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At least 973 records · Page 54Linked to original sources

PubMed2004

Force tracking system for the assessment of grip force control in patients with neuromuscular diseases.

BACKGROUND: The majority of hand functionality assessment methods consist of the maximal voluntary grip force measurement. Additional knowledge on sensory-motor control can be obtained by capturing functional grip force in a time frame. Tracking methods have been successfully used for the assessment of grip force control in stroke patients and patients with Parkinson's disease. METHODS: A novel tracking system for the evaluation of grip force control is presented. The system consists of a grip-measuring device with the end-objects of different shapes which was used as input to a tracking task where the patient applied the grip force according to the visual feedback. The grip force control was assessed in 20 patients with neuromuscular diseases and 9 healthy subjects. The performance of two tracking tasks was analysed in five grips. The ramp-tracking task was designed to assess the grip strength and muscle fatigue. The sinus-tracking task was used to evaluate grip force control during periodic muscle activation. FINDINGS: The results suggest that in some patients the disease did not affect their grip force control despite evident muscular weakness. Most patients produced larger tracking errors in precision grip while the healthy subjects showed less significant differences in performance among the grips tested. INTERPRETATION: The current study investigated force control in patients with neuromuscular diseases where detection of small changes in motor performance is important when following the progress of disease. The presented evaluation method can provide additional information on muscle activation and fatigue as compared to traditional grip strength testing.

Activities of Daily Living↗

PubMed2004

Automatic processing of self-regulation of slow cortical potentials: evidence from brain-computer communication in paralysed patients.

OBJECTIVE: Direct brain-computer communication utilizes self-regulation of brain potentials to select letters, words or symbols from a computer menu. Selection of letters or words with brain potentials requires simultaneous processing of several tasks such as production of certain brain potentials at predefined time points simultaneously with processing of presented letter strings. This study addresses the question of whether the self-regulation of slow cortical potentials (SCP) automatizes with practice and can thus be considered as a skill comparable to motor or cognitive skills. METHODS: Two nearly completely paralysed patients learned over several months to produce electrocortically negative and positive SCP by means of visual feedback. Improved performance and a reduction in performance variability were regarded as behavioural indicators for automaticity, while the topographic focalization of cortical activation was considered as a neurophysiological indicator for automaticity. Different indicators of automaticity were expected to covary along with practice. RESULTS: In patient 1, performance measured as the percentage of correct SCP shifts increased simultaneously with the topographic focalization of cortical activation. His performance became more stable with practice. For this patient the criteria for automaticity were all met. In patient 2, performance also improved, but his cortical activity became topographically less focal. His performance was less stable than that of patient 1. CONCLUSIONS: The present findings, albeit on only two subjects, provide preliminary evidence that SCP self-regulation may automatize with long-term practice and can therefore be considered a skill.

Adaptation, Psychological↗

PubMed2005

Reconstruction and exploration of three-dimensional confocal microscopy data in an immersive virtual environment.

An immersive virtual environment for interactive three-dimensional reconstruction and exploration of confocal microscopy data is presented. For some structures automatic alignment of serial sections can lead to geometric distortions. The superior visual feedback of a Virtual Reality system is used to aid in registering and aligning serial sections interactively. An ImmersaDesk Virtual Reality display system is used for display and interaction with the volumetric confocal data. Detailed methods for handling both single-section and multi-section confocal data are described.

Humans↗

PubMed2005

Having a body versus moving your body: How agency structures body-ownership.

We investigated how motor agency in the voluntary control of body movement influences body awareness. In the Rubber Hand Illusion (RHI), synchronous tactile stimulation of a rubber hand and the participant's hand leads to a feeling of the rubber hand being incorporated in the participant's own body. One quantifiable behavioural correlate of the illusion is an induced shift in the perceived location of the participant's hand towards the rubber hand. Previous studies showed that the induced changes in body awareness are local and fragmented: the proprioceptive drift is largely restricted to the stimulated finger. In the present study, we investigated whether active and passive movements, rather than tactile stimulation, would lead to similarly fragmented body awareness. Participants watched a projected image of their hand under three conditions: active finger movement, passive finger movement, and tactile stimulation. Visual feedback was either synchronous or asynchronous with respect to stimulation of the hand. A significant overall RHI, defined as greater drifts following synchronous than asynchronous stimulation, was found in all cases. However, the distribution of the RHI across stimulated and non-stimulated fingers depended on the kind of stimulation. Localised proprioceptive drifts, specific to the stimulated finger, were found for tactile and passive stimulation. Conversely, during active movement of a single digit, the proprioceptive drifts were not localised to that digit, but were spread across the whole hand. Whereas a purely proprioceptive sense of body-ownership is local and fragmented, the motor sense of agency integrates distinct body-parts into a coherent, unified awareness of the body.

Body Image↗

PubMed2006

What image properties regulate eye growth?

The growth of the eye, unlike other parts of the body, is not ballistic. It is guided by visual feedback with the eventual aim being optimal focus of the retinal image or emmetropization . It has been shown in animal models that interference with the quality of the retinal image leads to a disruption to the normal growth pattern, resulting in the development of refractive errors and defocused retinal images . While it is clear that retinal images rich in pattern information are needed to control eye growth, it is unclear what particular aspect of image structure is relevant. Retinal images comprise a range of spatial frequencies at different absolute and relative contrasts and in different degrees of spatial alignment. Here we show, by using synthetic images, that it is not the local edge structure produced by relative spatial frequency alignments within an image but rather the spatial frequency composition per se that is used to regulate the growth of the eye. Furthermore, it is the absolute energy at high spatial frequencies regardless of the spectral slope that is most effective. Neither result would be expected from currently accepted ideas of how human observers judge the degree of image "blur" in a scene where both phase alignments and the relative energy distribution across spatial frequency (i.e., spectral slope) are important.

Animals↗

PubMed2004

Load perturbation does not influence spontaneous movements in 3-month-old infants.

BACKGROUND: The assessment of the quality of general movements (GMs) in young infants is a reliable and valid diagnostic tool for detecting brain dysfunction early in life. Of special interest is a type of GMs called fidgety movements (FMs) characteristic for 3- to 5-month-old infants. GMs are part of an infant's spontaneous motor repertoire and as such endogenously generated by the nervous system. Visual, acoustic and social stimuli hardly had any influence on FMs. AIM: Our main purpose was to find out whether FMs are sensitive to load perturbation. STUDY DESIGN: Spontaneous motility in supine position, with and without weighting was recorded on video and the data were semiquantitatively analysed. Weights were attached to the ankles and wrists of all four limbs; on one side of the body only; or without visual feedback of the weighted arm. SUBJECTS: We studied 29 healthy infants with normal FMs at the age of 12 weeks. RESULTS: Spontaneous motility remained symmetrical during all the experimental trails. Weighting had no influence on the quality or temporal organisation of FMs. CONCLUSION: This study demonstrated that the mechanisms responsible for FMs in 3-month-old infants are all but impervious to weight perturbation, at least not with the loads studied. FMs is the stable and predominant motor pattern of this age.

Extremities↗

PubMed2006

Variability of reciprocal aiming movements during standing: the effect of amplitude and frequency.

This study investigated the variability of the center of pressure (COP) trajectory during voluntary whole-body oscillations. While standing upright on a force platform, eight subjects leaned forward and backward so as to perform reciprocal aiming movements with their COP at a prescribed frequency (F) and amplitude (A) using online visual feedback of their COP location. A total of 25 F-A combinations were tested for each subject (3 < A < 9 cm, and 0.35 < F < 1.35 Hz). Spatial and temporal variability of the COP was assessed by computing the standard deviation (SD) and coefficient of variation (CV) of the amplitude (trough to peak) and frequency (peak to peak) of the COP cycles within each trial, respectively. The results revealed that all variability indices depended on the prescribed F and A. Concerning the effect of spatial constraints on spatial variability, SD spatial increased as a function of A, while CV spatial decreased as function of A. A similar pattern was observed with respect to the effect of temporal constraints on temporal variability (SD temporal increased as a function of F, while CV temporal decreased). As for "cross-over" effects, there was an effect of F on spatial variability, such that SD spatial and CV spatial were minimal at 0.6 Hz. For the "cross over" effect of A on temporal variability, both SD spatial and CV spatial decreased as a function of A. Across the experimental conditions, there were weak or no correlations between variability in the time and space domain. Comparisons with an earlier study on human gait (Danion F, Varraine E, Bonnard M, Pailhous J. Stride variability in human gait: the effect of stride frequency and stride length. Gait Posture 2003;18:69-77) suggest that the effects of spatial constraints are relatively task independent, whereas the effects of temporal constraints depend on the nature of the motor task that is performed.

Adult↗

PubMed2004

Force matching errors following eccentric exercise.

During eccentric exercise contracting muscles are forcibly lengthened, to act as a brake to control motion of the body. A consequence of eccentric exercise is damage to muscle fibres. It has been reported that following the damage there is disturbance to proprioception, in particular, the senses of force and limb position. Force sense was tested in an isometric force-matching task using the elbow flexor muscles of both arms before and after the muscles in one arm had performed 50 eccentric contractions at a strength of 30% of a maximum voluntary contraction (MVC). The exercise led to an immediate reduction of about 40%, in the force generated during an MVC followed by a slow recovery over the next four days, and to the development of delayed onset muscle soreness (DOMS) lasting about the same time. After the exercise, even though participants believed they were making an accurate match, they made large matching errors, in a direction where the exercised arm developed less force than the unexercised arm. This was true whichever arm was used to generate the reference forces, which were in a range of 5-30% of the reference arm's MVC, with visual feedback of the reference arm's force levels provided to the participant. The errors were correlated with the fall in MVC following the exercise, suggesting that participants were not matching force, but the subjective effort needed to generate the force: the same effort producing less force in a muscle weakened by eccentric exercise. The errors were, however, larger than predicted from the measured reduction in MVC, suggesting that factors other than effort might also be contributing. One factor may be DOMS. To test this idea, force matches were done in the presence of pain, induced in unexercised muscles by injection of hypertonic (5%) saline or by the application of noxious heat to the skin over the muscle. Both procedures led to errors in the same direction as those seen after eccentric exercise.

Electromyography↗

PubMed2004

Inter-limb coupling in bimanual rhythmic coordination in Parkinson's disease.

Recently, it has been shown that rhythmic inter-limb coordination is disturbed in patients with Parkinson's disease (PD). The present study aims to investigate whether this coordination deficit is primarily the result of an impaired coupling, related to hypoactivation of the supplementary motor area (SMA), or primarily the indirect result of an asymmetrical distribution of PD symptoms over the left and right limbs (a peripheral process). Thirty PD patients and 30 matched control participants tapped with the index fingers anti-phase and left and right leading gallop patterns in four visual feedback conditions. Symmetrically affected participants performed significantly worse than asymmetrically affected and control participants in the gallop patterns. This result suggested that the central deficit has a stronger effect on inter-limb coupling in PD than the neuromuscular and biomechanical asymmetry between the limbs. Detailed analysis of inter-tap intervals (variability and correlation) suggested that this deficit leads to a compensatory asymmetrical inter-limb coupling in the primarily right-affected patient group, and under specific circumstances also in the primarily left-affected patient group. The difference in coordination strategy between left- and right-affected patients suggested that pre-morbid hand preference is an important structural constraint on the coupling strategies available to the participants.

Adult↗

PubMed2006

Advances in graphonomics: studies on fine motor control, its development and disorders.

During the past 20 years graphonomic research has become a major contributor to the understanding of human movement science. Graphonomic research investigates the relationship between the planning and generation of fine motor tasks, in particular, handwriting and drawing. Scientists in this field are at the forefront of using new paradigms to investigate human movement. The 16 articles in this special issue of Human Movement Science show that the field of graphonomics makes an important contribution to the understanding of fine motor control, motor development, and movement disorders. Topics discussed include writer's cramp, multiple sclerosis, Parkinson's disease, schizophrenia, drug-induced parkinsonism, dopamine depletion, dysgraphia, motor development, developmental coordination disorder, caffeine, alertness, arousal, sleep deprivation, visual feedback transformation and suppression, eye-hand coordination, pen grip, pen pressure, movement fluency, bimanual interference, dominant versus non-dominant hand, tracing, freehand drawing, spiral drawing, reading, typewriting, and automatic segmentation.

Handwriting↗

PubMed2005

Reproducibilty of partial weight bearing.

OBJECTIVES: To find out whether partial weight bearing can be reproduced and retained. DESIGN: In vivo experiment in normal subjects. INTERVENTION: Training for partial weight bearing (25% of body weight) using bathroom scales. MAIN OUTCOME MEASUREMENT: Reproducibility on force platform immediately after training and after 60 min. RESULTS: Twelve subjects were asked to reproduce 25% of their body weight through either the dominant or non-dominant limb on force platform after three practice attempts on bathroom scales with concurrent visual feedback. No feedback was provided after the measurements on force plate. The process was repeated after 1h without any practice sessions in the interim period to find out if the weight practised could be retained. The mean 0-min reading was found to be 25.9% of body weight while the mean 60-min reading was found to be 24.4%. The p-value for the difference between the two means was found to be 0.3841. CONCLUSIONS: This study indicates that partial weight bearing instructions can be quantified and graded. Simple bathroom scales are sufficient to educate the patients and this can be practised at home after an initial period of supervision.

Adult↗

PubMed2005

The role of 3-D rotational x-ray imaging in spinal trauma.

The most widely used imaging devices in trauma spine surgery are fluoroscopy and computed tomography. Both techniques have their specific pros and cons and expose both patient and operating staff to considerable radiation during image acquisition. Three-dimensional-rotational x-ray imaging (3-DRX) is a relatively new technique in which a C-arm is moved around the patient to allow for an "acquisition run" during which multiple fluoroscopy images are obtained. The images can subsequently be processed on a workstation into a 3-D volume, which can then be manipulated in a similar way to 3-D computed tomography data. The 3-DRX technique combines the advantages of both fluoroscopy and computed tomography: fast visual feedback and high resolution multiplanar reformatted images, respectively, and could be used in an intraoperative setting. In this paper some technical aspects of 3-DRX imaging and its potential role in spinal trauma treatment are presented.

Humans↗

PubMed2006

Current management of reflex sympathetic dystrophy syndrome (complex regional pain syndrome type I).

Although no major advances have occurred in the curative treatment of reflex sympathetic dystrophy syndrome (RSDS), new pathogenic insights may soon lead to innovative approaches, which may also prove effective in alleviating some forms of neuropathic pain. Preventing nerve compression and ischemia-reperfusion injury constitute valuable measures for preventing RSDS. Vitamin C administration can also prevent RSDS, together with clonidine in high-risk patients. Short-term glucocorticoid therapy has been found effective in preventing RSDS after stroke but has not been evaluated in other situations. Beneficial effects of bisphosphonates have been documented in several placebo-controlled trials. Placebo-controlled trials of ketamine and spinal cord stimulation are in order to confirm or refute the promising results obtained in open-label studies. Mirror visual feedback was introduced recently for the rehabilitation of patients with RSDS but needs to be evaluated in randomized controlled trials.

Analgesics↗

PubMed2005

Passive resistance increases differentially in various jaw displacement directions.

OBJECTIVES: In the present study, the passive resistance of the human jaw system was quantified in relation to the three-dimensional jaw displacement and the Posselt-envelope, using both in vivo measurements and computer simulation. METHODS: In eight subjects, the jaw was passively displaced with a step-wise increasing force in three orthogonal directions. Muscle relaxation was monitored using electromyography (EMG) with visual feedback. A biomechanical model of an average human system was used to examine the contributions of the jaw muscles. RESULTS: The largest excursion was found for the vertical direction. Protrusive and lateral directions were more restricted. In protrusive and lateral directions, the jaw could generally move beyond the Posselt-envelope. The stiffness of the jaw increased with proceeding jaw displacement in all directions. The stiffness was larger in the protrusive direction than in the vertical and lateral directions. The model's predictions of stiffness were comparable to the in vivo measurements. However, in protrusive direction, the maximum jaw displacement was larger than in vivo. The estimated passive muscle forces showed that vertical displacement was mainly restricted by the complete group of closing muscles, while protrusive and lateral jaw displacement was restricted by selective individual muscles. CONCLUSIONS: The human jaw system has larger motion range in the protrusive and lateral directions than can be exploited by active muscle use. Stiffness of jaw displacement is higher in the protrusive direction compared to the vertical and lateral directions.

Adult↗

PubMed2005

Reproducibility of surface EMG variables in isometric sub-maximal contractions of jaw elevator muscles.

The aims of this study were: (1) to develop and assess reproducibility of a new method for measuring masticatory force in the intercuspal position; (2) to test the reproducibility of surface EMG signal amplitude and spectral variables in constant force contractions of jaw elevator muscles and its dependency on inter-electrode distance. The study was performed on the masseter and temporalis anterior muscles of both sides of nine healthy volunteers. An intraoral compressive-force sensor was used to measure maximal voluntary contraction forces in the intercuspal position and to provide a visual feedback on sub-maximal forces to the subject. Three experimental sessions were performed in three days. In each session, three isometric contractions at 80% of the maximal force were sustained by the subjects for 30s. The intra-class correlation coefficient (ICC) of the maximal force measure was 71.9%. ICC of average rectified value and mean power spectral frequency of the EMG signal increased with inter-electrode distance, with values larger than 70% with 30 mm inter-electrode distance. It was concluded that surface EMG variables measured in isometric contractions of the jaw elevator muscles with the proposed force recording system show good reproducibility for clinical applications when a 30 mm inter-electrode distance is considered.

Adult↗

PubMed2006

Objective measurement of knee extension force based on computer adaptive testing.

False impairment is encountered when tested subjects either unintentionally or deliberately put an artificial upper limit on their force, in which case their true capacity cannot be disclosed in a straight forward measurement. The aim of this study was to develop a computer adaptive testing (CAT) system for directing subjects into generating greater forces than they intended. The system was tested on eleven cooperative female subjects who volunteered to take part in this study. The CAT consisted of interactive testing cycles, each containing a series of isometric tasks of differing intensities. While fulfilling these tasks, the tested subjects were asked to take care not to exceed a self-selected upper force limit (F(ssl)) that they were previously trained to memorize (order of 40% of the maximal voluntary contraction). Visual feedback, displaying the applied force exertions, was provided to the tested subjects but was modified by re-scaling the display in an un-anticipated manner. To confirm the subject's ability to remember her F(ssl), repeatability of joint memory was tested one week after the CAT. The CAT results were successful in causing ten out of the eleven tested participants to exert a higher force than they intended to. Additionally, the CAT algorithm caused a statistically significant higher force than the repeatability test. These results demonstrate the potential of CAT methods in improving the clinical evaluation of muscle strength, particularly in those cases where the subject's cooperation is not sufficient.

Adult↗

PubMed2006

Examination of EMG normalisation methods for the study of the posterior and posterolateral neck muscles in healthy controls.

The purpose of this study was to examine the reliability of normalisation methods used in the study of the posterior and posterolateral neck muscles in a group of healthy controls. Six asymptomatic male subjects performed a total of 12 maximum voluntary isometric contractions (MVIC) and 60%-submaximal isometric contractions (60%-MVIC) against the torque arm of an isokinetic dynamometer whilst surface and intramuscular electromyography (EMG) was recorded unilaterally from representative posterior and posterolateral locations. Reliability was calculated using intra-class correlation coefficient (ICC), relative standard error of measurement (%SEM) and relative coefficient of variation (%CV). Maximal torque output was found to be highly reliable in the directions of extension and right lateral bending when the first of three MVIC contractions was excluded. When averaged across contraction direction, high reliability was found for both surface (MVIC: ICC=0.986, %SEM=7.5, %CV=9.2; 60%-MVIC: ICC=0.975, %SEM=10, %CV=13.7) and intramuscular (MVIC: ICC=0.910, %SEM=20, %CV=19.1; 60%-MVIC: ICC=0.952, %SEM=16.5, %CV=13.5) electrodes. Intramuscular electrodes displayed the least reliability in right lateral bending. The use of visual feedback markedly increased the reliability of 60%-MVIC contractions.

Adult↗

PubMed2004

Quantifying postural tremor in workers exposed to low levels of manganese.

The aim of this study was: (1) To determine the minimum number of characteristics necessary to discriminate between postural tremor recorded in control subjects (CO), in subjects exposed to manganese (MN), and in patients with Parkinson's disease (PD), and (2) to examine the continuum of changes between the three groups examined. Workers previously exposed to Mn (n = 10), patients with PD (n = 10), and control subjects (CO) (n = 11) underwent a clinical examination. Blood Mn was measured at the end of exposure time for the MN group and 12 months later at the beginning of the experiment for all groups. Postural tremor with visual feedback was recorded in the index finger with a laser system. Statistical criteria were used to reduce computed tremor characteristics to a minimal set of reliable discriminating variables. Two variables were retained namely corrected wobble (CW), describing the morphology of the tremor oscillations, and variability ratio (VR), describing proportional power of tremor. Both variables had an overall correct classification rate of 77.4%. Blood Mn levels at the time of the experiment were similar for all groups and had insignificant correlation with tremor variables. However, blood Mn levels in workers which were also measured at the end of exposure time (i.e., 12 months before) showed significant correlation (Spearman's rank coefficient) with both harmonic index (rho = 0.70, P = 0.03) and first maximum of the autocorrelation function (rho = 0.89, P = 0.001). We conclude that (1) the tremor of workers exposed to Mn could be adequately described with only two variables; (2) a continuum of changes between tremor recorded in control subjects, in subjects exposed to Mn and in patients with PD was observed, with the MN group always found in between the control (CO) and the PD groups; (3) while blood Mn levels in workers were back at control levels at the time of the experiment, the effect of Mn on postural tremor was still detected. Thus our method has the potential to detect the effect of Mn on tremor with only two variables even after Mn level in the blood is back to normal values.

Chemical Industry↗