PubMed Health⌕ Search

Biomedical subjects

J J Summers

Publications and source records attributed to J J Summers.

At least 19 recordsLinked to original sources
PubMed2006

The coalition of constraints during coordination of the ipsilateral and heterolateral limbs.

Previous work on the coordination between the upper and lower limbs has invariably shown that its accuracy/stability is primarily determined by the mutual direction between limbs in extrinsic space and not by muscle relationships. Here we show that muscle grouping does play a critical role in coordination of the arm and leg, in addition to direction. More specifically, the simultaneous activation of isofunctional muscles and/or limb movements proceeding in the same direction, results in more successful performance than the alternated activation of isofunctional muscles and/or movements occurring in different directions. In the absence of isofunctional muscle coupling, the mutual direction between the limbs plays a more prominent role in determining coordinative accuracy. These coordination constraints can largely account for the observed differences between ipsilateral and heterolateral limb coordination. The findings are discussed in view of the coalition of coordination constraints.

Adolescent↗
PubMed2005

Interlimb coordination following stroke.

Studies investigating whether simultaneous bilateral movements can facilitate performance of the impaired limb(s) of stroke patients have returned mixed results. In the present study we compared unilateral limb performance (amplitude, cycle duration) with performance during an interlimb coordination task involving both homologous (both arms, both legs) and non-homologous (one arm, one leg) limbs in stroke participants (n=7) and healthy age-matched controls (n=7). In addition, the effect of on-line augmented visual feedback on interlimb coordination was investigated. Participants performed cyclical flexion-extension movements of the arms and legs in the sagittal plane paced by an auditory metronome (1 Hz). Movement amplitudes were larger and cycle durations shorter during homologous limb coordination than non-homologous coordination. Compared with unilateral movements both groups had reduced movement amplitudes and the stroke group increased cycle duration when interlimb coordination tasks were performed. These effects were most evident during non-homologous (arm and leg) coordination. No evidence of facilitation of the impaired limb(s) was found in any of the interlimb coordination conditions. Augmented visual feedback had minimal effect on the movements of control participants but lead to an increase of cycle duration for stroke participants.

Adult↗
PubMed2005

Effects of attentional prioritisation on the temporal and spatial components of an interlimb circle-drawing task.

This study aimed to examine the effects of directing attention to the spatial dimension of the circle-drawing task on interlimb coordination patterns across limbs. Eighteen participants performed a circle-drawing task involving in-phase and antiphase coordination modes under upper limb, contralateral and ipsilateral limb combinations. Results indicated that (a) coordination pattern stability co-varied with central cost when attentional focus was directed to the spatial dimensions of the interlimb circle-drawing task; (b) attentional focus on the spatial components modified the inherent performance asymmetries between the limbs; (c) finally, attention to the spatial components of the interlimb circle-drawing task modulated movement trajectories and at the same time the stability of temporal coordination.

Adolescent↗
PubMed2005

Mirror, mirror on the wall: viewing a mirror reflection of unilateral hand movements facilitates ipsilateral M1 excitability.

Primary motor cortex (M1) excitability is modulated by both ipsilateral limb movement and passive observation of movement of the contralateral limb. An interaction of these effects within M1 may account for recent research suggesting improved functional recovery of the impaired arm following stroke by viewing a mirror reflection of movements of the unimpaired arm superimposed over the (unseen) impaired arm. This hypothesis was tested in the present study using single-pulse transcranial magnetic stimulation (TMS) in eight neurologically healthy subjects. Excitability of M1 ipsilateral to a phasic, unilateral hand movement was measured while subjects performed paced (1 Hz), unilateral index finger-thumb opposition movements. Motor evoked potentials (MEPs) were obtained from the inactive first dorsal interosseous (FDI) in each of four viewing conditions: Active (viewing the active hand), Central (viewing a mark positioned between hands), Inactive (viewing the inactive hand) and Mirror (viewing a mirror-reflection of the active hand in a mirror oriented in the mid-sagittal plane) and with both hands at rest (Rest). MEPs were significantly enhanced during ipsilateral hand movement compared with the Rest condition (P<0.05). Largest MEPs were obtained in the Mirror condition, and this was significant compared with both the Inactive and Central viewing conditions (P<0.05). There was no difference between the dominant and non-dominant hand. Excitability of M1 ipsilateral to a unilateral hand movement is facilitated by viewing a mirror reflection of the moving hand. This finding provides neurophysiological evidence supporting the application of mirror therapy in stroke rehabilitation.

Adult↗
PubMed2004

Attentional costs of coordinating homologous and non-homologous limbs.

This study aimed to examine the attentional demands of coordinating movement patterns across limbs. Eighteen participants performed a circle drawing task involving in-phase and anti-phase coordination modes under homologous, contralateral and ipsilateral limb combinations. Results indicated that: (a) attentional focus further stabilised coordination patterns with a cost at the central level; (b) there was an inverse relationship between stability and probe reaction time (RT) for all coordination patterns, that is the stronger the coupling between the limbs the lower the central cost. Overall, the results support previous research suggesting that attention plays an important role in sustaining coordination pattern stability and that the co-variation between coordination stability and central cost can also be extended to coordination across limbs.

Adult↗
PubMed2002

Timing goals in bimanual coordination.

Phase coupling between movement trajectories has been proposed as the basic mechanism of hand coordination in the production of bimanual rhythmic movements with a 1:2 frequency ratio. Here a central temporal coupling view is proposed as an alternative. Extending previous models of two-handed synchronic and alternate-hand tapping, we hypothesized that 1:2 tapping is performed under the control of a single internal timekeeper set at the frequency required for the fast hand. The fast hand is assumed to use every signal and the slow hand every other signal of the timekeeper, to produce actions coordinated in time. The model's predictions for the variance-covariance pattern of tap timing within and across hands were tested in an experiment that required tapping with both hands with 1:1 or 1:2 frequency ratio. The finger contact on the response plate was to be short or long, according to instruction. Prolonged finger contact entailed profound modifications in the movement trajectories but failed to modify the variance-covariance pattern of the tap timing. This pattern proved to conform to predictions under both the short and the long contact conditions, thus supporting the central temporal coupling hypothesis.

Hand↗
PubMed2001

The influence of task characteristics on the intermanual asymmetry of motor overflow.

The two studies reported here were designed to test the proposition that greater motor overflow occurs when movements are performed by the non-dominant hand. Unlike previous studies using normal adults, the task in these studies did not require force production. In the first study, a group of 19 right-handed participants performed unweighted finger lifting. That the frequency of motor overflow occurrence was the same regardless of which hand performed the task, did not support findings from other studies where tasks involving force production resulted in more overflow when performed by the non-dominant hand. To investigate further the influence of task characteristics on motor overflow occurrence, in the second study participants were required to remember and reproduce a prescribed sequence of four finger lifts. Left- and right-handed participants (N = 30) performed both single and sequenced finger lifting. The relative frequency of motor overflow (unintended lifts of fingers of the passive hand) was compared between hand preference groups, active hand and task type (single/sequenced). Contrary to the expectation that motor overflow would be greater for the sequenced finger lifting task, overflow was exhibited with a significantly greater frequency on single finger lifting. This finding indicates that task characteristics influence the pattern of overflow occurrence in normal adults. The task used in this study did not involve force production and did not result in an intermanual asymmetry of motor overflow. This contrasts with findings from other studies requiring adults to exert forces where greater overflow occurred when the non-dominant hand was active. However, this study confirms previous findings which show that left-handers produce greater overflow compared to right-handers regardless of the task being performed and the hand performing the task.

Adolescent↗
PubMed1999

Simulating a neural cross-talk model for between-hand interference during bimanual circle drawing.

Studies on drawing circles with both hands in the horizontal plane have shown that this task is easy to perform across a wide range of movement frequencies under the symmetrical mode of coordination, whereas under the asymmetrical mode (both limbs moving clockwise or counterclockwise) increases in movement frequency have a disruptive effect on trajectory control and hand coordination. To account for these interference effects, we propose a simplified computer model for bimanual circle drawing based on the assumptions that (1) circular trajectories are generated from two orthogonal oscillations coupled with a phase delay, (2) the trajectories are organized on two levels, "intention" and "motor execution", and (3) the motor systems controlling each hand are prone to neural cross-talk. The neural cross-talk consists in dispatching some fraction of any force command sent to one limb as a mirror image to the other limb. Assuming predominating coupling influences from the dominant to the nondominant limb, the simulations successfully reproduced the main characteristics of performance during asymmetrical bimanual circle drawing with increasing movement frequencies, including disruption of the circular form drawn with the nondominant hand, increasing dephasing of the hand movements, increasing variability of the phase difference, and occasional reversals of the movement direction in the nondominant limb. The implications of these results for current theories of bimanual coordination are discussed.

Brain↗
PubMed1999

Athletic injury and minor life events: a prospective study.

Minor life events were examined in an attempt to determine their contribution to athletic injury risk. Male and female athletes (N = 98), from both team and individual sports (hockey, volleyball, and triathlon) were examined over the course of a competitive season. A high rate of injury was noted among these athletes (30%-46% of the members of each team sustained at least one injury during the season). The injured athletes were found to have a significant increase in minor life events for the week prior to injury. No significant changes in minor life events occurred for the non-injured athletes. The results of the present study provide substantial evidence for a link between minor life events and athletic injury.

Adult↗
PubMed1999

Spontaneous and intentional pattern switching in a multisegmental bimanual coordination task.

Two experiments required right-handed subjects to trace circular trajectories while complying with either a symmetric or asymmetric pattern. In symmetric patterns, circles were traced in a mirror image either inward or outward. In asymmetric patterns, circles were traced in the same direction either clockwise or counterclockwise. Subjects were instructed to trace with spatial accuracy while maintaining a strict temporal relationship to a metronome that scaled movement rates from 1.25 to 3 Hz. The symmetric patterns were more stable than asymmetric patterns; the circularity of trajectories was greater for the dominant side; and there were spontaneous reversals in the direction of circling in the nondominant limb when performing asymmetric patterns. The second experiment examined the same subjects under the instruction of intentionally changing the pattern by reversing the left or right limb circling direction when cued to do so. The degree of interlimb interference was highly asymmetric and contingent on the direction of pattern change. Intentional direction reversals were more expedient and with less disruption to the contralateral limb when asymmetric to symmetric pattern changes were effected through a reversal in the direction of nondominant side. The results are interpreted with reference to evidence that the supplementary motor area mediates descending input to the upper limbs during disparate bimanual actions, but not during symmetric actions.

Adult↗
PubMed1998

Bimanual circle drawing during secondary task loading.

Seven right-handed participants performed bimanual circling movements in either a symmetrical or an asymmetrical coordination mode. Movements were paced with an auditory metronome at predetermined frequencies corresponding to transition frequency, where asymmetrical patterns became unstable, or at two-thirds transition frequency where both symmetrical and asymmetrical patterns were stable. The pacing tones were presented in either a high (1000 Hz) or low (500 Hz) pitch, and the percentage of high-pitched tones during a 20 s trial varied between 0% and 70%. Participants were instructed to count the number of high-pitched pacing tones that occurred during a trial of bimanual circling. Overall, the symmetrical pattern was more stable than the asymmetrical pattern at both frequencies. Errors on the tone-counting task were significantly higher during asymmetrical circling than symmetrical circling but only at the transition movement frequency. The results suggest that cognitive processes play a role in maintaining coordination patterns within regions of instability.

Acoustic Stimulation↗
PubMed1997

The dynamics of bimanual circle drawing.

A bimanual circle drawing task was employed to elucidate the dynamics of intralimb and interlimb coordination. Right-handed subjects were required to produce circles with both hands in either a symmetrical (mirror) mode (i.e. one hand moving clockwise, the other counter-clockwise) or in an asymmetrical mode (i.e. both hands moving clockwise or counter-clockwise). The frequency of movement was scaled by an auditory metronome from 1.50 Hz to 3.25 Hz in 8 (8-sec) steps. In the asymmetrical mode, distortions of the movement trajectories, transient departures from the target pattern of coordination, and phase wandering were evidence as movement frequency was increased. These features suggested loss of stability. Deviations from circular trajectories were most prominent for movements of the left hand. Transient departures from the required mode of coordination were also largely precipitated by the left hand. The results are discussed with reference to manual asymmetries and mechanisms of interlimb and intersegmental coordination.

Adult↗
PubMed1996

Handedness and performance variability as factors influencing mirror movement occurrence.

A finger flexion task was used to investigate the effect of hand preference and performance variability on intensity of mirror movement. Right- and left-handed subjects were asked to maintain target forces, with either their index or small finger, that represented 25, 50, or 75% of their maximum strength capacity for the active finger. Greater mirror movement occurred when the small finger was active, and where there was greater variability in task performance, while mirror movement intensity was less when the dominant hand and the index finger were active. These findings were consistent with the cortical activation explanation of motor overflow (Todor & Lazarus, 1986a), and suggest that task variability is an important factor influencing motor overflow production. It was concluded that, if performance variability reflects the efficiency of cortical activation underlying control of a voluntary task, then refined cortical control decreases the potential for motor overflow to occur. However, it is necessary to clarify the relationship between hand preference, performance variability, and motor overflow, perhaps by examining the neural pathways involved in motor overflow production.

Adult↗
PubMed1996

Stride length regulation in Parkinson's disease. Normalization strategies and underlying mechanisms.

Results of our previous studies have shown that the slow, shuffling gait of Parkinson's disease patients is due to an inability to generate appropriate stride length and that cadence control is intact and is used as a compensatory mechanism. The reason for the reduced stride length is unclear, although deficient internal cue production or inadequate contribution to cortical motor set by the basal ganglia are two possible explanations. In this study we have examined the latter possibility by comparing the long-lasting effects of visual cues in improving stride length with that of attentional strategies. Computerized stride analysis was used to measure the spatial (distance) and temporal (timing) parameters of the walking pattern in a total of 54 subjects in three separate studies. In each study Parkinson's disease subjects were trained for 20 min by repeated 10 m walks set at control stride length (determined from control subjects matched for age, sex and height), using either visual floor markers or a mental picture of the appropriate stride size. Following training, the gait patterns were monitored (i) every 15 min for 2 h; (ii) whilst interspersing secondary tasks of increasing levels of complexity; (iii) covertly, when subjects were unaware that measurement was taking place. The results demonstrated that training with both visual cues and attentional strategies could maintain normal gait for the maximum recording time of 2 h. Secondary tasks reduced stride length towards baseline values as did covert monitoring. The findings confirm that the ability to generate a normal stepping pattern is not lost in Parkinson's disease and that gait hypokinesia reflects a difficulty in activating the motor control system. Normal stride length can be elicited in Parkinson's disease using attentional strategies and visual cues. Both strategies appear to share the same mechanism of focusing attention on the stride length. The effect of attention appears to require constant vigilance to prevent reverting to more automatic control mechanisms.

Aged↗
PubMed1996

Temporal stability of gait in Parkinson's disease.

BACKGROUND AND PURPOSE. Evaluation of physical therapy for gait disorders in patients with Parkinson's disease (PD) requires an under-standing of how the patients' medication cycle affects function. Four experiments were conducted to investigate stability of gait variables. METHODS AND RESULTS. In experiment 1, 15 subjects with idiopathic PD and 15 subjects without PD performed two sets of gait trials spaced 30 minutes apart, with the initial trial conducted with the subjects at a peak dose of medication. Strong correlations, as determined by intraclass correlation coefficients (ICC[2,1]), occurred between repeat measures of speed (ICC = .92), cadence (ICC = .92), stride length (ICC = .94), and time spent in double support (DS) (ICC = .93). In experiment 2, 16 subjects with PD were tested at the same time on two consecutive days. There was good repeatability for speed (ICC = .88), cadence (ICC = .85), stride length (ICC = .84), and DS (ICC = .80). When we assessed the repeatability of measurements taken at peak dose and at end of dose, there were low correlations for speed (ICC = -.54), cadence (ICC = -.07), stride length (ICC = -.35), and DS (ICC = -.38). In a final experiment on 16 subjects with PD, we used time-series analysis to examine the stability of measurements taken every 15 minutes for 2 1/2 hours. Slopes of regression models, standard deviations, and residual autocorrelations were negligible, indicating that the measurements were stable. CONCLUSION AND DISCUSSION. The parkinsonian gait pattern is reproducible across either brief time intervals or 24 hours when peak medication prevails. At the end of dose, however, marked changes in gait occur, apparently related to depletion of medication.

Aged↗
PubMed1994

Mirror movements in normal adult subjects.

Intensity of mirror movements occurring under specific task conditions in normal adults was investigated using a finger flexion task. Subjects were asked to sustain target pressures using different fingers. Greater pressures of mirror movement were recorded when the weaker, small finger of either hand performed the task. The target pressure which subjects were asked to sustain did not influence the amount of mirror movement exhibited by either males or females, even though higher target forces required a significantly greater percentage of total finger strength. On average, males exhibited the same quantity of mirror movements as female subjects, despite the force requirements of the task representing for them a significantly smaller percentage of total finger strength. Moreover, when the right hand performed the experimental tasks, less mirror movement was exhibited than when the left hand was active. Thus, the left hand showed stronger mirror movements. The findings were consistent with previous research using children as subjects, although the nonsignificant effects of gender and pressure were unexpected and need to be examined further. It appears that, while the force requirement of the task does influence the magnitude of mirror movement, it is not the principle determinant.

Adult↗
PubMed1994

The pathogenesis of gait hypokinesia in Parkinson's disease.

To identify the fundamental deficit in gait hypokinesia in Parkinson's disease (PD) we conducted a series of experiments that compared PD subjects with age- and height-matched controls in their capacity to regulate either stride length, cadence (steps per minute) or both parameters to three conditions. In the first condition the spatial and temporal parameters of gait were documented for slow, normal and fast walking. The second condition compared parkinsonian gait with the walking pattern of elderly controls whilst controlling for two movement speeds: fast (control preferred) speed and slow (PD preferred) speed. In the third condition we examined the ability of PD subjects to regulate one parameter (e.g. stride length) when the other two parameters (e.g. velocity and cadence) were held at control values. A total of 34 PD subjects and 34 matched controls were tested using a footswitch stride analysis system that measured the spatial and temporal parameters of gait for a series of 10 m walking trials. Parkinsonian subjects exhibited marked gait hypokinesia in each of the experiments. Although they retained the capacity to vary their gait velocity in a similar manner to controls, their range of response was reduced. Within the lower velocity range, PD subjects could vary their speed of walking by adjusting cadence and, to a lesser extent, stride length. However, when the speed of walking was controlled, the stride length was found to be shorter and the cadence higher in PD subjects than in controls. Stride length could not be upgraded by internal control mechanisms in response to a fixed cadence set for age and height-matched velocity. In contrast, cadence was readily modulated by external cues and by internal control mechanisms when stride length was fixed to the values obtained for age- and height-matched controls. It was concluded that regulation of stride length is the fundamental problem in gait hypokinesia and the relative increase in cadence exhibited by PD subjects is a compensatory mechanism for the difficulty in regulating stride length. These findings are discussed in the context of the hypothesized role of the basal ganglia in generating internal cues for the maintenance of the gait sequence and in relation to the structuring of movement rehabilitation strategies.

Aged↗