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PubMed1978

Changes in somatic sensitivity during transcutaneous electrical analgesia.

Patients with chronic pain in one limb, who experienced pain reduction with transcutaneous neurostimulation, were examined for sensory perception in that limb before and during electrical analgesia. Contralateral limbs and normal subjects served as controls. Sensory stimuli were quantified, a range of stimuli were presented and data were analyzed according to sensory decision theory. Results showed that, compared to controls, painful limbs show considerable impairment in sensory sensitivity. With transcutaneous neurostimulation, however, sensitivity is improved towards normal, whereas electrical stimulation slightly impairs perception in normal limbs. These results suggest that electrical analgesia involves both peripheral small-fiber blockade and large-fiber stimulation; the latter is more noticeable in the normal limb, but the former effect is predominant when pain reduction occurs in a painful limb.

Adult↗

PubMed1983

Phantom limb, phantom pain and stump pain in amputees during the first 6 months following limb amputation.

The incidence and clinical picture of non-painful and painful phantom limb sensations as well as stump pain was studied in 58 patients 8 days and 6 months after limb amputation. The incidence of non-painful phantom limb, phantom pain and stump pain 8 days after surgery was 84, 72 and 57%, respectively. Six months after amputation the corresponding figures were 90, 67 and 22%, respectively. Kinaesthetic sensations (feeling of length, volume or other spatial sensation of the affected limb) were present in 85% of the patients with phantom limb both immediately after surgery and 6 months later. However, 30% noticed a clear shortening of the phantom during the follow-up period; this was usually among patients with no phantom pain. Phantom pain was significantly more frequent in patients with pain in the limb the day before amputation than in those without preoperative limb pain. Of the 67% having some phantom pain at the latest interview 50% reported that pains were decreasing. Four patients (8%), however, reported that phantom pains were worse 6 months after amputation than originally. During the follow-up period the localization of phantom pains shifted from a proximal and distal distribution to a more distal localization. While knifelike, sticking phantom pains were most common immediately after surgery, squeezing or burning types of phantom pain were usually reported later in the course. Possible mechanisms for the present findings either in periphery, spinal cord or in the brain are discussed.

Aged↗

PubMed1982

Input to the vestibulo cerebellum and triceps brachii motoneurons during natural vestibular stimulation in frog.

The response of cerebellar Purkinje cells and nerve triceps brachii was recorded in paralyzed frogs during natural vestibular stimulation. The response from about 63% of the Purkinje cells (mossy fiber input) recorded in the vestibulo cerebellum and of the triceps nerve during triangular wave roll oscillation consisted of activity increase during the ipsilateral side-down half of the cycle and decrease during the contralateral side-down half. It was shown that this activity, which originates partially from ipsilateral vertical canals, can be added to, or suppressed by, otolithic activity, depending on head position and direction rotation. The fact that the response of Purkinje cells was similar to that of triceps nerve implies that the vestibulo-cerebellum receives information of vestibular signals passing to the motor system. The characteristics of otolithic-canal interaction recorded in triceps nerve may explain the motor disturbances that result from lesions of otolithic receptors.

Animals↗

PubMed1995

Kinesthetic reference for human orthograde posture.

Humans with occluded vision were subjected to superslow tilts of the supporting platform, producing the inclination of the subject's body in the sagittal plane, but subthreshold for the most vestibular and proprioceptive phasic reactions. Two types of perturbation were used: sinusoidal tilts (frequency 0.007 Hz, amplitude 1.5 degrees) and ramps (amplitude 1.0 and 0.25 degrees, angular velocity 0.04 degrees/s). During slow sinusoidal tilts of the platform, the ankle angle and body position undergo periodical changes, but these changes have significant phase lead relative to the platform movement: 119 +/- 26 for ankle angle and 55 +/- 19 degrees for body sway. Gains were about 0.9 for both parameters. Large phase shift (tens of seconds) indicated a long delay in compensation of body inclination by ankle joint. The ramp tilt produced an initial body deviation followed by a slow (seconds or tens of seconds) approach of body position to a new steady level after the termination of ramp. Large slow body movements were superimposed with small irregular oscillations (about 10% of the amplitude of large displacements) of higher frequency. These oscillations resembled normal stabilograms on a stationary support. Thus, the usual process of stabilization of body gravity center was continued, though not around a fixed set-point but relative to a slowly changing position. Data obtained support the hypothesis that, besides operative control assigned to compensate deviations from a reference position, the system of postural control includes at least one additional level, which elaborates this reference using information about mutual position of body links, muscular torques and interaction with the support on the basis of criteria taking into account the energy cost of standing and demands for stability and security.

Adult↗

PubMed1996

Effect of clozapine on motor function in schizophrenic patients.

It is well established that clozapine is less likely than typical antipsychotic drugs to cause clinically discernible extrapyramidal side-effects. There is a paucity of data, however, on clozapine's motor effects. In this report we compare normal controls to groups of chronic schizophrenic patients treated with either typical antipsychotic drugs or with clozapine. Motor function was measured with a target-matching task, a test relying on submaximal sustained force control. Results indicated that patients on clozapine performed with significantly lower accuracy (greater variability) of force control. Even though the clozapine patients were treatment resistant to typical antipsychotic drugs, and many had a history of tardive dyskinesia, we postulate that the observed deficit is likely due to clozapine treatment rather than to earlier treatments or other factors. The observed force control deficit may be the result of an increase in myoclonus and a generally lower level of overall motor activity.

Adult↗

PubMed2007

The role of attention in horizontal curves: a comparison of advance warning, delineation, and road marking treatments.

Horizontal curves have been recognized as a significant safety issue for many years, a more important factor than road width or sight distance. The research literature suggests that driver errors associated with horizontal curves result from three inter-related problems: failures of driver attention, misperceptions of speed and curvature, and poor lane positioning. To examine the roles of attentional, perceptual, and lane placement factors in driver behaviour at curves, two groups of curve treatments were identified for testing with a driving simulator. The first group of treatments consisted of four combinations of warning signs designed to alert drivers to the presence of curves and produce a reduction in curve approach speeds. The second group was comprised of several types of road markings designed to affect drivers' speed and lane position as they drove through curves. The results indicated that advance warning signs by themselves were not as effective at reducing speeds as when they were used in conjunction with chevron sight boards and/or repeater arrows. Of the road marking treatments only rumble strips produced any appreciable reductions in speed. A herringbones road marking was found to produce significant improvements in drivers' lane positions, effectively flattening the drivers' paths through the curves. A treatment combining the herringbones treatment with chevron and repeater arrow signs produced both a reliable reduction in speed as well as improved lane positions. The results are interpreted as evidence that treatments that highlight perceptual cues are the most effective means of moderating drivers' curve speeds.

Acceleration↗

PubMed2004

Kinesthetic estimation of the main orientations from the upright and supine positions.

This work investigated the accuracy of the perception of the main orientations (i.e., vertical and horizontal orientations) with the kinesthetic modality--a modality not previously used in this field of research. To further dissociate the influence of the postural and physical verticals, two body positions were explored (supine and upright). Twenty-two blindfolded participants were asked to set, as accurately as possible, a rod to both physical orientations while assuming one of the two body positions. The horizontal was perceived more accurately than the vertical orientation in the upright position but not in the supine position. Essentially, there were no differences in the supine position because the adjustments to the physical vertical were much more accurate than they were in the upright position. The lower accuracy in the estimation of the vertical orientation observed in the upright position might be linked to the dynamics associated with the maintenance of posture.

Adult↗

PubMed2005

The effect of visuo-motor transformations on hand-foot coordination: evidence in favor of the incongruency hypothesis.

Understanding how multiple constraints contribute to the emergence of coordinated behavior has been the topic of considerable debate in cognitive sciences. The present experiment addressed the issue of the effects of visual motion structures (iso- and non-isodirectionality) on the stability of hand-foot coordination patterns. Visuo-motor transformations--decorrelating the perceived movement direction from the actually generated direction--were applied to both in-phase and anti-phase patterns. Two mutually exclusive hypotheses--the "visual grouping hypothesis" and the "incongruency hypothesis"--were tested. The results indicated that both conditions of transformed visual feedback destabilized the actual performed coordination patterns. Thus, despite the existence of common underlying principles that govern both the perceived motion pattern and the generation of hand-foot coordination patterns, it appeared that perceptual grouping principles were not exploited to monitor the production of coordination. These results strongly suggest that the congruency between the performed pattern and the perceived visual feedback is the primary factor determining the (in)stability of hand-foot coordination patterns.

Adult↗

PubMed2004

A real-time plantar pressure feedback device for foot unloading.

OBJECTIVE: To develop and test a plantar pressure control device that provides both visual and auditory feedback and is suitable for correcting plantar pressure distribution patterns in persons susceptible to neuropathic foot ulceration. DESIGN: Pilot test. SETTING: Sports medicine laboratory in a university in France. PARTICIPANT: One healthy man in his mid thirties. INTERVENTIONS: Not applicable. Main outcome measures A device was developed based on real-time feedback, incorporating an acoustic alarm and visual signals, adjusted to a specific pressure load. Plantar pressure measured during walking, at 6 sensor locations over 27 steps under 2 different conditions: (1) natural and (2) unloaded in response to device feedback. RESULTS: The subject was able to modify his gait in response to the auditory and visual signals. He did not compensate for the decrease of peak pressure under the first metarsal by increasing the duration of the load shift under this area. Gait pattern modification centered on a mediolateral load shift. CONCLUSIONS: The auditory signal provided a warning system alerting the user to potentially harmful plantar pressures. The visual signal warned of the degree of pressure. People who have lost nociceptive perception, as in cases of diabetic neuropathy, may be able to change their walking pattern in response to the feedback provided by this device. The visual may have diagnostic value in determining plantar pressures in such patients. This pilot test indicates that further studies are warranted.

Adult↗

PubMed2005

Performance in different proprioceptive tests does not correlate in ankles with recurrent sprain.

OBJECTIVE: To determine the relation between 2 proprioceptive tests, movement detection and movement discrimination, at the ankle. DESIGN: A cross-sectional descriptive study. SETTING: Research laboratory. PARTICIPANTS: Eighteen subjects with recurrent ankle inversion sprain. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Threshold to detection of movement was tested for inversion and eversion movements at 3 velocities (0.1 degrees , 0.5 degrees , 2.5 degrees /s). Movement discrimination was tested for plantarflexion and inversion movements. The tests were performed in random order, and the velocity and movements were randomized within each test paradigm. Correlations (Pearson r) were calculated between movement detection and movement discrimination. RESULTS: Correlation within each proprioceptive paradigm was poor to moderate: for movement detection, correlations among movement directions at each velocity ranged from r equal to .53 to r equal to .54; for movement discrimination correlation was r equal to .49. There was poor correlation between the scores for the 2 tasks in 10 of the 12 comparisons (r range, -.02 to -.36). CONCLUSIONS: These findings show that performance in different proprioceptive tests is not well correlated and, therefore, that general proprioceptive status cannot be inferred from assessment of a single proprioceptive test.

Adolescent↗

PubMed2004

A single case-study of diagonistic dyspraxia.

Diagonistic dyspraxia is a clinical syndrome usually characterized by involuntary and conflicting behaviors between the hands following corpus callosum lesions. In the present study, we report the case of a patient who presents such symptoms, along with a series of complex abnormal behaviors, such as carrying out an action and subsequently doing the exact opposite, or being unable to choose between two alternative decisions. The data reported in this study indicate that, at least in some patients, diagonistic dyspraxia can be associated with abnormal, antagonistic, behaviors not limited to the hands. In our view, diagonistic dyspraxia result from lesion of the posterior corpus callosum while associated complex abnormal behaviors result from concomitant anterior lesions.

Adult↗

PubMed2004

Active versus passive proprioceptive straight-ahead pointing in normal subjects.

Eighty blindfolded healthy female subjects participated in an active and a passive straight-ahead pointing task to study the estimation of the subjective sagittal middle in the presence or absence of an active haptic exploration. Subjects were to point straight-ahead with their left or right index finger starting from different right- or left-sided locations, while performing either an active movement or with the hand being passively moved by the examiner. Results showed: (i) a significant effect of the hand used only on the active straight-ahead pointing task performance; (ii) a significant effect of the starting position both on the active and passive pointing performance; (iii) a significant correlation between the two protocols only in terms of spatial bias (algebraic error) but not in terms of precision (absolute errors). These results are discussed with regards to normal and neuropsychological studies of the egocentric frame of reference.

Adult↗

PubMed2004

Spatial coupling affects both homologous and non-homologous limbs.

The present study examined the interaction between limb movements in space. The amount of interaction was measured by how much moving one limb affected the movement of another limb. Participants were 24 right-handed university students (19 female, mean age=19 years). The task was to draw lines with the right hand while moving another limb in lines or circles of different sizes. Significant coupling effects were found between both homologous and non-homologous limbs. Movement of the right hand was most strongly affected by the left hand, less by the right foot, and least by the left foot, consistent with the functional cerebral distance model. This effect of limb was observed only in the major dimension along which movement was not restrained. Both the limb and dimension effects were reduced when the trajectory of motion decreased in size.

Adolescent↗

PubMed2005

Influence of imagined posture and imagery modality on corticospinal excitability.

Single pulse transcranial magnetic stimulation (TMS) was used to test the assumption that kinesthetic imagery of action is more 'motor' than visual imagery of action. We assessed corticospinal excitability during motor imagery of a thumb-palm opposition movement by recording potentials evoked by TMS from two hand muscles that would (opponens pollicis, OP, target) or would not (abductor digiti minimi, ADM, control) be activated during actual performance of the very same movement. Participants were asked to imagine the thumb-palm opposition movement while maintaining first person imagery that was either purely visual or predominately kinesthetic. The motor imagery task was performed in two conditions in which the imagined and the actual hand could be either congruent or incongruent. Facilitation of potentials recorded from OP was higher during imagery carried out in mentally congruent than incongruent postures. This effect was largely due to lack of excitability recorded during incongruent kinesthetic imagery, which was indistinguishable from baseline imagery of the static hand. All other conditions differed from static imagery regardless of position. No significant effects were found in a control muscle (ADM) thus indicating that the effect was not related to spatial coding. Subjective reports obtained after the experiment indicate that the results cannot be ascribed to qualitative differences in the imagery experienced. For relatively simple motor tasks requiring no 'expertise' we found no detectable difference in the motor cortex due to imagery modality.

Adult↗

PubMed2006

Multisensory interactions follow the hands across the midline: evidence from a non-spatial visual-tactile congruency task.

Crossing the hands over, whether across the body midline or with respect to each other, leads to measurable changes in spatial compatibility, spatial attention, and frequently to a general decrement in discrimination performance for tactile stimuli. The majority of multisensory crossed hands effects, however, have been demonstrated with explicit or implicit spatial discrimination tasks, raising the question of whether non-spatial discrimination tasks also show spatial effects when the hands are crossed. We designed a novel, non-spatial tactile discrimination task to address this issue. Participants made speeded discriminations of single- versus double-pulse vibrotactile targets, while trying to ignore simultaneous visual distractor stimuli, in both hands uncrossed and hands crossed postures. Tactile discrimination performance was significantly affected by the visual distractors (demonstrating a significant crossmodal congruency effect) and was affected most by visual distractors in the same external location as the tactile target (i.e., spatial modulation), regardless of the posture (uncrossed or crossed) of the hands (i.e., spatial 'remapping' of visual-tactile interactions). Finally, crossing the hands led to a general performance decrement with visual distractors, but not in a control task with unimodal visual or tactile judgements. These results demonstrate, for the first time, significant spatial and postural modulations of crossmodal congruency effects in a non-spatial discrimination task.

Adaptation, Physiological↗

PubMed2006

Sensory processing during kinesthetic aftereffect following illusory hand movement elicited by tendon vibration.

We investigated how the human sensory-motor system elicits a somatosensory aftereffect. Tendon vibration of a limb excites the muscle spindle afferents that contribute to eliciting illusory movements of the limb. After the cessation of vibration, a transient sensation in which the vibrated limb returns towards its original position (kinesthetic aftereffect) is often experienced, even in the absence of the afferent inputs recruited by the vibration. We vibrated the tendon of either the right wrist extensor or flexor muscle that elicited an illusory flexion or extension movement, which was followed by its corresponding extension or flexion aftereffect. First, we psychophysically investigated how the preceding illusory movement affects the aftereffect. Second, we examined the cortico-spinal excitability during the aftereffect to evaluate its changes from the time during the illusion. We measured the amplitude of the motor-evoked potential that is evoked by a single-pulse transcranial magnetic stimulation to the hand section of the contralateral motor cortex (M1). All 19 subjects experienced the aftereffect, and the amount of aftereffect was approximately 70% of the preceding illusion. During the illusion, the cortico-spinal excitability increased more in non-vibrated than in vibrated muscle, so as to reflect the illusory directions. During the aftereffect, the excitability was significantly reduced only in the non-vibrated muscle, with no change in the vibrated muscle, which, in turn, caused an opposite pattern in the unbalanced excitability between the two muscles, and the degree of unbalanced excitability was correlated with the sensation of aftereffect. The kinesthetic aftereffect seems to be elicited by a sensory process that is determined by the preceding illusory movements. Motor-cortical processing of the unbalanced sensory information from the stimulated and non-stimulated muscles may contribute to the elicitation of kinesthetic aftereffect.

Adult↗

PubMed2004

A new method for the assessment of spatial orientation and spatial anxiety in mice.

The implication of integrated functional sensory relations of the body to space in anxiety disorders is a very important issue which encourages the development of animal models, in particular, for pharmacological perspectives and for the functional assessment of the deficits induced by genetic manipulation in the mouse or the rat. A new experimental device is presented here: It is comprised of a rotating tunnel and a rotating-beam controlled by computer which can be used for multiple visuo-idiothetic and kinesthetic sensory conflict situations during active locomotor behaviour by mice. The system is linked to a digital video system, Video-Track trade mark, designed to track and record the movements of the animals. Anxious BALB/cByJ mice were compared to non-anxious C57BL/6J mice and were seen to display highly disturbed locomotor behaviour in a sensory conflict situation. The model highlights the advantages of video-digital analysis for animal behavioural sciences.

Animals↗

PubMed2005

Preserved and impaired aspects of predictive grip force control in cerebellar patients.

OBJECTIVE: To analyze preserved and impaired aspects of feedforward grip force control during cyclic arm movements with a hand-held object after cerebellar damage. METHODS: We tested eight subjects with unilateral or bilateral cerebellar pathologies and eight healthy control subjects. Participants performed cyclic vertical arm movements with a hand held instrumented object at three different speeds. RESULTS: Compared to controls, patients excerted increased grip forces. The minimum force ratio between grip force and load force was constant across all movement frequencies, suggesting that patients anticipated speed-related changes in load magnitudes by adjusting the grip force. Thus the scaling of grip force level to self-generated load magnitudes was preserved. The coupling between grip and load profiles was assessed by cross correlation analysis. Patients exhibited significantly decreased maximum coefficients of cross correlation implicating impaired anticipation of inertial load fluctuations. However feedforward control could be preserved, as obvious from zero time lags of the maximum cross correlation coefficient. CONCLUSIONS: Our findings suggest that cerebellar lesions affect the processing of predictive grip force modulation in anticipation of inertial loads. Our results add further evidence to the theoretical concept that the cerebellum implements internal feedforward models. However, preserved functions may indicate compensatory mechanisms or extra-cerebellar aspects of grip and load force regulation. SIGNIFICANCE: The observed dissociation of performance deficits may have direct clinical implication and may guide the development of individual therapeutic strategies for patients with cerebellar disorders.

Adult↗