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Biomedical subjects

N Hogan

Publications and source records attributed to N Hogan.

13 recordsLinked to original sources

Apparent unilateral visual neglect in MPTP-hemiparkinsonian monkeys is due to delayed initiation of motion.

Monkeys made hemiparkinsonian by infusion of a solution of MPTP into one carotid artery appeared to ignore food presented from the contralateral side. Initial observations suggested neglect of visual stimuli presented as fruit treats by automated delivery system in the half-field contralateral to MPTP treatment. Further studies in which fruit treats were left in the 'neglected' visual field indicated that this apparent neglect, unlike neglect attending cortical lesions, was rather a marked delay in initiating movements (unilateral hypokinesia). These observations may explain apparent subcortical neglect and are consistent with the known role of nigrostriatal dopaminergic neurones in movement regulation. This is a useful animal model in which difficulties in initiation of movement (hypokinesia). a cardinal symptom of Parkinson's disease, can be studied separately from other deficits in motor performance.

1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine

Development of substantive theory in nursing.

The lack of a comprehensive, substantive theory base has resulted in the profession of nursing borrowing theoretical assumptions, concepts, and research instruments from other disciplines to examine nursing phenomena. Nurse researchers have focused their attention primarily on applied research leaving the development of substantive theory to others. If the nursing profession is to develop a scientifically-based practice, nurses will need to engage in debates about the need for and methods of generating substantive theory and shift from the use of borrowed knowledge and methods to original nursing research. In order to broaden the theoretical conceptualisations and directions of nursing research for the development of a substantive theory base, multi-method perspectives are necessary. Triangulation of qualitative and quantitative methods is one way to design research that will allow for development of substantive theory through the use of multiple methodology. This paper describes one method of preparing doctoral nurse students for triangulation of methods and to develop substantive theory for nursing practice.

Humans

Functional assessment of control systems for cybernetic elbow prostheses--Part II: Application of the technique.

This paper (Part II of II) presents application of the technique described in Part I to functional assessment of two myoelectric elbow-prosthesis controllers: the controller implemented in the Boston Elbow, a state-of-the-art elbow prosthesis, and a proposed control scheme that, to a crude degree, mimics control of the intact elbow. Assessment of the controllers was achieved by evaluating an amputee subject's functional capability as he performed a constrained motion task with a prosthesis that implemented each control scheme. Evaluation of the amputee's capability was accomplished off line using sampled values of his myoelectric activity, his limb kinematics, and the interface forces at the constraint. Superior performance was observed with the proposed scheme. Namely, the subject exhibited better synergy among his elbow and shoulder muscles. Furthermore, when using the proposed controller, he exhibited some natural patterns of muscle coordination.

Amputation, Surgical

Functional assessment of control systems for cybernetic elbow prostheses--Part I: Description of the technique.

This paper (Part I of II) presents a novel control scheme with which an amputee commands an elbow prosthesis using myoelectric activity. By mimicking some important characteristics of the intact neuromuscular system, the proposed controller attempts to make the prosthesis respond as the natural elbow to both voluntary commands from the amputee and applied moments from the environment. Also presented is the description of a novel experiment for functionally assessing elbow prosthesis controllers. The experimental design calls for an amputee to perform a constrained motion task while operating a prosthesis capable of implementing a wide variety of controllers. Due to the nature of the constraint, the task emphasizes the prosthesis response to both inputs: voluntary commands and external moments. Application of the experiment to assessment of the proposed control scheme and the control scheme used in a state-of-the-art prosthesis is presented in Part II.

Amputation, Surgical

Planning and execution of multijoint movements.

This paper reviews some recent studies related to the generation of simple multijoint arm movements. Two principal issues are considered. The first concern is how movements are represented internally by the central nervous system. There are many possible sets of coordinates that could be used to represent arm movements. Two of the possibilities are reviewed: representation in terms of joint angular motions versus representation in terms of motions of the hand in external space coordinates. A second concern is the transformation from intention to action: how is an internal representation of motion expressed by the neuromuscular system? The computational complexity of this problem is reviewed. A way in which the mechanics of the neuromuscular system could be exploited to simplify this problem is discussed.

Arm

Controlling multijoint motor behavior.

Much can be learned about the central nervous system from a study of motor coordination, but its true richness and complexity become evident only in a multiarticular system. Despite the intrinsic complexity of multiarticular actions, they offer an unparalleled opportunity to learn about the central nervous system in a quantitative and experimentally testable way. For example, the observation that unconstrained, unperturbed arm movements are coordinated in terms of hand motion shows that motor control is organized in a hierarchy of increasing levels of abstraction. These arm motions are organized as though a disembodied hand could be moved in space; the details of how this is to be achieved must then be supplied by a different level in the hierarchy. The essence of human behavior is its adaptability. Just as the true complexity of coordination is evident only in multiarticular actions, the sophistication and subtlety of adaptive behavior are evident only in dynamic, interactive tasks. A study of movement alone is not sufficient to understand this behavior. The dynamic response of the limbs becomes the overriding concern and must be controlled by the central nervous system. The dynamic response of a limb is usually associated with its posture, rather than its movement, but in a functional task such as the use of a tool, the postural dynamics are an integral part of the action. This perspective on motor behavior leads to some useful insights. Coordination is not a problem for movement alone; in a multiarticular system, even posture requires coordination and control. Muscles do not merely act reciprocally to generate forces about the joints; the net mechanical impedance of the limb may be controlled by synergistic activation of all muscles, including antagonists. Controlling dynamic behavior is a far more demanding task than controlling motion. Consequently, features of the neuromusculoskeletal system that appear to be redundant or unnecessary for movement control can play a functional role in controlling dynamic behavior. Polyarticular muscles contribute to the mechanical impedance in a unique way. Skeletal redundancies have a profound influence on all aspects of dynamic behavior, including the apparent inertia of the limbs. Redundancies are commonly perceived as a complicating factor in the control of motion, a problem that must be solved by the central nervous system. Rather than presenting a problem requiring solution, they may present a solution to a problem. Posture is not merely the outcome of a motor act; it is one of the important preparatory stages in the production of motor behavior.

Hand

The mechanics of multi-joint posture and movement control.

The dependence of muscle force on muscle length gives rise to a "spring-like" behavior which has been shown to play a role in the execution of single-joint posture and movement. This paper extends this concept and considers the influence of the apparent mechanical behavior of the neural, muscular and skeletal system on the control and coordination of multiple degree of freedom posture and movement. A rigorous definition of "spring-like" behavior is presented. From it a numerically quantifiable, experimental test of spring-like behavior is formulated. It is shown that if the steady-state force-displacement behavior of a limb is not spring-like, this can only be due to the action of inter-muscular feedback, and can not be due to intrinsic muscle properties. The directional character of the spring-like behavior of a multiple degree of freedom system is described. The unique way in which synergistic coactivation of polyarticular muscles may modulate the directional properties of the spring-like behavior of a multiple degree of freedom system is explained. Dynamic aspects of postural behavior are also considered. The concept of mechanical impedance is presented as a rigorous dynamic generalisation of the postural stiffness of the limb. The inertial behavior of the system is characterised by its mobility. As with the stiffness or impedance, in the multiple degree of freedom case it has a directional property. The way in which the apparent kinematic redundancy of the musculo-skeletal system may be used to modify its dynamic behavior is explained. Whereas the inertial behavior of a single limb segment is not modifiable, it is shown that the apparent inertial behavior of a multiple degree of freedom system may be modulated by repositioning the joints. A unified description of the posture and movement of a multi-joint system is presented by defining a "virtual trajectory" of equilibrium positions for the limb which may be specified by the neuro-muscular system. The way in which this approach may lead to a simplification of some the apparent computational difficulties associated with the control of multi-joint motion is discussed.

Arm

The coordination of arm movements: an experimentally confirmed mathematical model.

This paper presents studies of the coordination of voluntary human arm movements. A mathematical model is formulated which is shown to predict both the qualitative features and the quantitative details observed experimentally in planar, multijoint arm movements. Coordination is modeled mathematically by defining an objective function, a measure of performance for any possible movement. The unique trajectory which yields the best performance is determined using dynamic optimization theory. In the work presented here, the objective function is the square of the magnitude of jerk (rate of change of acceleration) of the hand integrated over the entire movement. This is equivalent to assuming that a major goal of motor coordination is the production of the smoothest possible movement of the hand. Experimental observations of human subjects performing voluntary unconstrained movements in a horizontal plane are presented. They confirm the following predictions of the mathematical model: unconstrained point-to-point motions are approximately straight with bell-shaped tangential velocity profiles; curved motions (through an intermediate point or around an obstacle) have portions of low curvature joined by portions of high curvature; at points of high curvature, the tangential velocity is reduced; the durations of the low-curvature portions are approximately equal. The theoretical analysis is based solely on the kinematics of movement independent of the dynamics of the musculoskeletal system and is successful only when formulated in terms of the motion of the hand in extracorporal space. The implications with respect to movement organization are discussed.

Arm

Neural, mechanical, and geometric factors subserving arm posture in humans.

When the hand is displaced from an equilibrium posture by an external disturbance, a force is generated to restore the original position. We developed a new experimental method to measure and represent the field of elastic forces associated with posture of the hand in the horizontal plane. While subjects maintained a given posture, small displacements of the hand along different directions were delivered by torque motors. The hand was held in the displaced positions and, at that time, we measured the corresponding restoring forces before the onset of any voluntary reaction. The stiffness in the vicinity of the hand equilibrium position was estimated by analyzing the force and displacement vectors. We chose to represent the stiffness both numerically, as a matrix, and graphically, as an ellipse characterized by three parameters: magnitude (the area), shape (the ratio of axis) and orientation (direction of the major axis). The latter representation captures the main geometrical features of the elastic force field associated with posture. We also evaluated the conservative and nonconservative components of this elastic force field. We found that the former were much larger than the latter and concluded that the behavior of the neuromuscular system of the multiarticular arm is predominantly spring-like. Our data indicated that the shape and orientation of the stiffness were invariant over subjects and over time. We also investigated the ability of our subjects to produce voluntary and adaptive changes in the stiffness. Our findings indicated that, when a disturbance acting along a fixed and predictable direction was imposed, the magnitude of the stiffness was increased but only minor changes in shape and orientation occurred. Taken together, all of these experiments represent a step toward the understanding of the interactions between geometrical and neural factors involved in maintaining hand posture and its interactions with the environment.

Adaptation, Physiological

A review of the methods of processing EMG for use as a proportional control signal.

The use of EMG as a proportional control signal for prostheses is reviewed. The lack of success of existing proportional EMG-controlled prostheses is shown to be attributable in the greater part to the presence of low frequency "noise" in the processed EMG signal. If EMG is to yield useful proportional information, this noise must be eliminated, and to this end the methods of processing EMG are reviewed and the sources of noise examined. A number of methods for its removal are discussed.

Artificial Limbs