Skip to main content
Log in

Neural modifications in lower limb amputation: an fMRI study on action and non-action oriented body representations

  • Original Research
  • Published:
Brain Imaging and Behavior Aims and scope Submit manuscript

Abstract

The loss of sensorimotor and visual information that follows limb amputation is known to affect both the action-oriented (body schema, BS) and non-action oriented (NA) body representations. However, the neural underpinnings of these effects have not yet been fully understood. We investigated the neural correlates of body representations in a group of 9 healthy right-handed individuals with left lower limb amputation (LLA) and 11 healthy age-matched controls (HC) by using event-related functional magnetic resonance imaging. Participants were scanned while performing mental rotation of body parts (i.e. hand, foot and eye) and objects (i.e. a rear-view mirror). Although the performance of LLA were similar to that of HC, they showed a different activation profile in relation to both BS and to NA within a wide range of brain areas. The bilateral intraparietal sulcus was less activated in LLA than HC, whereas the bilateral anterior insula as well as the fusiform body area, the precentral gyrus, the supplementary motor area in the left hemisphere and the inferior occipital gyrus in the right hemisphere were more activated during the mental rotation of left stimuli in the LLA. Also, the left EBA showed higher activation during the mental rotation of the foot than that of the eye in the LLA but not in the HC. Our results are consistent with the hypothesis that left LLA yields to a modification in the body representation network even when it does not lead to clear behavioral deficits.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  • Berlucchi, G., & Aglioti, S. M. (2010). The body in the brain revisited. Experimental Brain Research, 200, 25–35.

    Article  Google Scholar 

  • Bjorkman, A., Weibull, A., Olsrud, J., Ehrsson, H. H., Rosen, B., & Bjorkman-Burtscher, I. M. (2012). Phantom digit somatotopy: A functional magnetic resonance imaging study in forearm amputees. The European Journal of Neuroscience, 36(1), 2098–2106.

    Article  Google Scholar 

  • Corradi-Dell'Acqua, C., Tomasino, B., & Fink, G. R. (2009). What is the position of an arm relative to the body? Neural correlates of body schema and body structural description. The Journal of neuroscience : the official journal of the Society for Neuroscience, 29, 4162–4171.

    Article  CAS  Google Scholar 

  • Costantini, M., Urgesi, C., Galati, G., Romani, G. L., & Aglioti, S. M. (2011). Haptic perception and body representation in lateral and medial occipito-temporal cortices. Neuropsychologia, 49, 821–829.

    Article  Google Scholar 

  • Craig, A. D. (2003). Interoception: The sense of the physiological condition of the body. Current Opinion in Neurobiology, 13(4), 500–505.

    Article  CAS  Google Scholar 

  • Curtze, C., Otten, B., & Postema, K. (2010). Effects of lower limb amputation on the mental rotation of feet. Experimental Brain Research, 201, 527–534.

    Article  Google Scholar 

  • Daurat-Hmeljiak, C., Stambak, M., & Berges, J. (1978). Il test dello schema corporeo. Una prova di conoscenza e costruzione dell’immagine del corpo [the body schema test. A test of knowledge and construction of body image]. In Firenze. Italy: Organizzazioni Speciali.

    Google Scholar 

  • David, N., Cohen, M. X., Newen, A., Bewernick, B. H., Shah, N. J., Fink, G. R., & Vogeley, K. (2007). The extrastriate cortex distinguishes between the consequences of one's own and others' behavior. NeuroImage, 36, 1004–1014.

    Article  Google Scholar 

  • Dettmers, C., Adler, T., Rzanny, R., van Schayck, R., Gaser, C., Weiss, T., Miltner, W. H., Bruckner, L., & Weiller, C. (2001). Increased excitability in the primary motor cortex and supplementary motor area in patients with phantom limb pain after upper limb amputation. Neuroscience Letters, 307(2), 109–112.

    Article  CAS  Google Scholar 

  • Di Vita, A., Boccia, M., Palermo, L., & Guariglia, C. (2016). To move or not to move, that is the question! Body schema and non-action oriented body representations: An fMRI meta-analytic study. Neuroscience and Biobehavioral Reviews, 68, 37–46.

    Article  Google Scholar 

  • Di Vita, A., Boccia, M., Palermo, L., Nemmi, F., Traballesi, M., Brunelli, S., De Giorgi, R., Galati, G., & Guariglia, C. (2018). Cerebellar grey matter modifications in lower limb amputees not using prosthesis. Scientific Reports, 8(1).

  • Jordan, K., Heinze, H. J., Lutz, K., Kanowski, M., & Jäncke, L. (2001). Cortical activations during the mental rotation of different visual objects. NeuroImage, 13(1), 143–152.

    Article  CAS  Google Scholar 

  • Karnath, H. O., & Baier, B. (2010). Right insula for our sense of limb ownership and self-awareness of actions. Brain Structure & Function, 214(5–6), 411–417.

    Article  Google Scholar 

  • Lotze, M., Flor, H., Grodd, W., Larbig, W., & Birbaumer, N. (2001). Phantom movements and pain. An fMRI study in upper limb amputees. Brain, 124(Pt 11, 2268–2277.

    Article  CAS  Google Scholar 

  • MacIver, K., Lloyd, D. M., Kelly, S., Roberts, N., & Nurmikko, T. (2008). Phantom limb pain, cortical reorganization and the therapeutic effect of mental imagery. Brain, 131(Pt 8, 2181–2191.

    Article  CAS  Google Scholar 

  • Nico, D., Daprati, E., Rigal, F., Parsons, L., & Sirigu, A. (2004). Left and right hand recognition in upper limb amputees. Brain, 127, 120–132.

    Article  Google Scholar 

  • Palermo, L., Di Vita, A., Piccardi, L., Traballesi, M., & Guariglia, C. (2014). Bottom-up and top-down processes in body representation: A study of brain-damaged and amputee patients. Neuropsychology, 28(5), 772–781.

    Article  Google Scholar 

  • Palermo, L., Di Vita, A., Boccia, M., Nemmi, F., Brunelli, S., Traballesi, M., De Giorgi, R., Galati, G., & Guariglia, C. (2018). Action and non-action oriented body representations: Insight from Behavioural and Grey matter modifications in individuals with lower limb amputation. BioMed Research International, 2018, 1529730.

    Article  Google Scholar 

  • Parsons, L. M. (1987). Imagined spatial transformations of one’s hands and feet. Cognitive Psychology, 19, 178–241.

    Article  CAS  Google Scholar 

  • Sergent, J. (1982). The cerebral balance of power: Confrontation or cooperation? Journal of Experimental Psychology: Human Perception and Performance, 8, 253–272.

    CAS  PubMed  Google Scholar 

  • Spitoni, G. F., Pireddu, G., Cimmino, R. L., Galati, G., Priori, A., Lavidor, M., Jacobson, L., & Pizzamiglio, L. (2013). Right but not left angular gyrus modulates the metric component of the mental body representation: A tDCS study. Experimental Brain Research, 228(1), 63–72.

    Article  Google Scholar 

  • Urgesi, C., Calvo-Merino, B., Haggard, P., & Aglioti, S. M. (2007). Transcranial magnetic stimulation reveals two cortical pathways for visual body processing. The Journal of Neuroscience, 27(30), 8023–8030.

    Article  CAS  Google Scholar 

Download references

Funding

The present study has been partially supported by funding from Sapienza University of Rome to ADV (Avvio alla Ricerca, 2016; nr 1809/2016 and fellowship from PhD program in Behavioural Neuroscience of Sapienza University of Rome) and Italian Ministry of Health to IRCCS Fondazione Santa Lucia (Ricerca Corrente).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Maddalena Boccia.

Ethics declarations

Conflict of interest

MB declares that she has no conflict of interest. ADV declares that she has no conflict of interest. LP declares that she has no conflict of interest. FN declares that she has no conflict of interest. MT declares that she has no conflict of interest. SB declares that she has no conflict of interest. RDG declares that she has no conflict of interest. GG declares that she has no conflict of interest. CG declares that she has no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

ESM 1

(PDF 114 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Boccia, M., Di Vita, A., Palermo, L. et al. Neural modifications in lower limb amputation: an fMRI study on action and non-action oriented body representations. Brain Imaging and Behavior 14, 416–425 (2020). https://doi.org/10.1007/s11682-019-00142-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11682-019-00142-3

Keywords

Navigation