BackgroundThe Box and Block Test (BBT) is a functional outcome measure that is commonly used across multiple clinical populations due to its benefits of ease and speed of implementation; reliable, objective measurement; and repetition of motion. In this study, we introduce a novel outcome measure called the targeted BBT that allows for the study of initiation, grasping, and transport of objects, and also of object release. These modifications to the existing test may increase the ecological validity of the measure while still retaining the previously stated benefits of the standard BBT.Methods19 able-bodied subjects performed the targeted BBT and two other standard tests. Using an integrated movement analysis framework based on motion capture and ground force data, quantitative information about how subjects completed these tests were captured. Kinematic parameters at the wrist, elbow, shoulder, thorax, and head, as well as measures of postural control, were calculated and statistically compared across the three tests.ResultsIn general, the targeted BBT required significantly higher RoM at the elbow, shoulder, thorax and head when compared to standard tests. Peak angles at these joints were also higher during performance of the targeted BBT. Peak angles and RoM values for the targeted BBT were close to those found in studies of movements of able-bodied individuals performing activities of daily living.ConclusionThe targeted BBT allows analysis of repetitive movements, and may more closely model common real-world object manipulation scenarios in which a user is required to control a movement from pick-up to release.

Complex representations in sensory cortices rely on the integration of inputs that overlap temporally and spatially, particularly in supragranular layers, yet the spatiotemporal dynamics of this synaptic integration are largely unknown. The rodent somatosensory system offers an excellent opportunity to study these dynamics because of the overlapping functional representations of single-whisker inputs. We recorded responses in mouse primary somatosensory (barrel) cortex to single and paired whisker deflections using high-speed voltage-sensitive dye imaging. Responses to paired deflections at intervals of 0 and 10 ms summed sublinearly, producing a single transient smaller in amplitude than the sum of the component responses. At longer intervals of 50 and 100 ms, the response to the second deflection was reduced in amplitude and limited spatially relative to control. Between 100 and 200 ms, the response to the second deflection recovered and often showed areas of facilitation. With increasing interstimulus interval from 50 to 200 ms, recovery of the second response occurred from the second stimulated whisker’s barrel column outward. In contrast to results with paired-whisker stimulation, when a whisker deflection was preceded by a weak electrical stimulus applied to the neighboring cortex, the summation of evoked responses was predominantly linear at all intervals tested. Thus under our conditions, the linearity of response summation in cortex was not predicted by the amplitudes of the component responses on a column-by-column basis, but rather by the timing and nature of the inputs.

Sensory responses in neocortex are strongly modulated by changes in brain state, such as those observed between sleep stages or attentional levels. However, the specific effects of network state changes on the spatiotemporal properties of sensory responses are poorly understood. The slow oscillation, which is observed in neocortex under ketamine-xylazine anesthesia and is characterized by alternating depolarizing (up-states) and hyperpolarizing (down-states) phases, provides an opportunity to study the state-dependence of primary sensory responses in large networks. Here we used voltage sensitive dye (VSD) imaging to record the spatiotemporal properties of sensory responses and local field potential (LFP) and multiunit activity (MUA) recordings to monitor the ongoing brain state in which the sensory responses occurred. Despite a rich variability of slow oscillation patterns, sensory responses showed a consistent relationship with the ongoing oscillation and triggered a new up-state only after the termination of the refractory period that followed the preceding oscillatory cycle. We show that spatiotemporal properties of whisker-evoked responses are highly dependent on their timing with regard to the ongoing oscillation. In both the up- and down-states, responses spread across large portions of the barrel field, although the up-state responses were reduced in total area due to their sparseness. The depolarizing response in the up-state showed a tendency to propagate along the rows, with an amplitude and slope favoring the higher-numbered arcs. In the up-state, but not in the down-state, the depolarizing response was followed by a hyperpolarizing wave with a consistent spatial structure. We measured the suppression of whisker-evoked responses by a preceding response at 100 ms, and found that suppression showed the same spatial asymmetry as the depolarization. Because the resting level of cells in the up-state is likely to be closer to that in the awake animal, we suggest that the polarities in signal propagation which we observed in the up-state could be used as computational mechanisms in the behaving animal. These results demonstrate the critical importance of ongoing network activity on the dynamics of sensory responses and their integration.