Biomedical subjects

Stefanie Richter

Publications and source records attributed to Stefanie Richter.

7 recordsLinked to original sources

PubMed2005

Degree of cerebellar ataxia correlates with three-dimensional mri-based cerebellar volume in pure cerebellar degeneration.

The aim of the present study was to compare the severity of cerebellar ataxia as measured by the International Cooperative Ataxia Rating Scale (ICARS) by Trouillas et al. [ J Neurol Sci 1997;145:205-211] with the cerebellar volume in chronic cerebellar disease. Fifteen patients with pure cerebellar degeneration were investigated. Seven patients suffered from spinocerebellar ataxia type 6, 5 from idiopathic late-onset cerebellar ataxia, 2 from autosomal dominant cerebellar ataxia type III and 1 from episodic ataxia type 2. Volumetric analysis was based on individual three-dimensional MR images. Total ICARS score significantly inversely correlated with the cerebellar volume (r = -0.805, p < 0.0001), correlations between ICARS subscores and cerebellar volume were significant for upper and lower limb ataxia, ataxia of posture and gait, and dysarthria, but not for the oculomotor subscore. The results suggest that the degree of cerebellar atrophy in pure cerebellar degenerative disorders is accompanied by comparable functional impairment (i.e. degree of cerebellar ataxia).

Adult↗

PubMed2005

Threading neural feedforward into a mechanical spring: how biology exploits physics in limb control.

A solution is proposed of the hitherto unsolved problem as to how neural feedforward through inverse modelling and negative feedback realised by a mechanical spring can be combined to achieve a highly effective control of limb movement. The revised spring approach that we suggest does not require forward modelling and produces simulated data which are as close as possible to experimental human data. Control models based on peripheral sensing with forward modelling, which are favoured in the current literature, fail to create such data. Our approach suggests that current views on motor control and learning should be revisited.

Adult↗

PubMed2005

Behavioral and affective changes in children and adolescents with chronic cerebellar lesions.

The aim of the present study was to investigate if clinically relevant affective or behavioral changes as described in adults in the cerebellar affective syndrome by Schmahmann and Sherman [The cerebellar cognitive affective syndrome, Brain 121 (1998) 561-579] are likely to occur as a long-term sequelae of cerebellar vermis lesions in children. Site and extent of the vermal lesion were defined on the basis of individual 3D-MRI scans and lesion data were correlated with behavioral and affective changes. Affect and behavior were assessed in children after cerebellar tumor surgery by means of experimenter ratings based on the description of the cerebellar affective syndrome and free ratings by the patients and their parents. Twelve children and adolescents with a former cerebellar astrocytoma surgery without subsequent radiation or chemotherapy participated. Detailed analysis of individual 3D-MR images revealed that lesions affected the vermis in nine children. Experimenter ratings according to Schmahmann revealed no relevant problems in patients. In five out of nine patients with vermal affection somewhat increased thoughtful, anxious or aggressive behavior was reported by patients and parents. In conclusion, minor behavioral and affective changes were present in a subset of children with chronic vermal lesions.

Adolescent↗

PubMed2005

Adaptation to separate kinematic and dynamic transformations in children and adults.

The question addressed in the present study is whether children and adults are able to combine and decompose separate kinematic (visual-feedback-shift) and dynamic (velocity-dependent force) transformations in goal-directed arm movements. A total of 64 participants (32 adults and 32 children) performed horizontal forearm movements using a single-joint arm manipulandum. When participants first learned kinematic and dynamic transformations separately, target error decreased in a subsequent combined transformation task. This effect was based on previous learning of the kinematic transformation. When they first learned the combined transformation, target error was smaller in the following kinematic-but not in the dynamic-transformation. No difference was found in adaptation performance between children and adults. The results suggest that there are two separate models for the kinematic and dynamic transformation and that a possible differentiation of kinematic and dynamic features of the motor task might already be present at age 11.

Adaptation, Physiological↗

PubMed2004

Adaptive motor behavior of cerebellar patients during exposure to unfamiliar external forces.

The authors investigated adaptation of goal-directed forearm movements to an unknown external viscous force assisting forearm flexion in 6 patients with cerebellar dysfunction and in 6 control participants. Motor performance was generally degraded in cerebellar patients and was markedly reduced under the force condition in both groups. However, patients and controls were able to adapt to the novel force within 8 trials. Only the healthy controls were able to improve motor performance when readapting to a null-force condition. The results indicate that cerebellar patients' motor control system has imprecise estimations of actual limb dynamics at its disposal. Force adaptation may have been preserved because single-joint movements were performed, whereas the negative viscous force alone and no interaction forces had to be compensated.

Adaptation, Physiological↗

PubMed2003

Motor adaptation to different dynamic environments is facilitated by indicative context stimuli.

When humans are exposed to external forces while performing arm movements, they adapt by compensating for these novel forces. The basis of this learning process is thought to be a neural representation that models the relation between all forces acting upon the system and the kinematic effects they produce, called inverse dynamic model (IDM). The present study investigated whether and how the predictability of a given external force affects the selection of an appropriate motor response to compensate for such force. Adult human subjects ( N=32) held a handle that could rotate around the elbow joint and learned to perform goal-directed forearm flexion movements, while an external velocity-dependent negative damping force was applied that assisted forearm movement. Subjects were randomly assigned to two groups. In the associative group, the applied damping force was always associated with a specific initial position. Thus, after initial learning, the force application became predictable. In the non-associative group, where the same movements were performed, the applied force was independent of the initial position, so that no association between force and location could be formed. We found that only the associative group significantly reduced target error when damping was present. That is, the location cue aided these subjects in generating dynamic responses in the appropriate limb. Our results indicate that motor adaptation to different dynamic environments can be facilitated by indicative stimuli.

Adult↗

PubMed2002

Force adaptation transfers to untrained workspace regions in children: evidence for developing inverse dynamic motor models.

When humans perform goal-directed arm movements under the influence of an external damping force, they learn to adapt to these external dynamics. After removal of the external force field, they reveal kinematic aftereffects that are indicative of a neural controller that still compensates the no longer existing force. Such behavior suggests that the adult human nervous system uses a neural representation of inverse arm dynamics to control upper-extremity motion. Central to the notion of an inverse dynamic model (IDM) is that learning generalizes. Consequently, aftereffects should be observable even in untrained workspace regions. Adults have shown such behavior, but the ontogenetic development of this process remains unclear. This study examines the adaptive behavior of children and investigates whether learning a force field in one hemifield of the right arm workspace has an effect on force adaptation in the other hemifield. Thirty children (aged 6-10 years) and ten adults performed 30 degrees elbow flexion movements under two conditions of external damping (negative and null). We found that learning to compensate an external damping force transferred to the opposite hemifield, which indicates that a model of the limb dynamics rather than an association of visited space and experienced force was acquired. Aftereffects were more pronounced in the younger children and readaptation to a null-force condition was prolonged. This finding is consistent with the view that IDMs in children are imprecise neural representations of the actual arm dynamics. It indicates that the acquisition of IDMs is a developmental achievement and that the human motor system is inherently flexible enough to adapt to any novel force within the limits of the organism's biomechanics.

Adaptation, Physiological↗