Biomedical subjects

A W Van Gemmert

Publications and source records attributed to A W Van Gemmert.

5 recordsLinked to original sources

PubMed2001

Parkinsonian patients reduce their stroke size with increased processing demands.

Parkinson's disease (PD) patients often show reductions in writing size (micrographia) as the length of the text they produce increases. The cause for these reductions in stroke size are not well understood. Reductions in stroke size could be associated with either concurrent processing demands that result from the coordination and control of fingers, wrist, and arm during writing and the processing of future words or increased extension of the wrist joint as the execution of the writing progresses to the right across the page, resulting in increased stiffness in the pen-limb system. Parkinson's patients and elderly controls wrote phrases of different lengths with target patterns in various serial positions. When the number of words to be written increased, PD patients reduced their stroke size of the initial target pattern, while the elderly controls did not reduce their stroke size. There was no systematic change in stroke size of the second pattern as function of serial position. This result suggests that PD patients reduce the size of their handwriting strokes when concurrent processing load increases.

Aged↗

PubMed2000

Interjoint coordination during handwriting-like movements.

The present study investigates intrinsic preferences and tendencies in coordination of the wrist and finger movements during handwriting-like tasks. Movement of the inkless pen tip in nine right-handed subjects was registered with a digitizer. One circle-drawing task and four line-drawing tasks were included in the experiment. The line-drawing task included: (1) drawing with the wrist only, (2) drawing with the fingers only, (3) an equivalent pattern consisting of the simultaneous flexion/extension of the wrist and fingers, and (4) a nonequivalent pattern in which wrist flexion was accompanied by finger extension and wrist extension was accompanied by finger flexion. Both the line and circle drawing were performed repetitively at four speed levels, ranging from slow to "as fast as possible" movements. The analysis of the line drawing revealed differential variability and temporal characteristics across the four movement patterns. While the equivalent pattern had characteristics of performance similar to those observed in the wrist-only and fingers-only pattern, the nonequivalent pattern was more variable and was executed slower when as fast as possible movement was required, compared to the other three patterns. The circle-drawing task also revealed intrinsic tendencies in coordination of the wrist and fingers. These tendencies were manifested by a spontaneous transition of the circular path of the pen tip to a tilted oval with increases in movement speed. The transition to the oval shape was accompanied by decreases in relative phase between the wrist and finger movements, whereas amplitudes of these movements were not affected by movement speed manipulations. The results suggest that subjects did not display a tendency to decrease the number of joints involved when executing the patterns that required simultaneous wrist and finger movements. Instead, there were preferences during these patterns to integrate wrist and finger movements with low relative phase. The findings are interpreted in terms of biomechanical constraints imposed on the wrist-finger linkage. This interpretation was further examined by testing two left-handed subjects. The data obtained showed symmetrical preferences in joint coordination. Collectively, the findings support a supposition that the shape of cursive letters may have been adjusted to the biomechanical structure of the hand to facilitate the motor act of handwriting.

Adult↗

PubMed1999

Parkinson's disease and the control of size and speed in handwriting.

This experiment investigated whether Parkinson's disease (PD) patients experience problems in producing stroke size, stroke duration or both, in a handwriting task. Thirteen PD patients and 15 elderly controls wrote four patterns of varying complexity on a digitizer tablet. The participants were instructed to execute the writing movements: at a normal size and speed; as fast as possible; two times larger than normal; and two times larger and as fast as possible. PD patients had no difficulty increasing speed while maintaining size and had no difficulty increasing size while maintaining speed. However, they showed significantly smaller size increases in the two times larger condition as compared to the elderly controls. The conditions were also simulated by a neural network model of normal and PD movement control that produced a stroke pattern that approximated the experimental data. For the instructions used, the results suggest that when patients scale speed, they have no difficulty controlling force amplitude, but when they scale stroke size, they have a problem controlling force amplitude. Thus, PD patients may have reduced capability to maintain a given force level for the stroke time periods tested with the instructions.

Aged↗

PubMed1998

Auditory stress effects on preparation and execution of graphical aiming: a test of the neuromotor noise concept.

Effects of physical and mental stress, on the preparation and execution of a psychomotor task were studied to test the applicability of the neuromotor noise concept (Van Gemmert and Van Galen, 1997) as an explanation of stress effects. Central to this notion is that both physical stress and mental load raise neuromotor noise levels in the human information processing system. It is proposed that increased levels of neuromotor noise lead to decreased processing times during task preparation (activation effect), decreased or increased reaction times during task initiation, depending on task difficulty (impoverished signal-to-noise effect) and increased limb stiffness during task execution (biomechanical filtering effect). To test these predictions, an experiment was conducted in which two types of auditory stressors, physical stress and mental load, were manipulated across the stages of preparation, initiation, and execution of a graphical aiming task. The results confirmed the notion that the neuromotor noise concept is a tenable approach to explain the effects of stress on human performance.

Acoustic Stimulation↗

PubMed1997

Stress, neuromotor noise, and human performance: a theoretical perspective.

A new theory on stress and human performance is proposed in which physical and cognitive stressors enhance the level of neuromotor noise in the information-processing system. The neuromotor noise propagates in time and space. A 2nd assumption states that such noise facilitates easy tasks but disrupts complex tasks. In 4 experiments, 2 graphic tasks (number writing and graphic aiming) were crossed with 2 stressors (cognitive stress from a dual-task situation and physical stress in the form of loud auditory noise). Reaction time (RT), movement time (MT), and axial pen pressure were measured. In the RT phase, stress was predicted to lead to decreased RT with easy tasks and to increased RT with difficult tasks. In the execution phase, biomechanical adaptation to enhanced levels of noise was expected to manifest in higher levels of limb stiffness. In all 4 experiments, an increase of axial pen pressure with higher levels of stress evidenced the generality of biomechanical adaptation as a response to stress. RT and MT showed differential effects among the 4 experiments.

Adolescent↗