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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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