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A
Functional Neurodynamics
for
the Constitution of the Own Body
Jean-Luc PETIT*
Université Marc Bloch (Strasbourg II)
Laboratoire de Physiologie de la Perception et de
l’Action (Collège de France)
However little philosopher may as yet be aware
of this recent development, the burgeoning field of brain cartography has
transformed the traditional dispute between phenomenology and positive science
about the adequate treatment of the body into an obsolete quarrelling. Up to
now, phenomenology used to dedicate itself to calling attention to the
difference (not to say stirring up the conflict) between the fixity of anatomic
Körper structure as an object of
science, and the free fluidity of the meaning patterns of Leib subjective experience. From now on, one’s inquiry should be
whether or not such a contrast is on the verge of vanishing. In fact,
neuroscience has resolutely shaken off its former belief in a rigidly
somatotopic representation of the peripheral organs of the body within the
frontiers of definite somatosensory mapping territories of the centro-parietal
cortex and thalamus. Accordingly, a new methodological approach is forcing its
way through brain science labs, putting on their common agenda the setting up
of a global online recording of constantly moving functional activation
patterns (a ‘mental cinema’). These patterns transitorily distribute themselves
over varying regions of cerebral tissue at a rate determined by the demands
made upon them by the performance of behavioural tasks. Such representational
plasticity, far from being genetically predetermined in all its localisational specifics, proves
itself to be induced, shaped and modulated to a considerable extent by the
unique experience of the organism in its environment. Laying our bet on the chances
of a new relationship between phenomenology and objective science, we will take
advantage of the opportunities created by these developments. And we will
(allowing ourselves some speculation) bring together the flow of functional
activity of the brain and the flow of
lived experience of the body in an attempt to bridge (or at least narrow down)
the gap between activation patterns and meaning patterns, considering that they
are mutually indispensable correlates underlying the auto-affection of the acting person.
Dominated as it is by the
paradigm of a brain-machine designed to process information, neuroscience tends
to reduce ‘the body’ to one of the representations in the brain alongside representations
of other things. And so it becomes the representation of that object by means
of which it receives information (mainly tactile) and the muscular movements of
which it controls. In one particular
branch of the neuroscience, cerebral brain cartography, a branch which has made
remarkable progress in the last thirty years, the talk is of ‘somatotopic
coding’, regions of ‘cortical representation’, ‘cellular receptor field’, etc.
Apparently, this way of talking is inspired by the fairly traditional ideology
of representation as an unequivocal correspondence (isomorphism) between the
peripheral structure of the body and the central homunculus (or homunculi).
However, belief in the rigidity of this projective relation suggested by the
expression ‘somatotopic coding’is (at least potentially) contradicted by the
discovery of the representational plasticity of the cerebral tissue, a
discovery made by this same cerebral cartography. The current generalisation of
this phenomenon of plasticity from association to primary areas and to all the
sensory modalities, as well as to the motor function, increases the tension
between the new intuitions and conceptions and the modes of expression still
employed. All the same, the power of the metaphor of the brain-machine upholds
the use of the vocabulary of the code and of somatotopy and delays its
replacement by a conceptual framework better adapted to the functioning of the
brain and to its true relation to the body. With regard to this relation one
already suspects (while waiting for the paradigm change which will make it a
legitimate claim) that, rather than the representation of a body preconstituted
prior to this representation, it will have to take the form of a dynamic interaction
between three terms : the body, the brain and also the world (absent from
the traditional, representational ideology), terms which cannot be taken to
exist prior to this same relation since they bring each other into existence
through their mutual interaction.
1.
Somatotopic Cartography and
Functional Plasticity
A few preliminary remarks are
useful to fix the limits of our enquiry. First of all, research into the functional
plasticity of the brain does not stop at the representations of the body in the
somatosensory (SI) and motor (M1) cortices. It applies equally to the retinotopic
representation of visual information in the striate cortex (V1) and to the tonotopic
representation of acoustic information in the temporal area (A1). We will
restrict our attention to the evidence bearing on the cartography of the body,
even though the plasticity of corporeal representations is not isolated from
modifications stemming from exteroceptive sensory influences. Second, one of
the factors responsible for much of the progress in neuroscience consists in
experiments performed on animals and the transfer of hypotheses or concepts
developed in connection with mammals or primates to human beings. In
particular, the rat is currently an object of intense research, due to the ease
with which its sensory system can be manipulated in experiments, a system whose
vibrissae are the peripheric organs and the barrel cortex the organ of internal
representation. Since evidence relating to a system as specific as this cannot
be directly carried over to humans, we won’t go into this any more. On the
other hand, restricting ourselves to the human system would put us in a
position where we could no longer obtain a global view, not even a view of
detail bearing on plasticity and somatotopy, since progress in non-invasive
techniques of cerebral imagery have not yet made it possible to reduce the gap
between knowledge bearing on the human brain and knowledge already achieved in
connection with monkeys (by means of recording techniques based on chronic
− i.e. permanent − cerebral electrode implantation). Finally, our
interest is in plasticity induced or modulated by experience, understanding by
that experience the one that an individual develops through a normal use of his
or her body, a use which is evidently enriched and diversified in the course of
a learning process. The plasticity that is evidenced by patients that have suffered
a stroke or a surgical amputation of a limb and reacted to it by a functional
reorganisation of their brain, cannot be described as induced by experience
except in a highly extended sense of that word. In particular, we are not going
to take into consideration ‘the illusion of phantom limb’,
with regard to which the literature tends to be as vast as it is controversial.
However, even if we decided not to take the mechanisms brought into play in that
case or the other into account, it would be foolish to ignore the knowledge
obtained by the study of such reorganisational phenomena in the case of lesions
both in humans and animals, because if the word ‘reorganisation’ tends to be
employed in this context while the word ‘remodelling’ is more frequently used
in the context of normal usage, this verbal difference does not seem to be one
which testify of the existence of a distinction in re.
2. Penfield’s Homunculus and
its Contemporary ‘Verification’
Penfield himself is remarkably
prudent in his statements regarding the value he accords to the ‘sensorial and
motor homunculus’ (Penfield and Boldrey, 1937) or to ‘the sensorial homunculus and the motor
homunculus’ (Penfield and Rasmussen, 1950) as regards the light it throws on
cortical topography of the sensory and motor functional representations.
Moreover, the expressions of ‘mapping’ and ‘coding’ have not yet been used. In
the first version, ‘this grotesque creature’ is only called in to faithfully
represent two features. The first feature is the constant order of
succession of the different parts of the body concerned by the movement
provoked or the sensation evoked by an electrical stimulus applied bit by bit
to the cortex, following the edges of the central sulcus in the medio-lateral
direction. These parts are, specifically, the body, decapitated and inverted,
then the head from the front, juxtaposed to the thumb, then the tongue out of
the mouth, etc. The second feature is the relative vertical extension of
that portion of the rolandic cortex devoted to the representation of each part
of the body, which is carried over to
the homunculus as the disproportionate length of the tongue, the face and hands
in comparison to the rest of the body. With the result that, with the exception
of these two topographical constants, all that the outline could save as
representative of a man (‘as though representing a man’, says Penfield, ibid.
p. 431) with its specific surface, its size, its precise contours (not to
mention hair and skin wrinkles in certain popular illustrations!) had to be
treated as arbitrary and misleading. For in fact Penfield does not try to hide
the considerable dispersion of the points of stimulation evoking motor or
sensory responses in
different individuals, and in the same individual from one to another surgical
intervention. Even though he distinguishes a postcentral sensory cortex and a
precentral motor cortex, he admits that he also obtained motor reactions (even
though less frequently) by stimulating the postcentral cortex, and sensory
reactions (more frequently) by stimulating the precentral cortex. If he
proposes a delimitation of the areas responsible for different parts of the
body, it is not for making of them ‘the borders of the territory of
representation’ relative to these parts, but to underline their mutual
interpenetration (fig. 25, p. 430). In the end, he holds back from developing
any hypothesis about the correspondence or lack of correspondence between
representations, whether this be with the cytoarchitectonic regions of the
cerebral tissue or with the distributive density of the sensory captors on the
skin of different parts of the body. Hence the notice to the reader in the work
of 1950 : “It is a cartoon of representations in which scientific accuracy
is impossible (p. 56)”.
The development of a technique
of non-invasive cerebral imagery at the end of the 70s and the beginning of the
80s has made possible a certain ‘confirmation’ of this classical description of
the
somatologic organisation
of the functional representation of parts of the body in humans. Measuring the
regional blood flow in the cerebral areas through tomographic recording by the
emission of positrons (PET), visualisation of the structures of the brain
through magnetic nuclear resonance (fMRI), exploration of regions of interest
by subtraction of images[1],
the addition of images maximalising activations corresponding to each condition in
one subject and to one and the same condition in all subjects, without taking into
account numerous operations of normalisation, correction, standardisation,
redistribution, averaging and calibration, all of the above adds up to a mass
of manipulations each of which rests upon a questionable presupposition of
neutrality and non-interference with the facts under examination. Since the
complexity of the technical apparatus brought into play and the tacit claim of
transparency seem to grow at the same pace, the apparatus employed tends to
disappear behind the publicly communicated ‘views of the brain’ and their
reproduction in works of synthesis. Without going too far into the much needed
criticism of such methodology, let us at least ask what in fact the procedure
adopted has helped to confirm. Essentially two things : 1) by means of a manual
cutaneous vibrator applied successively to the lips, the fingers and the feet,
the latter are stimulated in such a way as to evoke responses focused in
different regions of the postrolandic cortex (SI) strung out along the central
sulcus in a latero-medial order from the parietal opercula to the interhemispheric
wall (Fox et al., 1987); 2) chasing a target moving randomly about a
video screen, using respectively the big toe, an outstretched arm, the index
finger or the tongue, activates precentral zones of the cortex (MI) which follow
upon one another from the dorso-lateral edge of the interhemispheric fissure to
the neighbourhood of the lateral sulcus, passing across a region of activation
where the index finger is superimposed upon that of the arm (Grafton et al.,
1991). One notes that only that aspect which Penfield himself considered
true remains in accord with Penfield’s homunculus, namely, the sequential order
of the functional representations on the medio-lateral axis of the pre- and
postrolandic cortices. However, the limits of this agreement tend to be
concealed by the expressions employed. The talk is of ‘millimetric
localisation’, even though the average difference between the localisations
taken two by two in the same subject is of the order of 3mm (Fox et al.,
p. 39). Or one talks of ‘detailed examination of the somatotopic distribution’
and of ‘localisation to predictable sites’ even though the variability of the
gyri and sulci from one individual to another involve displacements in the activations,
both in breadth and in depth, which only allow for a range of estimation
regarding their probable occurrence (Grafton et al., p. 737; fig. 3, p.
739).
The existence of a permanent
potential for functional reorganisation has been demonstrated at the beginning
of the 80s by the research on hand representation in the monkey’s somatosensory
cortex (3b) undertaken by Merzenich and his lab (Merzenich et al., 1984;
Wall et al., 1986). The consequences of more or less important deafferentations,
such as the amputation of one or two fingers, severance of the median nerve
innervating the skin of the radial half of the palm and the internal face of
the first, second and third fingers, localised crushing of the same nerve,
etc., have been controlled by detailed cartographic readings. This has happened
on the basis of intracerebral recordings practised at different stages of functional
recuperation. These manipulations have proved that the central representations
of the body are not subject to a rigid anatomical determinism, attributing rigidly
the surface of each part of the body to a well defined cytoarchitectonic area
of the brain. In contrast, the representations of the body are far more the
expression of a dynamic activity enabling the organism to react in an
innovative way to changes in the sensory inputs in order to maintain the
integrity of the ‘body image’ (tactile sensitivity, somesthesia, motricity)
damaged by the lesion. This activity is displayed at the centre by ‘movements’ in
the cortical representations : expansion or contraction of the individual
representations of the fingers, displacement of the borders between
representations of different fingers, expression of normally latent
representations, withdrawal from or reoccupation of deafferented regions. At
the periphery, one finds correlated movements in the cutaneous receptor fields
(RF[2])
of neurons belonging to the same somatosensory cortex : RF expansion or contraction,
the appearance of multiple RFs for one and the same cell, the acquisition of
alternative RFs. As points of reference, I will rely only on the most
significant evidence.
In response to the amputation
of the index and/or major finger, the cortical representations of the adjacent
fingers extend into the area where the amputated fingers were represented, and
in such a way as to fill the gaps between the represented fingers, thus reestablishing
a new borderline. To the extent that this borderline passes between the representations
of fingers which are not adjacent in normal anatomy, its emergence appears as a
true creation of the functional dynamism. Here and there, the same neurons
which until then upheld the representation of the amputated finger are reassigned
to the representation of one or the other (but not both of) remaining
neighbouring fingers. Since the expansion of the cortical representations
(increase in magnification[3])
is coupled with a contraction of the cutaneous receptor fields localised on the
same fingers, the intervening reorganisation results in a refinement of the
representation of the skin, which can be interpreted as an attempt to
compensate for the sensory loss due to the amputation (Merzenich et al.,
1984). In response to the severance and suture of the median nerve (an operation
favouring a reinnervation of deinnervated skin) the neurons dealing with the
cortical representation of the hand begin by losing their receptor fields,
which are normally situated on the internal surface of the fingers 1 to 3, and
acquire alternative RFs situated on the back of these same fingers. Later on,
the regeneration of the median nerve does not result in a centrally diffuse and
random reactivation but in a reorganisation of the functional representations,
which includes persistent anomalies : discontinuities, delocalisations and
superimpositions alongside topographically localised aspects (Wall et al., 1986).
After a transitory transfer of the RFs of the dorsal surface of the fingers
onto their ventral surface, deafferentation resulting from the localised
crushing of the median nerve turns out to be compatible with the reestablishment
of correct correspondences between skin and cortex in the context of a normal
topographic organisation of the somatosensory cortex (Wall et al., 1983).
The cerebral cartography of
the monkey has taken advantage of the accessibility of the somatosensory cortex
of the hand in the species under investigation, namely the owl monkey, whose
brain has no central sulcus. Consequently, a methodology has been developed
making possible the drawing up of veritable maps of the functional topography
of the cortical areas, assigning to these areas quite specific borders and
allowing by means of objective measuring the demonstration of the occurrence of
displacements of these borders. This has
been made possible by the chronic implantation of a grid made of many hundreds
of microelectrodes, combined with the tactile exploration of the hand by means
of a tapered probe designed to make indentations of the skin at the limit of
the visible. In that way, minimal RFs for the neurons under examination are
defined. In the case of humans, the neurophysiological description of phenomena
of functional plasticity, exception made of preoperative and direct explorations,
has depended upon the development of techniques of non-invasive functional
imagery like PET, fMRI, magneto-encephalography (MEG) and transcranial magnetic
stimulation (TMS). Only that these methods can only offer images of more or
less diffuse centres of activation, or else curves of motor potentials evoked
in the muscles through TMS. Thus, even though the language of ‘maps’ has been
retained, the maps in question are very far from delineating the frontiers of
the representations with a millimetric precision approximating that achieved
with animal experiments. As a result, an evaluation of the amplitude of the
reorganisation induced in humans by deafferentations inevitably has a
qualitative character, and this whether they are provoked by a local anaesthetic
or are of accidental or pathological origin[4].
4. Remodelling Induced by
Experience (1) The Somatosensory cortex
Does this reorganisation of
the functional architecture induced by deafferentation (experimental or
accidental) depend upon mechanisms essentially different from those of a remodelling
linked to a normal use of the perceptive or motor organs ? The question
remains controversial. Whatever the outcome, the study of deafferentation has
brought to light a principle of plasticity pertaining to the organisational
schemata of functional somatotopy. This principle integrates the neurophysiological
correlates of the experience of the body with the general dynamism of the
functional organisation of the central nervous system. In fact this principle
of plasticity is not limited to somato-aesthesia that interests us in
connection with the theme of the body image but also concerns exteroceptive
sensory modalities, in particular the primary visual and auditory areas (to say
nothing of the other senses). Visual and auditory experience are not rigidly
predetermined by the anatomical structure of the receptive surfaces and the
cortical regions. In spite of the textbooks, it is admitted that the retinotopy
of V1 is not the isomorphic (nor deformed) projection of the retina, the
tonotopy of A1 is not the isomorphic projection of the cochlea; rather, the
projective geometry implemented here and there by the brain has to be
incomparably more complex and dynamic. The way in which this happens should be
such that the bodily experience draws its significance from the autonomous
activity of the organism, which in its effort at a permanently renewed adaptation to the flux of ever renewed
experience, finds in itself the resources needed for the emergence, the remodelling,
and the persistent renewal of its organisational patterns. This dynamism might
eventually prove easier to verify with reference to deafferentations, which are
all the more dramatic because the survival of the individual depends upon them.
But it ought also to be possible to verify the dynamism in question in the
normal circumstances of everyday life. The eminently plastic usage (depending
in part if not entirely on a learning process) such as the normal use of the
skin as an organ of tactile and somesthetic sensitivity, of the hands as
tactilo-kinesthetic organs of action, cannot but bring with it a
reorganisation, or at least a modulation, of functional representations. These
changes, in turn, condition the improvement (or deterioration) of the behavioural
performances.
The cartography of the
parietal regions bearing the representation of the hand in the normal adult
monkey is highly variable as regards the detailed representation of the hands
in individual cases, a fact that has convinced researchers that the maps could
not be predetermined with precision by the genes for all the individuals of one
and the same species, nor even onto-genetically fixed at a precocious stage of
development. In contrast, they have to be formed by the particular use made of
the hands by each animal in the course of its individual history. Here are some
of the differences from one individual to another : the global form of the
area responsible for representing the hand, the total surface of this
representation, the magnification of the representation of the regions of the
skin, the surface of the representations of the different fingers, the
disposition of the representations of the dorsal surface of the fingers, in
islets or at the lateral and medial margins, the topological boundaries between
representations – continuity, discontinuity, interpolation, proximity of the
boundaries (Merzenich et al., 1987). Training to detect a difference
between an initial vibratory stimulus applied to a finger and a stimulus of a
higher frequency in a series of stimuli of variable frequency produces a
topographical complication of the representation of the hand, including an
extension of the skin zone stimulated and a shattering of the representation of
the stimulated phalanx. This representational change is correlated with the
animal’s progress in the realisation of the task, that is, in a reduction of
its tactile threshold of detection of the vibratory frequencies, a reflection
of the localised improvement in perceptual discrimination of the skin. All the
same, and contrary to what one might have expected on the basis of the rule of
inverse proportionality between the extension of cortical
representations and the extension of the cutaneous receptor fields, this
representational change does not correspond to a shrinking of these receptor
fields. On the contrary, one notes an extension, a multiplication and a mutual
overlapping of RFs of the neurons
dealing with the representations of the hand subject to training, numerous RFs
being displaced in order to be recentred and superimposed upon the zone of the
stimulated skin. This reorganisation does not take place on the occasion of a
passive stimulation of the finger, but only when the stimulation is a part of
the task, which suggests that it is under the control of attention (Recanzone et
al., 1992)[5].
In humans, the
representational plasticity of the somatosensory cortex induced by practise has
been confirmed for the more complex tasks of professional life before being
confirmed again by artificial tasks controlled in the
laboratory.
Violinists and other players
of string instruments continually make use of the second to fifth fingers of
the left hand to press the strings onto the fingerboard while the thumb of the
same hand holds the shaft of the instrument with frequent changes of position
and variations in the pressure exerted. Since the aim is to ensure a very rapid
identification of the right notes with the tips of the fingers along the entire
length of the four strings from the fingerboard to the bridge, this movement
becomes automatic with practise in all gifted musicians. On the other hand, the
movement of the right hand which holds the bow between the thumb and the index (and
middle) finger, by blocking (albeit with great flexibility) the individual movements of the fingers is
less muscular and constantly calls for the sort of considered decisions in
which the artistic personality of the musician is expressed. A practise of this
kind, normally initiated at an early age and continued throughout an entire
life-time for several hours a week brings with it a considerable disequilibrium
in the sensory input of the two hemispheres of the brain. Researchers are
interested in the remodelling of the cortical maps of the hand induced by this
intensive and highly differentiated use of the fingers.
A tactile stimulation from a
(painless) pressure applied with a pneumatic stimulator either sometimes on the
thumb and at other times on the little finger of each hand evokes cortical
responses which can be recorded on MEG. The representative vectors of the
equivalent current dipoles which summate the contributions of the flows of
dendrite currents registered in different subjects are transferred on an fMRI
image of the cortex of a control subject. It is observed that these vectors,
which represent the localisation and the average intensity of the foci of
cortical activity corresponding to the individual stimulation of the thumb or
little finger are extended and displaced towards the median plane with musicians,
and this all he more so when the practise of the instrument begins at an
earlier age. The authors infer from this that the size of the cortical
representations is not genetically determined but rather modified by practise,
and that the expansion of the representation of the fingers of the left hand
induced by learning the string instrument can afford the musician a decisive
advantage in responding to the demands of this art, to the extent that this
expansion reflects the enlistment of a more extensive neuronal network for the
processing of a larger flux of tactile information with the musician than the
non-musician (Elbert et al., 1995). The focal dystonia of musicians[6],
which can be correlated with a fusion (without
topographic disorganisation) of the representations of the different fingers on
the map of the affected hand, proves that this remodelling by practise can be
converted into a handicap when this usage is overdone and a lesion is brought
about in the central sensorimotor system by the synchronically abnormal,
repetitive and prolonged movements of the hands (Elbert et al., 1998)[7].
In a recent experiment,
subjects had to recognise as quickly as possible the orientation of tactile
stimuli consisting of three little pins arranged in an arrow pointed at random
towards the right or left, and this by pressing a button with the right hand.
These stimuli were applied simultaneously on the last phalanx of the thumb and
the little finger of the left hand for 50 msecs in a massive and repetitive way
for 1 hour a day over 4 weeks. A high resolution electro-encephalogram shows
that the passive tactile stimulation of a finger elicits on the scalp an
electric field at a latency of 50 to 60 msecs and that the source of this field
can be modelled with an electric dipole situated at the level of the
somatosensory cortex. An electroencephalogram recorded at the beginning and at
the end of the period of training makes it possible to establish, by projecting
it on a MRI image of the brain of each subject, the occurrence of any
displacement of the localisation of the source of the electric field induced by
a new stimulation of the trained thumb and little finger. With regard to the
localisation of the cortical representations of these fingers, it appears that
their simultaneous stimulation in the context of the task of discrimination
produces an effect contrary to their individual and passive stimulation. The
representations of the thumb and the little finger of the right hemisphere
(contralateral to the trained hand) move away from each other in the
medio-lateral axis as a result of the training, denoting an expansion of the
areas of representation and from there a disassociation of those neuronal
groups activated by each representation. When, on the contrary, the stimulation
is applied separately to the two fingers with a random orientation of the
stimuli which the subject does not have to identify, the representations of the
thumb and little finger get closer to each the other, to the point of
superimposition, translating an overlapping of the areas of representation
under the effect of a passive stimulation. In their interpretation, the authors
do not decide between two hypotheses: 1) a unique map of the hand whose
activation is differentiated as a function of the different ways in which the
stimulus is processed; 2) multiple maps coexisting in the same cortical area
and whose activation is a function of the context (Braun et al., 2000).
5. Remodelling Induced by Experience (2) The Motor Cortex
What direct electrical stimulations
of the precentral cortex evoke are bodily movements; what Penfield and
the first mappers of the brain sketched out in the form of the homunculus are parts
of the body : the fingers of the hand contralateral to the stimulated
hemisphere which, in anatomical order, are represented in the
latero-medial plane. But movements are rarely evoked in one part of the body
without being evoked in the neighbouring parts. The mastery of the independence
of the hand with conductors, that of the fingers of pianists or typists,
requires a difficult learning process that most probably draws upon important
cerebral resources. This inconsistency has probably only been noticed quite
late on. A somatotopic organisation of the cortical representation of the hand
suggests the existence of a neuron (or several) for the index finger,
that is, of a neuronal group exclusively dedicated to the control of a
particular finger, alongside other neuronal groups devoted to the control of
each of the other fingers. However, nothing of the kind is found. The recording
of neurons of the motor cortex during the carrying out of flexional movements
and of movements extending different fingers with the monkey shows that the
movement of each finger mobilises neurons distributed throughout the entire
area of the hand and that the map of the cortical representations of the movements of the fingers is not somatotopic
(Schieber, 1993). However, just as an unequivocal correspondence between
representations on a somatotopic map and the parts of the body would exclude
any possibility of reorganisation, in that way the activations distributed
throughout the totality of a neuronal network according to a certain given
configuration would lend itself to a functional reorganisation due to the
varying usages of the body[8].
The methods of human cerebral
imagery (measuring the cerebral blood flow in PET) which proceed by averaging
the results obtained with several subjects and which identify regions of
interest by subtraction of images are disadvantaged for the examination of
phenomena of plasticity linked to a motor learning process. That is due to the
fact that the procedure adopted to arrive at the mastery of a new task is not
necessarily uniform from one subject to another and to the fact that the non
super-imposable activation sites are automatically erased from the resulting
image. To get around this difficulty a technique of individualised imagery has
been developed which suggests the existence in each subject of a relation which
is not that of a simple correspondence movement-cortical area, but that of a
complex relation between a particular schema of adaptation to the task and a
type of change in the schemas of cerebral activation distributed over varied
regions. The task is to carry through blindfolded, as fast as possible and
without mistakes, a complex series of movements involving an opposition between
the thumb and each of the other fingers of the right hand. Progress over one
hour of training differs largely according to the criterion employed: acceleration
of the process or correction of the mistakes. Despite an activation of the left
primary sensori-motor (and pre-motor) region in all subjects, the authors noted
a considerable diversity in the areas of activation from subject to subject,
and this no matter the areas in question were cortical (mesio-frontal,
parietal, cingular, Broca) or sub-cortical. This is a discovery that raises
questions pertaining to the contribution of each of these regions to the
particular profile established by the performance of the trained subject
(Schlaug et al., 1994).
A longitudinal study of a
similar learning task with a training of several weeks adds complementary
information resulting from an MRI examination of the regional blood flow in the
motor cortex. Starting from an equivalent activation of M1, first with the
sequence of learned movements and then with a sequence composed of he same
elementary movements in another order, passing a paradoxical
though transitory reduction of the area of motor activation corresponding to
the sequence of learned movements, one finish with a
significant extension of this area in the fourth week, an extension which can
be maintained for several months. According to the authors, this durable
expansion of the representation of the ordered sequence of learned movements
would make of the primary motor cortex a memory of the know-how in the adult (Karni
et al., 1995; 1998)[9].
In spite of the fact that the
interdisciplinary character of the neurosciences makes it possible to hold to
the belief in the equal rights of all participating disciplines to their claim
for being fundamental, the familiar practise of all these disciplines is still
far from being able to risk comparison to any science which is genuinely
fundamental, such as quantum mechanics. A fundamental science seeks to develop
the paradoxes hidden in its concepts without being afraid of exposing itself to
controversy, even on the contrary, seeking controversy. It does not attempt to
clothe these concepts with the garb of consensual unanimity, or even to
surround the emerging divergences which might menace its dogmas. Those dogmas,
moreover, pushed to the limit, might turn out to be contradictory. A truly
fundamental science which knows only too well how illusory the irrepressible
human tendency toward objectivation, substantialisation and absolutisation of
the theoretical models and dominant scientific paradigms of a given epoch
(yesterday Lapacian mechanism, today the mechanism of Turing) can be, is not
afraid of appearing to progress backwards by systematically referring back its
‘explanatory’ and ‘predictive’ concepts to their conventional and so largely
arbitrary principles of construction, the field of its ‘real’ objects to the geometry
it makes use of, its ‘exact’ measurements to the limited power of resolution of
its instruments. Apparently this is still not the case in neuroscience, where
the same dogmatic defenders of the genetic determinism of the cerebral thinking
machine with its cognitive programmes also want to present themselves as
heralds of epigenesis and of the history of the development of the individual.
And the very persons who, in the course of 20 years, have revolutionised
cerebral cartography, demonstrated the inanity of its traditional concepts
‘map’, somatotopy’, ‘representation’, ‘coding’, etc., and so laid the basis for
the next functional neuro-dynamics, habitually employ a language that preserves
and perpetuates the prejudice of a (or even many) humunculi in the brain.
The format of scientific journals
which print in small letters the technical account of the
cell recordings, the image analysis or the method by which the published ‘maps’
are constructed, leads one to separate these products from their mode of
production, thereby incurring the risk of their being envisaged as maps in the
brain. But that nothing like such maps is found in the brain is something that
can be persuasively upheld. The following items related to maps are evidently
not found in the brain : readings obtained from the grids of penetration
sites of electrodes in the cytoarchitectonic cortical areas, outlines of the
cutaneous neuronal receptor fields, histograms of the neuronal peristimulus
action potentials, mosaics of the categories of movement evoked by IMS, electroencephalograms,
scintigrams of the rate of consumption of oxygen or glucose by the regional
blood flow, the distribution across the scalp of loci of stimulation evocative
of motor potentials, dipoles of the sources of the induced electric or magnetic
fields, etc. But when one imagines that it might be possible to ‘go further’
(by extrapolating from the available methods of obtaining images or
representations) there arises a danger of fixing, objectifying or substantialising
the transitory configurations of the functional dynamism of living organisms. That
includes that one misses the essential and persistent feature of the potential
for reconfiguration and functional reallocation which is not limited to an early
age or to the axonal regeneration and functional recuperation of a lesion.
The challenge is to understand
neuro-plasticity without trying to situate our conceptual instruments in the
brain, by talking of ‘neuronal coding’ or of the ‘genetically programmed’, and
without entering into any collusion with a neuronal determinism which conceives
of the functioning of the brain as the calculations of a machine that follows a
programme that completely specifies in advance all its transitions from state
to state.
Even if linguistic habits have
not changed greatly, we cannot but concede that this challenge has been met
from the time of the first work on cerebral plasticity. In an effort to grasp
conceptually the data of Merzernich and his team, Edelman has advanced the idea
of a functional and interactional morphogenesis by selective stabilisation of
the synaptic connection patterns in conjunction with the activity of the
organism (Edelman et al., 1987; Kaas et al., 1983). While
avoiding any reductionist explanation, a computer simulation of a simplified
model of the neuronal network has made it possible to elucidate analogically
and holistically the principles of a dynamic morphogenesis of functional topologic
maps, by bringing to light certain of the properties established by
deafferentation or amputation of the fingers in the monkey. Without entering
into details, we would like to applaud the spirit in which this model has been
developed, to the extent that its dynamic approach seems to us to contradict
the fixist prejudices conveyed by the language of coding inherited from a
mechanistic conception of cerebral functioning[10].
By virtue of its
quasi-spontaneous or autonomous character, the correlative emergence of
neuronal groups in the cortex of the network of neurons and of neuronal
receptor fields in the matrix of the skin captors of the same network is the
best analogy that one could find in contemporary naturalistic science for the
transcendental constitution of the own body in genetic phenomenology. The use
of my hands gives me (in a certain sense) my own body. But in what sense
exactly ? According to Husserl’s later manuscripts, the regulated
effectuation of tactile kinesthesia (objectifying) and of motor kinesthesia
(de-objectifying) is the constitutive operation by means of which alone I
acquire the sense of being (and from there consciousness)
of my own body, both as a body object, an object among other objects of sensory
perception, and as the unique organ of my voluntary movements. In the very
course of its functioning, the first group of kinesthesia constitutes a
continuous and closed surface which adopts for me the meaning of being ‘my
skin’; the second fills this surface with a subjectively animated matter which
adopts for me the meaning of being ‘my flesh’. But neither my skin nor my flesh
have anything a priori to do with this ‘mass of flesh and bone that I call my
body’ (Descartes). They are in essence the products of a constitution, more
specifically, of an active auto-constitution on the part of the living
organism, a self-organising agent, constantly adapting to its context, moulded
by its own history. The organism (as certain eminent physiologists have said in
astonishingly phenomenological terms) ‘strives to make sense of itself’ (Bartlett,
quoted in Barlow, 1985, p. 121) and ‘chooses from one moment to the next
the being it will become’ (Merzenich and deCharmes, 1995, p. 76). Ironically,
by adopting the hands, which are both sensitive surfaces and motor organs, as
the privileged models for the morphogenesis of the somatotopic maps (for simple
reasons of practical convenience I assume), the neuroscientists thereby
resuscitated the analyses (developed by Merleau-Ponty and Husserl) of the
celebrated example of ‘my right hand touching my left hand, the latter, in
turn, passing from being passively touched to actively touching.’
This improbable encounter
between a neurodynamic (still in preparation despite the promising perspectives
opened up by the ‘mental cinema’) and a genetic phenomenology (unhappily
relegated to the field of historical studies) attests to the possibility of at
least breaking the magic circle of representation, which still holds neuroscience imprisoned in the paradigm of the
mechanical brain and the body representationally intellectualised. What does
this opportunity depend on ? On the fact that the emergence of the body
schema, on the basis of the functioning of a dynamic system in the brain, and
the constitution of our sense of the own body, on the basis of kinesthetic
activities of the organism, are (for the one who places himself or herself in
the context of the flux of experience and not in the position of an external
observer) genuine beginnings, effects without causes, absolute origins. For in
fact, for the living organism caught up in the immanence of its own experience,
there is no such thing as a physical or anatomical body to be represented, a
body which would precede in the order of being its representation, the latter reproducing
somewhere in the mind-brain a cartographic image of this same preconstituted
body. The signifying form, the sense of being a body, arises from its own operation
as self-given sense. The own body is no more the representation of the physical
body than the functional body is the representation of the anatomical body. The
true relation runs in the reverse direction; first comes the own body, the
subjective form of lived experience or the functional configuration of a living
organism. As for the anatomical or physical body, it is a later product
constituted by a procedure of scientific objectification, and, what is more, a
constituted product in the paradigmatic context of yesterday determinist
science, a science of permanent objects, the fixed substrates of properties such
as physical, functional or mental properties, which can always be precisely
located.
References
I. Local anaesthetic. The localisation of the electrical potentials
aroused in the posterior wall of the central sulcus by an electrical
stimulation of the thumb and the little finger of the right hand under a local
anaesthetic injected into the fingers 2, 3 and 4, brings to light an immediate
and reversible change in the topography of the representation of the fingers in
the left somatosensory cortex. On average, this change consists in a lateral
displacement of the dipole (centre of gravity of the electrical field) image of
the thumb and a medial displacement of the dipole image of the little finger.
Authors have suggested that this modification in the excitation-inhibition
equilibrium of the sensorial inputs engenders a hyper-activation of the
cortical regions underlying the representation of the fingers, which react by
encroaching upon the neighbouring regions (Buchner et al., 1995). It has
been established that this reorganisation is subject to the modifying influence
of attention. When a stimulus is applied to the back of the hand, the distance
between the representation of the thumb and index finger shrinks, while it
increases whenever the subject’s attention is normally engaged by the sensation
(strong and disagreeable) in the anaesthetised fingers. The hypothesis is that
the sensation of deafferentation activates the de-afferentiated cortex normally
held responsible for the representation of the fingers 2 to 4, an activation
which translates into an expansion of this representation. On the other hand,
when the attention is diverted from this sensation of deafferentation, the
cortex reverts more easily to the representation of the adjacent fingers
(Buchner et al., 1999).
Neuropathies. The extent to which the motor cortex is
activated, as measured by fMRI, tends to be greater on average for a voluntary
movement of the index finger than for a passive movement. In contradistinction
to the fact that passive movement gives no activation of the motor cortex in
patients suffering from sensory neuropathy, the volume of activation induced in
the motor cortices, both primary and supplementary, and in the somatosensory
cortex, undergoes a considerable increase in patients suffering from motor
neuropathy in comparison to the control group, and just as much for active as
for passive movement. The reorganisation which follows upon a lesion of the
motor nerves and an increase in the quantity of neurons engaged in the same
movements is supposed to bring along with it an expansion of the representation
of the movement of the finger (Reddy et al., 2001).
Syndactyly. In patients suffering from
syndactyly, a congenital anomaly which hooks the fingers together, the preoperative
examination by MEG shows a typically non-somatotopic map of the right hand with
a spatial extension inferior to the normal, with images of the different
fingers overlapping, and with the interposition of the little finger between the
thumb and the index finger. A postoperative examination starting from the first
week after the surgical separation of the fingers and
the acquisition of independent use of the fingers shows a considerable
reorganisation of the map of the hand. The representations of different fingers
are removed into distinct localisations. A somatotopic organisation and a
spatial extension which, if not normal is at least closer to the norm, is
henceforth established. The authors emphasize that just as the anomaly in the topographical
representation of the cortex is the reflection of both a structural and a
functional abnormality of the hand (‘consistent with a lifetime of abnormal
hand function’ Mogilner et al., 1993, p. 3597), its correction is not to
be imputed mechanically to the simple surgical separation of the fingers. On
the contrary, ‘(the post-operative topography) clearly reflects the new
functional status of the hand, in that each digit was now available to function
independently, and a different image was generated in the patient, who felt the
fingers as individual entities for the first time in his life’ (ibid., p.
3596).
Amputations. From an anatomical point of
view, the most serious deafferentation is the amputation of a limb, to the
extent that it gives rise to a retrograde atrophy of the nerve paths as well as
to an anarchic axonal regeneration in the stump. However, a body whose hand or
arm has been amputated is not simply a body without a hand or an arm; it is a
body which has organised its functioning along alternative lines. The existence
of just such a functional reorganisation has been demonstrated by TMS of the
motor cortex. Applied at random to the positions of the scalp above the
sensori-motor areas, this stimulation arouses motor potentials in the muscles
which make it possible to establish an approximative motor cortex mapping by
way of a transfer on the map of the corresponding excitable positions. The
electromyographic recording of the biceps and deltoids show that the muscles of
the shoulder and the arm on the same side as the stump are activated from a
larger number of positions than the muscles on the opposite side, that the
motor potentials recorded in he muscles are more important on that side, and
that they are aroused at thresholds of stimulation intensity inferior to those
on the other side. The authors interpret this result as proof for an expansion
of the cortical representations of the muscles ipsilateral to the amputated
arm. This implies, in comparison to the representations of the contralateral
muscles, implying a larger percentage of motor neurons enlisted by the former
muscles, an expansion which attests to a general reorientation of the motor
pathways in response to the disequilibrium suffered by the motor system as a
result of the amputation. Therefore, the character of the motor output map is
not static, but dynamic, and more generally, of the organising schemata in the
cerebral cortex of the adult are dynamic (Cohen et al.,1991).
II. In a series of
later experiments closer to ecological conditions, monkeys were trained to
fetch grains or food pellets placed in holes of various size in a Klüver Board[11].
This training, carried out for several hours per day and over several weeks,
brought to light the ability of monkeys to discover and to finalise in
stereotypical form an efficient strategy mobilising, in one rapid and supple
movement, a minimum number of fingers. This progress in dexterity is reproduced
topographically at the level of the cortex 3b by a representational magnification
which moves, this time without ambiguity, in the direction of an increase in
the spatial resolution of the cutaneous sensitivity.This is because the
extension of the cortical representation of the end of the fingers utilised in
the course of the period of training is multiplied by two, while that of the
receptor fields of those neurons dealing with the representation of the same
fingers is divided by two. Instead of bringing with it any disorganisation,
this expansion occurs in a topologically ordered fashion and is accompanied by
a diminution of the overlapping of receptor fields. Here, and by emphasizing
the fact that this representational change induced by practise in one primary
sensorial region is framed within a group of parallel changes in other sensori-motor
regions, the authors are more emphatic in attributing to the latter a share of
the responsibility in the acquisition of this new motor skill (Xerri et al.,
1999).
III. A group of subjects
suffering from congenital or accidental blindness and who have been practising
Braille reading for at least two hours daily since childhood by using the right
index finger alone were subjected to a double series of experiments. 1) A
repetitive electrical stimulation applied to the index reading finger by means of
electrodes resembling the keys of a Braille keyboard evokes electrical
potentials recorded by means of a closed grid of electrodes placed on the scalp
above the left sensori-motor cortex (contra-lateral). The analysis of the wave
recorded in its typical components yields a peak of negative potential (N20) on
the parietal cortex followed by a peak of positive potential (P22) whose pre-
or post central localisation is not defined. Once these peaks have been
reported for each subject on a topographical map constructed on the basis of
the sites recorded, it can be established that their distribution corresponds
to a somatotopological organisation which extends to a larger surface when the
stimulated finger is the index reading finger with a blind person than when it
is the left index or even the right or left index with a seeing person. 2) The
transcranial stimulation (TMS) interferes in a relatively focalised way with
the functioning of the sensori-motor cortex: applied 50 msecs after the
electrical stimulation of the index reading finger the TMS blocks the detection
of this stimulus more frequently than when it is applied at the end of a
stimulation of the left index finger, and this blockage arises when the
magnetic stimulator is placed above positions of the scalp which are more
numerous than in the other condition. The convergence of these two results
confirms an expansion of the functional representation of the reading finger
with blind readers in Braille, an expansion which can no doubt be imputed to the
intensity and to the selective character of the sensorial stimulation imposed
upon this finger by the rapid and repetitive movements of the tactile detection
of letters in Braille (Pascual-Leone et Torres, 1993). A later MEG study has
extended these results to blind readers in Braille who habitually employ three
fingers of each hand and so verifies a duplication of the extension of the
cortical representation of the hand with an increase in the distance between
localisations of the representations of the fingers, a change which might be
associated with a more intensive use. All the same, this expansion is
accompanied by a disorganisation of the somatotopological topography of the
representation of the fingers, which no longer follow one another in the normal
latero-medial order, a disorganisation which could be related to a difficulty
in identifying the finger subject to a minimal tactile stimulation arising from
the determination of the threshold of the sensorial sensitivity of these
fingers. This observation poses the question of the adaptive value of the
functional plasticity induced by use (Sterr et al., 1998).
IV. The plasticity of
the functional topography of the motor cortex linked to a motor learning
process has been demonstrated in the monkey by a comparison between maps of the
representation of movements of the hand and the arm obtained by intracortical
electrical microstimulation (IMS) before and after the learning of tasks
requiring a movement of the fingers and not of the arm, or a movement of the
wrist and of the forearm and not the fingers. The monkey’s ability to acquire
an efficient and stereotypic procedure for recuperating a food pellet placed in
the smallest of four holes in a Klüver Board has been controlled. In order to
oblige the animal to complete successions of supinations – pronations of the
forearm, the monkey is trained to turn a key to obtain the food pellets in a
plexiglass cylinder which limits the movements around the elbow and shoulder.
Cartography under IMS practised on the anaesthetised animal consists in
varying the electrical current sent into
each implanted microelectrode from 0 to 30 microAmperes (more than 300
implantations on average at 250 micron intervals) in order to determine the
threshold of evocation of a barely visible movement (or of more than one). This
affords a precise identification of the loci in which manual movements acquired
during the learning process are evoked. On the basis of this mosaic of labelled
loci, a computer is used to differentiate the regions containing the loci where
the stimulus evokes similar movements and, from there, to define the frontiers
and to measure the relative surfaces of the representations of the different
categories of movements, or of their combinations, and this in order to compare
the motor maps before and after the training. The modulatory influence of the
type of training is shown by a variation of the representations of the
movements when these movements are solicited by the nature of the task to be
made in the reverse direction from one condition to another. With animals
trained to make finger movements, one notes an extension of representation of
the forearm and that of the combined mouvements (flexion of the fingers +
extension of the wrist), but a reduction of the representation of the abduction
of the wrist. With animals trained for movements of the wrist, one notes a
reduction of the surface of representation of the extension/flexion of the
fingers but an extension of the surface of representation of the supination of
the forearm and of abduction of the wrist (Nudo et al., 1996).
V. If the anatomical
architecture of Edelman’s ‘neuronal network’ is initially fixed, the functional
properties attributed to the ‘synapses’ are not, but change as a function of
the ‘cutaneous’ stimulation, on the one hand, and of the equilibrium
established by the exciting and inhibiting influences that ‘the cells’ exert on
each other, on the other hand. The operative concept is that of the ‘neuronal
group’. Neuronal groups are not anatomical entities but rather purely
functional entities, stabilised patterns of cellular activations distributed
throughout the network. Their process of formation depends uniquely upon the
flux of stimulation of the captors and on the local equilibrium between excitation
and inhibition. By hypothesis, the network is deprived of initial organisation,
the connections between cells being left to chance. In accordance with the
theory of ‘selection of neuronal groups’, three principles of synaptic
functioning make possible the ‘spontaneous’ emergence of these neuronal groups.
1) The mutual overlapping of the divergent ‘thalamo-cortical connections’ which
take over the stimulation from the captors to the cortex and the intersection
of short, excitatory and long, inhibitory
cortico-cortical connections conjoin their effects. The result is the
initiation of a tendency toward the local confinement of the activations in the
network. 2) ‘Selection’: the neuronal groups whose activation is more powerful
stabilise their internal connections and refine their receptor fields (which
are focalised sometimes on the ‘palm’ sometimes on ‘the back of the hand’)
while the weaker ones tend to dissolve 3) On the borders between groups in the
course of differentiation, intervening cells form groups which compete with
each other, as a result of which a more precise determination of their mutual
frontiers becomes possible. The organisation of a network of neurons on the
unique and exclusive basis of these three principles results in neuronal groups
whose behaviour simulates some observed functional plasticity phenomena of the
somatotopic maps of the hand : their expansion under the impact of an
abnormal stimulation of a finger, retraction and substitution of the RFs of the
palm by RFs on the back of the hand in response to a deafferentation of the
median nerve.
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* www.chez.com/jlpetit; jean-luc.petit@college-de-france.fr
I am indebted for the
translation to the literary (and phenomenologic) expertise of Dr Christopher
Macann, to whom I express my gratitude.
[1] The
substraction : image of a brain state of sensory stimulation (or motor
activity) – image of a state of rest.
[2] For any individual
neuron in a brain cortical tissue area that functions as territory of
somatotopic representation of hand, the
surface of hand skin which tactile stimulation induces the firing of this
neuton is its receptive field.
[3] Relation between
the extension of representative cortical area and the extension of represented
cutaneous area.
[4] See end of this
article, Reference I.
[5] See Reference II.
[6] Selective loss of
finger sensation and difficulty of control of finger coordinated movement.
[7] See Reference III.
[8] See Reference IV.
[9] Without calling in
question the role of functional plasticity in the learning process, an inverse
result suggests that it would be wrong to dogmatise on the basis of hypotheses
drawn from empirical research. A TMS of the motor output of M1 towards the
muscles of the fingers was practised between blocks of tests. The tests
concernd the reaction time for the appearance on the screen of a computer of
the number of the finger which had to be used to press the reply button. This
experiment shows successively 1) a coupling of the progressive diminution of
the reaction time with an amplification of the motor output and an expansion of
the map of the excitable positions on the scalp, 2) an abrupt uncoupling of
this same reaction time, which continues to diminish, and the amplitude and
extension of the representations of motor outputs, which shrink and return to
their previous level and topography. This change (on a smaller time scale than
the previous experienced) reflects the transition from a practical and implicit
mode of knowledge to one which is declarative and explicit as well as the
taking over from M1 by other structures (Pascual-Leone et al., 1994;
1999).
[10] See Reference V.
[11] An apparatus that
permits the calibration of the levels of difficulty of a task of manual
retrieving by the monkey.
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