Representation of multiple body parts in the missing-hand territory of congenital one-handers

Individuals born without one hand (congenital one-handers) provide a unique model for understanding the relationship between focal reorganization in the sensorimotor cortex and everyday behavior. We previously reported that the missing hand's territory of one-handers becomes utilized by its cor...

Full description

Bibliographic Details
Main Authors: Hahamy, A, Macdonald, SN, van den Heiligenberg, F, Kieliba, P, Emir, U, Malach, R, Johansen-Berg, H, Brugger, P, Culham, JC, Makin, TR
Format: Journal article
Language:English
Published: Cell Press 2017
_version_ 1826285762517139456
author Hahamy, A
Macdonald, SN
van den Heiligenberg, F
Kieliba, P
Emir, U
Malach, R
Johansen-Berg, H
Brugger, P
Culham, JC
Makin, TR
author_facet Hahamy, A
Macdonald, SN
van den Heiligenberg, F
Kieliba, P
Emir, U
Malach, R
Johansen-Berg, H
Brugger, P
Culham, JC
Makin, TR
author_sort Hahamy, A
collection OXFORD
description Individuals born without one hand (congenital one-handers) provide a unique model for understanding the relationship between focal reorganization in the sensorimotor cortex and everyday behavior. We previously reported that the missing hand's territory of one-handers becomes utilized by its cortical neighbor (residual arm representation), depending on residual arm usage in daily life to substitute for the missing hand's function [1, 2]. However, the repertoire of compensatory behaviors may involve utilization of other body parts that do not cortically neighbor the hand territory. Accordingly, the pattern of brain reorganization may be more extensive [3]. Here we studied unconstrained compensatory strategies under ecological conditions in one-handers, as well as changes in activation, connectivity, and neurochemical profile in their missing hand's cortical territory. We found that compensatory behaviors in one-handers involved multiple body parts (residual arm, lips, and feet). This diversified compensatory profile was associated with large-scale cortical reorganization, regardless of cortical proximity to the hand territory. Representations of those body parts used to substitute hand function all mapped onto the cortical territory of the missing hand, as evidenced by task-based and resting-state fMRI. The missing-hand territory also exhibited reduced GABA levels, suggesting a reduction in connectional selectivity to enable the expression of diverse cortical inputs. Because the same body parts used for compensatory purposes are those showing increased representation in the missing hand's territory, we suggest that the typical hand territory may not necessarily represent the hand per se, but rather any other body part that shares the functionality of the missing hand [4].
first_indexed 2024-03-07T01:33:41Z
format Journal article
id oxford-uuid:946d882e-4b49-46ec-a859-2c8b10cc276d
institution University of Oxford
language English
last_indexed 2024-03-07T01:33:41Z
publishDate 2017
publisher Cell Press
record_format dspace
spelling oxford-uuid:946d882e-4b49-46ec-a859-2c8b10cc276d2022-03-26T23:39:27ZRepresentation of multiple body parts in the missing-hand territory of congenital one-handersJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:946d882e-4b49-46ec-a859-2c8b10cc276dEnglishSymplectic Elements at OxfordCell Press2017Hahamy, AMacdonald, SNvan den Heiligenberg, FKieliba, PEmir, UMalach, RJohansen-Berg, HBrugger, PCulham, JCMakin, TRIndividuals born without one hand (congenital one-handers) provide a unique model for understanding the relationship between focal reorganization in the sensorimotor cortex and everyday behavior. We previously reported that the missing hand's territory of one-handers becomes utilized by its cortical neighbor (residual arm representation), depending on residual arm usage in daily life to substitute for the missing hand's function [1, 2]. However, the repertoire of compensatory behaviors may involve utilization of other body parts that do not cortically neighbor the hand territory. Accordingly, the pattern of brain reorganization may be more extensive [3]. Here we studied unconstrained compensatory strategies under ecological conditions in one-handers, as well as changes in activation, connectivity, and neurochemical profile in their missing hand's cortical territory. We found that compensatory behaviors in one-handers involved multiple body parts (residual arm, lips, and feet). This diversified compensatory profile was associated with large-scale cortical reorganization, regardless of cortical proximity to the hand territory. Representations of those body parts used to substitute hand function all mapped onto the cortical territory of the missing hand, as evidenced by task-based and resting-state fMRI. The missing-hand territory also exhibited reduced GABA levels, suggesting a reduction in connectional selectivity to enable the expression of diverse cortical inputs. Because the same body parts used for compensatory purposes are those showing increased representation in the missing hand's territory, we suggest that the typical hand territory may not necessarily represent the hand per se, but rather any other body part that shares the functionality of the missing hand [4].
spellingShingle Hahamy, A
Macdonald, SN
van den Heiligenberg, F
Kieliba, P
Emir, U
Malach, R
Johansen-Berg, H
Brugger, P
Culham, JC
Makin, TR
Representation of multiple body parts in the missing-hand territory of congenital one-handers
title Representation of multiple body parts in the missing-hand territory of congenital one-handers
title_full Representation of multiple body parts in the missing-hand territory of congenital one-handers
title_fullStr Representation of multiple body parts in the missing-hand territory of congenital one-handers
title_full_unstemmed Representation of multiple body parts in the missing-hand territory of congenital one-handers
title_short Representation of multiple body parts in the missing-hand territory of congenital one-handers
title_sort representation of multiple body parts in the missing hand territory of congenital one handers
work_keys_str_mv AT hahamya representationofmultiplebodypartsinthemissinghandterritoryofcongenitalonehanders
AT macdonaldsn representationofmultiplebodypartsinthemissinghandterritoryofcongenitalonehanders
AT vandenheiligenbergf representationofmultiplebodypartsinthemissinghandterritoryofcongenitalonehanders
AT kielibap representationofmultiplebodypartsinthemissinghandterritoryofcongenitalonehanders
AT emiru representationofmultiplebodypartsinthemissinghandterritoryofcongenitalonehanders
AT malachr representationofmultiplebodypartsinthemissinghandterritoryofcongenitalonehanders
AT johansenbergh representationofmultiplebodypartsinthemissinghandterritoryofcongenitalonehanders
AT bruggerp representationofmultiplebodypartsinthemissinghandterritoryofcongenitalonehanders
AT culhamjc representationofmultiplebodypartsinthemissinghandterritoryofcongenitalonehanders
AT makintr representationofmultiplebodypartsinthemissinghandterritoryofcongenitalonehanders