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Biomedical subjects

Ruud G J Meulenbroek

Publications and source records attributed to Ruud G J Meulenbroek.

18 recordsLinked to original sources

Deviations in upper-limb function of the less-affected side in congenital hemiparesis.

In the present study we examined upper-limb function of the less-affected side in young adolescents with congenital hemiparesis (cerebral palsy: CP). Five participants with hemiparetic CP and five control participants performed a cyclical reach-and-grasp task with the less-affected hand towards targets placed at 60%, 100%, and 140% of the participant's arm-length. Trunk involvement, end-effector kinematics and activation of the biceps and triceps were examined together with several clinical measures. Movements at the less-affected side were slower and peak velocity was reached later in the experimental group. Even though total trunk involvement was identical in both groups, it was selectively limited to forward bending in participants with CP. Elbow amplitudes of these participants were smaller for the 60% and 100% arm-length target distances. Additionally, participants with CP showed weak positive correlations between agonist (triceps) activity and elbow amplitude, suggesting that deficient agonist rather than antagonist innervation was responsible for the decreased elbow involvement. Especially the more severely affected participants with CP proved to compensate their relatively small elbow amplitudes by increased forward bending. Collectively, the findings demonstrate deviations in upper-limb control of the less-affected body side in congenital hemiparesis.

Adolescent↗

Modeling 3D object manipulation: synchronous single-axis joint rotations?

In the present paper we introduce a movement planning model that is capable of predicting object manipulation movements in three dimensions. A basic assumption of this model is that the joint kinematics of the movement are optimized, which implies that joint rotations are synchronous. Synchronous joint rotations can be considered as a simplifying strategy to control arm movements, thus controlling the timing of several segments as a whole rather than for each joint separately. We will discuss evidence for synchronous joint rotations in 2D and explain why 3D synchrony is much more complex to substantiate. Different joint-angle representations and measures of asynchrony yield conflicting results. After showing that our model predicts realistic hand paths for various movement directions (the center-out task), we focus on a task that involves re-orientation of a hand-held cylinder, thus especially zooming in on those degrees of freedom not taken into account in 2D models. The more the cylinder needs to be rotated, the more curved the hand path is. With respect to 3D synchrony, a representation of shoulder and elbow rotations as single-axis rotations comes closest to synchronous joint rotations, which suggests that the brain plans a movement in joint space as a single postural transition.

Adult↗

Differential effects of mental load on proximal and distal arm muscle activity.

Work-related upper extremity disorders (WRUEDs) that result from keyboarding tasks are prevalent and costly. Although the precise mechanisms causing the disorder are not yet fully understood, several risk factors have been proposed. These include the repetitive nature of the motor task and the associated sustained static working postures, but also more psychological factors such as mental load. Epidemiological surveys have shown that WRUEDs are more prone to develop in the postural muscles of the neck/shoulder area than in the executive muscles controlling the hand. The present study investigated whether the activation patterns of these two muscle types are differentially affected by an additional mental load during the performance of a repetitive tapping task. Participants tapped various keying patterns with their dominant index finger at two prescribed tempi. Mental load was manipulated by means of an auditory short-term memory task. We recorded the EMG activity of two neck/shoulder muscles (trapezius and deltoid), two upper arm muscles (biceps and triceps), and four forearm muscles (flexor digitorum superficialis, extensor digitorum, extensor carpi radialis longus and extensor carpi ulnaris) and analyzed the kinematics and impact forces of the index finger. The results confirmed that the upper limb has two functions. Specifically, activity of the executive distal musculature was increased during tapping at the higher pace, while the activity of the postural upper limb musculature was elevated due to the memory task. We argue that continuously increased muscular activity can lead to fatigue and thus eventually cause musculoskeletal complaints. The results are discussed with respect to biomechanical adaptation strategies that deal with the consequences of increased noise in the neuromotor system due to enhanced mental processing.

Adult↗

Muscular co-contraction covaries with task load to control the flow of motion in fine motor tasks.

This study focuses on the relationship between movement-time fluctuations in fine motor tasks and changing levels of muscular co-contraction. Based on a recent neuromotor noise theory, we expected that increased task stress would increase muscular co-contraction and prolong movement times. Ten right-handed adults performed a graphic task, which elicited local movement-time prolongations. In half the trials, a distracting sound was presented as an external stressor. Besides pen-tip kinematics, two estimates of muscular co-contraction were obtained from the surface EMG measurements of eight arm and hand muscles. The results confirm the presumed co-variation of movement time and co-contraction. We conclude that muscular co-contraction forms a strategic means to adapt the flow of motion to central information processing demands.

Acoustic Stimulation↗

Movement-accuracy control in tetraparetic cerebral palsy: effects of removing visual information of the moving limb.

People with cerebral palsy (CP) are known to rely heavily on visual guidance when making targeted upper-limb movements. In the present study, we examined whether being able to visually monitor the moving limb forms a precondition for people with CP to make accurate upper-limb movements. Eight participants with tetraparetic CP and eight controls were asked to produce large-amplitude, straight-line drawing movements on a digitizing tablet. In half the trials, vision of the moving limb was blocked. Accuracy constraints were manipulated by varying the width of the target and by imposing a maximum width of the movement path. Surprisingly, when vision was blocked movement accuracy was comparable in the two groups. Thus, people with tetraparetic CP do not strictly require constant vision of their moving limb to make accurate upper-limb movements. They compensated for the lack of visual information- however, by prolonging movement time. Using a high pen force proved a general strategic adaptation, possibly to filter out unwanted noise from the motor system or to enhance proprioceptive input.

Adolescent↗

Deliberate control of continuous motor performance.

The authors examined the means by which people vary movement parameters to satisfy more than 1 constraint at a time in a repetitive motor task. The authors expected that when participants (N = 12) were simultaneously confronted with spatial and temporal constraints in an ellipse-drawing task, they would either exploit the intrinsic amplitude-frequency relationships or activate less natural control regimes to prioritize their movement goals. By focusing on local amplitude and frequency errors and parameter changes from 1 movement to the next, the authors distinguished parameter changes that reflected exploitation of biomechanics from those that required deliberate control. The findings demonstrated that at low movement speeds, participants can pursue multiple movement goals simultaneously; at higher speeds, their capacity to satisfy multiple task goals is reduced. The authors used a new method of inferring deliberate control from movement kinematics in the present study.

Adult↗

Trunk use and co-contraction in cerebral palsy as regulatory mechanisms for accuracy control.

In the present study, we examined whether individuals with cerebral palsy (CP) systematically vary motion of the trunk and co-contraction in the upper limb as a function of accuracy demands. Four participants with spastic tetraparesis, four with spastic hemiparesis, and four healthy controls were asked to repeatedly move a spoon back-and-forth between two target locations. The task was externally paced. In half the trials the accuracy demands were increased by filling the spoon with water. In addition, a condition in which the trunk was fixated was examined. When the movements were controlled for speed, trunk motion hardly varied as a function of accuracy. Co-contraction in the shoulder, however, was systematically higher under high-accuracy demands. Trunk fixation yielded differential group effects on the co-contraction of the shoulder muscles. It increased in control participants, tended to decrease in hemiparetic participants, and was unaffected in tetraparetic participants. Collectively, the present findings show that the increased trunk involvement and high co-contraction levels in CP should not exclusively be regarded as disorder-related phenomena. Regulation of co-contraction in the shoulder is a general strategy to cope with variations in movement-accuracy constraints, while increased trunk involvement proves a secondary reaction to these constraints.

Adolescent↗

Constraints on grip selection in hemiparetic cerebral palsy: effects of lesional side, end-point accuracy, and context.

This study was concerned with selection criteria used for grip planning in adolescents with left or right hemiparetic cerebral palsy. In the first experiment, we asked participants to pick up a pencil and place the tip in a pre-defined target region. We varied the size of the target to test the hypothesis that increased end-point precision demands would favour the use of a grip that affords end-state comfort. In the second experiment, we studied grip planning in three task contexts that were chosen to let us test the hypothesis that a more functional task context would likewise promote the end-state comfort effect. When movements were performed with the impaired hand, we found that participants with right hemiparesis (i.e., left brain damage) aimed for postural comfort at the start rather than at the end of the object-manipulation phase in both experiments. By contrast, participants with left hemiparesis (i.e., right brain damage) did not favour a particular selection criterion with the impaired hand in the first experiment, but aimed for postural comfort at the start in the second experiment. When movements were performed with the unimpaired hand, grip selection criteria again differed for right and left hemiparetic participants. Participants with right hemiparesis did not favour a particular selection criterion with the unimpaired hand in the first experiment and only showed the end-state comfort effect in the most functional tasks of the second experiment. By contrast, participants with left hemiparesis showed the end-state comfort effect in all conditions of both experiments. These data suggest that the left hemisphere plays a special role in action planning, as has been recognized before, and that one of the deficits accompanying left brain damage is a deficit in forward movement planning, which has not been recognized before. Our findings have both theoretical and clinical implications.

Adolescent↗

Trunk recruitment during spoon use in tetraparetic cerebral palsy.

In the present study we investigated the extent to which individuals suffering from spastic tetraparesis as a consequence of cerebral palsy tune their trunk involvement to accuracy demands in a spoon-handling task. Twenty-two participants (ten adolescents with spastic tetraparesis and 12 control participants) had to transport a spoon filled with water or sugar to a small or a large bowl that was placed within reach. Even though trunk displacement was larger in the tetraparetic participants than it was in the control participants, the effects of the imposed accuracy constraints were remarkably similar. Participants in both groups increased trunk displacement with increasing precision requirements. Furthermore, in both groups the largest trunk involvement was found in the initial and final part of the substance-transporting phase, when wrist velocity was lowest. We propose several explanations for these findings and conclude that the large trunk involvement in individuals with tetraparetic cerebral palsy should, in any case, not be regarded as a primary symptom of the disorder, but rather as an adaptive reaction to increased task demands.

Adolescent↗

Lateralized effects of orthographical irregularity and auditory memory load on the kinematics of transcription typewriting.

This study investigated the combined effects of orthographical irregularity and auditory memory load on the kinematics of finger movements in a transcription-typewriting task. Eight right-handed touch-typists were asked to type 80 strings of ten seven-letter words. In half the trials an irregularly spelt target word elicited a specific key press sequence of either the left or right index finger. In the other trials regularly spelt target words elicited the same key press sequence. An auditory memory load was added in half the trials by asking participants to remember the pitch of a tone during task performance. Orthographical irregularity was expected to slow down performance. Auditory memory load, viewed as a low level stressor, was expected to affect performance only when orthographically irregular words needed to be typed. The hypotheses were confirmed. Additional analysis showed differential effects on the left and right hand, possibly related to verbal-manual interference and hand dominance. The results are discussed in relation to relevant findings of recent neuroimaging studies.

Adult↗

Stability of inter-joint coordination during circle drawing: effects of shoulder-joint articular properties.

The present study addressed the effect of articular conformity of the shoulder joint on the stability of inter-joint coordination during circular drawing movements. Twelve right-handed participants performed clockwise and counter-clockwise circular drawing movements at nine locations in the mid-sagittal plane. The task was paced acoustically at 1.0, 1.5 and 2.0 Hz and performed without visual control. Displacements of seven infrared light emitting diodes that were fixated at relevant joints were sampled at 100 Hz by means of a 3D-motion tracking system (Optotrak 3020). From these data, shoulder, elbow and wrist angular excursions were derived as well as the continuous relative phase of the proximal and distal joint pairs of the arm. The results confirmed earlier observations that the shoulder and elbow are more strongly coupled than the elbow and wrist in sagittal-plane movements. However, a typical characteristic of the architecture of the shoulder joint, that is, its built-in mechanical "joint play", was shown to induce a position-dependent variation in inter-joint coordination stability. We conclude that besides polyarticular-muscle induced synergies and inertial coupling, articular conformity of the shoulder joint constitutes an additional determinant of inter-joint coordination stability that, to date, has been neglected.

Adolescent↗

Action monitoring in motor control: ERPs following selection and execution errors in a force production task.

Action monitoring has been studied in many tasks by means of measuring the error-related negativity (Ne/ERN), but never in a motor control task requiring precise force production. Errors in discrete choice reaction tasks are the result of incorrect selections, but errors in force production can also arise from incorrect executions. ERPs were obtained while participants produced low or high isometric forces with their left or right hand. As expected, incorrect choices of hand elicited an Ne/ERN. Interestingly, Ne/ERNs were also present in the less discrete selection error of an incorrect choice of force, but only when erroneously a low instead of a high force was chosen. In both force ranges, no Ne/ERNs were found after errors in execution. These errors showed a large positivity in feedback ERPs and, similar to correct responses, a prolonged negativity in response ERPs. We propose that, compared to selection errors, the time uncertainty aspects of execution errors and the resulting changing response representations prohibit error detection by the internal monitoring system responsible for generating the Ne/ERN.

Adolescent↗

Computational motor control and human factors: modeling movements in real and possible environments.

An aim of human factors research is to have models that allow for the advance design of user-friendly environments. This is still a distant dream because existing models are not yet sufficiently sophisticated. Models in the domain of motor control are a case in point, but recent developments in computational motor control suggest that the gap between the current state of modeling in this area and the desired state is shrinking. To illustrate this point, we review principles of motor control research that any model of motor control must accommodate. Then we describe a model that captures many of the capacities of actors in the everyday world, including the capacity to reach for objects in different ways depending on factors such as the ease with which different joints can rotate, the required speed of movement, and whether obstacles are present. The model relies on the ideas that goal postures are internally specified before movements are generated, that tasks are defined with flexibly ordered constraint hierarchies, and that movements can be shaped according to task demands. Actual or potential applications of this research include designing and testing possible environments where motor components play a key role.

Ergonomics↗

Forearm EMG response activity during motor performance in individuals prone to increased stress reactivity.

BACKGROUND: Work-related Upper Extremity Disorders (WRUEDs) are conceived of as a multifactorial syndrome caused by the effects of excessive repetitive motions, sustained static postures, and muscular stiffness. Our aim is to test an etiological model derived from a theory by Van Galen and Van Huygevoort [2000] Biol Psychol 51:151-171. The theory holds that physical, emotional, and psychosocial stressors enhance muscular stiffness as a compensatory filtering of impoverished signal-to-noise ratios in the motor system. High individual levels of arousal, as measured by Spielberger et al. [1970], State and Trait Anxiety Test would further enhance a subject's predisposition to react with stiffness responses in conditions of stress. METHODS: Ten participants with a high- and 10 with a low trait-anxiety score performed a computer task involving series of fast but well-dosed accelerations of the forearm along the surface of a digitizer. To induce cognitive stress a tone had to be remembered simultaneously with the aiming task. Pen-tip displacements and surface electromyographic (EMG) signals were recorded from four forearm muscles. RESULTS: Memory load did not affect error rates but produced shorter reaction times and prolonged movement times. EMG data show that under stress overall levels of neuromotor activation were enhanced. High-anxious participants exhibited higher cocontraction levels than low-anxious participants. CONCLUSIONS: The findings support the view that stress and muscular tension are closely related and may provide a clue to the origin of WRUEDs.

Adult↗

Fast adjustments of ongoing movements in hemiparetic cerebral palsy.

The present study focuses on the ability of participants with spastic hemiparesis caused by cerebral palsy to adjust an ongoing movement. Typical symptoms associated with the disorder would lead one to expect that people with spastic hemiparesis would be unable to adjust their movements quickly and proportionally to a sudden change in the environment with their spastic arm. The results of the present experiment, however, prove otherwise. Eight hemiparetic adolescents with cerebral palsy and eight healthy control participants were asked to quickly hit a target projected onto a fronto-parallel screen. The target either remained stationary or started to move immediately after hand movement onset. Participants needed to adapt the ongoing movement to hit moving targets. The task was performed with the spastic and non-spastic arm by the hemiparetic participants and with the dominant arm by the healthy participants. Kinematic analyses showed that although the spastic arm of the hemiparetic participants displayed a significant increase in spatial variability which led to more errors, they were capable of successfully adapting their movement in a qualitative manner. The latency of the response to the change in target position was longer for the hemiparetic participants compared to the healthy control participants, but only 25 ms. Surprisingly, no between arm latency difference was found in the hemiparetic participants. Given the commonly observed movement deficits of the spastic arm, these results show that participants with spastic hemiparesis displayed a remarkable ability in adjusting movements quickly.

Adaptation, Physiological↗

On the complexity of classical guitar playing: functional adaptations to task constraints.

The authors performed a behavioral study of the complexity of left-hand finger movements in classical guitar playing. Six professional guitarists played movement sequences in a fixed tempo. Left-hand finger movements were recorded in 3 dimensions, and the guitar sound was recorded synchronously. Assuming that performers prefer to avoid extreme joint angles when moving, the authors hypothesized 3 complexity factors. The results showed differential effects of the complexity factors on the performance measures and on participants' judgments of complexity. The results demonstrated that keeping the joints in the middle of their range is an important principle in guitar playing, and players exploit the available tolerance in timing and placement of the left-hand fingers to control the acoustic output variability.

Adaptation, Physiological↗

An evaluation of the minimum-jerk and minimum torque-change principles at the path, trajectory, and movement-cost levels.

In the present study we evaluated the minimum jerk and the minimum torque-change model at the path, trajectory, and movement-cost levels. To date, most evaluations of these models have mainly been restricted to path comparisons. Assessments of the time courses of realized jerk and torque changes are surprisingly lacking. Moreover, the extent to which the presumed optimized parameters change as a function of the duration and other temporal features of aiming movements has never been investigated, most probably because the models presuppose movement time. In order to fill this gap, we analyzed a subset of the data of an earlier experiment in which 12 participants performed leftward and rightward planar pointing movements. Hand displacements and joint excursions were recorded with a 3D motion-tracking system and subsequently evaluated by means of model-based analyses. The results show that despite a good agreement between observed paths and predicted paths, especially by the minimum torque-change model, the time courses of jerk and torque changes of observed and modeled movements differed considerably. These differences could mainly be attributed to asymmetrical properties of the time functions of slow movements. Variations of movement costs as a function of movement time and skewness of tangential velocity profiles show that, especially at high movement speed, costs increase exponentially with departures of symmetry. It is concluded that trajectory-formation models have limited explanatory power in situations that require demanding information processing during the homing-in phase of goal-directed movements. However, for slow movements, deviations from the optimal timing profiles require little extra costs in terms of jerk or torque change.

Adult↗