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Coordination of arm and eye movements in tracking of sinusoidally moving targets.

Human subjects tracked sinusoidally moving visual targets with arm and eyes, in absence of visual feedback of the arm. The resulting frequency responses indicated that predictive mechanisms are involved both in arm and in eye tracking, and that the respective upper frequency limits are similar. Most importantly, substantial differences between arm and eye performance were observed: At low frequencies the gain of arm, but not of eye movement was consistently smaller than 0 dB. At higher frequencies arm, but not eye gain exhibited a marked amplitude non-linearity. The intra-trial gain and phase variability of arm movement was not correlated with the respective variability of eye movement. The reaction times to sudden changes of target parameters could be considerably different for arm and eye, and their inter-trial variability was not, or only marginally, correlated. Taken together, these findings strongly suggest that the mechanisms controlling predictive arm and eye movements in our experiment are organized to a major part in independent, parallel channels. The results are discussed with reference to a simple scheme of eye-arm coordination.

Electrooculography↗

Load compensation in human goal-directed arm movements.

We analysed the execution of multijoint pointing movements in humans while weight or spring loads were applied to the pointing hand. Visual feedback on arm and hand position was excluded. Movement paths, final positions, and normalized velocity profiles were found to be load-independent, except for the very first movement after a load change. With increasing size of a weight load movement velocity decreased, and movement duration increased by the same factor, i.e. the velocity profiles were rescaled in magnitude and time. In contrast, under a spring load movement velocity and duration were not different from no-load controls. These findings led us to propose a new hypothesis on load compensation by the motor system. We suggest that an important controlled variable is a fictional force acting externally on the hand, and that the inertia- and gravity-related components of this force are controlled separately; then, loads are compensated by time scaling of the inertia-related, and magnitude scaling of the gravity-related component. The predictions of this hypothesis regarding movement paths and velocities under weight and spring loads are in good quantitative agreement with our experimental data. When specifically asked to do so, our subjects were able to generate velocity profiles under a weight load that were not different from those under no-load conditions, which suggests that alternative control strategies are available when needed.

Biomechanical Phenomena↗

Movement-related cortical potentials preceding sequential and goal-directed finger and arm movements in patients with cerebellar atrophy.

To determine the influence of cerebellar involvement on the preparatory state of the cerebral cortex for voluntary movements, we studied the movement-related cortical potentials (Bereitschaftspotential, BP) preceding sequential and goal-directed finger and arm movements in patients with cerebellar atrophy (CA). The first task (paradigm 1) consisted of a sequential finger movement at a self-paced rate of every 3 sec or longer, in which patients and control subjects pushed rapidly 7 keys on a keyboard in a sequence visually predetermined on a screen. The second task (paradigm 2) consisted of a goal-directed self-paced movement with visual feedback on a screen. In both paradigms, control subjects and patients had distinct movement-related cortical potentials, but peak amplitudes (close to movement onset) were reduced in the patient group (paradigm 2), whereas in the overall analysis the mean amplitude 600-800 msec before movement onset (NS1) was larger in the patient group (paradigms 1 and 2). Accordingly, the difference (NS2) between peak amplitude and NS1 was smaller in the patient group (paradigms 1 and 2). Whereas control subjects' peak amplitude (paradigm 2) and NS2 (paradigm 1) were focused at Cz, this topographical differentiation was abolished in the patient group. The onset of the BP was earlier in the patients than in the control subjects (paradigms 1 and 2). Our results suggest that pathways from the cerebellum to the cortex do play a role in generating movement-related cortical potentials. A strong input from the cerebellum seems to be crucial for the generation of a normal motor potential close to the movement onset, reflecting a specific deficit in patients with CA. Patients with CA may try to compensate for their motor deficits by a longer cortical activation preceding voluntary movements (earlier onset of the BP). The increased NS1 could be the result of larger effort, by which patients try to compensate for their motor deficits as well.

Adult↗

Heart rate control and aversive stimulation.

College students were required to train heart rate control (heart rate increase and decrease) with visual feedback for three sessions in a within-person design. In the second and third sessions a test period was added when electric shocks were delivered during half in the trials. Subjects had been grouped in advance in an Aware and an Unaware group on the basis of the Automatic Perception Questionnaire (APQ). The results contradicted some findings by other authors which claim that biofeedback can be used to ameliorate subjective effects of aversive stimulation. Alternative interpretations of the discrepant findings were discussed in terms of expectancy effects that may influence autonomically Aware subjects more strongly than Unaware subjects.

Adult↗

Biofeedback produced slow brain potentials and task performance.

Twenty subjects learned to control slow potential (SP) shifts of the brain by means of a biofeedback procedure. Depending upon the pitch of a signal tone, negative SP shifts had to be increased or reduced during intervals of 6 sec each. Visual feedback of the actual SP shift was given. Blocks of training trials alternated with blocks of test trials without any feedback of the SPs. At the end of every test trial a simple arithmetic problem had to be solved by the subjects. Subjects performed the computation in a shorter time interval if an increased negativity preceded task onset as compared to slower response times during suppression of negativity. Results suggest that cortical negativity reflects unspecific preparation for cerebral performance.

Attention↗

Performance and learning during voluntary control of breath patterns.

Fourteen subjects learned to adjust their breath pattern to two target breaths displayed on a video screen, by using visual feedback, during two sessions 24 h apart. These two targets were respectively the smallest and the largest breaths of a ten-breath sample previously recorded from each subject's resting spontaneous breathing. Performances were significantly better for the large than for the small target breath. This cannot be directly inferred from current knowledge related to the control of movement time and amplitude, but rather it may be inferred from the periodic character of breathing, to the higher mental load during the small breath task, or to the presumably different frequencies of target breaths in the whole span of spontaneous breathing. In the second session, performance on the two targets levelled out as a result of learning.

Adult↗

Kinesthetic coordination of a movement sequence in humans.

This experiment examined whether kinesthetic input could be used to coordinate a 'movement sequence', a series of sequentially executed joint rotations. In this experiment, human subjects extended the elbow at a constant velocity and opened the hand as the elbow passed through a predetermined angle, as in throwing. Subjects were able to open the hand at the prescribed elbow angle, even though they received no visual feedback and they could not predict when the elbow would reach this angle. The only remaining source of information about elbow angle was kinesthetic input. Being able to control the internal timing of our movement sequences with kinesthetic input may be important to the way we move.

Elbow Joint↗

Residual control of isometric finger forces in hemiparetic patients. Evidence for dissociation of performance deficits.

Dissociation of performance in the control of isometric finger forces was observed in 6 patients with left-sided unilateral lesions involving sensorimotor areas. In a precision task subjects had to maintain, under visual feedback, a low constant force (2.5 N) while holding a force transducer between thumb and index finger. Performance was compared with that in a speed task, where changes had to be produced, as rapidly as possible, between two prescribed forces (6.25 and 18.75 N). While there were severe deficits in fast force changes corresponding to the functional impairment of the right hand in all patients, right hand maintenance of low isometric force remained intact in the same patients.

Cerebral Cortex↗

A computer-controlled conformal radiotherapy system. III: Graphical simulation and monitoring of treatment delivery.

PURPOSE: Safe and efficient delivery of radiotherapy using computer-controlled machines requires new procedures to design and verify the actual delivery of these treatments. Graphical simulation and monitoring techniques for treatment delivery have been developed for this purpose. METHODS AND MATERIALS: A graphics-based simulator of the treatment machine and a set of procedures for creating and manipulating treatment delivery scripts are used to simulate machine motions, detect collisions, and monitor machine positions during treatment. The treatment delivery simulator is composed of four components: a three-dimensional dynamic model of the treatment machine; a motion simulation and collision detection algorithm, user-interface widgets that mimic the treatment machine's control and readout devices; and an icon-based interface for creating and manipulating treatment delivery scripts. These components are used in a stand-alone fashion for interactive treatment delivery planning and integrated with a machine control system for treatment implementation and monitoring. RESULTS: A graphics-based treatment delivery simulator and a set of procedures for planning and monitoring computer-controlled treatment delivery have been developed and implemented as part of a comprehensive computer-controlled conformal radiotherapy system. To date, these techniques have been used to design and help monitor computer-controlled treatments on a radiotherapy machine for more than 200 patients. Examples using these techniques for treatment delivery planning and on-line monitoring of machine motions during therapy are described. CONCLUSION: A system that provides interactive graphics-based tools for defining the sequence of machine motions, simulating treatment delivery including collision detection, and presenting the therapists with continual visual feedback from the treatment machine has been successfully implemented for routine clinical use as part of an overall system for computer-controlled conformal radiotherapy treatment, and is considered a necessary part of the routine treatment methodology.

Computer Graphics↗

Quality management and the clinical microbiology laboratory.

Quality management in today's health care environment requires a fresh approach. Laboratories that have traditionally directed their efforts toward meeting the needs of physicians must now also satisfy the needs of society, the greater public health, and the agency's administrators. Technical advances must today be considered in the context of patient care cost-effectiveness or final outcomes. Examples of strategies for improving quality in the laboratory, such as seeking input from all individuals involved in interpreting or using laboratory test results, forming multidisciplinary committees for development of critical pathways, issuing surveys for assessing the level of satisfaction of the laboratory's customers, and providing visual feedback of the results of activities, are described.

Algorithms↗

Modulation of human rhythmical jaw motor function by perioral argon laser stimuli.

The influence of peripheral afferent activity on human jaw motor function was examined in this study. Painful argon laser stimuli were applied to the upper lip in 10 subjects during rhythmical jaw movements and the effects on the jaw-closer electromyogram (EMG) and jaw movements were studied. The duration of the open-close cycle (1 sec) and the voluntary level of the jaw-closer EMG burst were standardized by auditory and visual feedback, respectively. Laser stimuli (0.2 sec) were delivered at predetermined percentages of the open-close cycle. Laser stimulation consistently had an excitatory effect on the jaw-closer EMG burst. The root-mean-square (RMS) value of the stimulus-related EMG burst was significantly larger than the preceding and the following EMG bursts. The excitatory effects on the jaw-closer EMG burst were modulated with respect to where in the open-close cycle the laser stimulus was applied, the voluntary force of the jaw-closer burst, and the laser stimulus intensity. Thus, the largest excitatory effects were seen during the start of jaw closure, with the most forceful voluntary contractions, and with the most painful laser stimuli. The stimulus-related changes in the jaw-closer EMG bursts were always associated with a significant shortening (30-90 msec) of the duration of the open-close cycle. The present results suggest that argon laser-induced activity in sensory afferents may generally have an excitatory effect on rhythmical jaw-closer motor performance.

Adult↗

The effect of gravity on the stability of human eye orientation.

OBJECTIVE: The stabilization of both the horizontal (H) and vertical (V) eye movements during voluntary fixation is believed to depend upon the visual feedback system in the upright position. However, ocular stability in the tilted position has been less well investigated. Therefore, in the present study, we examined the gaze stability of healthy human subjects in the three dimensions in the tilted position using a video image analysis system (VIAS). METHODS: In 10 healthy human subjects, the eye movements were recorded after fixating the eye on a target in an upright position and also in the tilted position. The standard deviations of the eye movements in the three dimensions were calculated to evaluate the stability of the movements. RESULTS: In the tilted position, there were no significant changes in the horizontal and vertical eye movements as compared those in the upright position. However, the standard deviation of the torsional (T) segment was significantly larger in the tilted position, compared to that in the upright position. CONCLUSION: From these results, we speculate that, a combination of otolith and somatosensory inputs play a major role in maintaining the stability of eye movements.

Adult↗

Exteroceptive suppression periods in masseteric EMG: Use of stimulus-response curves.

The present study documented quantitative changes in the duration and the depth of the exteroceptive suppression (ES) period in the masseteric electromyogram (EMG) using stimulus-response (SR) curves. From six males and six females (20-41 years), the surface masseteric EMG was recorded bilaterally. Visual feedback from the left masseter muscle (MM) allowed a constant clenching level of 30% or 50% maximal voluntary contraction (MVC). Automatic triggering of the stimulus to the left mental nerve occurred when the background EMG remained constant. Eight to twelve stimulus intensities (range, 0-40 mA) were determined based on the subjects' sensory threshold (T). The late ES (ES2) occurred consistently and could be analyzed using SR curves. ES2 in the right MM appeared at 7.3+/-3.1T at 30% MVC, while it was significantly decreased to 5.2+/-2.2T at 50% MVC (P<0.05). The depth of ES2 suppression in the left MM was 69.7+/-5.7% at 30% MVC, and this increased significantly to 76.6+/-5.5% at 50% MVC (P<0.05). In addition, the depth of ES2 suppression in the left MM was significantly higher than that in the right MM at 50% MVC (70.0+/-7.4%, P<0.05). Consequently, it was confirmed that both the appearance and depth of ES may be affected by the level of background EMG. More importantly, the use of multiple stimulation intensities allowed development of reliable SR curves. These SR curves may be used to determine inter-individual differences in ES.

Adult↗

Prism adaptation in schizophrenia.

The prism adaptation test examines procedural learning (PL) in which performance facilitation occurs with practice on tasks without the need for conscious awareness. Dynamic interactions between frontostriatal cortices, basal ganglia, and the cerebellum have been shown to play key roles in PL. Disruptions within these neural networks have also been implicated in schizophrenia, and such disruptions may manifest as impairment in prism adaptation test performance in schizophrenia patients. This study examined prism adaptation in a sample of patients diagnosed with schizophrenia (N=91) and healthy normal controls (N=58). Quantitative indices of performance during prism adaptation conditions with and without visual feedback were studied. Schizophrenia patients were significantly more impaired in adapting to prism distortion and demonstrated poorer quality of PL. Patients did not differ from healthy controls on aftereffects when the prisms were removed, but they had significantly greater difficulties in reorientation. Deficits in prism adaptation among schizophrenia patients may be due to abnormalities in motor programming arising from the disruptions within the neural networks that subserve PL.

Adaptation, Psychological↗

Proprioceptive control of human wrist extensor motor units during an attention-demanding task.

The responsiveness of the tonically firing single motor units (SMU) to Ia afferent volleys elicited by either mechanical (T-reflex) or electrical nerve stimulation (H-reflex) was tested in the extensor carpi radialis muscle (ECR) while the subjects were maintaining a steady wrist extension force using visual feedback set either at low or high gain. The aim was to determine whether the proprioceptive control of tonic motoneuronal activity depends on the level of attentiveness required by the behavioural context. The response probability of the SMUs to tendon taps was significantly higher (p<0.0001) and that to electrical nerve stimulation was lower (p<0.001) during the more demanding task. Since these changes in SMU responsiveness were not accompanied by any differences in either the motor unit firing patterns or the mean levels of EMG muscle activity, it can be concluded that there were no attention-related changes in the net excitatory drive to the ECR motoneurons. These results are consistent with the idea that fusimotor sensitization of the muscle spindle may have occurred in the more demanding task: an increase in the mechanical sensitivity of the muscle spindles would certainly account for both the T-reflex facilitation and the H-reflex depression observed. The attention-demanding task therefore seemed to involve an independent fusimotor drive activation process. The results of this study suggest that an adaptation of the fusimotor system occurs in humans, depending on the levels of attention and accuracy required to perform the ongoing motor task, as previously reported to occur in animals.

Action Potentials↗

Visuomotor integration is impaired in early stage Alzheimer's disease.

When the sensory information guiding a reach movement is dissociated from the required motor output, humans must integrate rule-based information in order to reach accurately. Here, we examine the accuracy of movements requiring a visuomotor transformation in neurologically healthy elderly subjects and patients diagnosed with probable Alzheimer's disease. Participants made sliding finger movements over a clear touch-sensitive screen positioned in three spatial planes to displace a cursor from a central target to one of four peripheral targets viewed on a monitor. These spatial plane conditions were repeated under conditions where the direction of cursor motion was rotated 180 degrees relative to the direction of hand motion. Significant main effects were observed between patient and control groups on reaction time and movement time measures. Also, significant increases in task completion errors were observed in the patient population. Further, performance was affected more by the visual feedback changes relative to the plane location changes. Notably, there were substantial performance deficits observed in the patient population, even those with minimal cognitive deficits. We suggest that the integration of eye and hand information may be impaired in these patients.

Aged↗

Reading-related oculomotor testing and training protocols for acquired brain injury in humans.

Many individuals with acquired brain injury (ABI) report reading problems of oculomotor origin. These may include frequent loss of place, skipping of lines and difficulty shifting to the next line of print. We describe two protocols for the testing and training of reading-related eye movements in adult individuals with ABI (traumatic brain injury [TBI] and stroke with hemianopia), who experience oculomotor-based symptoms when reading. These protocols use objective eye movement recording techniques and computer-based stimulus presentation and analysis. One protocol tests and the other trains basic horizontal and vertical versional eye movements (fixation, saccades and pursuit), as well as reading eye movements using simulated single and multiple line dynamic arrays. In addition, a reading rating-scale questionnaire is administered before and after completion of training to assess subjective reading improvement. In all paradigms, the target consists of a 0.5 degrees luminous square, which is displayed on a computer monitor positioned 40 cm from the subject along the midline. All testing and training are conducted under binocular viewing conditions with optical correction in place. There are two modes of training: normal internal oculomotor visual feedback either alone (4 weeks) or in conjunction with external oculomotor auditory feedback (4 weeks) administered in a counterbalanced manner within each diagnostic group. Training is performed 1 h, twice weekly for the 8 weeks. Oculomotor testing is conducted before, midway and after training. Following training, reading-related eye movements and reading ability improved as assessed both subjectively and objectively. These protocols provide a systematic approach to the quantitative and comprehensive testing and training of reading-related eye movement skills and behaviors in the ABI population manifesting oculomotor-based reading dysfunctions. Furthermore, the training protocol results in the rapid remediation of the eye movement deficits, which appear to transfer to activities of daily living.

Brain Injuries↗

Measurement of angular wrist neutral zone and forearm muscle activity.

OBJECTIVES: To determine the forearm muscles activity in different wrist deviated positions and wrist neutral zone, and to assess the self-selected resting position without visual feedback. BACKGROUND: Wrist deviation occurs in almost all industrial and office jobs. This has been deemed hazardous for carpal tunnel syndrome. Proper resting wrist position is likely to decrease the hazard for carpal tunnel pressure. METHODS: Twenty blindfolded subjects without history of hand/forearm musculoskeletal disorders participated in the study. The EMG of the forearm muscles (flexor carpi radialis, flexor carpi ulnaris, extensor carpi radialis and, extensor carpi ulnaris) in deviated and neutral wrist postures was recorded at a sampling rate of 1 kHz. Also, wrist neutral zone at rest was measured using a custom-made calibrated uniaxial electrogoniometer. One-way ANOVA with repeated measures was used in order to find the impact of wrist deviation on muscles activity. RESULTS: The participants positioned their wrist in rest at 7 degrees -9 degrees extension and 5 degrees -7 degrees ulnar deviation. Significantly higher EMG activity was recorded for each muscle in the wrist deviated postures when compared to neutral position (P < 0.001). CONCLUSIONS: Self selected wrist neutral posture decreased the muscle activity significantly. Placement of wrists in neutral zone is expected to reduce risk of injuries.

Adult↗