Changing the apparent size of the body using magnifying lenses has been demonstrated to influence perceptual judgments about the body as well as judgments of pain intensity. In preliminary data from normal and brain lesion subjects we have demonstrated for the first time that altering the apparent size of the body influences motor processing as well. More specifically, magnifying the image of the hand improved both finger tapping and grip strength. The major objective of the proposed study is to systematically explore the effects of magnification on finger tapping rate, grip strength, reach-to-grasp and finger individuation tasks in subjects with brain lesions. A secondary objective is to identify the mechanisms underlying this effect; to that end, three experiments involving Transcranial Magnetic Stimulation will be performed in normal subjects. The proposed investigations have clear and substantial clinical implications. The demonstration that a simple, inexpensive and safe intervention enhances motor function would provide a novel and potentially efficacious therapeutic intervention that may serve to augment current rehabilitation practices. The proposed investigations are also of theoretical significance. Magnification effects on motor processing are a manifestation of the general phenomenon of cross-modal integration/modulation that is crucial for all sensory-motor processing. Our work will provide important information regarding the neural mechanisms underlying this basic and ubiquitous phenomenon.

Public Health Relevance

Following up on our preliminary findings that increasing the apparent size of the body with magnifying lenses improves motor performance, we will systematically explore the effects of magnification on four motor tasks in subjects with brain lesions. The tasks include assessments of finger tapping rate, grip strength, reach-to-grasp performance and the ability to activate fingers of the hemiparetic hand quickly and accurately. Additionally three experiments involving Transcranial Magnetic Stimulation will also be performed in normal subjects to identify the neural mechanisms underlying cross-modal modulation of motor function. The demonstration that a simple, inexpensive and seemingly safe intervention enhances motor function would provide a novel and potentially efficacious therapeutic intervention that may serve to augment current rehabilitation practices.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21NS089084-02
Application #
9031829
Study Section
Motor Function, Speech and Rehabilitation Study Section (MFSR)
Program Officer
Chen, Daofen
Project Start
2015-03-15
Project End
2017-02-28
Budget Start
2016-03-01
Budget End
2017-02-28
Support Year
2
Fiscal Year
2016
Total Cost
Indirect Cost
Name
University of Pennsylvania
Department
Neurology
Type
Schools of Medicine
DUNS #
042250712
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Medina, Jared; Coslett, H Branch (2016) What can errors tell us about body representations? Cogn Neuropsychol 33:5-25