A wearable ring-shaped inertial system to identify action planning impairments during reach-to-grasp sequences: a pilot study.

BACKGROUND: The progressive ageing of the population is leading to an increasing number of people affected by cognitive decline, including disorders in executive functions (EFs), such as action planning. Current procedures to evaluate cognitive decline are based on neuropsychological tests, but novel methods and approaches start to be investigated. Reach-to-grasp (RG) protocols have shown that intentions can influence the EFs of action planning. In this work, we proposed a novel ring-shaped wearable inertial device, SensRing, to measure kinematic parameters during RG and after-grasp (AG) tasks with different end-goals. The aim is to evaluate whether SensRing can characterize the motor performances of people affected by Mild Neurocognitive Disorder (MND) with impairment in EFs. METHODS: Eight Individuals with dysexecutive MND, named d-MND, were compared to ten older healthy subjects (HC). They were asked to reach and grasp a can with three different intentions: to drink (DRINK), to place it on a target (PLACE), or to pass it to a partner (PASS). Twenty-one kinematic parameters were extracted from SensRing inertial data. RESULTS: Seven parameters resulted able to differentiate between HC and d-MND in the RG phase, and 8 features resulted significant in the AG phase. d-MND, indeed, had longer reaction times (in RG PLACE), slower peak velocities (in RG PLACE and PASS, in AG DRINK and PLACE), longer deceleration phases (in all RG and AG DRINK), and higher variability (in RG PLACE, in AG DRINK and PASS). Furthermore, d-MND showed no significant differences among conditions, suggesting that impairments in EFs influence their capabilities in modulating the action planning based on the end-goal. CONCLUSIONS: Based on this explorative study, the system might have the potential for objectifying the clinical assessment of people affected by d-MND by administering an easy motor test. Although these preliminary results have to be investigated in-depth in a larger sample, the portability, wearability, accuracy, and ease-of use of the system make the SensRing potentially appliable for remote applications at home, including analysis of protocols for neuromotor rehabilitation in patients affected by MND.

Why does the Quiet Eye improve aiming accuracy? Testing a motor preparation hypothesis with brain potential.

The purpose of the present study was to determine whether the Quiet Eye (QE) acquired over time is associated with motor preparation processes by using movement-related cortical potentials (MRCPs). Eighteen male, right-handed college students voluntarily participated in this study. Participants performed a dart throw while wearing an eye-tracking system and electrode cap to measure electroencephalogram waveforms (EEG). After performing the dart task, participants were randomly assigned to a Quiet Eye training group (QET) or control training group (CT). Six subjects were excluded due to incomplete electroencephalography (EEG) data. MRCPs were analysed separately within 4 QE categories: High performance score and Long fixation time (HL), High performance score and Short fixation time (HS), Low performance score and Long fixation time (LL), and Low performance score and Short fixation time (LS). Results revealed that although the QET group acquired QE characteristics, MRCPs did not differ between the two groups. Thus, a longer-term experimental design may be necessary to observe EEG changes. Furthermore, QE durations may relate to not only motor programming but also online control.

Attention orienting near the hand following performed and imagined actions.

Recent studies have documented that the hand's ability to perform actions affects the visual processing and attention for objects near the hand, suggesting that actions may have specific effects on visual orienting. However, most research on the relation between spatial attention and action focuses on actions as responses to visual attention manipulations. The current study examines visual attention immediately following an executed or imagined action. A modified spatial cuing paradigm tested whether a brief, lateralized hand-pinch performed by a visually hidden hand near the target location, facilitated or inhibited subsequent visual target detection. Conditions in which hand-pinches were fully executed (action) were compared to ones with no hand-pinch (inaction) in Experiment 1 and imagined pinches (imagine) in Experiment 2. Results from Experiment 1 indicated that performed hand pinches facilitated rather than inhibited subsequent detection responses to targets appearing near the pinch, but target detection was not affected by inaction. In Experiment 2, both action and imagined action conditions cued attention and facilitated responses, but along differing time courses. These results highlight the ongoing nature of visual attention and demonstrate how it is deployed to locations even following actions.

Gait bradykinesia in Parkinson's disease: a change in the motor program which controls the synergy of gait.

This study examined how gait bradykinesia is changed by the motor programming in Parkinson's disease. Thirty-five idiopathic Parkinson's disease patients and nine age-matched healthy subjects participated in this study. After the patients fixated on a visual-fixation target (conditioning-stimulus), the voluntary-gait was triggered by a visual on-stimulus. While the subject walked on a level floor, soleus, tibialis anterior EMG latencies, and the y-axis-vector of the sole-floor reaction force were examined. Three paradigms were used to distinguish between the off-/on-latencies. The gap-task: the visual-fixation target was turned off; 200 ms before the on-stimulus was engaged (resulting in a 200 ms-gap). EMG latency was not influenced by the visual-fixation target. The overlap-task: the on-stimulus was turned on during the visual-fixation target presentation (200 ms-overlap). The no-gap-task: the fixation target was turned off and the on-stimulus was turned on simultaneously. The onset of EMG pause following the tonic soleus EMG was defined as the off-latency of posture (termination). The onset of the tibialis anterior EMG burst was defined as the on-latency of gait (initiation). In the gap-task, the on-latency was unchanged in all of the subjects. In Parkinson's disease, the visual-fixation target prolonged both the off-/on-latencies in the overlap-task. In all tasks, the off-latency was prolonged and the off-/on-latencies were unsynchronized, which changed the synergic movement to a slow, short-step-gait. The synergy of gait was regulated by two independent sensory-motor programs of the off- and on-latency levels. In Parkinson's disease, the delayed gait initiation was due to the difficulty in terminating the sensory-motor program which controls the subject's fixation. The dynamic gait bradykinesia was involved in the difficulty (long off-latency) in terminating the motor program of the prior posture/movement.

Perception-action dissociation generalizes to the size-inertia illusion.

Two objects of similar visual aspects and of equal mass, but of different sizes, generally do not elicit the same percept of heaviness in humans. The larger object is consistently felt to be lighter than the smaller, an effect known as the "size-weight illusion." When asked to repeatedly lift the two objects, the grip forces were observed to adapt rapidly to the true object weight while the size-weight illusion persisted, a phenomenon interpreted as a dissociation between perception and action. We investigated whether the same phenomenon can be observed if the mass of an object is available to participants through inertial rather than gravitational cues and if the number and statistics of the stimuli is such that participants cannot remember each individual stimulus. We compared the responses of 10 participants in 2 experimental conditions, where they manipulated 33 objects having uncorrelated masses and sizes, supported by a frictionless, air-bearing slide that could be oriented vertically or horizontally. We also analyzed the participants' anticipatory motor behavior by measuring the grip force before motion onset. We found that the perceptual illusory effect was quantitatively the same in the two conditions and observed that both visual size and haptic mass had a negligible effect on the anticipatory gripping control of the participants in the gravitational and inertial conditions, despite the enormous differences in the mechanics of the two conditions and the large set of uncorrelated stimuli.

Training enables substantial decoupling of visual attention and saccade preparation.

Visual attention is typically shifted toward the targets of upcoming saccadic eye movements. This observation is commonly interpreted in terms of an obligatory coupling between attentional selection and oculomotor programming. Here, we investigated whether this coupling is facilitated by a habitual expectation of spatial congruence between visual and motor targets. To this end, we conducted a dual-task (i.e., concurrent saccade task and visual discrimination task) experiment in which male and female participants were trained to either anticipate spatial congruence or incongruence between a saccade target and an attention probe stimulus. To assess training-induced effects of expectation on premotor attention allocation, participants subsequently completed a test phase in which the attention probe position was randomized. Results revealed that discrimination performance was systematically biased toward the expected attention probe position, irrespective of whether this position matched the saccade target or not. Overall, our findings demonstrate that visual attention can be substantially decoupled from ongoing oculomotor programming and suggest an important role of habitual expectations in the attention-action coupling.

Neurophysiology of gait: from the spinal cord to the frontal lobe.

Locomotion is a purposeful, goal-directed behavior initiated by signals arising from either volitional processing in the cerebral cortex or emotional processing in the limbic system. Regardless of whether the locomotion initiation is volitional or emotional, locomotion is accompanied by automatic controlled movement processes, such as the adjustment of postural muscle tone and rhythmic limb movements. Sensori-motor integration in the brainstem and the spinal cord plays crucial roles in this process. The basic locomotor motor pattern is generated by spinal interneuronal networks, termed central pattern generators (CPGs). Responding to signals in proprioceptive and skin afferents, the spinal interneuronal networks modify the locomotor pattern in cooperation with descending signals from the brainstem structures and the cerebral cortex. Information processing between the basal ganglia, the cerebellum, and the brainstem may enable automatic regulation of muscle tone and rhythmic limb movements in the absence of conscious awareness. However, when a locomoting subject encounters obstacles, the subject has to intentionally adjust bodily alignment to guide limb movements. Such an intentional gait modification requires motor programming in the premotor cortices. The motor programs utilize one's bodily information, such as the body schema, which is preserved and updated in the temporoparietal cortex. The motor programs are transmitted to the brainstem by the corticoreticulospinal system, so that one's posture is anticipatorily controlled. These processes enable the corticospinal system to generate limb trajectory and achieve accurate foot placement. Loops from the motor cortical areas to the basal ganglia and the cerebellum can serve this purpose.

Resource limitations in bimanual pointing.

Performing coordinated bimanual movements, that is, movements with two hands simultaneously, is a requirement in many activities. At the same time, these movements are subject to temporal and spatial constraints. Here, we focus on the constraints that become observable when pointing movements of different (asymmetric) rather than same (symmetric) amplitudes have to be executed ("spatial interference effect"). The respective performance costs are larger when the stimuli used to indicate the movement targets are symbolic compared with when the endpoints of the movements are cued directly. Previous studies have thus concluded that the source of spatial interference is both 'cognitive' and 'motoric', or more precisely occurs during response selection as well as motor programming. We here asked whether the contribution from motor programming is motoric in the sense as envisaged in dual-task models, that is, whether it can run in parallel to, and interference-free with, other processing stages. In two PRP experiments, Task 1 was bimanual pointing and Task 2 was auditory pitch-discrimination. Based on the effect propagation-logic, the results suggest that the motor programming contribution to bimanual interference also taps into capacity-limited resources and cannot be construed as running in parallel as assumed for the motor stage in dual-task models.

On the Emergence of Phonological Knowledge and on Motor Planning and Motor Programming in a Developmental Model of Speech Production.

A broad sketch for a model of speech production is outlined which describes developmental aspects of its cognitive-linguistic and sensorimotor components. A description of the emergence of phonological knowledge is a central point in our model sketch. It will be shown that the phonological form level emerges during speech acquisition and becomes an important representation at the interface between cognitive-linguistic and sensorimotor processes. Motor planning as well as motor programming are defined as separate processes in our model sketch and it will be shown that both processes revert to the phonological information. Two computational simulation experiments based on quantitative implementations (simulation models) are undertaken to show proof of principle of key ideas of the model sketch: (i) the emergence of phonological information over developmental stages, (ii) the adaptation process for generating new motor programs, and (iii) the importance of various forms of phonological representation in that process. Based on the ideas developed within our sketch of a production model and its quantitative spell-out within the simulation models, motor planning can be defined here as the process of identifying a succession of executable chunks from a currently activated phoneme sequence and of coding them as raw gesture scores. Motor programming can be defined as the process of building up the complete set of motor commands by specifying all gestures in detail (fully specified gesture score including temporal relations). This full specification of gesture scores is achieved in our model by adapting motor information from phonologically similar syllables (adapting approach) or by assembling motor programs from sub-syllabic units (assembling approach).

Improvements in Speech of Children with Apraxia: The Efficacy of Treatment for Establishing Motor Program Organization (TEMPOSM).

Purpose: This study investigated the efficacy of Treatment for Establishing Motor Program Organization (TEMPOSM) in childhood apraxia of speech (CAS).Method: A mixed between- and within-participant design with multiple baselines across participants and behaviors was used to examine acquisition, generalization, and maintenance of skills. TEMPOSM was administered in four one-hour sessions a week over a four-week period for eleven participants (ages 5 to 8), allocated to either an immediate treatment group or a wait-list control group. Acoustic and perceptual variables were measured at baseline, immediate post-treatment, and one-month post-treatment.Results: Children demonstrated significant improvements in specific acoustic measures of segmentation and lexical stress, as well as perceptual measures of fluency, lexical stress, and speech-sound accuracy. Treatment and generalization effects were maintained one-month post-treatment with generalization to untreated stimuli.Conclusion: TEMPOSM was efficacious in improving segmental and suprasegmental impairments in the speech of children with CAS.

Now and then: Hand choice is influenced by recent action history.

Action choices are influenced by recent past and predicted future action states. Here, we demonstrate that recent hand-choice history affects both current hand choices and response times to initiate actions. Participants reach to contact visible targets using one hand. Hand choice is biased in favour of which hand was used recently, in particular, when the biomechanical costs of responding with either hand are similar, and repeated choices lead to reduced response times. These effects are also found to positively correlate. Participants who show strong effects of recent history on hand choice also tend to show strong effects of recent history on response times. The data are consistent with a computational efficiency interpretation whereby repeated action choices confer computational gains in the efficiency of underpinning processes. We discuss our results within the framework of this model, and with respect to balancing predicted gains and losses, and speculate about the possible underlying mechanisms in neural terms.

Evidence for Sequential Performance Effects in Professional Darts.

Objectives: The study of sequential effects in aiming tasks might shed light on the organization of repetitive motor performances over time. To date, investigations of such effects in sports have been limited and yielded mixed results. Given the relatively short time intervals between successive attempts, and the absence of defensive interventions, dart throwing provides a potentially fruitful testing ground for examining the presence of sequential performance effects in the motor domain. Methods and Results: A total of 80 competitive darts matches of 10 of the world's best players were scored from publicly available video footage in terms of sequences of hits and misses of triple 20. In darts, throws are organized in legs, i.e., a rapid succession of three throws by the same player, allowing us to investigate various transitions in performance (throw 1 → 2, 2 → 3, and 3 → 1). The resulting binary sequences were analyzed statistically in terms of independence and stationarity. Across players significant statistical evidence was found for sequential dependence from the first throw in a leg to the second throw, but not for the other transitions. As regards to stationarity, a significant decline in performance was observed in the course of the match. Conclusions: In professional darts, evidence can be found for both sequential dependence as well as for non-stationarity, implying that performance does not, or at least not always, constitute a stationary random independent process. More research is needed on the motor control mechanisms underlying the observed carry-over effects within triplets as well as the possible causes of non-stationarity.

Injury risk is altered by previous injury: a systematic review of the literature and presentation of causative neuromuscular factors.

BACKGROUND: Active adults commonly present with lower extremity (LE) injuries from a variety of professional and amateur sports activities. Decreased LE function significantly alters daily life and subsequent injuries increase this impact. The purpose of this systematic review was to examine the association between previous injury and the risk of re-injury, and to describe the changes in kinematics and motor programming that may contribute to this relationship. METHODS: A preliminary search was conducted to determine the four most common LE injuries on PubMed, CINAHL and Web of Science. These injuries, in a healthy active adult population, were hamstring strain (HS), anterior cruciate ligament injury (ACL), achilles tendon pathology, and ankle sprain. After these injuries were established, the search for this systematic review found evidence relating these injuries to re-injury. Articles related to degenerative changes were excluded. Twenty-six articles were included in the systematic review detailing the risk of re-injury from a previous injury and were graded for quality. RESULTS: ACL injury was linked to a successive injury of the same ACL, and other injuries in the LE. HS was associated with subsequent ipsilateral HS and knee injuries. Previous achilles tendon rupture increased the risk of an analogous injury on the contralateral side. An ankle sprain was associated with a re-injury of either the ipsilateral or the contralateral ankle. Post-injury changes were present in strength, proprioception, and kinematics, which may have led to overall changes in motor control and function. CONCLUSION: This review provides insight into the changes occurring following common LE injuries, how these changes potentially affect risk for future injury, and address the needs of the active adult population in rehabilitation. CLINICAL RELEVANCE: Current research on previous injury and re-injury is of high quality, but scarce quantity. Deficits following an injury are known, but how these deficits correlate or lead to re-injury requires further exploration. LEVEL OF EVIDENCE: 1.

Should I smile or should I frown? An ERP study on the voluntary control of emotion-related facial expressions.

We investigated the motor planning and reprogramming of facial expressions of happiness and anger with a response-priming task. A response signal commanded the production of a validly or invalidly cued facial expression. Electromyogram showed performance costs of inhibiting the falsely prepared expression and reprogramming the correct one in invalid trials. These performance costs were larger in zygomaticus major than corrugator supercilii, indicating better control over the latter. Event-related potentials indicated no emotion specificity in the initial preparation of anger and happiness in the contingent negative variation. During reprogramming, anger came along with greater allocation of processing resources for the inhibition of the preactivated motor plan (N2), and the updating of a new one (P3). These additional processing resources and the faster control over corrugator may reflect the need for being quick and accurate in displaying threat.