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Biomedical subjects

Nicole Malfait

Publications and source records attributed to Nicole Malfait.

7 recordsLinked to original sources

Does dystonia always include co-contraction? A study of unconstrained reaching in children with primary and secondary dystonia.

Dystonia is a movement disorder in which involuntary or intermittent muscle contractions cause twisting and repetitive movements, abnormal postures, or both. Excessive co-contraction and abnormalities in the time course of reciprocal inhibition between antagonist groups of muscles are considered to be cardinal features of some types of dystonia and reduced speed of movement is often attributed to involuntary activation of antagonist muscles about a joint. In the present study we describe muscle activity during unconstrained multi-joint reaching movements. Children diagnosed with arm dystonia due to cerebral palsy (CP) or primary dystonia (n=7, 4-16 years, 4 with CP, 3 primary) and similar age healthy subjects pointed alternately to two targets as fast as possible. The children with dystonia showed decreased speed, greater variability, and pauses at targets compared with controls. Decreased speed was mostly due to difficulty in reversing reaching direction, and increased variability was associated with large fluctuations in the duration of the pauses at targets, rather than with variations in the flexion/extension velocity profiles. Surface electromyographic (EMG) activities were examined to assess if the abnormalities observed in the children with dystonia could be explained in terms of increased levels of co-contraction. Unexpectedly, we found that the children with dystonia showed lower levels of co-contraction than the controls during movement, and the pauses at tar-gets were associated with reduced levels of activation rather than with excessive activity in antagonist groups of muscles. Therefore reduced speed of movement during unconstrained reaching may not be due to involuntary activation of the antagonist muscle, and co-contraction of opposing muscles about a joint is not an obligatory feature of multi-joint movement in children with dystonia.

Adolescent↗

Transfer and durability of acquired patterns of human arm stiffness.

Previous studies have shown that the nervous system can produce anticipatory adjustments that alter the mechanical behavior of the arm in order to resist environmental disturbances. In the present paper, we focus on the ability of subjects to transfer acquired stiffness patterns to other parts of the workspace and on the durability of stiffness adaptations. To explore the transfer of stiffness control, subjects were trained at the left of the workspace to resist the effects of a single-axis disturbance that was applied by a robotic device. Following training, they were tested for transfer at the right. One group of subjects experienced similar torques at the left and right of the workspace, whereas the other group of subjects experienced similar forces at the hand. Following the initial training at the left, the observed orientation of the hand-stiffness ellipse rotated in the direction of the disturbance. In tests at the right, transfer was observed only when the direction of disturbance resulted in torques that were similar to those experienced during training. The results thus suggest that under the conditions of this experiment stiffness control is acquired and transfers in a joint- or muscle-based system of coordinates. A second experiment assessed the durability of an acquired stiffness pattern. Subjects were trained on 2 consecutive days to resist a single-axis disturbance. On a third day, the direction of the disturbance was switched by 90 degrees . Substantial interference with the new adaptation was observed. This suggests that stiffness training results in durable changes to the neural signals that underlie stiffness control.

Adaptation, Physiological↗

Generalization of motor learning based on multiple field exposures and local adaptation.

Previous studies have used transfer of learning over workspace locations as a means to determine whether subjects code information about dynamics in extrinsic or intrinsic coordinates. Transfer has been observed when the torque associated with joint displacement is similar between workspace locations-rather than when the mapping between hand displacement and force is preserved-which is consistent with muscle- or joint-based encoding. In the present study, we address the generality of an intrinsic coding of dynamics and examine how generalization occurs when the pattern of torques varies over the workspace. In two initial experiments, we examined transfer of learning when the direction of a force field was fixed relative to an external frame of reference. While there were no beneficial effects of transfer after training at a single location (experiments 1 and 2), excellent performance was observed at the center of the workspace after training at two lateral locations (experiment 2). Experiment 3 and associated simulations assessed the characteristics of this generalization. In these studies, we examined the patterns of transfer observed after adaptation to force fields that were composed of two subfields that acted in opposite directions. The experimental and simulated data are consistent with the idea that information about dynamics is encoded in intrinsic coordinates. The nervous system generalizes dynamics learning by interpolating between sets of control signals, each locally adapted to different patterns of torques.

Adaptation, Physiological↗

Stimulation of the posterior parietal cortex interferes with arm trajectory adjustments during the learning of new dynamics.

Substantial neurophysiological evidence points to the posterior parietal cortex (PPC) as playing a key role in the coordinate transformation necessary for visually guided reaching. Our goal was to examine the role of PPC in the context of learning new dynamics of arm movements. We assessed this possibility by stimulating PPC with transcranial magnetic stimulation (TMS) while subjects learned to make reaching movements with their right hand in a velocity-dependent force field. We reasoned that, if PPC is necessary to adjust the trajectory of the arm as it interacts with a novel mechanical system, interfering with the functioning of PPC would impair adaptation. Single pulses of TMS were applied over the left PPC 40 msec after the onset of movement during adaptation. As a control, another group of subjects was stimulated over the visual cortex. During early stages of learning, the magnitude of the error (measured as the deviation of the hand paths) was similar across groups. By the end of the learning period, however, error magnitudes decreased to baseline levels for controls but remained significantly larger for the group stimulated over PPC. Our findings are consistent with a role of PPC in the adjustment of motor commands necessary for adapting to a novel mechanical environment.

Adaptation, Physiological↗

Is interlimb transfer of force-field adaptation a cognitive response to the sudden introduction of load?

Recently, Criscimagna-Hemminger et al. (2003) reported a pattern of generalization of force-field adaptation between arms that differs from the pattern that occurs across different configurations of the same arm. Although the intralimb pattern of generalization points to an intrinsic encoding of dynamics, the interlimb transfer described by these authors indicates that information about force is represented in a frame of reference external to the body. In the present study, subjects adapted to a viscous curl-field in two experimental conditions. In one condition, the field was introduced suddenly and produced clear deviations in hand paths; in the second condition, the field was introduced gradually so that at no point during the adaptation process could subjects observe or did they have to correct for a substantial kinematic error. In the first case, a pattern of interlimb transfer consistent with Criscimagna-Hemminger et al. (2003) was observed, whereas no transfer of learning between limbs occurred in the second condition. The findings suggest that there is limited transfer of fine compensatory-force adjustment between limbs. Transfer, when it does occur, may be primarily the result of a cognitive strategy that arises as a result of the sudden introduction of load and associated kinematic error.

Adaptation, Physiological↗

Learning to control arm stiffness under static conditions.

We used a robotic device to test the idea that impedance control involves a process of learning or adaptation that is acquired over time and permits the voluntary control of the pattern of stiffness at the hand. The tests were conducted in statics. Subjects were trained over the course of 3 successive days to resist the effects of one of three different kinds of mechanical loads: single axis loads acting in the lateral direction, single axis loads acting in the forward/backward direction, and isotropic loads that perturbed the limb in eight directions about a circle. We found that subjects in contact with single axis loads voluntarily modified their hand stiffness orientation such that changes to the direction of maximum stiffness mirrored the direction of applied load. In the case of isotropic loads, a uniform increase in endpoint stiffness was observed. Using a physiologically realistic model of two-joint arm movement, the experimentally determined pattern of impedance change could be replicated by assuming that coactivation of elbow and double joint muscles was independent of coactivation of muscles at the shoulder. Moreover, using this pattern of coactivation control we were able to replicate an asymmetric pattern of rotation of the stiffness ellipse that was observed empirically. These findings are consistent with the idea that arm stiffness is controlled through the use of at least two independent co-contraction commands.

Adult↗

Transfer of motor learning across arm configurations.

It has been suggested that the learning of new dynamics occurs in intrinsic coordinates. However, it has also been suggested that elements that encode hand velocity, and hence act in an extrinsic frame of reference, play a role in the acquisition of dynamics. To reconcile claims regarding the coordinate system involved in the representation of dynamics, we have used a procedure involving the transfer of force-field learning between two workspace locations. Subjects made point-to-point movements while holding a two-link manipulandum. Subjects were first trained to make movements in a single direction at the left of the workspace. They were then tested for transfer of learning at the right of the workspace. Two groups of subjects were defined. For the subjects in group j, movements at the left and right workspace locations were matched in terms of joint displacements. For the subjects in group h, movements in the two locations had the same hand displacements. Workspace locations were chosen such that for group j, the paths (for training and testing) that were identical in joint space were orthogonal in hand space. The subjects in group j showed good transfer between workspace locations, whereas the subjects in group h showed poor transfer. These results are in agreement with the idea that new dynamics are encoded in intrinsic coordinates and that this learning has a limited range of generalization across joint velocities.

Adult↗