Frontal brain lesions affect the use of advance information during response planning

This study examined the nature of the response programming deficit after frontal cortex lesions through the effects of advance information on sequence initiation time. Nine patients with unilateral frontal lesions, 9 patients with temporal lesions, and 9 controls performed a sequential key-press task involving 4 rapid choice responses to a 4-letter stimulus. Three conditions manipulated the number of responses that subjects knew in advance. The frontal group showed slow initiation times in all conditions. Knowing the first response produced an acceleration of initiation time in all 3 groups. However, knowing 3 responses in advance instead of 1 further accelerated initiation time in the control and temporal groups but not in the frontal group. These results indicate that frontal lesions impair the use of multiple representations during programming. This suggests that the attentional control of response selection is an important element of the response planning deficit.