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Updated: Jun 8, 2026

Corticospinal Excitability Modulation During Action Observation
Published on: December 31, 2013
Neuronal mechanism of mirror movements caused by dysfunction of the motor cortex
Fumiharu Tsuboi1, Yukio Nishimura, Kimika Yoshino-Saito
1Department of Developmental Physiology, National Institute for Physiological Sciences, Myodaiji, Okazaki, Aichi, Japan.
Abstract:
Mirror movements (MMs) are often observed in hemiplegic patients after stroke, and are supposed to reflect some aspects of their recovery process. Therefore, understanding the neuronal mechanism of MMs is important, but from the currently available evidence in human case studies, the mechanism of MMs has not been clearly understood. Here we found that in monkeys, after reversible inactivation of the right primary motor cortex (M1) by microinjection of muscimol, MMs were induced in the right hand during voluntary grasping with the left hand, which were partially affected by the injection. Using this animal model, we investigated the origin of MMs after dysfunction of the M1. We found the MMs thus induced were completely abolished by additional blockade of the left M1. Electromyogram (EMG) activities in some homonymous muscle pairs in bilateral hands were co-activated. Detailed analysis of EMG activities suggested that the enhanced activation of the left M1, which led to MMs in the right hand, was not directly driven by the activity of the right M1, whose activity was likely to be affected by the injection. Rather, the present finding has suggested that common drive of bilateral M1 from higher-order structures and reduction in commissural inhibition from the affected side concomitantly enhanced the activity of the cortico-motoneuronal pathway of the intact side, and led to the MMs.
Insights
Mirror movements (MMs) in stroke patients may indicate recovery. This study in monkeys suggests MMs result from altered brain signals between motor cortices, not just damage to one side.
Area of Science:
- Neuroscience
- Motor Control
- Neurorehabilitation
Background:
- Mirror movements (MMs) are involuntary movements in one limb mirroring voluntary movements in the contralateral limb, often seen in hemiplegic stroke patients.
- The underlying neuronal mechanisms of MMs post-stroke are not fully understood, hindering targeted rehabilitation strategies.
Purpose of the Study:
- To investigate the neuronal origins of mirror movements following primary motor cortex (M1) dysfunction using an animal model.
- To elucidate the neural pathways involved in the generation of MMs after stroke-like injury.
Main Methods:
- Reversible inactivation of the right primary motor cortex (M1) in monkeys using muscimol.
- Induction and analysis of mirror movements during voluntary grasping tasks.
- Electromyogram (EMG) recordings to assess muscle activation patterns.
- Pharmacological blockade of the left M1 to determine its role in MMs.
Main Results:
- Inactivation of the right M1 induced mirror movements in the right hand during left-hand grasping.
- Subsequent blockade of the left M1 completely abolished the induced mirror movements.
- EMG analysis revealed co-activation of homologous muscles in both hands, suggesting bilateral M1 involvement.
- Findings indicate MMs are driven by enhanced bilateral M1 activation from higher centers and reduced interhemispheric inhibition.
Conclusions:
- Mirror movements after M1 dysfunction are not solely due to the affected hemisphere's damage.
- The intact hemisphere's motor cortex plays a crucial role in generating MMs, influenced by descending drives and interhemispheric communication.
- Understanding these mechanisms can inform neurorehabilitation approaches for post-stroke motor deficits.
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