The effects of primary somatosensory cortex (S1) injury on recovery of
contralateral upper limb reaching and grasping was studied by comparing the
consequences of isolated lesions to the arm/hand region of primary motor cortex
(M1) and lateral premotor cortex (LPMC) to lesions of these same areas plus
anterior parietal cortex (S1 and rostral area PE). We used multiple linear
regression to assess the effects of gray and white matter lesion volumes on
deficits in reaching and fine motor performance during the first month after the
lesion, and during recovery of function over 3, 6 and 12 months post-injury in
13 monkeys. Subjects with frontoparietal lesions exhibited larger deficits and
poorer recovery as predicted, including one subject with extensive peri-Rolandic
injury developing learned nonuse after showing signs of recovery. Regression
analyses showed that total white matter lesion volume was strongly associated
with initial post-lesion deficits in motor performance and with recovery of
skill in reaching and manipulation. Multiple regression analyses using percent
damage to caudal M1 (M1c), rostral S1 (S1r), LPMC and area PE as predictor
variables showed that S1r lesion volumes were closely related to delayed
post-lesion recovery of upper limb function, as well as lower skill level of
recovery. In contrast, M1c lesion volume was related primarily to initial
post-lesion deficits in hand motor performance. Overall, these findings
demonstrate that frontoparietal injury impairs hand motor function more so than
frontal motor injury alone, and results in slower and poorer recovery than
lesions limited to frontal motor cortex.