Motor Interference,But Not Sensory Interference,Increases Midfrontal Theta Activity and Brain Synchronization during Reactive Control

Cognitive control helps us to overcome task interference in challenging situations. Resolving conflicts because of interfering influences is believed to rely on midfrontal theta oscillations. However, different sources of interference necessitate different types of control. Attentional control is needed to suppress salient distractors. Motor control is needed to suppress goal-incompatible action impulses. While previous studies mostly studied the additive effects of attentional and motor conflicts, we independently manipulated the need for attentional control (via visual distractors) and motor control (via unexpected response deviations) in an EEG study with male and female humans. We sought to find out whether these different types of control rely on the same midfrontal oscillatory mechanisms. Motor conflicts, but not attentional conflicts, elicited increases in midfrontal theta power during conflict resolution. Independent of the type of conflict, theta power was predictive of motor slowing. Connectivity analysis via phase-based synchronization indicated a widespread increase interbrain connectivity for motor conflicts, but a midfrontal-to-posterior decrease in connectivity for attentional conflicts. For each condition, we found stronger midfrontal connectivity with the parietal region contralateral to, rather than ipsilateral to, the acting hand. Parietal lateralization in connectivity was strongest for motor conflicts. Previous studies suggested that midfrontal theta oscillations might represent a general control mechanism, which aids conflict resolution independent of the conflict domain. In contrast, our results show that oscillatory theta dynamics during reactive control mostly reflect motor-related adjustments.SIGNIFICANCE STATEMENT Humans need to exercise self-control over both their attention (to avoid distraction) and their motor activity (to suppress inappropriate action impulses). Midfrontal theta oscillations have been assumed to indicate a general control mechanism, which help to exert top-down control during both motor and sensory interference. We are using a novel approach for the independent manipulation of attentional and motor control to show that increases in midfrontal theta power and brainwide connectivity are linked to the top-down adjustments of motor responses, not sensory interference. These findings clarify the function of midfrontal theta dynamics as a key aspect of neural top-down control and help to dissociate domain-general from motor-specific aspects of self-control.     

Dissociable theta networks underlie the switch and mixing costs during task switching

During task‐switching paradigms, both event‐related potentials and time‐frequency analyses show switch and mixing effects at frontal and parietal sites. Switch and mixing effects are associated with increased power in broad frontoparietal networks, typically stronger in the theta band (~4–8 Hz). However, it is not yet known whether mixing and switch costs rely upon common or distinct networks. In this study, we examine proactive and reactive control networks linked to task switching and mixing effects, and whether strength of connectivity in these networks is associated with behavioural outcomes. Participants (n = 197) completed a cued‐trials task‐switching paradigm with concurrent electroencephalography, after substantial task practice to establish strong cue‐stimulus–response representations. We used inter‐site phase clustering, a measure of functional connectivity across electrode sites, to establish cross‐site connectivity from a frontal and a parietal seed. Distinct theta networks were activated during proactive and reactive control periods. During the preparation interval, mixing effects were associated with connectivity from the frontal seed to parietal sites, and switch effects with connectivity from the parietal seed to occipital sites. Lateralised occipital connectivity was common to both switch and mixing effects. After target onset, frontal and parietal seeds showed a similar pattern of connectivity across trial types. These findings are consistent with distinct and common proactive control networks and common reactive networks in highly practised task‐switching performers.     

Theta synchronization in the limbic system: the role of Gudden's tegmental nuclei

Theta rhythm is most prominent in the hippocampus but has also been recorded in other cortical and limbic structures and can play an important role in functional coupling of widely separated structures responsible for different components of the memory building process. Here we demonstrate in the rat that neuronal activity exhibiting strong state-dependent synchrony with rhythmic hippocampal electroencephalogram is present also at the brainstem level, specifically in the relatively small tegmental nuclei of Gudden intimately connected with the limbic forebrain. We found that during theta states, either occurring spontaneously or triggered by sensory stimulation in the urethane anaesthetized rat, all neurons in the anterior and ventral tegmental nuclei exhibited a consistent switch from irregular discharges to rhythmic bursts. The switch between these patterns closely matched the analogous transformations in the hippocampal EEG, but the level of synchrony between the two signals varied depending on the level of theta activation. During sensory stimulation, when theta is faster and more regular, the rhythmic bursts in the tegmentum showed extremely high coherence (up to 0.96) with hippocampal field potentials. During spontaneous theta, the average coherence was lower but still highly significant (0.62). Gudden's nuclei are reciprocally connected to the mammillary body complex (MB) occupying a strategic position at the gateway of hippocampofugal connections organized in the Papez circuit. Thus, coupling between the MB-Gudden circuit and the hippocampus and consequently the neuronal traffic through the Papez circuit and hence the assembly of limbic structures connected to the hippocampus may vary according to the activity in these specific brainstem nuclei.     

The development of neural synchrony and large-scale cortical networks during adolescence: relevance for the pathophysiology of schizophrenia and neurodevelopmental hypothesis

Recent data from developmental cognitive neuroscience highlight the profound changes in the organization and function of cortical networks during the transition from adolescence to adulthood. While previous studies have focused on the development of gray and white matter, recent evidence suggests that brain maturation during adolescence extends to fundamental changes in the properties of cortical circuits that in turn promote the precise temporal coding of neural activity. In the current article, we will highlight modifications in the amplitude and synchrony of neural oscillations during adolescence that may be crucial for the emergence of cognitive deficits and psychotic symptoms in schizophrenia. Specifically, we will suggest that schizophrenia is associated with impaired parameters of synchronous oscillations that undergo changes during late brain maturation, suggesting an important role of adolescent brain development for the understanding, treatment, and prevention of the disorder.     

Neural synchrony in schizophrenia: from networks to new treatments

Evidence is accumulating that brain regions communicate with each other in the temporal domain, relying on coincidence of neural activity to detect phasic relationships among neurons and neural assemblies. This coordination between neural populations has been described as "self-organizing," an "emergent property" of neural networks arising from the temporal synchrony between synaptic transmission and firing of distinct neuronal populations. Evidence is also accumulating that communication and coordination failures between different brain regions may account for a wide range of problems in schizophrenia, from psychosis to cognitive dysfunction. We review the knowledge about the functional neuroanatomy and neurochemistry of neural oscillations and oscillation abnormalities in schizophrenia. Based on this, we argue that we can begin to use oscillations, across frequencies, to do translational studies to understand the neural basis of schizophrenia.     

Neurophysiological signature of effective anticipatory task-set control: a task-switching investigation

Changing between cognitive tasks requires a reorganization of cognitive processes. Behavioural evidence suggests this can occur in advance of the stimulus. However, the existence or detectability of an anticipatory task-set reconfiguration process remains controversial, in part because several neuroimaging studies have not detected extra brain activity during preparation for a task switch relative to a task repeat. In contrast, electrophysiological studies have identified potential correlates of preparation for a task switch, but their interpretation is hindered by the scarcity of evidence on their relationship to performance. We aimed to: (i) identify the brain potential(s) reflecting effective preparation for a task-switch in a task-cuing paradigm that shows clear behavioural evidence for advance preparation, and (ii) characterize this activity by means of temporal segmentation and source analysis. Our results show that when advance preparation was effective (as indicated by fast responses), a protracted switch-related component, manifesting itself as widespread posterior positivity and concurrent right anterior negativity, preceded stimulus onset for ∼300 ms, with sources primarily in the left lateral frontal, right inferior frontal and temporal cortices. When advance preparation was ineffective (as implied by slow responses), or made impossible by a short cue–stimulus interval (CSI), a similar component, with lateral prefrontal generators, peaked ∼300 ms poststimulus. The protracted prestimulus component (which we show to be distinct from P3 or contingent negative variation, CNV) also correlated over subjects with a behavioural measure of preparation. Furthermore, its differential lateralization for word and picture cues was consistent with a role for verbal self-instruction in preparatory task-set reconfiguration.     

Event-related delta,theta, alpha and gamma correlates to auditory oddball processing during Vipassana meditation

Long-term Vipassana meditators sat in meditation vs. a control (instructed mind wandering) states for 25 min, electroencephalography (EEG) was recorded and condition order counterbalanced. For the last 4 min, a three-stimulus auditory oddball series was presented during both meditation and control periods through headphones and no task imposed. Time-frequency analysis demonstrated that meditation relative to the control condition evinced decreased evoked delta (2–4 Hz) power to distracter stimuli concomitantly with a greater event-related reduction of late (500–900 ms) alpha-1 (8–10 Hz) activity, which indexed altered dynamics of attentional engagement to distracters. Additionally, standard stimuli were associated with increased early event-related alpha phase synchrony (inter-trial coherence) and evoked theta (4–8 Hz) phase synchrony, suggesting enhanced processing of the habituated standard background stimuli. Finally, during meditation, there was a greater differential early-evoked gamma power to the different stimulus classes. Correlation analysis indicated that this effect stemmed from a meditation state-related increase in early distracter-evoked gamma power and phase synchrony specific to longer-term expert practitioners. The findings suggest that Vipassana meditation evokes a brain state of enhanced perceptual clarity and decreased automated reactivity.     

The role of spatial information in advance task-set control: an event-related potential study

Task-switching has proved to be a fruitful paradigm for studying cognitive control mechanisms. Interestingly, this avenue of study has revealed that subjects are, to some degree, able to bring about a change in task-set prior to the performance of that task (provided that they are given advance warning of the upcoming task, for instance in the form of a cue). Event-related potentials (ERPs) have proved to be a good way of measuring these rapid anticipatory control processes. To explore these processes further, the current study examined the relationship between the availability of spatial information and cue-locked task-switching ERP effects. Two groups of subjects were compared: one group could separate the task-sets on the basis of the targets' colour (the 'colour' group), the second on the basis of the targets' location (the 'spatial' group). The performance of both groups benefited to the same extent from advance cueing of task-transitions (switches or repeats), yet the ERP data revealed cue-locked (but not target-locked) differences between the two groups. The most striking of these differences was the absence of both a late positivity over posterior scalp and a late negativity over frontal scalp when the spatial group switched between tasks. Thus, it seems unlikely that these effects index stimulus-response 'reconfiguration'per se--as the mappings were identical for both groups of subjects--but rather that these task-switching processes are sensitive to how the mappings are represented.     

Theta Burst Stimulation Is Not Inferior to High-Frequency Repetitive Transcranial Magnetic Stimulation in Reducing Symptoms of Posttraumatic Stress Disorder in Veterans With Depression: A Retrospective Case Series

ObjectivesTwo commonly used forms of repetitive transcranial magnetic stimulation (rTMS) were recently shown to be equivalent for the treatment of depression: high-frequency stimulation (10 Hz), a protocol that lasts between 19 and 38 minutes, and intermittent theta burst stimulation (iTBS), a protocol that can be delivered in just three minutes. However, it is unclear whether iTBS treatment offers the same benefits as those of standard 10-Hz rTMS for comorbid symptoms such as those seen in posttraumatic stress disorder (PTSD).Materials and MethodsIn this retrospective case series, we analyzed treatment outcomes in veterans from the Veterans Affairs San Diego Healthcare System who received 10-Hz (n = 47) or iTBS (n = 51)-rTMS treatments for treatment-resistant depression between February 2018 and June 2022. We compared outcomes between these two stimulation protocols in symptoms of depression (using changes in the Patient Health Questionnaire-9 [PHQ-9]) and PTSD (using changes in the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, or Patient Checklist [PCL]-5).ResultsThere was an imbalance of sex between groups (p < 0.05). After controlling for sex, we found no significant difference by stimulation protocol for depression (PHQ-9, F [1,94] = 0.16, p = 0.69, eta-squared = 0.002), confirming the original study previously noted. We also showed no difference by stimulation protocol of changes in PTSD symptoms (PCL-5, F [1,94] = 3.46, p = 0.067, eta-squared = 0.036). The iTBS group showed a decrease from 41.9 ± 4.4 to 25.1 ± 4.9 (a difference of 16.8 points) on the PCL-5 scale whereas the 10-Hz group showed a decrease from 43.6 ± 2.9 to 35.2 ± 3.2 on this scale (a difference of 8.4 points). Follow-up analyses restricting the sample in various ways did not meaningfully change these results (no follow-up analyses showed that there was a significant difference between stimulation protocols).ConclusionsAlthough limited by small sample size, nonblind, and pseudorandomized assignment, our data suggest that iTBS is similar to 10-Hz stimulation in inducing reductions in PTSD symptoms and depression in military veterans.     

Disturbed cortico‐subcortical interactions during motor task switching in traumatic brain injury

The ability to suppress and flexibly adapt motor behavior is a fundamental mechanism of cognitive control, which is impaired in traumatic brain injury (TBI). Here, we used a combination of functional magnetic resonance imaging and diffusion weighted imaging tractography to study changes in brain function and structure associated with motor switching performance in TBI. Twenty‐three young adults with moderate‐severe TBI and twenty‐six healthy controls made spatially and temporally coupled bimanual circular movements. A visual cue signaled the right hand to switch or continue its circling direction. The time to initiate the switch (switch response time) was longer and more variable in the TBI group and TBI patients exhibited a higher incidence of complete contralateral (left hand) movement disruptions. Both groups activated the basal ganglia and a previously described network for task‐set implementation, including the supplementary motor complex and bilateral inferior frontal cortex (IFC). Relative to controls, patients had significantly increased activation in the presupplementary motor area (preSMA) and left IFC, and showed underactivation of the subthalamic nucleus (STN) region. This altered functional engagement was related to the white matter microstructural properties of the tracts connecting preSMA, IFC, and STN. Both functional activity in preSMA, IFC, and STN, and the integrity of the connections between them were associated with behavioral performance across patients and controls. We suggest that damage to these key pathways within the motor switching network because of TBI, shifts the patients toward the lower end of the existing structure‐function‐behavior spectrum. Hum Brain Mapp, 2013. © 2012 Wiley Periodicals, Inc.     

When global rule reversal meets local task switching: The neural mechanisms of coordinated behavioral adaptation to instructed multi‐level demand changes

Cognitive flexibility is essential to cope with changing task demands and often it is necessary to adapt to combined changes in a coordinated manner. The present fMRI study examined how the brain implements such multi‐level adaptation processes. Specifically, on a “local,” hierarchically lower level, switching between two tasks was required across trials while the rules of each task remained unchanged for blocks of trials. On a “global” level regarding blocks of twelve trials, the task rules could reverse or remain the same. The current task was cued at the start of each trial while the current task rules were instructed before the start of a new block. We found that partly overlapping and partly segregated neural networks play different roles when coping with the combination of global rule reversal and local task switching. The fronto‐parietal control network (FPN) supported the encoding of reversed rules at the time of explicit rule instruction. The same regions subsequently supported local task switching processes during actual implementation trials, irrespective of rule reversal condition. By contrast, a cortico‐striatal network (CSN) including supplementary motor area and putamen was increasingly engaged across implementation trials and more so for rule reversal than for nonreversal blocks, irrespective of task switching condition. Together, these findings suggest that the brain accomplishes the coordinated adaptation to multi‐level demand changes by distributing processing resources either across time (FPN for reversed rule encoding and later for task switching) or across regions (CSN for reversed rule implementation and FPN for concurrent task switching).     

Domain general and domain preferential brain regions associated with different types of task switching: a meta-analysis

One of our highest evolved functions as human beings is our capacity to switch between multiple tasks effectively. A body of research has identified a distributed frontoparietal network of brain regions which contribute to task switching. However, relatively less is known about whether some brain regions may contribute to switching in a domain-general manner while others may be more preferential for different kinds of switching. To explore this issue, we conducted three meta-analyses focusing on different types of task switching frequently used in the literature (perceptual, response, and context switching), and created a conjunction map of these distinct switch types. A total of 36 switching studies with 562 activation coordinates were analyzed using the activation likelihood estimation method. Common areas associated with switching across switch type included the inferior frontal junction and posterior parietal cortex. In contrast, domain-preferential activation was observed for perceptual switching in the dorsal portion of the premotor cortex and for context switching in frontopolar cortex. Our results suggest that some regions within the frontoparietal network contribute to domain-general switching processes while others contribute to more domain-preferential processes, according to the type of task switch performed.     

Midfrontal-occipital θ-tACS modulates cognitive conflicts related to bodily stimuli

Neurophysiological studies show that during tasks tapping cognitive control (like the flanker task), midfrontal theta (MFθ) oscillations are associated with conflict and error processing and neural top-down modulation of perceptual processing. What remains unknown is whether perceptual encoding of category-specific stimuli (e.g. body vs letters) used in flanker-like tasks is modulated by theta oscillations. To explore this issue, we delivered transcranial Alternating Current Stimulation (tACS) in the theta frequency band (6 Hz) over the medial frontal cortex (MFC) and the extra-striate body area (EBA), whereas healthy participants performed two variants of the classical flanker task, one with stimuli representing human hands (i.e. hand-flanker) and the other with stimuli representing coloured letters (i.e. letter-flanker). More specifically, we aimed at investigating whether θ-tACS involving a body-related area may modulate the long-range communication between neuronal populations underlying conflict monitoring and visuo-perceptual encoding of hand stimuli without affecting the conflict driven by letter stimuli. Results showed faster correct response times during θ-tACS in the hand-flanker compared with γ-tACS (40 Hz) and sham. Importantly, such an effect did not emerge in the letter-flanker. Our findings show that theta oscillations over midfrontal-occipital areas modulate bodily specific, stimulus content-driven aspects of cognitive control.     

Switching from brand-name to generic psychotropic medications: a literature review

Generic medications do not undergo the rigorous approval process required of original medications. Their effectiveness and safety is expected to be equal to that of their more expensive counterparts. However, several case reports and studies describe clinical deterioration and decreased tolerability with generic substitution. Pubmed was searched from January 1, 1974 to March 1, 2010. The MeSH term "generic, drugs" was combined with "anticonvulsants," "mood stabilizers," "lithium," "antidepressants," "antipsychotics," "anxiolytics," and "benzodiazepines." Additional articles were obtained by searching the bibliographies of relevant references. Articles in English, French, or Spanish were considered if they discussed clinical equivalence of generic and brand-name medications, generic substitution, or issues about effectiveness, tolerability, compliance, or economics encountered with generics. Clinical deterioration, adverse effects, and changes in pharmacokinetics are described with generic substitution of several anticonvulsants/mood stabilizers (carbamazepine, valproate, lamotrigine, gabapentin, topiramate, lithium), antidepressants (amitriptyline, nortriptyline, desipramine, fluoxetine, paroxetine, citalopram, sertraline, venlafaxine, mirtazapine, bupropion), antipsychotics (risperidone, clozapine), and anxiolytics (clonazepam, alprazolam). Generics do not always lead to the anticipated monetary savings and also raise compliance issues. Although the review is limited by publication bias and heterogeneity of the studies in the literature, we believe there is enough concern to advise generic switching on an individual basis with close monitoring throughout the transition. Health professionals should be aware of the stakes around generic substitution especially when health economics promote universal use of generics.     

Challenging a decade of brain research on task switching: brain activation in the task-switching paradigm reflects adaptation rather than reconfiguration of task sets

In daily life, we permanently need to adapt our behavior to new task situations, requiring cognitive control. Such adaptive processes are commonly investigated with the task-switching paradigm. Many fMRI studies have interpreted stronger activation for switch than repeat trials in fronto-parietal brain areas as reflecting an active reconfiguration process in switch trials, tuning the cognitive system for proper task execution. From the single cell literature, however, one could deduce the alternative interpretation that switch-specific activity reflects reduced brain activity in repeat trials due to adaptation. These alternative explanations cannot be distinguished by simply comparing brain activity in switch and repeat trials. Therefore, we used a parametric approach to examine which interpretation is more powerful to account for the data. In all areas of the fronto-parietal network, adaptation explained the data better than reconfiguration. Therefore, our results call the classical reconfiguration interpretation into question and provide first evidence for adaptation of abstract task representations.     

An event‐based magnetoencephalography study of simulated driving: Establishing a novel paradigm to probe the dynamic interplay of executive and motor function

Magnetoencephalography (MEG) is particularly well‐suited to the study of human motor cortex oscillatory rhythms and motor control. However, the motor tasks studied to date are largely overly simplistic. This study describes a new approach: a novel event‐based simulated drive made operational via MEG compatible driving simulator hardware, paired with differential beamformer methods to characterize the neural correlates of realistic, complex motor activity. We scanned 23 healthy individuals aged 16–23 years (mean age = 19.5, SD = 2.5; 18 males and 5 females, all right‐handed) who completed a custom‐built repeated trials driving scenario. MEG data were recorded with a 275‐channel CTF, and a volumetric magnetic resonance imaging scan was used for MEG source localization. To validate this paradigm, we hypothesized that pedal‐use would elicit expected modulation of primary motor responses beta‐event‐related desynchronization (B‐ERD) and movement‐related gamma synchrony (MRGS). To confirm the added utility of this paradigm, we hypothesized that the driving task could also probe frontal cognitive control responses (specifically, frontal midline theta [FMT]). Three of 23 participants were removed due to excess head motion (>1.5 cm/trial), confirming feasibility. Nonparametric group analysis revealed significant regions of pedal‐use related B‐ERD activity (at left precentral foot area, as well as bilateral superior parietal lobe: p < .01 corrected), MRGS (at medial precentral gyrus: p < .01 corrected), and FMT band activity sustained around planned braking (at bilateral superior frontal gyrus: p < .01 corrected). This paradigm overcomes the limits of previous efforts by allowing for characterization of the neural correlates of realistic, complex motor activity in terms of brain regions, frequency bands and their dynamic temporal interplay.     

Progressive increase of frontostriatal brain activation from childhood to adulthood during event-related tasks of cognitive control

Higher cognitive inhibitory and attention functions have been shown to develop throughout adolescence, presumably concurrent with anatomical brain maturational changes. The relatively scarce developmental functional imaging literature on cognitive control, however, has been inconsistent with respect to the neurofunctional substrates of this cognitive development, finding either increased or decreased executive prefrontal function in the progression from childhood to adulthood. Such inconsistencies may be due to small subject numbers or confounds from age-related performance differences in block design functional MRI (fMRI). In this study, rapid, randomized, mixed-trial event-related fMRI was used to investigate developmental differences of the neural networks mediating a range of motor and cognitive inhibition functions in a sizeable number of adolescents and adults. Functional brain activation was compared between adolescents and adults during three different executive tasks measuring selective motor response inhibition (Go/no-go task), cognitive interference inhibition (Simon task), and attentional set shifting (Switch task). Adults compared with children showed increased brain activation in task-specific frontostriatal networks, including right orbital and mesial prefrontal cortex and caudate during the Go/no-go task, right mesial and inferior prefrontal cortex, parietal lobe, and putamen during the Switch task and left dorsolateral and inferior frontotemporoparietal regions and putamen during the Simon task. Whole-brain regression analyses with age across all subjects showed progressive age-related changes in similar and extended clusters of task-specific frontostriatal, frontotemporal, and frontoparietal networks. The findings suggest progressive maturation of task-specific frontostriatal and frontocortical networks for cognitive control functions in the transition from childhood to mid-adulthood.     

Disorder‐specific inferior prefrontal hypofunction in boys with pure attention‐deficit/hyperactivity disorder compared to boys with pure conduct disorder during cognitive flexibility

Background. Problems with cognitive flexibility have been observed in patients with attention deficit hyperactivity disorder (ADHD) and in patients with conduct disorder (CD), characterized by the violation of societal rules and the rights of others. Functional magnetic resonance imaging (fMRI) of cognitive switching, however, has only been investigated in patients with ADHD, including comorbidity with CD, finding frontostriatal and temporoparietal underactivation. This study investigates disorder‐specific functional abnormalities during cognitive flexibility between medication‐naïve children and adolescents with noncomorbid CD and those with noncomorbid ADHD compared to healthy controls. Methods. Event‐related fMRI was used to compare brain activation of 14 boys with noncomorbid, childhood‐onset CD, 14 boys with noncomorbid ADHD, and 20 healthy comparison boys during a visual–spatial Switch task. Results. Behaviorally, children with ADHD compared to children with CD had significantly slower reaction times to switch compared to repeat trials. The fMRI comparison showed that the patients with ADHD compared to both controls and patients with CD showed underactivation in right and left inferior prefrontal cortex. No disorder‐specific brain underactivation was observed in patients with CD. Only when compared with controls alone, the disruptive behavior group showed reduced activation in bilateral temporoparietal and occipital brain regions. Conclusions. The findings extend previous evidence for disorder‐specific underactivation in patients with ADHD compared to patients with CD in inferior prefrontal cortex during tasks of inhibitory control to the domain of cognitive flexibility. Inferior prefrontal underactivation thus appears to be a disorder‐specific neurofunctional biomarker for ADHD when compared with patients with CD. Hum Brain Mapp, 2010. © 2010 Wiley‐Liss, Inc.     

A neural network approach to motor-sensory relations during postural disturbance

This study explored whether artificial neural networks (ANN) can be used to quantify the motor-sensory relationship during postural disturbance. An ANN model was constructed with seven mechanical stimuli to the visual, vestibular and somatosensory systems (i.e., head angular and linear accelerations, eye-target distance, ankle joint rotation and velocity, as well as normal and shear ground contact forces under the feet) as inputs, and electromyographic activities of tibialis anterior and gastrocnemius muscles as outputs. These inputs and outputs were directly measured during a sudden toes-up-down rotation of the supporting base in two groups of elderly subjects: people with peripheral neuropathy (NP) who have severe loss of mechanoreception in the sole of their feet and people without NP. The products of ANN weights were used in a summary statistic called the Q-value to estimate the contribution of each mechanical stimulus to sensory systems in determining each leg muscle activity. It was found that: (1) the stimuli to the vestibular system and/or ankle proprioceptors have greater contributions to leg muscle activities, especially the TA muscle, in people with NP than people without NP; (2) the stimuli to somatosensory receptors have the greatest contribution, and the stimuli to the vestibular system have the least contribution to both muscle activities in both groups. These findings are supported by previous studies and have demonstrated the potential of the Q-value concept in the ANN model in studying the motor-sensory relationship in human postural control.