Abstract
Motor imagery is a higher-order cognitive brain function that mentally simulates movements without performing the actual physical one. Although motor imagery has attracted the interest of many researchers, and mental practice utilizing motor imagery has been widely used in sports training and post-stroke rehabilitation, neural bases that determine individual differences in motor imagery ability are not well understood. In this study, using controllability of motor imagery (CMI) test that can objectively evaluate individual ability to manipulate one’s imaginary postures, we examined structural and functional features characterizing the brains of individuals with higher controllability of motor imagery, by analyzing T1-weighted structural MRI data obtained from 89 participants and functional MRI data obtained from 28 of 89 participants. The higher CMI test scorers had larger volume in the bilateral superior frontoparietal white matter regions. The CMI test activated the bilateral dorsal premotor cortex (PMD) and superior parietal lobule (SPL); specifically, the left PMD and/or the right SPL enhanced functional coupling with the visual body, somatosensory, and motor/kinesthetic areas in the higher scorers. Hence, controllability of motor imagery is higher for those who well-develop superior frontoparietal network, and for those whose this network accesses these sensory areas to predict the expected multisensory experiences during motor imagery. This study elucidated for the first time the structural and functional features characterizing the brains of individuals with higher controllability of motor imagery, and advanced understanding of individual differences in motor imagery ability.
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Introduction
Motor imagery is a higher-order cognitive brain function that internally simulates movements without performing the actual physical movements1,2,3,4,5. Motor imagery has attracted the interest of many psychologists and neuroscientists6,7, and mental practice utilizing motor imagery has been widely used in sports training and post-stroke rehabilitation8,9,10,11.
When applying motor imagery to mental practice, individual differences in motor imagery ability must be considered. As objective assessment of an individual’s motor imagery ability is difficult, in many previous studies, subjective measures of imagery vividness and easiness, e.g., the vividness of movement imagery questionnaire (VMIQ)12, movement imagery questionnaire (MIQ)13, or their revised versions (e.g., VMIQ-214, revised MIQ-R15, or MIQ-RS16), are commonly used to assess individual ability of motor imagery. However, these are subjective assessments of the quality of an individual’s motor imagery and are not always objective assessments of an individual’s motor imagery ability, making it difficult to objectively investigate neural bases that determine individual differences in motor imagery ability. Nowadays, more objective evaluation methods have been available17, and individual differences in motor imagery and their related brain activity are gradually being unveiled18,19,20,21. Nevertheless, the structural and functional characteristics of the brain that determine individual differences in motor imagery ability are not yet well understood.
An individual’s ability to accurately manipulate and control motor imagery, i.e., controllability of motor imagery, is essential for motor imagery function. In this study, we introduce controllability of motor imagery (CMI) test2,22,23,24, which can objectively evaluate individual’s ability to accurately manipulate motor imagery. By using the CMI test, one can evaluate an individual’s ability to internally generate, manipulate, and hold one’s imaginary body postures from a first-person perspective in response to each of five consecutive verbal instructions regarding movements of body parts (left or right arms, left or right legs, upper body, and head/neck). After the final instruction, participants were asked to perform the final posture by themselves. By evaluating the final posture, whether the participants could manipulate their motor imagery appropriately during the test can be assessed (Fig. 1a; Supplementary Methods). Unlike the subjective assessments of whether a participant can vividly or easily imagine a certain movement (see above), the CMI test provides a unique and reliable measure to objectively evaluate an individual’s ability to precisely manipulate one’s own postural image, i.e., motor imagery. This study aimed to elucidate structural and functional features that characterize the brains of individuals with higher controllability of motor imagery, using the CMI test and magnetic resonance imaging (MRI).
A meta-analysis of functional neuroimaging studies for motor imagery elucidated the consistent importance of the frontoparietal and subcortical motor-related brain regions during various types of motor imagery6. Among these brain regions, motor imagery is severely impaired in patients with frontal (premotor) and parietal injuries25,26,27; however, it is preserved without these damages28. These results indicate the importance of frontoparietal regions that are most likely connected by the three branches of the superior longitudinal fasciculus (SLF I, II, and III for superior, middle, and inferior branches, respectively)29,30,31 in motor imagery.
Among frontoparietal regions, many studies have consistently reported activations in the dorsal premotor cortex (PMD) and the superior parietal lobule (SPL) during motor imagery4,31,32,33,34,35,36,37,38. The PMD and SPL forms a functional network connected by the SLF I or II29,31. Furthermore, among the SLF (I, II, and III), the preferential role of the brain regions connected by SLF I or II for spatial/motor processing, particularly the greater contribution of the regions connected by SLF I for mental motor imagery, was demonstrated31.
Based on this knowledge, we first test our hypothesis whether higher scorers on the CMI test (= participants with higher controllability of motor imagery) have larger volume of brain structures (white and gray matter) associated with SLF I or II . Furthermore, if the PMD–SPL network plays central roles for controllability of motor imagery, we may expect that a component of mental manipulation of motor imagery during the CMI test activates the PMD–SPL network, and the higher scorers on the CMI test show greater imagery-related activity in this network. Finally, we also investigated possible brain regions that enhanced functional coupling with this network in higher scorers. We address these points by analyzing T1-weighted structural MRI data obtained from 89 participants and functional MRI data obtained from 28 of 89 participants.
Results
89 healthy right-handed young adults performed the CMI test outside the MRI scanner room. The CMI test consists of 10 trials, each of which consists of five consecutive verbal instructions regarding movements of the six body parts (see Methods). Starting from the basic posture, participants with eyes closed imagined to move only one body part per instruction and kept updating their imaginary postures according to all instructions through a trial. The participants performed the final posture, and experimenters evaluated its correctness. The average number of correct answers across 10 trials was calculated per participant (= CMI test score; maximum score = 6.0).
Moreover, 28 of the 89 participants performed the CMI task while brain activity was scanned. In this case, demonstrating the final posture inside the scanner was impossible, so they were asked to rate how confident they were about the accuracy of their imaginary final posture (subjective rating of confidence) by pressing a corresponding button after each trial. In addition, after each functional MRI run, we asked the participants to rate the degree to which they felt that their imagery was (first-person) kinesthetic and (third-person) visual using a score from 1 (weak) to 4 (strong) for each component, and calculated individual kinesthetic-visual (KI) index to evaluate the extent to which their imagery was more (first-person) kinesthetic or (third-person) visual (see details in Methods).
The mean CMI test score outside the scanner room for the 89 participants was 4.6 ± 0.7 (range 2.7–6.0), and the mean score for the 28 participants assigned for the functional MRI experiment was 4.4 ± 0.8 (range 2.7–6.0). The correlation between the CMI test score and the subjective rating of confidence across 28 participants was not significant (r = 0.14, N = 28, p = 0.47; Supplementary Fig. 1). Thus, the subjective rating of confidence was not directly related to individual’s controllability of motor imagery objectively evaluated by the CMI test.
The mean KI index across all participants was 0.18 ± 0.03, indicating that the imagery during the CMI task was more kinesthetic, but visual component was not completely zero.
Larger white matter volume in higher scorers on the CMI test
In 89 participants, to examine larger white and gray matter structures in higher scorers on the CMI test, voxel-based morphometry (VBM) analysis was performed in the whole brain. The brain regions in which the tissue volume correlated with the score of the CMI test performed outside the MRI scanner room were identified.
In the white matter regions, we found a significant cluster of voxels that positively correlated with the score in each of the left and right hemispheres (Figs. 2a–c and Supplementary Table 1). These were the only significant clusters in the entire brain and located in the white matter regions in which the fiber tract connecting the frontoparietal regions is likely running. Using publicly available probability maps of the tract (see Methods), we checked whether these clusters are located in the regions where the SLF (I, II, or III) is likely running. Of the total volume (12191 mm3) of the two clusters, 8972 mm3 (approximately 74%) overlapped with the white matter regions where the SLF (I, II, or III) is likely running (Fig. 2d). Moreover, 28% (2512 mm3) of the 8972 mm3 was found to be in the regions where SLF I (including overlap with the SLF II or III) is likely running. Similarly, 83% (7440 mm3) of the 8972 mm3 was found to be in the regions where SLF II (including overlap with SLF I or III) is likely running. The majority (7835 mm3, 87%) of the 8972 mm3 was found to be in the regions where SLF I or II is likely running. Finally, 41% (3659 mm3) of the 8972 mm3 was found to be in the regions where SLF III (including overlap with the SLF I or II) is likely running.
Then, the interindividual correlation between the normalized size of the left or right cluster and the CMI test score was visualized. A positive correlation was confirmed in each cluster (Fig. 2e, f). Viewed collectively, individuals with higher CMI test scores showed larger white matter volume where the bilateral SLF (I, II, or III) is most likely running.
We found that neither gray matter regions showed a positive correlation with the score nor white matter regions showed a negative correlation with the score.
Brain regions active during the CMI task when compared with a control task
Of the 89 participants, 28 also performed the CMI task and a control (count) task while scanning brain activity (Fig. 1b). In the count task, they listened to the same verbal instructions but kept counting (remembered) the number of term that “right” (right arm, right leg, and rightward) appeared in the instructions without imagining the postural changes. Thus, in this control task, the participants must pay attention to and process the same verbal instructions; however, its associated mental process was different from the mental imagery required during the CMI task. Thus, by comparing the brain activity during the CMI task with that during the count task, one may identify brain activity associated with mental imagery (manipulation) processes during the task (= imagery-related activity). Brain activations during the CMI and count tasks are shown in Supplementary Fig. 2.
When we examined brain regions where activity increased during the CMI task compared with the count task, we found five significant clusters mainly in the bilateral superior frontoparietal cortices (Fig. 3a–c and Supplementary Table 2). Two of them were located in the bilateral PMD. The left parietal cluster located in the SPL was also extending to the postcentral gyrus, and the right-parietal cluster located in the SPL was extending to the intraparietal sulcus (IPS) and inferior parietal lobule (IPL). A cluster in the left lateral occipital cortex (LOC) was also found extending dorsally to the IPS and medially to the precuneus.
Then, we checked whether these clusters are located in the regions likely connected by the SLF (I, II, or III), using the same probability maps described above (Fig. 3d). Of the total volume (57552 mm3) of the five clusters, 42792 mm3 (approximately 74%) overlapped with the brain regions that are likely connected by the SLF (I, II, or III). 74% (31648 mm3) of the 42792 mm3 was found in the regions that are likely connected by SLF I (including overlaps with SLF II or III). Similarly, 39% (16672 mm3) of the 42792 mm3 was found in regions that are likely connected by SLF II (including overlaps with SLF I or III). Nearly all of 42792 mm3 (41272 mm3, 96%) was found in regions that are likely connected by SLF I or II. Finally, 9% (3984 mm3) of 42792 mm3 was found in regions that are likely connected by SLF III (including overlaps with SLF I or II). As we hypothesized, among the brain regions likely connected by the SLF (I, II, or III), the imagery-related activity was mainly located in the superior frontoparietal (PMD–SPL) regions likely connected by SLF I or II.
As in the VBM analysis, brain regions in which imagery-related activity correlated with the CMI test score were examined across 28 participants. However, no such regions were found.
Functional connectivity
By conducting a generalized psychophysiological interaction analysis, we examined brain regions in which imagery-related functional coupling with a seed region changes in relation to the CMI test score across 28 participants. We prepared eight seed regions in the left PMD (cytoarchitectonic areas 6d3 and 6d1)39, right PMD (areas 6d3 and 6d1), left SPL (areas 5L and 7A), and right SPL (areas 5L and 7A) in bilateral PMD and SPL clusters identified above (Fig. 3a–c and Supplementary Table 2).
When the left area 6d3 was a seed region (Fig. 4a), two significant clusters were found in the left-early visual cortices and higher-order visual cortices (extrastriate body area [EBA]) in which imagery-related connectivity positively correlated with the CMI test score (Fig. 4b and Supplementary Table 3), whereas no significant clusters were found when the left area 6d1 was a seed region. For each cluster, the relationship between the CMI test score and connectivity was plotted for all participants. A positive correlation was confirmed in each cluster (Fig. 4c, d). When right areas 6d3 and 6d1 were seed regions, no significant clusters were found.
When the right area 5L was a seed region (Fig. 5a), we found five significant clusters in the left PMD and primary sensorimotor cortices (PMD–SM1 arm section), left secondary somatosensory cortex (parietal opercular region), and higher-order visual cortices (EBA and fusiform body area [FBA]; Fig. 5b and Supplementary Table 3). For each cluster, we plotted the relationship between the CMI test score and the imagery-related connectivity for all participants. A positive correlation was confirmed in each cluster (Fig. 5c–g). When the right area 7A was a seed region (Fig. 5a), we found two significant clusters in the bilateral EBA, which were closely located to those identified in the above (right area 5L) analysis (Fig. 5b and Supplementary Table 3). In each cluster, a positive correlation was confirmed between the CMI test score and the imagery-related connectivity across all participants (Fig. 5h, i).
When the left area 5L was a seed region, we found a significant cluster in higher-order visual cortices (not EBA and FBA; Supplementary Table 3, not shown in figure), and when the left area 7A was a seed region, no significant clusters were found. Thus, during the CMI task, mainly the left PMD and/or the right SPL increased their functional coupling with the early (primary) and higher-order visual, somatosensory, and motor cortices in higher scorers on the CMI test.
Importantly, none of the regions in which imagery-related connectivity positively correlated with the CMI test score showed a significant increase in the imagery-related activity during the CMI task (Fig. 3). Thus, only functional coupling increased in these regions, not the activity itself.
Discussion
Objective evaluation of motor imagery by the CMI test
The subjective rating of confidence was not directly related to individual controllability of motor imagery evaluated by the CMI test (Supplementary Fig. 1). This means that those who reported feeling confident during the CMI task do not necessarily exhibit higher CMI test scores. In this study, the Japanese version of the MIQ-R15 (JMIQ-R), in addition to the CMI test, were also administered in 24 out of 89 participants. In the JMIQ-R test, participants gave subjective rating on a scale of 1–7 (kinesthetic score) of how easy to imagine a certain action as if they were actually performing it after performing the action (see Supplementary Results). The mean score of the 24 participants on the CMI test was 4.8 ± 0.7 (range 3.3–5.9), the mean kinesthetic score on the JMIQ-R test was 6.3 ± 0.7 (range 4.8–7.0), and these were not significantly correlated (r = − 0.15, N = 24, p = 0.49; Supplementary Fig. 3). These results indicate that subjective rating of motor imagery, which has been often used in previous studies, may not be directly related to the individual’s capability to manipulate motor imagery that can be objectively assessed by the CMI test.We also confirmed that the imagery during the CMI task was more kinesthetic, but visual component was not completely zero. This suggests multisensory nature of motor imagery, which is consistent with a previous report24 and with the functional connectivity results (Figs. 4 and 5).
Larger white matter volume in the SLF in individuals with higher scores on CMI test
The white matter regions where the SLF is likely running are larger in individuals with higher CMI test scores (Fig. 2a–c), suggesting that individuals with well-developed SLF are good at motor imagery (= have higher controllability of motor imagery). To date, neuroimaging studies on motor imagery have mainly focused on its functional neural correlates6. To our knowledge, the present study is the first to elucidate the brain structures characterized in individuals with higher controllability of motor imagery. We originally expected larger white matter volume where SLF I or II is likely running. However, we also found the larger volume where SLF III is likely running. SLF III most likely connects the inferior frontoparietal cortices29,30,31, and the meta-analysis of motor imagery study6 showed that involvement of the inferior frontoparietal cortices in motor imagery. Indeed, we also found imagery-related activity in the right IPL. Thus, larger white matter volume where SLF III is likely running may be reasonable.
Although the exact physiological changes underlying larger white matter volume are not fully understood, white matter changes are thought to be related to changes in the number of axons, axon diameter, packing density of fibers, axon branching, axon trajectories, and myelination40. Thus, if we may assume that the present larger white matter volume reflects SLF expansion, the larger volume in higher scorers suggests fast and rich information processing in their frontoparietal network connected by the tract. Studies have proposed that white matter tracts develop in an activity-dependent manner41,42,43. The superior frontoparietal regions connected by SLF I or II play a preferential role in spatial/motor processing (Introduction), and the inferior frontoparietal regions connected by SLF III (particularly the right side) play a dominant role in self-body-related information processing44,45. In this study, persons with sports training experiences showed higher CMI test scores than non-experienced ones (Supplementary Fig. 4), which replicates the previous report23. Sports experiences that most likely require spatial/motor and corporeal processing could be one of the factors to SLF development in general.
Imagery-related activity during the CMI task
As we hypothesized, imagery-related activity during the CMI task was identified in bilateral PMD and SPL, which are likely connected by SLF I or II (Fig. 3). This suggests the importance of this network for motor imagery, which is consistent with previous reports (Introduction). Bilateral PMD–SPL network is the core network for spatial processing, e.g., spatial imagery (mental rotation) and spatial working memory46. During the CMI task, one has to generate, manipulate, and hold one’s imaginary postures through a trial; thus, mental simulation during the CMI task requires the spatial cognitive functions. One may argue that the present PMD–SPL activity merely reflects the working memory component. However, the PMD–SPL network has been reported to become active during motor imagery tasks in which working memory component is not required33,34,37,38. We also examined if the imagery-related activity was correlated with the individual KI index. However, no regions showed significantly positive or negative correlations with the index in the entire brain, suggesting that the present PMD–SPL activity is not directly related to kinesthetic or visual aspect of motor imagery. Viewed collectively, we may assume that the PMD–SPL network can be considered the core network for (probably supramodal) mental simulation (manipulation) based on the spatial cognitive functions.
A previous functional MRI (fMRI) decoding study47 demonstrated that two types of finger movements can be classified from the preparatory activity in the PMD. If we may consider motor imagery an extended version of motor preparation process1, the present PMD activity may conceivably contain information of the movement contents to be imagined, which is essential for mental simulation of movements. On the contrary, the study47 also showed that the movements can be classified from the SPL activity only during the execution period when motor commands, efference copy, and sensory feedback are processed in the brain, suggesting that the SPL plays distinct roles (presumably state estimation48) from the PMD during motor imagery, although they are forming a functional network (see below).
Imagery-related activity was also found in the left LOC, left precuneus, and right IPL. Of these, we confirmed that the left LOC region is likely a constituent of the network connected by SLF I or II (Fig. 3a, b) as suggested previously29. In the CMI task, participants were required to imagine in first person with their eyes closed, as if they were actually performing the movement as instructed. Such first-person motor imagery is often treated as kinesthetic motor imagery; however, such imagery also contains a visual component24. The left LOC and precuneus are brain structures activated when participants mentally visualize hand movements from the first-person perspective with no actual movements49. Thus, these regions could be associated with visual motor imagery from the first-person perspective.
The imagery-related activity in the right IPL is also worth discussing (Fig. 3c). The meta-analysis6 also reported activity in this region. This region corresponds well to the region involved in proprioceptive (kinesthetic) information processing from all limbs, regardless of the left or right limb50, and to the region involved in proprioceptive (position) matching between the left and right lower limbs51. This region is a constituent of the inferior frontoparietal network connected by SLF III30 as confirmed in this study (Fig. 3c), and its activity is associated with kinesthetic awareness30. Indeed, electrical stimulation to this region elicits sensation of illusory limb movement52. Furthermore, similar region was found to become active when participants view their actions from a first-person perspective53. Thus, speculatively, the right IPL activity could be related to participant’s first-person kinesthetic and visual motor imagery, although the brain does not receive real sensory inputs during the CMI task. Another possible interpretation would be that the right IPL activity was associated with the conscious intention to generate motor imagery as electrical stimulation to this region was also reported to elicit sensation of “desire to move limbs”52,54.
Although previous studies have reported the activation of the supplementary motor area (SMA), cerebellum, basal ganglia, and other areas associated with motor imagery6, no imagery-related activities were identified in these areas in the present study. We used a count task as a control task. A previous study using a task similar to the present count task reported SMA and cerebellar activities during the task55. We also confirmed activity increases in these regions during the current count task (Supplementary Fig. 2). Although these regions are inherently involved in motor imagery, any further significant increase in activity during the CMI task was not detected in the present between-condition comparison design.
Imagery-related functional connectivity
The left PMD (area 6d3) increased the imagery-related connectivity with the left-early and higher-order visual cortices in higher scorers (Fig. 4 and Supplementary Table 3). Similarly, in higher scorers, the right area 5L increased the connectivity with the left PMD–SM1, left secondary somatosensory cortex, and bilateral higher-order visual cortices, and the right area 7A increased the connectivity with the bilateral higher-order visual cortices (Fig. 5 and Supplementary Table 3).
All higher-order visual cortices described above correspond to the EBA and FBA, which preferentially respond to visual images of body parts or the entire body56,57,58,59. Regarding other brain regions that showed enhanced functional coupling with the right area 5L, the peaks of the activity in the left secondary somatosensory cortex are located in the rostral parietal opercular region (e.g., cytoarchitectonic area OP4). This region has closer anatomical and functional connections with the premotor cortices and M160 and is proposed to be involved in sensorimotor awareness61,62. The peaks of the activity in the left PMD–SM1 are located in the cytoarchitectonic areas 6d1 and 4a, which are involved in kinesthetic processing and motor output44,63.
By contrast, no regions showed increased functional coupling with the right PMD. Similarly, the left area 5L increased the connectivity merely with the left higher-order visual cortices (not EBA and FBA), and no regions showed increased functional coupling with the left area 7A. Thus, in the brains of higher scorers (= persons with higher controllability of motor imagery), mainly the left PMD and/or the right SPL increased their functional coupling with the visual body, somatosensory, and motor/kinesthetic areas during motor imagery. These results suggest the importance of the left PMD and right SPL in motor imagery among bilateral PMD and SPL, which appears to be compatible with the report that motor imagery is compromised in patients with left-frontal and right-parietal damage25.
During the CMI test, participants with eyes closed did not actually performed the movements. Thus, the brain did not produce any actual movements nor receive any real visual and somatic inputs normally associated with actual movements. Despite this situation, the left PMD and/or right SPL of higher scorers increased their functional coupling with the visual body, somatosensory, and motor/kinesthetic areas, with no significant increase in imagery-related activity in these areas (Fig. 3 and Supplementary Table 2). Thus, higher controllability of motor imagery requires a top–down access from the left PMD and/or right SPL to these visual body, somatosensory, and motor/kinesthetic areas. Although further proof is needed, this access may create more vivid vicarious sensory experiences during motor imagery. This view appears to be compatible with the view of sensory emulation during motor imagery. The brain emulates various sensory experiences (feedback) that would be expected (predicted) if the imagined movements were actually performed by referring memories of previous enactments2,5,36,49,64,65,66.
The imagery-related connectivity between the PMD–SPL network and the above sensory and motor/kinesthetic areas correlated with the CMI test score (Figs. 4, 5), whereas the imagery-related activity in the PMD–SPL network did not correlate with the score. Thus, controllability of motor imagery appears to be more related to an increase in the functional coupling of activity between the PMD–SPL network and the above sensory and motor/kinesthetic areas, rather than an increase in the activity of the core mental simulation network of PMD and SPL per se. This suggests the importance of sensory emulation for higher controllability of motor imagery, and the hub role of the PMD–SPL network in this sensory emulation during motor imagery.
Within the right SPL, area 5L increased the functional coupling with the primary and secondary somatosensory and motor areas and with the visual body areas, whereas area 7A increased the connectivity only with the visual body areas (Fig. 5). The latter did not increase the connectivity with somatosensory and motor areas even when a lenient threshold was used (height threshold p < 0.01 uncorrected). Thus, area 5L appears to play a distinct role from area 7A. The former can play a role as a higher-order somatosensory association area, whereas the latter is mainly a higher-order visual association area, as suggested in previous studies67,68. We may further raise the possibility that functional roles may differ between the left PMD and the right SPL, i.e., the former may be preferentially involved in visual emulation49, whereas the latter was not only visual bodily but also somatosensory and kinesthetic emulation.
Finally, the functional coupling between the right area 5L and the left PMD–M1 deserves discussion, particularly in terms of the motor output (Fig. 5b,c). Motor imagery of hand movements usually increases the motor–cortical excitability of the hand muscles69,70 and generates event-related desynchronization in the SM171,72. Furthermore, mental practice with motor imagery may expand M1 hand representation73, which is a neural basis of early motor skill learning74,75. Despite these findings, robust M1 activity is not reported in most neuroimaging studies for motor imagery6, except focal activation in area 4a3,76. We also found no significant imagery-related activity in M1 (Fig. 3a). However, if we consider that the more realistically one can imagine a movement, the higher the excitability of the M1 for an agonistic muscle of the movement19, we may speculate that increased functional coupling between the right area 5L and the left PMD–M1 observed in higher scorers may affect their motor–cortical excitability during motor imagery, which should be proven in future studies which combine fMRI and transcranial magnetic stimulation for example.
Use of CMI test in sports training and post-stroke rehabilitation
Mental practice utilizing motor imagery has been widely used in sports training and post-stroke rehabilitation (see Introduction). Unlike purposeful daily actions, the series of movements imagined in the CMI test are functionally purposeless body movements, and these movements are not experienced daily. Unlike sports movements77, no persons have repeatedly practiced the series of movements imagined in the CMI test. In addition, the CMI test does not require motor imagery of a specific body part, such as the hand/fingers, but of the whole body, including arms, legs, upper body, and head/neck. Thus, the CMI test can evaluate an individual’s fundamental capability to manipulate motor imagery of the movements of multiple body parts, without being influenced by the amount of practice and experience of the movements77,78. In this sense, the CMI test may be useful in predicting the effectiveness of mental training, particularly in sports that require multiple body parts (whole body) movements such as gymnastics. In addition, the CMI test can evaluate individual motor imagery ability for each of multiple body parts (Supplementary Fig. 5b). Motor imagery of an immobile body part could be poorer in stroke patients, however, imagining the paralyzed body part would alter its body representation, as suggested by mental rotation training of foot image in patients with spinal cord injury79. This way the CMI test could be used both as assessment tool (see more in Supplementary Information) and intervention protocol.
Conclusion
The current work introduced the CMI test that can objectively evaluate an individual’s ability to manipulate one’s imaginary postures and has elucidated structural and functional features characterizing the brains of individuals with higher controllability of motor imagery. Structurally, such individuals have larger volume of frontoparietal white matter that enables fast and rich neural processing of spatial/motor and corporeal information. Functionally, in their brains, the core network of mental simulation (superior frontoparietal network of PMD–SPL), particularly the left PMD and/or the right SPL, likely has top–down access to the visual body, somatosensory, and motor/kinesthetic areas and enhances functional coupling with these for multisensory emulation (prediction). This study advanced the understanding of individual difference in motor imagery ability.
Methods
Participants
A total of 89 healthy right-handed young adults (53 men, 36 women: mean age, 22.1 ± 1.7; range, 20–29 years) participated in this study. None of them had a history of self-reported neurological, psychiatric, or motor disorders. Their handedness was confirmed using the Edinburgh handedness inventory80. All participants went through the CMI test for the first time. They first performed the CMI test outside the MRI scanner room, and their T1-weighted structural images were acquired. Of the 89 participants, 33 also participated in the fMRI experiment. However, the data obtained from five participants (see below) were excluded, and those obtained from 28 participants (15 men, mean age, 21.6 ± 1.4 years; range, 20–26 years) were analyzed. The study protocol was approved by the Ethics Committee of the National Institute of Information and Communications Technology and the MRI Safety Committee of the Center for Information and Neural Networks (CiNet; no. 2003260010). Details of the experiment were explained to each participant before the experiment, and they provided written informed consent. This study was conducted in accordance with the principles and guidelines of the Declaration of Helsinki (1975).
CMI test
We employed the CMI test originally introduced by Nishida et al. (1986) 22. The reliability and validity of this test were evaluated in this study. The reliability was also checked, as we slightly modified the original test in the present study (Supplementary Results and Supplementary Fig. 5). All participants performed 10 trials (sets of questions; Supplementary Methods). One question consisted of six consecutive verbal instructions including the basic posture. The order of the 10 trials (Nos. 1–10) was identical across all participants. After careful explanation and instruction of the CMI test (Supplementary Methods), we started the CMI test.
Each trial consisted of an imagery phase and an answer phase. Figure 1A demonstrates an example of a trial. During the imagery phase, six consecutive verbal instructions about body movements (postures) were provided. Among the instructions, the first instruction was about the basic posture, which was common across all trials. The following five instructions were related to the movements of the body parts (left or right arm, left or right leg, upper body, or head/neck), which was different across trials. An interval between each instruction was approximately 2 s, and the participants listened to the instructions recorded in a computer.
During the imagery phase, starting from the basic posture, the participants had to manipulate their imaginary postures in response to each of five instructions, as if they were actually performing the instructed movements from a first-person perspective, while they closed their eyes and were seated. Thus, during the imagery phase, they had to keep updating their imaginary postures by adding a new posture of one body part for each instruction. No actual body movements were executed, and they were prohibited from remembering the postural changes by any means other than imagery, such as words or other memory techniques.
After the final instruction, a computer-generated “stop” signal was given, and the participants were requested to stand with their eyes open and actually perform the final posture they had in their minds (answer phase)23. On the floor, we put guidelines indicating directions in 45° increments and markers indicating distances from the center (50 cm and 1 m). By referring to these indications, they were asked to accurately demonstrate the directions and locations (distances) of body parts in the final posture. In the answer phase, they were allowed to perform only the parts they could answer when they could not answer the entire posture.
The final posture was recorded by a digital video camera and judged offline for correctness. Information of the correct answer was not given to the participants during the CMI test outside of the scanner room. In the offline analysis, a score was given when the final posture (direction, location, and distance) of each body part (left or right arm, left or right leg, upper body, or head/neck) was correct (Supplementary Methods, Results, and Supplementary Fig. 6). A person who did not know the purpose of this study consistently evaluated the correctness of the final posture using the same criteria. The reliability of this person’s assessment was confirmed (Supplementary Results). In each trial, the number of body parts that were answered correctly was counted (maximum score = 6), and the average number of correct answers across the 10 trials was calculated for each participant and used as the CMI test score.
MRI experiments
Structural MRI
After the CMI test outside the scanner room, the participants entered the MRI scanner room and were placed in an MRI scanner. The head was secured with a sponge cushion and adhesive tape, and the participants wore earplugs and MRI-compatible headphones. The arms were set in a natural semi-rotated position, stretched along the body and relaxed. A T1-weighted image was acquired, with a magnetization-prepared rapid gradient echo (MP-RAGE) sequence using a 3.0-Tesla MRI scanner (Trio Tim; SIEMENS, Germany) and a 32-channel array coil for each participant. The imaging parameters were as follows: repetition time [TR], 1,900 ms; echo time [TE], 2.48 ms; flip angle, 9°; field of view, 256 × 256 mm2; matrix size, 256 × 256 pixels; slice thickness, 1.0 mm; voxel size = 1 × 1 × 1 mm3; contiguous transvers slices, 208.
fMRI
Of the 89 participants, 33 performed the following fMRI experiment. Functional images were acquired using T2*-weighted gradient echo-planar imaging (EPI), with the same scanner and coil as in the structural images. Each volume consisted of 48 slices (slice thickness, 3 mm) acquired to cover the entire brain using multiband imaging (multiband factor, 3)81. The imaging parameters were as follows: TR, 1000 ms; TE, 30 ms; flip angle, 60°; field of view, 192 × 192 mm2; matrix size, 64 × 64 pixels; voxel size, 3 × 3 × 3 mm3. In total, 212 volumes were collected per run for both CMI and count tasks.
Task procedure
Brain activity was scanned while the 33 participants performed a CMI task and a control (count) task. Each participant completed two runs (212 s for each) for each task. The time course of each run is shown in Fig. 1b. Each run comprised five task epochs, each lasting 28 s. Each epoch was separated by 12 s baseline (rest) periods. Each run also included a 12 s baseline period before the start of the first epoch.
In the CMI task (Fig. 1b), the participants performed the same imagery task as the CMI test performed outside the scanner room. Each epoch corresponded to the imagery phase of each trial in the CMI test. The first instruction about the basic posture in each epoch (during the imagery phase in each trial) was eliminated, as this was common across all trials. Even though the first instruction was eliminated, they were explicitly instructed to imagine body-part movements as per instructions from the basic posture in each epoch. In the CMI task, the order of trial was changed from the CMI test to eliminate the possible effect of participants remembering the order of the trials performed in the CMI test (Supplementary Methods). The trials (Nos. 2, 10, 8, 9, and 1) were assigned in a run in this order (run A), whereas the remaining trials (Nos. 5, 7, 6, 3, and 4) was assigned in another run (run B).
At the end of each epoch, after the final instruction was completed, a computer-generated “stop” signal was given. In the answer phase following each epoch, since the final posture cannot be performed in the scanner, we asked the participants to rate how confident they were about the accuracy of their imaginary final posture (subjective rating of confidence). They were asked to press a corresponding button with their right fingers on a four-point scale (1, not at all; 2, not very well; 3, fairly well; 4, very well) within approximately 3 s after the “stop” signal. All instructions were given audibly through MRI-compatible headphones, and the responses were recorded using an MR-compatible four-button device (Current Design Inc., Philadelphia, PA).
After each run, we asked the participants to rate the degree to which they felt that their imagery was (first-person) kinesthetic and (third-person) visual using a score from 1 (weak) to 4 (strong) for each component. For each run in each participant, we first calculated individual KI index based on (kinesthetic score – visual score) / (kinesthetic score + visual score) to evaluate the extent to which their imagery was more kinesthetic or visual. This index excludes potential individual bias in scoring (i.e., a general tendency to score higher for both sensory aspects in some participants and lower in others). A KI index greater than 0 indicated that imagery was more kinesthetic; a value smaller than 0 indicated that imagery was more visual24.
In the count task, the participants listened to the same instructions as in the CMI task in each epoch. However, they were asked not to imagine body movements. Instead, they had to count the total number of the term “right” (e.g., right arm, right leg, and rightward), which appeared during five instructions in each epoch. At the end of each epoch, after the final instruction was completed, a computer-generated “stop” signal was given. Within approximately 3 s after the “stop” signal, they had to answer the total number by pressing a corresponding button with their right fingers. Since the total number ranged from 1 to 4 across all trials, they had to press a button either from 1 to 4 on the same four-button device. Thus, in this control task, the participants must pay attention to and process the same verbal instructions; however, its associated mental process was different from the mental imagery required during the CMI task. Thus, by comparing brain activity during the CMI task with that during the counting task, one may identify brain activity associated with mental imagery (manipulation) processes (imagery-related activity).
To counterbalance the task order, we prepared a group that performed the CMI task first and a group that performed the count task first. In addition, to counterbalance the order of runs, we assigned a group that performed run A first and a group that performed run B first for both the CMI and count tasks. Eventually, four groups were arranged. Participants who made three or more errors on the correct “right” count in the count task were considered to lack concentration on the instructions and were excluded from the analysis. Participants were added until the number of participants with less than three errors reached seven in each group. Indeed, all 28 participants made no more than one error.
MRI data analysis
Structural MRI analysis: voxel-based morphometry (VBM)
Using a VBM analysis, we searched for brain regions (both white and gray matter) whose tissue volume correlated with the CMI test scores to examine the morphological features of the brains in individuals with higher ability to manipulate motor imagery.
We first visually inspected the T1-weighted structural images of all participants and confirmed the absence of observable structural abnormalities and motion artifacts. Data were then analyzed using Statistical Parametric Mapping (SPM 12, Wellcome Center for Human Neuroimaging, London, UK) running on MATLAB R2018b (Math Works, Sherborn, MA, USA). The following analysis procedures were conducted as recommended by Ashburner (2010)82 and used in our previous study83.
First, the T1-weighted structural image of each participant was segmented into gray matter, white matter, cerebrospinal fluid (CSF), and non-brain parts based on a tissue probability map provided by SPM. Through this procedure, segmented gray and white matter images were generated. These images approximated to the tissue probability map by rigid body transformation, and transformed gray matter and white matter images were generated.
Then, diffeomorphic anatomical registration through exponentiated lie algebra (DARTEL) processing was performed to generate a DARTEL template, which was later used to accurately align the segmented images across participants. In this process, the average image of the transformed gray and white matter images across all participants was defined as a template that includes the gray and white matter. A deformation field was calculated to deform the template into the transformed images of each participant, and the inverse of the deformation field was applied back to the individual images. To eventually generate a sharply defined DARTEL template, this series of operations were performed multiple times.
Thereafter, an affine transformation was applied to the DARTEL template to align it with the tissue probability map in the Montreal Neurological Institute (MNI) standard space. Then, the segmented gray and white matter images of each participant were warped nonlinearly to the DARTEL template represented in the MNI space (spatial normalization). The warped image was modulated by Jacobian determinants of the deformation field to preserve the relative gray and white matter volume, even after spatial normalization.
Finally, the modulated gray and white matter images of each participant was smoothed with a 6-mm full-width-at-half-maximum (FWHM) Gaussian kernel and resampled to a resolution of 1.5 × 1.5 × 1.5 mm voxel size.
In the group-level analysis, to identify brain regions in which the tissue volume correlated with the CMI test score, multiple regression analysis was performed for the white and gray matter. Individual CMI test scores were included as independent variables, as well as sex, age, and total brain volume (sum of the gray matter and white matter) as nuisance covariates (i.e., effects of no interest) because these factors may have a significant effect on the results of a VBM analysis84. To exclusively select truly positive white or gray matter voxels by eliminating possible noise outside the brain and increase statistical power by reducing search volumes, we generated a mask based on our present data using the SPM Masking Toolbox85. Thus, voxels outside this explicit mask were excluded from the analysis. We identified active voxels using a height threshold of p < 0.005 and an extent threshold of p < 0.05, corrected for multiple comparisons with the family-wise error rate across the entire brain. This threshold was consistently used in the subsequent functional analysis.
In the white matter region, we found a significant cluster of voxels that showed positive correlation with the CMI test score in each of the left and right hemispheres. To verify that the bilateral white matter clusters overlap with the bilateral SLF (I, II, or III), we used a simple atlas-based overlay approach30. We visualized the overlap between the white matter clusters and the tract probability maps of SLF I, II, or III using the MRIcron software (Fig. 2a–c) and calculated the volume of the overlapping regions. For this, we used tract probability maps depicting SLF I, II, or III obtained from publicly available databases (https://storage.googleapis.com/bcblabweb/open_data.html), with the threshold of 50% probability. Each tract probability map of SLF I, II, or III describes the stream of each fiber tract. However, the maps of SLF I, II, or III had overlapped sections among them in each hemisphere. Then, we calculated the overlapping volume between the white matter clusters and each of the pure SLF I, II, or III and the overlapping volume between the white matter clusters and overlapped sections among SLF I, II, and III, separately (Fig. 2d). This was a purely descriptive approach where we did not perform any statistical evaluation.
To confirm positive correlation between the parameter estimates of each cluster and CMI test scores, we extracted the parameter estimates from all voxels constituting each cluster for each participant and calculated their means for each cluster. Then, we plotted the parameter estimates against the CMI test scores across all participants for each cluster, after removing the effects of age, sex, and total brain volume. To avoid circular statistical evaluation, we simply displayed the correlation between them and its coefficient (Fig. 2e,f).
fMRI analysis
Preprocessing
To eliminate the effect of unsteady magnetization during the tasks, the first four EPI images in each run were discarded. The functional imaging data were analyzed using SPM 12 running on MATLAB R2018b.
First, we corrected for head motion caused by body movements and heartbeats during the experiment (realignment). All EPI images were aligned to the first EPI image of the first session using six degrees of freedom (translation and rotation about the X-, Y-, and X-axes) for rigid displacement. Through this realignment procedure, time series data of the head position during the scanning were obtained. To evaluate head motions, we calculated the absolute value of displacement in each frame from its previous frame (framewise displacement [FD])86. The number of frames in which FD exceeded 0.9 mm was 0 in most participants (26/28). Even in participants who had such frames, the percentage was < 1% of all 832 frames. Therefore, we excluded no data from the analysis. Then, the T1-weighted structural image of each participant was coregistered to the mean image of all realigned EPI images using affine transformation. Then, the structural and realigned EPI images were spatially normalized to the standard MNI space87. Normalization parameters for aligning the structural image with the MNI template brain were calculated using the SPM12 normalization algorithm. The same parameters were used to transform the realigned EPI images. Finally, the normalized images were spatially smoothed using a 6-mm FWHM Gaussian kernel.
Single subject analysis
We analyzed the preprocessed imaging data using a general linear model (GLM)88,89. A design matrix is prepared for each participant. The design matrix included a boxcar function for a task epoch in a run, which was convolved with the hemodynamic response function (HRF). To account for the effect of button press on brain activity, an impulse function was assigned to the timing of each button press, which was convolved with the HRF. Finally, to correct the residual motion-related variance after realignment, six realignment parameters were included in the design matrix as regressors of no interest. For each participant, a contrast image showing brain activity during the CMI task (CMI task > baseline) was created. To specify imagery-related activity, a contrast image showing greater activity during the CMI task than during the count task (CMI task > count task) was created.
Group analysis
Contrast images from all participants were entered into a second-level random-effects group analysis90. A one-sample t-test was performed for the contrast image showing imagery-related activity (CMI task > count task). An image that showed an increase in activity (height threshold p < 0.05 uncorrected) during the CMI task (CMI task > baseline) was used as an inclusive mask that does not affect statistics. By using this mask image at the liberal threshold, we ensured that observed imagery-related activation is true activity during the CMI task rather than pseudo-activation caused merely by deactivation in the count task. To identify anatomical regions of activation, we referred to the cytoarchitectonic probability maps implemented in the JuBrain Anatomy toolbox v3.091,92.
To verify that the frontoparietal activations are located in the cortical regions with which SLF I, II, or III is likely connecting, we used the same overlay approach used in the VBM analysis (Fig. 3a–c). Each tract probability map of SLF I, II, or III not only describes the stream of each fiber tract in the white matter but also its connecting cortical regions. As we did in the VBM analysis, we simply reported overlapping volume between the frontoparietal activations and cortical regions with which SLF I, II, or III is likely connecting (see above). This was again a purely descriptive approach where we did not perform any statistical evaluation.
Functional connectivity analysis
Finally, we examined brain regions where imagery-related functional coupling with a seed region changes in relation to the CMI test score across participants by conducting a generalized psychophysiological interaction analysis (gPPI)93. This analysis was performed on preprocessed fMRI data using the CONN toolbox version 21a94. Physiological noise originating from the white matter and CSF were removed using the component-based noise correction method (CompCor) in the toolbox95. A temporal band-pass filter of 0.008–0.09 Hz was applied, because we wanted to examine task-related functional connectivity change in this slower range of brain activity fluctuation below than the cardiac and respiratory cycles (0.1–1.2 Hz)96.
We prepared eight seed regions based on the peaks of the imagery-related activity in the bilateral PMD–SPL networks (Fig. 3 and Supplementary Table 2). Each seed region was defined as a spherical region of 8 mm radius centered at the peak coordinates. The 8 mm radius was selected by considering final smoothness of functional images (about 7.2 mm FWHM). In the left PMD, we prepared two seed regions in areas 6d3 (peak coordinates: x = − 26, y = − 8, z = 48) and 6d1 (peak coordinates: − 16, − 6, 70). Similarly, in the right PMD, we prepared two seed regions in areas 6d3 (peak coordinates: 24, − 6, 54) and 6d1 (peak coordinates: 20, − 8, 64). As for the SPL in each hemisphere, we prepared a seed region in each of areas 5 and 7 because the former can play a role as higher-order somatosensory association area, whereas the latter as higher-order visual association area67,68. In the left SPL, we prepared two seed regions in areas 5L (peak coordinates: − 22, − 48, 68) and 7A (peak coordinates: − 18, − 54, 60). In the right SPL, we prepared two seed regions in areas 5L (peak coordinates: 18, − 50, 60) and area 7A (peak coordinates: 14, − 62, 58). We confirmed that all peaks were in the cortical regions with which SLF I is likely connecting.
In the gPPI analysis, we used each of the eight seed regions. In each participant, the time course of the average fMRI signal across the voxels in each seed region was deconvolved using the canonical HRF (physiological variable). Then, we performed a general linear model analysis using the design matrix and included the following regressors: physiological variable, boxcar function for the task epoch (psychological variable), and multiplication of the physiological variable and the psychological variable (PPI). These variables were convolved with a canonical HRF. Six realignment parameters were also included in the design matrix as regressors of no interest.
In each task, we first generated an image of voxels showing to what extent their activities changed with the PPI regressor of each seed region in each participant. Then, we generated a contrast image (CMI task > count task) that shows imagery-related connectivity change for each participant. We used this individual image in the second-level group analysis, in which we examined brain regions where imagery-related connectivity changes in relation to the CMI test score across participants. In this analysis, individual CMI scores were included in the design matrix as independent variables. The task and run orders were also included as nuisance covariates, to exclude the possibility that these factors affect the results since these orders were counterbalanced across participants.
We examined significant clusters throughout the brain (Figs. 4b, 5b). When a significant cluster was identified, we confirmed positive correlation between the parameter estimates of each cluster and the CMI test scores. We extracted the parameter estimate of the imagery-related connectivity from all voxels constituting each cluster for each participant, and calculated the mean of them for each cluster. We then plotted the parameter estimates against the CMI test scores across all participants for each cluster. To avoid circular statistical evaluation, we simply displayed the correlation between them and its coefficient (Figs. 4c,d, 5c–i).
Data availability
The data that support the findings of this study are available from the corresponding author upon reasonable request.
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Acknowledgements
This study was supported by JSPS KAKENHI Grant Nos. JP19H05723, JP23H03706, and JP23K17453 for EN and JSPS KAKENHI Grant No. JP20H04492 for TM. The funding sources were not involved in the study design; collection, analysis, interpretation of data; writing of the report; or the decision to submit the article for publication. The authors are grateful to Dr Tsuyoshi Ikegami, Dr Jihoon Park, and Dr Hideki Nakano for their valuable comments on this work. They also thank CiNet MRI staff for their support, Ms Keiko Ueyama for the illustration, and Mr Susumu Minamiyama for helping with the data analysis.
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Furuta, T., Morita, T., Miura, G. et al. Structural and functional features characterizing the brains of individuals with higher controllability of motor imagery. Sci Rep 14, 17243 (2024). https://doi.org/10.1038/s41598-024-68425-4
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DOI: https://doi.org/10.1038/s41598-024-68425-4