SEARCH · PubMed Health

Results for “Kinesthesis”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 199 records · Page 11Linked to original sources

PubMed2005

Incoordination of a sequential motor task in Parkinson's disease.

The quality of life in persons with Parkinson's disease (PD) has increased significantly with improved medicines. However, as the disease progresses difficulty in performing activities of daily life occur and occupational therapy intervention is sought (Deane et al., 2001). Reviews describing the efficacy of occupational therapy intervention in PD are inconclusive (Murphy and Tickle-Degnen, 2001; Gaudet, 2002). The purpose of this study is to establish an occupational therapy protocol for PD based upon research on motor control, sensory feedback and bradykinesia. As a first stage, the present study investigated the contribution of sensory feedback in generating the most prevalent symptoms of PD, that is, bradykinesia. Fast reach-to-grasp movement without kinesthetic or visual dependence in PD patients under on-drug and off-drug conditions were investigated. Seven normal participants and 11 patients with PD voluntarily participated in the study. Movements of the upper arm as a measure of reach, and movements of the index finger as a measure of grasp were recorded using magnetic trackers. Compared to the normal participants, this index to upper arm movement relationship was severely disturbed in the patients with PD and was improved following medications. Inter-onset latency (IOL), that is, the time lag between the initiation of upper arm movement and index movement, was significantly longer in PD patients compared to normal subjects. Medications reduced IOL which lead to improvement of the relationship of upper arm and index. The results suggest that bradykinesia is due to the breakdown of co-ordination between joint movements as a result of presumably slow executive processing of motor programmes. Individual joint movements are initiated out of sequence resulting in uncoordinated movements even with antiparkinsonian drugs. It is suggested that occupational therapy intervention in PD patients should be directed to occupations that require co-ordination of joint movements essential for successful completion of various activities of daily living tasks.

Adult↗

PubMed2001

Accuracy of reproducing hand position when using active compared with passive movement.

BACKGROUND AND PURPOSE: Evaluating proprioception is relevant to physical rehabilitation because of its significance in motor control. One method of proprioceptive testing involves having subjects either imitate or point at a joint position or movement which was presented via a passive movement. However, as the muscle spindles are subject to central fusimotor control, the proprioceptive system may be better-tuned to movements created by active muscular contraction than to passive movements. The objective of the present study was to determine whether accuracy of reproducing hand position is dependent on whether proprioceptive input is obtained via an active or a passive movement. METHOD: Thirty-nine healthy volunteers (mean age (+/- SD) 24.6 (+/- 3.6) years) participated in the study. Subjects' right hands, which were obscured from view, were acoustically guided to five targets on a digitizer tablet with either an active or passive upper extremity movement. Subjects were then asked to reproduce the targets' location by either reaching to them with the unseen hand or by use of a laser beam. Distance from target and angular deviations were calculated in both absolute and relative terms. Repeated measures analysis of variance (ANOVA) was performed for each variable followed by predetermined contrasts. RESULTS: Comparison between the active and passive conditions when reconstruction of target location was guided kinaesthetically indicates significant differences in absolute distance, range and angular deviation. The comparison when reconstruction of target location was guided visually indicates significant differences in absolute distance, absolute angle and angular deviation. CONCLUSIONS: The ability to reproduce hand position accurately is enhanced when position is encoded by active upper extremity movement compared with passive movement. The results have implications for the design of strategies for evaluating as well as treating patients with impaired proprioception and limited movement.

Adult↗

PubMed2001

Cervicocephalic kinaesthesia: reliability of a new test approach.

BACKGROUND AND PURPOSE: Relocating either the natural head posture (NHP) or predetermined points in range are clinical tests of impaired neck proprioception but memory might influence these tests. Three new tests, reasoned to be more challenging for the proprioceptive system, were developed. The objectives were to assess the reliability of all tests and whether the three new tests were more challenging for the proprioceptive system. METHOD: A test-retest design was used to assess the reproducibility and errors of all five tests. Twenty asymptomatic volunteers were assessed a week apart, using an electromagnetic movement sensor system, the 3-Space Fastrak. A measure of error magnitude was used to detect kinaesthetic sensibility. Comparison of the means and their corresponding dispersion were analysed descriptively. The between-day intraclass correlation coefficients (ICCs) were calculated and plots of mean differences between days 1 and 2 were conducted to estimate test reliability. Multivariate analysis of variance (MANOVA) and least significant difference (LSD) pairwise comparisons were performed to compare the test accuracy between different target positions. RESULTS: ICCs were between 0.35 and 0.9, but plotting the data modified the interpretation in some tests. Relocating a NHP was easier when the trunk was in a neutral position than when pre-rotated (error 2.46 degrees (+/- 0.2 degree) versus 5.95 degrees (+/- 0.7 degree). Relocating a 30 degrees rotation position (error 5.8 degrees (+/- 0.6 degree) and repeatedly moving through a target (error 4.82 degrees (+/- 0.7 degree) was also difficult. CONCLUSIONS: The new tests were more challenging than relocating the NHP but the reliability of tests relocating uncommon positions was questionable.

Analysis of Variance↗

PubMed1995

Progressive ideomotor apraxia: evidence for a selective impairment of the action production system.

We report a patient with slowly progressive bilateral limb apraxia associated with an asymmetrical focal degenerative process of the parietal lobes. Clinical assessment of praxis production suggested a striking deficit in controlling the spatiotemporal attributes of purposeful skilled limb movements, consistent with ideomotor apraxia. The precise nature of the action production impairment was further defined by objective three-dimensional computergraphic analysis of transitive movements which demonstrated significant kinematic deficits in spatial accuracy, timing, spatiotemporal coupling, and joint coordination. Gesture comprehension and discrimination were spared. Furthermore, detailed evaluation of the conceptual praxis system revealed that despite an almost complete inability to perform transitive movements accurately, abstract knowledge of tool function and action was remarkably well preserved. The critical dissociation between intact conceptual knowledge of action and impaired movement execution documented in this case points to a fundamental competence/performance dichotomy in apraxia and provides empirical support for cognitive models of praxis that divide the action system into distinct conceptual and production subcomponents. Within this theoretical framework, our patient's severe ideomotor apraxia is interpreted to represent a selective disruption of the action production system.

Apraxias↗

PubMed1995

Failure to update the egocentric representation of the visual space through labyrinthine signal.

The present study evaluated the capacity to compare retinal and vestibular signals in a heterosensorial matching task. In the first experiment, subjects evaluated the magnitude of passive whole-body rotations in relation to the eccentricity of a visual target briefly presented before rotation. Such a task elicits multimodal sensory stimulations experienced by a subject during normal goal-oriented head movements, i.e., retinal and vestibular stimulations. A good capacity to evaluate vestibular signals in relation with retinal inputs might suggest that the labyrinthine output is part of a cognitive feedback-loop controlling active head movements oriented toward a visual target and/or that the labyrinthine signal might make a major contribution to judging the position of the target in space after goal-directed head movements. Results showed that body rotation magnitudes had to exceed the amplitude of the visual target by about 120 and 89% to be perceived as having a similar magnitude to a 10 degree and an 18 degree visual target, respectively. A second experiment was designed to test whether this major discrepancy originated either from (a) an overestimation of the peripheral visual target locations, (b) an underestimation of the labyrinthine signal, (c) a deficiency in matching sensory signals from different modalities, or (d) any combination of (a), (b), and (c). In the second experiment, the actual perception of retinal and labyrinthine signals, as indicated by verbal responses, was quantified. Results from this experiment showed that most of the large underestimation of the vestibular stimulation found in Experiment I ought to emerge from a poor capacity to integrate heterogeneous sensory signals by the perceptual system rather than from pure misperception of the retinal and/or labyrinthine signals. Overall, results from Experiments I and II argue for a deficiency of the CNS to integrate labyrinthine signals for updating the egocentric representation of the peripheral visual target during passive body (head) rotations.

Adult↗

PubMed1997

Ideomotor apraxia: behavioral dimensions and neuroanatomical basis.

Ideomotor apraxia, disordered movement execution to command, commonly follows left-hemisphere damage, implying left-hemisphere dominance for certain kinds of movements. To delineate this dominance we used different command modalities to elicit meaningful movements and tested imitation of nonsense movements. Twenty-seven patients with unilateral hemispheric stroke and 10 age-matched controls were evaluated. Patients with left-hemisphere damage performed both meaningful and nonsense movements poorer than the other study groups; thus, the meaningfulness of the movements is irrelevant for the left-hemisphere motor dominance. The performance varied, however, with the command modality and movement type. Based on this and earlier studies we posit that the left-hemisphere motor dominance is determined by the artificiality of the test situation (it concerns movements performed to command and out of the natural context) and increased spatial and temporal complexity of the demanded movements. No association between the lesion locus within the left hemisphere and the severity of the ideomotor apraxia was found.

Aged↗

PubMed1999

Can treatment for pure alexia improve letter-by-letter reading speed without sacrificing accuracy?

An experimental treatment study designed to improve both the accuracy and the speed of reading was administered to a patient with pure alexia and impaired letter naming. The study focused on the use of letter-by-letter reading. A two-stage approach was employed. The first stage implemented a tactile-kinesthetic strategy to improve accuracy. The second stage concentrated on speed. At the end of the treatment, patient DL was reading both trained and untrained words more accurately and with considerably greater speed than prior to treatment. Accuracy and speed of reading at the sentence level improved as well.

Aged↗

PubMed1995

Spatial knowledge in blind and sighted children.

Spatial knowledge was evaluated in sighted and congenitally blind children using a large-scale four-location navigation task adapted from the work of Landau, Spelke, and Gleitman (1984). From video records we coded the exact path taken and determined accuracy of initial turn, closest position, and final position, relative to target location. We then computed a score to index the efficiency of the path taken. For the sighted sample, after the navigation task, children constructed a tactile map of the test space without the aid of vision and, following removal of the blindfold, drew from memory the spatial layout of the test space. Performance on the navigation and mapping tasks consistently indicated increasing cognitive mapping skills with age in sighted children. Blind children performed comparably to the sighted on all measures except accuracy at final position, for which their performance was worse than that of the sighted. Analysis of the directness of novel paths and other measures taken suggest caution in ascribing well developed Euclidean coding skills to very young children. Results are discussed in light of Landau et al.'s (1984) conclusions.

Blindness↗

PubMed1996

A gender difference in visual-spatial ability in 4-year-old children: effects on performance of a kinesthetic acuity task.

Eighty 4-year-old children (40 boys and 40 girls) were tested on a kinesthetic acuity test (KAT), half in the presence of extra visual-spatial cues and half in the absence of these cues. All subjects were also tested on a three-dimensional block design test, a measure of visual-spatial ability. It was found that for both sexes KAT performance in the presence of the extra cues was superior to performance in their absence. In the presence of the cues boys performed significantly better than girls but when the extra cues were absent, the gender difference disappeared. There was a significant gender difference in performance on the block design test and a strong correlation between block design and KAT (with extra cues) performance for both sexes. When KAT cues were reduced, this correlation was substantially reduced. The results indicated that the gender difference in KAT performance found previously in the presence of extra visual-spatial cues was due to differential use of these cues rather than to a gender difference in kinesthetic acuity.

Attention↗

PubMed1996

Brain representation of active and passive movements.

During active and passive (driven by a torque motor) flexion and extension of the right elbow, regional cerebral blood flow (rCBF) was measured in six healthy, male volunteers using positron emission tomography and the standard H2(15)O injection technique. During active as well as during passive movements of the right elbow there were strong increases in rCBF, identical in location, amount, and extent in the contralateral sensorimotor cortex. There were activations during both conditions in the supplementary motor area (stronger and more inferior in the active condition) and inferior parietal cortex (on the convexity during active movements and in the depth of the central sulcus during passive movements). During active movements only, activations of the basal ganglia and the cingulate gyrus were found. Brain activations during motor tasks are largely related to the processing of afferent information.

Adult↗

PubMed1997

The relevance of sensory input for the cerebellar control of movements.

The performance of a motor task not only requires subjects to plan, prepare, and initiate but also to monitor how a movement is performed. We used positron emission tomography to examine to what extent the human cerebellum is involved in controlling motor output or sensory input from movements in normal subjects. In the first study, we compared the active performance of a motor task (flexion and extension of the right elbow) to the passive execution of the same movements. Passive movements were driven by a motor with the arm fixed in a guide hinge. Active movements (compared to rest) elicited increases of rCBF mainly in the ipsilateral neocerebellar hemisphere and vermis of the posterior lobe. During passive movements, almost identical parts of the cerebellar hemispheres and vermis were activated (compared to the rest condition). The direct comparison of active and passive movement conditions revealed a small activation of the neocerebellar hemisphere of the posterior lobe and cerebellar nuclei ipsilateral to the movement. Approximately 90% of cerebellar neuronal activity was related to sensory input. In the second study, we compared the execution of a free selection joystick movement task to a condition in which subjects simply imagined the movements. The execution of movements (compared to rest) was associated with increases of rCBF in the ipsilateral neocerebellar hemisphere and vermis of the posterior lobe. During movement imagination, a small part of the ipsilateral cerebellar hemisphere and vermis of the posterior lobe was activated (compared to rest). The increase of rCBF during movement imagination accounted for only 20% of the signal seen during movement execution. Our results indicate that the neocerebellum may be much more concerned with sensory information processing than has been considered previously.

Adult↗

PubMed2001

Imitation and matching of hand and finger postures.

Converging evidence from patients with unilateral brain lesions, from a patient with callosal disconnection, and from functional imaging in healthy subjects suggests different competencies of both hemispheres for imitation and matching of hand and finger postures. Whereas the left hemisphere is fully competent for processing hand postures, an additional right hemisphere contribution is needed for finger postures. I propose that the left hemisphere is responsible for coding gestures with reference to knowledge about the structure of the human body, whereas a right hemisphere contribution is needed for visuospatial exploration and analysis of gestures. Single case studies of patients with visuoimitative apraxia and results of functional imaging suggest a prominent role for left area 40 for body-part coding. Additional activation of left MT/V5 in the functional neuroimaging study may be related to processing of the motion implied by the gesture which is presented as a static image.

Attention↗

PubMed2001

Brain areas involved in interlimb coordination: a distributed network.

Whereas behavioral studies have made significant contributions toward the identification of the principles governing the coordination of limb movements, little is known about the role of higher brain areas that are involved in interlimb coordination. Functional magnetic resonance imaging (fMRI) was used to reveal the brain areas activated during the cyclical coordination of ipsilateral wrist and foot movements. Six normal subjects performed five different tasks that were presented in a random order, i.e., isolated flexion-extension movements of the right wrist (WRIST) and right foot (FOOT), cyclical coordination of wrist and foot according to the isodirectional (ISODIR) and nonisodirectional (NON-ISODIR) mode, and rest (REST). All movements were auditory paced at 66 beats/min. During the coordination of both limb segments, a distributed network was identified showing activation levels in the supplementary motor area (SMA), cingulate motor cortex (CMC), premotor cortex (PMC), primary sensorimotor cortex (M1/S1), and cerebellum that exceeded the sum of the activations observed during the isolated limb movements. In addition, coordination of the limb movements in different directions was associated with extra activation of the SMA as compared to movements in the same direction. It is therefore concluded that the SMA is substantially involved in the coordination of the nonhomologous limbs as part of a distributed motor network. Accordingly, the long-standing exclusive association that has been made between this medial frontal area and bimanual (homologous) coordination needs to be abandoned and extended towards other forms of interlimb coordination (nonhomologous).

Adult↗

PubMed2001

Brain activation related to the representations of external space and body scheme in visuomotor control.

Regional cerebral blood flow was assessed during reaching movements with either target or finger selection. Measurements were performed with positron emission tomography in normal subjects. We thus identified two patterns of cerebral activation representing parietal command functions based on either external space or body scheme information. Directing the right-hand index finger toward one target dot in an array of five was related to activations distributed over dorsal extrastriate visual cortex (putative area V3A), along the parieto-occipital sulcus (putative V6/V6A) and the posterior intraparietal sulcus (IPS). Right-hemisphere dominance was present at the occipital extension of posterior IPS. Positioning one right-hand finger of five on the middle target dot was related with anterior IPS activation, extending over the marginal gyrus of the left inferior parietal lobe. The latter indicated a parietal role in prehension, independent of the shape of the target reached for. In both conditions of the reaching task, instructions for movement were auditorily given by random numbers 1 to 5, thus excluding visual cueing. The observed lateralization of movement-related parietal functions helps to explain neurological symptoms such as ideomotor apraxia and spatial hemineglect.

Adult↗

PubMed2001

Activation in the ipsilateral posterior parietal cortex during tool use: a PET study.

The basis of perceptual assimilation of tool and hand has been considered to be in modification of body schemata, for which integration of multimodal sensory information about our body parts is required. Using positron emission tomography and H(2)(15)O, we aimed to identify brain regions that change their neural activity in association with changes in neural processing of visual and/or somatosensory information when humans use a simple tool. Normal subjects were instructed to manipulate a small graspable object with a pair of tongs or with the fingers of their right or left hand. The only site activated during manipulation with the tool, compared with the fingers, with the right hand was the lateral edge of the right intraparietal sulcus (IPS). During manipulation using the left hand with the tool, compared with using the fingers, an area in the middle part of the left IPS was activated. Areas in the contralateral hemisphere were activated during both the tool-use and the finger-use tasks compared to the control task, but there was no statistically significant difference between the tool-use and the finger-use tasks. Therefore, the results suggest that the ipsilateral posterior parietal cortex was recruited during the tool-use tasks to integrate visuosomatosensory information.

Adult↗

PubMed2001

Cortical representation of inward and outward radial motion in man.

We have used positron emission tomography to investigate the cortical areas of the normal human brain involved in processing inward (Expansion) and outward (Contraction) radial motion simulated with an optic flow stimulus. The optical flow display was made out of dots moving radially away from or toward the center of the display monitor. In the Control condition, the dots' motion was randomized in order to remove any sensation of radial motion. In the Expansion condition, several loci of activation were observed: visual areas V2-V3 and the superior parietal lobule (BA 7), predominantly in the right hemisphere. In the Contraction condition activation sites were found in the same visual areas (V2 and V3) in the right hemisphere but the increase in rCBF in these regions was much lower than in the Expansion condition. BA 7 was activated in both hemispheres. When the motion component of the stimulus was isolated by subtracting the static condition from the incoherent motion condition, we obtained activations of areas V2, V3, and MT (putative V5). These results indicate that the detection of radial motion derived from an optic flow stimulus is mediated by structures forming the dorsal part of the visual cortical system and confirm that area MT is not specifically involved in flow analysis.

Adult↗

PubMed2002

Predicting perceptual events activates corresponding motor schemes in lateral premotor cortex: an fMRI study.

The ability to recognize sequential patterns of external events enables us to predict their future course and thus to plan and execute actions based on current perceptions and previous experiences. Here we show with functional magnetic resonance imaging that even in the absence of movement the prediction of sequential patterns activates brain areas involved in the representation of specific motor schemas. Particularly, the prediction of size engages premotor areas involved in hand movements (superior part of the ventrolateral premotor cortex), whereas the prediction of pitch engages premotor areas involved in articulation (inferior most ventrolateral premotor cortex). The findings indicate that events are mapped onto somatotopically corresponding motor schemes whenever we predict sequential perceptions.

Adult↗

PubMed2002

Motor learning produces parallel dynamic functional changes during the execution and imagination of sequential foot movements.

The aim of the present positron emission tomography study was to measure the dynamic changes in cerebral activity before and after practice of an explicitly known sequence of foot movements when executed physically and to compare them to those elicited during motor imagery of the same movements. Nine healthy volunteers were scanned while performing both types of movement at an early phase of learning and after a 1-h training period of a sequence of dorsiflexions and plantarflexions with the left foot. These experimental conditions were compared directly, as well as to a perceptual control condition. Changes in regional cerebral blood flow associated with physical execution of the sequence early in the learning process were observed bilaterally in the dorsal premotor cortex and cerebellum, as well as in the left inferior parietal lobule. After training, however, most of these brain regions were no longer significantly activated, suggesting that they are critical for establishing the cognitive strategies and motor routines involved in executing sequential foot movements. By contrast, after practice, an increased level of activity was seen bilaterally in the medial orbitofrontal cortex and striatum, as well as in the left rostral portion of the anterior cingulate and a different region of the inferior parietal lobule, suggesting that these structures play an important role in the development of a long lasting representation of the sequence. Finally, as predicted, a similar pattern of dynamic changes was observed in both phases of learning during the motor imagery conditions. This last finding suggests that the cerebral plasticity occurring during the incremental acquisition of a motor sequence executed physically is reflected by the covert production of this skilled behavior using motor imagery.

Adult↗