythms. High-groove music is particularly successful at inducing spontaneous movement, due to the engagement of (motor) prediction processes. However, how music listening transfers to the muscles even when no movement is intended is less known. Here we used cortico-muscular coherence (CMC) to investigate changes along the cortico-muscular pathway in response to different levels of groove in music listening without intention to move. Electroencephalography (EEG), Electromyography (EMG) from the finger and foot flexors, and continuous force signals were recorded in 18 participants while listening to either high-groove music, low-groove music or silence. Participants were required to hold a steady isometric contraction during all listening conditions. Subjective ratings confirmed that different levels of groove were successfully induced. However, no evidence was found for an effect of music, even high-groove music, on participants' CMC and ability to maintain a steady force for both upper and lower limbs irrespective of musical expertise. These results thus do not support a top-down influence of groove on cortico-muscular coupling. Nevertheless, it remains possible that such influence might occur in the form of dynamic modulations and/or with more active listening. Therefore, these results encourage further research to better understand the effects of groove on the motor system.

People have a natural and intrinsic ability to coordinate body movements with rhythms surrounding them, known as sensorimotor synchronisation. This can be observed in daily environments, when dancing or singing along with music, or spontaneously walking, talking or applauding in synchrony with one another. However, the neurophysiological mechanisms underlying accurately synchronised movement with selected rhythms in the environment remain unclear. Here we studied real and imagined sensorimotor synchronisation with interleaved auditory and visual rhythms using cortico-muscular coherence (CMC) to better understand the processes underlying the preparation and execution of synchronised movement. Electroencephalography (EEG), electromyography (EMG) from the finger flexors, and continuous force signals were recorded in 20 participants during tapping and imagined tapping with discrete stimulus sequences consisting of alternating auditory beeps and visual flashes. The results show that the synchronisation between cortical and muscular activity in the beta (14-38 Hz) frequency band becomes time-locked to the taps executed in synchrony with the visual and auditory stimuli. Dynamic modulation in CMC also occurred when participants imagined tapping with the visual stimuli, but with lower amplitude and a different temporal profile compared to real tapping. These results suggest that CMC does not only reflect changes related to the production of the synchronised movement, but also to its preparation, which appears heightened under higher attentional demands imposed when synchronising with the visual stimuli. These findings highlight a critical role of beta band neural oscillations in the cortical-muscular coupling underlying sensorimotor synchronisation.

Cortico-muscular coherence (CMC) between the cerebral cortex and muscle activity is an effective tool for studying neural communication in the motor control system. To accurately evaluate the coherence between electroencephalogram (EEG) and electromyogram (EMG) signals, it is necessary to accurately calculate the time delay between physiological signals to ensure signal synchronization. We proposed a new delay estimation method, named wavelet coherence time lag (WCTL) and the significant increase areas (SIA) index as a measure of the specific region enhancement effect of the magnitude squared coherence (MSC) image. The grip strength level had a small effect on the information transmission time from the cortex to the muscles, while the transmission time from the cortex to different muscle channels was different for the same task. A positive correlation was found between the grip strength level and the SIA index on the β band of C3-B and the α and β bands of C3-FDS. Comparison with Existing Method: The WCTL method was found to accurately calculate the delay time even when the number of repeated segments was low in a simple motor control model, and the results were more accurate than the rate of voxels change (RVC) and CMC with time lag (CMCTL) methods. The WCTL is an effective method for detecting the transmission time of information between the cortex and muscles, laying the foundation for future rehabilitation treatment for stroke patients. • A new way to detect time delays between two physiological signals. • Repeated segments was low and accurately calculate. • The grip strength level effect on transmission time from the cortex to the muscles. • The index reflects significant improvements in grip strength levels. [ABSTRACT FROM AUTHOR]

Synchronous correlation brain and muscle oscillations during motor task execution is termed as functional coupling. Functional coupling between two signals appears with a delay time which can be used to infer the directionality of information flow. Functional coupling of brain and muscle depends on the type of muscle contraction and motor task performance. Although there have been many studies of functional coupling with types of muscle contraction and force level, there has been a lack of investigation with various motor task performances. Motor task types play an essential role that can reflect the amount of functional interaction. Thus, we examined functional coupling under four different motor tasks: real movement, intention, motor imagery and movement observation tasks. We explored interaction of two signals with linear and nonlinear information flow. The aim of this study is to investigate the synchronization between brain and muscle signals in terms of functional coupling and delay time. The results proved that brain–muscle functional coupling and delay time change according to motor tasks. Quick synchronization of localized cortical activity and motor unit firing causes good functional coupling and this can lead to short delay time to oscillate between signals. Signals can flow with bidirectionality between efferent and afferent pathways.

Motor recovery following stroke is believed to necessitate alteration in functional connectivity between cortex and muscle. Cortico-muscular coherence has been proposed as a potential biomarker for post-stroke motor deficits, enabling a quantification of recovery, as well as potentially indicating the regions of cortex involved in recovery of function. We recorded simultaneous EEG and EMG during wrist extension from healthy participants and patients following ischaemic stroke, evaluating function at three time points post-stroke. EEG–EMG coherence increased over time, as wrist mobility recovered clinically, and by the final evaluation, coherence was higher in the patient group than in the healthy controls. Moreover, the cortical distribution differed between the groups, with coherence involving larger and more bilaterally scattered areas of cortex in the patients than in the healthy participants. The findings suggest that EEG–EMG coherence has the potential to serve as a biomarker for motor recovery and to provide information about the cortical regions that should be targeted in rehabilitation therapies based on real-time EEG.

Objective. Transcranial magnetic stimulation is a non-invasive brain stimulation technique that changes the activity of the cerebral cortex. Contralesional continuous theta burst stimulation (cTBS) has been proposed and verified beneficial to stroke motor recovery. However, the underlying mechanism is still unclear. Approach. 20 healthy right-handed subjects were recruited in this study, receiving real-cTBS over their left primary motor cortex or sham-cTBS. We designed the finger tapping task (FTT) before and after stimulation and recorded the accuracy and reaction time (RT) of the task. The electroencephalogram and surface electromyogram signals were recorded during the left finger pinching task (FPT) before and after stimulation. We calculated cortico-muscular coherence (CMC) in the contralateral hemisphere and cortico-cortical coherence (CCC) in the bilateral hemisphere. The two-way repeated measures analysis of variance was used to analyze the effect of cTBS. Main results. In the FTT, there was a significant main effect of 'time' on RT ( F (1, 38) = 24.739, p < 0.001). In the FPT, the results showed that there was a significant interaction effect on the CMC peak and area in the beta band (peak: F (1, 38) = 8.562, p = 0.006; area: F (1, 38) = 5.273, p = 0.027), on the CCC peak in the alpha band ( F (1, 38) = 4.815, p = 0.034) and area in the beta band ( F (1, 38) = 4.822, p = 0.034). The post hoc tests showed that the CMC peak ( W = 20, p = 0.002), the CMC area ( W = 13, p = 0.003) and the CCC peak ( t = -2.696, p = 0.014) increased significantly after real-cTBS. However, there was no significant decrease or increase after sham-cTBS. Significance. Our study found that cTBS can improve CMC of contralateral hemisphere and CCC of bilateral hemisphere, indicating that cTBS can strengthen cortico-muscular and cortico-cortical coupling., (© 2024 IOP Publishing Ltd.)

Motor recovery following stroke is believed to necessitate alteration in functional connectivity between cortex and muscle. Cortico-muscular coherence has been proposed as a potential biomarker for post-stroke motor deficits, enabling a quantification of recovery, as well as potentially indicating the regions of cortex involved in recovery of function. We recorded simultaneous EEG and EMG during wrist extension from healthy participants and patients following ischaemic stroke, evaluating function at three time points post-stroke. EEG–EMG coherence increased over time, as wrist mobility recovered clinically, and by the final evaluation, coherence was higher in the patient group than in the healthy controls. Moreover, the cortical distribution differed between the groups, with coherence involving larger and more bilaterally scattered areas of cortex in the patients than in the healthy participants. The findings suggest that EEG–EMG coherence has the potential to serve as a biomarker for motor recovery and to provide information about the cortical regions that should be targeted in rehabilitation therapies based on real-time EEG. [ABSTRACT FROM AUTHOR]

High-definition transcranial direct current stimulation (HD-tDCS) is a potential neuromodulation apparatus for stroke rehabilitation. However, its modulatory effects in stroke subjects is still not well understood. In this paper, the offline modulatory effects of HD-tDCS on the ipsilesional primary motor cortex were investigated by performing wrist isometric contraction tasks before and after HD-tDCS in eleven unilateral chronic stroke subjects using a synchronized HD-tDCS and electroencephalogram/electromyography measurement system. This paper is a randomized, single blinded, and sham-controlled crossover study. Each subject randomly received three HD-tDCS (anode, cathode, and sham) with at least one-week washout period. Online feedback-guided medium-level wrist isometric contraction tasks were conducted for the affected upper limbs before stimulation and 10, 30, and 50 min after the end of 10-min 1-mA HD-tDCS. The characteristics of corticomuscular coherence (CMC), cortical oscillation power spectral density, and power spectral entropy were analyzed during tasks and compared across all sessions and stimulation conditions. Anode HD-tDCS induced significant CMC changes in stroke subjects, while cathode and sham stimulation did not induce significant CMC changes. The largest neuromodulation effects were observed at 10 min immediately after anodal HD-tDCS. [ABSTRACT FROM AUTHOR]

The tongue plays important roles in a variety of critical human oral functions, including speech production, swallowing, mastication and respiration. These sophisticated tongue movements are in part finely regulated by cortical entrainment. Many studies have examined sensorimotor processing in the limbs using magnetoencephalography (MEG), which has high spatiotemporal resolution. Such studies have employed multiple methods of analysis, including somatosensory evoked fields (SEFs), movementrelated cortical fields (MRCFs), event-related desynchronization/synchronization (ERD/ERS) associated with somatosensory stimulation or movement and corticomuscular coherence (CMC) during sustained movement. However, the cortical mechanisms underlying the sensorimotor functions of the tongue remain unclear, as contamination artifacts induced by stimulation and/or muscle activity within the orofacial region complicates MEG analysis in the oral region. Recently, several studies have obtained MEG recordings from the tongue region using improved stimulation methods and movement tasks. In the present review, we provide a detailed overview of tongue sensorimotor processing in humans, based on the findings of recent MEG studies. In addition, we review the clinical applications of MEG for sensory disturbances of the tongue caused by damage to the lingual nerve. Increased knowledge of the physiological and pathophysiological mechanisms underlying tongue sensorimotor processing may improve our understanding of the cortical entrainment of human oral functions. [ABSTRACT FROM AUTHOR]

Primary lateral sclerosis (PLS) is a slowly progressing disorder, which is characterized primarily by the degeneration of upper motor neurons (UMNs) in the primary motor area (M1). It is not yet clear how the function of sensorimotor networks beyond M1 are affected by PLS. The aim of this study was to use cortico-muscular coherence (CMC) to characterize the oscillatory drives between cortical regions and muscles during a motor task in PLS and to examine the relationship between CMC and the level of clinical impairment. We recorded EEG and EMG from hand muscles in 16 participants with PLS and 18 controls during a pincer-grip task. In PLS, higher CMC was observed over contralateral-M1 (α- and γ-band) and ipsilateral-M1 (β-band) compared with controls. Significant correlations between clinically assessed UMN scores and CMC measures showed that higher clinical impairment was associated with lower CMC over contralateral-M1/frontal areas, higher CMC over parietal area, and both higher and lower CMC (in different bands) over ipsilateral-M1. The results suggest an atypical engagement of both contralateral and ipsilateral M1 during motor activity in PLS, indicating the presence of pathogenic and/or adaptive/compensatory alterations in neural activity. The findings demonstrate the potential of CMC for identifying dysfunction within the sensorimotor networks in PLS., (© The Author(s) 2023. Published by Oxford University Press.)

Background: To explore the cortical network sustaining action myoclonus and to found markers of the resulting functional impairment, we evaluated the distribution of the cortico-muscular coherence (CMC) and the frequency of coherent cortical oscillations with magnetoencephalography (MEG). All patients had EPM1 (Unverricht-Lundborg) disease known to present with prominent and disabling movement-activated myoclonus. Methods: Using autoregressive models, we evaluated CMC on MEG sensors grouped in regions of interests (ROIs) above the main cortical areas. The movement was a repeated sustained isometric extension of the right hand and right foot. We compared the data obtained in 10 EPM1 patients with those obtained in 10 age-matched controls. Results: As expected, CMC in beta band was significantly higher in EPM1 patients compared to controls in the ROIs exploring the sensorimotor cortex, but, it was also significantly higher in adjacent ROIs ipsilateral and contralateral to the activated limb. Moreover, the beta-CMC peak occurred at frequencies significantly slower and more stable frequencies in EPM1 patients with respect to controls. The frequency of the beta-MC peak inversely correlated with the severity of myoclonus. Conclusions: the high and spatially extended beta-CMC peaking in a restricted range of low-beta frequencies in EPM1 patients, suggest that action myoclonus may result not only from an enhanced local synchronization but also from a specific oscillatory activity involving an expanded neuronal pool. The significant relationship between beta- CMC peak frequency and the severity of the motor impairment can represent a useful neurophysiological marker for the patients' evaluation and follow-up. [ABSTRACT FROM AUTHOR]

Background Sophisticated voluntary movements of the tongue are essential to speech articulation and swallowing in humans. Voluntary tongue movements are finely controlled by communications between the cortex and tongue muscles. A large number of previous studies have reported that functional connections between the cortex and muscles are reflected by cortico-muscular coherence (CMC), which is measured between electroencephalography (EEG) or magnetoencephalography (MEG) and surface electromyography (EMG), during isometric finger movements in humans. Recent studies indicate that CMC reflects a bi-directional flow of information between the cortex and fingers, along the descending corticospinal pathway and with ascending sensory feedback. However, CMC for the tongue has not been well-studied, despite the fact that increased knowledge would be helpful in understanding cortical entrainment of voluntary tongue movements. Highlight CMC was recently demonstrated using whole-head MEG signals and EMG signals from both sides of the tongue. CMC was reflected over both hemispheres, for each side of the tongue, and at two frequency bands during isometric tongue protrusions: the β band at 15–35 Hz and a low-frequency band at 2–10 Hz. Conclusion This review provides a detailed description of the functional connection between the bilateral cortex and each side of the tongue during sustained tongue movements in humans, using CMC analyses. [ABSTRACT FROM AUTHOR]

Tongue movements contribute to oral functions including swallowing, vocalizing, and breathing. Fine tongue movements are regulated through efferent and afferent connections between the cortex and tongue. It has been demonstrated that cortico-muscular coherence (CMC) is reflected at two frequency bands during isometric tongue protrusions: the beta (β) band at 15–35 Hz and the low-frequency band at 2–10 Hz. The CMC at the β band (β-CMC) reflects motor commands from the primary motor cortex (M1) to the tongue muscles through hypoglossal motoneuron pools. However, the generator mechanism of the CMC at the low-frequency band (low-CMC) remains unknown. Here, we evaluated the mechanism of low-CMC during isometric tongue protrusion using magnetoencephalography (MEG). Somatosensory evoked fields (SEFs) were also recorded following electrical tongue stimulation. Significant low-CMC and β-CMC were observed over both hemispheres for each side of the tongue. Time-domain analysis showed that the MEG signal followed the electromyography signal for low-CMC, which was contrary to the finding that the MEG signal preceded the electromyography signal for β-CMC. The mean conduction time from the tongue to the cortex was not significantly different between the low-CMC (mean, 80.9 ms) and SEFs (mean, 71.1 ms). The cortical sources of low-CMC were located significantly posterior (mean, 10.1 mm) to the sources of β-CMC in M1, but were in the same area as tongue SEFs in the primary somatosensory cortex (S1). These results reveal that the low-CMC may be driven by proprioceptive afferents from the tongue muscles to S1, and that the oscillatory interaction was derived from each side of the tongue to both hemispheres. Oscillatory proprioceptive feedback from the tongue muscles may aid in the coordination of sophisticated tongue movements in humans. [ABSTRACT FROM AUTHOR]

Corticokinematic coherence (CKC), i.e., coherence calculated between MEG and an accelerometer signal, recording movement kinematics, can be used for functional mapping of the sensorimotor cortex. Cortical sources of CKC, induced by both voluntary and passive movements, localize at the proximity of sensorimotor cortex. We tested the CKC during a static muscle contraction to compare it with simultaneously measured cortico-muscular coherence (CMC) estimated between MEG and surface EMG to study the role of postural tremor in CMC in ten healthy volunteers. CKC was detectable also during this static task. CKC and CMC spectra had similar power distributions, and sources of CMC and CKC colocalized at the cortex in close proximity of the central sulcus. During the static hold task, the accelerometer signal originates from the postural tremor. The similarities between CMC and CKC indicate that postural tremor is related to CMC in healthy subjects. [ABSTRACT FROM AUTHOR]

Objective Cortico-muscular coherence (CMC) is thought to reflect the interplay between cortex and muscle in motor coordination. In Parkinson’s disease (PD) patients, levodopa has been shown to enhance CMC. This study examined whether subthalamic nucleus (STN) deep brain stimulation (DBS) affects the CMC in advanced PD. Methods Magnetoencephalography (MEG) and electromyography (EMG) measurements were done simultaneously both with DBS on and off to determine the CMC during wrist extension. The spatiotemporal signal space separation (tSSS) was used for artifact suppression. Results CMC peaks between 13 and 25 Hz were found in 15 out of 19 patients. The effect of DBS on CMC was variable. Moreover, the correlation between CMC and motor performance was inconsistent; stronger CMC did not necessarily indicate better function albeit tremor and rigidity may diminish the CMC. Patients having CMC between 13 and 25 Hz had the best motor scores at the group level. Conclusions DBS modifies the CMC in advanced PD with large interindividual variability. Significance DBS does not systematically modify CMC amplitude in advanced PD. The results suggest that some components of the CMC may be related to the therapeutic effects of DBS. [ABSTRACT FROM AUTHOR]

The aim of this study was to demonstrate that two REM clusters, which emerge following bilateral pedunculopontine tegmental nucleus (PPT) lesions in rats, are two functionally distinct REM states. We performed the experiments in Wistar rats, chronically instrumented for sleep recording. Bilateral PPT lesions were produced by the microinfusion of 100nl of 0.1M ibotenic acid (IBO). Following a recovery period of 2 weeks, we recorded their sleep for 6h. Bilateral PPT lesions were identified by NADPH -- diaphorase histochemistry. We applied Fourier analysis to the signals acquired throughout the 6h recordings, and each 10s epoch was differentiated as a Wake, NREM or REM state. We analyzed the topography of the sleep/wake states architecture and their transition structure, their all state-related EEG microstructures, and the sensorimotor (SMCx) and motor (MCx) cortex REM related cortico-muscular coherences (CMCs). Bilateral PPT lesion in rats increased the likelihood of the emergence of two distinct REM sleep states, specifically expressed within the MCx: REM1 and REM2. Bilateral PPT lesion did not change the sleep/wake states architecture of the SMCx, but pathologically increased the duration of REM1 within the MCx, alongside increasing Wake/REM1/Wake and NREM/REM2/NREM transitions within both cortices. In addition, the augmented total REM SMCx EEG beta amplitude and REM1 MCx EEG theta amplitude was the underlying EEG microstructure pathology. PPT lesion induced REM1 and REM2 are differential states with regard to total EMG power, topographically distinct EEG microstructures, and locomotor drives to nuchal musculature. [ABSTRACT FROM AUTHOR]

Background: Dystonia is often currently treated with botulinum toxin injections to spastic muscles, or deep brain stimulation to the basal ganglia. In addition to these pharmacological or neurosurgical measures, a new noninvasive treatment concept, functional modulation using a brain-computer interface, was tested for feasibility. We recorded electroencephalograms (EEGs) over the bilateral sensorimotor cortex from a patient suffering from chronic writer's cramp. The patient was asked to suppress an exaggerated beta frequency component in the EEG during hand extension. Results: The patient completed biweekly one-hour training for 5 months without any adverse effects. Significant decrease of the beta frequency component during handwriting was confirmed, and was associated with clear functional improvement. Conclusion: The current pilot study suggests that a brain-computer Interface can give explicit feedback of ongoing cortical excitability to patients with dystonia and allow them to suppress exaggerated neural activity, resulting in functional recovery. [ABSTRACT FROM AUTHOR]

Abstract: Essential tremor (ET) is one of the most common neurological diseases; but aetio-pathogenesis of ET is largely unknown. Major advances in neuroimaging may help us understand the mechanisms and networks involved in ET. Most commonly employed techniques include functional and structural neuroimaging. Functional imaging studies suggest that tremors in ET are of central origin with role of olivo-cerebellar and cerebello-thalamo-cortical pathways in tremor generation. Apart from tremors, ET is also characterised by cognitive dysfunction. Functional magnetic resonance imaging (fMRI) studies suggest the role of cerebellum posterior lobules, dorsolateral prefrontal cortex and parietal lobules in cognitive impairment in ET. Positron emission tomography studies indicate the role of gamma-aminobutyric-acid dysfunction in tremor generation while most of the structural imaging studies (diffusion tensor imaging, voxel based morphometry, T2*-relaxometry on magnetic resonance imaging) along with magnetic resonance spectroscopic imaging point toward neurodegeneration. This review focuses on recent findings in the field of imaging in ET which may help understand the disease pathogenesis and mechanisms. [Copyright &y& Elsevier]

In this paper we investigate a situation where we want to perform a coherence analysis of two signal sources, one of which is measured directly, and the other is measured through a sensor array affected by noise. To extract the latter signal, we suggest the use of the optimal beamforming with reference. We note, however, that this approach results in a coherence estimate that is noticeably biased, and cannot be evaluated by the known statistical tests. We therefore derive a new statistical test, that allows the evaluation of the biased coherence estimate. We illustrate the applicability of our methodology on the coherence analysis of EEG and EMG signals. We note that the suggested approach has several advantages over the surface Laplacian, which is a spatial filter commonly used in the EEG-EMG coherence analysis. [ABSTRACT FROM AUTHOR]

Highlights: [•] Simultaneous video/polysomnography recording is essential for diagnosing RBD. [•] Several neurophysiological techniques have been used to improve our understanding of RBD. [•] We reviewed the most important studies employing qEEG, ERP, TMS, CMC analysis. [Copyright &y& Elsevier]

Cortico-muscular coherence (CMC) at beta frequency (13-30 Hz) occurs particularly during weak to moderate isometric contraction. It is a well-established measure of communication between the primary motor cortex (M1) and corresponding muscles revealing information about the integrity of the pyramidal system. Although the slowing of brain and muscle dynamics during healthy aging has been evidenced, functional communication as determined by CMC has not been investigated so far. Since decline of motor functions at higher age is likely to be associated with CMC changes, the present study aims at shedding light on the functionality of the motor system from a functional interaction perspective. To this end, CMC was investigated in 27 healthy subjects aging between 22 and 77 years during isometric contraction of their right forearm. Neuromagnetic activity was measured using whole-head magnetoencephalography (MEG). Muscle activity was measured by means of surface electromyography (EMG) of the right extensor digitorum communis (EDC) muscle. Additionally, MEG-EMG phase lags were calculated in order to estimate conducting time. The analysis revealed CMC and M1 power amplitudes to be increased with age accompanied by slowing of M1, EMG, and CMC. Frequency changes were particularly found in subjects aged above 40 years suggesting that at this middle age, neurophysiological changes occur, possibly reflecting an early neurophysiological marker of seniority. Since MEG-EMG phase lags did not vary with age, changes cannot be explained by alterations of nerve conduction. We argue that the M1 power amplitude increase and the shift towards lower frequencies might represent a neurophysiological marker of healthy aging which is possibly compensated by increased CMC amplitude. [ABSTRACT FROM AUTHOR]

In this work a time-frequency approach to estimate the Cortico-Muscular Coherence for the detection of the movement intent is presented, assessed on simulated data, and evaluated experimentally during different motor tasks performed by healthy subjects and patients suffering from different types of tremor. Cortico-Muscular Coherence is an index of the coupling of EEG signal in the cortical area with sEMG activity in the frequency domain, and its contributions in the beta band (15-30 Hz) have been associated to the movement intent. Cortico-Muscular Coherence estimation is here achieved by considering a closed-loop representation of the signals under analysis obtained through Multivariate Auto Regressive modeling. Significance levels for Cortico-Muscular Coherence are assessed by means of a surrogate data analysis approach. The detection technique is able to reveal significant Cortico-Muscular Coherence changes in 79% of the experimental trials, with a mean anticipation of 1.35 s with respect to movement onset. Time-frequency estimation of Cortico-Muscular Coherence can provide an insight for the development of a multimodal BCI able to integrate information from the brain activity in the functioning of assistive devices. [ABSTRACT FROM AUTHOR]

Abstract: Corticomuscular coherence (CMC) estimation is a frequency domain method used to detect a linear coupling between rhythmic activity recorded from sensorimotor cortex (EEG or MEG) and the electromyogram (EMG) of active muscles. In motor neuroscience, rectification of the surface EMG is a common pre-processing step prior to calculating CMC, intended to maximize information about action potential timing, whilst suppressing information relating to motor unit action potential (MUAP) shape. Rectification is believed to produce a general shift in the EMG spectrum towards lower frequencies, including those around the mean motor unit discharge rate. However, there are no published data to support the claim that EMG rectification enhances the detection of CMC. Furthermore, performing coherence analysis after the non-linear procedure of rectification, which results in a significant distortion of the EMG spectrum, is considered fundamentally flawed in engineering and digital signal processing. We calculated CMC between sensorimotor cortex EEG and EMG of two hand muscles during a key grip task in 14 healthy subjects. CMC calculated using unrectified and rectified EMG was compared. The use of rectified EMG did not enhance the detection of CMC, nor was there any evidence that MUAP shape information had an adverse effect on the CMC estimation. EMG rectification had inconsistent effects on the power and coherence spectra and obscured the detection of CMC in some cases. We also provide a comprehensive theoretical analysis, which, along with our empirical data, demonstrates that rectification is neither necessary nor appropriate in the calculation of CMC. [Copyright &y& Elsevier]

The latency estimation of cortico-muscular coherence (CMCoh) could provide valuable information, especially for the pathological study. However, the conduction time from the central cortical rhythm to peripheral oscillations has not been explored for stroke patients. In this study one recently proposed method, maximizing coherence, was applied into the coherence analysis to estimate the latency by which the extensor carpi radialis electromyographic signals lagged behind the electroencephalographic time series with seven subeortical stroke subjects. Significantly prolonged conduction time was found in affected sides compared with the unaffected sides. The interhemispheric spatial displacement was also calculated using electrodes projection optimization and spherical surface laplacian. The results showed that the CMCoh could help investigate the cerebral reorganization after stroke. [ABSTRACT FROM AUTHOR]

Abstract: Objective: To investigate the after-effects of theta burst TMS (TBS) on cortico-muscular synchronization, and on cortico-spinal excitability, in humans. Methods: We studied 10 healthy subjects using a continuous paradigm of TBS (cTBS), i.e. 600 pulses in 40s. Before and after the cTBS, coherence function was computed as a measure of cortico-muscular synchronization by recording electroencephalogram (EEG) from 19 scalp sites and electromyogram (EMG) from right first dorsal interosseous (FDI) muscle during the isometric contraction. In a separate experiment, motor-evoked potentials (MEPs) in response to single TMS pulses were recorded from the FDI muscle before and after the cTBS, to measure cortico-spinal excitability. Results: When the cTBS was applied over the left primary motor cortex (M1), the beta-band cortico-muscular coherence for the C3 scalp site, as well as the MEP amplitude significantly decreased in 30–60min, and then recovered to the original levels in 90–120min. Neither sham stimulation nor cTBS applied over 2cm posterior to M1 produced significant effects. Conclusions: cTBS-over-M1 can inhibit the cortico-muscular synchronization in parallel with the decline of cortico-spinal excitability. Significance: Our results provide the first evidence that TBS can efficiently alter the functional cortico-muscular coupling in humans. [Copyright &y& Elsevier]

Abstract: To obtain a direct sensorimotor integration assessment in primary hand cortical areas (M1) of patients suffering from focal task-specific hand dystonia, magnetoencephalographic (MEG) and opponens pollicis electromyographic (EMG) activities were acquired during a motor task expressly chosen not to induce dystonic movements in our patients, to disentangle abnormalities indicating a possible substrate on which dystonia develops. A simple isometric contraction was performed either alone or in combination with median nerve stimulation, i.e. when a non-physiological sensory inflow was overlapping with the physiological feedback. As control condition, median nerve stimulation was also performed at rest. The task was performed bilaterally both in eight patients and in 16 healthy volunteers. In comparison with results in controls we found that in dystonic patients: i) MEG-EMG coherence was higher; ii) it reduced much less during galvanic stimulation in the hemisphere contralateral to the dystonic arm, simultaneously with iii) stronger inhibition of the sensory areas responsiveness due to movement; iv) the cortical component including contributions from sensory inhibitory and motor structures was reduced and v) much more inhibited during movement. It is documented that a simultaneous cortico-muscular coherence increase occurs in presence of a reduced M1 responsiveness to the inflow from the sensory regions. This could indicate an unbalance of the fronto-parietal functional impact on M1, with a weakening of the parietal components. Concurrently, signs of a less differentiated sensory hand representation—possibly due to impaired inhibitory mechanisms efficiency—and signs of a reduced repertoire of voluntary motor control strategies were found. [Copyright &y& Elsevier]