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A cortical slow potential is larger before an isolated movement of a single finger than simultaneous movement of two fingers.

Movement-related cortical potentials (MRCPs) preceding voluntary, self-paced, simultaneous extension of the middle and index fingers (two finger movement) were compared with those preceding extension of the index or middle finger alone (single finger movement) of the right hand in 7 right-handed normal subjects. It was meant to double the number of muscles involved in the two finger movement as compared with the single finger movement and to activate only the motor cortex involving the movement of distal joints. The NS' (negative slope) amplitude with the isolated middle finger movement was significantly larger at the precentral area contralateral to the movement as compared with the two finger movement. The NS' amplitude with the index finger movement was also larger than that with the two finger movement at the contralateral precentral area, but the difference was not significant. It is postulated that greater activation of the primary hand sensorimotor area (HSMA) contralateral to the movement might be necessary for the isolated movement of a single finger than for the two finger movement, although a smaller area of HSMA is expected to be activated in the former than in the latter. The NS' may be related to central motor control processes independent of muscle mass activated. As the single finger movement is considered to be more discrete and fine as compared with the simultaneous two finger movement, it is concluded that the HSMA plays an especially important role in discrete and fine finger movement.

Adult↗

Oscillatory cortical activity and movement-related potentials in proximal and distal movements.

OBJECTIVES: Event-related desynchronization (ERD) of alpha- and beta-rhythms, the post-movement beta-synchronization and the cortical movement-related potentials were analyzed in distal (finger) and proximal (shoulder) movements. METHODS: EEG was recorded in 7 healthy right-handed men using a 59-channel whole-head EEG system while subjects performed self-paced movements. RESULTS: The amplitude of the Bereitschaftspotential (BP) was greater over the central midline area and smaller over the contralateral sensorimotor hand area in shoulder than in finger movements. The maximal alpha- and beta-ERD was localized at parietal electrodes in shoulder movements and over the left and right sensorimotor hand area in finger movements. The post-movement beta-ERS was greater in shoulder than in finger movements, especially at the electrode located 3.5 cm left of the central midline electrode. A significant correlation between the slope of the terminal portion of the BP (negative slope) and amplitude of the post-movement beta-synchronization was observed in shoulder but not in finger movements. CONCLUSIONS: Enhancement of BP over the central midline electrode suggests increased activation of the supplementary motor area in proximal movements. The spatial distribution of the alpha- and beta-ERD and of the post-movement beta-ERS shows topographic differences which may refer to the somatotopic organization of the primary sensorimotor cortex with shoulder representation medial to hand and fingers. The correlation between the negative slope and the post-movement beta-ERS in proximal movements supports the view that the brief post-movement inhibition over the motor cortical area is related to the pre-movement activation of that area.

Adult↗

Movement-related potentials associated with bilateral simultaneous and unilateral movements recorded from human supplementary motor area.

To clarify the differences of movement-related potentials (MRPs) among ipsilateral, contralateral and simultaneous bilateral movements, MRPs with finger, thumb or foot movements were recorded from subdural electrodes chronically implanted on the supplementary motor area (SMA) in 3 patients, and also from the primary sensorimotor area in two of them being evaluated for epilepsy surgery. As a result: (1) SMA generated clear pre-movement potentials regardless of the type of movement. Its amplitude was almost identical between contralateral and bilateral movements except for the motor potential (MP). The pre-movement potentials associated with ipsilateral movements were relatively smaller than those with contralateral or bilateral movements. (2) The primary sensorimotor area generated clear pre-movement potentials in contralateral and bilateral movements with similar amplitude. With ipsilateral hand movements, however, only a small Bereitschaftspotential (BP) and no negative slope (NS') or MP was seen, and ipsilateral foot movements were not preceded by any BP. It is, therefore, most likely that, as far as the preparation for simple voluntary self-paced movement is concerned, the SMA plays an equally important role in unilateral and bilateral movements, whereas the primary sensorimotor area is involved predominantly in the preparation of contralateral movements.

Adult↗

Asynchronous chest wall movements during non-rapid eye movement and rapid eye movement sleep in children with bronchopulmonary dysplasia.

The aim of this study was to assess whether age-related changes in thoracic shape modify patterns of thoracoabdominal asynchrony (TAA) or applicability of phase angle analysis during sleep in young children with increased respiratory loads. We assessed TAA during polysomnographic monitoring in 14 young children (mean age 32 months, range 19 to 46; mean weight 12.5 kg, range 9.3 to 17) with severe bronchopulmonary dysplasia (BPD). Of the patients 10 were severely enough affected to require tracheostomy. We measured asynchrony of rib cage (RC) and abdominal (AB) movements at midinspiration and the corresponding phase angle from oscillographic recordings during both non-REM and REM sleep. We measured the amplitude of "paradoxical" displacement of either RC or AB during inspiration and expressed this as a percentage of the total displacement of the compartment. Of 9 children who manifested early inspiratory AB paradox during non-REM sleep, 7 showed a figure eight on the Konno-Mead diagram. The magnitude of abdominal paradox during non-REM sleep was significantly positively correlated with age (n = 14, r = 0.68; p < 0.01). Phase angle was significantly negatively correlated with dynamic lung compliance (n = 14, r = -0.66; p < 0.01). During REM sleep, expiratory abdominal muscle activity was abolished and all patients with abdominal paradox "converted" to an open loop with RC paradox during inspiration. Graphic assessment of the Lissajous figure on the Konno-Mead diagram indicated when midinspiratory phase angle analysis did not reflect the severity of TAA and can be used to infer patterns of respiratory muscle recruitment. We conclude that young children manifest patterns of TAA that differ from the early inspiratory RC paradox commonly observed in infants. Comparison of RC-AB loops between non-REM and REM sleep in the same child can assess increased thoracic inspiratory efforts and expiratory muscle activity as potential mechanisms for abdominal paradox, as distinct from diaphragm ineffectiveness.

Abdomen↗

Movement-related phasic muscle activation. III. The duration of phasic agonist activity initiating movement.

To test the hypothesis that phasic muscle activation is related to the acceleration-deceleration characteristics of the resulting movement, we examined the relation between the duration of the acceleratory phase of a variety of movement types and the duration of the phasic muscle activity producing the acceleration (the initial agonist burst, AG1). Movements of five types were studied: (1) step-tracking movements of different amplitudes (10-90 deg) and durations (200-800 ms), (2) movements of the same amplitude (40 deg) and duration (600 ms) varying only in their symmetry ratio (SR, ratio of acceleration to deceleration durations), (3) movements in which acceleration duration was changed while acceleration magnitude was held constant, (4) oscillatory movements of different frequencies and peak amplitudes, (5) step-tracking movements against different inertial loads. Subjects made movements about the elbow joint in the horizontal plane. Surface electromyographic (EMG) activity was recorded from the biceps and the lateral head of the triceps muscles. Under all movement conditions tested and with acceleration duration ranging from 100 to 500 ms, acceleration duration varied linearly with the duration of AG1. Correlation coefficients for the linear regression lines ranged from 0.8 to 0.99. The slope of the best fit linear regression lines ranged from 0.5 to 1.6 and tended to be higher for extensions than flexions. The variations in slope may arise from differing mechanical properties of the biceps and triceps muscles, as well as from active forces produced in the antagonist. AG1 duration was unchanged by inertial loading when subjects kept acceleration duration constant. If subjects responded to an increase in inertial load with an increase in acceleration duration, there was a corresponding increase in AG1 duration. The data demonstrate a general relation between one characteristic of muscle activation (AG1 duration) and the resulting movement. The linear form of the relation is invariant across movement amplitude (range 10-90 deg), speed, duration (range 200-800 ms) and temporal profile (SR range 0.3-2.7), and is also independent of movement type (step, oscillatory). Such a general and simple relation between EMG and movement suggests that, at least to a first approximation, the nervous system can rather simply determine the muscle activation patterns needed to produce movements with desired characteristics.

Acceleration↗

Movement-related potentials in Huntington's disease: movement preparation and execution.

Movement-related potentials (MRPs) reflect increasing cortical activity related to the preparation and execution of voluntary movement. Execution and preparatory components may be separated by comparing MRPs recorded from actual and imagined movement. Imagined movement initiates preparatory processes, but not motor execution activity. MRPs are maximal over the supplementary motor area (SMA), an area of the cortex involved in the planning and preparation of movement. The SMA receives input from the basal ganglia, which are affected in Huntington's disease (HD), a hyperkinetic movement disorder. In order to further elucidate the effects of the disorder upon the cortical activity relating to movement, MRPs were recorded from ten HD patients, and ten age-matched controls, whilst they performed and imagined performing a sequential button-pressing task. HD patients produced MRPs of significantly reduced size both for performed and imagined movement. The component relating to movement execution was obtained by subtracting the MRP for imagined movement from the MRP for performed movement, and was found to be normal in HD. The movement preparation component was found by subtracting the MRP found for a control condition of watching the visual cues from the MRP for imagined movement. This preparation component in HD was reduced in early slope, peak amplitude, and post-peak slope. This study therefore reported abnormal MRPs in HD, particularly in terms of the components relating to movement preparation, and this finding may further explain the movement deficits reported in the disease.

Adult↗

Self-initiated versus externally triggered movements. I. An investigation using measurement of regional cerebral blood flow with PET and movement-related potentials in normal and Parkinson's disease subjects.

We investigated the functional anatomy of self-initiated and externally triggered movements. Six patients with Parkinson's disease off medication and six age-matched normals were assessed. All subjects had regional cerebral blood flow (rCBF) measurement with PET and recording of movement-related cortical potentials (MRPs) from frontal (F), fronto-central (FC), central (C) and parietal (P) sites to obtain measures of the Bereitschaftspotential (BP). The tasks were (i) self-initiated extension of the right index finger on average once every 3 s, (ii) externally triggered finger extension with the rate yoked to the self-initiated task, and (iii) rest condition with tones presented at a rate yoked with the self-initiated task. For the self-initiated movements, the amplitude of the early and peak BP were lower in Parkinson's disease relative to normals. For the externally triggered movements, the patients and the normals did not differ on any of the measures of cortical negativity prior to movement. For both groups, the late and peak BP components, but not the early component, had a lower amplitude in the externally triggered than the self-initiated movements. In normals, the left primary sensorimotor cortex, the supplementary motor area bilaterally, anterior cingulate, the lateral premotor cortex bilaterally, the insular cortex bilaterally, the left thalamus and the left putamen, parietal area 40 bilaterally and the right dorsolateral prefrontal cortex (DLPFC) were significantly activated during the self-initiated movements relative to rest. For the normals, greater activation of the right DLPFC during the self-initiated movements was the only area that significantly differentiated them from the externally triggered movements. When Parkinson's disease patients and normals were compared for the self-initiated movements relative to rest, normals showed greater activation of the supplementary motor area and anterior cingulate, left putamen, left insular cortex, right DLPFC and right parietal area 40. When the groups were compared for the externally triggered movements relative to rest, the global pattern of blood flow and rCBF change in the two groups did not differ, confirming the absence of group differences in BPs for the externally triggered movements. During the self-initiated movements, the lower amplitude of the early BP in patients with Parkinson's disease as well as the underactivation of the supplementary motor area relative to normals support the premises that (i) the supplementary motor area contributes to the early BP, and (ii) the deficit is self-initiated movements in Parkinson's disease is due to supplementary motor area underactivation. The DLPFC is activated in situations requiring non-routine decision making as in the self-initiated movements.

Aged↗

Compensatory eye movements during active and passive head movements: fast adaptation to changes in visual magnification.

Rotational eye and head movements were recorded with great precision with scleral and cranial search coils in a rotating magnetic field. Compensatory eye movements were recorded in light and darkness during active as well as passive head movements in the frequency range 0.33-1.33 Hz. From the recorded, nominal gaze movements the effective gaze was reconstructed taking into account magnification or reduction factors of corrective spectacles. Effective gain was calculated as the ratio between the velocities of the effective corrective eye movements and the head movements. In the light, effective gain of compensatory eye movements during active head motion was mostly between 0.97 and 1.03. It was never precisely unity and differed systematically between subjects and between the two eyes of each subject. During passive head motion in the light, gain was lower by about 3% than during active motion. During active head movement in the dark, gain was mostly between 0.92 and 1.00; values were about 5% lower than during active motion in the light. During passive head movement in the dark, gain was about 13% lower than during active motion, and the variability of the oculomotor response increased. Adaptation of these base-line conditions was induced by fitting the subjects with magnifying or reducing spectacles for periods of 40 min to 24 h. The largest required change in amplitude of eye movements was 36%. When active head movements were made, the amplitude of compensatory eye movements in the light as well as in the dark adjusted rapidly. Most of the adaptation of the vestibulo-ocular reflex in the dark was completed in about 30 min. This rate is much faster than that found in previous experiments requiring larger adaptive changes. Differential adaptation to unequal demands for the two eyes proved to be very hard or impossible. In a mild conflict situation the system adjusted to an intermediate level, distributing the error symmetrically between the eyes. When the discrepancy was large, the adaptive process of both eyes was controlled by the one eye which provided the most meaningful information. It is concluded that the system generating compensatory eye movements performs best during active rather than passive head movements, and that adaptation to moderate changes in optimal gain are made very rapidly.

Adaptation, Ocular↗

[Cerebellar movement disorders in monkeys. Comparison of rapidly alternating and slower target movements during cooling of the dentate nucleus (author's transl)].

The effects of short reversible cooling of the dentate nucleus in two groups of 3 and 4 cebus monkeys, with two different types of ipsilateral elbow movements, have been studied. One group was trained to turn a moving handle back and forth rapidly between two mechanical stops, while the second group was trained to move the handle between two target zones. Brief blocking of the dentate nucleus caused a delayed termination of contraction of the agonistic muscles (hypermetria) near the mechanical stop for very rapid, ballistic, alternating arm movements and, consequently, delayed initiation of the antagonistic return movement. The resulting increase of the duration of a single movement was not caused by a reduction of the peak acceleration of the movement. For the slower target movements, dentate nucleus cooling caused shortening of agonistic muscular contraction (hypometria) with corresponding, saccadic movement corrections. The frequency of the "movement tremor" lay between 3 and 5 Hz. The average velocity maxima during dentate cooling did not change. The findings indicate that different types of movements exhibit different disturbances of the movement pattern during the period of functional elimination of the same anatomical structure. The results indicate that the dentate nucleus and cerebellar hemispheres take part in preprogramming movement duration (Kornhuber) for rapid ballistic movements. In slower target movements, the dentate nucleus may be involved in sectional preprogramming of step movements.

Animals↗

Movement-related changes in cortical oscillatory activity in ballistic, sustained and negative movements.

We studied movement-related EEG oscillatory changes in the alpha, beta and low-gamma frequency bands in three different paradigms of movement, namely ballistic, sustained, and negative (muscle relaxation). A time-frequency analysis of non-phase-locked activity in the 7-47 Hz range was performed on movement-centred EEG sweeps using wavelet filters and Gabor transforms. All three movements were accompanied by a decrease in beta activity that began contralaterally about 1.5 s prior to the onset of movement but that extended to both sides near the beginning of the movement. This decrease was followed by a rebound after the end of the movement in the ballistic and negative movements. A decrease was also seen in the alpha band during the three paradigms, which began later (1 s before movement) and lasted longer. An increase in gamma activity was only seen during ballistic and sustained movements, while a decrease in gamma energy was observed during negative movements. It was concluded that changes in the beta band of the EEG before movement are related to the preparation for the movement, but an important afferent component may be present in the later changes. Gamma band activity may be just involved in the execution of the movement, related to muscle contraction.

Alpha Rhythm↗

Influence of movement speed on accuracy and coordination of reaching movements to memorized targets in three-dimensional space in a deafferented subject.

Multiarticular reaching movements at different speeds produce differential demands for the on-line control of ongoing movements and for the predictive control of intersegmental dynamics. The aim of this study was to assess the ability of a proprioceptively deafferented patient and aged-matched control subjects to make precise and coordinated three-dimensional reaching movements at different speeds without vision during the movement. A patient with a complete loss of proprioception below the neck (C.F.) and five control subjects made reaching movements to four remembered visual targets at slow, natural, and fast speeds. All movements were performed without vision of the arm during the movements. The spatial accuracy, the movement kinematics and the interjoint coordination of these movements were analyzed. Results showed that control subjects made larger spatial errors at both slow and fast speeds than at natural speed. However, they synchronized motions at the shoulder and elbow joints and kept most movement kinematic features invariant across speed conditions. In contrast, C.F. failed to produce smooth and simultaneous motions at the shoulder and elbow joints at all speeds. Surprisingly, however, he made much larger errors than control subjects at slow and natural speeds, but not at fast speed. Analysis of patterns of interjoint coordination revealed that, when instructed to move fast, C.F. initiated arm movements by fixing the elbow while moving the shoulder joint to damp interaction torques exerted on the elbow joint from motion of the upper arm. The results demonstrated that, although proprioceptive loss disrupted normal control of multijoint movements at all speeds, when performing relatively fast three-dimensional movements, C.F. could control intersegmental dynamics by reducing the number of active joints. More importantly, the results highlight the dual role of proprioception in controlling multijoint movements; that is, to provide important cues both for the predictive control of interaction torques and for the synchronization of adjacent joints even when interactive torques are very small. These findings support the idea that proprioceptive input is used by the CNS to update an internal model of limb dynamics that adapts the motor plan according to biomechanical contexts.

Aged↗

Sources of movement-related cortical potentials derived from foot, finger, and mouth movements.

Movement-related cortical potentials (MRCPs) register brain electrical activity before and during movement execution. In an attempt to delineate the components of MRCPs that reflect common sources to various movements and that are movement-specific, simple self-paced voluntary foot, finger, and mouth movements were studied. MRCPs were recorded in eight healthy volunteers with 30 electrodes placed on the scalp. Data were analyzed using Brain Electric Source Analysis software, and multiple equivalent dipole models were developed to separate spatial and temporal aspects of brain activity related to the execution of voluntary movements. Independent models were separately developed for the grand average data and for the individual subjects' data for each movement type. MRCPs derived from foot movements were accounted for using a 5-dipole model, finger movements using an 8-dipole model, and mouth movements with a 7-dipole model, yielding the grand average residual variances of 3%, 2%, and 6%, respectively. Based on individual models, intersubject variability of dipole locations was less than 10 mm (+/- SD). Overlaying the mean dipole coordinates onto the stereotaxic atlas provided proof that the sensorimotor cortical areas, supplementary motor area, and also cerebellum and thalamus were active in all three movements. Locations of the dipoles in the contralateral sensorimotor area clearly implied well-known medial to lateral somatotopic organization of foot, finger, and mouth movements. Temporal separation of the activity spread over different brain areas was demonstrated by evolution in the moments of dipole source potentials. The authors' models support the view of simultaneous activation of the primary motor cortex and supplementary motor area at the time of movement execution. Multiple equivalent dipole models developed in this study implied the activity originating in corresponding brain areas as previously detected by positron emission tomography or functional magnetic resonance imaging. However, MRCPs provided additional information regarding the temporal evolution of the brain activity related to the execution of voluntary movements. Thus, the concurrent use of MRCPs and other imaging techniques may provide complementary information not easily obtained by the other imaging techniques themselves.

Adult↗

Step-tracking movements of the wrist. IV. Muscle activity associated with movements in different directions.

We examined the patterns of muscle activity associated with multiple directions of step-tracking movements of the wrist in humans and monkeys. Human subjects made wrist movements to 12 different targets that required varying amounts of flexion-extension and radial-ulnar deviation. Wrist muscles displayed two patterns of electromyographic (EMG) modulation as movement direction changed: amplitude graded and temporally shifted. The amplitude-graded pattern was characterized by modulation of the quantity of muscle activity that occurred during two distinct time periods, an agonist burst interval that began before movement onset and an antagonist burst interval that began just after movement onset. The timing of muscle activity over the two intervals showed little variation with changes in movement direction. For some directions of movement, EMG activity was present over both time intervals, resulting in "double bursts." Modulation of activity during the agonist burst interval was particularly systematic and was well fit by a cosine function. In contrast, the temporally shifted pattern was characterized by a gradual change in the timing of a single burst of muscle activity. The burst occurred at a time intermediate between the agonist and antagonist burst intervals. The temporally shifted pattern was seen less frequently than the amplitude-graded pattern and was present only in selected wrist muscles for specific directions of movement. Monkeys made wrist movements to 8-16 different targets that required varying amounts of flexion-extension and radial-ulnar deviation. These movements were performed more slowly than those of human subjects. The wrist muscles of the monkeys we examined displayed the amplitude-graded pattern of activity but not the temporally shifted pattern. Stimulation of individual wrist muscles in monkeys resulted in wrist movements that were markedly curved, particularly for the wrist extensors. These results indicate that step-tracking movements of the wrist are generated mainly by using the amplitude-graded pattern to modulate muscle activity. We propose that this pattern reflects a central process that decomposes an intended movement into an agonist, "propulsive" component and an antagonist, "braking" component. Separate bursts of muscle activity then are generated to control each component. On the other hand, we argue that the temporally shifted pattern may function to reduce the amount of movement curvature associated with the activation of wrist muscles.

Adult↗

The influence of movement segment difficulty on movements with two-stroke sequence.

Arm movements in the horizontal plane consisting of two segments were examined to determine whether the difficulty of the second segment influenced the kinematic characteristics of the first segment. The direction of the first segment was an elbow extension movement away from the trunk and remained constant throughout the experiment. The direction of the second segment varied between forearm extension and flexion movements. Based on Fitts' law, two different indexes of difficulty (ID) of the second segment were utilized by changing target size and movement amplitude. The effects of changing ID were examined for two different movement amplitudes. All movements were single-joint movements employing elbow flexion/extension and were recorded by an x-y digitizer. Variations in the ID of the second segment produced context-dependent kinematic changes in the performance of the initial segment. Movement duration increased when the ID was increased by reducing target size for both extension-extension sequence and extension-flexion sequences. Peak velocity also decreased for higher ID targets in the extension-flexion sequence. However, there was an interaction between the ID and movement amplitude in the extension-flexion sequence. In this sequence the duration of movement for the high ID/large movement amplitude condition increased substantially compared with the low ID/small movement amplitude condition. In addition, changing ID of the second segment influenced the time between the two segments (intersegment interval) in the extension-flexion sequence. Collectively, these data suggest that the planning of complex movements is based in part on the accuracy demands of multiple segments of the sequence.

Adult↗

Multijoint arm movements in cerebellar ataxia: abnormal control of movement dynamics.

In cerebellar ataxia, kinematic aberrations of multijoint movements are thought to originate from deficiencies in generating muscular torques that are adequate to control the mechanical consequences of dynamic interaction forces. At this point the exact mechanisms that lead to an abnormal control of interaction torques are not known. In principle, the generation of inadequate muscular torques may result from an impairment in generating sufficient levels of torques or from an inaccurate assessment and prediction of the mechanical consequences of movements of one limb segment on adjacent joints. We sought to differentiate the relative contribution of these two mechanisms and, therefore, analyzed intersegmental dynamics of multijoint pointing movements in healthy subjects and in patients with cerebellar degeneration. Unrestrained vertical arm movements were performed at three different target movement velocities and recorded using an optoelectronic tracking system. An inverse dynamics approach was employed to compute net joint torques, muscular torques, dynamic interaction torques and gravitational torques acting at the elbow and shoulder joint. In both groups, peak dynamic interaction forces and peak muscular forces were largest during fast movements. In contrast to normal subjects, patients produced hypermetric movements when executing fast movements. Hypermetric movements were associated with smaller peak muscular torques and smaller rates of torque change at elbow and shoulder joints. The patients' deficit in generating appropriate levels of muscular force were prominent during two different phases of the pointing movement. Peak muscular forces at the elbow were reduced during the initial phase of the movement when simultaneous shoulder joint flexion generated an extensor influence upon the elbow joint. When attempting to terminate the movement, gravitational and dynamic interaction forces caused overshooting extension at the elbow joint. In normal subjects, muscular torque patterns at shoulder and elbow joint were synchronized in that peak flexor and extensor muscular torques occurred simultaneously at both joints. This temporal pattern of muscular torque generation at shoulder and elbow joint was preserved in patients. Our data suggest that an impairment in generating sufficient levels of phasic muscular torques significantly contributes to the patients' difficulties in controlling the mechanical consequences of dynamic interaction forces during multijoint movements.

Adult↗

Movement-related potentials in Parkinson's disease. Motor imagery and movement preparation.

Movement-related potentials (MRPs) associated with voluntary movements reflect cortical activity associated with processes of movement preparation and movement execution. Early-stage pre-movement activity is reduced in amplitude in Parkinson's disease. However, it is unclear whether this neurophysiological deficit relates to preparatory or execution-related activity, since previous studies have not been able to separate different functional components of MRPs. Motor imagery is thought to involve mainly processes of movement preparation, with reduced involvement of end-stage movement execution-related processes. Therefore, MRP components relating to movement preparation and execution may be examined separately by comparing MRPs associated with imagined and actual movements. In this study, MRPs were recorded from 14 subjects with Parkinson's disease and 10 age-matched control subjects while they performed a sequential button-pressing task, and while they imagined performance of the same task. Early-stage pre-movement activity was present in both Parkinson's disease patients and control subjects when they imagined movement, but was reduced in amplitude compared with that for actual movement. Movement execution-related components, arising predominantly from the primary motor cortex, were relatively unaffected in Parkinson's disease subjects. However, motor preparatory processes, probably involving the supplementary motor area, were reduced in amplitude overall and abnormally prolonged, indicating impaired termination following the motor response. Further, this impaired termination of preparatory-phase activity was observed only in patients with more severe parkinsonian symptoms, and not in early-stage Parkinson's disease.

Aged↗

Movement-related phasic muscle activation. I. Relations with temporal profile of movement.

1. The role of phasic muscle activation in determining the temporal properties of human arm movements was studied. The experiments show that subjects can modulate the triphasic electromyographic (EMG) pattern to produce movements of varied temporal structures. 2. Subjects performed horizontal forearm movements in which they varied movement accelerations and decelerations. All movements were of the same amplitude, duration, and peak velocity. A phase-plane (velocity vs. position) template of the desired movement was presented to the subject, who had to reproduce the template by appropriate movement of the forearm. 3. The ratio of the durations of acceleration to deceleration (termed the symmetry ratio, SR) was used as a measure of the temporal structure of the movements. Movements with SRs ranging from 0.4 (short acceleration-long deceleration) to 2.0 (long acceleration-short deceleration) were studied. 4. Subjects modulated the components of the triphasic EMG pattern to produce movements with different temporal profiles. As the SR was increased (increasing acceleration duration-decreasing deceleration duration), the following changes occurred: 1) the duration of the initial agonist burst (AG1) increased while its magnitude decreased; 2) the antagonist burst (ANT1) was progressively delayed relative to movement onset. ANT1 magnitude increased while its duration remained constant; and 3) the magnitude of the second agonist burst (AG2) increased and its duration decreased. 5. The triphasic EMG pattern can be modified to produce movements whose velocity profiles are not the same under simple scaling of duration or magnitude. It is concluded that previously described relations between components of the triphasic EMG pattern and movement parameters, such as amplitude, speed, and duration, are secondary to associated changes in their acceleration and deceleration characteristics.

Acceleration↗

Embodied health movements: new approaches to social movements in health.

Social movements organised around health-related issues have been studied for almost as long as they have existed, yet social movement theory has not yet been applied to these movements. Health social movements (HSMs) are centrally organised around health, and address: (a) access to or provision of health care services; (b) health inequality and inequity based on race, ethnicity, gender, class and/or sexuality; and/or (c) disease, illness experience, disability and contested illness. HSMs can be subdivided into three categories: health access movements seek equitable access to health care and improved provision of health care services; constituency-based health movements address health inequality and health inequity based on race, ethnicity, gender, class and/or sexuality differences; and embodied health movements (EHMs) address disease, disability or illness experience by challenging science on etiology, diagnosis, treatment and prevention. These groups address disproportionate outcomes and oversight by the scientific community and/or weak science. This article focuses on embodied health movements, primarily in the US. These are unique in three ways: 1) they introduce the biological body to social movements, especially with regard to the embodied experience of people with the disease; 2) they typically include challenges to existing medical/scientific knowledge and practice; and 3) they often involve activists collaborating with scientists and health professionals in pursuing treatment, prevention, research and expanded funding. This article employs various elements of social movement theory to offer an approach to understanding embodied health movements, and provides a capsule example of one such movement, the environmental breast cancer movement.

Breast Neoplasms↗