Cortico-cerebellar network involved in saccade adaptation.

Saccade adaptation is the learning process that ensures that vision and saccades remain calibrated. The central nervous system network involved in these adaptive processes remains unclear because of difficulties in isolating the learning process from the correlated visual and motor processes. Here we imaged the human brain during a novel saccade adaptation paradigm that allowed us to isolate neural signals involved in learning independent of the changes in the amplitude of corrective saccades usually correlated with adaptation. We show that the changes in activation in the ipsiversive cerebellar vermis that track adaptation are not driven by the changes in corrective saccades and thus provide critical supporting evidence for previous findings. Similarly, we find that activation in the dorsomedial wall of the contraversive precuneus mirrors the pattern found in the cerebellum. Finally, we identify dorsolateral and dorsomedial cortical areas in the frontal and parietal lobes that encode the retinal errors following inaccurate saccades used to drive recalibration. Together, these data identify a distributed network of cerebellar and cortical areas and their specific roles in oculomotor learning. NEW & NOTEWORTHY The central nervous system constantly learns from errors and adapts to keep visual targets and saccades in registration. We imaged the human brain while the gain of saccades adapted to a visual target that was displaced while the eye was in motion, inducing retinal error. Activity in the cerebellum and precuneus tracked learning, whereas parts of the dorsolateral and dorsomedial frontal and parietal cortex encoded the retinal error used to drive learning.

Posture-movement responses to stance perturbations and upper limb fatigue during a repetitive pointing task.

Localized muscle fatigue and postural perturbation have separately been shown to alter whole-body movement but little is known about how humans respond when subjected to both factors combined. Here we sought to quantify the kinematics of postural control and repetitive upper limb movement during standing surface perturbations and in the presence of fatigue. Subjects stood on a motion-based platform and repetitively reached between two shoulder-height targets until noticeably fatigued (rating of perceived exertion=8/10). Every minute, subjects experienced a posterior and an anterior platform translation while reaching to the distal target. Outcomes were compared prior to and with fatigue (first vs. final minute data). When fatigued, regardless of the perturbation condition, subjects decreased their shoulder abduction and increased contralateral trunk flexion, a strategy that may relieve the load on the fatiguing upper limb musculature. During perturbations, kinematic adaptations emerged across the trunk and arm to preserve task performance. In contrast to our expectation, the kinematic response to the perturbations did not alter in the presence of fatigue. Kinematic adaptations in response to the perturbation predominantly occurred in the direction of the reach whereas fatigue adaptations occurred orthogonal to the reach. These findings suggest that during repetitive reaching, fatigue and postural perturbation compensations organize so as to minimize interaction with each other and preserve the global task characteristics of endpoint motion.

Time-dependent adaptations to posture and movement characteristics during the development of repetitive reaching induced fatigue.

Repetitive movements are common to many daily activities but often lead to the development of fatigue. We have previously shown that fatigue leads to changes in tridimensional spatial characteristics of the whole body. However, temporal aspects of these posture and movement adaptations have yet to be investigated. Healthy subjects (N = 14) performed a continuous reaching task by pointing between two targets placed at shoulder height, at 100 and 30% arm's length, anterior to the subject's midline until fatigue (assessed using the Borg CR-10 scale). Whole body kinematics and upper Trapezius EMG were recorded and analyzed at 1-min intervals to document the progression of fatigue on outcome variables. For all upper limb and postural variables analyzed, changes began to occur approximately midway to fatigue and were followed by an increase in Trapezius activity from baseline. Reach-to-reach variability of joint average positions and range of motion (ROM) increased in multiple directions for shoulder and elbow parameters. Reach-to-reach variability of the center-of-mass ROM also increased in several directions. Changes were also observed in within-movement inter-segmental timing. The peak velocities of elbow and endpoint occurred closer together in time during fatigue while the shoulder peak velocity occurrence showed a greater reach-to-reach variability. Our results suggest that the effects of fatigue on repetitive movement kinematics can be observed across three temporal dimensions of the task: (1) within individual movements, (2) from one movement to the next, and (3) as fatigue develops. Each observed change is discussed as a potential contributor to task-specific control strategies to prolong task performance.

Posture-movement changes following repetitive motion-induced shoulder muscle fatigue.

Repetitive motion-induced fatigue not only alters local motion characteristics but also provokes global reorganization of movement. However, the three-dimensional (3D) characteristics of these reorganization patterns have never been documented in detail. The goal of this study was to assess the effects of repetitive reaching-induced arm fatigue on the whole-body, 3D biomechanical task characteristics. Healthy subjects (N=14) stood and performed a continuous reaching task (RRT) between two targets placed at shoulder height to fatigue. Whole-body kinematic (Vicon), kinetic (AMTI force platforms) and electromyographic (EMG, Noraxon) characteristics were recorded. Maximal voluntary isometric efforts (MVIE) of the shoulder and elbow were measured pre- and post-RRT. Post-RRT shoulder elevation MVIE was reduced by 4.9+/-8.3% and trapezius EMG amplitude recorded during the RRT increased by 46.9+/-49.9% from the first to last minute of the RRT, indicating that arm fatigue was effectively induced. During fatigued reaching, subjects elevated their shoulder (11.7+/-10.5 mm) and decreased their average shoulder abduction angle by 8.3+/-4.4 degrees. These changes were accompanied by a lateral shift of the body's center of mass towards the non-reaching arm. These findings suggest a compensatory strategy to decrease the load on the fatigued shoulder musculature.

Age-related modifications in steering behaviour: effects of base-of-support constraints at the turn point.

This study investigated the effects of altering the base of support (BOS) at the turn point on anticipatory locomotor adjustments during voluntary changes in travel direction in healthy young and older adults. Participants were required to walk at their preferred pace along a 3-m straight travel path and continue to walk straight ahead or turn 40 degrees to the left or right for an additional 2-m. The starting foot and occasionally the gait starting point were adjusted so that participants had to execute the turn using a cross-over step with a narrow BOS or a lead-out step with a wide BOS. Spatial and temporal gait variables, magnitudes of angular segmental movement, and timing and sequencing of body segment reorientation were similar despite executing the turn with a narrow or wide BOS. A narrow BOS during turning generated an increased step width in the step prior to the turn for both young and older adults. Age-related changes when turning included reduced step velocity and step length for older compared to young adults. Age-related changes in the timing and sequencing of body segment reorientation prior to the turn point were also observed. A reduction in walking speed and an increase in step width just prior to the turn, combined with a delay in motion of the center of mass suggests that older adults used a more cautious combined foot placement and hip strategy to execute changes in travel direction compared to young adults. The results of this study provide insight into mobility constraints during a common locomotor task in older adults.

Strategies used by older adults to change travel direction.

INTRODUCTION: A distinct body reorientation strategy during steering tasks has been reported in young adults. As challenges to whole-body stability in older adults occur when navigating complex environments, this study was designed to examine control strategies used by older adults to initiate a voluntary change in travel direction. METHODS: Thirteen older adults, recruited from an independent living division of a local retirement residence, were instrumented with reflective markers and whole-body kinematic data were monitored using a video camera (30 Hz). Participants executed self-paced walking trials 3-m along a straight path and were instructed prior to the trial to continue either straight ahead or randomly turn 40 degrees left or right and continue walking for an additional 2-m. Timing of changes with respect to when the trunk crossed the turning point were calculated for deviations in head and trunk position and foot rotation in the medial-lateral plane. RESULTS: Older adults reoriented themselves into the new travel direction in a top-down, segmental sequence, beginning with head reorientation followed by trunk reorientation, foot rotation and foot displacement into the new travel direction. These changes were initiated over two or more steps 69% of the time and over one step 31% of the time. A significant relationship between turning strategy used and balance confidence was observed; the frequency of using a turning strategy involving two or more steps to initiate a change in travel direction increased as balance confidence decreased. DISCUSSION AND CONCLUSION: Older adults made segmental changes to voluntarily reorient themselves in a new travel direction in a similar sequence to that observed in young adults. Older adults chose primarily to initiate these changes two or more steps prior to the turn; the selection of this strategy was related to balance confidence.