Changes in cerebral activity after decreased upper-limb hypertonus: an EMG-fMRI study

Objective

Whereas several studies have used functional magnetic resonance imaging (fMRI) to investigate motor recovery, whether therapy to decrease post-stroke hypertonus alters central motor patterns remains unclear. In this study, we used continuous electromyography (EMG)-fMRI to investigate possible changes in movement-related brain activation in patients receiving Botulinum toxin (BoNT-A) for hand-muscle hypertonus after chronic stroke.

Methods

We studied eight stroke patients all of whom had hemiparesis and associated upper-limb hypertonus. All patients underwent an fMRI-EMG recording and clinical-neurological assessment before BoNT-A and 5 weeks thereafter. The handgrip motor task during imaging was fixed across both patients and controls. The movements were metronome paced, movement amplitude and force were controlled with a plastic orthosis, dynamometer and EMG recording. An age-matched control group was recruited from among healthy volunteers underwent the same fMRI-EMG recording.

Results

Before BoNT-A, while patients moved the paretic hand, fMRI detected wide bilateral activation in the sensorymotor areas (SM1), in the supplementary motor area (SMA) and cerebellum. After BoNT-A blood oxygenation level-dependent (BOLD) activation decreased in ipsilateral and contralateral motor areas and became more lateralized. BOLD activation decreased also in ipsilateral cerebellar regions and in the SMA.

Conclusion

Changes in peripheral upper-limb hypertonus after BoNT-A were associated to an improvement in active movements and more lateralized and focalized activation of motor areas. The clinical and EMG-fMRI coregistration technique we used to study hand-muscle hypertonus in patients receiving BoNT-A after chronic stroke should be useful in future studies seeking improved strategies for post-stroke neurorehabilitation.     

Angle‐resolved photoemission spectroscopy and imaging with a submicrometre probe at the SPECTROMICROSCOPY‐3.2L beamline of Elettra

The extensive upgrade of the experimental end‐station of the SPECTROMICROSCOPY‐3.2L beamline at Elettra synchrotron light source is reported. After the upgrade, angle‐resolved photoemission spectroscopy from a submicrometre spot and scanning microscopy images monitoring the photoelectron signal inside selected acquisition angle and energy windows can be performed. As a test case, angle‐resolved photoemission spectroscopy from single flakes of highly oriented pyrolitic graphite and imaging of the flakes with image contrast owing to rotation of the band dispersion of different flakes are presented.     

Moment problem for effect algebras

We present a solution to the moment problem for effect algebras, concerning mean values of all powers of an observable concentrated on the interval [0, 1] for states from a convex set. We give a solution for particular examples, e.g., for the set of all effect operators. We examine how this problem is related to a socalled E-property. Finally, we give a solution for observables studied in the operational approach to physical theories.     

One-dimensional photonic crystal design

In this article we present a method to determine the band spectrum, band gaps, and discrete energy levels, of a one-dimensional photonic crystal with localized impurities. For one-dimensional crystals with piecewise constant refractive indices we develop an algorithm to recover the refractive index distribution from the period map. Finally, we derive the relationship between the period map and the scattering matrix containing the information on the localized modes.     

Microwave radiometry of forests

Microwave remote sensing observations provide all weather, day/night monitoring of the earth's surface and make it possible to probe forest vegetation at various depths by operating at different frequencies. Significant progress in microwave radiometry of land surfaces has been made by using advanced airborne and spaceborne instruments and by developing physical and statistical models needed for interpreting the data. At present, a new multi-frequency scanning radiometer, launched in 2002 is providing global observations of the earth's surface at a relatively high resolution, and collected data are currently under study. This paper provides a review of experimental and theoretical investigations carried out in recent years to study the relationships between microwave emission and forest features at regional and global scale. It is shown that, despite the relatively small amount of experimental data currently available, microwave radiometry has proved to be an efficient technique in monitoring forest environments, and in particular in separating forest types, estimating woody biomass and, in some cases, assessing soil surface properties.     

Accurate sensitivity in optically preamplified direct detection

We present a novel model for calculating the bit error rate in optical communication systems in the case of on-off keying intensity modulation and optically preamplified direct detection. The model accounts for the intersymbol interference and is based on the Laguerre photon-count probability distribution predicted by photodetection theory. For a non-return-to-zero modulation format an accurate value of the sensitivity for a quantum-limited receiver of 33.9 photons/bit is obtained.     

Nonlinear evolution of the lower-hybrid drift instability in a current sheet

The lower-hybrid drift instability is simulated in an ion-scale current sheet using a fully kinetic approach with values of the ion to electron mass ratio up to m(i)/m(e)=1836. Although the instability is localized on the edge of the layer, the nonlinear development increases the electron flow velocity in the central region resulting in a strong bifurcation of the current density and significant anisotropic heating of the electrons. This dramatically enhances the collisionless tearing mode and may lead to the rapid onset of magnetic reconnection for current sheets near the critical scale.     

Topological origin of the phase transition in a model of DNA denaturation

The hypothesis that phase transitions originate from some topological change of the critical level hypersurface of the potential energy receives direct evident support by our study of the Bishop-Peyrard model of DNA thermal denaturation.