Kinesthesia: Roles for Afferent Signals and Motor Commands

Validity and Reliability of the Timed 360° Turn Test in Individuals with Ankle Sprain

Background

The Timed 360° turn test (T-360° TT) was developed to assess balance and turning ability. Although validity and reliability have been performed in different diseases, validity and reliability have not been performed in individuals with ankle sprain (AS).

Purpose

The purpose of this study was to investigate the validity and reliability of the T-360° TT in individuals with AS.

Methods

The study included 54 individuals with AS. Participants were initially evaluated with T-360° TT, Timed Up and Go (TUG) test and Biodex Balance System (BBS). To assess test-retest reliability, the T-360° TT was performed again 5 days after the first measurement by the same assessor.

Results

At the end of the study, strong positive correlations were found between T-360° TT with TUG test and BBS (p < 0.05). In addition, T-360° TT had excellent test-retest reliability (Intraclass correlation coefficient = 0.87).

Conclusion

The T-360° TT is a valid and reliable tool for the evaluation of balance and turning ability in individuals with AS. We also think that it can be used practically in clinical settings because it is a test that can be easily and quickly performed.

The effects of eccentric exercise-induced fatigue on position sense during goal-directed movement

We investigated the impairment of position sense associated with muscle fatigue. In Exp. 1, participants performed learned eccentric extension (22 °/s) movements of the elbow as the arm was pulled through the horizontal plane without vision of the arm. They opened their closed right hand when they judged it to be passing through a target. Dynamic position sense was assessed via accuracy of limb position to the target at time of hand opening. Eccentric movements were performed against a flexion load (10% of flexion MVC). We investigated performance under conditions with and without biceps vibration, as well as before and after eccentric exercise. In Exp. 2, a motor was used to extend the participant's limb passively. We compared conditions with and without vibration of the lengthening but passive biceps, before and after exercise. In Exp. 1, vibration of the active biceps resulted in participants opening their hand earlier ( [95% CI] -5.52° [-7.40, -3.63]) compared to without vibration. Exercise reduced flexion MVCs by ~44%, and participants undershot the target more (-5.51° [-9.31, -1.70]) in the post-exercise block during control trials. Exercise did not influence the persistence of the vibratory illusion. In Exp. 2, vibration resulted in greater undershooting (-2.99° [-3.99, -1.98]) compared to without vibration, before and after exercise. Although exercise reduced MVCs by ~50%, the passive task showed no effects of exercise. We suggest that the CNS continues to rely on muscle spindles for limb position sense, even when they reside in a muscle exposed to fatiguing eccentric contractions.

Electrotactile Feedback for the Discrimination of Different Surface Textures Using a Microphone

Most commercial prosthetic hands lack closed-loop feedback, thus, a lot of research has been focusing on implementing sensory feedback systems to provide the user with sensory information during activities of daily living. This study evaluates the possibilities of using a microphone and electrotactile feedback to identify different textures. A condenser microphone was used as a sensor to detect the friction sound generated from the contact between different textures and the microphone. The generated signal was processed to provide a characteristic electrical stimulation presented to the participants. The main goal of the processing was to derive a continuous and intuitive transfer function between the microphone signal and stimulation frequency. Twelve able-bodied volunteers participated in the study, in which they were asked to identify the stroked texture (among four used in this study: Felt, sponge, silicone rubber, and string mesh) using only electrotactile feedback. The experiments were done in three phases: (1) Training, (2) with-feedback, (3) without-feedback. Each texture was stroked 20 times each during all three phases. The results show that the participants were able to differentiate between different textures, with a median accuracy of 85%, by using only electrotactile feedback with the stimulation frequency being the only variable parameter.

Discrimination Thresholds for Passive Tactile Volume Perception by Fingertips

Haptic object perception is still poorly understood up to now. This study investigated the ability of human fingers to discriminate the volume of objects by passive touch. Experiments measured the discrimination threshold of volume using three tasks: passive tactile volume perception, passive tactile area perception, and active tactile volume perception. In each trial, we utilized two plastic cubes to successively stimulate the fingers, and participants were instructed to make comparisons between the stimulus objects’ volume and area. Results showed that there was no significant difference in the discrimination thresholds of tactile volume perception between passive touch and active touch, whereas significant differences in the discrimination thresholds between fingertips, such as the thumb versus the pinky finger. In passive touch, the discrimination thresholds of volume perception were larger than that with surface area perception. We found that the discrimination of the volume of objects is more difficult than the discrimination of the area of the objects.

Heritability of proprioceptive senses

Heritability studies using the twin model have provided the basis to disentangle genetic and environmental factors that contribute to several complex human traits. However, the relative importance of these factors to individual differences in proprioception is largely unknown despite the fact that proprioceptive senses are of great importance, allowing us to respond to stimuli stemming from the space around us and react to altering circumstances. Hence, a total of 44 healthy male twins (11 MZ and 11 DZ pairs), 19-28 yr old, were examined for movement, position, and force sense at the elbow joint, and their heritability estimates were computed. Results showed that genetic factors explained 1) 72 and 76% of the total variance of movement sense at the start and the end of the movement, respectively, 2) 60 to 77% of the total variance of position sense, depending on the angle of elbow flexion and whether forearm positioning was active or passive, and 3) 73 and 70% of the total variance of the force sense at 90 and 60° of elbow flexion, respectively. It is concluded that proprioception assessed by these conscious sensations is to a substantial degree genetically dependent, with heritability indexes ranging from 0.60 to 0.77, depending on the task. NEW & NOTEWORTHY Proprioceptive acuity varies among people, but it is not known how much of this variability is due to differences in their genes. This study is the first to report that proprioception, expressed as movement sense, position sense, and force sense, is substantially heritable, and it is conceivable that this may have implications for motor learning and control, neural development, and neurorehabilitation.

Perception of body movement when real and simulated displacements are combined

Muscle-tendon vibration has often been used to study the contribution of proprioception to kinesthesia and postural control. This technique is known to simulate the lengthening of the vibrated muscle and, in the presence of balance constraints, evoke compensatory postural responses. The objective of the present study was to clarify the consequences of this stimulation on the dynamic features of whole-body movement perception in upright stance and in the absence of balance constraints. Eleven participants were restrained in a dark room on a motorized backboard that was able to tilt the upright body around the ankle joints. The participants were passively tilted backwards or forwards with a maximum amplitude of four degrees and at very low acceleration (thus preventing the semicircular canals from contributing to movement perception). In half the trials, the body displacement was combined with continuous vibration of the Achilles tendons, which simulates a forward tilt. Participants used a joystick to report when and in which direction they perceived their own whole-body movement. Our results showed that during backward whole-body displacement, the movement detection threshold (i.e. the minimum angular velocity required to accurately perceive passive displacement) was higher in the presence of vibration, whereas the accuracy rate (i.e. the proportion of the overall trial duration during which the movement was correctly indicated) was lower. Conversely, the accuracy rate for forward displacements was higher in the presence of vibration. In the absence of vibration, forward movement was detected earlier than backward movement. The simulated whole-body displacement evoked by Achilles tendon vibration was therefore able to either enhance or disrupt the perception of real, slow, whole-body tilt movements, depending on the congruence between the direction of real and simulated displacements.

Effects of Local Muscle Vibration on the Displacement of Center of Pressure during Quiet Standing

[Purpose] The purpose of this study was to investigate the effect of local vibration stimuli on body balance (trace area, trace length, and velocity) in healthy adults during double-leg standing. [Subjects and Methods] Thirty-nine subjects (10 male, 29 female) participated in this study. They were asked to keep their balance while holding four positions: standing with their eyes open, with and without vibration stimuli, and standing with their eyes closed, with and without vibration stimuli. The vibration stimuli, which had a duration of 30 sec, and a frequency of 60–80 Hz, were applied to the tibialis anterior and gastrocnemius muscle belly during double-leg standing. Balance measurement was performed using the Balance Trainer 4 (HUR Labs Oy, Tampere, Finland). All subjects provided informed consent prior to participation in this study. [Results] In the open-eyes position, there were no significant differences in trace area, trace length, and velocity of the center of pressure (COP) either with or without vibration stimuli. However, in the closed-eyes position, the vibration stimuli significantly decreased trace area, trace length, and velocity of the COP compared with when no vibration stimuli were applied. [Conclusion] These results suggest that vibration stimuli applied to the lower leg improve balance when a person’s eyes are closed during double-leg quiet standing.

Neural responses to the mechanical parameters of a high-velocity, low-amplitude spinal manipulation: effect of preload parameters

OBJECTIVE

The purpose of this study was to determine how the preload that precedes a high-velocity, low-amplitude spinal manipulation (HVLA-SM) affects muscle spindle input from lumbar paraspinal muscles both during and after the HVLA-SM.

METHODS

Primary afferent activity from muscle spindles in lumbar paraspinal muscles were recorded from the L6 dorsal root in anesthetized cats. High-velocity, low-amplitude spinal manipulation of the L6 vertebra was preceded either by no preload or systematic changes in the preload magnitude, duration, and the presence or absence of a downward incisural point. Immediate effects of preload on muscle spindle responses to the HVLA-SM were determined by comparing mean instantaneous discharge frequencies (MIF) during the HVLA-SM's thrust phase with baseline. Longer lasting effects of preload on spindle responses to the HVLA-SM were determined by comparing MIF during slow ramp and hold movement of the L6 vertebra before and after the HVLA-SM.

RESULTS

The smaller compared with the larger preload magnitude and the longer compared with the shorter preload duration significantly increased (P = .02 and P = .04, respectively) muscle spindle responses during the HVLA-SM thrust. The absence of preload had the greatest effect on the change in MIF. Interactions between preload magnitude, duration, and downward incisural point often produced statistically significant but arguably physiologically modest changes in the passive signaling properties of the muscle spindle after the manipulation.

CONCLUSION

Because preload parameters in this animal model were shown to affect neural responses to an HVLA-SM, preload characteristics should be taken into consideration when judging this intervention's therapeutic benefit in both clinical efficacy studies and in clinical practice.

Effects of thrust amplitude and duration of high-velocity, low-amplitude spinal manipulation on lumbar muscle spindle responses to vertebral position and movement

OBJECTIVE

Mechanical characteristics of high-velocity, low-amplitude spinal manipulations (HVLA-SMs) can vary. Sustained changes in peripheral neuronal signaling due to altered load transmission to a sensory receptor's local mechanical environment are often considered a mechanism contributing to the therapeutic effects of spinal manipulation. The purpose of this study was to determine whether variation in an HVLA-SM's thrust amplitude and duration alters the neural responsiveness of lumbar muscle spindles to either vertebral movement or position.

METHODS

Anesthetized cats (n = 112) received L6 HVLA-SMs delivered to the spinous process. Cats were divided into 6 cohorts depending upon the peak thrust force (25%, 55%, 85% body weight) or thrust displacement (1, 2, 3 mm) they received. Cats in each cohort received 8 thrust durations (0-250 milliseconds). Afferent discharge from 112 spindles was recorded in response to ramp and hold vertebral movement before and after the manipulation. Changes in mean instantaneous frequency (∆MIF) during the baseline period preceding the ramps (∆MIFresting), during ramp movement (∆MIFmovement), and with the vertebra held in the new position (∆MIFposition) were compared.

RESULTS

Thrust duration had a small but statistically significant effect on ∆MIFresting at all 6 thrust amplitudes compared with control (0-millisecond thrust duration). The lowest amplitude thrust displacement (1 mm) increased ∆MIFresting at all thrust durations. For all the other thrust displacements and forces, the direction of change in ∆MIFresting was not consistent, and the pattern of change was not systematically related to thrust duration. Regardless of thrust force, displacement, or duration, ∆MIFmovement and ∆MIFposition were not significantly different from control.

CONCLUSION

Relatively low-amplitude thrust displacements applied during an HVLA-SM produced sustained increases in the resting discharge of paraspinal muscle spindles regardless of the duration over which the thrust was applied. However, regardless of the HVLA-SM's thrust amplitude or duration, the responsiveness of paraspinal muscle spindles to vertebral movement and to a new vertebral position was not affected.

Surgical and Biomechanical Perspectives on Osteoarthritis and the ACL Deficient Knee: A Critical Review of the Literature

This review was undertaken to better understand the debate regarding the issue of osteoarthritis associated with anterior cruciate ligament (ACL) injuries, from a surgical and biomechanical standpoint. Much of the current debate focuses on contributory surgical factors and their relative roles in increasing or decreasing the risk of future osteoarthritis development, primarily highlighting the controversy over whether reconstructive surgery itself is necessarily protective. This review addresses the evolution of ACL reconstruction techniques over time, and with a view to thoroughly examine the role of surgery, outcome differences in procedural technique are reviewed, with a focus on open versus arthroscopic methods, graft choice and the use of a double versus single bundle reconstruction technique. Moreover, other potentially important contributory factors are identified and discussed, such as intrinsic biomechanical alterations sustained at the time of initial injury, and how these may have a more significant role with regard to future osteoarthritic changes in the knee than previously attributed.

The consequences of short-range stiffness and fluctuating muscle activity for proprioception of postural joint rotations: the relevance to human standing

Proprioception comes from muscles and tendons. Tendon compliance, muscle stiffness, and fluctuating activity complicate transduction of joint rotation to a proprioceptive signal. These problems are acute in postural regulation because of tiny joint rotations and substantial short-range muscle stiffness. When studying locomotion or perturbed balance these problems are less applicable. We recently measured short-range stiffness in standing and considered the implications for load stability. Here, using an appropriately simplified model we analyze the conversion of joint rotation to spindle input and tendon tension while considering the effect of short-range stiffness, tendon compliance, fluctuating muscle activity, and fusimotor activity. Basic principles determine that when muscle stiffness and tendon compliance are high, fluctuating muscle activity is the greatest factor confounding registration of postural movements, such as ankle rotations during standing. Passive and isoactive muscle, uncomplicated by active length fluctuations, enable much better registration of joint rotation and require fewer spindles. Short-range muscle stiffness is a degrading factor for spindle input and enhancing factor for Golgi input. Constant fusimotor activity does not enhance spindle registration of postural joint rotations in actively modulated muscle: spindle input remains more strongly associated with muscle activity than joint rotation. A hypothesized rigid alpha-gamma linkage could remove this association with activity but would require large numbers of spindles in active postural muscles. Using microneurography, the existence of a rigid alpha-gamma linkage could be identified from the correlation between spindle output and muscle activity. Basic principles predict a proprioceptive "dead zone" in the active agonist muscle that is related to the short-range muscle stiffness.

Sense of Effort Determines Lower Limb Force Production During Dynamic Movement in Individuals With Poststroke Hemiparesis

Objective. This study’s purpose was to determine if individuals who have had a stroke primarily use sense of effort to gauge force production during static and dynamic lower limb contractions. If relying on sense of effort while attempting to generate equal limb forces, participants should produce equal percentages of their maximum voluntary strength rather than equal absolute forces in their limbs. Methods. Ten stroke participants performed isometric and isotonic lower limb extensions on an exercise machine. Results. When participants attempted to produce equal bilateral isometric forces, there was a significant difference in absolute force between limbs (ANOVA, P < .0001) but no significant difference when force was normalized to each limb’s maximum voluntary contraction (MVC) force ( P = .5129). During bilateral isotonic contractions, participants produced less absolute force in their paretic limb ( P = .0005) and less relative force in their paretic limb (normalized to MVC force) when participants were given no instructions on how to perform the extension ( P = .0002). When participants were instructed to produce equal forces, there was no significant difference between relative forces in the 2 limbs ( P = .2111). Conclusions. For both isometric and isotonic conditions hemiparetic participants relied primarily on sense of effort, rather than proprioceptive feedback, for gauging lower limb force production. This outcome indicates that sense of effort is the major factor determining force production during movements. Lower limb rehabilitation therapies should not only train strength in the paretic limb but should also train patients to recalibrate force-scaling abilities to improve function.

Inducing Any Virtual Two-Dimensional Movement in Humans by Applying Muscle Tendon Vibration

In humans, tendon vibration evokes illusory sensation of movement. We developed a model mimicking the muscle afferent patterns corresponding to any two-dimensional movement and checked its validity by inducing writing illusory movements through specific sets of muscle vibrators. Three kinds of illusory movements were compared. The first was induced by vibration patterns copying the responses of muscle spindle afferents previously recorded by microneurography during imposed ankle movements. The two others were generated by the model. Sixteen different vibratory patterns were applied to 20 motionless volunteers in the absence of vision. After each vibration sequence, the participants were asked to name the corresponding graphic symbol and then to reproduce the illusory movement perceived. Results showed that the afferent patterns generated by the model were very similar to those recorded microneurographically during actual ankle movements ( r = 0.82). The model was also very efficient for generating afferent response patterns at the wrist level, if the preferred sensory directions of the wrist muscle groups were first specified. Using recorded and modeled proprioceptive patterns to pilot sets of vibrators placed at the ankle or wrist levels evoked similar illusory movements, which were correctly identified by the participants in three quarters of the trials. Our proprioceptive model, based on neurosensory data recorded in behaving humans, should then be a useful tool in fields of research such as sensorimotor learning, rehabilitation, and virtual reality.

Position sensitivity of feline paraspinal muscle spindles to vertebral movement in the lumbar spine

Muscle spindles contribute to sensorimotor control by supplying feedback regarding muscle length and consequently information about joint position. While substantial study has been devoted to determining the position sensitivity of spindles in limb muscles, there appears to be no data on their sensitivity in the low back. We determined the relationship between lumbar paraspinal muscle spindle discharge and paraspinal muscle lengthening estimated from controlled cranialward movement of the L(6) vertebra in anesthetized cats. Ramp (0.4 mm/s) and hold displacements (0.2, 0.4, 0.6, 0.8, and 1.2 mm for 2.5 s) were applied at the L(6) spinous process. Position sensitivity was defined as the slope of the relationship between the estimated increase in muscle length and mean instantaneous frequency at each length. To enable comparisons with appendicular muscle spindles where joint angle was measured, we also calculated sensitivity in terms of the L(6) and L(7) intervertebral flexion angle (IVA). This angle was estimated from measurements of facet joint capsule strain (FJC) based on a previously established relationship between IVA and FJC strain in the cat lumbar vertebral column during lumbar flexion. Single-unit recordings were obtained from 12 muscle spindle afferents. Longissimus and multifidus muscles contained the receptive field of 10 and 2 afferents, respectively. Mean position sensitivity was 16.3 imp.s(-1).mm(-1) [10.6-22.1, 95% confidence interval (CI), P < 0.001]. Mean angular sensitivity was 5.2 imp.s(-1). degrees (-1) (2.6-8.0, P < 0.003). These slope estimates were more than 3.5 times greater compared with appendicular muscle spindles, and their CIs did not contain previous slope estimates for the sensitivity of appendicular spindles from the literature. Potential reasons for and the significance of the apparently high position sensitivity in the lumbar spine are discussed.

Perception of limb orientation in the vertical plane depends on center of mass rather than inertial eigenvectors

We performed two experiments to test the hypothesis that the perception of limb orientation depends on inertial eigenvectors (e_i) against the alternative hypothesis that it depends on the center of mass vector (CM). Whereas e_i constrains the dynamic torques involved in angular rotation, CM constrains the static torque necessary to keep the limb aloft in the gravitational field. Hence, possible effects of e_i and CM on kinesthetic judgments must be related to the dynamic and static torques, respectively, involved in moving and positioning a limb. In the first experiment, blindfolded participants matched, with upper arms supported, the orientation of their forearms while the forearms’ e_i and CM were manipulated relative to the elbow. The manipulation of the vector CM alone induced a matching bias, as did the combined manipulation of e_i and CM, whereas the manipulation of e_i alone did not. In the second experiment, participants positioned their unseen and unsupported right arm at an indicated spatial configuration while e_i and CM of the right forearm were manipulated as in Experiment 1. As in the first experiment, forearm positioning was affected by the independent manipulation of CM and the combined manipulation of e_i and CM, but not by the independent variation of e_i. Moreover, none of the manipulations affected upper arm positioning. These results refute the claim that the perception of limb orientation (in the vertical plane) is based on e_i and demonstrate, for the first time, the implication of a limb segment’s CM in the perception of its orientation.

Mathematical models of proprioceptors. II. Structure and function of the Golgi tendon organ

We developed a physiologically realistic mathematical model of the Golgi tendon organ (GTO) whose elements correspond to anatomical features of the biological receptor. The mechanical interactions of these elements enable it to capture all salient aspects of GTO afferent behavior reported in the literature. The model accurately describes the GTO's static and dynamic responses to activation of single motor units whose muscle fibers insert into the GTO, including the different static and dynamic sensitivities that exist for different types of muscle fibers (S, FR, and FF). Furthermore, it captures the phenomena of self- and cross-adaptation wherein the GTO dynamic response during motor unit activation is reduced by prior activation of the same or a different motor unit, respectively. The model demonstrates various degrees of nonlinear summation of GTO responses resulting from simultaneous activation of multiple motor units. Similarly to the biological GTO, the model suggests that the activation of every additional motor unit to already active motor units that influence the receptor will have a progressively weaker incremental effect on the GTO afferent activity. Finally, the proportional relationship between the cross-adaptation and summation recorded for various pairs of motor units was captured by the model, but only by incorporating a particular type of occlusion between multiple transduction regions that were previously suggested. This occlusion mechanism is consistent with the anatomy of the afferent innervation and its arrangement with respect to the collagen strands inserting into the GTO.

Effect of eccentric exercise on position sense at the human forearm in different postures

This is a study of the ability of blindfolded human subjects to match the position of their forearms before and after eccentric exercise. The hypothesis tested was that the sense of effort contributed to forearm position sense. The fall in force after the exercise was predicted to alter the relationship between effort and force and thereby induce position errors. In the arms-in-front posture, subjects had their unsupported reference arm set to one of two angles from the horizontal, 30 or 60°, and they matched its position by voluntary placement of their other arm. Matching errors were compared with a task where the arms were counterweighted, so could be moved in the vertical plane with minimal effort, and where the arms were moved in the horizontal plane. In these latter two tasks, the intention was to test whether removal of an effort sensation from holding the arm against gravity influenced matching performance. It was found that, although absolute errors for counterweighted and horizontal matching were no larger than for unsupported matching, their standard deviations, 6.1 and 6.8°, respectively, were significantly greater than for unsupported matching (4.6°), indicating more erratic matching. The eccentric exercise led, the next day, to a fall in maximum voluntary muscle torque of ≥15%. This was accompanied by a significant increase in matching errors for the unsupported matching task from 2.7 ± 0.5 to 0.8 ± 0.7° but not for counterweighted (1.4 ± 0.2 to −0.2°± 1.1°) or horizontal matching (−1.3 ± 0.7° to −1.8 ± 0.7°). This, it is postulated, is because the reduced voluntary torque after exercise was accompanied by a greater effort required to support the arms, leading to larger matching errors. However, effort is only able to provide positional information for unsupported matching where gravity plays a role. In gravity-neutral tasks like counterweighted or horizontal matching, a change in the effort-force relationship after exercise leaves matching accuracy unaffected.

Cutaneous Receptors Contribute to Kinesthesia at the Index Finger, Elbow, and Knee

The neural mechanisms underlying the sense of joint position and movement remain controversial. While cutaneous receptors are known to contribute to kinesthesia for the fingers, the present experiments test the hypothesis that they contribute at other major joints. Illusory movements were evoked at the interphalangeal (IP) joints of the index finger, the elbow, and the knee by stimulation of populations of cutaneous and muscle spindle receptors, both separately and together. Subjects matched perceived movements with voluntary movements of homologous joints on the contralateral side. Cutaneous receptors were activated by stretch of the skin (using 2 intensities of stretch) and vibration activated muscle spindle receptors. Stimuli were designed to activate receptors that discharge during joint flexion. For the index finger, vibration was applied over the extensor tendons on the dorsum of the hand, to evoke illusory metacarpophalangeal (MCP) joint flexion, and skin stretch was delivered around the IP joints. The strong skin stretch evoked the illusion of flexion of the proximal IP joint in 6/8 subjects (12 ± 5°, mean ± SE). For the group, strong skin stretch delivered during vibration increased the perceived flexion of the proximal IP joint by eight times with a concomitant decrease in perceived flexion of the MCP joint compared with vibration alone ( P < 0.05). For the elbow, vibration was applied over the distal tendon of triceps brachii and skin stretch over the dorsal forearm. When delivered alone, strong skin stretch evoked illusory elbow flexion in 5/10 subjects (9 ± 4°). Simultaneous strong skin stretch and vibration increased the illusory elbow flexion for the group by 1.5 times compared with vibration ( P < 0.05). For the knee, vibration was applied over the patellar tendon and skin stretch over the thigh. Skin stretch alone evoked illusory knee flexion in 3/10 subjects (8 ± 4°) and when delivered during vibration, perceived knee flexion increased for the group by 1.4 times compared with vibration ( P < 0.05). Hence inputs from cutaneous receptors, muscle receptors, and combined inputs from both receptors likely subserve kinesthesia at joints throughout the body.

Dorsal Neck Muscle Vibration Induces Upward Shifts in the Endpoints of Memory-Guided Saccades in Monkeys

Producing a movement in response to a sensory stimulus requires knowledge of the body's current configuration, and spindle organs embedded within muscles are a primary source of such kinesthetic information. Here, we sought to develop an animal model of kinesthetic illusions induced by mechanically vibrating muscles as a first step toward a mechanistic understanding of how kinesthesia is integrated into neural plans for action. We elected to examine the effects of mechanical vibration of dorsal neck muscles in head-restrained monkeys performing memory-guided saccades requiring them to look to the remembered location of a flashed target only after an imposed delay. During the delay on one-half of all trials, mechanical vibration (usually 1,500 ms in duration, 200 μm in amplitude, 100 Hz in frequency) was applied to the dorsal aspect on one side of the monkey's neck. We compared the metrics of such vibration saccades to control saccades without vibration during the delay interval. Relative to control saccades, the endpoints of vibration saccades were shifted consistently upward, even though the variability in saccadic endpoints was unaltered. Although the stability of the eye was compromised during the delay interval of vibration trials, as evidenced by an increased incidence of upward drifts and downward microsaccades, vibration saccades displayed different metrics than control saccades, including an upwardly deviated radial direction and increased vertical amplitude. The influence of variations in the duration (500–2,500 ms), amplitude (100–300 μm), or frequency (75–125 Hz) of vibration scaled well with the presumed change in spindle activity entrained by vibration. Comparisons of the profile of these results are made to the human literature. We conclude that neck muscle vibration induces alterations in oculomotor performance in monkeys consistent with a central interpretation of illusory neck flexion and downward gaze deviation due to increased activation in the spindles of neck extensor muscles.

Effects of Weakness on Symmetrical Bilateral Grip Force Exertion in Subjects With Hemiparesis

It has been shown that, in a bilateral force-matching task, subjects presenting weakness in one limb produce a lower force in the weakened limb even though they subjectively perceive that they are exerting the same force. The aim of this study was to verify whether subjects with hemiparesis produced asymmetrical forces during a bilateral submaximal grip task and whether this asymmetry is related to weakness of the paretic limb. Fifteen subjects with hemiparesis and 15 healthy subjects were recruited. First, the maximal voluntary force was measured for each hand. Then, subjects were asked to exert equal forces with both hands simultaneously at three submaximal force levels using two dynamometers. In the bilateral task, the force ratios (paretic/nonparetic or nondominant/dominant) differed between groups. Severely weak hemiparetic subjects produced lower force ratios than mildly weak hemiparetic subjects and healthy subjects ( P < 0.000), whereas there was no difference between the force ratios produced by mildly weak hemiparetic subjects and those produced by healthy subjects. In subjects with hemiparesis, the force ratios in the bilateral task were related to the ratios of maximal voluntary forces ( R2= 0.39–0.66, P ≤ 0.013) and the presence of somatosensory impairment did not affect these relationships. These results suggest that the strategy used is to compare the intensity of the motor commands on both sides and then perform the force-matching task. The use of such a strategy by subjects who have had paresis for 1 year reflects a lack of adaptation to their weakness.

Matching different levels of isometric torque in elbow flexor muscles after eccentric exercise

Human subjects generated a specified level of isometric torque with elbow flexor muscles of one arm, the reference arm, under visual feedback. They were then asked to generate what they perceived to be the same level, with the other arm, the indicator, but with no visual feedback. A number of torque levels, between 2% and 30% of maximum were used in the matching trials. Elbow flexors of one arm were then exercised eccentrically on a dynamometer. Immediately after the exercise, there was a large (40%) drop in maximum voluntary torque, as well as some soreness and swelling 24 h later, indicative of muscle damage. When the torque-matching experiment was repeated after the indicator arm had been exercised, the indicator signalled torque levels significantly below the reference level (P<0.05). When the reference arm was exercised, errors were in the opposite direction. Over the 4 days of testing post-exercise, errors became less as torque levels returned to normal. When errors were expressed in terms of maximum torque post-exercise, they were significantly reduced. This suggested that subjects were using as a matching cue the perceived effort required to generate a given level of torque rather than the level of torque itself. Persisting matching errors, from 24 h onwards after the eccentric contractions, were proposed to include a component attributable to the muscle soreness. Changes in electromyogram recorded after eccentric exercise were consistent with the effort-matching hypothesis. The muscle's torque-angle relationship was used to estimate matching ability in the absence of fatigue. One forearm was placed at various angles and its reference torque was matched by the other, the indicator, always at 90 degrees. Again, matching errors were consistent with an interpretation based on a match of effort rather than torque.

Effect of a neoprene sleeve on knee joint position sense during sitting open kinetic chain and supine closed kinetic chain tests

The primary objective of the present study was to compare the effect of a neoprene sleeve on knee joint position sense during a sitting open kinetic chain test and a supine closed kinetic chain test. Young (24 +/- 2 years old), healthy subjects (18 men and 18 women) performed knee joint angle replication tests during open kinetic chain knee extension (sitting) and closed kinetic chain leg press (supine with an axial load of 15% body weight) before and after application of a neoprene sleeve over the dominant knee. The improvement in ability to replicate joint angles after application of the sleeve (sleeve effect) was significantly less during the supine closed kinetic chain test (0.3 degree +/- 1.4 degrees) than during the sitting open kinetic chain test (1.2 degrees +/- 1.1 degrees). The sleeve effect was inversely related to subjects' performance without the sleeve during both the sitting open kinetic chain and supine closed kinetic chain tests, suggesting that some people may derive greater benefit from the sleeve than others. Although the sleeve effects were small, particularly during the supine closed kinetic chain test, 72% of subjects felt that the sleeve improved their overall test performance. Future research is needed to establish the functional relevance of the small sleeve effects observed and to identify the characteristics of people who might derive greatest benefit from sleeve use.