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1.
bioRxiv ; 2023 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-37732193

RESUMO

Accurate estimation of limb state is necessary for movement planning and execution. State estimation requires both feedforward and feedback information; here we focus on the latter. Prior literature has shown that integrating visual and proprioceptive feedback improve estimates of static limb position. However, differences in visual and proprioceptive feedback delays suggest that multisensory integration could be disadvantageous when the limb is moving. To investigate multisensory integration in different passive movement contexts, we compared the degree of interference created by discrepant visual or proprioceptive feedback when estimating the position of the limb either statically at the end of the movement or dynamically at movement midpoint. In the static context, we observed idiosyncratic interference: discrepant proprioceptive feedback significantly interfered with reports of the visual target location, leading to a bias of the reported position toward the proprioceptive cue. In the dynamic context, no interference was seen: participants could ignore sensory feedback from one modality and accurately reproduce the motion indicated by the other modality. We modeled feedback-based state estimation by updating the longstanding maximum likelihood estimation model of multisensory integration to account for sensory delays. Consistent with our behavioral results, the model showed that the benefit of multisensory integration was largely lost when the limb was passively moving. Together, these findings suggest that the sensory feedback used to compute a state estimate differs depending on whether the limb is stationary or moving. While the former may tend toward multimodal integration, the latter is more likely to be based on feedback from a single sensory modality.

2.
Cortex ; 162: 81-95, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-37018891

RESUMO

Dual-route models of high-level (praxis) actions distinguish between an "indirect" semantic route mediating meaningful gesture imitation, and a "direct" sensory-motor route mediates meaningless gesture imitation. Similarly, dual-route language models distinguish between an indirect route mediating production and repetition of words, and a direct route mediating non-word repetition. Although aphasia and limb apraxia frequently co-occur following left-hemisphere cerebrovascular accident (LCVA), it is unclear which aspects of these functional-neuroanatomic dual-route architectures are shared across praxis and language domains. This study focused on gesture imitation to test the hypothesis that semantic information (and portions of the indirect route) are shared across domains, whereas two distinct dorsal routes mediate sensory-motor mapping. Forty chronic LCVA and 17 neurotypical controls completed semantic memory and language tasks and imitated 3 types of gesture stimuli: (1) labeled/"named" meaningful, (2) unnamed meaningful, and (3) meaningless gestures. The comparison of accuracy between meaningless versus unnamed meaningful gestures examined the benefits of semantic information, while the comparison of unnamed meaningful versus named meaningful imitation examined additional benefits of linguistic cueing. Mixed-effects models examined group by task interaction effects on gesture ability. We found that for patients with LCVA, unnamed meaningful gestures were imitated more accurately than meaningless gestures, suggesting that semantic information was beneficial, but there was no benefit of labeling. Reduced benefit of semantic information on gesture accuracy was associated with lesions to inferior frontal and posterior temporal regions as well as semantic memory performance on a pictorial (non-gesture) task. In contrast, there was no relationship between meaningless gesture imitation and nonword repetition, indicating that measures of direct route performance are not associated across language and action. These results provide preliminary evidence that portions of the indirect semantic route are shared across the language and action domains, while two direct sensory-motor mapping routes mediate word repetition and gesture imitation.


Assuntos
Apraxias , Acidente Vascular Cerebral , Humanos , Comportamento Imitativo , Fala , Acidente Vascular Cerebral/complicações , Lobo Temporal , Gestos
3.
Hum Mov Sci ; 83: 102951, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35460956

RESUMO

Imitation is a significant daily activity involved in social interaction and motor learning. Imitation has been theorized to be performed in at least two ways. In posture-based imitation, individuals reproduce how the body should look and feel, and are sensitive to the relative positioning of body parts. In trajectory imitation, individuals mimic the spatiotemporal motion path of the end effector. There are clear anecdotal situations in which one might benefit from imitating postures (when learning ballet) or trajectories (when learning to reach around objects). However, whether these are in fact distinct methods of imitation, and if so, whether they may be applied interchangeably to perform the same task, remain unknown. If these are indeed separate mechanisms that rely on different computational and neural resources, a cost should be incurred when switching from using one mechanism to the other within the context of a single task. Therefore, observing a processing cost would both provide evidence that these are indeed two distinct mechanisms, and that they may be used interchangeably when trying to imitate the same stimulus. To test this, twenty-five healthy young adults performed a sequential multitasking imitation task. Participants were first instructed to pay attention to the limb postures or the hand path of a video-recorded model, then performed a neutral, congruent, or incongruent intervening motor task. Finally, participants imitated the modeled movement. We examined both spatial and temporal imitation accuracy as well as individual spatial consistency. When the primary task involved imitating trajectories, analysis of individual consistency suggested a processing cost: movements following the posture-matching intervening task were less consistent with baseline (neutral) performance, suggesting performance may be disrupted by the incongruence. This effect was not observed when imitating limb postures. In summary, we present initial evidence for a difference between posture matching and trajectory imitation as a result of instructions and intervening tasks that is consistent with the existence of two computationally distinct imitation mechanisms.


Assuntos
Comportamento Imitativo , Postura , Mãos , Humanos , Movimento , Extremidade Superior , Adulto Jovem
4.
eNeuro ; 9(2)2022.
Artigo em Inglês | MEDLINE | ID: mdl-35346958

RESUMO

When faced with multiple potential movement options, individuals either reach directly to one of the options, or initiate a reach intermediate between the options. It remains unclear why people generate these two types of behaviors. Using the go-before-you-know task (commonly used to study behavior under choice uncertainty) in humans, we examined two key questions. First, do these two types of responses actually reflect distinct movement strategies? If so, the relative desirability (i.e., weighing the success likelihood vs the attainable reward) of the two target options would not need to be computed identically for direct and intermediate reaches. We showed that indeed, when reward and success likelihood differed between the two options, reach direction was preferentially biased toward different directions for direct versus intermediate reaches. Importantly, this suggests that the computation of subjective values depends on the choice of movement strategy. Second, what drives individual differences in how people respond under uncertainty? We found that risk/reward-seeking individuals tended to generate more intermediate reaches and were more responsive to changes in reward, suggesting these movements may reflect a strategy to maximize reward versus success. Together, these findings suggest that when faced with choice uncertainty, individuals adopt movement strategies consistent with their risk/reward attitude, preferentially biasing behavior toward exogenous rewards or endogenous success and consequently modulating the relative desirability of the available options.


Assuntos
Movimento , Recompensa , Tomada de Decisões/fisiologia , Humanos , Movimento/fisiologia , Incerteza
5.
Cortex ; 147: 140-156, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-35033899

RESUMO

The ability to imitate observed actions serves as an efficient method for learning novel movements and is specifically impaired (without concomitant gross motor impairments) in the neurological disorder of limb apraxia, a disorder common after left hemisphere stroke. Research with apraxic patients has advanced our understanding of how people imitate. However, the role of proprioception in imitation has been rarely assessed directly. Prior work has proposed that proprioceptively sensed body position is transformed into a visual format, supporting the attainment of a desired imitation goal represented visually (i.e., how the movement should look when performed). In contrast, we hypothesized a more direct role for proprioception: we suggest that movement goals are also represented proprioceptively (i.e., how a desired movement should feel when performed), and the ability to represent or access such proprioceptive goals is deficient in apraxia. Using a novel imitation task in which a robot cued meaningless trajectories proprioceptively or visually, we probed the role of each sensory modality. We found that patients with left hemisphere stroke were disproportionately worse than controls at imitating when cued proprioceptively versus visually. This proprioceptive versus visual disparity was associated with apraxia severity as assessed by a traditional imitation task, but could not be explained by general proprioceptive impairment or speed-accuracy trade-offs. These data suggest that successful imitation depends in part on the ability to represent movement goals in terms of how those movements should feel, and that deficits in this ability contribute to imitation impairments in patients with apraxia.


Assuntos
Apraxias , Acidente Vascular Cerebral , Objetivos , Humanos , Comportamento Imitativo , Movimento , Propriocepção , Desempenho Psicomotor , Acidente Vascular Cerebral/complicações
6.
Artigo em Inglês | MEDLINE | ID: mdl-37063476

RESUMO

Imitation is an important daily activity involved in social interactions, motor learning, and is commonly used for rehabilitation after stroke. Moreover, deficits in imitation of novel movements commonly occur after left hemisphere stroke (LCVA) in the syndrome of limb apraxia. In the current study, we used a novel virtual reality (VR) imitation paradigm to assess two factors that have remained underexplored in novel movement imitation: the imitation of complex, dynamic full-arm movements, and the effect of spatial perspective. VR holds promise as a tool for a number of clinical assessments and treatments, but has very rarely been studied in the context of imitation or diagnosis of apraxia. Thirty participants (18 with LCVA and 12 age- and education-matched controls) wore a VR headset and observed and imitated an instructor avatar demonstrating arm movements. Three spatial perspectives were examined within-subjects: first-person, third-person mirror, and third-person anatomical. Movements of the ipsilesional (left) arm were recorded and qualitatively coded for accuracy compared to the instructor avatar. Participants also completed embodiment questionnaires, a measure of limb apraxia (imitation of video-recorded meaningless movements), and three computerized background tasks that were hypothesized to evoke some of the same processing requirements of each of the three perspective conditions: a block-matching task, a block-mirroring task, and a mental rotation task. Imitation accuracy was highest in the first-person perspective, consistent with predictions, but did not differ between third-person mirror and anatomical. Surprisingly, patients and controls performed similarly on the imitation task for all spatial perspectives, with overall modest accuracy in both groups, and both patients and controls felt a moderate level of embodiment of their own avatar. Higher imitation accuracy related to quicker block-matching reaction times and higher mental rotation accuracy, regardless of perspective, but was unrelated to imitation of video-recorded meaningless movements. In sum, virtual reality provides advantages in terms of experimental manipulation and control but may present challenges in detecting clinical imitation deficits (limb apraxia).

7.
Front Hum Neurosci ; 15: 785992, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-35058767

RESUMO

Human motor learning is governed by a suite of interacting mechanisms each one of which modifies behavior in distinct ways and rely on different neural circuits. In recent years, much attention has been given to one type of motor learning, called motor adaptation. Here, the field has generally focused on the interactions of three mechanisms: sensory prediction error SPE-driven, explicit (strategy-based), and reinforcement learning. Studies of these mechanisms have largely treated them as modular, aiming to model how the outputs of each are combined in the production of overt behavior. However, when examined closely the results of some studies also suggest the existence of additional interactions between the sub-components of each learning mechanism. In this perspective, we propose that these sub-component interactions represent a critical means through which different motor learning mechanisms are combined to produce movement; understanding such interactions is critical to advancing our knowledge of how humans learn new behaviors. We review current literature studying interactions between SPE-driven, explicit, and reinforcement mechanisms of motor learning. We then present evidence of sub-component interactions between SPE-driven and reinforcement learning as well as between SPE-driven and explicit learning from studies of people with cerebellar degeneration. Finally, we discuss the implications of interactions between learning mechanism sub-components for future research in human motor learning.

8.
Neuron ; 103(6): 956-958, 2019 09 25.
Artigo em Inglês | MEDLINE | ID: mdl-31557458

RESUMO

In this issue of Neuron, Yokoi and Diedrichsen (2019) use a finger keyboard task to show that sequences are widely represented across cortex but that only single elements are represented in primary motor cortex. These results suggest that sequence tasks primarily probe the ability to order discreet actions rather than to execute a skilled continuous sequential action.


Assuntos
Córtex Motor , Neocórtex , Dedos , Humanos , Desempenho Psicomotor
9.
Compr Physiol ; 9(2): 613-663, 2019 03 14.
Artigo em Inglês | MEDLINE | ID: mdl-30873583

RESUMO

Motor learning encompasses a wide range of phenomena, ranging from relatively low-level mechanisms for maintaining calibration of our movements, to making high-level cognitive decisions about how to act in a novel situation. We survey the major existing approaches to characterizing motor learning at both the behavioral and neural level. In particular, we critically review two long-standing paradigms used in motor learning research-adaptation and sequence learning. We discuss the extent to which these paradigms can be considered models of motor skill acquisition, defined as the incremental improvement in our ability to rapidly select and then precisely execute appropriate actions, and conclude that they fall short of doing so. We then discuss two classes of emerging research paradigms-learning of arbitrary visuomotor mappings de novo and learning to execute movements with improved acuity-that more effectively address the acquisition of motor skill. Future work will be needed to determine the degree to which laboratory-based studies of skill, as described in this review, will relate to true expertise, which is likely dependent on the effects of practice on multiple cognitive processes that go beyond traditional sensorimotor neural architecture. © 2019 American Physiological Society. Compr Physiol 9:613-663, 2019.


Assuntos
Aprendizagem/fisiologia , Destreza Motora/fisiologia , Adaptação Fisiológica , Animais , Humanos
10.
J Neurosci ; 39(17): 3320-3331, 2019 04 24.
Artigo em Inglês | MEDLINE | ID: mdl-30804087

RESUMO

Humans are particularly good at copying novel and meaningless gestures. The mechanistic and anatomical basis for this specialized imitation ability remains largely unknown. One idea is that imitation occurs by matching body configurations. Here we propose an alternative route to imitation that depends on a body-independent representation of the trajectory path of the end-effector. We studied a group of patients with strokes in the left frontoparietal cortices. We found that they were equally impaired at imitating movement trajectories using the ipsilesional limb (i.e., the nonparetic side) that were cued either by an actor using their whole arm or just by a cursor, suggesting that body configuration information is not always critical for imitation and that a representation of abstract trajectory shape may suffice. In addition, imitation ability was uncorrelated to the ability to identify the trajectory shape, suggesting that imitation deficits were unlikely to arise from perceptual impairments. Finally, a lesion-symptom mapping analysis found that imitation deficits were associated with lesions in left dorsal premotor but not parietal cortex. Together, these findings suggest a novel body-independent route to imitation that relies on the ability to plan abstract movement trajectories within dorsal premotor cortex.SIGNIFICANCE STATEMENT The ability to imitate is critical for rapidly learning to produce new gestures and actions, but how the brain translates observed movements into motor commands is poorly understood. Examining the ability of patients with strokes affecting the left hemisphere revealed that meaningless gestures can be imitated by succinctly representing only the motion of the hand in space, rather than the posture of the entire arm. Moreover, performance deficits correlated with lesions in dorsal premotor cortex, an area not previously associated with impaired imitation of arm postures. These findings thus describe a novel route to imitation that may also be impaired in some patients with apraxia.


Assuntos
Lateralidade Funcional/fisiologia , Comportamento Imitativo/fisiologia , Córtex Motor/diagnóstico por imagem , Movimento/fisiologia , Desempenho Psicomotor/fisiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Córtex Motor/fisiopatologia , Acidente Vascular Cerebral/diagnóstico por imagem , Acidente Vascular Cerebral/fisiopatologia
11.
Brain ; 142(3): 662-673, 2019 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-30689760

RESUMO

Systematic perturbations in motor adaptation tasks are primarily countered by learning from sensory-prediction errors, with secondary contributions from other learning processes. Despite the availability of these additional processes, particularly the use of explicit re-aiming to counteract observed target errors, patients with cerebellar degeneration are surprisingly unable to compensate for their sensory-prediction error deficits by spontaneously switching to another learning mechanism. We hypothesized that if the nature of the task was changed-by allowing vision of the hand, which eliminates sensory-prediction errors-patients could be induced to preferentially adopt aiming strategies to solve visuomotor rotations. To test this, we first developed a novel visuomotor rotation paradigm that provides participants with vision of their hand in addition to the cursor, effectively setting the sensory-prediction error signal to zero. We demonstrated in younger healthy control subjects that this promotes a switch to strategic re-aiming based on target errors. We then showed that with vision of the hand, patients with cerebellar degeneration could also switch to an aiming strategy in response to visuomotor rotations, performing similarly to age-matched participants (older controls). Moreover, patients could retrieve their learned aiming solution after vision of the hand was removed (although they could not improve beyond what they retrieved), and retain it for at least 1 year. Both patients and older controls, however, exhibited impaired overall adaptation performance compared to younger healthy controls (age 18-33 years), likely due to age-related reductions in spatial and working memory. Patients also failed to generalize, i.e. they were unable to adopt analogous aiming strategies in response to novel rotations. Hence, there appears to be an inescapable obligatory dependence on sensory-prediction error-based learning-even when this system is impaired in patients with cerebellar disease. The persistence of sensory-prediction error-based learning effectively suppresses a switch to target error-based learning, which perhaps explains the unexpectedly poor performance by patients with cerebellar degeneration in visuomotor adaptation tasks.


Assuntos
Adaptação Fisiológica/fisiologia , Doenças Cerebelares/fisiopatologia , Aprendizagem/fisiologia , Adaptação Psicológica/fisiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Doenças Cerebelares/metabolismo , Retroalimentação Sensorial , Feminino , Mãos/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Desempenho Psicomotor/fisiologia , Percepção Visual/fisiologia , Adulto Jovem
12.
Elife ; 62017 07 28.
Artigo em Inglês | MEDLINE | ID: mdl-28753125

RESUMO

Reaction times (RTs) are assumed to reflect the underlying computations required for making decisions and preparing actions. Recent work, however, has shown that movements can be initiated earlier than typically expressed without affecting performance; hence, the RT may be modulated by factors other than computation time. Consistent with that view, we demonstrated that RTs are influenced by prior experience: when a previously performed task required a specific RT to support task success, this biased the RTs in future tasks. This effect is similar to the use-dependent biases observed for other movement parameters such as speed or direction. Moreover, kinematic analyses revealed that these RT biases could occur without changing the underlying computations used to perform the action. Thus the RT is not solely determined by computational requirements but is an independent parameter that can be habitually set by prior experience.


Assuntos
Hábitos , Tempo de Reação/fisiologia , Adulto , Viés , Fenômenos Biomecânicos , Feminino , Humanos , Masculino , Movimento , Análise e Desempenho de Tarefas
13.
PLoS One ; 12(4): e0174977, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28380076

RESUMO

Individual differences in sensorimotor adaptability may permit customized training protocols for optimum learning. Here, we sought to forecast individual adaptive capabilities in the vestibulo-ocular reflex (VOR). Subjects performed 400 head-rotation steps (400 trials) during a baseline test, followed by 20 min of VOR gain adaptation. All subjects exhibited mean baseline VOR gain of approximately 1.0, variable from trial to trial, and showed desired reductions in gain following adaptation with variation in extent across individuals. The extent to which a given subject adapted was inversely proportional to a measure of the strength and duration of baseline inter-trial correlations (ß). ß is derived from the decay of the autocorrelation of the sequence of VOR gains, and describes how strongly correlated are past gain values; it thus indicates how much the VOR gain on any given trial is informed by performance on previous trials. To maximize the time that images are stabilized on the retina, the VOR should maintain a gain close to 1.0 that is adjusted predominantly according to the most recent error; hence, it is not surprising that individuals who exhibit smaller ß (weaker inter-trial correlations) also exhibited the best adaptation. Our finding suggests that the temporal structure of baseline behavioral data contains important information that may aid in forecasting adaptive capacities. This has significant implications for the development of personalized physical therapy protocols for patients, and for other cases when it is necessary to adjust motor programs to maintain movement accuracy in response to pathological and environmental changes.


Assuntos
Adaptação Fisiológica/fisiologia , Reflexo Vestíbulo-Ocular/fisiologia , Movimentos Oculares/fisiologia , Movimentos da Cabeça/fisiologia , Humanos , Individualidade , Desempenho Psicomotor/fisiologia
14.
Nat Commun ; 8: 14624, 2017 03 03.
Artigo em Inglês | MEDLINE | ID: mdl-28256513

RESUMO

In an environment full of potential goals, how does the brain determine which movement to execute? Existing theories posit that the motor system prepares for all potential goals by generating several motor plans in parallel. One major line of evidence for such theories is that presenting two competing goals often results in a movement intermediate between them. These intermediate movements are thought to reflect an unintentional averaging of the competing plans. However, normative theories suggest instead that intermediate movements might actually be deliberate, generated because they improve task performance over a random guessing strategy. To test this hypothesis, we vary the benefit of making an intermediate movement by changing movement speed. We find that participants generate intermediate movements only at (slower) speeds where they measurably improve performance. Our findings support the normative view that the motor system selects only a single, flexible motor plan, optimized for uncertain goals.


Assuntos
Encéfalo/fisiologia , Objetivos , Atividade Motora/fisiologia , Desempenho Psicomotor/fisiologia , Incerteza , Adulto , Sinais (Psicologia) , Feminino , Humanos , Masculino , Tempo de Reação/fisiologia , Fatores de Tempo , Estudos de Tempo e Movimento , Adulto Jovem
15.
Front Hum Neurosci ; 11: 100, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28326028

RESUMO

Saccades exhibit variation in performance from one trial to the next, even when paced at a constant rate by targets at two fixed locations. We previously showed that amplitude fluctuations in consecutive predictive saccades have fractal structure: the spectrum of the sequence of consecutive amplitudes has a power-law (f-α) form, indicative of inter-trial correlations that reflect the storage of prior performance information to guide the planning of subsequent movements. More gradual decay of these inter-trial correlations coincides with a larger magnitude of spectral slope α, and indicates stronger information storage over longer times. We have previously demonstrated that larger decay exponents (α) are associated with faster adaptation in a saccadic double-step task. Here, we extend this line of investigation to predictive saccade endpoints (i.e., movement errors). Subjects made predictive, paced saccades between two fixed targets along a horizontal or vertical axis. Endpoint fluctuations both along (on-axis) and orthogonal to (off-axis) the direction of target motion were examined for correlations and fractal structure. Endpoints in the direction of target motion had little or no correlation or power-law scaling, suggesting that successive movements were uncorrelated (white noise). In the orthogonal direction, however, the sequence of endpoints did exhibit inter-trial correlations and scaling. In contrast, in our previous work the scaling of saccade amplitudes is strong along the target direction. This may reflect the fact that while saccade amplitudes are neurally programmed, endpoints are not directly controlled but instead serve as a source of error feedback. Hence, the lack of correlations in on-axis endpoint errors suggests that maximum information has been extracted from previous movement errors to plan subsequent movement amplitudes. In contrast, correlations in the off-axis component indicate that useful information still remains in this error (residual) sequence, suggesting that saccades are less tightly controlled along the orthogonal direction.

16.
Cerebellum ; 16(1): 158-167, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27165043

RESUMO

An attractive hypothesis about how the brain learns to keep its motor commands accurate is centered on the idea that the cerebellar cortex associates error signals carried by climbing fibers with simultaneous activity in parallel fibers. Motor learning can be impaired if the error signals are not transmitted, are incorrect, or are misinterpreted by the cerebellar cortex. Learning might also be impaired if the brain is overwhelmed with a sustained barrage of meaningless information unrelated to simultaneously appearing error signals about incorrect performance. We test this concept in subjects with syndrome of oculopalatal tremor (OPT), a rare disease with spontaneous, irregular, roughly pendular oscillations of the eyes thought to reflect an abnormal, synchronous, spontaneous discharge to the cerebellum from the degenerating neurons in the inferior olive. We examined motor learning during a short-term, saccade adaptation paradigm in patients with OPT and found a unique pattern of disturbed adaptation, quite different from the abnormal adaption when the cerebellum is involved directly. Both fast (seconds) and slow (minutes) timescales of learning were impaired. We suggest that the spontaneous, continuous, synchronous output from the inferior olive prevents the cerebellum from receiving the error signals it needs for appropriate motor learning. The important message from this study is that impaired motor adaptation and resultant dysmetria is not the exclusive feature of cerebellar disorders, but it also highlights disorders of the inferior olive and its connections to the cerebellum.


Assuntos
Aprendizagem/fisiologia , Mioclonia/fisiopatologia , Núcleo Olivar/fisiopatologia , Movimentos Sacádicos/fisiologia , Tremor/fisiopatologia , Adaptação Fisiológica/fisiologia , Adulto , Idoso , Medições dos Movimentos Oculares , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Mioclonia/psicologia , Testes Neuropsicológicos , Tremor/psicologia
17.
Otol Neurotol ; 37(9): 1399-405, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-27556420

RESUMO

OBJECTIVE: To describe vestibulo-ocular function and compensatory mechanisms in the immediate postoperative period after superior canal dehiscence surgery. STUDY DESIGN: Prospective longitudinal study. SETTING: Tertiary medical center. PATIENTS: Five patients who underwent plugging of superior semicircular canal via middle cranial fossa approach. INTERVENTIONS: Bedside quantitative video head impulse testing (vHIT). MAIN OUTCOME MEASURES: Dynamic measures of vestibulo-ocular reflex (VOR) function including VOR gain and compensatory saccades during vHIT. RESULTS: Mean VOR gain of the ipsilateral superior semicircular canal (SC) decreased from 0.71 ±â€Š0.1 preoperatively to 0.28 ±â€Š0.07 on postoperative day (POD) 2-4 (p = 0.0031), consistent with plugging. There was also a significant immediate postoperative decrease of VOR gain for the other ipsilateral canals (posterior canal (PC) from gain 0.91 ±â€Š0.33 down to 0.55 ±â€Š0.14, p = 0.040; horizontal canal (HC) from 0.81 ±â€Š0.08 down to 0.54 ±â€Š0.19, p = 0.038). On PODs 1-2, compensatory saccades after testing the plugged SC occurred exclusively after the head stopped moving (overt) with latency of 186.2 ms ±â€Š19.9 ms. By POD 7 saccade latency decreased to 141.0 ±â€Š17.5 ms (p = 0.032), and saccades were occurring during the vertical head rotation (covert saccades). Follow-up >40 days was consistent with previous findings in that mean SC gain remained low. HC gain recovered fully, but some cases did not have full recovery of PC gain. CONCLUSION: When the SC is plugged surgically, early quantitative vHIT demonstrates significantly reduced VOR gain for all of the ipsilateral canals. Possible mechanisms include labyrinthine inflammation and loss of perilymph at the time of surgery. Full recovery is typical for the horizontal canal but not always for the PC. Evidence of central compensation occurred by the elicitation of compensatory saccades and by reducing their latencies within the first week after surgery.


Assuntos
Doenças do Labirinto/cirurgia , Procedimentos Cirúrgicos Otológicos/efeitos adversos , Reflexo Vestíbulo-Ocular/fisiologia , Adulto , Feminino , Teste do Impulso da Cabeça , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/fisiopatologia , Período Pós-Operatório , Estudos Prospectivos , Movimentos Sacádicos/fisiologia , Canais Semicirculares/fisiopatologia , Canais Semicirculares/cirurgia
18.
J Neurophysiol ; 116(2): 296-305, 2016 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-27098032

RESUMO

Interactions with our environment require curved movements that depend not only on the final position of the hand but also on the path used to achieve it. Current studies in motor control, however, largely focus on point-to-point movements and do not consider how movements with specific desired trajectories might arise. In this study, we examined intentionally curved reaching movements that navigate paths around obstacles. We found that the preparation of these movements incurred a large reaction-time cost. This cost could not be attributed to nonmotor task requirements (e.g., stimulus perception) and was independent of the execution difficulty (i.e., extent of curvature) of the movement. Additionally, this trajectory representation cost was not observed for point-to-point reaches but could be optionally included if the task encouraged consideration of straight trajectories. Therefore, when the path of a movement is task relevant, the shape of the desired trajectory is overtly represented as a stage of motor planning. This trajectory representation ability may help explain the vast repertoire of human motor behaviors.


Assuntos
Tomada de Decisões/fisiologia , Retroalimentação Fisiológica/fisiologia , Intenção , Movimento/fisiologia , Adolescente , Adulto , Fenômenos Biomecânicos , Feminino , Mãos , Humanos , Masculino , Desempenho Psicomotor/fisiologia , Tempo de Reação/fisiologia , Adulto Jovem
19.
J Neurophysiol ; 114(1): 219-32, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25904709

RESUMO

Motor skill learning involves a practice-induced improvement in the speed and/or accuracy of a discrete movement. It is often thought that paradigms involving repetitive practice of discrete movements performed in a fixed sequence result in a further enhancement of skill beyond practice of the individual movements in a random order. Sequence-specific performance improvements could, however, arise without practice as a result of knowledge of the sequence order; knowledge could operate by either enabling advanced motor planning of the known sequence elements or by increasing overall motivation. Here, we examined how knowledge and practice contribute to performance of a sequence of movements. We found that explicit knowledge provided through instruction produced practice-independent improvements in reaction time and execution quality. These performance improvements occurred even for random elements within a partially known sequence, indicative of a general motivational effect rather than a sequence-specific effect of advanced planning. This motivational effect suggests that knowledge influences performance in a manner analogous to reward. Additionally, practice led to similar improvements in execution quality for both known and random sequences. The lack of interaction between knowledge and practice suggests that any skill acquisition occurring during discrete sequence tasks arises solely from practice of the individual movement elements, independent of their order. We conclude that performance improvements in discrete sequence tasks arise from the combination of knowledge-based motivation and sequence-independent practice; investigating this interplay between cognition and movement may facilitate a greater understanding of the acquisition of skilled behavior.


Assuntos
Aprendizagem , Motivação , Destreza Motora , Adolescente , Adulto , Braço/fisiologia , Conscientização , Sinais (Psicologia) , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Destreza Motora/fisiologia , Psicofísica , Tempo de Reação , Recompensa , Adulto Jovem
20.
Neuroscientist ; 21(4): 385-98, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24981338

RESUMO

Motor planning colloquially refers to any process related to the preparation of a movement that occurs during the reaction time prior to movement onset. However, this broad definition encompasses processes that are not strictly motor-related, such as decision-making about the identity of task-relevant stimuli in the environment. Furthermore, the assumption that all motor-planning processes require processing time, and can therefore be studied behaviorally by measuring changes in the reaction time, needs to be reexamined. In this review, we take a critical look at the processes leading from perception to action and suggest a definition of motor planning that encompasses only those processes necessary for a movement to be executed-that is, processes that are strictly movement related. These processes resolve the ambiguity inherent in an abstract goal by defining a specific movement to achieve it. We propose that the majority of processes that meet this definition can be completed nearly instantaneously, which means that motor planning itself in fact consumes only a small fraction of the reaction time.


Assuntos
Tomada de Decisões/fisiologia , Movimento , Desempenho Psicomotor , Tempo de Reação , Atenção/fisiologia , Humanos , Modelos Neurológicos , Percepção/fisiologia
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