Intramuscular electrical stimulation of facial muscles in humans and chimpanzees: Duchenne revisited and extended.

[Correction Notice: An erratum for this article was reported in Vol 7(2) of Emotion (see record 2007-06782-006). The address provided for the on-line supplemental materials was incorrect. The correct address at which the supplemental materials can be viewed is the following: http://dx.doi.org/10.1037/1528-3542.6.3.367.supp] The pioneering work of Duchenne (1862/1990) was replicated in humans using intramuscular electrical stimulation and extended to another species (Pan troglodytes: chimpanzees) to facilitate comparative facial expression research. Intramuscular electrical stimulation, in contrast to the original surface stimulation, offers the opportunity to activate individual muscles as opposed to groups of muscles. In humans, stimulation resulted in appearance changes in line with Facial Action Coding System (FACS) action units (AUs), and chimpanzee facial musculature displayed functional similarity to human facial musculature. The present results provide objective identification of the muscle substrate of human and chimpanzee facial expressions- data that will be useful in providing a common language to compare the units of human and chimpanzee facial expression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Classifying chimpanzee facial expressions using muscle action.

The Chimpanzee Facial Action Coding System (ChimpFACS) is an objective, standardized observational tool for measuring facial movement in chimpanzees based on the well-known human Facial Action Coding System (FACS; P. Ekman & W. V. Friesen, 1978). This tool enables direct structural comparisons of facial expressions between humans and chimpanzees in terms of their common underlying musculature. Here the authors provide data on the first application of the ChimpFACS to validate existing categories of chimpanzee facial expressions using discriminant functions analyses. The ChimpFACS validated most existing expression categories (6 of 9) and, where the predicted group memberships were poor, the authors discuss potential problems with ChimpFACS and/or existing categorizations. The authors also report the prototypical movement configurations associated with these 6 expression categories. For all expressions, unique combinations of muscle movements were identified, and these are illustrated as peak intensity prototypical expression configurations. Finally, the authors suggest a potential homology between these prototypical chimpanzee expressions and human expressions based on structural similarities. These results contribute to our understanding of the evolution of emotional communication by suggesting several structural homologies between the facial expressions of chimpanzees and humans and facilitating future research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Selection for universal facial emotion.

Facial expression is heralded as a communication system common to all human populations, and thus is generally accepted as a biologically based, universal behavior. Happiness, sadness, fear, anger, surprise, and disgust are universally recognized and produced emotions, and communication of these states is deemed essential in order to navigate the social environment. It is puzzling, however, how individuals are capable of producing similar facial expressions when facial musculature is known to vary greatly among individuals. Here, the authors show that although some facial muscles are not present in all individuals, and often exhibit great asymmetry (larger or absent on one side), the facial muscles that are essential in order to produce the universal facial expressions exhibited 100% occurrence and showed minimal gross asymmetry in 18 cadavers. This explains how universal facial expression production is achieved, implies that facial muscles have been selected for essential nonverbal communicative function, and yet also accommodate individual variation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Intraoperative monitoring of facial nerve antidromic potentials during acoustic neuroma surgery

The present paper presents monopolar recording of facial nerve antidromic potentials as an alternative technique to facial electromyography for the continuous monitoring of the facial nerve during acoustic neuroma surgery. The investigation involved 22 patients undergoing acoustic neuroma surgery via a retrosigmoid approach (tumour sizes ranging from 5 to 28 mm). Bipolar electrical stimulation of the marginalis mandibulae was performed to elicit facial nerve antidromic potentials. Stimulus intensity ranged from 2 to 6 mA with a delivery rate of 7/sec. A silver wire monopolar electrode positioned intracranially on the proximal portion of the acoustic facial bundle was used to record antidromic potentials. To define the specific origin of the action potentials and acquire normative data, monopolar and bipolar recordings of facial nerve antidromic potentials were performed in 15 subjects undergoing retrosigmoid vestibular neurectomy for Meniere's disease. The average facial nerve antidromic potential latency was 4.2 (+/- 0.6) msec in subjects with acoustic neuroma and 3.3 (+/- 0.2) msec in subjects with Meniere's disease. Facial nerve antidromic potentials furnished near real-time information about intraoperative facial nerve damage and postoperative facial nerve function during acoustic neuroma surgery. Facial nerve antidromic potentials may provide additional information to conventional EMG. They allow the use of endplate blockers, yield quantitative estimation of facial nerve conduction properties in terms of amplitude and latency, and allow actual continuous monitoring of the facial nerve.     

Functional organisation of the facial motor system in man

To investigate human corticobulbar projections, electromyographic responses from orbicularis oculi and orbicularis oris muscles were recorded in 11 healthy subjects after transcranial magnetic stimulation. Selective activation of lower facial motoneurones of one hemisphere was reached with the round coil 4 cm lateral to the vertex on a line to the external auditory meatus with stimulus intensities from 45 to 55% (100% = 1.5 T). The mean latency of the OR muscle was 11.5 +/- 1.77 ms contralaterally. Ipsilateral cortical responses were observed in 5 subjects (45%) at a mean latency of 13.88 +/- 2.17 ms. Corticobulbar innervation may have affected bilateral responses in the lower facial muscles as those persisted even after lidocaine blockade of both supraorbital nerves. The functional importance of ipsilateral projections to the lower facial muscles in man is lower than that of the contralateral projections, as evidenced by the fact that they cannot be observed in all subjects or in all motor units. The influence of the trigeminal sensory afferents was excluded from the study after blockade of both supraorbital nerves.     

Human intramuscular and cutaneous pain: psychophysical comparisons

We used psychophysical methods to compare the central processing of nociceptive inputs from skin and muscle in ten normal humans. Both intramuscular electrical and infrared CO2 laser cutaneous stimulation showed increasing but decelerating (downward concave) stimulus-response curves and similar temporal summation characteristics. Intramuscular stimulation was rated significantly more unpleasant than cutaneous stimulation. The results are consistent with a common mode of central nociceptive processing for skin and muscle pain intensity but suggest a relatively larger activation of affective mechanisms by muscle afferents.     

Chronic electrical stimulation of the facial nerve causes signs of facial nucleus hyperactivity

The proximal segment of the facial nerve in rats was stimulated electrically daily for a duration of 2-10 min. After 4-8 weeks of such stimulation, 12 of 18 rats developed abnormal muscle responses that could be demonstrated by recording the electromyographic response from lower face muscles (the mentalis muscle) while the temporal branch of the facial nerve was being stimulated electrically. This abnormal electromyographic response consists of activity that appears in the latency range 6.5-15 ms. In addition, these chronically stimulated rats developed signs of facial synkinesis on the side that had been chronically stimulated. This could be demonstrated by recording electromyographic activity when the blink reflex was being elicited by electrical stimulation of the ophthalmic nerve. Rats in which electrodes had been implanted but which had not been stimulated did not develop any abnormal electromyographic activity. The abnormal electromyographic activity that could be recorded in rats that had been stimulated chronically could not be recorded 4-8 weeks after the stimulation had been terminated. We interpret these results to indicate that chronic electrical stimulation of the facial nerve can render the facial motonucleus hyperactive, and that the signs of this hyperactivity (abnormal muscle response and synkinesis) are similar to those typically seen in patients with hemifacial spasm. We thus presume that these results support the hypothesis that it is the irritation of the facial nerve from a compressing blood vessel that causes the facial nucleus to become hyperactive in patients with hemifacial spasm.     

Electrophysiologic evaluation of denervated muscles in incomplete paraplegia using macro electromyography

OBJECTIVE: To evaluate denervated muscles in persons with incomplete paraplegia due to thoracolumbar spinal injury (TLSI) using macro electromyography in determining indications for functional electrical stimulation (FES). DESIGN: A randomized clinical trial and a criterion standard. SETTING: A department of orthopedic surgery in a university hospital. PATIENTS AND OTHER PARTICIPANTS: Eighteen patients with incomplete paraplegia, including 11 with TSLI, and 50 healthy adults. INTERVENTION: Area and amplitude of macro motor unit potential (macro MUP) were measured at the tibialis anterior, the vastus lateralis, and the vastus medialis. The normal limits of macro MUP parameters were defined based on values from healthy subjects. Abnormal denervated muscles were detected by macro EMG and conventional EMG in paralytic patients. The correlation between macro MUP parameter values and muscle forces of the tibialis anterior and quadriceps femoris induced by electrical stimulation was analyzed. MAIN OUTCOME MEASURES: The number of abnormal muscles, parameter values, and muscle force induced by electrical stimulation. RESULTS: Abnormal muscles were found only in the TLSI patients and 13 abnormal muscles were detected by macro EMG only. The abnormal muscles defined by macro EMG showed insufficient contraction induced by electrical stimulation. The increase of parameter value negatively correlated with the muscle force (tibialis anterior area r=-.797, amplitude r=-.866; quadriceps area r=-.866, amplitude r=-.893; p < .001). CONCLUSIONS: These results suggest that macro EMG is useful in detecting denervated muscles, in determining indications for FES, and in predicting FES effects before implantation of electrodes.     

Endothelin-1 affects capsaicin-evoked release of neuropeptides from rat vas deferens

Capsaicin-sensitive neurones release a number of neuropeptides, such as substance P, neurokinin A, somatostatin and calcitonin gene-related peptide (CGRP), which exert a number of effects on smooth muscle tissues. Endothelin-1 was thought to potentiate the capsaicin-evoked release of neuropeptides from sensory neurones of the rat. We have investigated the neuromodulatory effects of endothelin-1 on capsaicin-induced release of neurotransmitters from rat vas deferens. Capsaicin and human alpha calcitonin gene-related peptide (human alphaCGRP) reduced the rat vas deferens twitch responses induced by electrical field stimulation. Human beta calcitonin gene-related peptide-(8-37) [human betaCGRP-(8-37)] (1 microM), a selective alphaCGRP receptor antagonist, antagonized the inhibitory effects of both drugs. Endothelin-1 concentration dependently evoked an increase in basal tone of the musculature and potentiated the amplitude of the electrically stimulated responses, blocking inhibitory effects of capsaicin but not of human alphaCGRP. Moreover, endothelin-1 did not markedly change the inhibitory effects of papaverine (0.1-100 microM) or isoprenaline (1 nM-100 microM) on responses to electrical field stimulation. FR 139317 [(N,N-hexamethylene) carbamoyl-Leu-D-Trp(N-Me)-D-2-Pya], a selective endothelin ET(A) receptor antagonist, administered 30 min before endothelin-1 restored the capsaicin effects whereas BQ 788 [Dmpc-gamma-MeLeu-D-Trp-(1-methoxycarbonyl)-D-Nle], a selective endothelin ET(B) receptor antagonist, was completely ineffective. The endothelin-1-induced block of the capsaicin effect was resistant to tetrodotoxin (1 microM) and 30-min pre-treatment with MEN 10.627 (cyclo[(Met-Asp-Trp-Phe-Dap-Leu) cyclo (2beta-5beta)]), a selective tachykinin NK2 receptor antagonist, did not abolish the endothelin-1 effect on the inhibitory response to capsaicin. These results suggest that endothelin-1 selectively inhibits the capsaicin-induced release of neurotransmitters from rat vas deferens and these effects are mediated via endothelin ET(A) receptors but not by tachykinin release.     

Correction to Prescott, Newton, Mir, Woodruff, and Parks (2006).

Reports an error in "A New Dissimilarity Measure for Finding Semantic Structure in Category Fluency Data With Implications for Understanding Memory Organization in Schizophrenia" by Tony J. Prescott, Lisa D. Newton, Nusrat U. Mir, Peter W. R. Woodruff and Randolph W. Parks (Neuropsychology, 2006[Nov], Vol 20[6], 685-699). In the aforementioned article, the Web site address provided for the supplemental data was incorrect. The correct address is http://dx.doi.org/10.1037/0894-4105.20.6.685.supp. (The following abstract of the original article appeared in record 2006-20657-007.) The ordering of words in category fluency lists is indicative of the semantic distance between items in conceptual memory. Several studies have concluded from structural analyses of such data, using cluster analysis or multidimensional scaling, that the semantic memory of patients with schizophrenia is more disorganized than that of controls. Previous studies have based their analyses on a measure of average interitem dissimilarity devised by A. S. Chan et al. (1993). Here the authors derive a new and improved method of determining dissimilarity and show that when this measure is applied to the fluency lists of patients with schizophrenia, the average pattern of organization for the animal category has similar structure to that of controls, but with greater variability between individuals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of facial response in the experience of emotion.

Facial expression and emotional stimuli were varied orthogonally in a 3?×?4 factorial design to test whether facial expression is necessary or sufficient to influence emotional experience. 123 undergraduates watched a film eliciting fear, sadness, or no emotion while holding their facial muscles in the position characteristic of fear or sadness or in an effortful but nonemotional grimace; those in a 4th group received no facial instructions. The Ss believed that the study concerned subliminal perception and that the facial positions were necessary to prevent physiological recording artifacts. The films had powerful effects on reported emotions, the facial expressions none. Correlations between facial expression and reported emotion were zero. Sad and fearful Ss showed distinctive patterns of physiological arousal. Facial expression also tended to affect physiological responses in a manner consistent with an effort hypothesis. (33 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A comparison of transcranial magnetic stimulation with electroneuronography as a predictive test in patients with Bell's palsy

The aim of this study was to examine the neuronographic findings of electrical and transcranial magnetic stimulation of the facial nerve and to compare their ability to predict clinical recovery from idiopathic facial nerve palsy (Bell's palsy). Eighty-six patients were examined clinically and neurophysiologically immediately on presentation to Tampere University Hospital. Electroneuronography (ENoG) and transcranial magnetic stimulation (TMS) were performed 1-6 times for each patient. The time interval between each examination varied from 2 to 7 days. Seventy-eight patients were followed for a median period of 13 months after the onset of palsy. Facial nerve function was graded according to the House-Brackmann grading system. Relative amplitude differences of ENoG and TMS during the acute phase were then correlated with clinical outcome. Statistical analysis of the results showed that a TMS response elicitable during the first 5 days of the palsy was correlatable with a good prognosis. ENoG results correlated with clinical outcome at a later time from onset of symptoms. TMS was well tolerated and no adverse effects were seen. These results indicate that TMS is a useful method for the early prediction of outcome in patients with Bell's palsy.     

"Facial expressions of emotion influence memory for facial identity in an automatic way": Correction to D'Argembeau and Van der Linden (2007).

Reports an error in "Facial expressions of emotion influence memory for facial identity in an automatic way" by Arnaud D'Argembeau and Martial Van der Linden (Emotion, 2007[Aug], Vol 7[3], 507-515). The image printed for Figure 3 was incorrect. The correct image is provided in the erratum. (The following abstract of the original article appeared in record 2007-11660-005.) Previous studies indicate that the encoding of new facial identities in memory is influenced by the type of expression displayed by the faces. In the current study, the authors investigated whether or not this influence requires attention to be explicitly directed toward the affective meaning of facial expressions. In a first experiment, the authors found that facial identity was better recognized when the faces were initially encountered with a happy rather than an angry expression, even when attention was oriented toward facial features other than expression. Using the Remember/Know/Guess paradigm in a second experiment, the authors found that the influence of facial expressions on the conscious recollection of facial identity was even more pronounced when participants' attention was not directed toward expressions. It is suggested that the affective meaning of facial expressions automatically modulates the encoding of facial identity in memory. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neurostimulation for obstructive sleep apnea: investigations

Neurostimulation of the upper airway muscles (accessory muscles of respiration) was accomplished in anesthetized dogs and sleeping humans by electrical stimulation of the hypoglossal nerves. Such stimulations relieved partial airway obstructions in dogs. They also aborted (shortened) obstructive sleep apnea events in humans who suffer with obstructive sleep apnea syndrome. In one subject, stimulations delivered in advance of apneic events (by automatic cycling) prevented apneas. Neurostimulation for obstructive sleep apnea may be an important concept for future research and development.     

The voluntary control of facial action units in adults.

We investigated adults' voluntary control of 20 facial action units theoretically associated with 6 basic emotions (happiness, fear, anger, surprise, sadness, and disgust). Twenty young adults were shown video excerpts of facial action units and asked to reproduce them as accurately as possible. Facial Action Coding System (FACS; Ekman & Friesen, 1978a) coding of the facial productions showed that young adults succeeded in activating 18 of the 20 target actions units, although they often coactivated other action units. Voluntary control was clearly better for some action units than for others, with a pattern of differences between action units consistent with previous work in children and adolescents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differences between children and adults in the recognition of enjoyment smiles.

The authors investigated the differences between 8-year-olds (n = 80) and adults (n = 80) in recognition of felt versus faked enjoyment smiles by using a newly developed picture set that is based on the Facial Action Coding System. The authors tested the effect of different facial action units (AUs) on judgments of smile authenticity. Multiple regression showed that children base their judgment on AU intensity of both mouth and eyes, with relatively little distinction between the Duchenne marker (AU6 or "cheek raiser") and a different voluntary muscle that has a similar effect on eye aperture (AU7 or "lid tightener"). Adults discriminate well between AU6 and AU7 and seem to use eye-mouth discrepancy as a major cue of authenticity. Bared-teeth smiles (involving AU25) are particularly salient to both groups. The authors propose and discuss an initial developmental model of the smile recognition process. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Botulinum toxin injection effective for post-peripheral facial nerve palsy synkinesis]

Facial synkinesis is an involuntary activation of muscles innervated by the zygomatic or mandibular branch of the facial nerve in conjunction with voluntary activation of the other branch. It appears frequently after recovery from peripheral facial nerve paralysis. We report 10 patients with facial synkinesis following Bell's palsy with a mean duration of synkinesis of 7 +/- 4 years before treatment with periorbital injections of Botulinum toxin type A. 9 had marked subjective and objective improvement starting a few days after injection and lasting 4-9 months. The results suggest a useful treatment option for post-Bell's palsy facial synkinesis with Botulinum toxin type A.     

Duchenne smile, emotional experience, and autonomic reactivity: A test of the facial feedback hypothesis.

This study examined the modulatory function of Duchenne and non-Duchenne smiles on subjective and autonomic components of emotion. Participants were asked to hold a pencil in their mouth to either facilitate or inhibit smiles and were not instructed to contract specific muscles. Five conditions--namely lips pressing, low-level non-Duchenne smiling, high-level non-Duchenne smiling, Ducherme smiling, and control--were produced while participants watched videoclips that were evocative of positive or negative affect. Participants who displayed Duchenne smiles reported more positive experience when pleasant scenes and humorous cartoons were presented. Furthermore, they tended to exhibit different patterns of autonomic arousal when viewing positive scenes. These results support the facial feedback hypothesis and suggest that facial feedback has more powerful effects when facial configurations represent valid analogs of basic emotional expressions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reduction of Th1 cell activity in the peripheral circulation of patients with rheumatoid arthritis after treatment with a non-depleting humanized monoclonal antibody to CD4

Differences in early events during entry and integration of HIV-1 into peripheral blood mononuclear cells (PBMC) might contribute to the absence of AIDS-like disease in chimpanzees as compared to humans. To address this question, we first tested the in vitro susceptibility of human and chimpanzee PBMC for infection with the two HIV-1 isolates III B and RF. The results of these studies revealed that chimpanzee PBMC had a slightly lower capability to support the growth of HIV-1 as compared to human PBMC. This was accompanied by a delayed accumulation of proviral HIV-1 DNA in cultures of HIV-1-infected chimpanzee PBMC. However, no differences between cells of the two species were observed when very early events of HIV-1 infection were studied. Shortly (20 h) after infection chimpanzee and human cells harbored similar amounts of proviral HIV-1 DNA and PBMC of both species behaved comparably with respect to pre-integration latency (i.e. the ability to activate extrachromosomal HIV-1 intermediates in HIV-1 infected quiescent cells at various times after infection). These results strongly suggest that the absence of AIDS-like disease in chimpanzees cannot be correlated with defects in early events of the HIV-1 replicative cycle.     

Garlic powder and plasma lipids and lipoproteins: a multicenter, randomized, placebo-controlled trial

BACKGROUND: Some wrinkles and unsightly facial expressions are due to overactivity of the underlying facial musculature. Botulinum A exotoxin reversably paralyses selected muscles. Botulinum toxin has been used to correct facial cosmetic concerns. OBJECTIVES: This paper describes the authors' experience with the cosmetic use of botulinum toxin. The areas that can be treated, the appropriate technique for each area and special considerations such as dose, dilution, and relevant anatomy are discussed. RESULTS: Our results have been published previously and are referenced in this paper. CONCLUSIONS: Botulinum toxin is safe and effective in the management of some facial lines and wrinkles. Its use is associated with a high degree of patient and physician satisfaction.