Motor skill: feedback, knowledge, and structural issues.
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Adaptation, Psychological↗
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Results for “REFLEX, PROPRIOCEPTIVE”
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Responses of cerebellar Purkinje cells to slip of a hand-held object.
1. Two monkeys were trained to grasp, lift, and hold a device between the thumb and forefinger for 1 s. The device was equipped with a position transducer and strain gauges that measured the horizontal grip force and the vertical lifting or load force. On selected blocks of 20-30 trials, a force-pulse perturbation was applied to the object during static holding to simulate object slip. The animals were required to resist this displacement by stiffening the joints of their wrists and fingers to obtain a fruit juice reward. Single cells in the hand representation area of the paravermal anterior lobe of the cerebellar cortex were recorded during perturbed and unperturbed holding. If conditions permitted, the cell discharge was also recorded during lifting of objects of various weights (15, 65, or 115 g) or different surface textures (sandpaper or polished metal), and when possible the cutaneous or proprioceptive fields of the neurons were characterized with the use of natural stimulation. 2. On perturbed trials, the force pulse was always applied to the manipulandum after it had been held stationary within the position window for 750 ms. The perturbation invariably elicited a reflexlike increase of electromyographic (EMG) activity in wrist and finger muscles, resulting in a time-locked increase in grip force that peaked at a latency between 50 and 100 ms. 3. The object-slip perturbation had a powerful effect on cerebellar cortical neurons at a mean latency of 45 +/- 14 (SD) ms. Reflexlike increases or decreases in simple spike discharge occurred in 55% (53/97) of unidentified cells and 49% (21/43) of Purkinje cells recorded in the anterior paravermal and lateral cerebellar cortex. 4. The perturbation failed to evoke complex spike responses from any of the Purkinje cells examined. All the perturbation-evoked activity changes involved modulation of the simple spike discharge. The perturbations stimulated the simple-spike receptive field of most Purkinje cells recorded here, which suggests that the short-latency unit responses were triggered by afferent stimulation. Only one Purkinje cell was found with a distinct complex-spike receptive field on the thumb, but this neuron did not respond to the perturbation. It appears that simple- and complex-spike to receptive fields are not always identical or even closely related. 5. The majority of Purkinje and unidentified neurons that responded to the perturbation had cutaneous receptive fields, although some had proprioceptive fields. Seventy-seven neurons were examined for peripheral receptive fields and were also tested with the perturbation.(ABSTRACT TRUNCATED AT 400 WORDS)
Animals↗
Cerebellar control of postural scaling and central set in stance.
1. The effects of cerebellar deficits in humans on scaling the magnitude of automatic postural responses based on sensory feedback and on predictive central set was investigated. Electromyographic (EMG) and surface reactive torques were compared in patients with anterior lobe cerebellar disorders and in normal healthy adults exposed to blocks of four velocities and five amplitudes of surface translations during stance. Correlations between the earliest postural responses (integrated EMG and initial rate of change of torque) and translation velocity provided a measure of postural magnitude scaling using sensory information from the current displacement. Correlations of responses with translation amplitude provided a measure of scaling dependent on predictive central set based on sequential experience with previous like displacements because the earliest postural responses occurred before completion of the displacements and because scaling to displacement amplitude disappeared when amplitudes were randomized in normal subjects. 2. Responses of cerebellar patients to forward body sway induced by backward surface displacements were hypermetric, that is, surface-reactive torque responses were two to three times larger than normal with longer muscle bursts resulting in overshooting of initial posture. Despite this postural hypermetria, the absolute and relative latencies of agonist muscle bursts at the ankle, knee, and hip were normal in cerebellar patients. 3. Although they were hypermetric, the earliest postural responses of cerebellar patients were scaled normally to platform displacement velocities using somatosensory feedback. Cerebellar patients, however, were unable to scale initial postural response magnitude to expected displacement amplitudes based on prior experience using central set. Randomization of displacement amplitudes eliminated the set effect of amplitude on initial responses in normal subjects, but responses to randomized and blocked trials were not different in cerebellar patients. 4. Cerebellar patients compensated for hypermetric responses and lack of anticipatory scaling of earliest gastrocnemius activity by scaling large, reciprocally activated tibialis and quadriceps antagonist activity with the displacement velocity and amplitude. Correlations between these antagonist EMG integrals and displacement amplitudes were preserved when amplitudes were randomized, suggesting that feedback-dependent and not set-dependent mechanisms were responsible for scaling of antagonists by cerebellar patients. Antagonist compensation for initial hypermetric responses also could be induced in normals when they overresponded to unexpectedly small amplitudes of surface displacements. 5. The major effects of anterior lobe cerebellar damage on human postural responses involves impairment of response magnitude based on predictive central set and not on use of velocity feedback or on the temporal synergic organization of multijoint postural coordination.(ABSTRACT TRUNCATED AT 400 WORDS)
Adult↗
Afferent roles in hindlimb wipe-reflex trajectories: free-limb kinematics and motor patterns.
The hindlimb wiping reflex of the frog is an example of a targeted trajectory that is organized at the spinal level. In this paper, we examine this reflex in 45 spinal frogs to test the importance of proprioceptive afferents in trajectory formation at the spinal level. We tested hindlimb to hindlimb wiping, in which the wiping or effector limb and the target limb move together. Loss of afferent feedback from the wiping limb was produced by cutting dorsal roots 7-9. This caused altered initial trajectory direction, increased ankle path curvature, knee-joint velocity reversals, and overshooting misses of the target limb. We established that these kinematic and motor-pattern changes were due mainly to the loss of ipsilateral muscular and joint afferents. Loss of cutaneous afferents alone did not alter the initial trajectory up to target limb contact. However, there were cutaneous effects in later motor-pattern phases after the wiping and target limb had made contact: The knee extension or whisk phase of wiping was often lost. Finally, there was a minor and nonspecific excitatory effect of phasic contralateral feedback in the motor-pattern changes after deafferentation. Specific muscle groups were altered as a result of proprioceptive loss. These muscles also showed configuration-based regulation during wiping. Biceps, semitendinosus, and sartorius (all contributing knee flexor torques) all were regulated in amplitude based on the initial position of the limb. These muscles contributed to an initial electromyographic (EMG) burst in the motor pattern. Rectus internus and semimembranosus (contributing hip extensor torques) were regulated in onset but not in the time of peak EMG or in termination of EMG based on initial position. These two muscles contributed to a second EMG burst in the motor pattern. After deafferentation the initial burst was reduced and more synchronous with the second burst, and the second burst often was broadened in duration. Ankle path curvature and its degree of change after loss of proprioception depended on the degree of joint staggering used by the frog (i.e., the relative phasing between knee and hip motion) and on the degree of motor-pattern change. We examined these variations in 31 frogs. Twenty percent (6/31) of frogs showed largely synchronous joint coordination and little effect of deafferentation on joint coordination, end-point path, or the underlying synchronous motor pattern. Eighty percent of frogs (25/31) showed some degree of staggered joint coordination and also strong effects of loss of afferents. Loss of afferents caused two major joint level changes in these frogs: collapse of joint phasing into synchronous joint motion and increased hip velocity. Fifty percent of frogs (16/31) showed joint-coordination changes of type (1) without type (2). This change was associated with reduction, loss, or collapse of phasing of the sartorius, semitendinosus and biceps (iliofibularis) in the initial EMG burst in the motor pattern. The remaining 30% (9/31) of frogs showed both joint-coordination changes 1 and 2. These changes were associated with both the knee flexor EMG changes seen in the other frogs and with additional increased activity of rectus internus and semimembranosus muscles. Our data show that multiple ipsilateral modalities all play some role in regulating muscle activity patterns in the wiping limb. Our data support a strong role of ipsilateral proprioception in the process of trajectory formation and specifically in the control of limb segment interactions during wiping by way of the regulation and coordination of muscle groups based on initial limb configuration.
Algorithms↗
Rapid spinal mechanisms of motor coordination.
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Animals↗
[Functional state of the vasomotor center in the presence of afferent influences from reflexogenic zones].
Redundant afferentation from reflexogenic zones of the lung and skeletal muscles alters effects of electric stimulation of the midbrain reticular formation and posterior hypothalamic nucleus in the cat due to readjustment of the cortico--subcortical interrelationships and to an increase in the excitability of the brain structures. The data suggest that the functional activity of the vasomotor center depends on the character of afferentation from different reflexogenic zones.
Animals↗
Mucosal afferents mediate laryngeal adductor responses in the cat.
Laryngeal adductor responses (LAR) close the airway in response to stimulation of peripheral afferents in the superior laryngeal nerve. Although both mucosal afferents and proprioceptive receptors are present in the larynx, their relative contribution for reflex elicitation is unknown. Our purpose was to determine which receptor types are of importance in eliciting the LAR. A servomotor with displacement feedback was used to deliver punctate displacements to the body of the arytenoid cartilage and overlying mucosa on each side of the larynx in eight anesthetized cats. The same displacements were delivered both before and after surgical excision of the overlying mucosa. With the mucosa intact, early short-latency component R1 LAR responses recorded from the thyroarytenoid muscles were frequent (ipsilateral > 92%, contralateral > 95%). After the mucosa was removed, the LAR became infrequent (<3%) and was reduced in amplitude in both the ipsilateral and contralateral thyroarytenoid muscle recording sites (P < 0.0005). These findings demonstrate that mucosal mechanoreceptors and not proprioceptive afferents contribute to the elicitation of LAR responses in the cat.
Animals↗
WGA-HRP studies on the fiber connections from the spinal cord to the Deiters' nucleus.
The labyrinthine-spinal reflexes are influenced by the inputs from the cervical and lumbal propriocepters. We studied the afferent route by the retrograde WGA-HRP method in cats. After the injection of WGA-HRP into either the dorsal or the ventral Deiters' nucleus, labeled neurons were investigated in the spinal cord, the cerebellum, the contralateral vestibular nucleus complex and the brain stem nucleus. In this paper, we report the results in the spinal cord of cats. i) When WGA-HRP was injected into the dorsal Deiters' nucleus, labeled neurons in the spinal cord were found mainly extending from the cervical to the lumbosacral area of the spinal cord. A number of labeled cells were located predominantly in the contralateral cervical segments, while a small number of labeled cells was found ipsilaterally in the lumbosacral segments. ii) In the case of the ventral Deiters' nucleus, labeled neurons were found extending from the cervical to the upper thoracic area of the spinal cord. Localization of labeled neurons in the spinal cord was limited mainly to Rexed's laminae VII and VIII. These results suggest that the afferent fibers from the spinal cord to the Deiters' nucleus are closely related to the labyrinthine-spinal reflex.
Afferent Pathways↗
Sensory control mechanisms of the uropod equilibrium reflex during walking in the crayfish Procambarus clarkii
The temporal characteristics of statocyst and leg proprioceptive inputs to the uropod motor system were investigated in crayfish using behavioural and electromyographic analyses to elucidate their functional roles in the control of the uropod steering response under natural conditions. When the animal, which was suspended in the air without a footboard, was actively extending its abdomen, prolonged stimulation of the statocysts by body rolling elicited a maintained asymmetrical configuration of the bilateral uropods. Prolonged stimulation of the walking legs by footboard tilting with the animal body held in the upright position elicited a transient uropod response. When the treadmill was tilted while the animal was walking on it in the upright position, the uropods showed the same transient response. However, when the animal body was rolled, together with the treadmill, while the animal was walking on it, the uropods showed a transient response which was reversed in direction compared with that observed during body rolling without a footboard. This transient response was abolished by the removal of the statoliths. The results show that the statocysts and leg proprioceptors exert sustained and transient control effects, respectively, on the uropod motor system during walking. It is also suggested that the uropod response to body rolling during walking is controlled primarily by leg proprioceptor signals which result from statocyst-induced changes in the leg position.
Journal Article↗
Effect of upper airway negative pressure on proprioceptive afferents from the tongue.
We examined whether receptors in the tongue muscle respond to negative upper airway pressure (NUAP). In six cats, one hypoglossal nerve was cut and its distal end was prepared for single-fiber recording. Twelve afferent fibers were selected for study on the basis of their sensitivity to passive stretch (PS) of the tongue. Fiber discharge frequency was measured during PS of the tongue and after the rapid onset of constant NUAP. During PS of 1-3 cm, firing frequency increased from 17 +/- 7 to 40 +/- 11 (SE) Hz (P < 0.01). In addition, 8 of the 12 fibers responded to NUAP (-10 to -30 cmH2O), with firing frequency increasing from 23 +/- 9 to 41 +/- 9 Hz (P < 0.001). In two fibers tested, the increase in firing frequency in response to NUAP was not altered by topical anesthesia (10% lignocaine) applied liberally to the entire upper airway mucosa. Our results demonstrate that afferent discharges from the hypoglossal nerve are elicited by 1) stretching of the tongue and 2) NUAP before and after upper airway anesthesia. We speculate that activation of proprioceptive mechanoreceptors in the cat's tongue provides an additional pathway for the reflex activation of upper airway dilator muscles in response to NUAP, independent of superficially located mucosal mechanoreceptors.
Afferent Pathways↗
[Proprioceptive proximo-distal relationships between the quadriceps and soleus muscles in man].
Electrical stimulation of femoral nerve modulates voluntary tonic activity o of ipsilateral soleus muscle. Stimulus time-locked inhibitory and facilitatory phases can be distinguished. EMG temporal analysis suggests that early perturbations are correlated with spinal effects of centripetal electrical activity. The inhibitory effects which momentarily abolish voluntary soleus activity are thought to result from quadriceps Ib fibres recruitment. While no heteronymous activity is induced at rest, femoral nerve Ia fibres activation can produce soleus muscle reflex when soleus motor nucleus excitability is increased by voluntary command. Recurrent discharge resulting from soleus reflex response enhances inhibition initially due to quadriceps Ib volley. Secondary effects of isometric quadriceps contraction (and soleus contraction when the femoral stimulus elicits a reflex in this muscle) have their own effects later. These findings suggest that proprioceptive relationships of the two muscular groups are efficient during tonic isometric voluntary command.
Electric Stimulation↗
Proprioceptive innervation of the external cremaster muscle of some domestic mammals.
The proprioceptive innervation of the external cremaster muscle of some domestic animals was studied. Muscle spindles and tendon organs with their well-known features were found, but this finding was uncommon and unexpected in the investigated animals. For this reason, we believe that there is no relationship between the presence of these proprioceptors and the cremasteric reflex.
Animals↗
Study of nystagmus suppression in the Rotatory Tests.
Thirty one healthy subjects ranging in age between 21 and 50, participated voluntarily in the following experiment: they underwent programmed sequential alternating rotations, while their nystagmus was recorded by way of electronystagmography. The direction of rotation was changed every minute, and the total rotation time was 36 minutes. The subjects were rotated under external conditions which were altered every six minutes; these conditions included the following: 1. Rotation in the light with visual fixation and convergence. 2. Rotation in the light with visual fixation without convergence (one eye closed, the other looking at the target). 3. Rotation in the light without visual fixation (both eyes covered by a shade or by Frenzel's glasses). 4. Rotation in the dark without convergence (looking straight ahead). 5. Rotation in the dark with convergence (looking at the thumb, closely placed in front of the nose). The purpose of the experiment was to study the phenomenon of nystagmus suppression observed with visual fixation and often attributed to cortical activity. The conclusion of the study is that nystagmus may be suppressed by light alone as well as by visual stimuli, convergence and proprioceptive stimuli. The inference is that the mechanism involves brain stem reflexes and not necessarily visual cortex activity.
Adult↗
Pressure between the humeral head and the subscapularis tendon after the modified Boytchev procedure.
The pressure between the humeral head and the subscapularis tendon was determined in 32 patients who had recurrent anterior shoulder dislocations. These patients' pressures were measured during a modified Boytchev procedure both before and after transposition of the conjoined tendon, and they were remeasured at the time of screw removal, performed at a mean of 13 months after the initial surgery. The mean clinical follow-up period was 31 months. A micro-tip catheter transducer was inserted into the glenohumeral joint between the humeral head and the subscapularis tendon. Pressures were measured at particular degrees of motion for two positions: passive external rotation of the arm at the side at 0 degrees, 15 degrees, 30 degrees, 45 degrees, and 60 degrees and passive external rotation at the 90 degrees abducted position at 0 degrees, 30 degrees, 60 degrees, and 90 degrees. The pressures were statistically significantly higher after the conjoined tendon transfer at all measured degrees of motion in the two positions. The pressures at the time of screw removal were not statistically significantly different from those seen after the tendon transfer during external rotation at 90 degrees of abduction. The modified Boytchev procedure increases the pressure between the humeral head and the subscapularis tendon. We suspect that this increased pressure increases proprioceptive stimuli in the subscapularis tendon and thus accelerates the protective reflex needed to prevent shoulder dislocation.
Adolescent↗
Ankle instability caused by prolonged peroneal reaction time.
The reaction of 15 functionally unstable ankles to sudden inversion was described by monitoring muscle activity, joint motion, and alternation of the body center of pressure. The results were compared with those of 15 stable controls. Stable and unstable subjects showed a similar reaction pattern to sudden inversion: first, a peripheral reflex action, namely, a contraction of the peronei counteracting the ankle inverting momentum, and, then, a centrally elicited pattern, namely, a flexion of the hip, knee, and ankle relieving the vertical pressure on the ankle and producing ankle eversion. Unstable subjects did not show a defect in their central processing of afferent input. In contrast, a prolonged reaction time (median 84 msec compared with 69 msec in stable subjects) suggested a partial deafferentation of the reflex stabilization of the ankle and substantiated the theory of a proprioceptive deficit being responsible for ankle instability.
Ankle Joint↗
Functional electrical stimulation in control of motor output and movements.
In patient with damaged upper motor neurones we show the therapeutic effect of electrical stimulation (called FES) of peripheral mixed nerves on the restoration of motor activity and movements. The results of neurophysiological, kinesiological and clinical observations are presented. We discuss the possible mechanisms, especially the spinal ones, which are fundamental for such a rhythmic activity as gait. We discuss them also from the point of view of activation of proprioceptive feedback mechanisms and of achieved sensory reinforcement influencing the spinal reflex mechanisms as well as the preserved supraspinal integrated activity which contributes to the long-term FES effect. The stimulation modes, the control of stimuli in relation to the needs of individual patients (hemiplegia in adults, paraparesis, cerebral palsy in children and multiple sclerosis) as well as the motor deficit are discussed. We conclude that the electronic system used for this purpose represents a functionally active orthotic aid with therapeutic effects.
Adolescent↗
[MRI findings of posterior spinal artery syndrome--report of a case].
A 58-year-old woman presented with sudden onset of numbness and weakness of the lower limbs. She showed paraparesis associated with hyperreflexia and pathological reflexes in lower limbs. She showed decreased sensation of vibration and proprioception in lower limbs, as well as tingling sensation below Th11 level. Pinprick and thermal sensations were spared. Magnetic resonance imaging (MRI) of the spinal cord revealed a symmetric high signal intensity area at the posterior medial part of the spinal cord spanning Th9 to Th11 on T2-weighted and proton density images. On the basis of clinical findings as well as MRI findings, we made a diagnosis of posterior spinal artery syndrome. The MRI findings are considered to be highly useful for the diagnosis of PSAS.
Diagnosis, Differential↗
Assessment and treatment of the child with mental retardation. Guidelines for the public school therapist.
Physical therapists employed in public schools may be responsible for the evaluation and treatment of not only physically handicapped children, but also children who have moderate to severe motor disabilities secondary to mental retardation. The purpose of this article is to suggest appropriate assessment and treatment techniques for these children. General principles of intervention based on neurophysiologic treatment approaches, particularly sensory integration, are described. Examples of specific assessment and treatment strategies are given for visual, auditory, tactile, olfactory-gustatory, proprioceptive-kinesthetic, and vestibular functions. In addition, self-stimulatory behaviors, tests of motor and reflex development, problems in muscle tone and strength, and variations in gait patterns are discussed.
Child↗