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Humans use continuous visual feedback from the hand to control fast reaching movements.

How visual feedback contributes to the on-line control of fast reaching movements is still a matter of considerable debate. Whether feedback is used continuously throughout movements or only in the "slow" end-phases of movements remains an open question. In order to resolve this question, we applied a perturbation technique to measure the influence of visual feedback from the hand at different times during reaching movements. Subjects reached to touch targets in a virtual 3D space, with visual feedback provided by a small virtual sphere that moved with a subject's fingertip. Small random perturbations were applied to the position of the virtual fingertip at two different points in the movement, either at 25% or 50% of the total movement extent. Despite the fact that subjects were unaware of the perturbations, their hand trajectories showed smooth and accurate corrections. Detectable responses were observed within an average of 160 ms after perturbations, and as early as 60% of the distance to the target. Response latencies were constant across different perturbation times and movement speed conditions, suggesting that a fixed sensori-motor delay is the limiting factor. The results provide direct evidence that the human brain uses visual feedback from the hand in a continuous fashion to guide fast reaching movements throughout their extent.

Analysis of Variance↗

Online versus offline processing of visual feedback in the control of movement amplitude.

Researchers have suggested that visual feedback not only plays a role in the correction of errors during movement execution but that visual feedback from a completed movement is processed offline to improve programming on upcoming trials. In the present study, we examined the potential contribution of online and offline processing of visual feedback by analysing spatial variability at various kinematic landmarks in the limb trajectory (peak acceleration, peak velocity, peak negative acceleration and movement end). Participants performed a single degree of freedom video aiming task with and without vision of the cursor under four criterion movement times (225, 300, 375 and 450 ms). For movement times of 225 and 300 ms, the full vision condition was less variable than the no vision condition. However, the form of the variability profiles did not differ between visual conditions suggesting that the contribution of visual feedback was due to offline processes. In the 375 and 450 ms conditions, there was evidence for both online and offline control as the form of the variability profiles differed significantly between visual conditions.

Adolescent↗

Adaptation of handwriting size under distorted visual feedback in patients with Parkinson's disease and elderly and young controls.

OBJECTIVE: The ability to use visual feedback to control handwriting size was compared in patients with Parkinson's disease (PD), elderly people, and young adults to better understand factors playing a part in parkinsonian micrographia. METHODS: The participants wrote sequences of eight cursive l loops with visual target sizes of 0.5 and 2 cm on a flat panel display digitiser which both recorded and displayed the pen movements. In the pre-exposure and postexposure conditions, the display digitiser showed the actual pen trace in real time and real size. In the distortion exposure conditions, the gain of the vertical dimension of the visual feedback was either reduced to 70% or enlarged to 140%. RESULTS: The young controls showed a gradual visuomotor adaptation that compensated for the visual feedback distortions during the exposure conditions. They also showed significant after effects during the postexposure conditions. The elderly controls marginally corrected for the size distortions and showed small after effects. The patients with PD, however, showed no trial by trial adaptations or after effects but instead, a progressive amplification of the distortion effect in each individual trial. CONCLUSION: The young controls used visual feedback to update their visuomotor map. The elderly controls seemed to make little use of visual feedback. The patients with Parkinson's disease rely on the visual feedback of previous or of ongoing strokes to programme subsequent strokes. This recursive feedback may play a part in the progressive reductions in handwriting size found in parkinsonian micrographia.

Aged↗

Attention to visual feedback in motor learning.

Visual guidance and movement to a stop were used to train subjects to make a simple movement without experiencing error in practice. Movement to a stop led to test performance as accurate as that after training with KR, but visual guidance did not. If a continuous visual cue as well as a stop were present during practice, subjects also performed less accurately, although they did not need to attend to the visual cue. All types of training were better than no training at all. Results are discussed in terms of the role of visual feedback in the development and assessment of programs for movement.

Journal Article↗

Visual feedback alters the variations in corticospinal excitability that arise from rhythmic movements of the opposite limb.

Augmented visual feedback can have a profound bearing on the stability of bimanual coordination. Indeed, this has been used to render tractable the study of patterns of coordination that cannot otherwise be produced in a stable fashion. In previous investigations (Carson et al. 1999), we have shown that rhythmic movements, brought about by the contraction of muscles on one side of the body, lead to phase-locked changes in the excitability of homologous motor pathways of the opposite limb. The present study was conducted to assess whether these changes are influenced by the presence of visual feedback of the moving limb. Eight participants performed rhythmic flexion-extension movements of the left wrist to the beat of a metronome (1.5 Hz). In 50% of trials, visual feedback of wrist displacement was provided in relation to a target amplitude, defined by the mean movement amplitude generated during the immediately preceding no feedback trial. Motor potentials (MEPs) were evoked in the quiescent muscles of the right limb by magnetic stimulation of the left motor cortex. Consistent with our previous observations, MEP amplitudes were modulated during the movement cycle of the opposite limb. The extent of this modulation was, however, smaller in the presence of visual feedback of the moving limb (FCR omega2=0.41; ECR omega2=0.29) than in trials in which there was no visual feedback (FCR omega2=0.51; ECR omega2=0.48). In addition, the relationship between the level of FCR activation and the excitability of the homologous corticospinal pathway of the opposite limb was sensitive to the vision condition; the degree of correlation between the two variables was larger when there was no visual feedback of the moving limb. The results of the present study support the view that increases in the stability of bimanual coordination brought about by augmented feedback may be mediated by changes in the crossed modulation of excitability in homologous motor pathways.

Adult↗

Modifying the gain of the visual feedback affects undisturbed upright stance control.

OBJECTIVE: To assess the effects of visual feedback gain, which express the amplitudes of the displacements of the centre of pressure displayed on a computer screen. DESIGN: The controlling variable, the centre of pressure trajectories, recorded using a force platform, were decomposed into two elementary motions: (1) the horizontal displacements of the centre of gravity and (2) the vertical projection of the difference between centre of pressure and the centre of gravity. These motions were processed through frequency analysis and modelled as fractional Brownian motion to assess their spatio-temporal linkage and their degree of control. BACKGROUND: Although tests to modify the feedback gain have already been carried out, the specific effects from a biomechanical and motor control point of view need to be assessed. METHODS: Thirteen healthy adults were tested through various visual feedback gains performed in random order. RESULTS: By increasing the visual feedback gain, no difference is observed between centre of pressure and centre of gravity motions whereas a progressive diminution of centre of gravity horizontal motions is seen. This latter effect is principally explained by a reinforcement of control during corrective processes. CONCLUSIONS: When the control of centre of gravity constitutes the main flaw in undisturbed stance maintenance, the efficiency of a visual feedback rehabilitation protocol should be largely improved by using an enhanced gain.

Acceleration↗

Plasticity and tuning by visual feedback of the stability of a neural integrator.

Persistent neural firing is of fundamental importance to working memory and other brain functions because it allows information to be held "online" following an input and to be integrated over time. Many models of persistent activity rely on some kind of positive feedback internal to the neural circuit concerned; however, too much feedback causes runaway firing (instability), and too little results in loss of persistence (leak). This parameter sensitivity leads to the hypothesis that the brain uses an error signal (external feedback) to tune the stability of persistent firing by adjusting the amount of internal feedback. We test this hypothesis by manipulating external visual feedback, a putative sensory error signal, in a model system for persistent firing, the goldfish oculomotor neural integrator. Over tens of minutes to hours, electronically controlled visual feedback consistent with a leaky or unstable integrator can drive the integrator progressively more unstable or leaky, respectively. Eye fixation time constants can be reduced >100-fold to <1 s. Normal visual feedback gradually retunes the integrator back to stability. Changes in the phase of the sinusoidal vestibulo-ocular response are consistent with integrator detuning, as are changes in ocular drift following eye position shifts compensating for brief passive head movements during fixations. Corresponding changes in persistent firing of integrator neurons are presented in the accompanying article. The presence, strength, and reversibility of the plasticity demonstrate that, in this system, external visual feedback plays a vital role in gradually tuning the stability of the neural integrator.

Animals↗

Resistive eccentric exercise: effects of visual feedback on maximum moment of knee extensors and flexors.

One of the most important features of isokinetic dynamometry is the accurate assessment of muscular function. One of the main factors affecting the accuracy of isokinetic parameters during maximum activation efforts is visual feedback. The purpose of this study was the examination of the effects of visual feedback on maximum moment measurements of the knee extensors and flexors during isokinetic eccentric activations. Twenty-five males performed five maximal efforts at angular velocities of 30 degrees/sec and 150 degrees/sec with and without visual feedback on a Biodex dynamometer. Visual feedback was provided as real time display of the moment output. A three-factor analysis of variance test revealed significant differences between the moments recorded with visual feedback and the nonvisual feedback maximum moments of knee extensors and flexors at both speeds. The mean extension peak moments at 30 degrees/sec and 150 degrees/sec under visual feedback condition were approximately 7.2 and 6.4% higher than the nonvisual feedback moments, respectively. The increase for the knee flexor moment was 8.7 and 9% for slow and fast speeds, respectively. These findings suggest that visual feedback can improve maximum eccentric output and should be provided during assessment of maximum eccentric strength on an isokinetic dynamometer.

Adult↗

The importance of visual feedback on the accuracy of jaw and finger positioning in man.

The anatomical position of the mandible means that direct visual feedback is not possible. To clarify the role of visual information, several jaw- and finger-positioning tasks were designed, both in a 'free-movement' and an 'isolated' (arm or head fixed) state, with or without a visual feedback display of the target position. The subjects had to position the mandible or the index finger of the preferred hand on to a movable metal bar and to maintain a defined position coinciding with the target level provided on an oscilloscope screen. The position signal was tape recorded and computer analysed off-line. Digital filtering differentiated between the drift and the oscillations around the target (root mean square). The results demonstrated a lack of precision in the free-movement, finger-positioning task after withdrawal of visual feedback. For jaw opening and closing muscles, position control was less impaired when a visual feedback display was abolished. It was suggested that the efficiency of jaw positioning is not primarily determined by visual feedback.

Adult↗

PET study of pointing with visual feedback of moving hands.

This study was conducted to determine where in the human brain visual feedback of hand movements is processed to allow accurate pointing. Regional cerebral blood flow (rCBF) was measured with positron emission tomography (PET) and H2 15O in nine normal volunteers while performing one control and two reaching tasks. In all tasks, visual stimuli were presented on a head mounted display (HMD). A target board was placed in front of the subjects bearing six red light-emitting diodes (LEDs) aligned on a circle with a green LED at its center. The center green LED and one of the six red LEDs, randomly selected, were repeatedly switched on and off, alternatively. In the control task, subjects were instructed to gaze at the lit LED. In the two reaching tasks, the reaching with visual feedback (RwithF) task and the reaching without visual feedback (RwithoutF) task, they had to point to the lit red LED with their right index fingers. In the RwithF task, their right hands were visible on the HMD before touching the target, whereas in the RwithoutF task, they were not visible. For each subject, subtraction images of each reaching task minus the control and the RwithF task minus the RwithoutF task were calculated after transformation of PET images into the standard brain shape with an adjustable computerized brain atlas. These subtraction rCBF images were then averaged among the subjects, and significant changes of rCBF were identified. Significant increases in rCBF not only in the RwithF task minus control image but also in the RwithF task minus the RwithoutF task image were observed in the supramarginal cortex, the premotor cortex and the posterior cingulate cortex of the left hemisphere, the caudate nucleus and the thalamus of the right hemisphere, and the right cerebellum and vermis. These results indicate that the supramarginal cortex, the premotor cortex, and the posterior cingulate cortex of the left hemisphere and the cerebellum are involved in integrating visual feedback of hand movements and execution of accurate pointing.

Adult↗

Effects of object shape and visual feedback on hand configuration during grasping.

Normal subjects gradually preshape their hands during a grasping movement in order to conform the hand to the shape of a target object. The evolution of hand preshaping may depend on visual feedback about arm and hand position as well as on target shape and location at specific times during the movement. The present study manipulated object shape in order to produce differentiable patterns of finger placement along two orthogonal "dimensions" (flexion/extension and abduction/adduction), and manipulated the amount of available visual information during a grasp. Normal subjects were asked to reach to and grasp a set of objects presented in a randomized fashion at a fixed spatial location in three visual feedback conditions: Full Vision (both hand and target visible), Object Vision (only the object was visible but not the hand) and No Vision (vision of neither the hand nor the object during the movement). Flexion/extension angles of the metacarpophalangeal and proximal interphalangeal joints of the index, ring, middle and pinkie fingers as well as the abduction/adduction angles between the index-middle and middle-ring fingers were recorded. Kinematic analysis revealed that as visual feedback was reduced, movement duration increased and time to peak aperture of the hand decreased, in accord with previously reported studies. Analysis of the patterns of joint flexion/extension and abduction/adduction per object shape revealed that preshaping based on the abduction/adduction dimension occurred early during the reach for all visual feedback conditions (approximately 45% of normalized movement time). This early preshaping across visual feedback conditions suggests the existence of mechanisms involved in the selection of basic hand configurations. Furthermore, while configuration changes in the flexion/extension dimension resulting in well-defined hand configurations occurred earlier during the movement in the Object Vision and No Vision conditions (45%), those in the Full Vision condition were observed only after 75% of the movement, as the moving hand entered the central region of the visual field. The data indicate that there are at least two control mechanisms at work during hand preshaping, an early predictive phase during which grip selection is attained regardless of availability of visual feedback and a late responsive phase during which subjects may use visual feedback to optimize their grasp.

Adult↗

Effects on prism adaptation of duration and timing of visual feedback during pointing.

In two experiments, we investigated the effects of duration of visual feedback of the pointing limb and the time (early to late) in the movement when the limb first becomes visible (timing of visual feedback). Timing, rather than duration of visual feedback, proved to have the greater effect on the relative magnitude of visual and proprioceptive adaptation. Visual adaptation increased smoothly with feedback delay, but corresponding decreases in proprioceptive adaptation underwent an additional sharp change when feedback was delayed until about three-fourths of the way to the terminal limb position. These results are consistent with the idea that visual and proprioceptive adaptation are mediated by exclusive processes. Change in the limb position sense (i.e., proprioceptive adaptation) may be produced by visual guidance of the pointing limb, and view of the limb early in the pointing movement seems to be critical for such visual guidance. The limb may be ballistically released as it nears the terminal position, and, thereafter, any opportunity for visual guidance (i.e., view of the limb) is not effective. On the other hand, change in the eye position sense (i.e., visual adaptation) may be mediated by proprioceptive guidance of the eye; the eyes may track the imaged position of the nonvisible limb. Such proprioceptive guidance seems to be solely a function of the distance moved before the limb becomes visible.

Journal Article↗

Visual feedback induces opposite effects on elementary centre of gravity and centre of pressure minus centre of gravity motions in undisturbed upright stance.

OBJECTIVE: To evaluate the instantaneous effects of visual feedback on undisturbed stance control mechanisms. DESIGN: The controlling variable, the centre of pressure trajectories, recorded using a force platform, were decomposed into two elementary motions: (1) the horizontal displacements of the centre of gravity and (2) the vertical projection of the difference between centre of pressure and the centre of gravity. These motions were processed through frequential analysis and modelled as fractional Brownian motion. BACKGROUND: Even though visual feedback protocols are advantageously used for rehabilitation purposes, their immediate effects from biomechanical and motor control points of view need to be assessed. METHODS: Twelve healthy adult subjects were tested through eyes open and visual feedback conditions. RESULTS: A significant amplitude increase in the difference between the centre of pressure and the centre of gravity motions and a decrease in the centre of gravity motions are observed during visual feedback. The fractional Brownian motion modelling analysis reveals an enhanced control of these elementary motions. The point at which the corrective process is initiated is increased with visual feedback whereas the time delay remains the same. CONCLUSIONS: The decrease of the centre of pressure displacements classically observed through visual feedback protocol initially results in a reduction of the centre of gravity motions and an augmentation of the difference between centre of pressure and centre of gravity motions, hence suggesting increased muscular activity. RELEVANCE: Precise knowledge of the effects generated by such feedback protocol should allow to optimise it as a rehabilitation tool.

Adult↗

Persistence in visual feedback control by the elderly.

Young and elderly subjects performed aiming movements to a visual target with a manipulandum to determine whether the elderly reduce their reliance on visual feedback after extended practice. Reliance on visual feedback was assessed by performance on trials in which the cursor displaying arm movement was unpredictably extinguished. Movements were divided into two subcomponents: a primary, ballistic submovement and a secondary, corrective submovement. For both age groups, removal of visual feedback prior to practice resulted in a decrease in the distance covered in the primary submovement, an increase in the distance of the secondary submovement, and a decrease in endpoint accuracy. After extensive practice with the cursor present, the proportion of distance traveled with the primary submovement was again assessed under trial conditions in which the cursor randomly disappeared. Following practice, the young demonstrated that they were capable of extending the primary submovement distance closer to the target. In addition, primary submovement distance was unaffected by the removal of vision following practice. After practice the elderly did not show evidence of lengthening the primary submovement, and submovement distance and endpoint accuracy continued to be altered by the removal of vision. This suggests that, unlike the young, the elderly do not benefit from practice so that they can place a greater proportion of the movement under program control. Thus, on a relative basis, a greater proportion of their overall movement requires corrective adjustments.

Adult↗

Visual feedback during speech production.

The question of whether visual information can affect ongoing speech production arises from numerous studies demonstrating an interaction between auditory and visual information during speech perception. In a preliminary study, the effect of delayed visual feedback on speech production was examined. Two of the 13 subjects demonstrated speech errors that were directly related to the delayed visual signal. However, in the main experiment, providing immediate visual feedback of the articulators did not diminish the effects of delayed auditory feedback for 11 speakers.

Feedback↗

Distorted visual feedback effects on drawing in Parkinson's disease.

We investigated the effects of distorted visual feedback on the drawing performance of a group with Parkinson's disease (PD) and a control group. Twenty older healthy adults and 20 PD patients copied figures onto a digitizer tablet with a pen under normal and distorted visual feedback conditions. PD patients were less able than controls to adjust the size of their drawing to compensate for distortions in visual feedback. The effect was particularly pronounced when patients were required to draw smaller than normal. Nevertheless, with practice. PD patients showed a similar degree of improvement in size as controls, although they did not match the control group's level of performance. Overall, these findings support the notion that PD may have specific difficulty adjusting to a change in gain (or discrepancy) between visual and kinesthetic feedback when they must alter the size of their drawing. These findings point to the putative role of the basal ganglia in adjusting for the intermodal discrepancy between sensory feedback, and re-scaling the size of movements.

Aged↗

Influence of visual feedback on human isometric bite-force tremor.

In contrast to recent reports, during an isometric short forceful bite, visual feedback had a significant influence on the force tremor spectrum. The value of a 'half-value frequency', being the frequency f1/2 at which, with increasing frequency, the amplitude of the spectrum for the first time drops to half its initial value, was used as an indicator for the spectral behavior. Under visual feedback, the amplitude contribution to the force spectrum in the 3-5 Hz frequency range was much larger than after deprivation of visual feedback. Elevations in the frequency range between 3 and 5 Hz in the force spectrum are interpreted as an expression of a visual feedback loop with a tau between 100 and 200 ms. This is supported by the visual/oral reaction times recorded, which were between 110 and 190 ms.

Adult↗

Dependence of cerebellar tremor on proprioceptive but not visual feedback.

We studied the influence of proprioceptive and visual feedback on cerebellar tremor which occurred after arm perturbations and after voluntary elbow flexions. Cerebellar tremor was produced in monkeys by reversibly cooling through two probes implanted lateral and medial to the dentate nucleus. Cerebellar tremor was synchronized in different trials to torque pulse onset and to the end, but not the start, of voluntary movements. Addition of loads to the handle held by the monkey (increases in spring stiffness, viscosity, constant torque, and inertial load) changed the amplitude and frequency of tremor that follows arm perturbations or voluntary movements in the same way. In both situations EMG activity in each cycle of tremor followed stretch of its own muscle and attained a peak near peak velocity irrespective of the mechanical load. Removal of visual feedback did not alter the characteristics of the tremor or the associated EMG activity. We concluded that cerebellar intention tremor, which occurs when attempting to hold the arm in an intended position, is driven by stretch-evoked peripheral feedback and not by voluntary corrections based on vision.

Animals↗