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Steven L. Small

Department of Neurology
The University of Chicago
AMB S239; Physical: AMB Q300
Chicago, IL 60637

small@uchicago.edu

 

Expertise:
fMRI, ERP, TMS, Computer modeling

I use in vivo studies of vertebrate feeding systems to test hypotheses regarding the evolution of musculoskeletal systems. Among these hypotheses are questions regarding the relative evolutionary plasticity of muscular, skeletal and motor systems. The primate feeding system presents practical advantages for studies of these questions: all of the neurons lie in or above the brainstem, making them accessible for recording; masticatory muscles are large and superficially placed, facilitating EMG recordings; the most important function of the system—mastication—requires no specialized training; the mandible is accessible for placement of strain gauges that may be used to estimate the timing and magnitude of bite force; and large areas of skull bone are accessible for anchoring markers necessary for optically based or videofluoroscopic kinematic analysis.

The masticatory system also exhibits characteristics making it of theoretical interest in studies of motor control. Mastication involves highly repetitive motions, consisting of relatively rapid movements during “fast opening” and “fast closing”, interspersed with relatively slow movements during the power stroke. The former movements may be characterized as nearly isotonic and the latter as nearly isometric. Thus, the study of mastication may provide insight into whether neuronal activity is related to the displacements or forces involved in a movement, or both, but at different times during a movement cycle. The functioning of the masticatory system also requires coordination of bilateral muscles used to move a structure that crosses the midline (the mandible), in comparison with the forelimbs, which are bilaterally independent.

Research is currently focused on determining the importance of food material properties on jaw kinematics; estimating the relative timing of jaw muscle activity, mandibular corpus bone strain, and jaw movements; quantifying movements of the mandibular condyles; and establishing relationships between dental microwear patterns and patterns of jaw movements. Videofluoroscopy is being used to study the coordination of jaw and hyoid monkeys during chewing and swallowing in primates. Planned research projects include investigations of cortical control of jaw movements in primates.

In addition to research on primates, I am comparing patterns of bone strain in alligator and lizard mandibles with those documented for mammals. Mammal data suggest that mammals modulate bite force during rhythmic mastication primarily by modulating the rate at which force is generated, rather than the time over which it is generated. Comparative research is aimed at determining whether other vertebrates modulate bite force in a similar fashion.

In sum, comparative jaw kinematic, bone strain, and electromyographic data are being collected in vivo in awake alert animals to test hypotheses regarding the evolution of feeding systems as a window into the evolution of vertebrate musculoskeletal systems.

Our laboratory uses functional magnetic resonance imaging (fMRI) and transcranial magnetic stimulation (TMS) to study the organization of the normal human cerebral cortex and the changes that it undergoes after neurological injury, particularly stroke. Cortical damage has profound effects on such functions as learning, memory, language, motor function, and affect. Damage to structures that must communicate with the cortex and/or damage to the communication channels themselves also cause serious impairments. We believe that by studying the neuroanatomical substrate of recovery from injury, we will be able to construct a theory of neurological rehabilitation that is grounded in basic neuroscience.

Our current projects are in the areas of language and motor function, and are concerned with both the normal anatomy of these functions and their recovery after stroke. In the study of normal adults, we have found that the language areas of the brain are more widely distributed than previously thought, extending to brain regions that are anatomically removed from those originally postulated by Broca, Wernicke, and Déjérine, and extending to both cerebral hemispheres. Furthermore, different language functions have overlapping neuroanatomical substrates, such as the shared representations for speech comprehension and production in the ventral premotor cortex. In the motor system, we have also demonstrated the presence of distributed circuits, with hand motor execution and kinetic imagery overlapping considerably, but with regions differing in their effective connectivity. In the primary sensory and motor cortices, the brain seems to encode finger movements as a graded overlapping somatotopy, further elaborating in normal subjects the motor maps previously studied in the surgical epilepsy patients of Penfield.

Motor and language recovery from stroke can proceed quite slowly after the initial effects of emergency “brain attack” treatment have been fully appreciated. This is a time when patients receive various behavioral interventions, such as physical therapy and speech therapy, and a time when such concomitants of stroke as major depression are prominent. We have begun to investigate the neurobiological changes that take place in patients during this period of recovery. People who have recently had a stroke are invited to undergo functional testing and brain imaging (with fMRI) at regular intervals during the course of recovery. During each fMRI, they are asked to perform tasks that were affected by the stroke, and over time, their performance improves and their pattern of brain activity changes. In motor function, we have shown that the cerebellum plays an active role in such recovery, but that the side of the brain “opposite” to the stroke doesn’t.

If such neurobiological recovery can be influenced by particular types of behavioral tasks, by pharmacological intervention, and/or by surgical intervention, then the basic results can have important clinical implications. We are exploring all of these approaches. In one study of a stroke patient with a reading impairment, we showed that learning a particular reading strategy (mapping letters onto sounds) both improved reading skill and also changed the brain to emphasize certain regions (occipital/temporal) over others (inferior parietal). We have recently begun the study of action observation and imitation to see if these specialized motor systems can be exploited for use in therapy, both with and without concomitant pharmacological or surgical intervention.

Specific research projects:
--Functional Neuroanatomy of Normal and Impaired Language
The major goals of this project are to determine the functional neuroanatomy of ecological language comprehension in the syntactic, semantic, social, and emotional context that occurs in the actual environment.

--Neurophysiological Measurement in Aphasia Treatment
The goal of the project is to use neurophysiological (functional imaging) measures to assess treatment effects in patients with aphasia.

--Environmental and Biological Variations in Language Growth
The major goal of this project is to examine reorganization of language systems after neonatal, perinatal, and early postnatal injury.

--Prevention of Post-Stroke Depression Treatment Strategy
This project aims to determine the efficacy of pharmacological treatment in the prevention of depression after stroke.

-- Effect of Bromocriptine on Aphasia Treatment Outcome
The major goals of this project are to develop the methods and protocols for a potential clinical trial that will evaluate the effectiveness of the pharmacological agent, bromocriptine, on the language outcome of patients with nonfluent aphasia.

Laboratory personnel:
Uri Hasson, Ph.D., Postdoctoral Fellow
uhasson@uchicago.edu

Goulven Josse, Ph.D., Postdoctoral Fellow
goulven@uchicago.edu

Ryan Walsh, M.D., Ph.D. Neurology Resident
ryan.walsh@uchospitals.edu

Jeremy Skipper, M.A., Graduate Student
skipper@uchicago.edu

Charles Gaylord, B.A., Graduate Student
cgaylord@uchicago.edu

Jing Liang, M.A., Graduate Student
liang@uchicago.edu

Peter Zhi, Undergraduate Student
zhi@uchicago.edu

Emily Cooper, Undergraduate Student
ecooper@uchicago.edu

Tara McCrimmon, Undergraduate Student
trm16@uchicago.edu

Sonja Swanson, Undergraduate Student
sonja@uchicago.edu

 

 

© 2005Center for Integrative Neuroscience and Neuroengineering
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