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Figure 1.

Task procedure, anatomical MRI scan slices.

(A) Schematic drawing of the standard center-out reaching movement (C, coronal) and the two basic manipulations: spatial plane (H, horizontal; S, para-sagittal) and cursor feedback rotation (C180°/90°). The visual stimuli were always presented on the vertical monitor. The gray circles denote the cued position before the movement. Light eye and hand symbols denote starting positions. Practice trials were performed before each condition (presented in randomized order) until it was reported that the task was sufficiently familiar for testing to begin. All conditions were performed both head-fixed and head-free in addition to a control eye only (head-fixed) and a control gaze only (head-free) condition. (B) Schematic of horizontal (black) and diagonal (gray) target locations. Note that targets in lower hemifield were not tested to avoid IG's scotoma. (C) Axial T2-weighted MRI scans of IG's cortex revealed fairly symmetrical lesions located in the posterior parietal and upper and lateral occipital cortico-subcortical regions (mainly BA 19, 18 and 7, and a limited part of area 39 and the IPS).

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Figure 2.

Effect size for decoupled conditions between IG and the control subjects.

Mean number of standard deviation units (i.e. effect size; ES) in which IG differed from control group for each dependent variable during the decoupled conditions by target type (horizontal = light gray, diagonal = dark gray). Note the increase in ES for the diagonal targets relative to the horizontal targets, and for the rotated visuomotor tasks (C180° and C90°) relative to the spatial plane dissociations ( H and S). Error bars denote 95% Confidence Intervals.

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Figure 3.

Hand and eye movement timing data for IG and the control group.

Mean change in (A) hand and (C) eye reaction times and (B) hand and (D) eye total movement times in ms for both groups for the four decoupled conditions (H = horizontal; S = para-sagittal; C180° = coronal 180°; C90° = coronal 90°) relative to standard reaching for each target type (horizontal versus diagonal). Both head-fixed and head-free conditions were pooled for each subject. Error bars denote 95% Confidence Intervals. *p′<0.05; **p′<0.01; ***p′<0.001, corrected for multiple comparisons (Holm-Bonferroni).

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Figure 4.

Individual hand endpoint ellipses for IG and a typical control subject.

Hand movement trajectories endpoints of ballistic motor plan to four peripherally-cued targets from the home target in (A) coronal (B) horizontal (C) para-sagittal (D) coronal 180° and (E) coronal 90°. Both eye and gaze conditions were pooled for all subjects. Open and filled ellipses represent 95% confidence intervals for IG and a typical control, respectively. Trajectories (green lines), start points (closed red circles), endpoints for successful trial (closed blue circles) and direction error trials (open black circles) represent IG’s data only. Circles with cross-hatching represent starting and ending target location. Note the systematic endpoint errors for IG during decoupled reaching especially when orienting towards the diagonal (off-axis) targets, and the accurate reaching for the control subject.

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Figure 5.

Example trials during coronal 90° condition towards diagonal and horizontal targets for IG and a typical control subject.

Example hand (represented by the rotated cursor) and eye movement trajectories for the entire trial towards (A) diagonal and (B) horizontal targets. Note for IG (left side) the increase in path length towards diagonal target and the increase in late (online updating) look-backs (closed arrows), and relatively accurate hand movement trajectories accompanied by an early (priming) look-back (closed arrow) towards the horizontal target.

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Figure 6.

Eye errors performed by IG and the control group.

Change in eye (A) hypometric steps (B) hypermetric steps (C) look-backs and (D) hand-biased mis-saccades for IG (circles) and controls (bars) for the four decoupled conditions (H = horizontal; S = para-sagittal; C180° = coronal 180°; C90° = coronal 90°) for each target type (horizontal = light gray, diagonal = dark gray) relative to standard reaching. Head-fixed and head-free conditions were pooled for all subjects. Error bars denote 95% Confidence Intervals. Note a marked increase in look-backs for IG during the performance of C90° towards diagonal targets. *p′<0.05; **p′<0.01; ***p′<0.001, corrected for multiple comparisons (Holm-Bonferroni).

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