Principles for learning single-joint movements. I. Enhanced performance by practice

Reduced duration of stuttering-like disfluencies and consistent anticipatory slowing during an adaptation task

PURPOSE

The adaptation effect in stuttering, traditionally described as the reduction of stuttering moments over repeated readings, provides a context to investigate fluency facilitation as well as a relatively controlled means of comparing fluent speech in the immediate vicinity of words that were stuttered versus fluently produced. Acoustic studies have documented decreased duration of fluent speech during adaptation but rarely address changes in disfluencies or the speech preceding or following the disfluencies. This study addresses this gap in the research by documenting frequency and duration changes in both fluent and stuttered syllables.

METHOD

Fifteen people who stutter read passages aloud five times in succession. Frequency and duration of fluent syllables, pauses, stuttering-like disfluencies (SLDs) and other disfluencies (ODs) were compared across the five readings. In addition, durations for syllables before and after pauses and SLDs were compared to determine if there were anticipation or carryover effects of SLDs on surrounding syllables.

RESULTS

Durations measured for more than 22 000 fluent syllables, 1531 pauses, 128 ODs and 1752 SLDs. For most of the 15 participants, significant decreases in both frequency and duration of SLDs over the five readings were observed. In addition, lengthening of fluent syllables immediately preceding the disfluent syllables was observed: this pre-SLD lengthening did not change over the five readings.

CONCLUSIONS

Decreased duration of SLDs across readings supports the motor practice hypothesis, which assumes that successive reading of the same text increases the efficiency of the speech motor plans resulting in less stuttering and decreased durations of the stuttering that persists. Pre-SLD lengthening merits further study, because it informs our knowledge of the time course of stuttered events and may be associated with conscious or unconscious anticipation of upcoming SLDs that does not decrease with motor practice.

WHAT THIS PAPER ADDS

What is already known on this subject The frequency of stuttering-like disfluencies (SLDs) can be reduced using a variety of fluency-enhancing strategies. For example, the adaptation effect, in which a reduction of stuttered events occurs over repeated readings of the same material, has been widely studied. Previous studies have shown that durations of fluent syllables decrease during adaptation, supporting the hypothesis that repeated practice of the motor plan leads to increased fluency. However, temporal changes in disfluent syllables and syllables preceding and following SLDs have rarely been studied, so our understanding of the effect of motor practice on stuttering reduction is incomplete. What this study adds This study has two significant findings. First, stuttered disfluencies that persisted after the initial reading of the adaptation task tended to become shorter in duration. Fluently produced syllables and those that were stuttered, both of which are speech events related to motor control of articulators, were affected in a similar manner by the motor practice associated with adaptation. Second, lengthening of fluent syllables immediately preceding stuttered syllables was observed. This pre-stuttering lengthening, however, did not decrease in duration over the five readings: the mechanism that drives this anticipatory behaviour is not affected by repeated practice. What are the clinical implications of this work? People who stutter have neural differences that lead to speech motor planning and/or execution that is less efficient than that of typical speakers. The finding that stuttering is reduced and that persisting SLDs become shorter in duration over repeated readings provides evidence that motor practice can influence the manifestation of stuttering by temporarily making those specific motor plans more efficient. This may inform treatments for stuttering. The observation that fluent syllables immediately before SLDs were lengthened, and that this lengthening was not influenced by repeated practice, extends our understanding of the time course of stuttering events and may be useful in understanding anticipation and listener reactions to stuttering.

Improvements in hand functions and changes in proximal muscle activities in myoelectric prosthetic hand users at home: a case series

BACKGROUND

Adaptation in proximal muscles for daily motor tasks after sustained use of a prosthetic hand has not been fully understood.

OBJECTIVES

This study aimed to investigate changes in hand functions and activities of proximal muscles after multiple weeks of using a myoelectric prosthetic hand at home.

STUDY DESIGN

Repeated measures.

METHODS

Four people with traumatic upper-limb loss used a myoelectric prosthetic hand (bebionic) at home over the 6- to 8-week period. A user survey, Orthotics and Prosthetics User Survey for Upper Extremity Functional Status 2.0, was used to measure upper-limb functions and the degree of using the prosthetic hand each week. Their hand functions, muscle activities, and grip-specific neuromuscular effort were evaluated by the Southampton Hand Assessment Procedure at the preassessment and postassessment sessions (PRE and POST, respectively).

RESULTS

All subjects increased Southampton Hand Assessment Procedure scores at PRE compared with POST with subject-specific changes in muscle activations. In a detail, at POST, subject 1 reduced the shoulder muscle activity compared with PRE, while at POST, subject 2 reduced biceps activity compared with PRE. At POST, greater pectoralis activity and reduced trapezius activity were observed in subject 3, and greater activity in those two muscles was found in subject 4 compared with PRE.

CONCLUSION

After multiple weeks of using the myoelectric prosthetic hands, their hand functions during ADL tasks were improved and changes in the muscle activities were found.

The legacy of Gerald L. Gottlieb in human movement neuroscience

In this paper, we review the legacy of Gerald (Gerry) Gottlieb in various fields related to the neural control of human movement. His studies on the myotatic (stretch) reflex and postmyotatic responses to ankle joint perturbations paved the way for current explorations of long-loop reflexes and their role in the control of movement. The dual-strategy hypothesis introduced order into a large body of literature on the triphasic muscle activation patterns seen over a variety of voluntary movements in healthy persons. The dual-strategy hypothesis continues to be important for understanding the performance of subjects with disordered motor control. The principle of linear synergy (covariance of joint torques) was an attempt to solve one of the notorious problems of motor redundancy, which remains an important topic in the field. Gerry's attitude toward the equilibrium-point hypothesis varied between rejection and using it to explore patterns of hypothetical control variables and movement variability. The discovery of reciprocal excitation in healthy neonates fostered other studies of changes in spinal cord physiology as motor skills develop. In addition, studies of people with spasticity and the effects of treatment with intrathecal baclofen were crucial in demonstrating the possibility of unmasking voluntary movements after suppression of the hyperreflexia of spasticity. Gerry Gottlieb contributed a significant body of knowledge that formed a solid foundation from which to study a variety of neurological diseases and their treatments, and a more comprehensive and parsimonious foundation to describe the neural control of human movement.

Changes in Muscle Control After Learning to Direct Pedal Forces in One-Legged Pedaling

The aim of this study was to describe how major leg muscle activities are altered after learning a novel one-legged pedaling task. Fifteen recreational cyclists practiced one-legged pedaling trials during which they were instructed to match their applied pedal force to a target direction perpendicular to the crank arm. Activity in 10 major leg muscles was measured with surface electromyography electrodes. Improved upstroke task performance was obtained by greater activity in the hip and ankle flexor muscles, counteracting the negative effects of gravity. Greater quadriceps activities explained improved targeting near top dead center. Reduced uniarticular knee and ankle extensor downstroke activities were necessary to prevent freewheeling. Greater hamstring and tibialis anterior activities improved targeting performance near the bottom of the pedal stroke. The activity patterns of the biarticular plantarflexors changed little, likely due to their contributions as knee flexors for smooth upstroke pedaling motion. These results add to our understanding of how the degrees of freedom at the muscle level are altered in a cooperative manner to overcome gravitational effects in order to achieve the learning goal of the motor task while satisfying multiple constraints—in this case, the production of smooth one-legged pedaling motion at the designated mechanical task demands.

Associations Between Practice-Related Changes in Motor Performance and Muscle Activity in Healthy Individuals: A Systematic Review

BACKGROUND

A well-learned motor skill is characterized by the efficient activation of muscles that are involved in movement execution. However, it is unclear if practice-related changes in motor performance correlate with those in quantitative markers of muscle activity and if so, whether the association is different with respect to the investigated muscle (i.e., agonist and antagonist) and quantitative myoelectric parameter. Thus, we conducted a systematic review and characterized associations between practice-related changes in motor performance and muscle activity in healthy individuals.

METHODS

A computerized systematic literature search was performed in the electronic databases PubMed, Web of Science, and SPORTDiscus up to September 2017 to capture all relevant articles. A systematic approach was applied to evaluate the 1670 articles identified for initial review. Studies were included only if they investigated healthy subjects aged 6 years and older and tested at least one measure of motor performance (e.g., error score, movement time) and quantitative muscle activity (i.e., amplitude domain: iEMG [integrated electromyography], RMS [root mean square]; time domain: duration of muscle activity, time to peak muscle activation). In total, 24 studies met the inclusionary criteria for review. The included studies were coded for the following criteria: age, learning task, practice modality, and investigated muscles (i.e., agonist and antagonist). Correlation coefficients for the relationship of motor performance changes with changes in electromyography (EMG) amplitude, and duration were extracted, transformed (i.e., Fisher's z-transformed r_z value), aggregated (i.e., weighted mean r_z value), and back-transformed to r values. To increase sample size, we additionally extracted pre and post practice data for motor performance and myoelectric variables and calculated percent change values as well as associations between both. Correlations were classified according to their magnitude (i.e., small r ≤ 0.69, medium r ≤ 0.89, large r ≥ 0.90).

RESULTS

Five studies reported correlation coefficients for the association between practice-related alterations in motor performance and EMG activity. We found small associations (range r = 0.015-0.50) of practice-related changes in motor performance with measures of agonist and antagonist EMG amplitude and duration. A secondary analysis (17 studies) that was based on the calculation of percent change values also revealed small correlations for changes in motor performance with agonist (r = - 0.25, 11 studies) and antagonist (r = - 0.24, 7 studies) EMG amplitude as well as agonist (r = 0.46, 8 studies) and antagonist (r = 0.29, 5 studies) EMG duration.

CONCLUSIONS

Our systematic review showed small-sized correlations between practice-related changes in motor performance and agonist and antagonist EMG amplitude and duration in healthy individuals. These findings indicate that practice-related changes can only partly be explained by quantitative myoelectric measures. Thus, future studies investigating biomechanical mechanisms of practice-related changes in motor performance should additionally include qualitative measures of muscle activity (e.g., timing of muscle activity, level of coactivation) and other biomechanical variables (i.e., kinetics, kinematics).

Sensorimotor Learning during a Marksmanship Task in Immersive Virtual Reality

Sensorimotor learning refers to improvements that occur through practice in the performance of sensory-guided motor behaviors. Leveraging novel technical capabilities of an immersive virtual environment, we probed the component kinematic processes that mediate sensorimotor learning. Twenty naïve subjects performed a simulated marksmanship task modeled after Olympic Trap Shooting standards. We measured movement kinematics and shooting performance as participants practiced 350 trials while receiving trial-by-trial feedback about shooting success. Spatiotemporal analysis of motion tracking elucidated the ballistic and refinement phases of hand movements. We found systematic changes in movement kinematics that accompanied improvements in shot accuracy during training, though reaction and response times did not change over blocks. In particular, we observed longer, slower, and more precise ballistic movements that replaced effort spent on corrections and refinement. Collectively, these results leverage developments in immersive virtual reality technology to quantify and compare the kinematics of movement during early learning of full-body sensorimotor orienting.

Restoration of Central Programmed Movement Pattern by Temporal Electrical Stimulation-Assisted Training in Patients with Spinal Cerebellar Atrophy

Disrupted triphasic electromyography (EMG) patterns of agonist and antagonist muscle pairs during fast goal-directed movements have been found in patients with hypermetria. Since peripheral electrical stimulation (ES) and motor training may modulate motor cortical excitability through plasticity mechanisms, we aimed to investigate whether temporal ES-assisted movement training could influence premovement cortical excitability and alleviate hypermetria in patients with spinal cerebellar ataxia (SCA). The EMG of the agonist extensor carpi radialis muscle and antagonist flexor carpi radialis muscle, premovement motor evoked potentials (MEPs) of the flexor carpi radialis muscle, and the constant and variable errors of movements were assessed before and after 4 weeks of ES-assisted fast goal-directed wrist extension training in the training group and of general health education in the control group. After training, the premovement MEPs of the antagonist muscle were facilitated at 50 ms before the onset of movement. In addition, the EMG onset latency of the antagonist muscle shifted earlier and the constant error decreased significantly. In summary, temporal ES-assisted training alleviated hypermetria by restoring antagonist premovement and temporal triphasic EMG patterns in SCA patients. This technique may be applied to treat hypermetria in cerebellar disorders. (This trial is registered with NCT01983670.).

Effect of prior experience and task stability on the intrinsic muscle activity of the thumb

Manual techniques involving the use of the thumb are commonly employed by physical therapists for treating patients with vertebral disorders. The demands on the intrinsic muscles of the thumb in these manual tasks are very different from those of the pinch tasks. The aim of this study was to investigate the influence of clinical experience and different mobilization techniques on the electromyographic activity (EMG) of thumb intrinsic muscles. Fifteen participants without exposure to manual techniques (the Novice Group) and fifteen physical therapists with at least 3 years of orthopaedic experience (the Experienced Group) participated. Each participant exerted thumb tip forces with 3 different posterioanterior (PA) glide techniques including unsupported, with digital support and with thumb interphalangeal joint supported by the index finger. The exerted force was increased from 25% to 100% maximum force at 25% increments on a 6 component load cell. The thumb tip force and EMG activity of four intrinsic muscles (flexor pollicis brevis, adductor pollicis, abductor pollicis brevis, first dorsal interosseus) were recorded with surface electrodes. Both experience and technique influenced intrinsic muscle activity of the thumb. While participants of both groups generated the same magnitude of force, experienced participants generated less intrinsic muscle activity while performing PA glide through practice. However, novice participants increased activity of the intrinsic muscles in accordance with the stability status of the technique. PA glide with thumb interphalangeal joint supported by the index finger was a more stable technique as evidenced by smallest relative errors of thumb tip force.

Quantifying the familiarization period for maximal resistive exercise

Resistive exercise is used in the assessment of musculoskeletal health, performance, training interventions, and population differences (i.e., gender, age, training status). There is a need to determine the amount of familiarization required to stabilize performance prior to testing. Fifteen males completed a familiarization session consisting of 3 blocks of 5 maximal isometric dorsiflexion contractions, followed by a retention test (an additional block of 5 contractions) performed 3 days later. Mean force and surface electromyography (sEMG) from both the agonist and antagonist muscles were collected. A variance ratio, representing the stability between trials, was calculated for each of the 4 blocks of 5 contractions for both force and sEMG. The variance ratio for both force and agonist sEMG decreased significantly within the first 10 trials and remained stable during the retention test. The variance ratio for antagonist sEMG was stable across the 3 blocks of familiarization and significantly decreased during the retention test. The magnitude variables all remained stable across the 3 familiarization blocks. However, an 11% increase in mean force was seen during the retention test while both agonist and antagonist sEMG remained stable. Although slight changes occurred in the magnitude variables during the retention test, the stabilization of the force and agonist sEMG variance ratios suggest that familiarization to the task was achieved within the first 10 contractions and was sustained over a 3-day period.

Martial arts striking hand peak acceleration, accuracy and consistency

The goal of this paper was to investigate the possible trade-off between peak hand acceleration and accuracy and consistency of hand strikes performed by martial artists of different training experiences. Ten male martial artists with training experience ranging from one to nine years volunteered to participate in the experiment. Each participant performed 12 maximum effort goal-directed strikes. Hand acceleration during the strikes was obtained using a tri-axial accelerometer block. A pressure sensor matrix was used to determine the accuracy and consistency of the strikes. Accuracy was estimated by the radial distance between the centroid of each subject's 12 strikes and the target, whereas consistency was estimated by the square root of the 12 strikes mean squared distance from their centroid. We found that training experience was significantly correlated to hand peak acceleration prior to impact (r(2)=0.456, p =0.032) and accuracy (r(2)=0. 621, p=0.012). These correlations suggest that more experienced participants exhibited higher hand peak accelerations and at the same time were more accurate. Training experience, however, was not correlated to consistency (r(2)=0.085, p=0.413). Overall, our results suggest that martial arts training may lead practitioners to achieve higher striking hand accelerations with better accuracy and no change in striking consistency.

Tailoring reach-to-grasp to intended action: the role of motor practice

Motor learning results from repeated exposure to the same movement and allows a mover to increase movement optimality. Typically, this has only been considered in single-step movements. In sequential movements, an initial reach movement is tailored to the demands of the onward movement. However, the exact role of motor practice in the tailoring to onward task demands is unknown. Eighteen adults performed blocks of 15 movements; each movement consisted of a reach phase and an onward phase (the object was placed in a tight-fitting hole, placed in a loose-fitting hole or thrown). Simple practice effects were seen; for the reach phase, the amount of time spent decelerating decreased over trials, and for the onward phase, the accuracy of the place/throw movements increased over trials. Furthermore, approximately 30 % of variance in the practice effect of the onward phase could be explained by the practice effect in the reach phase. Therefore, we suggest that the changes in the reach phase are directly linked to the changes in the efficiency of action and that this is necessary but not sufficient for explaining the calibration of the onward action.

Interaction against different environmental dynamics during a leg extension task is controlled by temporal rather than amplitude scaling of muscular activity

Force exertion against different mechanical environments can affect motor control strategies in order to account for the altered environmental dynamics and to maintain the ability to produce force. Here, we investigated the change of muscular activity of selected muscles of the lower extremities while the participants interacted with an external mechanical device of variable stability. Twenty-five healthy participants exerted force against the device by performing a unilateral ballistic leg extension task under 1 or 3 degrees of freedom (DoF). Directional force data and electromyographic responses from four leg muscles (TA, VM, GM, PL) were recorded. Muscle responses to the altered experimental conditions were analyzed by calculating time to peak electrical activity (TTP), peak electrical activity (PEA), slope of EMG-signal and muscle activity. It was found that neuromuscular system adjustments to the task are expressed mainly by temporal (TTP) rather than amplitude (PEA) scaling of muscular activity. This change was specific for the investigated muscles. Moreover, a selective increase of muscle activity occurred while increasing external DoF. This scheme was accompanied by a significant reduction of applicable force against the device in the unstable 3 DoF condition. The findings suggest that orchestration of movement control is linked to environmental dynamics also affecting the ability to produce force under dynamic conditions. The adjustments of the neuromuscular system are rather temporal in nature being consistent with the impulse timing hypothesis of motor control.

Extended practice of reciprocal wrist and arm movements of varying difficulties

An experiment was designed to determine the degree to which reciprocal aiming movements of the wrist and arm with various accuracy requirements (Fitts' tasks) are enhanced by extended practice. The vast majority of research on motor learning shows performance improvement over practice. However, literature examining the effect of practice on Fitts' task performance is limited and inconclusive. Participants were asked to flex/extend their limb/lever in the horizontal plane at the wrist (arm stabilized) or elbow joint (wrist stabilized) in an attempt to move back and forth between two targets as quickly and accurately as possible. The targets and current position of the limb were projected on the screen in front of the participant. Target width was manipulated with amplitude constant (16°) in order to create indexes of difficulty (ID) of 1.5, 3, 4.5, and 6. Contrary to the earlier reports, after 20 days of practice, we found minimal changes in movement time or the movement time-ID relationships for the arm and wrist over practice. However, the variability in the movement endpoints decreased over practice and wrist movements at ID=6 were characterized by shorter movement times and longer dwell times relative to arm movements with dwell time for the wrist increasing over practice. These data are consistent with the notion that Fitts' tasks provide a stable measure of perceptual-motor capabilities.

How is a motor skill learned? Change and invariance at the levels of task success and trajectory control

The public pays large sums of money to watch skilled motor performance. Notably, however, in recent decades motor skill learning (performance improvement beyond baseline levels) has received less experimental attention than motor adaptation (return to baseline performance in the setting of an external perturbation). Motor skill can be assessed at the levels of task success and movement quality, but the link between these levels remains poorly understood. We devised a motor skill task that required visually guided curved movements of the wrist without a perturbation, and we defined skill learning at the task level as a change in the speed-accuracy trade-off function (SAF). Practice in restricted speed ranges led to a global shift of the SAF. We asked how the SAF shift maps onto changes in trajectory kinematics, to establish a link between task-level performance and fine motor control. Although there were small changes in mean trajectory, improved performance largely consisted of reduction in trial-to-trial variability and increase in movement smoothness. We found evidence for improved feedback control, which could explain the reduction in variability but does not preclude other explanations such as an increased signal-to-noise ratio in cortical representations. Interestingly, submovement structure remained learning invariant. The global generalization of the SAF across a wide range of difficulty suggests that skill for this task is represented in a temporally scalable network. We propose that motor skill acquisition can be characterized as a slow reduction in movement variability, which is distinct from faster model-based learning that reduces systematic error in adaptation paradigms.

Effects of loading on maximum vertical jumps: Selective effects of weight and inertia

A novel loading method was applied to explore selective effects of externally added weight (W), weight and inertia (W+I), and inertia (I) on maximum counter-movement jumps (CMJ) performed with arm swing. Externally applied extended rubber bands and/or loaded vest added W, W+I, and I corresponding to 10-40% of subjects' body mass. As expected, an increase in magnitude of all types of load was associated with an increase in ground reaction forces (GRF), as well as with a decrease in both the jumping performance and power output. However, of more importance could be that discernible differences among the effects of W, W+I, and I were recorded despite a relatively narrow loading range. In particular, an increase in W was associated with the minimal changes in movement kinematic pattern and smallest reduction of jumping performance, while also allowing for the highest power output. Conversely, W+I was associated with the highest ground reaction forces. Finally, the lowest maxima of GRF and power were associated with I. Although further research is apparently needed, the obtained finding could be of potential importance not only for understanding fundamental properties of the neuromuscular system, but also for optimization of loading in standard athletic training and rehabilitation procedures.

Kinetic analysis of expertise in spinal manipulative therapy using an instrumented manikin

OBJECTIVE

The goals of this study were to measure the kinetic profile of thrust in different groups of subjects with various levels of expertise and to quantify general coordination while performing thoracic spine manipulation.

PARTICIPANTS

A total of 43 students and chiropractors from the Chiropractic Department of the Université du Québec à Trois-Rivières participated in this study.

METHODS

Participants were asked to complete ten consecutive thoracic spine manipulations on an instrumented manikin. Peak force, preload force, time to peak force, time to peak force variability, peak force variability, rate of force production and unloading time were compared between groups. Hand-body delay obtained by calculating the temporal lag between the onset of unloading and the onset of peak force application was also compared between groups.

RESULTS

No group difference was observed for the peak force, peak force variability and preload force variables. However, group differences were present for variables like time to peak force, time to peak force variability, rate of force production, unloading time and hand-body delay.

CONCLUSION

This study demonstrates clear differences between groups of subjects with different levels of expertise in thoracic spine manipulation. This study also demonstrates the usefulness of a simple, instrumented manikin to analyze spinal manipulation and identify important parameters related to expertise.

Learning to control opening and closing a myoelectric hand

OBJECTIVE

To compare 3 different types of myoelectric signal training.

DESIGN

A cohort analytic study.

SETTING

University laboratory.

PARTICIPANTS

Able-bodied right-handed participants (N=34) randomly assigned to 1 of 3 groups.

INTERVENTIONS

Participants trained hand opening and closing on 3 consecutive days. One group trained with a virtual myoelectric hand presented on a computer screen, 1 group trained with an isolated prosthetic hand, and 1 group trained with a prosthetic simulator. One half of the participants trained with their dominant side, and the other half trained with their nondominant side. Before and after the training period, a test was administered to determine the improvement in skill. Participants were asked to open and close the hand on 3 different velocities at command.

MAIN OUTCOME MEASURES

Peak velocity, mean velocity, and number of peaks in the myoelectric signal of hand opening and closing.

RESULTS

No differences were found for the different types of training; all participants learned to control the myoelectric hand. However, differences in learning abilities were revealed. After learning, a subgroup of the participants could produce clearly distinct myoelectric signals, which resulted in the ability to open and close the hand at 3 different speeds, whereas others could not produce distinct myoelectric signals.

CONCLUSIONS

Acquired control of a myoelectric hand is irrespective of the type of training. Prosthetic users may differ in learning capacity; this should be taken into account when choosing the appropriate type of control for each patient.

Distinct consolidation outcomes in a visuomotor adaptation task: Off-line leaning and persistent after-effect

Consolidation is a time-dependent process responsible for the storage of information in long-term memory. As such, it plays a crucial role in motor learning. In two experiments, we sought to determine whether one's performance influences the outcome of the consolidation process. We used a visuomotor adaptation task in which the cursor moved by the participants was rotated 30 degrees clockwise. Thus, participants had to learn a new internal model to compensate for the rotation of the visual feedback. The results indicated that when participants showed good adaptation in the first session, consolidation resulted in a persistent after-effect in a no-rotation transfer test; they had difficulty returning to their normal no-rotation internal model. However, when participants showed poor adaptation in the first session, consolidation led to significant off-line learning (between sessions improvement) but labile after-effects. These observations suggest that distinct consolidation outcomes (off-line learning and persistent after-effect) may occur depending on the learner's initial performance.

Computational motor control: feedback and accuracy

Speed/accuracy trade-off is a ubiquitous phenomenon in motor behaviour, which has been ascribed to the presence of signal-dependent noise (SDN) in motor commands. Although this explanation can provide a quantitative account of many aspects of motor variability, including Fitts' law, the fact that this law is frequently violated, e.g. during the acquisition of new motor skills, remains unexplained. Here, we describe a principled approach to the influence of noise on motor behaviour, in which motor variability results from the interplay between sensory and motor execution noises in an optimal feedback-controlled system. In this framework, we first show that Fitts' law arises due to signal-dependent motor noise (SDN(m)) when sensory (proprioceptive) noise is low, e.g. under visual feedback. Then we show that the terminal variability of non-visually guided movement can be explained by the presence of signal-dependent proprioceptive noise. Finally, we show that movement accuracy can be controlled by opposite changes in signal-dependent sensory (SDN(s)) and SDN(m), a phenomenon that could be ascribed to muscular co-contraction. As the model also explains kinematics, kinetics, muscular and neural characteristics of reaching movements, it provides a unified framework to address motor variability.

Principles for learning horizontal-planar arm movements with reversal

PURPOSE

This study tested the hypothesis that muscle and interaction torques can be altered independently in order to improve in specific kinematics performance observed following practice. We also tested the hypothesis that a simple set of rules of EMG-control and kinetic-control models could explain the EMG and kinetic changes due to practice of movements with reversal.

SCOPE

Kinematics of the upper arm with reversal, performed over three distances, was reconstructed using motion analysis. The muscle and interaction torques were calculated using inverse-dynamics. EMG activities of the major arm muscles were also recorded. The results demonstrate that improved performance is facilitated by an increase in muscle torque (and therefore acceleration) at the proximal joint (shoulder) and by an increase in the interaction torque at the distal joint (elbow). No changes were observed in the amount of muscle activity underlying these kinetic modifications, except for a decrease in the shoulder antagonist latency.

CONCLUSION

The results confirm Bernstein's idea that the central nervous system takes advantage of the passive-interactive properties of the moving system. Also the modulation of the EMG patterns should be explained taking in account the reactive forces and the dual functions (maintenance of posture and generation of movement) of the muscles.

Temporal modulations of agonist and antagonist muscle activities accompanying improved performance of ballistic movements

Although many studies have examined performance improvements of ballistic movement through practice, it is still unclear how performance advances while maintaining maximum velocity, and how the accompanying triphasic electromyographic (EMG) activity is modified. The present study focused on the changes in triphasic EMG activity, i.e., the first agonist burst (AG1), the second agonist burst (AG2), and the antagonist burst (ANT), that accompanied decreases in movement time and error. Twelve healthy volunteers performed 100 ballistic wrist flexion movements in ten 10-trial sessions under the instruction to "maintain maximum velocity throughout the experiment and to stop the limb at the target as fast and accurately as possible". Kinematic parameters (position and velocity) and triphasic EMG activities from the agonist (flexor carpi radialis) and antagonist (extensor carpi radialis) muscles were recorded. Comparison of the results obtained from the first and the last 10 trials, revealed that movement time, movement error, and variability of amplitudes reduced with practice, and that maximum velocity and time to maximum velocity remained constant. EMG activities showed that AG1 and AG2 durations were reduced, whereas ANT duration did not change. Additionally, ANT and AG2 latencies were reduced. Integrated EMG of AG1 was significantly reduced as well. Analysis of the alpha angle (an index of the rate of recruitment of the motoneurons) showed that there was no change in either AG1 or AG2. Correlation analysis of alpha angles between these two bursts further revealed that the close relationship of AG1 and AG2 was kept constant through practice. These findings led to the conclusion that performance improvement in ballistic movement is mainly due to the temporal modulations of agonist and antagonist muscle activities when maximum velocity is kept constant. Presumably, a specific strategy is consistently applied during practice.

Different neural adjustments improve endpoint accuracy with practice in young and old adults

The purpose of the study was to determine the practice-induced adjustments in the motor-output variability and the agonist-antagonist activity that accompanied improvements in endpoint accuracy of goal-directed isometric contractions in young and old adults. Young and old adults performed 100 trials that involved accurately matching the peak of a force trajectory (25% maximum) to a target force in 150 ms. Endpoint accuracy was quantified as the absolute difference between the target and the peak force and time-to-peak force. Motor-output variability was expressed as the SDs of the force trajectory, peak force, and time-to-peak force. The force and time errors differed between the two groups initially, but after 35 practice trials the errors were similar for the two groups. Reductions in force endpoint error were predicted by decreases in the variability of the force trajectory for both groups, adaptations in the agonist (first dorsal interosseus) and antagonist (second palmar interosseus) EMG for young adults, and adaptations only for the agonist EMG for old adults. Reductions in time endpoint error were predicted by increases in the SD of time-to-peak force and a longer delay to the peak EMG of the antagonist muscle for young adults, but by decreases in the SDs of time-to-peak force and force trajectory and a shorter delay to the peak EMG of the antagonist muscle for the old adults. The findings indicate that the neural adjustments underlying the improvement in endpoint accuracy with practice differed for young and old adults.

Neurophysiological and anatomical plasticity in the adult sensorimotor cortex

Evidence supporting the plastic capacity of the adult cortex is abundant. Changes have been associated with exposure to enriched environments, learning, peripheral lesions and central lesions. The initial loss of function caused by a lesion is generally followed by a certain amount of recovery that is believed to be due, at least in part, to adaptive plasticity. In particular, the reorganization of cortical representational maps has been associated with improvement of performance. Therefore, areas undergoing such reorganization following lesions are generally assumed to participate in the recovery. We review evidence demonstrating the remodeling of representational maps of the forelimb in adult cortex and the structural plasticity that has been coupled with it. A particular emphasis is paid to non-human primate studies and stroke.

The impact of whole-hand vibration exposure on the sense of angular position about the wrist joint

OBJECTIVES

The purpose of this research is to determine the impact of whole-hand vibration on the capacity of subjects to identify previously presented positions of the hand in both wrist flexion and extension.

METHODS

In each movement direction, targets of 15 or 30 degrees were presented with an imposed passive movement from the start position. During the second imposed movement, subjects were required to identify when the target position had been reached. For the vibration condition, 15 s of whole-hand vibration exposure was repeated immediately prior to each target position trial. Proprioceptive capacity was assessed by comparing the identified angular position with the reference position-angular distance expressed in terms of absolute error (AE), constant error (CE), and variable error (VE).

RESULTS

For three of the four target positions (15 and 30 degrees flexion and 15 degrees extension), the absolute, constant, and VEs of target identification were insensitive to vibration, whereas for the 30 degrees extension target, both the absolute and CE were significantly different before and after the vibration application, showing the subjects overshooting previously presented target position. All three error measures were larger for the long targets than the short targets.

CONCLUSIONS

Short-duration exposure to whole-hand vibration is insufficient to compromise post-vibration position sense in the wrist joint, except near the end range of joint movement in wrist extension. Complement contribution of different proprioceptive receptors (muscle, joint, and skin receptors) seems to be crucial for accuracy to reproduce passive movements, since the capacity of any individual class of receptor to deliver information about movement and position of the limbs is limited.

Prolonged practice is of scarce benefit in improving motor performance in Parkinson's disease

Many studies have addressed practice effects in motor sequences in Parkinson's disease (PD). Most studied short-term practice and showed that treated patients with mild-to-moderate disease achieve normal or slightly abnormal improvement. Less attention has focused on practice effects after prolonged training (days), and the results are inconclusive. Here, we studied the kinematic changes induced by prolonged practice in a group of medicated patients with mild-to-moderate PD and a healthy control group. We did so by analyzing an internally determined sequential arm movement performed as fast and accurately as possible before and after a 2-week training period. After 1-day's practice, movement duration, pause duration, and movement accuracy improved similarly in patients and controls, indicating that patients benefitted normally from short-term practice. After 1-week's practice, movement and pause duration improved further in both groups, whereas movement accuracy remained unchanged. After 2-weeks' practice, healthy controls continued to improve but patients did not, indicating reduced prolonged practice benefit in PD. Because short-term practice benefit on motor performance is thought to be mediated predominantly by cerebellar activation, whereas long-term practice benefit relies predominantly on the basal ganglia, we attribute our findings to the underlying basal ganglia dysfunction in PD. Our study may be relevant for planning and executing rehabilitation programs in these patients.

Durational characteristics of the first productions of novel trochees and iambs in children with and without speech delay

The durational characteristics of novel words produced in repeated trials were evaluated in separate groups of children with, and without speech delay (SD). Children produced disyllabic novel words containing either a trochaic or iambic stress pattern. Results of acoustic analysis indicated a significant interaction between trial number and speaker group. The duration of words produced by children without SD decreased more abruptly across successive trials as compared to children with SD. In addition, duration decreased at a faster rate for trochaic words as compared to iambic words in both groups. Variability of word duration was greater in iambs than trochees. The results are discussed in terms of speech motor learning patterns that may underlie difficulties associated with SD.

Modulations of input-output properties of corticospinal tract neurons by repetitive dynamic index finger abductions

The goal of this study was to investigate how corticospinal tract neurons (CTNs) are modulated after repetitive dynamic muscle contractions. To address this question, changes of motor evoked potentials (MEPs) to transcranial magnetic stimulation and background EMG (B.EMG) activities were examined. Subjects were instructed to perform an isometric dynamic index finger abduction as accurately as possible under the target-force-matching tasks (10% or 30% MVC), while MEPs of a first dorsal interosseous (FDI) were elicited during performance of the task. After repetitive dynamic FDI contractions (100 trials), the following remarkable phenomena were observed: (1) both B.EMG activities and MEP amplitudes decreased in proportion to the number of trials, (2) these phenomena were most commonly observed in different conditions, i.e., different force levels and hands (preferred or non-preferred hands), and (3) after repetition of the tasks, the MEP amplitude/B.EMG (MEP/B.EMG) ratio became smaller. Decreases of B.EMG activities with reduction of MEP amplitudes and diminishing MEP/B.EMG ratio might suggest the occurrence of reorganization of input-output properties in CTNs for an efficient performance as a function of motor adaptation. Thus, we conclude that motor adaptation after repetitive dynamic muscle contractions probably occurs less specifically and due to susceptible modulations of spinal motoneurons reflected in the integrative functions of CTNs.

Motor strategies for initiating downward-oriented movements during standing in adults

Sitting down and squatting are routine activities in daily living that lower the body mass by flexing the trunk and legs, but they obviously require different motor strategies for each goal posture. The former action must transfer the supporting surface onto a seat, whereas the latter must maintain the center of mass within the same base of both feet. By comparing the performance of both maneuvers, the mechanisms involved in initiating the downward-oriented movements and the process of optimizing the performance during their repetitions were studied. Twelve healthy subjects were asked to perform sitting-down and squatting actions immediately when a light cue was given, but at a natural speed. Electromyograms, angular movements of the joints of the right leg, and center of pressure (COP) displacement were recorded before and during each task. The initial mechanisms to initiate the break from the upright posture and the changes of postural adjustments during repetitive movements were analyzed separately. The sitting-down movement was achieved by a stereotyped motor strategy characterized by a gastrocnemius muscle burst coupled with deactivation of the erector spinae muscle. The former produced a transient COP displacement in the forward direction, and simultaneous unlocking of the trunk prevented a fall backward. By contrast, because of the absence of any need to produce momentum in a given direction, a variety of motor strategies were available to initiate squatting. The direction of initial COP displacement to initiate squatting varied with the muscles involved in unlocking the upright posture. During repetition of sitting down, the average COP position of the initial standing posture in the preparatory period was immediately shifted forward after the second trial. Simultaneously, the erector spinae muscle was deactivated earlier in the later trials. These resulted in a decreased momentum in the backward direction while the subjects were transferring themselves onto the seat. In the squatting task, however, these changes could not be identified, except for a slight flexed position of the knee during standing in the first trial. These findings suggest that in the case of transferring the body-mass to another supporting base the central nervous system immediately adjusts the size of the initial impetus to optimize the performance.

EMG remains fractionated in Parkinson's disease, despite practice-related improvements in performance

OBJECTIVE

We studied the ability of patients with Parkinson's disease to improve their performance in a motor task requiring both speed and accuracy in the execution of elbow flexion movements. Our goal was to investigate the changes in electromyographic activity associated with the changes in movement performance.

METHODS

Eleven patients on anti-Parkinsonian medication were tested. The patients were selected for being bradykinetic, having little or no resting tremor or dyskinesias, and being in stages II or III of the Hoehn and Yahr rating scale.

RESULTS

The untrained patients displayed multiple bursts of agonist activity, characteristic of Parkinsonian EMG recordings. All patients improved their performance by increasing peak velocity while maintaining movement accuracy within strict boundaries. With practice, the patients' performance changed in a manner similar to that which has been previously observed for performance curves in neurologically normal subjects. As movement duration decreased (i.e. peak velocity increased), we observed a slight decrease in the number of agonist bursts and an increase in the average burst duration. However, the patients continued to generate a fractionated, multi-burst agonist pattern.

CONCLUSIONS

We conclude that Parkinsonian patients benefit from practice by improving their performance but remain fundamentally impaired in the generation of muscle activation patterns. This study has shown that the generation of fractionated, multiple short bursts of EMG activity that is characteristic of movements made by Parkinsonian patients is not normalized by practice.

Arm reaching improvements with short-term practice depend on the severity of the motor deficit in stroke

The effects of short-term, constant practice on the kinematics of a multi-joint pointing movement were studied in the hemiparetic arm of 20 chronic patients with unilateral left cerebro-vascular accident (CVA) and in 10 age- and sex-matched healthy individuals. Practice consisted of a single session of 70 pointing movements made with the right arm. Movements were made from a target located beside the body to one in the contralateral workspace, in front of the body. Vision of the final hand position was allowed after every 5th trial. At the beginning of practice, stroke patients made slower, less precise and more segmented movements, characterised by smaller active ranges of elbow and shoulder motion, disrupted elbow-shoulder coordination, as well as greater trunk movement compared with healthy subjects. With practice, healthy subjects and some patients made faster and more precise movements. These tendencies were revealed only after many repetitions (up to 55 for those with severe hemiparesis), whereas changes in healthy individuals occurred after fewer trials (approximately 20). In addition, the patients decreased movement segmentation with practice. In healthy subjects, faster movement times may be attributed to better shoulder/elbow movement timing in the first half of the reach, whereas improvement of precision was not correlated with any changes in the movement variables. In patients, improvements were accomplished differently depending on arm motor severity. For some patients with mild-to-moderate clinical symptoms, practice resulted in better timing of shoulder/elbow movements with less trunk rotation in middle to late reach. Patients with more severe impairment also improved shoulder/elbow movement timing in mid-reach but used more compensatory trunk rotation. The results suggest that even one session of repetitive practice of a multi-joint pointing task leads to improvements in movement performance-based outcome measures, but the mechanisms of improvement may vary with the individual's level of motor impairment.

Neocortical mechanisms in motor learning

The ability to learn novel motor skills has fundamental importance for adaptive behavior. Neocortical mechanisms support human motor skill learning, from simple practice to adaptation and arbitrary sensory-motor associations. Behavioral and neural manifestations of motor learning evolve in time and involve multiple structures across the neocortex. Modifications of neural properties, synchrony and synaptic efficacy are all related to the development and maintenance of motor skill.

Changes in kinematic and EMG variability while practicing a maximal performance task

This paper examines changes in the variability of electromyographic (EMG) activity and kinematics as a result of practicing a maximal performance task. Eight subjects performed rapid elbow flexion to a target in the horizontal plane. Four hundred trials were distributed equally over four practice sessions. A potentiometer at the elbow axis of rotation of a manipulandum recorded the angular displacement. The EMG activity of the biceps and the triceps brachii was monitored using Beckman surface electrodes. Limb speed increased while both target error and trajectory (velocity versus position) variability decreased. There was an increase in the absolute measure of total EMG variability (the first standard deviation at each point of the biceps and triceps waveform multiplied together). However, the coefficient of variation (the first standard deviation divided by the mean and the result multiplied by 100) of the mean amplitude value of the individual EMG bursts decreased. The variability of triceps motor time also decreased while the variability biceps motor time remained unchanged. The results demonstrated a clear relationship between kinematic and EMG variability. The EMG and the trajectory data suggest that practice resulted in greater central nervous system control over both the spatial-temporal aspects of movement and the magnitude of the biceps and triceps muscle force-impulses.

Spinal cord modulation associated with isometric contractions

OBJECTIVE

The dual-strategy hypothesis explains single-joint voluntary movement by dividing movements into two different strategies and suggesting that different excitation pulses modulate these movements. The existence of this excitation pulse was evaluated by quantifying magnitude and timing changes in the H-reflex (changes in spinal excitability) prior to a voluntary contraction. These changes in spinal excitability were assessed during a ballistic plantar flexion isometric contraction, where both the target size and force level was manipulated.

METHODS AND MATERIALS

Subjects were seated in a modified chair with a force transducer placed under the metatarsal heads to measure ankle force output. Following a visual stimulus subjects were trained to produce a plantar flexion force of 25% and 50% of a maximum voluntary contraction, within target sizes of 5% and 15% of the selected force level. Soleus motor neuron reflex excitability was analyzed by measuring changes in the H/M ratio. The H-reflex was randomly elicited by tibial nerve stimulations at 15, 30, 45, 60, 75 and 90 ms prior to the recorded average soleus premotor time for each of the force and target size conditions.

RESULTS

A two-way repeated-measures analysis of variance indicated a significant effect among target sizes for the time of change in spinal excitability, slope of facilitation (rate of rise of spinal excitability), and peak facilitation. A significant difference was also established between force levels for the slope and peak facilitation, but there was no difference with time of facilitation.

CONCLUSIONS

These results indicate that changes in both target size and force level can influence slope and peak of facilitation. However, only target size appears to affect the time of facilitation. Results clearly support the existence of an excitation pulse that is regulated by the type of movement.

Postcontraction influences on reaction time

The purpose of this study was to compare reaction time (RT) and fractionated RT components (premotor and motor times) between normal and postcontraction conditions. Twelve participants performed 20 trials each of control and postcontraction RT conditions. For the control condition, participants executed a learned, rapid, knee-extension contraction response to an auditory stimulus. The postcontraction condition was identical to the control condition except that the participants performed a 3-s isometric contraction of the knee extensor muscles prior to an auditory stimulus. Muscle activity was recorded from the quadriceps muscle group. Results indicated that the postcontraction condition was significantly faster than the control condition for the average RT, premotor time, and motor time. It was concluded that reaction time, processing time, and muscle contraction time for a learned task could be significantly reduced following an isometric contraction.

Practicing a maximal performance task: a cooperative strategy for muscle activity

The effect of practice on predicting elbow flexion movement time was studied. Participants (N = 18) performed 400 elbow flexion trials to a target in the horizontal plane. The trials were distributed equally over four sessions. The goal was to decrease the movement time (MT) for the same degree of accuracy. The electromyographic (EMG) activity of the biceps and triceps brachii was monitored with standard Beckman Ag/AgCl surface electrodes. The EMG measures formed two variable sets within one prediction equation. One variable set was composed of the onset of muscle activity relative to the start of movement (motor time) and the duration of muscle activity. The other variable set consisted of the mean amplitude value of the entire burst and of the first 30 ms (Q30) of activity. As the maximal speed of limb movement increased, the duration of muscle activity (motor time and EMG duration) decreased, and the magnitude of muscle activity (MAV and Q30) increased. Most of the change in the duration of muscle activity occurred in Session 1, while the magnitude of muscle activity continued to increase until Session 3. Multiple regression analysis revealed a cooperative strategy between the magnitude and duration of muscle activity. Early in learning, participants adjusted the magnitude of muscle activity to increase limb movement speed. As practice continued, alterations in the duration of muscle activity became more important, while the magnitude changes were less involved. Late in learning, both dimensions of muscle activity were used to decrease MT. We suggest that the interplay between the magnitude and duration of muscle activity may be due to: (a) cognitive factors related to the division of attention in a motor skill, (b) an increase in the frequency of motor unit firing that affects both dimensions of muscle activity, or (c) some combination of (a) and (b).

Changes in movement symmetry associated with strengthening and fatigue of agonist and antagonist muscles

The hypothesis that strengthening or fatiguing procedures applied on active muscles can affect the symmetry of rapid, discrete movements was tested. Subjects (N = 12) performed rapid, consecutive elbow flexions and extensions between 2 targets before and after (a) applying a strength training program, (b) fatiguing elbow flexors, and (c) fatiguing elbow extensors. The results demonstrated that an increase in strength of elbow extensors caused by applied strength training is associated with an increase in the symmetry ratio (i.e., acceleration time divided by deceleration time) of elbow flexion movements. The symmetry ratio also increased and decreased in movements when agonists and antagonists were fatigued, respectively. Because the strength training and fatiguing procedures are both known to affect muscle force, the data are interpreted as changes in muscles' ability to exert the force while acting as agonists or antagonists. Namely, muscles need equal impulses of force (torque multiplied by time) to accelerate and, thereafter, to decelerate the limb while performing a rapid, discrete movement. The symmetry ratio may therefore be changed so that more time will be provided for muscles that become relatively weaker (compared with their antagonists) because a strengthening or fatiguing procedure has been applied, whereas a shorter time period should be sufficient for action of their stronger antagonists. Although, in the literature, the studied phenomenon has been discussed as a predominantly motor control phenomenon, the present data suggest that the movement symmetry could also be related to agonists' and antagonists' ability to exert force, particularly while performing rapid, discrete movements.

Electromyographic correlates of learning an internal model of reaching movements

Theoretical and psychophysical studies have suggested that humans learn to make reaching movements in novel dynamic environments by building specific internal models (IMs). Here we have found electromyographic correlates of internal model formation. We recorded EMG from four muscles as subjects learned to move a manipulandum that created systematic forces (a "force field"). We also simulated a biomechanical controller, which generated movements based on an adaptive IM of the inverse dynamics of the human arm and the manipulandum. The simulation defined two metrics of muscle activation. The first metric measured the component of the EMG of each muscle that counteracted the force field. We found that early in training, the field-appropriate EMG was driven by an error feedback signal. As subjects practiced, the peak of the field-appropriate EMG shifted temporally to earlier in the movement, becoming a feedforward command. The gradual temporal shift suggests that the CNS may use the delayed error-feedback response, which was likely to have been generated through spinal reflex circuits, as a template to learn a predictive feedforward response. The second metric quantified formation of the IM through changes in the directional bias of each muscle's spatial EMG function, i.e., EMG as a function of movement direction. As subjects practiced, co-activation decreased, and the directional bias of each muscle's EMG function gradually rotated by an amount that was specific to the field being learned. This demonstrates that formation of an IM can be represented through rotations in the spatial tuning of muscle EMG functions. Combined with other recent work linking spatial tunings of EMG and motor cortical cells, these results suggest that rotations in motor cortical tuning functions could underlie representation of internal models in the CNS.

Natural goal-directed movements and the triphasic EMG

Triphasic electromyographic (EMG) patterns have been described as characteristic of rapid, discrete, uniplanar, goal-directed movements. This experiment examined the effects of Response Type (experimenter- vs. subject-determined), Hand (preferred vs. nonpreferred), and Practice (early vs. late) on performance accuracy, and specific temporal EMG and kinematic measures during a dart throw. EMG was recorded from triceps (main agonist), brachioradialis, and biceps (main antagonist). The number of trials in which a triphasic EMG occurred varied systematically across conditions. The experimenter-determined, early practice condition resulted in greatest frequency (92%) of trials displaying a triphasic EMG and least accurate performance. In contrast, the lowest frequency (79%) of triphasic EMG and most accurate performance occurred in the subject-determined, late practice condition. The association among 14 temporal EMG, and kinematic measures for each trial of the dart throw was analyzed with multivariate factorial ANOVA. Four clusters of variables emerged: initial phase, braking phase, terminal phase, and movement speed and duration. Variables contributing to the initial-phase cluster were most strongly associated within the experimenter-determined, early practice condition, and the strength of association was directly related to diminished performance accuracy. Paradoxically, best performance accuracy (subject-determined, late practice) was identified with a weaker association among variables representing the initial phase.

Adaptation of stuttering frequency during repeated readings: associated changes in acoustic parameters of perceptually fluent speech

This study is part of a series investigating the hypothesis that stuttering adaptation is a result of motor learning. Previous investigations indicate that nonspeech motor learning typically is associated with an increase in speed of performance. Previous investigations of stuttering, on the other hand, indicate that improvements in fluency during most fluency-enhancing conditions or after stuttering treatment tend to be associated with decreased speech rate, increased duration of specific acoustic segments, and decreased vowel duration variability. The present acoustic findings, obtained from 8 individuals who stutter, reveal that speech adjustments occurring during adaptation differ from those reported for other fluency-enhancing conditions or stuttering treatment. Instead, the observed changes are consistent with those occurring during skill improvements for nonspeech motor tasks and, thus, with a motor learning hypothesis of stuttering adaptation. During the last of 6 repeated readings, a statistically significant increase in articulation rate was observed, together with a decrease in word duration, vowel duration, and consonant-vowel (CV) transition extent. Other adjustments showing relatively consistent trends across individual subjects included decreased CV transition rate and duration, and increased variability of both CV transition extent and vowel duration.

Development of bilateral motor control in children with developmental coordination disorders

This research examined behavioral (i.e. movement time) and neuromuscular (EMG) characteristics of unilateral and bilateral aiming movements of children with normal motor development and children with developmental coordination disorders (DCD). Two age groups of children were studied: 6 to 7, and 9 to 10 year olds. Bilateral aiming movements involved moving the two hands to targets of either (1) the same amplitude--symmetrical bilateral movements, or (2) different amplitudes--asymmetrical bilateral movements. Unilateral aiming movements involved moving one hand to either near or far targets associated with that hand. In general, unilateral and bilateral movement times were slower in younger than older children, and in children with DCD than children with normal motor development. Our neuromuscular data suggest that the faster movement times that typically accompany increasing age in children may be the result of a change in the capacity to initiate antagonist muscle contractions. The prolonged burst of agonist activity and delayed onset of antagonist activity observed in children with DCD may contribute to their inability to produce fast, accurate unilateral movements. On both symmetrical and asymmetrical bilateral aiming movements, children with DCD had more performance errors and greater temporal inconsistencies between neuromuscular (EMG) parameters and behavioral (movement time) parameters than children with normal motor development. These new neuromuscular data suggest that there are important differences in the way the motor control systems of children with and without DCD organize bilateral aiming responses.

Learning transfer from flexion to extension movements: importance of the final position

Nine subjects (experimental group) were tested on rapid elbow flexion and extension movements performed in the same final position, prior to and after extensive practice of the movements. Nine additional subjects (control group) were also tested, but without any practice between the tests. Comparison of the pretest and posttest results suggested that the experimental group decreased their variable error (i.e., standard deviation of the final movement position) in both practiced (elbow flexion) and nonpracticed (elbow extension) movement. The control group, however, did not improve in either of tested movements. The experimental group demonstrated lower variable error in the nonpracticed elbow extensions than the control group, while the same difference for practiced elbow flexion movements was slightly below the significant level. The results support the importance of the final position in programming of rapid, self-terminated movements; however, they do not rule out the role of other kinetic and kinematic variables (such as movement distance).

The effects of prior antagonist muscle vibration on performance of rapid movements

The effects of prior vibration of the antagonist triceps muscle on the performance of rapid discrete elbow flexion movements were studied in healthy volunteers. The subjects performed 520 movements over five experimental sessions. The application of prior vibration resulted in a shift of the initial position, an undershoot of the final position in untrained subjects, and also in trained subjects if not applied during practice. On the contrary, no undershoot occurred in trained subjects when prior vibration was applied during practice. Improvement in movement performance, as judged by a decrease in variability of the final position, was less successful when vibration was applied during practice. It is supposed that the undershoots were due to prior vibration-induced alterations in proprioceptive messages and a consequent erroneous sense of the arm position. These effects seem to be overcome by practice, but also seem to interfere with learning-based movement improvement.

Practice effects on the timing and magnitude of antagonist activity during ballistic elbow flexion to a target

This study examined changes in antagonist timing and magnitude in response to ballistic elbow flexion practice. Seventeen men performed 400 ballistic elbow flexion trials to a target in the horizontal plane over 4 days of testing. A potentiometer and microswitch system at the elbow axis of rotation of a manipulandum recorded angular displacement and movement onset. Surface electrodes (Beckman Ag/AgCl) monitored the triceps brachii lateral head, and the electromyographic (EMG) signals were bandpassed between 20 and 300 Hz. The antagonist EMG burst was divided in two: early low-level activity (ANT1), and the large portion of the burst which occurs near target achievement (ANT2). Movement time decreased from 178 ms on the first test day to 136 ms on the last session. As practice improved the speed of limb movement, onset of the first component (ANT1) remained unchanged, while the second component (ANT2) started earlier. The magnitude of both portions of the antagonist burst increased from the first to last test day, but the change in ANT2 relative to ANT1 was more pronounced. These findings are used to explain discrepant observations in the literature for the temporal measure.

Repetitive practice of a single joint movement for enhancing elbow function in hemiparetic patients

The primary goal of this study was to assess whether repetitive practice of flexion-extension movements of the affected elbow in hemiparetic patients enhances performance and to compare the effects of this practice mode to the effects of the physical therapy variable exercise program which is routinely applied during sessions. Subjects were 27 poststroke hemiparetic patients, residents of a rehabilitation institute, divided into an experimental (n = 15) and a control group (n = 12). The former were treated with 800 repeated elbow movements in a maximal predetermined amplitude of 80 degrees, provided in 8 equal sessions every other day. The latter received 10 min. of conventional physical therapy for the paretic upper extremity at similar time intervals. Pre- and posttreatment assessments included the bilateral measurements of kinematic variables and activation latencies of the biceps and triceps brachi muscles as well as motor and functional tests. For all criterion variables, the findings pointed to comparable improvement in both groups. It was concluded that repetitive elbow movements had no unique training effect on the kinematics of movement and on activation latencies of the primary muscles controlling elbow function in hemiparetic patients. Further, transfer of the effects of training to execution of movements towards and from the mouth was also comparable in both groups, pointing again to there being no particular advantage in using repetitive movements as a training mode for enhancement of elbow function in hemiparetic patients.

Nonlinear control of movement distance at the human elbow

The kinematic, kinetic, and electromyographic (EMG) patterns observed during fast, single-joint flexion movement have been widely studied as a paradigm for understanding voluntary movement. Several patterns have been described that depend upon the movement task (e.g., distance, speed, and load). A previous model that interpreted differences in EMG patterns in terms of pulse-height or pulse-width modulation of rectangular pulses of motoneuron pool excitation cannot explain all the EMG patterns reported in the literature. We proposed a more general version of that model, consisting of a set of four equations, which specify the parameters of the excitation pulses for a wide variety of movement tasks. Here we report experiments in which subjects performed fast elbow flexions over a range of distances from 2.8 degrees to 45 degrees. The EMG patterns that we observe are consistent with this more general model. We conclude that this model is sufficient to specify muscle excitation patterns that will launch a movement toward and stop it in the neighborhood of a target. This model operates on the basis of prior knowledge about the task rather than feedback received during the task.

Role of agonist and antagonist muscle strength in performance of rapid movements

Six subjects performed rapid self-terminated elbow movements under different mechanical conditions prior to, and 5 weeks after an elbow extensor strengthening programme. Despite the large difference in the strengths of elbow flexors and extensors, the pretest did not demonstrate significant differences between the movement time of flexion and extension movements performed under the same mechanical conditions. The results obtained in the posttest demonstrated a decrease in movement time (i.e. an increase in movement speed) in both elbow flexion and extension movements under some mechanical conditions. In addition, flexion movements demonstrated a relative increase in the acceleration time (acceleration time as a proportion of the movement time). It was concluded that the strength of both the agonist and antagonist muscles was important for the performance of rapid movements. Stronger agonists could increase the acceleration of the limb being moved, while stronger antagonists could facilitate the arrest of the limb movement in a shorter time, providing a longer time for acceleration.