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PubMed1982

The reflex responses of single motor units in human lower lip muscles to mechanical stimulation.

Single motor unit activity was recorded from human lower lip muscles while subjects maintained a firing rate of 20 ips using audio and visual feedback. Each motor unit was classified as belonging to one of three muscles, orbicularis oris inferior (OOI), mentalis (MENT), or depressor labii inferior (DLI). Reflex responses were elicited in single motor units by applying small mechanical displacements (0.5 mm) to the corner of the mouth. Reflex responses were analyzed by constructing peristimulus histograms. Of 130 units analyzed, 123 showed statistically significant changes in their probability of firing in the 50 ms period following the stimulus. Reflex responses were typically polymodal with both excitatory and suppression components present. The excitatory responses occurred at latencies consistent with previous descriptions of the perioral reflexes and were labelled E1 (means = 15.9 ms) and E2 (means = 35.6 ms). Reflex suppression responses (S) were also consistently observed. There was a tendency for the pattern and/or relative magnitudes of reflex response components to depend on the muscle classification of the motor unit; E1 responses predominating in OOI units, E2 responses in MENT units, and S responses in DLI units. This finding provides preliminary evidence for muscle-specific projections between the trigeminal sensory system and facial nucleus motoneurones in humans.

Adult↗

PubMed1975

Automatic measurement of random interpotenial intervals in single fibre electromyography.

The paper describes computer-aided measurement of interpotential intervals in single fibre eletromyography (SFEMG), a diagnostic and research method in clinical medicine. The method is based on analysis of consecutive intervals in pairs of single muscle fibre action potentials. The most important parameter obtained is the mean value of absolute differences of consecutive interpotential intervals, which reflects the reliability of impulse conduction along the terminal branches of motor axons and across the neuromuscular junction. The interface units, in combination with amplifers, binary counters and pulse amplitude-to-pulse width converters, allow not only direct analogue-to-digital conversion but also recognition of potentials. This enables the computer system to make decisions. The results are computed in less than 1 sec after analysis, and are immediately displayed in a graphic and alpha-numberical form on a screen at the measurement site. This provides an immediate visual feedback for the investigator thus both increasing the diagnostic efficacy and reducing the discomfort to the patient. Simultaneous printout by a teletype is used for documentation. The computer system consists of an HP 2116C computer with standard periphery and the program has been written in FORTRAN IV language with subroutines in FORTRAN IV and ASSEMBLER languages.

Action Potentials↗

PubMed1986

The accuracy of aimed movements to visual targets during development: the role of visual information.

Children aged 1.5 to 8 years were required to touch accurately an illuminated target lamp located on a vertical board. Movements were made when visual information was complete (target lit for 3 s, room illuminated; partial (target lit for 3 s, room dark, and reduced (target lit for 0.7 s, room dark). Dependent variables were response accuracy, reaction time, and movement time. Accuracy decreased with decreasing availability of visual information and improved with age under all conditions. Reaction times were shorter in the dark (Conditions 2 and 3) than in the light; they decreased with age up to age 5 and did not continue to decrease thereafter. Movement time did not change with age under Conditions 1 and 3 but tended to increase with age under Condition 2. Slower movements were more accurate at all ages, provided visual feedback could be utilized. Increased reliance on the strategy "slower movements yield higher accuracy" was held to account for developmental changes under Condition 2, whereas in Conditions 1 and 3 improvement in the efficiency of motor preprogramming was implicated.

Age Factors↗

PubMed1993

The effect of intercuspal clenching on the masseteric jaw-jerk reflex in humans.

Although several studies have been conducted regarding the jaw-jerk reflex and its various modifying parameters, the effect of intercuspal clenching still remains poorly understood. Evidence of both excitatory and inhibitory influences of periodontal receptors on jaw muscle activity has been reported. It is also suggested that a level of background activity in the stimulated muscle facilitates the reflex response. It was therefore the purpose of this study to investigate the effect of simultaneously activated periodontal receptors on the various parameters of the masseteric jaw-jerk reflex during moderate masseter muscle activation. Electromyographic recordings were obtained from the masseter muscle of the preferred chewing side at rest and at intercuspal clenching in 10 men, by use of a computerized recording and analysis system. In the clenching trials the level of muscular activity was set at 40% of the maximum value obtained through visual feedback. The results showed that at 40% clenching the occurrence of the reflex was reduced as compared with that obtained at rest. Moreover, when present during clenching, its latency and duration were shorter, whereas its amplitude was higher. It was suggested that the simultaneous activation of periodontal receptors may occasionally inhibit the masseteric monosynaptic excitation.

Adult↗

PubMed1982

The perception and discrimination of arterial pulsations: implications for the behavioral treatment of hypertension.

The perception and discrimination of target visceral responses may be important for the development and control of physiological functions such as blood pressure. Despite this, biofeedback blood pressure studies have almost exclusively used auditory or visual feedback. The present experiment employed psychophysical scaling procedures to investigate subject's ability to perceive and discriminate pulsatile sensations associated with change in the intensity of arterial pulsations. The perceived intensity of these pulsations vary as a function of the relationship between arterial pressure and applied cuff pressure. The results indicated that maximum intensity pulsations were perceived when occluding cuff pressure equalled mean arterial pressure and that the perceived intensity of pulsations decreased monotonically as cuff pressure was varied relative to this point in either the systolic or diastolic direction. Furthermore, the function relating cuff pressure oscillation amplitude to applied cuff pressure was the same as that obtained for perceived pulsation amplitude. The finding that subjects could accurately discriminate different intensities of pulsating sensations suggests the possibility of their being employed as an effective discriminative stimulus in a blood pressure biofeedback procedure.

Behavior Therapy↗

PubMed1993

The effect of voluntary breathing on reaction time.

The effect of voluntary changes in inspiratory duration on reaction time was studied in 17 normal subjects. All received a visual feedback on inspiratory duration and successively adjusted this variable to two target values which were respectively higher and slightly lower than resting level. The order of the two tasks was counterbalanced across subjects. Reaction times to auditory stimuli were measured during a key-pressing task immediately after voluntary breathing. Voluntary control of inspiration induced concomitant changes in breathing period and minute ventilation. Per cent changes in these breathing variables and in reaction times under the two conditions were analysed. Correlations were significant for period not for minute ventilation. This effect was probably due to neuromuscular rather than humoral factors.

Adolescent↗

PubMed1985

Maintenance of low isometric forces during prehensile grasping.

A specially designed microcomputer-controlled force measurement system was tested in 24 normal adults. The task was to maintain a prescribed low isometric grip-force (2.5 Newton) under different visual feedback conditions. The performance variability across subjects and conditions was surprisingly low. Normal adults can maintain low isometric forces with great accuracy. No left/right hand differences could be found in the subjects investigated. These results seem to qualify our procedure for the clinical examination of neurologically impaired patients.

Adult↗

PubMed1988

Bimanual co-ordination in callosal agenesis and partial commissurotomy.

Studies [Preilowski, B.F.B. in Cerebral Localization, pp. 116-131, Springer, Berlin, 1975; Reynolds, D.M. and Jeeves, M.A. Neuropsychologia 12, 287-290, 1974] of bilateral motor coordination in commissurotomy patients pointed to the importance of direct interhemispheric integration for the fine regulation of the lower motor system within each hemisphere. When external visual feedback was withdrawn in the performance of a bimanual tracking task, partial commissurotomy patients, in whom the anterior portions of the callosum were cut, deviated significantly when drawing lines which required asymmetrical input from the two hands. The task devised by Preilowski was given to two adult acallosals, an 11 yr old acallosal boy, and an 11 yr old girl in whom the centre one-third of the corpus callosum had been sectioned. The acallosals performed in a manner similar to Preilowski's partial commissurotomy patients. The results were interpreted as confirming the interhemispheric integrative function of the corpus callosum. It is argued that they constitute further evidence for the existence of hemispheric dominance for motor control in acallosals. The partial commissurotomy patient did not differ in performance from normals. Her results were consistent with the view that it is the anterior parts of the callosum which are crucial for the interhemispheric integration of the lower motor system in each hemisphere.

Adult↗

PubMed1989

Aimed movements to visual targets in hemiplegic and normal children: is the "good" hand of children with infantile hemiplegia also normal?

The accuracy, reaction and movement time of pointing movements to visual targets were examined in children aged 3-13 yr with infantile hemiplegia and compared to those of comparably aged normal children. Hemiplegic children pointed with the "good" hand (i.e. ipsilateral to the lesion). Half the normal children used the preferred hand, half the non-preferred hand. Movements were made with unrestricted/restricted visual feedback, when movement distance was short/medium/long, and when number of target alternatives were 2/4/8. Normal children using the preferred hand were more accurate but reacted more slowly than children using the non-preferred hand. The performance of most of the hemiplegic children with bilateral and/or unilateral lesions was impaired; degree of accuracy was related to the extent of the brain lesion; and reaction time was related to the level of intelligence. It was concluded that unilateral lesions in children can result in bilateral visuomotor impairment.

Adolescent↗

PubMed1990

Specialization of the right hemisphere for visuomotor control.

The accuracy of saccades directed towards the remembered positions of targets in left (LVF) or right (RVF) visual hemifield was measured. The majority of right-handed subjects were found to be more accurate at directing their gaze to locations in the LVF than in the RVF, suggesting that the right hemisphere is superior to the left in oculomotor control. Even after completion of a corrective saccade following the primary saccade, subjects systematically undershot target direction and overshot target depth, suggesting that visual feedback normally plays an important role in the fine guidance of gaze after the completion of a primary saccade.

Adult↗

PubMed1994

Coordination of aimed movements in a case of unilateral cerebellar damage.

We have studied multi-joint arm movements in a patient with right cerebellar damage. Our patient's kinetic tremor was reduced in the absence of visual feedback, but increased when performing a concurrent cognitive task. We suggest that her kinetic tremor reflects use of a slow cortical feedback circuit for error-corrections during movement. Analysing the spatial relation between hand aperture and hand transport in prehensile movements, we found preserved strategic, trial-to-trial coordination, but impaired reactive, within-trial coordination. We conclude that the proprioceptive representations provided by the normal cerebellum play an important role in coordinating multi-joint movement.

Adult↗

PubMed1995

Bimanual coordination in dyslexic adults.

Various types of dyslexia have been associated with tactile-motor coordination deficits and inefficient transfer of information between the two cerebral hemispheres. Twenty-one dyslexic adults were compared to 21 controls on the Bimanual Coordination Task, a test of tactile-motor coordination and interhemispheric collaboration. When compared to control subjects, dyslexics showed a consistent pattern of deficits in bimanual motor coordination, both with and without visual feedback. In particular, dyslexics had greater difficulty relative to normals when the left hand had to move faster than the right, and when the hands had to make opposite (mirror-image) movements, suggesting problems with interhemispheric modulation of visuomotor control. In addition, accuracy on this bimanual coordination task was significantly correlated with the Block Design subtest of the WAIS--R, but not with a rhyme fluency task, suggesting some contribution of right hemisphere controlled visuospatial skill to performance.

Adolescent↗

PubMed1982

Directional changes in the vestibular ocular response as a result of adaptation to optical tilt.

Before and after exposure to clockwise optical tilt, subjects' compensatory eye movements were recorded, as the head was oscillated around a vertical axis by the experimenter. An analysis of the horizontal and vertical components of eye movements showed a change in eye movement path in the clockwise direction. This corresponded to similar changes in visual spatial orientation judgments indicative of perceptual adaptation. It was suggested that long-term visual feedback serves to restore the compensatory nature of the eye movements which was altered by the introduction of the prism transformation.

Adaptation, Ocular↗

PubMed1987

Compensatory eye movements during active head rotation for near targets: effects of imagination, rapid head oscillation and vergence.

Because the center of natural head rotation lies some distance behind the centers of eye rotation, the VOR has to operate with a gain substantially above 1 for there to be stable fixation of targets lying near the head. In humans, VOR gain was increased inversely proportional to fixation distance and changed with the angle of the head for very near targets. These effects were also evident when the subject imagined the target. However, this "high-gain" VOR was found to deteriorate substantially at frequencies beyond ca 2.5 Hz. In conditions without visual feedback, the VOR gain enhancement due to near fixation was disrupted by monocular viewing. When the subjects wore lenses to relax or increase accommodation, the lenses were found to have no effect on VOR gain. On the other hand, prisms of equivalent power to the lenses had a large effect whereby gain was adjusted according to the vergence state of the eyes. This suggests that VOR gain modulation is under the direct control of convergence.

Accommodation, Ocular↗

PubMed1990

End-point nystagmus and ocular drift: an experimental and theoretical study.

End-point nystagmus (EPN) and ocular drift during eccentric fixation were investigated in five normal subjects. All had EPN during prolonged eccentric fixation, two had sustained EPN within a few seconds of fixating an eccentric target. Our data show that the occurrence of EPN was determined by the velocity of slow phase ocular drift. Drift velocities greater than 1 deg/sec elicited sustained EPN or fatigue EPN while drift velocities lower than 0.3 deg/sec did not elicit EPN. Slow phase drift velocity increased with eccentricity and fixation duration and decreased with visual feedback. Computer simulations and theoretical analysis suggest that the reduction in drift eye movement velocity during fixation of a visible target, as compared to drift eye movement velocity during attempted fixation of a remembered target in darkness, is mainly due to the smooth pursuit system.

Adult↗

PubMed1994

Disparity vergence eye movements exhibit preprogrammed motor control.

To determine the control strategy used to mediate disparity vergence eye movements, an optical technique was employed which eliminated the visual feedback normally associated with a vergence movement. The resulting "open-loop" vergence responses from four subjects exhibited multiple step-like movements. This finding augments previous demonstrations of multiple-step tracking strategies in vergence eye movements and supports the theory that the initial portion of the vergence response is under preprogrammed control. Additional evidence for preprogramming is given by the similarity of the initial dynamics between open- and closed-loop responses as evidenced by similar ratios of peak velocity to amplitude (i.e. "main sequence" plots).

Convergence, Ocular↗

PubMed1996

Adaptation of vertical eye alignment in relation to head tilt.

Binocular visual feedback is used to continually calibrate binocular eye alignment so that the retinal images of the two eyes remain in correspondence. Past experiments have shown that vertical eye alignment (measured as vertical phoria) can be altered by training to disparities that vary as a function of orbital eye position. The present experiments demonstrate that vertical eye alignment can also be trained to differ with head position when eye position (with respect to the orbit) is held constant. Changes in head position were about either an earth-vertical or earth-horizontal axis to distinguish otolith-ocular related adaptation from cervical-ocular related adaptation. Changes in head position were implemented by either by rotating the whole body (WB) or by rotating the head with the body stationary (HO). Following training, adaptation of eye alignment was observed in all cases of rotation about an earth-horizontal axis and for HO pitch rotations about an earth-vertical axis. The results illustrate the ability of the oculomotor system to compensate for imbalances in otolith-ocular pathways.

Adaptation, Physiological↗

PubMed1988

The use of nasopharyngoscopy biofeedback therapy in the correction of inconsistent velopharyngeal closure.

Nasopharyngoscopy was used as a visual feedback tool in a 10-year-old girl who had a repaired bilateral cleft lip and palate and was unable to establish velopharyngeal closure during production of sibilant-fricative sounds. After one session, the patient was able to achieve velopharyngeal closure consistently during speech. Nasopharyngoscopy biofeedback therapy may be a useful tool to help children to achieve consistent velopharyngeal closure during connected discourse.

Biofeedback, Psychology↗