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Roles of Supplementary Motor Areas in Auditory Processing and Auditory Imagery
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Although the supplementary and pre-supplementary motor areas have been intensely investigated in relation to their motor functions, they are also consistently reported in studies of auditory processing and auditory imagery. This involvement is commonly overlooked, in contrast to lateral premotor and inferior prefrontal areas. We argue here for the engagement of supplementary motor areas across a variety of sound categories, including speech, vocalizations, and music, and we discuss how our understanding of auditory processes in these regions relate to findings and hypotheses from the motor literature. We suggest that supplementary and pre-supplementary motor areas play a role in facilitating spontaneous motor responses to sound, and in supporting a flexible engagement of sensorimotor processes to enable imagery and to guide auditory perception.
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![Figure 1 Anatomy of the Supplementary Motor Areas. (A) The medial surface of the right hemisphere of the human brain showing the locations of SMA (blue) and pre-SMA (red). SMA occupies the medial area 6aα, and pre-SMA is located anteriorly in medial area 6aβ. The broken line represents the vertical plane through the anterior commissure (VCA line, y = 0), typically considered as the border between pre-SMA and SMA. The maps were taken from the Human Motor Area Template (HMAT) [26], which uses both anatomical information and probability distributions estimating the likelihood of functional activation to characterize the shape, extent, and area of motor and premotor cortices. Area 4 corresponds to the primary motor cortex. (B) The medial surface of the macaque monkey brain showing area F3 (blue), which corresponds to SMA, and area F6 (red), which corresponds to pre-SMA. Area F1 corresponds to primary motor cortex. The human figure was generated from the Conte69 human surface-based atlas and the macaque figure was generated from subject F99 using Connectome Workbench software version 1.1.1. Anatomical parcellations of the macaque brain were sourced from the Markov et al.[118] atlas. Numbers in white represent locations of Brodmann's areas located in close proximity to SMA and pre-SMA. The gradients above SMA in the human and macaque brains illustrate the somatotopy in this region, with face/mouth (F/M), upper limb (UL), and lower limb (LL) representations depicted along an anterior-to-posterior orientation.](/paper-figures/e07366d31bc64b248ae46ea31efa19cd/roles-of-supplementary-motor-areas-in-auditory-processing-and-auditory-imagery-figure-1.jpg)


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“The experience of NCVH likely also involves regions associated with the generation and monitoring of speech-motor imagery, as well as sensorimotor processes, such as the supplementary and pre-supplementary motor areas (SMA/pre-SMA; Linden et al., 2011;Lima et al., 2016).”
From Distinct processing of ambiguous speech in people with non-clinical auditory verbal hallucinations (2017) · cites this paper as Lima et al., 2016
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Metadata
- Authors
- Lima, C. F., Krishnan, S., & Scott, S. K.
- Affiliations
- University College London (GB)
- University of Oxford (GB)
- Corresponding author
- Scott, Sophie K.
- Venue
- Trends in Neurosciences
- Publisher
- Elsevier BV
- Published
- 2016-08
- Volume
- 39
- Issue
- 8
- Pages
- 527-542
- ISSN
- 0166-2236 (ISSN-L)
- PMC
- PMC5441995
- OpenAlex
- W2473628615
- Cited by
- 227
- References
- 152
- Citations by year
- 2026: 17 · 2025: 20 · 2024: 29 · 2023: 21 · 2022: 21 · 2021: 38 · 2020: 25 · 2019: 31 · 2018: 17 · 2017: 8
- FWCI
- 1.97
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Trends in Neurosciences (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion)
- Funders
- Wellcome Trust (WT090961MA, 090961)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neuroscience and Music Perception
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Multisensory perception and integration
- Keywords
- supplementary motor area, pre-supplementary motor area, auditory processing, auditory imagery, sensorimotor integration, speech perception, vocalizations, music perception, auditory perception
- MeSH terms
- Animals, Auditory Perception, Humans, Imagination, Motor Activity, Motor Cortex
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