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| ID | Type | Description | Link |
|---|---|---|---|
| 2017-A00942-51 | Other Identifier | ID-RCB |
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This research aims to highlight the key roles of the cerebellar and cortical fronto-parietal networks in the coupling of eye movements with visual perception and visuo-spatial attention.
The first axe of this research focuses on the role of the cerebellum which has a major contribution to sensorimotor adaptation and more precisely in saccadic adaptation but the nature of this contribution is still debated. A classical assumption stipulates cerebellum has an exclusive action on saccadic burst generator in the brainstem whereas recent data increasingly support the view that cerebellum could also modulates cerebral cortex through a cerebello-thalamo-cortical pathway. On the other hand, several studies have shown that modification of saccade amplitude by saccadic adaptation leads to a distortion of the visual localization of briefly flashed spatial probes but no study to date has tested, the contribution of the cerebellum in these adaptation-induced mislocalizations. The main objective of this axe is to define the role of the cerebellum not only in saccadic adaptation, but also in mislocalizations which occur after adaptation. Moreover, in testing this assumption, arguments in favour -or in disfavor- of the action of the cerebellum on cortical stages dedicated to visuo-spatial perceptual processing will be provided. Besides, variability of cerebellar lesion (or cerebellar dysfunction) location in patients can lead to different pattern in saccadic adaptation and localization task performances. Identification of dissociations between these two abilities in some patients will define more precisely the role of the cerebellum in the coupling between saccadic adaptation and visuo spatial perception as an oculomotor plasticity territory and / or as a territory underlying the error signal coding generating this type of plasticity.
This second axe of this research aims to apply basic findings in healthy subject on the coupling between oculomotor plasticity and spatial attention to patients with parietal lesion, in order to evaluate a rehabilitation procedure for neglect patients. Habchi and colleagues showed that the adaptation of reactive saccades in the left hemifield has a boosting effect on attentional performance in the same hemifield. The coupling between these two mechanisms highlighted in healthy subjects can be used as fundamentals in the elaboration of a rehabilitation procedure for attentional disorders in the neglect syndrome. This syndrome is mainly observed after cerebral lesions in the right hemisphere, and is characterized by very disabling cognitive disorders such as an alteration of the spatial representation of left hemi-space and/or left hemi-body. stimulation of sensorimotor plasticity thanks to prismatic adaptation could be used as a rehabilitation procedure for this syndrome. Being another efficient way to stimulate sensorimotor plasticity, the equip believe that saccadic adaptation can also be used as a rehabilitation procedure for neglect patients. Moreover, due to its tight coupling with visual attention, the benefits of saccadic adaptation could be even stronger and longer lasting than the visuo-manual plasticity induced by prismatic adaptation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FORWARD (Axe 1) | Experimental |
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| BACKWARD (Axe 1) | Experimental |
| |
| CONTROL (Axe 1) | Experimental |
| |
| ADAPTATION (Axe 2) | Experimental |
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| CONTROL (Axe 2) | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Forward adaptation of reactive saccades | Behavioral | Protocol of reactive saccade where the target is displaced in the same direction as the saccade in order to induce an adaptive increase of saccade amplitude ('forward adaptation') |
| Measure | Description | Time Frame |
|---|---|---|
| Saccadic adaptation efficiency | 〖Adaptation〗_rate= (〖Amplitude 〗_post-〖Amplitude 〗_pre)/〖Amplitude 〗_pre | At time of each experimental session, up to 2 months, since first experimental visit until last visit |
| Measure | Description | Time Frame |
|---|---|---|
| Evolution of localization-task performances | 〖Improvement〗_performances= (〖Mislocalization 〗_post-〖Mislocalization 〗_pre)/〖Mislocalization 〗_pre | At time of each experimental session, up to 2 months, since first experimental visit until last visit |
| Evolution of attentional performances assessed by neuropsychological tests of neglect |
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Inclusion Criteria:
Inclusion Criteria, specific to Axe 1:
Cerebellar patients - Cerebellar degenerative disease (group A) or stroke (group B, délai depuis l'AVC : delay from the stroke : at least 1 month)
Healthy subjects
Inclusion Criteria, specific to Axe 2:
Stroke patients - ischemic or hemorrhagic stroke
Exclusion Criteria:
Exclusion Criteria, specific to Axe 1:
• Cerebellar patients
- Disorders prohibiting the correct performance of the task (tremor, ocular instability)
Exclusion Criteria, specific to Axe 2:
• Stroke patients
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| Name | Affiliation | Role |
|---|---|---|
| Caroline Tilikete, MD | Hospices Civils de Lyon | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospices Civils de Lyon | Bron | 69500 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34979550 | Result | Cheviet A, Masselink J, Koun E, Salemme R, Lappe M, Froment-Tilikete C, Pelisson D. Cerebellar signals drive motor adjustments and visual perceptual changes during forward and backward adaptation of reactive saccades. Cereb Cortex. 2022 Sep 4;32(18):3896-3916. doi: 10.1093/cercor/bhab455. |
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| ID | Term |
|---|---|
| D002526 | Cerebellar Diseases |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| Backward adaptation of reactive saccades | Behavioral | Protocol of reactive saccade where the target is displaced in a direction opposite to the saccade in order to induce an adaptive decrease of saccade amplitude ('backward adaptation') |
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| Execution of reactive saccades | Behavioral | Control protocol of reactive saccade with no displacement of the saccadic target (controlling for non specific factors possibly involved in forward and backward adaptation conditions) |
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| Generation of reactive saccades | Behavioral | Control protocol of reactive saccade with no displacement of the saccadic target (controlling for non specific factors possibly involved in adaptation condition) |
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〖Improvement〗_performances= (〖Score 〗_post-〖Score〗_pre)/〖Score〗_pre |
| At time of each experimental session, up to 2 months, since first experimental visit until last visit |