A. S. Monaghan, P. G. Monaghan, T. N. Takla, N. E. Fritz
Gait impairment and falls are common in multiple sclerosis (MS), yet the neural substrates contributing to mobility decline remain poorly understood. While prior studies have linked regional gray matter atrophy to motor outcomes, the role of diffuse cortical changes in complex gait tasks, such as backward walking, is less clear. This study examined whether diffuse cortical thinning is associated with forward and backward walking speed, and whether these relationships differ between fallers and nonfallers in MS. Forty-three individuals with MS (55 ± 10 years; 65% female) completed forward and backward Timed 25-Foot Walk assessments and high-resolution structural MRI. Cortical thickness and gray matter volume were estimated. Region-specific associations with gait speed were examined using regression with false discovery rate (FDR) correction. Principal component analysis revealed a global cortical thinning component that was associated with slower forward (β = −0.065, adjusted R2 = 0.14) and backward (β = −0.061, adjusted R2 = 0.19) walking speeds. In contrast, volumetric components did not significantly predict gait. Fallers and nonfallers did not differ in gait speed or cortical thinning, but exploratory moderation suggested stronger cortical thinning–gait associations in fallers, although effects did not remain significant after FDR correction. These preliminary findings suggest that diffuse cortical thinning is a consistent neural correlate of gait slowing in MS, with exploratory evidence suggesting that this relationship may be stronger among individuals with recent falls.
{"title":"Global Cortical Thinning Predicts Slower Forward and Backward Walking in Multiple Sclerosis","authors":"A. S. Monaghan, P. G. Monaghan, T. N. Takla, N. E. Fritz","doi":"10.1111/ejn.70412","DOIUrl":"10.1111/ejn.70412","url":null,"abstract":"<p>Gait impairment and falls are common in multiple sclerosis (MS), yet the neural substrates contributing to mobility decline remain poorly understood. While prior studies have linked regional gray matter atrophy to motor outcomes, the role of diffuse cortical changes in complex gait tasks, such as backward walking, is less clear. This study examined whether diffuse cortical thinning is associated with forward and backward walking speed, and whether these relationships differ between fallers and nonfallers in MS. Forty-three individuals with MS (55 ± 10 years; 65% female) completed forward and backward Timed 25-Foot Walk assessments and high-resolution structural MRI. Cortical thickness and gray matter volume were estimated. Region-specific associations with gait speed were examined using regression with false discovery rate (FDR) correction. Principal component analysis revealed a global cortical thinning component that was associated with slower forward (<i>β</i> = −0.065, adjusted <i>R</i><sup>2</sup> = 0.14) and backward (<i>β</i> = −0.061, adjusted <i>R</i><sup>2</sup> = 0.19) walking speeds. In contrast, volumetric components did not significantly predict gait. Fallers and nonfallers did not differ in gait speed or cortical thinning, but exploratory moderation suggested stronger cortical thinning–gait associations in fallers, although effects did not remain significant after FDR correction. These preliminary findings suggest that diffuse cortical thinning is a consistent neural correlate of gait slowing in MS, with exploratory evidence suggesting that this relationship may be stronger among individuals with recent falls.</p>","PeriodicalId":11993,"journal":{"name":"European Journal of Neuroscience","volume":"63 2","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12823345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146017881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We live in an auditory world; we perceive and memorize sounds even before birth. Here, I have reviewed findings on the effects of implicit and explicit learning on auditory neurocognition. These findings, investigated in the mismatch negativity (MMN) paradigm, indicate that both implicit and explicit auditory expertise can modulate the neural encoding of sounds at the preattentive level of human cognition. This modulation is reflected in the MMN parameters latency and amplitude and its generators. Thus, studies on MMN can illustrate various forms of human auditory learning during development and learning across the entire lifespan.
{"title":"Music and Language in the Human Brain: Mismatch Negativity Evidence for Their Neuroplasticity and Interplay","authors":"Mari Tervaniemi","doi":"10.1111/ejn.70399","DOIUrl":"10.1111/ejn.70399","url":null,"abstract":"<p>We live in an auditory world; we perceive and memorize sounds even before birth. Here, I have reviewed findings on the effects of implicit and explicit learning on auditory neurocognition. These findings, investigated in the mismatch negativity (MMN) paradigm, indicate that both implicit and explicit auditory expertise can modulate the neural encoding of sounds at the preattentive level of human cognition. This modulation is reflected in the MMN parameters latency and amplitude and its generators. Thus, studies on MMN can illustrate various forms of human auditory learning during development and learning across the entire lifespan.</p>","PeriodicalId":11993,"journal":{"name":"European Journal of Neuroscience","volume":"63 2","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146009392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Simon Hanzal, Gemma Learmonth, Gregor Thut, Monika Harvey
Reduced vigilance can be captured as attentional lapses in sustained attention tasks, but just how these lapses relate to task-induced fatigue and motivation to maintain optimal performance across the age span is unclear. We induced fatigue in 18 young (mean age = 22.6 years) and 16 older participants (mean age = 66.5) using the Sustained Attention to Response Task while simultaneously recording electroencephalography (EEG). In the final block, we manipulated motivation levels in half of the participants by offering a financial incentive for best overall performance. We found that the young and older adults differed markedly in their response strategies from the outset (adopting distinct speed-accuracy trade-off strategies) with faster/more erroneous responses in the young adults and slower/more accurate responses in the older participants that remained stable over the experiment, while subjective fatigue increased irrespective of group. Poststimulus EEG activity showed two distinguishable beta signatures: a fronto-central topography as a marker of the age-specific response strategy and a fronto-parietal signal modulated by motivation per se. We speculate that these two signatures contribute to offsetting performance declines over time. Finally, although subjective fatigue or mind-wandering scores and prestimulus alpha power increased with time-on-task, we did not identify a correlation between these measures. Hence, strategy and motivation more than fatigue were associated with performance differences across age in a sustained attention task, reflected in decoupled beta signatures.
{"title":"Strategy and Motivation, Rather Than Fatigue, Drive Age-Related Differences in Sustained Attention Performance: Evidence for Decoupled Beta-Band Oscillations","authors":"Simon Hanzal, Gemma Learmonth, Gregor Thut, Monika Harvey","doi":"10.1111/ejn.70402","DOIUrl":"10.1111/ejn.70402","url":null,"abstract":"<p>Reduced vigilance can be captured as attentional lapses in sustained attention tasks, but just how these lapses relate to task-induced fatigue and motivation to maintain optimal performance across the age span is unclear. We induced fatigue in 18 young (mean age = 22.6 years) and 16 older participants (mean age = 66.5) using the Sustained Attention to Response Task while simultaneously recording electroencephalography (EEG). In the final block, we manipulated motivation levels in half of the participants by offering a financial incentive for best overall performance. We found that the young and older adults differed markedly in their response strategies from the outset (adopting distinct speed-accuracy trade-off strategies) with faster/more erroneous responses in the young adults and slower/more accurate responses in the older participants that remained stable over the experiment, while subjective fatigue increased irrespective of group. Poststimulus EEG activity showed two distinguishable beta signatures: a fronto-central topography as a marker of the age-specific response strategy and a fronto-parietal signal modulated by motivation per se. We speculate that these two signatures contribute to offsetting performance declines over time. Finally, although subjective fatigue or mind-wandering scores and prestimulus alpha power increased with time-on-task, we did not identify a correlation between these measures. Hence, strategy and motivation more than fatigue were associated with performance differences across age in a sustained attention task, reflected in decoupled beta signatures.</p>","PeriodicalId":11993,"journal":{"name":"European Journal of Neuroscience","volume":"63 2","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146009334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cindel Albers, Anat Mirelman, Laura Avanzino, Bastiaan R. Bloem, Alessandro Botta, Joris van der Cruijsen, Elsa de Lange, Inbal Maidan, Alice Nieuwboer, Elisa Pelosin, Anouk Tosserams, Vivian Weerdesteyn, Moran Gilat, Jorik Nonnekes
Gait impairments impact independence and quality of life of persons with Parkinson's disease (PD). The application of external and internal cueing strategies can improve gait, but not every person benefits equally from the same strategy. It remains unclear (i) which patient characteristics mediate cueing efficacy, (ii) how cueing efficacy changes over time, (iii) which patient characteristics are associated with long-term compliance, and (iv) what the neural correlates of cueing are. The UNITE-PD study is a collaboration between the Radboud University Medical Center (NLD), KU Leuven (BEL), Tel Aviv Sourasky Medical Center (ISR), and IRCCS Policlinico San Martino (ITA). The study consists of a joint prospective cohort project and four site-specific projects. We here describe the joint project, with the site-specific projects included as supplementary materials. All participants undergo a baseline assessment, consisting of extensive clinical testing and an objective gait assessment with and without external and internal cueing. Responders and non-responders to the strategy will be followed for 6 months. Responders will be instructed to apply the effective cueing strategies, as much as possible in daily life using a mobile cueing application which tracks compliance. At 6 months post-baseline, responders and non-responders return to the lab, during which the baseline protocol will be repeated to quantify the change in efficacy of the cueing strategies over time. The UNITE-PD study will identify the relationship between patient characteristics, cueing efficacy, compliance, and the underlying mechanisms of cueing. This knowledge will help refine personalized rehabilitation and identify new avenues for neuroscientific inquiry in this domain.
步态障碍影响帕金森病患者(PD)的独立性和生活质量。外部和内部提示策略的应用可以改善步态,但并不是每个人都能从相同的策略中受益。目前尚不清楚(i)哪些患者特征介导了线索疗效,(ii)线索疗效如何随时间变化,(iii)哪些患者特征与长期依从性相关,以及(iv)线索的神经相关性是什么。联合pd研究是内梅亨大学医学中心(NLD)、鲁汶大学(BEL)、特拉维夫苏拉斯基医学中心(ISR)和IRCCS Policlinico San Martino (ITA)之间的合作。该研究包括一个联合前瞻性队列项目和四个特定地点的项目。我们在此描述联合项目,并将具体项目作为补充材料。所有参与者都接受基线评估,包括广泛的临床测试和客观的步态评估,有和没有外部和内部线索。对该策略有反应和无反应者将随访6个月。应答者将被指示应用有效的提示策略,尽可能在日常生活中使用跟踪依从性的移动提示应用程序。在基线后6个月,应答者和无应答者返回实验室,在此期间将重复基线方案,以量化提示策略随时间的有效性变化。UNITE-PD研究将确定患者特征、提示疗效、依从性和提示的潜在机制之间的关系。这些知识将有助于完善个性化康复,并为这一领域的神经科学研究确定新的途径。
{"title":"Understanding Cueing Strategies for Gait Impairments in Parkinson's Disease: Protocol of the Multicenter UNITE-PD Study","authors":"Cindel Albers, Anat Mirelman, Laura Avanzino, Bastiaan R. Bloem, Alessandro Botta, Joris van der Cruijsen, Elsa de Lange, Inbal Maidan, Alice Nieuwboer, Elisa Pelosin, Anouk Tosserams, Vivian Weerdesteyn, Moran Gilat, Jorik Nonnekes","doi":"10.1111/ejn.70382","DOIUrl":"10.1111/ejn.70382","url":null,"abstract":"<p>Gait impairments impact independence and quality of life of persons with Parkinson's disease (PD). The application of external and internal cueing strategies can improve gait, but not every person benefits equally from the same strategy. It remains unclear (i) which patient characteristics mediate cueing efficacy, (ii) how cueing efficacy changes over time, (iii) which patient characteristics are associated with long-term compliance, and (iv) what the neural correlates of cueing are. The UNITE-PD study is a collaboration between the Radboud University Medical Center (NLD), KU Leuven (BEL), Tel Aviv Sourasky Medical Center (ISR), and IRCCS Policlinico San Martino (ITA). The study consists of a joint prospective cohort project and four site-specific projects. We here describe the joint project, with the site-specific projects included as supplementary materials. All participants undergo a baseline assessment, consisting of extensive clinical testing and an objective gait assessment with and without external and internal cueing. Responders and non-responders to the strategy will be followed for 6 months. Responders will be instructed to apply the effective cueing strategies, as much as possible in daily life using a mobile cueing application which tracks compliance. At 6 months post-baseline, responders and non-responders return to the lab, during which the baseline protocol will be repeated to quantify the change in efficacy of the cueing strategies over time. The UNITE-PD study will identify the relationship between patient characteristics, cueing efficacy, compliance, and the underlying mechanisms of cueing. This knowledge will help refine personalized rehabilitation and identify new avenues for neuroscientific inquiry in this domain.</p>","PeriodicalId":11993,"journal":{"name":"European Journal of Neuroscience","volume":"63 2","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146009336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alongside models and methods, concepts are crucial tools to study and understand the brain. They help us pursue various goals, such as describing phenomena based on patterns in the data or explaining why these phenomena occur. Yet while terms such as “action potential” or “network” guide our efforts to reach these goals, other concepts have failed to advance our understanding of the brain. In this paper, we draw on recent work from philosophy of science to show that the success or failure of concepts in neuroscience depends on the epistemic goals the field aims to achieve. Looking at cases such as “default mode network,” “cortical column,” and “hierarchy,” we formulate conditions under which introducing, refining, or replacing a concept succeeds or fails. These cases suggest that to better evaluate our concepts, we should make explicit which goals we aim to achieve when using them.
{"title":"Developing Concepts for Neuroscience: A Philosophical Toolkit","authors":"Philipp Haueis, Daniel S. Margulies","doi":"10.1111/ejn.70403","DOIUrl":"https://doi.org/10.1111/ejn.70403","url":null,"abstract":"<p>Alongside models and methods, concepts are crucial tools to study and understand the brain. They help us pursue various goals, such as describing phenomena based on patterns in the data or explaining why these phenomena occur. Yet while terms such as “action potential” or “network” guide our efforts to reach these goals, other concepts have failed to advance our understanding of the brain. In this paper, we draw on recent work from philosophy of science to show that the success or failure of concepts in neuroscience depends on the epistemic goals the field aims to achieve. Looking at cases such as “default mode network,” “cortical column,” and “hierarchy,” we formulate conditions under which introducing, refining, or replacing a concept succeeds or fails. These cases suggest that to better evaluate our concepts, we should make explicit which goals we aim to achieve when using them.</p>","PeriodicalId":11993,"journal":{"name":"European Journal of Neuroscience","volume":"63 2","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ejn.70403","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146007642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}