The medial cortico-striatal-thalamo-cortical (CSTC) motor circuit is a core system that exerts control over interval timing and action. A common network generates these behaviors possibly owing to cellular coding of temporal and non-temporal information, which in turn promotes reconfiguration of functional connectivity in accord with behavioral goals. At the neuroanatomical level, support for flexible CSTC reconfiguration comes from studies of temporal illusions demonstrating that this system calibrates the experience of time through functional interactions with various context-sensitive brain regions. Revelations that CSTC effective connectivity is pivotal for context-dependent facets of voluntary actions, namely action planning, complement its role in predictive processes such as timing. These observations suggest that the CSTC is positioned to represent high-level information about 'what to do' and 'when to do it' by dynamically reconfiguring effective connectivity as circumstances arise.

The extent to which complex skills are programmed before movement is a concern for research in motor control. This study investigates a model which maintains that after a motor program is constructed, only the first response in a sequence is programmed prior to movement (Sternberg, Monsell, Knoll, & Wright, 1978). In a simple reaction time paradigm, subjects executed sequences of hand postures that varied in length, the number of different hand postures, and the location of a hand posture transition. For sequences containing repetitions of the same hand posture, sequence length had a small effect on RT when the number of responses ranged between two and five (Experiment 1) and no effect when the number of responses ranged between three and five (Experiment 2). For sequences containing clearly different hand postures, Experiment 2 showed that RT was influenced by the type of hand posture beyond the first response. The analysis of interresponse times suggested that the first two responses were completely preprogrammed before movement. These results were consistent with a model in which responses are hierarchically organized and some but not all information about each response in the sequence is preprogrammed before movement execution.

Studies in brain-damaged patients indicate that the left hemisphere in right-handers is specialized for controlling cognitive-motor tasks in both arms. Recent functional imaging data support this conclusion, with the finding that ipsilateral, as well as contralateral, movements activate the left, but not the right, motor cortex or association areas of either hemisphere. Future studies must aspire to identify the mechanisms for this asymmetry.

This study examined whether the left and right hemispheres play differential roles in controlling the initial and corrective components of aiming movements. A simple aiming task was administered to 31 normal control subjects and 29 unilateral stroke patients (14 with right hemisphere damage and 15 with left hemisphere damage). Movement amplitude was varied (25, 64 and 100 mm) and reaction time, movement time and accuracy were measured. Through a trajectory analysis, initial and corrective movements were separated. The stroke patients performed the task with their ipsilateral arm which was compared to the normal controls' right or left are performance. Regardless of the movement amplitude the left hemisphere group's reaction time was slower, and the execution of the initial movement component was less accurate than controls. No performance deficits were found on corrective movements. Performance was not impaired for the right hemisphere group on any measures. These results are discussed in terms of the hemispheres' possible roles in controlling movements which are largely open or closed loop.

Left and right hemisphere stroke patients and control subjects performed sequences of hand postures which varied in complexity (repetitive and heterogeneous) and length (one to five). Performance in the hand ipsilateral to the stroke was compared to a control group using the same hand. Neither stroke group had problems preprogramming sequences prior to movement. The only deficit seen for the right hemisphere group was a greater difference in movement time (MT) between heterogeneous and repetitive sequences relative to controls, regardless of sequence length. This suggested right hemisphere damage results in subtle timing but not error deficits on more complex movements, perhaps due to increased external spatial demands. The left hemisphere group was slower to execute single postures, and had difficulty scheduling motor programs for repetitive and heterogeneous movements such that inter-response times (IRTs) were more affected by sequence length than for controls. Left hemisphere patients also made more errors on heterogeneous sequences as they increased in length, and the difference in MTs between repetitive and heterogeneous sequences increased more with increasing length relative to their control group. These results suggested the left hemisphere plays a role in controlling single postures, in scheduling motor programs during repetitive and heterogeneous movements, and in processes related to sequential ordering.

Sounds provide important information about the spatial environment, including the location of approaching objects. Attention to sounds can be directed through automatic or more controlled processes, which have been well studied in the visual modality. However, little is known about the neural underpinnings of attentional control mechanisms for auditory signals. We studied healthy adults who underwent event-related FMRI while performing a task that manipulated automatic and more controlled auditory orienting by varying the probability that cues correctly predicted target location. Specifically, we examined the effects of uninformative (50% validity ratio) and informative (75% validity ratio) auditory cues on reaction time (RT) and neuronal functioning. The stimulus-onset asynchrony (SOA) between the cue and the target was either 100 or 800 ms. At the 100 ms SOA, RT was faster for valid than invalid trials for both cue types, and frontoparietal activation was greater for invalid than valid trials. At the 800 ms SOA, RT and functional activation depended on whether cues were informative or uninformative, and whether cues correctly or incorrectly predicted the target location. Contrary to our prediction, activation in a frontoparietal network was greater for uninformative than informative cues across several different comparisons and at both SOAs. This finding contrasts with similar research of visual orienting, and suggests that the auditory modality may be more biased toward automatic shifts of attention following uninformative cues.

In Experiments 1 and 2, aiming movements were performed with and without visual feedback in young and elderly adults. The initial (acceleration and deceleration phases) and secondary movement components were analyzed. Although deceleration phase accuracy decreased without visual feedback in both age groups, accuracy diminished as movement amplitude increased only in the elderly. This suggested that the elderly were more dependent on visual feedback to modify motor programs for longer duration movements. Velocity also increased less with increasing amplitude and target size in the elderly, which was related to impaired preprogramming (acceleration phase) and implementation (deceleration phase) of higher forces. This conclusion was confirmed directly in Experiment 2 because only the deceleration phase was affected by the removal of visual feedback of arm position when availability of visual information could not be predicted before movement.

The ability to reach for and dynamically manipulate objects in a dexterous fashion requires scaling and coordination of arm, hand, and fingertip forces during reach and grasp components of this behavior. The neural substrates underlying dynamic object manipulation are not well understood. Insight into the role of basal ganglia-thalamocortical circuits in object manipulation can come from the study of patients with Parkinson's disease (PD). We hypothesized that scaling and coordination aspects of motor control are differentially affected by this disorder. We asked 20 PD patients and 23 age-matched control subjects to reach for, grasp, and lift virtual objects along prescribed paths. The movements were subdivided into two types, intensive (scaling) and coordinative, by detecting their underlying self-similarity. PD patients off medication were significantly impaired relative to control subjects for both aspects of movement. Intensive deficits, reduced peak speed and aperture, were seen during the reach. Coordinative deficits were observed during the reach, namely, the relative position along the trajectory at which peak speed and aperture were achieved, and during the lift, when objects tilted with respect to the gravitational axis. These results suggest that basal ganglia-thalamocortical circuits may play an important role in fine motor coordination. Dopaminergic therapy significantly improved intensive but not coordinative aspects of movements. These findings are consistent with a framework in which tonic levels of dopamine in the dorsal striatum encode the energetic cost of a movement, thereby improving intensive or scaling aspects of movement. However, repletion of brain dopamine levels does not restore finely coordinated movement.

Ideomotor limb apraxia is a classic neurological disorder manifesting as a breakdown in co-ordinated limb control with spatiotemporal deficits. We employed kinematic analyses of simple aiming movements in left hemisphere-damaged patients with and without limb apraxia and a normal control group to examine preprogramming and response implementation deficits in apraxia. Damage to the frontal and parietal lobes was more common in apraxics, but neither frontal nor parietal damage was associated with different arm movement deficits. Limb apraxia was associated with intact preprogramming but impaired response implementation. The response implementation deficits were characterized by spatial but not temporal deficits, consistent with decoupling of spatial and temporal features of movement in limb apraxia. While the apraxics' accuracy was normal when visual feedback was available, it was impaired when visual feedback of either target location or hand position was unavailable. This finding suggests that ideomotor limb apraxia is associated with disruption of the neural representations for the extrapersonal (spatial location) and intrapersonal (hand position) features of movement. The non-apraxic group's normal kinematic performance demonstrates that the deficits demonstrated in the apraxic group are not simply a reflection of left hemisphere damage per se.

A current model proposes that memory consists of two functionally separate systems that have different neurological substrates. Declarative memory appears to be dependent on the diencephalic medial temporal lobe system whereas some speculate that the basal ganglia may be a neurological substrate for procedural memory. This study tested the role of the basal ganglia in regulating different types of procedural skills by comparing performance on a motor and a visuoperceptual skill learning task. Twenty Parkinson's (PD) patients and 20 normal control subjects performed two procedural learning tasks (rotary pursuit and mirror reading) and one declarative learning task (paired associates) over 3 days. The results showed that PD patients were not impaired on mirror reading or paired associate learning. On rotary pursuit, performance levels on day 1 were similar between groups, but the PD group showed less improvement across days than controls. However, only patients with more advanced symptoms of PD showed impaired rotary pursuit learning, and this could not be attributed directly to deficits in primary motor or general cognitive function. These findings suggest that the underlying processes/procedures for procedural learning are specific to the task, and are supported by different neuroanatomical systems.