The role of impulse variability in manual-aiming asymmetries

Impact of subclinical neck pain on eye and hand movements in goal-directed upper limb aiming movements

Individuals with untreated, mild-to-moderate recurrent neck pain or stiffness (subclinical neck pain (SCNP)) have been shown to have impairments in upper limb proprioception, and altered cerebellar processing. It is probable that aiming trajectories will be impacted since individuals with SCNP cannot rely on accurate proprioceptive feedback or feedforward processing (body schema) for movement planning and execution, due to altered afferent input from the neck. SCNP participants may thus rely more on visual feedback, to accommodate for impaired cerebellar processing. This quasi-experimental study sought to determine whether upper limb kinematics and oculomotor processes were impacted in those with SCNP. 25 SCNP and 25 control participants who were right-hand dominant performed bidirectional aiming movements using two different weighted styli (light or heavy) while wearing an eye-tracking device. Those with SCNP had a greater time to and time after peak velocity, which corresponded with a longer upper limb movement and reaction time, seen as greater constant error, less undershoot in the upwards direction and greater undershoot in the downwards direction compared to controls. SCNP participants also showed a trend towards a quicker ocular reaction and movement time compared to controls, while the movement distance was fairly similar between groups. This study indicates that SCNP alters aiming performances, with greater reliance on visual feedback, likely due to altered proprioceptive input leading to altered cerebellar processing.

Hemispheric lateralization does not affect the cognitive and mechanical cost of a sequential motor task

In sequential, repetitive tasks, we often partially reuse former motor plans. This causes a persistence of an earlier adopted posture (termed motor hysteresis). The cost-optimization hypothesis states that a partial reuse reduces the cognitive cost of a movement, while the persistence in a former posture increases its mechanical cost. An optimal fraction of reuse, which depends on the relative cognitive and mechanical cost, minimizes the total movement cost. Several studies postulate differences in mechanical or cognitive cost as a result of hemispheric lateralization. In the current study, we asked whether these differences would result in different fractions of motor plan reuse. To this end, left- and right-handed dominant participants executed a sequential motor task (opening a column of drawers) with their dominant and non-dominant hand. The size of the motor hysteresis effect was measured as a proxy for the fraction of plan reuse. Participants used similar postures and exhibited a similar hysteresis effect, irrespective of hand and handedness. This finding indicates that either the cognitive and mechanical costs of a motor task are unaffected by hemispheric differences or that their effect on motor planning is negligible.

Are there right hemisphere contributions to visually-guided movement? Manipulating left hand reaction time advantages in dextrals

Many studies have argued for distinct but complementary contributions from each hemisphere in the control of movements to visual targets. Investigators have attempted to extend observations from patients with unilateral left- and right-hemisphere damage, to those using neurologically-intact participants, by assuming that each hand has privileged access to the contralateral hemisphere. Previous attempts to illustrate right hemispheric contributions to the control of aiming have focussed on increasing the spatial demands of an aiming task, to attenuate the typical right hand advantages, to try to enhance a left hand reaction time advantage in right-handed participants. These early attempts have not been successful. The present study circumnavigates some of the theoretical and methodological difficulties of some of the earlier experiments, by using three different tasks linked directly to specialized functions of the right hemisphere: bisecting, the gap effect, and visuospatial localization. None of these tasks were effective in reducing the magnitude of left hand reaction time advantages in right handers. Results are discussed in terms of alternatives to right hemispheric functional explanations of the effect, the one-dimensional nature of our target arrays, power and precision given the size of the left hand RT effect, and the utility of examining the proportions of participants who show these effects, rather than exclusive reliance on measures of central tendency and their associated null hypothesis significance tests.

Manual (a)symmetries in grasp posture planning: a short review

Many activities of daily living require that we physically interact with one or more objects. Object manipulation provides an intriguing domain in which the presence and extent of manual asymmetries can be studied on a motor planning and a motor execution level. In this literature review we present a state of the art for manual asymmetries at the level of motor planning during object manipulation. First, we introduce pioneering work on grasp posture planning. We then sketch the studies investigating the impact of future task demands during unimanual and bimanual object manipulation tasks in healthy adult populations. In sum, in contrast to motor execution, there is little evidence for hand-based performance differences in grasp posture planning. We discuss potential reasons for the lack of manual asymmetries in motor planning and outline potential avenues of future research.

Dynamic dominance varies with handedness: reduced interlimb asymmetries in left-handers

Our previous studies of interlimb asymmetries during reaching movements have given rise to the dynamic-dominance hypothesis of motor lateralization. This hypothesis proposes that dominant arm control has become optimized for efficient intersegmental coordination, which is often associated with straight and smooth hand-paths, while non-dominant arm control has become optimized for controlling steady-state posture, which has been associated with greater final position accuracy when movements are mechanically perturbed, and often during movements made in the absence of visual feedback. The basis for this model of motor lateralization was derived from studies conducted in right-handed subjects. We now ask whether left-handers show similar proficiencies in coordinating reaching movements. We recruited right- and left-handers (20 per group) to perform reaching movements to three targets, in which intersegmental coordination requirements varied systematically. Our results showed that the dominant arm of both left- and right-handers were well coordinated, as reflected by fairly straight hand-paths and low errors in initial direction. Consistent with our previous studies, the non-dominant arm of right-handers showed substantially greater curvature and large errors in initial direction, most notably to targets that elicited higher intersegmental interactions. While the right, non-dominant, hand-paths of left-handers were slightly more curved than those of the dominant arm, they were also substantially more accurate and better coordinated than the non-dominant arm of right-handers. Our results indicate a similar pattern, but reduced lateralization for intersegmental coordination in left-handers. These findings suggest that left-handers develop more coordinated control of their non-dominant arms than right-handers, possibly due to environmental pressure for right-handed manipulations.

An investigation into manual asymmetries in grasp behavior and kinematics during an object manipulation task

Manual asymmetries in the control of movements have been investigated in a variety of experimental paradigms. Initial studies demonstrated that the dominant right hand has advantages over the non-dominant left hand in many aspects of motor control. However, more recent studies have shown that the presence and extent of these asymmetries depends on the task context and accuracy demands. Typically, manual asymmetries on a motor planning and motor execution level are examined separately. However, given that recent research has demonstrated that specific task constraints do not influence both levels equally, the purpose of the present experiment was to investigate manual asymmetries in motor planning and execution. To this end, initial grasp behavior (motor planning) and kinematics (motor execution) were examined in thirteen right-handed participants during a unimanual grasping and placing task. We specifically manipulated grasping hand, target location, object end orientation, and object grasp time at the start location. There were three main findings. First, motor planning or movement execution was similar regardless of grasping hand. Second, prospectively planned actions were influenced by target location and the required end orientation of the object. Third, the amount of time spent in an initial posture did not influence initial grasp postures. However, it did alter the movement kinematics during the grasping (approach phase) and placing (transport phase) portion of the task. We posit that grasping and placing movements are comprised of an initial grasp and a transport component, which are differentially influenced by task constraints.

Randomized trial of distributed constraint-induced therapy versus bilateral arm training for the rehabilitation of upper-limb motor control and function after stroke

BACKGROUND AND OBJECTIVE

This study compared the efficacy of distributed constraint-induced therapy (dCIT), bilateral arm training (BAT), and control treatment (CT) on motor control and functional performance of the upper limb in stroke patients.

METHODS

A total of 66 patients with mean stroke onset of 16.20 months and mild to moderate motor impairment were randomized to dCIT, BAT, or CT groups. Each group received treatment for 2 h/d and 5 d/wk for 3 weeks. Pretreatment and posttreatment measures included reaching kinematic variables in unilateral and bilateral tasks, the Wolf Motor Function Test (WMFT), and the Motor Activity Log (MAL).

RESULTS

The dCIT and BAT groups had smoother reaching trajectories in the unilateral and bilateral tasks than the CT group. The BAT group, but not the dCIT group, generated greater force at movement initiation than the CT group during the unilateral and bilateral tasks. The dCIT patients had decreased WMFT time and higher functional ability scores than the CT patients. MAL results pointed to better performance in the amount and quality of use of the affected arm than BAT and CT patients.

CONCLUSIONS

BAT and dCIT exhibited similar beneficial effects on movement smoothness but differential effects on force at movement initiation and functional performance. Therefore, BAT is a better option if improvement of force generation is the treatment goal, and dCIT is more appropriate for improving functional ability and use of the affected arm in daily life. These findings may assist in the planning of individually tailored rehabilitation therapies.

Sensory-motor equivalence: manual aiming in C6 tetraplegics following musculotendinous transfer surgery at the elbow

Cervical spinal lesions at C6 result in paralysis of the triceps brachii while leaving deltoid and elbow flexor function intact. We examined the spatial-temporal characteristics of goal-directed aiming movements performed by C6 tetraplegics who had undergone musculotendinous transfer surgery in which the posterior deltoid replaces the triceps as the elbow extensor. On some trials, liquid crystal goggles were used to eliminate vision of the limb and target upon movement initiation. Although tetraplegic participants achieved the same degree of movement accuracy/consistency as control participants, their movement times were longer regardless of whether the movements were made away from (elbow extension) or towards the body (elbow flexion). Longer movement times were related to lower peak velocities, and not the symmetry of the aiming profiles. The tetraplegic participants were no more dependent on visual feedback for limb regulation than control participants. Although the characteristics of the movement trajectories were surprisingly similar, in both vision conditions, tetraplegics required more real and proportional time to reduce spatial variability in the limb's trajectory for elbow extensions. Our results indicate that the sensorimotor system is adaptable and that the representations governing limb control are not muscle specific.

Manual asymmetries in the temporal and spatial control of aimed movements

Right-handed participants performed aimed, left- and right-hand movements toward a fixed target in speed and precision conditions. The purpose was to determine detailed hand differences in the temporal and spatial control during the course of a movement. The results showed that hand differences pertaining to spatial control of movement direction occurred throughout movement execution, and that these differences were stronger in the high speed and low precision conditions. Furthermore, the left hand took more time to execute a movement than the right hand, especially in conditions of low speed and high precision. Detailed time analysis revealed that slowing down of the left hand specifically happened prior to peak acceleration and beyond peak deceleration. These detailed temporal hand differences reoccurred as additional discontinuities in the acceleration profile. These results suggest that the left hand has more difficulty at movement start than the right hand, possibly in overcoming initial inertia. It is discussed whether time-based manual asymmetries located near the end of movement execution should be explained in terms of increased feedback use, or should be related to hand differences regarding the possible active dissipation of mechanical energy at movement completion.

Augmented visual feedback increases finger tremor during postural pointing

Physiological tremor in the upper limb of eight adults was examined during the performance of a unilateral pointing task under conditions where the visual feedback, limb used and target size were altered. All subjects were required to aim a hand-held laser pointer at a circular target 5.5 m away with the goal of keeping the laser emission within the centre of the target. Visual feedback was defined as either normal vision (NV) of their limb tremor, where the laser was switched off, or augmented vision (AV) where the laser was switched on. Postural tremor from the segments of the upper limb, forearm muscle EMG activity, and target accuracy measures were recorded and analysed in the time and frequency domains. Accuracy-tremor relations were assessed using cross correlation and linear regression. Results revealed a high degree of similarity in the general pattern of the tremor output seen for each limb segment across conditions with only scalar (amplitude) changes being seen as a function of the different constraints imposed. For any single condition the tremor amplitude increased from proximal to distal segments. The frequency profile for the tremor in any segment displayed two prominent frequency peaks (at 2-4 Hz and 8-12 Hz). A third, higher frequency peak (18-22 Hz) was observed in the index fingers only. Across all conditions significant coupling relations were observed only between the hand-finger and forearm-upper arm segment pairs. Altering the visual feedback was shown to have the greatest effect on limb tremor with increased tremor and EMG activity and decreased coupling being seen under AV conditions. In trying to reduce tremor output when the augmented feedback was provided novice subjects instead increased muscle activity which resulted in increased tremor. Overall these results indicate that the physiological tremor output observed in neurologically normal subjects is not simply the product of intrinsic oscillations but is influenced by the nature of the task being performed.

Interlimb differences in control of movement extent

The current study was designed to examine potential interlimb asymmetries in controlling movement extent. Subjects made repetitive single-joint elbow extension movements while the arm was supported on a horizontal, frictionless, air-jet system. Four targets of 10, 20, 35, and 45 degrees excursions were randomly presented over the course of 150 trials. For both arms, peak tangential hand velocity scaled linearly with movement distance. There was no significant difference between either peak velocities or movement accuracies for the two arms. However, the mechanisms responsible for achieving these velocities and extents were quite distinct for each arm. For the dominant arm, peak tangential finger acceleration varied systematically with movement distance. In contrast, nondominant-arm peak tangential acceleration varied little across targets and, as such, was a poor predictor of movement distance. Instead the velocities of the nondominant arm were determined primarily by variation in the duration of the initial acceleration impulse, which corresponds to the time of peak velocity. These different strategies reflect previously identified mechanisms in controlling movement distance: pulse-height control and pulse-width control. The former is characterized by a variation in peak acceleration and has been associated with preplanning mechanisms. The latter occurs after peak acceleration and has been shown to depend on peripheral sensory feedback. Our findings indicate that the dominant-arm system controls movement extent largely through planning mechanisms that specify pulse-height control, whereas the nondominant system does so largely through feedback mediated pulse-width control.

The one-target advantage: a test of the movement integration hypothesis

Two experiments were conducted to compare the temporal structure of single aiming movements to two-component movements involving either a reversal in direction or an extension. For reversal movements, there was no cost associated with the movement time for the first segment of the movement. However, regardless of movement direction, initiation instructions, handedness or effector, two-component extension movements were always associated with a longer movement time for the first movement segment. This disadvantage for extension movements, but not reversal movements, is consistent with the notion that there is interference between the execution of the first movement and implementation of the second movement. By contrast, because the muscular force used to break the first movement is also used to propel the second movement, reversal movements are organised as an integrated unit.

Manual asymmetries in the preparation and control of goal-directed movements

The primary purpose of this experiment was to determine if left hand reaction time advantages in manual aiming result from a right hemisphere attentional advantage or an early right hemisphere role in movement preparation. Right-handed participants were required to either make rapid goal-directed movements to small targets or simply lift their hand upon target illumination. The amount of advance information about the target for a particular trial was manipulated by precuing a subset of potential targets prior to the reaction time interval. When participants were required to make aiming movements to targets in left space, the left hand enjoyed a reaction advantage that was not present for aiming in right space or simple finger lifts. This advantage was independent of the amount or type of advance information provided by the precue. This finding supports the movement planning hypothesis. With respect to movement execution, participants completed their aiming movements more quickly when aiming with their right hand, particularly in right space. This right hand advantage in right space was due to the time required to decelerate the movement and to make feedback-based adjustments late in the movement trajectory.

A new conceptual model of asymmetry in motor performance for bidimensional fast-oscillating movements in selected variants of performance

Spatial characteristics and lateral differences between two upper extremities were investigated in unilateral graphical tasks involving fast oscillating movements in the vertical plane based on the model of restricted (less than 10 degrees) horizontal abduction adduction in the shoulder joint. The spatial locations of reversal points were used to identify two groups of motor performance: with big angles and gross vertical vectors (stretched accordion group), and small projectile angles with small vertical vectors (compressed accordion group). Both groups appeared in right and left arm performance. The former group had a strong pattern of distribution of big and small projectile angles which reflects a particular variant of execution with a significant difference between angles and intermittent big and small angles (BB). Two other variants of execution relating to specific angular patterns of performance were identified in the compressed accordion group: one (Bs) showed a big difference between big and small angles but without intermittance; the other (ss) had only small differences between magnitudes of angles. The Bs variant of execution was observed only in left-handed performance, whilst ss was typical of both extremities. The performances affiliated to the stretched accordion group with the BB variant of execution mostly operated with reciprocal cooperation between alterations of X and Y vectors for the right arm. Performance related to the same group with the Bs variant of execution used concurrent collaboration involving alteration of these vectors for the left arm. The compressed accordion group which deployed the ss variant of execution mostly displayed concurrent alteration of vectors irrespective of the side of performance. It is suggested that the spatial movement strategies might reflect several different schemes of motor control wherein coupling of oscillators controls vertical and horizontal movements. It is also proposed that specific subunits of the functional system of nervous elements responsible for the expression of spatial derivatives of motor programmes may exist at lower levels of the CNS and might be initiated by the left brain or by the cooperative activity of the left and right hemispheres.

Goal-Directed Aiming: Correcting a Force-Specification Error With the Right and Left Hands

In 2 experiments, the authors examined manual aiming asymmetries as well as the ability of participants to adjust their aiming trajectories following an unexpected change to the inertial resistance to movement. In Experiment 1, participants (N = 11) were able to rapidly adjust their movement trajectories to conform to the new movement requirements. They were faster and more consistent when aiming with their right hand than with their left hand, regardless of whether or not the movement was perturbed. In Experiment 2, participants' (N = 11) vision of the hand was manipulated so that the role of visual feedback in the corrective process could be examined. Vision had an impact not only on performance but also on the characteristics of the movement trajectories. Manual asymmetries in aiming were associated with a right hand superiority during the final corrective stages of the movement.

Manual asymmetries in goal-directed movement: examination of the motor output hypothesis

Two experiments are reported which examined the viability of motor output hypothesis as an explanation for manual asymmetries in goal-directed movement. Experiment 1 isolated the variability due to force generation by directly assessing precision of force production during an isometric wrist flexion task. Experiment 2 examined the additional role of externally based and internally created timing patterns on the performance of a repetitive force production task. Virtually no effects involving hand were apparent in either experiment. These findings provide no support for a hypothesis based solely on motor output to adequately account for hand differences in the performance of rapid, goal-directed movement.

Manual asymmetries and saccadic eye movements in right-handers during single and reciprocal aiming movements

Two experiments examined the coordination of eye and hand movements in right-handed subjects who completed single (Experiment 1) and reciprocal (Experiment 2) aiming movements with each hand. In both experiments eye movements preceded hand movement, and arrived well in advance of the hand to allow pickup of visual information about relative position of the hand and target to correct te ongoing movement. With reciprocal aiming differences emerged between the hands. A right hand advantage was found for movement execution, and a left hand advantage for movement initiation. Manual asymmetries were not due to practice differences between hands. Subjects made larger initial saccades and more corrective saccades when aiming with the left hand. The pattern of eye-hand coordination was consistent with Woodworth's (1899) two component model of limb control, and at odds with models of limb control which suggest that online visual pickup is of minor importance.

Influence of spatial mapping on manual aiming asymmetries

Two experiments were conducted to examine manual asymmetries in a one-dimensional aiming task. In Exp. 1, 10 right-handed adults slid a computer mouse 13 cm on a graphics tablet with both the right and left hands to targets of 3 different diameters. Under these conditions, the movement time for the right hand was significantly faster as expected. In Exp. 2, subjects performed similar movements to move a cursor 13 cm on a computer monitor. Thus the study was identical except the stimulus-response mapping was indirect. In this situation, there were no significant difference for either movement time or movement error between hands despite these performance measures indicating the target aiming was more difficult in Exp. 2. Because increases in task difficulty generally result in a greater advantage for the right hand, as indicated by Todor & Smiley, 1985, the present studies suggest that superiority of the right hand in aiming tasks may be diminished when spatial translation is required. Perhaps the spatial translation requires greater involvement of the right hemisphere, a process associated with manual advantage for the left hand, previously suggested by Roy and MacKenzie.

The influence of target perturbation on manual aiming asymmetries in right-handers

Ten right-handed subjects performed 100 target-aiming movements with each hand. These movements were directed toward a small target on the midline. On 60% of the trials, the target remained stationary. On other randomly placed trials, the target "jumped" to a location 3 cm to the right (20%) or left (20%) of its original position when the cursor had travelled 6.5 cm. Although no hand differences were evident in the control condition, the right hand acquired the new target location more quickly than the left hand when the target was perturbed in either direction. Kinematic data revealed that this advantage was not due to initiating an adjustment to the initial movement more rapidly, but rather less time decelerating the corrective movement. Movement adjustments on perturbed trials were implemented more rapidly in left space than right space independent of the hand doing the aiming. These asymmetries may reflect the differential role of the two cerebral hemispheres in the control of goal-directed movements.

Generalized motor programs for rapid bimanual tasks: a two-level multiplicative-rate model

A model is proposed for the timing of rapid bimanual movements. It combines (a) the notion of a generalized motor program (GMP) with invariant relative timing, (b) the two-level concept of timing control with a central level of control and a peripheral level where the observations are made, and (c) the hypothesis that a single GMP simultaneously controls both limbs. Our method is based on the analysis of temporal intervals measured among landmarks taken from the bimanual kinematic traces. We show that sets of tetrad ratios--each composed of two pairs of covariances among four temporal intervals in the actions--should be equal to 1.0 if the hypothesis is correct. In addition, we show that these tetrad ratios should deviate systematically from 1.0 under certain, biologically realizable violations of the model. Data from human subjects show that the results generally conform to the basic model. Simulations are used to illustrate other violations of the model and to explore characteristics of the sampling distribution of the tetrad ratios under the model.