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At least 73 records · Page 4Linked to original sources

'Pugnatron'-like reaction in a patient with familial dystonia: torque induced motion analysis.

A patient is described who suffered from an unusual extrapyramidal syndrome involving both legs and one arm. In the affected parts there was an extreme degree of rigidity. Measurements have been made of the motion that occurred as a result of applying force to the left foot. The torque was provided by a printed motor. The effect of a maintained plantar flexing force was anomalous for the foot moved to a dorsiflexed position. A model illustrating possible principles of feedback control-the Pugnatron-is described.

Action Potentials↗

Development of feedback and feedforward control of upright stance.

Feedback and feedforward (anticipatory) adjustments of stance were investigated in 58 children with normal development aged between seven months and 14 years, and in 14 children with motor and mental retardation aged between 21 months and seven years. Feedback responses after tilting the body were elicited in all but the two youngest children, aged seven and nine months. The observed rapid decrease in feedback response latency with age suggests considerable acceleration of central transmission. Effective anticipatory postural adjustments (feedforward) were elicited only in the normal children over four years of age. The development of both feedback and feedforward continued until adolescence.

Adolescent↗

Accurate real-time feedback of surface EMG during fMRI.

Real-time acquisition of EMG during functional MRI (fMRI) provides a novel method of controlling motor experiments in the scanner using feedback of EMG. Because of the redundancy in the human muscle system, this is not possible from recordings of joint torque and kinematics alone, because these provide no information about individual muscle activation. This is particularly critical during brain imaging because brain activations are not only related to joint torques and kinematics but are also related to individual muscle activation. However, EMG collected during imaging is corrupted by large artifacts induced by the varying magnetic fields and radio frequency (RF) pulses in the scanner. Methods proposed in literature for artifact removal are complex, computationally expensive, and difficult to implement for real-time noise removal. We describe an acquisition system and algorithm that enables real-time acquisition for the first time. The algorithm removes particular frequencies from the EMG spectrum in which the noise is concentrated. Although this decreases the power content of the EMG, this method provides excellent estimates of EMG with good resolution. Comparisons show that the cleaned EMG obtained with the algorithm is, like actual EMG, very well correlated with joint torque and can thus be used for real-time visual feedback during functional studies.

Adult↗

Intraspinal micro stimulation generates locomotor-like and feedback-controlled movements.

Intraspinal microstimulation (ISMS) may provide a means for improving motor function in people suffering from spinal cord injuries, head trauma, or stroke. The goal of this study was to determine whether microstimulation of the mammalian spinal cord could generate locomotor-like stepping and feedback-controlled movements of the hindlimbs. Under pentobarbital anesthesia, 24 insulated microwires were implanted in the lumbosacral cord of three adult cats. The cats were placed in a sling leaving all limbs pendent. Bilateral alternating stepping of the hindlimbs was achieved by stimulating through as few as two electrodes in each side of the spinal cord. Typical stride lengths were 23.5 cm, and ample foot clearance was achieved during swing. Mean ground reaction force during stance was 36.4 N, sufficient for load-bearing. Feedback-controlled movements of the cat's foot were achieved by reciprocally modulating the amplitude of stimuli delivered through two intraspinal electrodes generating ankle flexion and extension such that the distance between a sensor on the cat's foot and a free sensor moved back and forth by the investigators was minimized. The foot tracked the displacements of the target sensor through its normal range of motion. Stimulation through electrodes with tips in or near lamina IX elicited movements most suitable for locomotion. In chronically implanted awake cats, stimulation through dorsally located electrodes generated paw shakes and flexion-withdrawals consistent with sensory perception but no weight-bearing extensor movements. These locations would not be suitable for ISMS in incomplete spinal cord injuries. Despite the complexity of the spinal neuronal networks, our results demonstrate that by stimulating through a few intraspinal microwires, near-normal bipedal locomotor-like stepping and feedback-controlled movements could be achieved.

Animals↗

Trajectory control in targeted force impulses. III. Compensatory adjustments for initial errors.

In the preceding study (Gordon and Ghez 1987), we showed that accurately targeted isometric force impulses produced by human subjects are governed by a pulse height control policy. Different peak forces were achieved by modulating the rate of rise of force while force rise time was maintained close to a constant value and independent of peak force. An early measure of the rate of rise of force, peak d2F/dt2, was scaled to the required force (target amplitude) and highly predictive of the peak force achieved. In six subjects examined, peak d2F/dt2 accounted for between 70% and 96% of the total variance in peak force. In the present study, we further examined these targeted responses to determine whether the residual variability not predicted by peak d2F/dt2 could be accounted for by adjustments to the force trajectories which compensated for initial errors in the scaling of the d2F/dt2. A statistical model of the determinants of peak force was tested. This model included two paths by which the target amplitude could independently influence the peak force achieved. The first path was preprogrammed pulse height control. In this path, target amplitude determined the initial rate of rise of force (peak d2F/dt2) which in turn determined the final peak force achieved. The second path was an independent influence of errors in the initial scaling of peak d2F/dt2 on peak force. Multiple regression analysis was performed on trajectory variables within the sets of responses by each subject in each condition to determine whether the second path contributed significantly to explaining the variance in peak force. In each subject and condition, there was a significant independent influence of error in d2F/dt2 on peak force, and the direction of this effect was to decrease the magnitudes of peak force errors. These compensatory adjustments accounted for between 1% and 14% of the total variance in peak force. Further multiple regression analyses revealed that inappropriate scaling of the initial phase of the trajectories was compensated for by shortening or prolonging the force rise time. These trajectory adjustments were in turn implemented by modulation of the timing and magnitude of the contractions in the agonist and antagonist muscles that produced the force trajectories. Because these compensatory adjustments were evident in the EMG pattern at latencies too short to be accounted for by peripheral feedback, we assume that they depend on internal monitoring of the unfolding neural commands. These internal feedback processes act in parallel with the programmed commands, both determining the force trajectory.

Adaptation, Physiological↗

Bilateral reaching to asymmetrical targets: muscle and joint dynamic interlimb adaptations.

A combined analysis of time, electromyographic, and joint torque measures was used to explore the force control processes underlying the dissociation of arm reaching movements performed bilaterally to targets of varying amplitude. Limb movements appeared closely coupled at movement initiation, which was confirmed by a strong tendency of the agonist muscles to remain synchronized despite any interlimb asymmetry in final target distance. On the other hand, interlimb decoupling occurred later as a result of the difference in the antagonists' timing of activation between the limbs. The partitioning of the net joint torque revealed that muscle activity is regulated in response to the intersegmental dynamics of the limb. It is proposed that spatial decoupling of asymmetrical movements becomes possible through postinitiation feedback processes which regulate muscle recruitment phenomena.

Acceleration↗

Central and sensory contributions to the activation and organization of muscle synergies during natural motor behaviors.

Previous studies have suggested that the motor system may simplify control by combining a small number of muscle synergies represented as activation profiles across a set of muscles. The role of sensory feedback in the activation and organization of synergies has remained an open question. Here, we assess to what extent the motor system relies on centrally organized synergies activated by spinal and/or supraspinal commands to generate motor outputs by analyzing electromyographic (EMG) signals collected from 13 hindlimb muscles of the bullfrog during swimming and jumping, before and after deafferentation. We first established that, for both behaviors, the intact and deafferented data sets possess low and similar dimensionalities. Subsequently, we used a novel reformulation of the non-negative matrix factorization algorithm to simultaneously search for synergies shared by, and synergies specific to, the intact and deafferented data sets. Most muscle synergies were identified as shared synergies, suggesting that EMGs of locomotor behaviors are generated primarily by centrally organized synergies. Both the amplitude and temporal patterns of the activation coefficients of most shared synergies, however, were altered by deafferentation, suggesting that sensory inflow modulates activation of those centrally organized synergies. For most synergies, effects of deafferentation on the activation coefficients were not consistent across frogs, indicating substantial interanimal variability of feedback actions. We speculate that sensory feedback might adapt recruitment of muscle synergies to behavioral constraints, and the few synergies specific to the intact or deafferented states might represent afferent-specific modules or feedback reorganization of spinal neuronal networks.

Afferent Pathways↗

The effect of early movement restriction: an EMG study in the rat.

The effect of early immobilization upon the adult locomotor pattern was studied. One hindlimb of neonatal rats was immobilized during 20 days and the EMG pattern was studied 3-8 weeks after termination of movement restriction. All rats showed a fluent locomotion pattern at these ages, but the EMG pattern revealed differences in the timing of flexor and extensor activity between the previously immobilized and the contralateral side. We suggest that interference with movement related afferent feedback at young ages has subtle but long-lasting effects upon the locomotion generating neural circuits.

Animals↗

Chemoreceptor and vagal influences on genioglossal muscle responses to inspiratory resistive load.

The present study was undertaken to determine the mechanisms underlying the involvement of upper airway dilating muscles in compensatory responses to added inspiratory resistive load. Experiments were performed in tracheostomized, anaesthetised rabbits. The effect of inspiratory resistive loading on the electromyographic activity of the genioglossus muscle, the major dilating muscle of the pharynx, was studied in vagotomized and vagally intact rabbits during spontaneous breathing with a hypoxic gas mixture (10% O(2) in N(2)) or oxygen. In the vagally intact animals the peak value and duration of genioglossus muscle inspiratory activity increased in the first loaded breath before any noticeable change in the arterial blood gases. Hyperoxia decreased, whereas hypoxia increased the immediate response of the genioglossus activity to inspiratory loading. Removal of vagal volume-related feedback (by vagotomy) significantly increased the genioglossus muscle activity; the increase being more under hypoxia than under hyperoxia. In contrast to vagally intact animals, there was no first-breath increase in genioglossus activity during loading. The results indicate that the immediate involvement of the genioglossus muscle in response to inspiratory resistive load is mediated by vagal-volume feedback. Baseline oxygen tension before loading modulates the immediate reflex vagal-related response of the genioglossus muscle.

Animals↗

Feedback-based training of grip force control in patients with brain damage.

OBJECTIVE: Feedback-based training of grip force control in patients with various brain lesions was evaluated. DESIGN: Patients were instructed to hold a force transducer in a precision grip and to track with their grip force a moving target, which was presented together with the feedback signal on a monitor. Training performance was evaluated during a maximum of 10 sessions. Before and after the training, performance in two transfer tasks, which differed in target characteristics from the training task, was examined. PATIENTS: Ten patients with impaired grip force control, after brain lesions of different origin, were selected on the basis of a clinical examination of hand function. MAIN OUTCOME MEASURES: Tracking accuracy in training tasks and transfer tasks was evaluated by calculating the conventional root-mean-square error. RESULTS: Nine out of the 10 patients reduced their tracking error considerably during a maximum of 10 subsequent sessions (t test, p < 0.05), and most of them reached normal or near-normal performance. In addition, they improved in both transfer tasks (t test, p < 0.05). Detailed analysis showed that impaired initial performance and improvement was not uniform among patients and could be attributed to individual aspects of force control. CONCLUSIONS: In view of these results, a feedback-based training of grip force may be a useful enrichment of motor therapy.

Adult↗

Gait phase information provided by sensory nerve activity during walking: applicability as state controller feedback for FES.

In this study, we extracted gait-phase information from natural sensory nerve signals of primarily cutaneous origin recorded in the forelimbs of cats during walking on a motorized treadmill. Nerve signals were recorded in seven cats using nerve cuff or patch electrodes chronically implanted on the median, ulnar, and/or radial nerves. Features in the electroneurograms that were related to paw contact and lift-off were extracted by threshold detection. For four cats, a state controller model used information from two nerves (either median and radial, or ulnar and radial) to predict the timing of palmaris longus activity during walking. When fixed thresholds were used across a variety of walking conditions, the model predicted the timing of EMG activity with a high degree of accuracy (average error = 7.8%, standard deviation = 3.0%, n = 14). When thresholds were optimized for each condition, predictions were further improved (average error = 5.5%, standard deviation = 2.3%, n = 14). The overall accuracy with which EMG timing information could be predicted using signals from two cutaneous nerves for two constant walking speeds and three treadmill inclinations for four cats suggests that natural sensory signals may be implemented as a reliable source of feedback for closed-loop control of functional electrical stimulation (FES).

Animals↗

A comparison of biofeedback-mediated relaxation and group therapy in the treatment of chronic anxiety.

The authors compared treatment of chronic anxiety with biofeedback-mediated electromyographic (EMG) relaxation to treatment with group psychotherapy in a control group. Feedback patients were given two weeks of EMG relaxation training followed by two weeks of self-practice. Significant decreases were found in the feedback group in electromyogram levels, mood distrubance, trait anxiety, and (to a lesser extent) state anxiety; no such decreases occurred in the control group. The authors suggest that EMG feedback can be an important adjunct therapy for chronic anxiety.

Affective Symptoms↗

Rapid elbow flexion in the absence of proprioceptive and cutaneous feedback.

Rapid goal-directed movements of elbow flexion were studied in normal human subjects and in patients deprived of proprioceptive and cutaneous feedback. All normal subjects showed a burst of electromyographic (EMG) activity in the extensor muscle (antagonist) that served to arrest the limb precisely in the target zone. The magnitude of this burst co-varied with the magnitude of the initial accelerating burst in the flexor muscle (agonist). In patients, there was a small decelerating burst poorly correlated with the agonist activity. All patients had difficulty to control the amplitude of their movements due to improper adjustment of the size and time of onset of the decelerating burst. It is concluded that the central nervous system can generate a sequence of commands to accelerate and decelerate a limb in the absence of peripheral feedback. However, information from the moving limb is required to adjust the magnitude and time of onset of deceleration.

Adult↗

Stride length regulation in Parkinson's disease: the use of extrinsic, visual cues.

It has been well documented that marked improvements in the hypokinetic gait pattern of Parkinson's disease patients are possible with the use of appropriate visual cues. This project served to evaluate Parkinson's disease gait performance as well as residual processing capacity while using fixed or gait-regulated visual cues. Three-dimensional kinematic, kinetic and electromyographic gait analysis was carried out on 14 patients and 14 matched controls in baseline conditions and with two types of visual cues: taped step length (SL) markers and an individualized subject-mounted light device (SMLD). A probe reaction time paradigm was invoked to assess residual processing capacity. Ratings of perceived task load were also made using the NASA-Task Load Index. Stride length and gait velocity were reduced in patients in baseline conditions. Both of these parameters increased to control levels with the use of visual cues. These alterations were generally accompanied by modifications of lower limb kinematics and kinetics towards control subjects. Perceived task load was higher in all conditions and was further elevated by the use of the SMLD for both groups. Patients produced larger overall reaction times, although reaction time was not different between baseline and SL marker conditions. Reaction time was increased in both groups when using the SMLD. The overarching finding is that stride length can be regulated in Parkinson's disease using stationary visual cues without increased central processing capacity or perceived effort. This may occur via utilization of visual feedback, reducing the patients' reliance on kinaesthetic feedback for the regulation of movement amplitude.

Aged↗

Assessment of an audio-visual feedback device used in motor training,.

A miniature biofeedback device, the Basmajian-Emory Muscle Trainer, has been developed at the Emory University School of Medicine. A training and testing protocol was designed for using this device in the training of precise voluntary control of individual skeletal muscles. Thirteen normal subjects were trained to abduct the big toe of the right foot, eleven of whom displayed increases in maximum motion. Use of a biofeedback device to improve a subject's ROM capabilities requires consideration of four factors: (1) initial emphasis must be on making the subject aware of his muscle activity, (2) the muscle activity must be increased, (3) the positive re-enforcement of feedback must be continual, and (4) the newly acquired muscle activity must be used to perform a greattting.

Adult↗