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At least 163 records · Page 9Linked to original sources

Pushing and pulling with the upper extremities while standing: the effects of mild Alzheimer dementia and Parkinson's disease.

Eleven patients with mild dementia of Alzheimer type, 12 patients with mild to moderate Parkinson disease, and 27 control subjects of comparable age, education, and gender pushed or pulled on a rigid horizontal bar while maintaining stable erect stance. A target window (target force +/-10% maximum force) and a bar force cursor were displayed on a video screen, and subjects were asked to place the bar force cursor within the target window as quickly and as accurately as possible holding the target window for at least 1 sec. The target forces were 50% and 75% maximum force for each person, and three 4.0-sec push trials and three 4.0-sec pull trials were performed for each target force. Moments of force (torque), body motion, and extremity electromyography were measured with a computerized motion analysis system. The patients with Alzheimer's disease had only slightly lower Mini Mental State Examination (MMSE) scores (mean +/- standard deviation [SD] = 25.0 +/- 2.3) than the patients with Parkinson's disease (28.8 +/- 1.5) and control subjects (28.7 +/- 1.3). The patients with Alzheimer's disease had upper limb reaction times (0.827 +/- 0.399 sec) that were greater than those of the patients with Parkinson's disease (0.672 +/- 0.315 sec) and control subjects (0.606 +/- 0.263 sec). Furthermore, the patients with Alzheimer's disease achieved the designated target in only 46.2% of trials, which was comparable to the performance of the patients with Parkinson's disease (55.6%) but inferior to the control subjects (80.6%). Movement times did not differ significantly. The patients and control subjects initiated movement with comparable anticipatory postural activity in the lower limbs. The poor success rates of the patients with Alzheimer's disease and the patients with Parkinson's disease were attributable to inadequate visually guided adjustments in force after the initial movement began. This difficulty in making quick motor adjustments may be relevant to the tendency of patients with Alzheimer's disease to fall.

Aged↗

Progressive sensory neuropathy in patients without carcinoma: a disorder with distinctive clinical and electrophysiological findings.

Seven patients with severe progressive impairment of kinesthetic sense, mild dysfunction of cutaneous sense, and sparing of motor function were examined during a 3-year period. The clinical and electrophysiological findings are described in detail. None of these seven has had evidence of cancer despite a thorough investigation and a 3- to 16-year (average, 7 years) period of symptoms. These patients' symptoms were indistinguishable from those of patients with sensory neuropathy and coexistent carcinoma, suggesting that progressive sensory neuropathy is not invariably associated with carcinoma.

Adult↗

A mismatch between kinesthetic and visual perception in Parkinson's disease.

Kinesthesia may be defective in patients with Parkinson's disease (PD), and this defect conceivably has a role in parkinsonian hypokinetic symptoms. In the present study, PD patients used kinesthetic perception to estimate the amplitude of passive angular displacements of the index finger about the metacarpophalangeal joint and to scale them as a percentage of a reference stimulus. The reference stimulus was either a standard kinesthetic stimulus preceding each test stimulus (task K) or a visual representation of the standard kinesthetic stimulus (task V). In task V, the PD patients' underestimation of the amplitudes of finger perturbations was significantly greater than that of normal subjects, but not for task K. PD patients' underestimation was also greater in task V than in task K; the difference between the underestimations was significantly greater than for normal subjects. These results suggest that, when kinesthesia is used to match a visual target, distances are perceived to be shorter by the PD patients. Assuming that visual perception is normal, kinesthesia is "reduced" in PD patients. This reduced kinesthesia, when combined with the well-known reduced motor output and probably reduced corollary discharges, implies that the sensorimotor apparatus is "set" smaller in PD patients than in normal subjects.

Aged↗

Kinesthesia at the knee: the effect of osteoarthritis and bandage application.

OBJECTIVE: To investigate whether osteoarthritis (OA) of the knee or bandaging of the knee affects movement detection. METHODS: Movement detection levels were determined in 10 women aged > 65 years with moderate to severe knee OA and 10 healthy women matched for age, body mass index, and activity levels. Movements were imposed at 0.5 degrees /second, 1.0 degrees /second, and 2.5 degrees /second. Additionally, detection levels were compared with and without the knee bandaged at a single velocity, (0.5 degrees /second). RESULTS: Controls perceived significantly smaller movements than OA subjects at all test velocities (P < 0.01). However, the bandage did not affect movement detection (P > 0.05). CONCLUSIONS: Detection of movement at the knee was impaired in subjects with severe knee OA, and a bandage did not improve detection. Thus, considering previous findings that position sense is impaired, a generalized proprioceptive deficit appears to be associated with OA. This deficit could result from loss of receptors, altered muscle function, or the consequent joint instability.

Aged↗

Mapping the body representation in the SI cortex of anesthetized and awake rats.

We have used single unit recording techniques to map the representation of cutaneous and joint somatosensory modalities in the primary somatosensory (SI) cortex of both anesthetized and awake rats. The cytoarchitectonic zones within the rat SI were divided into the following main categories: (1) granular zones (GZs)--areas exhibiting koniocortical cytoarchitecture (i.e., containing dense aggregates of layer IV granule cells), (2) perigranular zones (PGZs)--narrow strips of less granular cortex surrounding the GZs, and (3) dysgranular zones (DZs)--large areas of dysgranular cortex enclosed within the SI. The narrow strip between the SI and the rostrally adjacent frontal agranular cortex was termed the "transitional zone" (TZ). Initial computer-based studies of the properties of cutaneous receptive fields (RFs) in SI showed that, although there were differences in response threshold, adaptability, frequency response, and overall RF size and shape of adjacent neurons, the size and location of the "centers" of the RFs were quite constant and were similar to those seen in multiple unit recordings. The same was true of RFs of single neurons recorded through different anesthetic states. The body representation in SI was first mapped by determining single unit and unit cluster RFs within a total of 2,170 microelectrode penetrations in barbiturate-anesthetized rats. Cutaneous RFs in the GZs were quite discrete. Thus, a single, finely detailed, continuous map of the cutaneous periphery was definable within the GZs themselves. Only the forepaw had a double representation. RFs in the PGZs were larger and more diffuse, but since they covered roughly the same skin areas as the RFs in the most closely adjacent GZs, they fit into the same body map. Neurons in the DZs were unresponsive to any sensory stimuli in the anesthetized animal. In chronically implanted, freely moving, awake animals cutaneous RFs were larger and more volatile than in the anesthetized, but the accuracy of the map was clearly preserved by the fact that the locations of the RF centers (which often must be defined quantitatively) were unchanged. The PGZs and DZs in the awake animals exhibited a multimodal convergence of cutaneous and joint movement RFs within single vertical penetrations, or even on single neurons. Directionally specific and bilateral cutaneous RFs were also observed in the DZs. It was concluded the DZs are more associational or integrative areas within the SI, but they could not be shown to comprise a distinct and separate body representation.(ABSTRACT TRUNCATED AT 400 WORDS)

Anesthesia, General↗

Organization of postcranial kinesthetic projections to the ventrobasal thalamus in raccoons.

To determine the presence and organization of kinesthetic, as compared with other mechanosensory projection zones in the thalamus of raccoons, unit-cluster responses to mechanical stimulation of the postcranial body were mapped electrophysiologically in the thalami of 14 raccoons anesthetized with Dial-urethane. A distinct zone of kinesthetic projections (from receptive fields in muscles, tendons, and joints) was found in the rostral and dorsal aspects of the mechanosensory projection zone. These projections are somatotopically organized: those from axial structures lie dorsalmost and those from successively more distal limb regions are successively more caudoventral. The kinesthetic forelimb representation is large and lies rostrodorsal to a large central core of cutaneous projections from the forepaw digits. A few scattered kinesthetic projections were found at the caudal edge of the sensory thalamic region. The large, spatially and somatotopically distinct kinesthetic projection zone in the thalamus parallels those seen in the cortex and medulla of raccoons. Similar findings in monkeys, and suggestions from data in cats and humans support the hypothesis of a distinct pathway to the cortex for kinesthetic information in all mammals.

Afferent Pathways↗

Serotonergic modulation of the balance system in panic disorder: an open study.

Experimental evidence suggests that panic disorder is characterized by abnormalities in the balance system function and that these abnormalities might be related to the severity of agoraphobic avoidance. Since the balance system can be modulated by the serotonergic system, we investigated the effect of a 6-week treatment with citalopram on the balance system function in patients with panic disorder. Fifteen patients with panic disorder with/without agoraphobia underwent static posturography on days 0 and 42. Static posturography and clinical assessments were carried out by different investigators who were blind to each other. Static posturography showed high percentages of abnormal scores. Patients with no or low agoraphobic avoidance showed less abnormal posturographic measures than those with moderate to severe agoraphobia. After 6 weeks of treatment with citalopram there was a significant decrease of four out of six posturography measures in eyes-closed and neck extension conditions, whereas no significant effect was found in the eyes-open condition. This is the first report that suggests that the modulation of the serotonergic system can improve the balance system function in patients with panic disorder, particularly when visual information is lacking. In addition, our findings confirm the observation that many patients with panic disorder have abnormalities in their balance system function, supporting the idea that these abnormalities are mainly related to agoraphobic avoidance.

Adult↗

Fetal responsiveness to maternal passive swinging in low heart rate variability state: effects of stimulation direction and duration.

Pregnant women, carrying end of gestation fetuses (38-41 weeks gestational age) were either gently rocked in an anterior posterior plane in a rocking chair or gently swayed laterally in a garden glider. Stimulation lasted for either 5 or 26 s (R5 & R26, SW5 & SW26). Fetal heart rate (HR) (bpm) and ultrasonically detected fetal movements were recorded 26 s before and during stimulation. Heart rate data were processed two ways: (a) ANOVAs performed on average values for each group and (b) comparisons of the proportion of subjects in each group showing HR accelerative change (AC), HR decelerative change (DC), or no change (NC) using chi2 statistics. HR direction and amplitude of changes were determined with the help of a conservative procedure previously developed and fitted to multidirectional HR responses (Lecanuet, Granier-Deferre, Jacquet, & Busnel, 1992). Results of ANOVAs indicated that a 26-s rocking stimulation induced a significant average HR acceleration (4.53 bpm) compared to a nonstimulated (control) group. Five seconds of rocking had a weaker, but still significant, effect on HR acceleration, but the two swaying conditions did not reliably affect either the HR or behavioral measures. Processing data nonparametrically confirmed that R26 stimulation evoked mostly AC (72%) and identified a gradual decrement of AC and DC percentage responses from Group R5, SW26 to Group SW5 while NC percentages raised. Hypotheses concerning the target sense activated by this stimulation were considered in relation to responses to auditory stimuli.

Adolescent↗

Development of dustbathing in Bobwhite quail. II. Effects of early pecking experiences.

The development of dustbathing was facilitated among groups of Bobwhite chicks allowed to peck into dust as compared to chicks allowed to peck at dust or those inexperienced with dust. A 2nd study found a consistent, but nonsignificant, facilitation among chicks pecking into dust on Days 1-3 as compared to Days 4-6. In Study 3, groups of chicks pecked into dust on Days 2,4, or 6. Dustbathing development was facilitated among chicks pecking on Day 2, and inhibited among chicks pecking on Day 4, as compared to those pecking on Day 6. The only difference, however, between each of these groups and chicks with no pecking experience in dust (Study 1) was an inhibition of dustbathing among chicks pecking on Day 4.

Animals↗

The effects of tactile and kinesthetic stimulation on neonatal development in the premature infant.

The effects of tactile and kinesthetic stimulation on the neonatal development of 12 premature infants were investigated. Experimental infants received four 15-min periods of tactile and kinesthetic stimulation daily for 10 days. The control infants received only standard, routine nursery care. Data were collected daily on 8 dependent measures: weight, number of feedings, amount of formula intake, body temperature, respiration, heart rate, frequency of voiding, and frequency of stooling. The data analyses revealed significant differences in amount of formula intake and in weight at the end of the treatment period in favor of the experimental infants. Additionally, the experimental infants required significantly fewer feedings during the stimulation period. All others dependent measures were nonsignificant.

Body Temperature↗

Spatiotemporal linkage in infant interlimb coordination.

Timing and direction of movement of the arms and hands of 7- and 11-month-old infants were examined during bimanual reaching for a transparent cube. Videotape analysis of frames from release of the hands to initial contact of one hand with the cube revealed that hand movement was more often temporally linked for 7-month infants than for 11-month infants. Also, at 7 months, the hands moved toward the cube in the same direction, whereas at 11 months, they moved in opposite (complementary) directions. Thus, although both 7- and 11-month infants perform bimanual reaching, at 7 months the 2 hands are linked both in timing and direction of movement in a fashion different than at 11 months.

Child Development↗

Human interlimb coordination: the first 6 months of independent walking.

The organization of interlimb coordination was studied in newly walking infants with and without support and in infants who had been walking 0.5, 1, 3, and 6 months. Analysis of the temporal and distance phase relationships between the limbs revealed that newly walking infants exhibit interlimb coordination similar to that of mature walkers. The coupling between the limbs, however, is loosely constrained, approaching adult-like consistency after 3 months of walking. Providing support for the newly walking infant afforded a more consistent, mature coordination suggesting that neuromuscular development is in advance of its ability to function in the physical world.

Child Development↗

Visual head extension: transitional head coordination in the pigeon squab (Columbia livia).

We describe a previously unreported visuomotor behavior of the developing pigeon squab, which we term "visual head extension." The behavior consists of extension and lowering of the head as the bird descends towards a surface or experiences the optical equivalent of such a descent. A peak in performance occurs 10 days after hatching. Evidence obtained shows that both vestibular and dynamic visual information can independently produce head extension. We go on to place the new behavioral response in the context of a dynamic, relational approach to perceptuomotor coordination, and outline the corresponding advantages of studying the single-limb, head-neck system in the pigeon.

Aging↗

Somatosensory areas engaged during discrimination of steady pressure, spring strength, and kinesthesia.

The aim of this study was to locate neuronal populations in the somatosensory areas engaged during discrimination of differences in: (1) static sustained pressure on the distal phalanx (PRESS); (2) spring strengths (SSTIFF) during active flexion of the right index finger; and (3) the change in position of a limb with contracting muscles, i.e., kinesthesia (KIN), during active flexion of the right index finger. The stimuli used were spring-loaded cylinders. The regional cerebral blood flow (rCBF) was measured with positron emission tomography (PET). The active fields were related to cytoarchitectonic areas of the somatosensory cortex (areas 3a, 3b, 1, and 2) and the primary motor cortex (areas 4a and 4p). We hypothesized that SSTIFF and KIN would activate areas 3a and 2. All three conditions, when contrasted against a rest condition, activated cytoarchitectural areas 3b, 1, and 2, and presumptive somatosensory areas in the left parietal operculum and right supramarginal gyrus in accordance with these areas receiving information from cutaneous mechanoreceptive afferents. Area 3a was only activated in SSTIFF and KIN, consistent with observations in monkeys and cats, showing that afferents from muscle receptors project to area 3a, and indicating that a similar arrangement seems to be apparent in humans. SSTIFF and KIN activated the right anterior lobe of the cerebellum, the left area 4a and left area 2 more than did PRESS, likely due to a combination of active movements and muscle receptor feed-back.

Adult↗

Neural mechanisms underlying reaching for remembered targets cued kinesthetically or visually in left or right hemispace.

Reaching for a target involves integrative coordinate transformation processes between the representation of the target location, the sensorimotor information of limb of reach, and body space. Although right hemisphere dominance for visuospatial information processing is well established, corresponding right hemisphere dominance for kinesthetic spatial information processing remains to be demonstrated. We explored neural mechanisms of encoding target locations using 15O-butanol positron emission tomography (PET) in normal volunteers in a factorial experiment, where modality (visual/kinesthetic) and hemispace of target presentation (left/right of midsagittal plane) were varied systematically. After target presentation, subjects reached to the encoded target location. PET data analysis using SPM99 showed increased neural activity (P < 0.05, corrected) associated with left hemispace target presentation in right hemisphere areas (sensorimotor, anterior cingulate, insular, and temporo-occipital cortex) only. By contrast, right hemispace target presentation activated bilateral temporo-occipital cortex, which extended into the right temporo-parietal cortex and left sensorimotor cortex. A significant interaction of hemispace and modality of target presentation observed in right temporo-parietal cortex resulted from an increase in neural activity with kinesthetic target presentation in right hemispace. The data support an important role for the right temporo-parietal area in visuospatial processing and suggest a specific role of the right hemisphere in kinesthetic spatial processing.

Adult↗

Egocentric conditional associative learning: effects of restricted lesions to the hippocampo-mammillo-thalamic pathway.

Rats with lesions of the hippocampus, the mammillary region, the anterior thalamic nuclei, and normal control animals were trained on a conditional associative learning task in which they had to learn to make one of two motor responses (i.e., turn left or right), depending on which one of two visual cues was presented. Damage to the hippocampus severely impaired performance of this task. By contrast, rats with lesions of the mammillary region or the anterior thalamic nuclei were able to acquire the task at a rate comparable to that of the normal animals. These findings demonstrate that hippocampal lesions impair the ability to form arbitrary associations between visual cues and kinesthetic responses (body turns) and, furthermore, suggest that the hippocampus does not rely on input from its major subcortical targets for learning such visual-kinesthetic associations.

Animals↗