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Volume 17, Number 24,
Issue of December 15, 1997
pp. 9667-9674
Role of the Supplementary Motor Area and the Right Premotor
Cortex in the Coordination of Bimanual Finger Movements
Received May 14, 1997; revised Sept. 24, 1997; accepted Sept. 26, 1997.
Norihiro Sadato1,
Yoshiharu Yonekura1,
Atsuo Waki1,
Hiroki Yamada2, and
Yasushi Ishii1, 2
1 Biomedical Imaging Research Center and
2 Department of Radiology, Fukui Medical School, Fukui,
910-11 Japan
To obtain a better understanding of the cortical
representation of bimanual coordination, we measured regional cerebral
blood flow (rCBF) with 15O-labeled water and positron
emission tomography (PET). To detect areas with changes of rCBF during
bimanual finger movements of different characteristics, we studied 12 right-handed normal volunteers. A complete session consisted of three
rest scans and six scans with acoustically paced (1 Hz) bimanual,
mirror, or parallel sequential finger movements. Activation of the
right dorsal premotor area (PMd) extending to the posterior
supplementary motor area (SMA) was significantly stronger during the
parallel movements than during the mirror sequential movements
(p < 0.05, at cluster level with correction
for multiple comparisons). To determine whether these cortical areas
truly represented bimanual coordination, a different group of nine
normal volunteers was studied with a different task. Subjects performed
acoustically paced (2 Hz) abduction-adduction movements of the index
finger, making right only, left only, and bimanual mirror and parallel
movements. Activation of the posterior SMA and right PMd was
significantly greater during the parallel movements than during the
bimanual mirror movements or the unimanual movements of either hand
(p < 0.01, with anatomical constraint). Thus, the posterior SMA and right PMd appear to be related to the
bimanual coordination of finger movements.
Key words:
regional cerebral blood flow;
sequential finger
movements;
positron emission tomography;
supplementary motor area;
premotor cortex;
bimanual coordination
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