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Biomedical subjects

H C Dijkerman

Publications and source records attributed to H C Dijkerman.

At least 19 recordsLinked to original sources

Interference of grasping observation during prehension, a behavioural study.

During the last 10 years a considerable number of neurophysiological and functional imaging studies have provided evidence that observation and execution of movements activate common representations. Furthermore, several behavioural studies suggest that action observation can influence the performance of movements. Recently it was shown that viewing incongruent movements interferes with the execution of non-object oriented sinusoidal arm movements (Kil-ner et al. in Curr Biol 13:522-525, 2003). In the current study, we investigated whether interference of action observation also occurs during goal-directed prehension movements. Participants were required to grasp cubes of different sizes while simultaneously observing an actor performing grasping or pointing movements. The actors' movement could be directed at objects that were identical, or different in size to the cube grasped by the participant. The results showed that maximum grip aperture was affected by observation of grasping towards larger objects. No effect of object size was found during observation of pointing movements. These results suggest that observation of grasping movements can interfere with the on-line control of prehension movements and provides further evidence for overlapping networks for grasping observation and execution.

Adult↗

Dissociating body representations in healthy individuals: differential effects of a kinaesthetic illusion on perception and action.

Evidence from neuropsychological patients suggests that multiple body representations exist. The most common dissociation is between body schema to guide limb movements, and body image used to make perceptual judgements. In the current study we employed a kinaesthetic illusion in two experiments to dissociate body representations in healthy individuals. Tendon vibration creates an illusory lengthening of the muscle and an illusive displacement of the limb. In Experiment 1 two conditions were used. In the 'direct' condition the biceps of the dominant right arm of blindfolded participants was vibrated, creating illusory elbow extension. In the 'indirect' condition the right knee was held with the vibrated right arm, creating illusive lowering of the leg and knee. In both conditions, subjects performed with the non-vibrated arm a reaching as well as a matching response, theorized to be based on the body schema and body image, respectively. Results showed that the illusion was significantly larger for the matching as compared to the reaching response, with the most pronounced difference observed in the direct condition. In Experiment 2 reaching and matching without vibration and a passive matching response were implemented in the direct condition. The same differential effect of the illusion was found. Results further showed that passive and active matching were statistically similar but significantly different from the reaching response. In conclusion, these findings suggest that the effect of the kinaesthetic illusion on reaching and matching differed, consistent with the idea of separate underlying body representations for both responses.

Adult↗

Reaching errors in optic ataxia are linked to eye position rather than head or body position.

When reaching towards a visual stimulus, spatial information about the target must be transformed into an appropriate motor command. Visual information is coded initially in retinotopic coordinates, while the reaching movement ultimately requires the specification of the target position in limb-centred coordinates. It is well established that the posterior parietal cortex (PPC) plays an important role in transforming visual target information into motor commands. Lesions in the PPC can result in optic ataxia, a condition in which the visual guidance of goal-directed movements is impaired. Here, we present evidence from two patients with unilateral optic ataxia following right PPC lesions, that the pattern of reaching errors is linked to an eye-centred frame of reference. Both patients made large errors when reaching to visual targets on the left side of space, while facing and fixating straight ahead. By varying the location of fixation and the orientation of the head and body, we were able to establish that these large errors were made specifically to targets to the left of eye-fixation, rather than to the left of head-, body-, or limb-relative space. These data support the idea that visual targets for reaching movements are coded in eye-centred coordinates within the posterior parietal cortex.

Aged, 80 and over↗

Visually guided reaching: bilateral posterior parietal lesions cause a switch from fast visuomotor to slow cognitive control.

The visually guided reaching of two patients with bilateral optic ataxia was explored in two experiments. In Experiment 1 simple delayed pointing was compared with immediate pointing. In the immediate pointing task both variable and constant errors increased with target eccentricity. In contrast to the performance of control subjects and contrary to their own beliefs, the patients both showed improved accuracy in the delay condition. This improvement was manifest as a reduction in both pointing variability and in the constant angular error towards the point of fixation. Both angular errors and their improvement with the delay were proportional to target eccentricity. Experiment 2 used a task in which the target was pre-viewed 5s prior to its re-exposure for pointing ('delayed real pointing'). On some trials a conflict was introduced between the present and previous visual information by changing the target's location during the delay. In contrast to control subjects, who ignored the pre-viewed location and aimed directly at the current target, both patients with optic ataxia initiated their movements towards the previously viewed target location. Evidently they relied on off-line information in preference to on-line visual information. In addition, the patients often failed to detect the changes in target location. One of the patients sometimes even guessed incorrectly that the target had changed its location, and her movement trajectory was then more affected by her false belief than by the target's actual location. These findings confirm that posterior parietal lesions severely disrupt direct visuomotor transformations, and suggest that the residual performance is mediated indirectly by expectations or beliefs about target position.

Acoustic Stimulation↗

Preserved obstacle avoidance during reaching in patients with left visual neglect.

We asked 12 patients with left visual neglect to bisect the gap between two cylinders or to reach rapidly between them to a more distal target zone. Both tasks demanded a motor response but these responses were quite different in nature. The bisection response was a communicative act whereby the patient indicated the perceived midpoint. The reaching task carried no imperative to bisect the gap, only to maintain a safe distance from either cylinder while steering to the target zone. Optimal performance on either task could only be achieved by reference to the location of both cylinders. Our analysis focused upon the relative influence of the left and right cylinders on the lateral location of the response. In the bisection task, all neglect patients showed qualitatively the same asymmetry, with the left cylinder exerting less influence than the right. In the reaching task, the neglect group behaved like normal subjects, being influenced approximately equally by the two cylinders. This was true for all bar two of the patients, who showed clear neglect in both tasks. We conclude that the visuomotor processing underlying obstacle avoidance during reaching is preserved in most patients with left visual neglect.

Aged↗

A long-lasting improvement of somatosensory function after prism adaptation, a case study.

Previous studies have observed a reduction of visual and representational neglect symptoms after visuo-manual adaptation to rightward displacing prisms. Recently, improvements have also been observed on somatosensory tasks, such as locating the centre of a haptically explored circle and tactile double simultaneous stimulation. In the current single case study we assessed whether prism adaptation with the ipsilesional hand improved two aspects of contralesional somatosensory function, pressure sensitivity and proprioception. After the first application of prism adaptation improvements in pressure sensitivity and proprioception were observed. A second prism adaptation confirmed the improvements in contralesional somatosensory function. The effects of prism adaptation on position sense were longer lasting than have been reported previously, but consistent with reductions of visual neglect symptoms after prism adaptation. The current findings suggest that prism adaptation can have a non-spatial effect on neglect-related supra-modal deficits.

Adaptation, Physiological↗

Does motor imagery training improve hand function in chronic stroke patients? A pilot study.

OBJECTIVE: To assess the efficacy of motor imagery training for arm function in chronic stroke patients. The relation between mental processes such as attentional and perceived personal control over recovery, and motor imagery was additionally investigated. DESIGN AND SUBJECTS: Twenty patients with long-term motor impairments (mean two years post stroke), were assessed before and after four weeks of training. Ten patients mentally rehearsed movements with their affected arm. Their recovery was compared with patients who performed nonmotor imagery (n =5), or who were not engaged in mental rehearsal (n=5). SETTING: Patients were recruited from the stroke database of Ninewells Hospital, Dundee. Assessment and training were performed at the patients' home. INTERVENTIONS: The motor imagery group was asked to practise daily imagining moving tokens with their affected arm. The nonmotor imagery group rehearsed visual imagery of previously seen pictures. All patients practised physically moving the tokens. MAIN MEASURES: The following variables were assessed before and after training: motor function (training task, pegboard and dynamometer), perceived locus of control, attention control and ADL independence. RESULTS: All patient groups improved on all motor tasks except the dynamometer. Improvement was greater for the motor imagery group on the training task only (average of 14% versus 6%). No effect of motor imagery training was found on perceived or attentional control. CONCLUSIONS: Motor imagery training without supervision at home may improve performance on the trained task only. The relation between movement imagery, attention and perceived personal control over recovery remained unclear.

Female↗

Delayed reaching and grasping in patients with optic ataxia.

A series of experiments documenting the reaching and grasping of two patients with optic ataxia is presented. We compare their immediate responses with their behavior when required to delay for a few seconds before responding. When the delayed response is 'pantomimed', i.e. made in the absence of the target object, their performance typically improves. This pattern was predicted from a two-visual-systems model in which the cortical dorsal stream mediates normal visually guided actions while the ventral stream deals with visual information that has to be held in memory. We further found that when a 'preview' task was used in which the patients could use memorized information to guide a response to a still-present target object, they did so in preference to using the visual information facing them.

Adult↗

Grasping the past. delay can improve visuomotor performance.

"Optic ataxia" is caused by damage to the human posterior parietal cortex (PPC). It disrupts all components of a visually guided prehension movement, not only the transport of the hand toward an object's location, but also the in-flight finger movements pretailored to the metric properties of the object. Like previous cases, our patient (I.G.) was quite unable to open her handgrip appropriately when directly reaching out to pick up objects of different sizes. When first tested, she failed to do this even when she had previewed the target object 5 s earlier. Yet despite this deficit in "real" grasping, we found, counterintuitively, that I.G. showed good grip scaling when "pantomiming" a grasp for an object seen earlier but no longer present. We then found that, after practice, I.G. became able to scale her handgrip when grasping a real target object that she had previewed earlier. By interposing catch trials in which a different object was covertly substituted for the original object during the delay between preview and grasp, we found that I.G. was now using memorized visual information to calibrate her real grasping movements. These results provide new evidence that "off-line" visuomotor guidance can be provided by networks independent of the PPC.

Animals↗

Visual and tactile size distortion in a patient with right neglect.

One typical feature of the neglect syndrome in patients with right hemisphere damage is that they bisect horizontal lines to the right of centre. It has been argued that to a large extent these bisection errors can be attributed to a perceptual change whereby the patient experiences the left half of a line as shorter than the right half, causing them to set the midpoint of the line towards the right. We describe here a patient with a left hemisphere lesion and rightward neglect, who consequently makes bisection errors in a leftward direction. We carried out a series of tests which confirmed that he shows a subjective visual distortion in the converse direction, i.e. a perception of horizontal extents on the right as shorter than extents on the left. We also found that he shows a similar distortion in his tactile perception. The association of visual and tactile distortions in this patient is compatible with the view that the distortion effects have a rather high-level origin. Multiple single-case studies will, however, be required to establish whether this association of deficits is typical, or whether visual and tactile size distortions are separable symptoms associated with neglect.

Attention↗

A paradoxical improvement of misreaching in optic ataxia: new evidence for two separate neural systems for visual localization.

We tested a patient (A. T.) with bilateral brain damage to the parietal lobes, whose resulting 'optic ataxia' causes her to make large pointing errors when asked to locate single light emitting diodes presented in her visual field. We report here that, unlike normal individuals, A. T.'s pointing accuracy improved when she was required to wait for 5 s before responding. This counter-intuitive result is interpreted as reflecting the very brief time-scale on which visuomotor control systems in the superior parietal lobe operate. When an immediate response was required, A. T.'s damaged visuomotor system caused her to make large errors; but when a delay was required, a different, more flexible, visuospatial coding system--presumably relatively intact in her brain--came into play, resulting in much more accurate responses. The data are consistent with a dual processing theory whereby motor responses made directly to visual stimuli are guided by a dedicated system in the superior parietal and premotor cortices, while responses to remembered stimuli depend on perceptual processing and may thus crucially involve processing within the temporal neocortex.

Adult↗

The use of vergence information in the programming of prehension.

Human prehension requires accurate information on the properties of an object and on the position of the object relative to the body. In principle, prehension might be more accurate with binocular rather than monocular vision. Previous studies have shown that the kinematics of prehension are altered when one eye is covered. Unfortunately, the source of the useful binocular information cannot be established using this approach. In the current study, we used a perturbation technique to explore whether the human nervous system uses a signal from vergence in prehension. Perturbing vergence caused predictable changes in the kinematics of prehension. Our results thus provide clear evidence that the nervous system uses vergence information in the programming of prehensile movement.

Adult↗

Motion parallax enables depth processing for action in a visual form agnosic when binocular vision is unavailable.

Visual-form agnosic patient DF, who has severe difficulties in using visual information about size, shape and orientation for perceptual report, can nevertheless--under normal viewing conditions--use the same information to accurately guide her hand movements. However, her performance of prehension tasks requiring the analysis of visual depth is severely disrupted when binocular vision is prevented. We have suggested that this deterioration in visuomotor control is due to an inability to use pictorial depth cues to compensate for the removal of binocular vision. In the current study we investigated whether DF was able to use motion parallax as an alternative to binocular cues. We asked her to grasp a square plaque slanted at different orientations in depth, under two monocular testing conditions. In one condition her head remained stationary on a chin rest, and in the other condition she made large lateral head movements just prior to each prehension movement. The results confirmed that DF is impaired in adjusting her hand orientation to the orientation of the target object when reaching monocularly with her head stationary. In contrast, when she made head movements, her manual performance was restored to almost normal levels. Our results are consistent with the idea that the processing of pictorial depth cues depends on the cortical ventral stream, which is known to be disrupted by DF's lesion. They further indicate that orientation in depth can be computed from motion parallax just as well as from binocular cues in the absence of a normally functioning ventral stream.

Adult↗

Grasping spatial relationships: failure to demonstrate allocentric visual coding in a patient with visual form agnosia.

The cortical visual mechanisms involved in processing spatial relationships remain subject to debate. According to one current view, the "dorsal stream" of visual areas, emanating from primary visual cortex and culminating in the posterior parietal cortex, mediates this aspect of visual processing. More recently, others have argued that while the dorsal stream provides egocentric coding of visual location for motor control, the separate "ventral" stream is needed for allocentric spatial coding. We have assessed the visual form agnosic patient DF, whose lesion mainly affects the ventral stream, on a prehension task requiring allocentric spatial coding. She was presented with transparent circular disks. Each disk had circular holes cut in it. DF was asked to reach out and grasp the disk by placing her fingers through the holes. The disks either had three holes (for forefinger, middle finger, and thumb) or two holes (for forefinger and thumb). The distance between the forefinger and thumb holes, and the orientation of the line formed by them, were independently varied. DF was quite unable to adjust her grip aperture or her hand orientation in the three-hole task. Although she was able to orient her hand appropriately for the two-hole disks, she still remained unable to adjust her grip aperture to the distance between the holes. These findings are consistent with the idea that allocentric processing of spatial information requires a functioning ventral stream, even when the information is being used to guide a motor response.

Agnosia↗

Perception and action in depth.

Little is known about distance processing in patients with posterior brain damage. Although many investigators have claimed that distance estimates are normal or abnormal in some of these patients, many of these observations were made informally and the examiners often asked for relative, and not absolute, distance estimates. The present investigation served two purposes. First, we wanted to contrast the use of distance information in peripersonal space for perceptual report as opposed to visuomotor control in our visual form agnosic patient, DF. Second, we wanted to see to what extent her abilities to process distance cues were dependent on binocular vision, in light of Milner et al.'s (1991) observations of preserved stereopsis in DF, and Dijkerman et al.'s (1996) and Marotta et al.'s (1997) observations that her visual guidance of grasping may be particularly dependent on binocular vision of the target. We hypothesized that DF's visuomotor responses would show normal sensitivity to target distance, while her perceptual estimates would not. In the first experiment, we required DF and two age- and sex-matched control subjects to reach out and grasp black cubes placed at varying distances, or to estimate the distance of the cubes from the hand starting position without making a reaching movement. In the second experiment, we required DF and two age-matched control subjects to point as rapidly and accurately as possible to small LED targets which differed in spatial location, under binocular and monocular conditions. The results showed that, relative to the control subjects, DF's grasping movements produced normal peak velocity-distance scaling-when she reached for blocks which varied in depth or pointed to LED targets which were presented at different distances in depth. In contrast, in the cube experiment, her verbal estimates of object distance were poorly scaled, although they improved slightly under the binocular conditions. The results are discussed in terms of current theories of processing streams in extrastriate visual cortex and the distinction between categorical and coordinate spatial processing.

Agnosia↗

The perception and prehension of objects oriented in the depth plane. II. Dissociated orientation functions in normal subjects.

Normal human subjects were tested for their ability to discriminate the orientation of a square plaque tilted in depth, using two different tasks: a grasping task and a perceptual matching task. Both tasks were given under separate monocular and binocular conditions. Accuracy of performance was measured by use of an opto-electronic motion analysis system, which computed the hand orientation (specifically, a line joining the tips of the thumb and index finger) as the hand either approached the target during grasping or was used to match the target. In all cases there was a very strong statistical coupling between hand orientation and target orientation, irrespective of viewing conditions. However, the matching data differed from the grasping data in showing a consistent curvature in the hand-target relationship, whereby the rate of change of hand orientation as a function of object orientation was smaller for oblique orientations than for those near the horizontal or vertical. The results are interpreted as reflecting the operation of two different mechanisms for analysing orientation in depth: a visuomotor system (assumed to be located primarily in the dorsal cortical visual stream) and a perceptual system (assumed to be located in the ventral stream). It may be that the requirements of visuomotor control dictate a primary need for absolute orientation coding, whereas those of perception dictate a need for more categorical coding.

Adult↗

Copying without perceiving: motor imagery in visual form agnosia.

Patient DF has severely impaired visual contour perception, despite being able to use that same visual information to guide her motor actions. We report that DF has developed a strategy to overcome some of her perceptual deficits. DF was first asked to copy single lines set at different orientations. She performed surprisingly accurately, although her responses were slow. When questioned, DF reported imagining tracing the line with her finger before copying the line on paper, although she was still unable to discriminate perceptually between different line orientations. We found that time restraints, or the requirement to perform secondary concurrent tasks, severely disrupted DF's orientation copying ability. We conclude that DF can use pure motor imagery to compensate for some of her perceptual difficulties.

Agnosia↗

The perception and prehension of objects oriented in the depth plane. I. Effects of visual form agnosia.

Previous studies have reported that the visual form agnosic D.F. is able to use information about visual targets for the control of motor acts, but has great difficulty in using the same visual information for perceptual report. This intact visuomotor performance may be mediated by relatively intact parieto-frontal cortical mechanisms. The present study investigated the ability of D.F. to use binocular and monocular information about the orientation of an object in the depth plane for perceptual and visuomotor purposes. A square plaque was presented at seven different orientations in depth to D.F. and to three age- and sex-matched control subjects. Subjects were required to reach out and grasp the plaque using a precision grip (index finger and thumb) under binocular and monocular viewing conditions, and in separate trials to match the orientation of a hand-held plaque to the perceived orientation of the target object, also under both binocular and monocular conditions. D.F.'s performance in grasping trials was found to be normal under binocular conditions, but was substantially worsened by removal of binocular vision. She was severely impaired at matching the orientation of the test square, although under binocular conditions her performance rose clearly above chance. The data suggest that the separation of cortical processing for visuomotor and visual perceptual purposes also applies, at least in part, to information about the orientation in depth of an object. The impaired performance under monocular viewing conditions on the visuomotor task is in agreement with recent physiological data and suggests that posterior parietal systems depend critically on binocular input for the processing of orientation in depth when ventral-stream information is unavailable.

Adult↗