Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 56
Filtrar
Mais filtros

Base de dados
Tipo de documento
Intervalo de ano de publicação
1.
Exp Brain Res ; 237(4): 1077-1092, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30758515

RESUMO

Transfer, in which capability acquired in one situation influences performance in another is considered, along with retention, as demonstrative of effectual learning. In this regard, interlimb transfer of functional capacity has commanded particular attention as a means of gauging the generalisation of acquired capability. Both theoretical treatments and prior empirical studies suggest that the successful accomplishment of a physical training regime is required to bring about generalised changes that extend to the untrained limb. In the present study, we pose the following question: Does interlimb transfer occur if and only if the training movements are executed? We report findings from JG-an individual recruited to a larger scale trial, who presented with (unilateral) deficits of motor control. We examined whether changes in the performance of the untrained right limb arose following practice undertaken by the impaired left limb, wherein the majority of JG's attempts to execute the training task were unsuccessful. Comparison was made with a group of "control" participants drawn from the main trial, who did not practice the task. For JG, substantial gains in the performance of the untrained limb (registered 3 days, 10 days and 1 year following training) indicated that effective learning had occurred. Learning was, however, expressed principally when the unimpaired (i.e. untrained) limb was utilised to perform the task. When the impaired limb was used, marked deficiencies in movement execution remained prominent throughout.


Assuntos
Generalização Psicológica/fisiologia , Atividade Motora/fisiologia , Transtornos dos Movimentos/fisiopatologia , Desempenho Psicomotor/fisiologia , Transferência de Experiência/fisiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Adulto Jovem
2.
J Neuroeng Rehabil ; 14(1): 74, 2017 07 13.
Artigo em Inglês | MEDLINE | ID: mdl-28705227

RESUMO

Here we provide an overview of findings and viewpoints on the mechanisms of sensorimotor learning presented at the 2016 Biomechanics and Neural Control of Movement (BANCOM) conference in Deer Creek, OH. This field has shown substantial growth in the past couple of decades. For example it is now well accepted that neural systems outside of primary motor pathways play a role in learning. Frontoparietal and anterior cingulate networks contribute to sensorimotor adaptation, reflecting strategic aspects of exploration and learning. Longer term training results in functional and morphological changes in primary motor and somatosensory cortices. Interestingly, re-engagement of strategic processes once a skill has become well learned may disrupt performance. Efforts to predict individual differences in learning rate have enhanced our understanding of the neural, behavioral, and genetic factors underlying skilled human performance. Access to genomic analyses has dramatically increased over the past several years. This has enhanced our understanding of cellular processes underlying the expression of human behavior, including involvement of various neurotransmitters, receptors, and enzymes. Surprisingly our field has been slow to adopt such approaches in studying neural control, although this work does require much larger sample sizes than are typically used to investigate skill learning. We advocate that individual differences approaches can lead to new insights into human sensorimotor performance. Moreover, a greater understanding of the factors underlying the wide range of performance capabilities seen across individuals can promote personalized medicine and refinement of rehabilitation strategies, which stand to be more effective than "one size fits all" treatments.


Assuntos
Cognição/fisiologia , Aprendizagem/fisiologia , Destreza Motora , Adaptação Psicológica , Humanos , Individualidade
4.
Scand J Med Sci Sports ; 20(6): 827-33, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19765239

RESUMO

Eighteen participants (22-43 years) were randomly allocated to one of two groups: resistance training combined with vibration (VIB; five males, four females) or resistance training alone (CON; five males, four females). Each participant trained three sessions per week (three sets of 10 seated calf raises against a load, which was increased progressively from 75% of one repetition maximum (1RM) to 90% 1RM for 4 weeks. For the VIB group, a vibratory stimulus (30 Hz, 2.5 mm amplitude) was applied to the soles of the feet by a vibration platform. The two groups did not differ significantly with respect to the total amount of work performed during training. Both groups showed a significant increase in maximum voluntary contraction and 1RM (P<0.01) with training. There were no significant changes in measures that assessed the rate at which force was developed. Countermovement jump height increased for the CON (P<0.01) but not for the VIB group. Comparisons between the groups revealed that they did not differ significantly from one another with respect to any measure of performance, before or following training. It appears that vibration superimposed upon resistance training does not alter or augment the increase in strength induced by resistance training alone.


Assuntos
Contração Isométrica/fisiologia , Força Muscular/fisiologia , Músculo Esquelético/fisiologia , Treinamento Resistido/métodos , Vibração/uso terapêutico , Adulto , Análise de Variância , Feminino , Humanos , Masculino , Amplitude de Movimento Articular , Estatística como Assunto , Adulto Jovem
5.
Curr Biol ; 10(7): 383-92, 2000 Apr 06.
Artigo em Inglês | MEDLINE | ID: mdl-10753744

RESUMO

BACKGROUND: Binocular rivalry refers to the alternating perceptual states that occur when the images seen by the two eyes are too different to be fused into a single percept. Logothetis and colleagues have challenged suggestions that this phenomenon occurs early in the visual pathway. They have shown that, in alert monkeys, neurons in the primary visual cortex continue to respond to their preferred stimulus despite the monkey reporting its absence. Moreover, they found that neural activity higher in the visual pathway is highly correlated with the monkey's reported percept. These and other findings suggest that the neural substrate of binocular rivalry must involve high levels, perhaps the same levels involved in reversible figure alternations. RESULTS: We present evidence that activation or disruption of a single hemisphere in human subjects affects the perceptual alternations of binocular rivalry. Unilateral caloric vestibular stimulation changed the ratio of time spent in each competing perceptual state. Transcranial magnetic stimulation applied to one hemisphere disrupted normal perceptual alternations when the stimulation was timed to occur at one phase of the perceptual switch, but not at the other. Furthermore, activation of a single hemisphere by caloric stimulation affected the perceptual alternations of a reversible figure, the Necker cube. CONCLUSIONS: Our findings suggest that interhemispheric switching mediates perceptual rivalry. Thus, competition for awareness in both binocular rivalry and reversible figures occurs between, rather than within, each hemisphere. This interhemispheric switch hypothesis has implications for understanding the neural mechanisms of conscious experience and also has clinical relevance as the rate of both types of perceptual rivalry is slow in bipolar disorder (manic depression).


Assuntos
Dominância Cerebral/fisiologia , Visão Binocular/fisiologia , Percepção Visual/fisiologia , Adolescente , Adulto , Tronco Encefálico/fisiologia , Temperatura Baixa , Corpo Caloso/fisiologia , Feminino , Lateralidade Funcional , Humanos , Magnetismo , Masculino , Pessoa de Meia-Idade , Modelos Neurológicos , Estimulação Física , Vestíbulo do Labirinto/fisiologia , Vias Visuais
6.
J Mot Behav ; 39(1): 29-39, 2007 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17251169

RESUMO

One can partially eliminate motor skills acquired through practice in the hours immediately following practice by applying repetitive transcranial stimulation (rTMS) over the primary motor cortex. The disruption of acquired levels of performance has been demonstrated on tasks that are ballistic in nature. The authors investigated whether motor recall on a discrete aiming task is degraded following a disruption of the primary motor cortex induced via rTMS. Participants (N = 16) maintained acquired performance levels and patterns of muscle activity following the application of rTMS, despite a reduction in corticospinal excitability. Disruption of the primary motor cortex during a consolidation period did not influence the retention of acquired skill in this type of discrete visuomotor task.


Assuntos
Aprendizagem/fisiologia , Córtex Motor/fisiologia , Destreza Motora/fisiologia , Retenção Psicológica/fisiologia , Estimulação Magnética Transcraniana , Adulto , Análise de Variância , Feminino , Humanos , Intenção , Masculino , Movimento/fisiologia , Prática Psicológica , Valores de Referência , Estimulação Magnética Transcraniana/métodos
7.
J Mot Behav ; 37(2): 103-10, 2005 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-15730944

RESUMO

Adults are proficient at reaching to grasp objects of interest in a cluttered workspace. The issue of concern, obstacle avoidance, was studied in 3 groups of young children aged 11-12, 9-10, and 7-8 years (n=6 in each) and in 6 adults aged 18-24 years. Adults slowed their movements and decreased their maximum grip aperture when an obstacle was positioned close to a target object (the effect declined as the distance between target and obstacle increased). The children showed the same pattern, but the magnitude of the effect was quite different. In contrast to the adults, the obstacle continued to have a large effect when it was some distance from the target (and provided no physical obstruction to movement).


Assuntos
Destreza Motora , Movimento , Comportamento Espacial , Adolescente , Adulto , Fatores Etários , Criança , Reação de Fuga , Força da Mão , Humanos
8.
Clin Neurophysiol ; 126(10): 1934-40, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25561164

RESUMO

OBJECTIVE: Interhemispheric inhibition (IHI) is typically examined via responses elicited in intrinsic hand muscles. As the cortical representations of proximal and distal muscles in the upper limb are distinguished in terms of their inter-hemispheric projections, we sought to determine whether the IHI parameters established for the hand apply more generally. METHODS: We investigated IHI at 5 different conditioning stimulus (CS) intensities and a range of short-latency inter-stimulus intervals (ISIs) in healthy participants. Conditioning and test stimuli were delivered over the M1 representation of the right and left flexor carpi radialis respectively. RESULTS: IHI increased as a function of CS intensity, and was present for ISIs between 7 and 15ms. Inhibition was most pronounced for the 10ms ISI at all CS intensities. CONCLUSIONS: The range of parameters for which IHI is elicited in projections to the forearm is similar to that reported for the hand. The specific utility lies in delineation of stimulus parameters that permit both potentiation and attenuation of IHI to be assessed. SIGNIFICANCE: In light of evidence that there is a greater density of callosal projections between cortical areas that represent proximal muscles than between those corresponding to distal limb muscles, and in view of the assumption that variations in functional connectivity to which such differences give rise may have important implications for motor behavior, it is critical to determine whether processes mediating the expression of IHI depend on the effector that is studied. This issue is of further broad significance given the practical utility of movements generated by muscles proximal to the wrist in the context of upper limb rehabilitation.


Assuntos
Antebraço/fisiologia , Córtex Motor/fisiologia , Inibição Neural/fisiologia , Tratos Piramidais/fisiologia , Estimulação Magnética Transcraniana/métodos , Adulto , Eletromiografia/métodos , Potencial Evocado Motor/fisiologia , Feminino , Antebraço/inervação , Humanos , Adulto Jovem
9.
Neuropsychologia ; 28(1): 99-103, 1990.
Artigo em Inglês | MEDLINE | ID: mdl-2314568

RESUMO

Two experiments examined differences in the reproduction of preselected arm positioning movements. In Experiment 1, subjects defined a position in right space with a right index finger, or a position in left space with the left index finger, and then attempted to reproduce the position with either the left or the right hand. Subjects were more accurate when vision was available and when the reproduction hand was the same as the criterion hand. Availability of vision reduced the same hand advantage. There were no accuracy differences between the left and right hands. Experiment 2 was designed to determine whether the left-left and right-right criterion and reproduction advantages evident in the no vision condition of the first experiment were accounted for by the two movements being made by the same hand or by being performed in the same space. The results demonstrated that accuracy depended primarily on whether movements were made with the same hand. No right/left hand advantage was observed. The absence of a right hand advantage in either experiment may be due to the spatial complexity of the task examined or to the relative absence of any temporal constraints.


Assuntos
Lateralidade Funcional , Cinestesia , Memória , Rememoração Mental , Orientação , Adulto , Humanos , Masculino , Desempenho Psicomotor
10.
Neuropsychologia ; 28(11): 1215-20, 1990.
Artigo em Inglês | MEDLINE | ID: mdl-2290495

RESUMO

An experiment was conducted to examine the hypothesis that the right hand system is superior in the processing of visual information. A manual aiming task utilizing four visual conditions was employed. In the full-vision (FV) condition subjects were afforded vision of both the hand and the target throughout the course of the movement. In the ambient-illumination-off (AO) condition, the room lights were extinguished at movement initiation, thus preventing vision of the moving limb. The target remained illuminated. In the target-off (TO) condition, the target was extinguished upon initiation of the movement. Ambient illumination and thus vision of the hand remained present. Finally there was a no-vision (NV) condition in which ambient illumination was removed and the target was extinguished upon initiation of the response movement. Although the manipulation of vision had potent effects upon terminal accuracy, and influenced reaction and movement time measures, the hands did not differ in the extent to which these characteristics were expressed. A left hand advantage for reaction time was observed. This may reflect a relative increase in right hemisphere involvement prior to aiming movements which are spatially complex.


Assuntos
Atenção , Lateralidade Funcional , Orientação , Desempenho Psicomotor , Adulto , Feminino , Humanos , Masculino , Testes Neuropsicológicos , Tempo de Reação
11.
Proc Biol Sci ; 268(1464): 221-7, 2001 Feb 07.
Artigo em Inglês | MEDLINE | ID: mdl-11217890

RESUMO

Strategies for the control of human movement are constrained by the neuroanatomical characteristics of the motor system. In particular, there is evidence that the capacity of muscles for producing force has a strong influence on the stability of coordination in certain movement tasks. In the present experiment, our aim was to determine whether physiological adaptations that cause relatively long-lasting changes in the ability of muscles to produce force can influence the stability of coordination in a systematic manner. We assessed the effects of resistance training on the performance of a difficult coordination task that required participants to synchronize or syncopate movements of their index finger with an auditory metronome. Our results revealed that training that increased isometric finger strength also enhanced the stability of movement coordination. These changes were accompanied by alterations in muscle recruitment patterns. In particular, the trained muscles were recruited in a more consistent fashion following the programme of resistance training. These results indicate that resistance training produces functional adaptations of the neuroanatomical constraints that underlie the control of voluntary movement.


Assuntos
Adaptação Fisiológica/fisiologia , Exercício Físico/fisiologia , Desempenho Psicomotor/fisiologia , Estimulação Acústica , Adolescente , Adulto , Eletromiografia , Feminino , Dedos , Humanos , Masculino , Movimento/fisiologia
12.
Proc Biol Sci ; 268(1472): 1207-13, 2001 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-11375110

RESUMO

Goal-directed, coordinated movements in humans emerge from a variety of constraints that range from 'high-level' cognitive strategies based on perception of the task to 'low-level' neuromuscular-skeletal factors such as differential contributions to coordination from flexor and extensor muscles. There has been a tendency in the literature to dichotomize these sources of constraint, favouring one or the other rather than recognizing and understanding their mutual interplay. In this experiment, subjects were required to coordinate rhythmic flexion and extension movements with an auditory metronome, the rate of which was systematically increased. When subjects started in extension on the beat of the metronome, there was a small tendency to switch to flexion at higher rates, but not vice versa. When subjects were asked to contact a physical stop, the location of which was either coincident with or counterphase to the auditory stimulus, two effects occurred. When haptic contact was coincident with sound, coordination was stabilized for both flexion and extension. When haptic contact was counterphase to the metronome, coordination was actually destabilized, with transitions occurring from both extension to flexion on the beat and from flexion to extension on the beat. These results reveal the complementary nature of strategic and neuromuscular factors in sensorimotor coordination. They also suggest the presence of a multimodal neural integration process - which is parametrizable by rate and context - in which intentional movement, touch and sound are bound into a single, coherent unit.


Assuntos
Percepção Auditiva/fisiologia , Desempenho Psicomotor/fisiologia , Adulto , Feminino , Humanos , Masculino
13.
Proc Biol Sci ; 266(1421): 853-7, 1999 Apr 22.
Artigo em Inglês | MEDLINE | ID: mdl-10343408

RESUMO

Two simple experiments reveal that the ease with which an action is performed by the neuromuscular-skeletal system determines the attentional resources devoted to the movement. Participants were required to perform a primary task, consisting of rhythmic flexion and extension movements of the index finger, while being paced by an auditory metronome, in one of two modes of coordination: flex on the beat or extend on the beat. Using a classical dual-task methodology, we demonstrated that the time taken to react to an unpredictable visual probe stimulus (the secondary task) by means of a pedal response was greater when the extension phase of the finger movement sequence was made on the beat of the metronome than when the flexion phase was coordinated with the beat. In a second experiment, the posture of the wrist was manipulated in order to alter the operating lengths of muscles that flex and extend the index finger. The attentional demands of maintaining the extend-on-the-beat pattern of coordination were altered in a systematic fashion by changes in wrist posture, even though the effector used to respond to the visual probe stimulus was unaffected.


Assuntos
Atenção/fisiologia , Movimento/fisiologia , Postura/fisiologia , Estimulação Acústica , Dedos , Humanos , Córtex Motor/fisiologia
14.
J Neurosci Methods ; 112(2): 193-202, 2001 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-11716954

RESUMO

The purpose of this experiment was to assess the test-retest reliability of input-output parameters of the cortico-spinal pathway derived from transcranial magnetic (TMS) and electrical (TES) stimulation at rest and during muscle contraction. Motor evoked potentials (MEPs) were recorded from the first dorsal interosseous muscle of eight individuals on three separate days. The intensity of TMS at rest was varied from 5% below threshold to the maximal output of the stimulator. During trials in which the muscle was active, TMS and TES intensities were selected that elicited MEPs of between 150 and 300 microV at rest. MEPs were evoked while the participants exerted torques up to 50% of their maximum capacity. The relationship between MEP size and stimulus intensity at rest was sigmoidal (R2=0.97). Intra-class correlation coefficients (ICC) ranged between 0.47 and 0.81 for the parameters of the sigmoid function. For the active trials, the slope and intercept of regression equations of MEP size on level of background contraction were obtained more reliably for TES (ICC=0.63 and 0.78, respectively) than for TMS (ICC=0.50 and 0.53, respectively). These results suggest that input-output parameters of the cortico-spinal pathway may be reliably obtained via transcranial stimulation during longitudinal investigations of cortico-spinal plasticity.


Assuntos
Potencial Evocado Motor/fisiologia , Magnetismo , Córtex Motor/fisiologia , Contração Muscular/fisiologia , Condução Nervosa/fisiologia , Neurofisiologia/métodos , Tratos Piramidais/fisiologia , Adulto , Estimulação Elétrica/instrumentação , Estimulação Elétrica/métodos , Eletromiografia , Humanos , Masculino , Neurofisiologia/instrumentação , Reprodutibilidade dos Testes
15.
Brain Res ; 900(2): 282-94, 2001 May 11.
Artigo em Inglês | MEDLINE | ID: mdl-11334809

RESUMO

Modulations in the excitability of spinal reflex pathways during passive rhythmic movements of the lower limb have been demonstrated by a number of previous studies [4]. Less emphasis has been placed on the role of supraspinal pathways during passive movement, and on tasks involving the upper limb. In the present study, transcranial magnetic stimulation (TMS) was delivered to subjects while undergoing passive flexion-extension movements of the contralateral wrist. Motor evoked potentials (MEPs) of flexor carpi radialis (FCR) and abductor pollicus brevis (APB) muscles were recorded. Stimuli were delivered in eight phases of the movement cycle during three different frequencies of movement. Evidence of marked modulations in pathway excitability was found in the MEP amplitudes of the FCR muscle, with responses inhibited and facilitated from static values in the extension and flexion phases, respectively. The results indicated that at higher frequencies of movement there was greater modulation in pathway excitability. Paired-pulse TMS (sub-threshold conditioning) at short interstimulus intervals revealed modulations in the extent of inhibition in MEP amplitude at high movement frequencies. In the APB muscle, there was some evidence of phasic modulations of response amplitude, although the effects were less marked than those observed in FCR. It is speculated that these modulatory effects are mediated via Ia afferent pathways and arise as a consequence of the induced forearm muscle shortening and lengthening. Although the level at which this input influences the corticomotoneuronal pathway is difficult to discern, a contribution from cortical regions is suggested.


Assuntos
Braço/fisiologia , Movimento (Física) , Córtex Motor/fisiologia , Músculo Esquelético/fisiologia , Adulto , Vias Aferentes/fisiologia , Condicionamento Psicológico/fisiologia , Estimulação Elétrica , Potencial Evocado Motor/fisiologia , Feminino , Humanos , Magnetismo , Masculino , Inibição Neural/fisiologia , Polegar/fisiologia , Punho/fisiologia
16.
Cortex ; 31(4): 685-97, 1995 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-8750026

RESUMO

Ten right-handed subjects performed 100 target-aiming movements with each hand. These movements were directed toward a small target on the midline. On 60% of the trials, the target remained stationary. On other randomly placed trials, the target "jumped" to a location 3 cm to the right (20%) or left (20%) of its original position when the cursor had travelled 6.5 cm. Although no hand differences were evident in the control condition, the right hand acquired the new target location more quickly than the left hand when the target was perturbed in either direction. Kinematic data revealed that this advantage was not due to initiating an adjustment to the initial movement more rapidly, but rather less time decelerating the corrective movement. Movement adjustments on perturbed trials were implemented more rapidly in left space than right space independent of the hand doing the aiming. These asymmetries may reflect the differential role of the two cerebral hemispheres in the control of goal-directed movements.


Assuntos
Lateralidade Funcional/fisiologia , Movimento/fisiologia , Desempenho Psicomotor/fisiologia , Percepção Espacial/fisiologia , Feminino , Humanos , Cinestesia , Masculino
17.
Sports Med ; 31(12): 829-40, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11665911

RESUMO

It has long been believed that resistance training is accompanied by changes within the nervous system that play an important role in the development of strength. Many elements of the nervous system exhibit the potential for adaptation in response to resistance training, including supraspinal centres, descending neural tracts, spinal circuitry and the motor end plate connections between motoneurons and muscle fibres. Yet the specific sites of adaptation along the neuraxis have seldom been identified experimentally, and much of the evidence for neural adaptations following resistance training remains indirect. As a consequence of this current lack of knowledge, there exists uncertainty regarding the manner in which resistance training impacts upon the control and execution of functional movements. We aim to demonstrate that resistance training is likely to cause adaptations to many neural elements that are involved in the control of movement, and is therefore likely to affect movement execution during a wide range of tasks. We review a small number of experiments that provide evidence that resistance training affects the way in which muscles that have been engaged during training are recruited during related movement tasks. The concepts addressed in this article represent an important new approach to research on the effects of resistance training. They are also of considerable practical importance, since most individuals perform resistance training in the expectation that it will enhance their performance in related functional tasks.


Assuntos
Exercício Físico/fisiologia , Movimento/fisiologia , Músculo Esquelético/inervação , Educação Física e Treinamento/métodos , Adaptação Fisiológica/fisiologia , Humanos , Modelos Teóricos , Contração Muscular/fisiologia , Músculo Esquelético/fisiologia , Junção Neuromuscular/fisiologia , Recrutamento Neurofisiológico/fisiologia
18.
Acta Psychol (Amst) ; 110(2-3): 129-37, 2002 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-12102102

RESUMO

The present paper provides a historical note on the evolution of the behavioral study of interlimb coordination and the reasons for its success as a field of investigation in the past decades. Whereas the original foundations for this field of science were laid down back in the seventies, it has steadily grown in the past decades and has attracted the attention of various scientific disciplines. A diversity of topics is currently being addressed and this is also expressed in the present contributions to the special issue. The main theme is centered on the brain basis of interlimb coordination. On the one hand, this pertains to the study of the control and learning of patterns of interlimb coordination in clinical groups. On the other hand, basic neural approaches are being merged together with behavioral approaches to reveal the neural basis of interlimb coordination.


Assuntos
Extremidades/fisiologia , Atividade Motora/fisiologia , Destreza Motora/fisiologia , Transtornos dos Movimentos/psicologia , Desempenho Psicomotor/fisiologia , Humanos , Valores de Referência , Fatores de Tempo
19.
Acta Psychol (Amst) ; 110(2-3): 357-64, 2002 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-12102114

RESUMO

Here we consider the role of abstract models in advancing our understanding of movement pathology. Models of movement coordination and control provide the frameworks necessary for the design and interpretation of studies of acquired and developmental disorders. These models do not however provide the resolution necessary to reveal the nature of the functional impairments that characterise specific movement pathologies. In addition, they do not provide a mapping between the structural bases of various pathologies and the associated disorders of movement. Current and prospective approaches to the study and treatment of movement disorders are discussed. It is argued that the appreciation of structure-function relationships, to which these approaches give rise, represents a challenge to current models of interlimb coordination, and a stimulus for their continued development.


Assuntos
Transtornos dos Movimentos/fisiopatologia , Desempenho Psicomotor/fisiologia , Humanos , Modelos Biológicos
20.
J Electromyogr Kinesiol ; 10(4): 249-53, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10969198

RESUMO

Tennis Elbow or Lateral Epicondylalgia is manifested by pain over the region of the lateral epicondyle of the humerus, related to use of the wrist extensor muscles. Extensor carpi radialis longus (ECRL) and brevis (ECRB) have been implicated in the dysfunction associated with Lateral Epicondylalgia. For muscles in the human forearm, particularly those in close proximity, selective recordings are nearly impossible without the use of fine wire, indwelling electrodes. These can be inserted in precise locations and have small recording areas. Standard electromyography texts indicate, however, that the activity of ECRL and ECRB cannot be distinguished, even with intramuscular electrodes. We present a new technique for determining the most appropriate sites at which to insert intramuscular electrodes for selective recordings of ECRB and ECRL. The location of ECRB and ECRL was measured on 10 cadaver specimens, 5 right arms and 5 left arms. The distance from the muscle origin to (1) insertion, (2) largest portion of the muscle belly, (3) most proximal fibres and (4) most distal fibres were measured and expressed relative to forearm length. The mean distance and 95% confidence interval was calculated for each of the four measures. These data indicated a significant separation of the belly of each muscle along the length of the forearm. These relative distances were used to mark electrode insertion points on three volunteers. Fine wire electrodes were used to record the electromyogram in three participants. Each participant was required to perform isometric contractions to produce (1) wrist extension torque, (2) radial deviation torque, (3) elbow flexion torque and (4) finger extension. The electromyographic recordings show clear differentiation of ECRB and ECRL with the relative activation patterns reflecting the underlying anatomical organisation of the two muscles. This technique provides an important objective method that can be used in conjunction with manual muscle testing to provide a means of ensuring accurate intramuscular electromyographic recording from these two muscles.


Assuntos
Eletromiografia/métodos , Antebraço/fisiologia , Contração Isométrica/fisiologia , Músculo Esquelético/fisiologia , Cadáver , Eletrodos Implantados , Humanos , Músculo Esquelético/anatomia & histologia , Valores de Referência , Reprodutibilidade dos Testes
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA