Improved motor skills in autistic children after three weeks of neurologic music therapy via telehealth: a pilot study.

Background: Many autistic children experience motor skill deficits which can impact other areas of functioning, and research on therapeutic interventions for motor skills in autism is in a preliminary stage. Music-based therapies have been used extensively to address motor skills in non-autistic populations. Though a handful of studies exist on the effects of music-based therapies for movement in autistic children, none have investigated the possibility of administering sessions via telehealth. This mixed-methods pilot study investigated whether nine Neurologic Music Therapy (NMT)® sessions via telehealth would improve motor and attention skills in autistic children. Methods: Five autistic children between five and 10 years of age participated in the study, with support from their caregivers. Motor skills were assessed using the Bruininks-Oseretsky Test of Motor Proficiency second edition, short form (BOT-2 SF), and a selective attention and sustained attention task were taken from the Test of Everyday Attention for Children, Second Edition (TEA-Ch2). Caregivers and the two neurologic music therapists involved in the study provided qualitative input about the perceived effectiveness of telehealth NMT for the children involved. Their responses were analyzed using qualitative content analysis. Caregivers also filled out a Sensory Profile 2 assessment prior to the onset of sessions so that each child's sensory profile could be compared to their motor and attention results. Results: Statistically significant improvements in motor skills were observed between pre-test assessment and a two-week follow-up assessment. Results from attention test scores were not significant. Caregivers and neurologic music therapists generally perceived sessions positively and noted the importance of having caregivers actively involved. When compared with individual progress on the BOT-2 SF assessment, sensory profile results revealed that children with fewer sensory sensitivities tended to improve the most on motor skills. The improvements in motor skills and positive caregiver and therapist views of telehealth indicate that NMT motor interventions administered via telehealth are a promising avenue of therapeutic support for movement skill development in autistic children.

Auditory feedback decreases timing variability for discontinuous and continuous motor tasks in autistic adults.

Introduction: Autistic individuals demonstrate greater variability and timing error in their motor performance than neurotypical individuals, likely due at least in part to atypical cerebellar characteristics and connectivity. These motor difficulties may differentially affect discrete as opposed to continuous movements in autistic individuals. Augmented auditory feedback has the potential to aid motor timing and variability due to intact auditory-motor pathways in autism and high sensitivity in autistic individuals to auditory stimuli. Methods: This experiment investigated whether there were differences in timing accuracy and variability in autistic adults as a function of task (discontinuous vs. continuous movements) and condition (augmented auditory feedback vs. no auditory feedback) in a synchronization-continuation paradigm. Ten autistic young adults aged 17-27 years of age completed the within-subjects study that involved drawing circles at 800 milliseconds intervals on a touch screen. In the discontinuous task, participants traced a series of discrete circles and paused at the top of each circle for at least 60 milliseconds. In the continuous task, participants traced the circles without pausing. Participants traced circles in either a non-auditory condition, or an auditory condition in which they heard a tone each time that they completed a circle drawing. Results: Participants had significantly better timing accuracy on the continuous timing task as opposed to the discontinuous task. Timing consistency was significantly higher for tasks performed with auditory feedback. Discussion: This research reveals that motor difficulties in autistic individuals affect discrete timing tasks more than continuous tasks, and provides evidence that augmented auditory feedback may be able to mitigate some of the timing variability present in autistic persons' movements. These results provide support for future investigation on the use of music-based therapies involving auditory feedback to address motor dysfunction in autistic individuals.

Short-Term Modulation of Online Monocular Visuomotor Function.

Previous literature suggests that correcting ongoing movements is more effective when using the dominant limb and seeing with the dominant eye. Specifically, individuals are more effective at adjusting their movement to account for an imperceptibly perturbed or changed target location (i.e., online movement correction), when vision is available to the dominant eye. However, less is known if visual-motor functions based on monocular information can undergo short-term neuroplastic changes after a bout of practice, to improve online correction processes. Participants (n = 12) performed pointing movements monocularly and their ability to correct their movement towards an imperceptibly displaced target was assessed. On the first day, the eye associated with smaller correction amplitudes was exclusively trained during acquisition. While correction amplitude was assessed again with both eyes monocularly, only the eye with smaller correction amplitudes in the pre-test showed significant improvement in delayed retention. These results indicate that monocular visuomotor pathways can undergo short-term neuroplastic changes.

Visual and vestibular integration in Parkinson's disease while walking.

Postural control requires effective sensory integration. People with Parkinson's disease (PD) are reported to have impaired visual and vestibular perception. While self-motion perception is a key aspect of locomotion, visual-vestibular integration has not been directly characterized in people with PD during gait. We compared the ability of people with PD and healthy older adults (OA) to integrate multi-sensory information during straight-line walking in response to visual and vestibular perturbations, using continuous translations of the visual surround and galvanic vestibular stimulation within a virtual reality environment. We measured their endpoint deviations from midline and changes in gait parameters. We found that people with PD deviated more than OA when walking in a dark environment but did not show differences in deviations when walking in a virtual room with visual information. With visual and vestibular perturbations, people with PD did not differ from OA in endpoint deviations nor variabilities. However, people with PD did not adopt a more cautious gait when GVS was applied in a virtual room, unlike OA. Overall, we showed that people with mild PD did not perform worse than OA but did show differences in gait patterns, suggesting that visual-vestibular integration is relatively preserved during gait in PD.

Using Neck Muscle Afferentation to Control an Ongoing Limb Movement? Individual Differences in the Influence of Brief Neck Vibration.

When preparing and executing goal-directed actions, neck proprioceptive information is critical to determining the relative positions of the body and target in space. While the contribution of neck proprioception for upper-limb movements has been previously investigated, we could not find evidence discerning its impact on the planning vs. online control of upper-limb trajectories. To investigate these distinct sensorimotor processes, participants performed discrete reaches towards a virtual target. On some trials, neck vibration was randomly applied before and/or during the movement, or not at all. The main dependent variable was the medio-lateral/directional bias of the reaching finger. The neck vibration conditions induced early leftward trajectory biases in some participants and late rightward trajectory biases in others. These different patterns of trajectory biases were explained by individual differences in the use of body-centered and head-centered frames of reference. Importantly, the current study provides direct evidence that sensory cues from the neck muscles contribute to the online control of goal-directed arm movements, likely accompanied by significant individual differences.

Amelioration of Cognitive and Olfactory System Deficits in APOE4 Transgenic Mice with DHA Treatment.

Olfactory dysfunction and atrophy of olfactory brain regions are observed early in mild cognitive impairment and Alzheimer disease. Despite substantial evidence showing neuroprotective effects in MCI/AD with treatment of docosahexaenoic acid (DHA), an omega-3 fatty acid, few studies have assessed DHA and its effects on the olfactory system deficits. We therefore performed structural (MRI), functional (olfactory behavior, novel object recognition), and molecular (markers of apoptosis and inflammation) assessments of APOE4 and wild-type mice ± DHA treatment at 3, 6, and 12 months of age. Our results demonstrate that APOE4 mice treated with the control diet show recognition memory deficits, abnormal olfactory habituation, and discrimination abilities and an increase in IBA-1 immunoreactivity in the olfactory bulb. These phenotypes were not present in APOE4 mice treated with a DHA diet. Alterations in some brain regions' weights and/or volumes were observed in the APOPE4 mice and may be due to caspase activation and/or neuroinflammatory events. These results suggest that the consumption of a diet rich in DHA may provide some benefit to E4 carriers but may not alleviate all symptoms.

Substituting some unassisted practice with robotic guidance: Assessing the feasibility of auditory-cued mixed practice for music-based interventions.

BACKGROUND: There is equivocal evidence regarding the effectiveness of robotic guidance on the (re)learning of voluntary motor skills. Robotic guidance can improve the performance of continuous/ tracking skills, although being seldom more effective than unassisted practice alone. However, most of the previous studies employed robotic guidance on all intervention trials. Recently, we showed that mixing robotic guidance with unassisted practice (i.e., mixed practice) can significantly improve the learning of a golf putting task. Yet, these mixed practice studies involved self-paced movements in a standing posture, thus less applicable to rehabilitation contexts. OBJECTIVE: The current study aimed to investigate the influence of mixed practice on the timing accuracy of an upper-limb, rhythmic, sequential task. The goal was to assess the feasibility of integrating mixed practice with music-based interventions. METHODS: Two groups of participants performed circle-drawing sequences in synchrony with rhythmic auditory signals. They completed a pre-test and an acquisition phase, followed by immediate retention and transfer tests. One group received robotic guidance on 50% of the acquisition trials (i.e., mixed practice), whereas another group always practiced unassisted. The pre-test, retention, and transfer tests were performed unassisted. RESULTS: Both groups significantly improved their timing accuracy and precision between the pre-test and the retention test. CONCLUSION: This study provides further evidence that mixed practice can facilitate the (re)learning of voluntary actions, especially with the type of externally paced upper-limb movements employed in music-based interventions.

The initiation of a hand grip is delayed by silently reading an incompatible syllable.

The movements of phonation structures (e.g., tongue) have been shown to facilitate compatible hand movements. For example, reaction time (RT) of precision and power hand grips (made with tips of thumb and finger vs. whole hand) are shortened with the production of syllables that share similar action features (e.g., employing the proximal vs. dorsal portion of the tongue, respectively). This effect is coined the articulation-grip correspondence (AGC) effect. However, it is not known if the AGC effect is due to action facilitation vs. interference, and if such facilitation/ interference is due to covertly or overtly reading the syllable. To answer the associated empirical questions, the present experiment involved participants initiating a precision or power grip without the covert/ overt reading of a syllable, or while covertly or overtly reading the syllable /ti/ or /ka/. In both the covert and overt reading conditions, there were longer RTs for precision grips with the syllable /ka/ than /ti/, and there were longer RTs for power grips with the syllable /ti/. In contrast, the syllable /ti/ or /ka/ did not alter precision or power grip RTs, respectively. These findings support the notion of articulation-grip interference but not facilitation and that such interference can be observed with covert (silent) reading.

Auditory cueing facilitates temporospatial accuracy of sequential movements.

Effectively executing goal-directed behaviours requires both temporal and spatial accuracy. Previous work has shown that providing auditory cues enhances the timing of upper-limb movements. Interestingly, alternate work has shown beneficial effects of multisensory cueing (i.e., combined audiovisual) on temporospatial motor control. As a result, it is not clear whether adding visual to auditory cues can enhance the temporospatial control of sequential upper-limb movements specifically. The present study utilized a sequential pointing task to investigate the effects of auditory, visual, and audiovisual cueing on temporospatial errors. Eighteen participants performed pointing movements to five targets representing short, intermediate, and large movement amplitudes. Five isochronous auditory, visual, or audiovisual priming cues were provided to specify an equal movement duration for all amplitudes prior to movement onset. Movement time errors were then computed as the difference between actual and predicted movement times specified by the sensory cues, yielding delta movement time errors (ΔMTE). It was hypothesized that auditory-based (i.e., auditory and audiovisual) cueing would yield lower movement time errors compared to visual cueing. The results showed that providing auditory relative to visual priming cues alone reduced ΔMTE particularly for intermediate amplitude movements. The results further highlighted the beneficial impact of unimodal auditory cueing for improving visuomotor control in the absence of significant effects for the multisensory audiovisual condition.

Explicit benefits: Motor sequence acquisition and short-term retention in adults who do and do not stutter.

Motor sequencing skills have been found to distinguish individuals who experience developmental stuttering from those who do not stutter, with these differences extending to non-verbal sequencing behaviour. Previous research has focused on measures of reaction time and practice under externally cued conditions to decipher the motor learning abilities of persons who stutter. Without the confounds of extraneous demands and sensorimotor processing, we investigated motor sequence learning under conditions of explicit awareness and focused practice among adults with persistent development stuttering. Across two consecutive practice sessions, 18 adults who stutter (AWS) and 18 adults who do not stutter (ANS) performed the finger-to-thumb opposition sequencing (FOS) task. Both groups demonstrated significant within-session performance improvements, as evidenced by fast on-line learning of finger sequences on day one. Additionally, neither participant group showed deterioration of their learning gains the following day, indicating a relative stabilization of finger sequencing performance during the off-line period. These findings suggest that under explicit and focused conditions, early motor learning gains and their short-term retention do not differ between AWS and ANS. Additional factors influencing motor sequencing performance, such as task complexity and saturation of learning, are also considered. Further research into explicit motor learning and its generalization following extended practice and follow-up in persons who stutter is warranted. The potential benefits of motor practice generalizability among individuals who stutter and its relevance to supporting treatment outcomes are suggested as future areas of investigation.

Sensorimotor processing is dependent on observed speed during the observation of hand-hand and hand-object interactions.

Observing a physical interaction between individuals (e.g., observing friends shaking hands) or between an object and an individual (e.g., observing a teammate striking or being struck with a ball) can lead to somatosensory activation in the observer. However, it is not known whether the speed of the observed interaction modulates such somatosensory activation (e.g., observing a teammate being struck with a slow vs. a fast-moving ball). In three experiments, participants observed a hand or object interact with another hand or object, all presented with a slow- or fast-moving effector. To probe sensorimotor processes during observation, participants were asked to react to an auditory beep (i.e., response time [RT] task) at the moment of observed contact. If observed contact led to increased somatosensory activation, RTs would decrease due to statistical and/ or intersensory facilitation. In all three experiments, RTs were lower when observing fast compared to slow motion stimuli, regardless of the moving (i.e., hand or ball) and target stimulus (i.e., hand or leaf). Further, when only an object (i.e., leaf) was the target, RTs did not differ between the moving hand and moving ball condition. In contrast, when an object (i.e., ball) was used as the moving stimulus, the magnitude of the speed effect (i.e., fast - slow RT difference) was significantly larger when the ball contacted a hand as compared to a leaf. Overall, these results provide novel evidence for a relationship between the observed kinematics of an object-human interaction and the sensorimotor processing in the observer.

Music-based intervention drives paretic limb acceleration into intentional movement frequencies in chronic stroke rehabilitation.

This study presented a novel kinematic assessment of paretic limb function "online" during the actual therapeutic exercisers rooted within the acceleration domain. Twenty-eight patients at chronic stroke stages participated in an auditory-motor intervention mapping reaching movements of the paretic arm unto surfaces of large digital musical instruments and sound tablets that provided rhythmic entrainment cues and augmented auditory feedback. Patients also wore a tri-axial accelerometer on the paretic limb during the nine-session intervention. The resulting acceleration profiles were extracted and quantified within the frequency domain. Measures of peak power and peak width were leveraged to estimate volitional control and temporal consistency of paretic limb movements, respectively. Clinical assessments included the Wolf Motor Function Test and Fugl-Meyer - Upper Extremity subtest. The results showed that peak power increased significantly from Session 1 to Session 9 within oscillatory frequency ranges associated with intentional movement execution (i.e., 4.5 Hz). Decreases in peak width over time provided additional evidence for improved paretic arm control from a temporal perspective. In addition, Peak width values obtained in Session 1 was significantly correlated with pre-test Fugl-Meyer - Upper Extremity scores. These results highlighted improvements in paretic limb acceleration as an underlying mechanism in stroke motor recovery and shed further light on the utility of accelerometry-based measures of paretic limb control in stroke rehabilitation. The data reported here was obtained from a larger clinical trial: https://clinicaltrials.gov/ct2/show/NCT03246217 ClinicalTrials.gov Identifier: NCT03246217.

Tactile facilitation during actual and mere expectation of object reception.

During reaching and grasping movements tactile processing is typically suppressed. However, during a reception or catching task, the object can still be acquired but without suppressive processes related to movement execution. Rather, tactile information may be facilitated as the object approaches in anticipation of object contact and the utilization of tactile feedback. Therefore, the current study investigated tactile processing during a reception task. Participants sat with their upper limb still as an object travelled to and contacted their fingers. At different points along the object's trajectory and prior to contact, participants were asked to detect tactile stimuli delivered to their index finger. To understand if the expectation of object contact contributed to any modulation in tactile processing, the object stopped prematurely on 20% of trials. Compared to a pre-object movement baseline, relative perceptual thresholds were decreased throughout the object's trajectory, and even when the object stopped prematurely. Further, there was no evidence for modulation when the stimulus was presented shortly before object contact. The former results suggest that tactile processing is facilitated as an object approaches an individual's hand. As well, we purport that the expectation of tactile feedback drives this modulation. Finally, the latter results suggest that peripheral masking may have reduced/abolished any facilitation.

Investigating the online control of goal-directed actions to a tactile target on the body.

Movement corrections to somatosensory targets have been found to be shorter in latency and larger in magnitude than corrections to external visual targets. Somatosensory targets (e.g., body positions) can be identified using both tactile (i.e., skin receptors) and proprioceptive information (e.g., the sense of body position derived from sensory organs in the muscles and joints). Here, we investigated whether changes in tactile information alone, without changes in proprioception, can elicit shorter correction latencies and larger correction magnitudes than those to external visual targets. Participants made reaching movements to a myofilament touching the index finger of the non-reaching finger (i.e., a tactile target) and a light-emitting diode (i.e., visual target). In one-third of the trials, target perturbations occurred 100 ms after movement onset, such that the target was displaced 3 cm either away or toward the participant. We found that participants demonstrated larger correction magnitudes to visual than tactile target perturbations. Moreover, we found no differences in correction latency between movements to perturbed tactile and visual targets. Further, we found that while participants detected tactile stimuli earlier than visual stimuli, they took longer to initiate reaching movements to an unperturbed tactile target than an unperturbed visual target. These results provide evidence that additional processes may be required when planning movements to tactile versus visual targets and that corrections to changes in tactile target positions alone may not facilitate the latency and magnitude advantages observed for corrections to somatosensory targets (i.e., proprioceptive-tactile targets).

Differences in implicit motor learning between adults who do and do not stutter.

Implicit learning allows us to acquire complex motor skills through repeated exposure to sensory cues and repetition of motor behaviours, without awareness or effort. Implicit learning is also critical to the incremental fine-tuning of the perceptual-motor system. To understand how implicit learning and associated domain-general learning processes may contribute to motor learning differences in people who stutter, we investigated implicit finger-sequencing skills in adults who do (AWS) and do not stutter (ANS) on an Alternating Serial Reaction Time task. Our results demonstrated that, while all participants showed evidence of significant sequence-specific learning in their speed of performance, male AWS were slower and made fewer sequence-specific learning gains than their ANS counterparts. Although there were no learning gains evident in accuracy of performance, AWS performed the implicit learning task more accurately than ANS, overall. These findings may have implications for sex-based differences in the experience of developmental stuttering, for the successful acquisition of complex motor skills during development by individuals who stutter, and for the updating and automatization of speech motor plans during the therapeutic process.

Facilitation of tactile processing during action observation of goal-directed reach and grasp movements.

Our perception of sensory events can be altered by action, but less is known about how our perception can be altered by action observation. For example, our ability to detect tactile stimuli is reduced when our limb is moving, and task-relevance and movement speed can alter such tactile detectability. During action observation, however, the relationship between tactile processing and such modulating factors is not known. Thus, the current study sought to explore tactile processing at a task-relevant location during the observation of reaching and grasping movements performed at different speeds. Specifically, participants observed videos of an anonymous model performing movements at a slow [i.e., peak velocity (PV): 155 mm/s], medium (i.e., PV: 547 mm/s), or fast speed (i.e., PV: 955 mm/s). To assess tactile processing, weak electrical stimuli of different amplitudes were presented to participants' right thumbs when the observed model was at their starting position and prior to any movement, or when the observed model's limb reached its PV. When observing slow movements, normalized perceptual thresholds were significantly lower/better than for the premovement stimulation time. These data suggest that the movement speed can modulate tactile processing, even when observing a movement. Furthermore, these findings provide seminal evidence for tactile facilitation at a task-relevant location during the observation of slow reaching and grasping movements (i.e., speeds associated with tactile exploration).NEW & NOTEWORTHY Previous work has highlighted the relationship between touch processing and movement speed during action, but the current study sought to understand this relationship during action observation of reaching and grasping movements. Here, we provide seminal evidence that tactile perceptual thresholds at the thumb are reduced compared with rest when observing the slowest movement speeds. Thus, tactile processing was facilitated at a task-relevant location during the observation of movements with speeds associated with tactile exploration.

Deep ocean microbial communities produce more stable dissolved organic matter through the succession of rare prokaryotes.

The microbial carbon pump (MCP) hypothesis suggests that successive transformation of labile dissolved organic carbon (DOC) by prokaryotes produces refractory DOC (RDOC) and contributes to the long-term stability of the deep ocean DOC reservoir. We tested the MCP by exposing surface water from a deep convective region of the ocean to epipelagic, mesopelagic, and bathypelagic prokaryotic communities and tracked changes in dissolved organic matter concentration, composition, and prokaryotic taxa over time. Prokaryotic taxa from the deep ocean were more efficient at consuming DOC and producing RDOC as evidenced by greater abundance of highly oxygenated molecules and fluorescent components associated with recalcitrant molecules. This first empirical evidence of the MCP in natural waters shows that carbon sequestration is more efficient in deeper waters and suggests that the higher diversity of prokaryotes from the rare biosphere holds a greater metabolic potential in creating these stable dissolved organic compounds.

Characterization of microparticles of iron oxide for magnetic resonance imaging.

Microparticles of iron oxide (MPIOs) are increasingly used for contrast generation in magnetic resonance imaging (MRI). In particular, Dynabeads® MyOne™ Tosylactivated MPIOs have enabled sensitive and targeted molecular imaging, e.g., to detect vascular inflammation. For the first time we measured the relaxivities as well as the molar susceptibility χM of these MPIOs at 7 T in agarose gels. They are r1 = 0.69 ± 0.03 s-1/mM, r2 = 220 ± 6 s-1/mM, r2* = 679 ± 14 s-1/mM, and χM = 0.66 ± 0.05 ppm/mM, when expressed with respect to the iron concentration. These material parameters are essential to optimize MRI protocols and progress toward quantitative imaging. To address the heterogeneous nature of the MPIO distributions over the size of a typical MRI voxel, we coupled the MPIOs to a fluorophore to create a bimodal phantom that can be imaged by both Light Sheet microscopy and MRI. In this phantom, the MPIOs produced contrast similar to that found in vivo . The submicron resolution of Light Sheet microscopy images provided a precise measurement of the MPIO spatial distribution in phantoms also imaged by MRI. MPIO aggregates occupying less than one MRI voxel were responsible for alterations in R2* and magnetic susceptibility χ across several MRI voxels. In these cases, the sum of R2* or χ over the affected MRI volume correlated better with the microscopically determined number of MPIOs. These findings were confirmed with simulations performed in the static dephasing regime. The microscopically determined MPIO distribution was also entered directly into the simulation framework, indicating that the bimodal phantom is a useful tool to test theoretical models against experimental measurements.

A comparison of augmented feedback and didactic training approaches to reduce spine motion during occupational lifting tasks.

Manual handling training may be improved if it relied on the provision of individualized, augmented feedback about key movement features. The purpose of this study was to compare the reduction in sagittal spine motion during manual lifting tasks following two training approaches: didactic (DID) and augmented feedback (AUG). Untrained participants (n = 26) completed lifting tests (box, medication bag, and paramedic backboard) and a randomly-assigned intervention involving 50 practice box lifts. Lifting tests were performed immediately before and after training, and one-week after interventions. Both groups exhibited reductions in spine motions immediately and one-week after the interventions. However, the AUG intervention group elicited significantly greater reductions in 5 of 12 between-group comparisons (3 tasks × 4 spine motion variables). The results of the current study support the use of augmented feedback-based approaches to manual handling training over education-based approaches.

Detecting Endpoint Error of an Ongoing Reaching Movement: the Role of Vision, Proprioception, and Efference.

Brief windows of vision presented during reaching movements contribute to endpoint error estimates. It is not clear whether such error detection processes depend on other sources of information (e.g., proprioception and efference). In the current study, participants were presented with a brief window of vision and then judged whether their movement endpoint under- or over-shot the target after: 1) performing an active reach; 2) being passively guided by a robotic arm; and 3) observing a fake hand moved by the robot arm. Participants were most accurate at estimating their endpoint error in the active movement conditions and least accurate in the action observation condition. Thus, both efferent and proprioceptive information significantly contribute to endpoint error detection processes even with brief visual feedback.