The impact of real and illusory target perturbations on manual aiming

Self-reported Measures of Function Compared to Lower Limb Motor Performance in People With and Without Imaging Evidence of Unilateral Lumbar Nerve Root Compression: A Cross-sectional Study

OBJECTIVE

The primary objective of the present study was to determine if imaging findings of unilateral lumbar nerve root compression (ULNRC) impact performance on a coordinated motor performance task and to determine if there were correlations between motor performance and self-reported clinical measures.

METHODS

People with back pain (N = 45) were stratified into 3 groups based on combinations of: lumbar imaging; and clinical presentation for ULNRC. Group 1 included people with imaging of lumbar nerve root compression, who presented with neurological deficit. Group 2 people demonstrated imaging evidence of nerve compression, without motor, sensory or reflex change. Group 3 participants possessed only degenerative changes on lumbar imaging films, and were neurologically intact. Performance measures included behavioral and kinematic variables from an established lower limb Fitts' Task requiring movements to targets of different difficulties. Self-reported measures of disability, function and pain were collected. Analysis of variance for between and within group variables were conducted, and Pearson correlation compared performance with self-reported measures.

RESULTS

All groups yielded main effects for movement time with increasing task difficulty as predicted by Fitts' Law. A main effect revealed Group 1 participants performed less accurately than Group 3 participants. Positive correlations were predominantly found between self-report measures and motor performance for Group 2 and Group 3.

CONCLUSION

Imaging, and self-reported measures alone did not predict function, however, Fitts' task performance accuracy effectively differentiated groups.

The role of binocular vision in the control and development of visually guided upper limb movements

Vision provides a key sensory input for the performance of fine motor skills, which are fundamentally important to daily life activities, as well as skilled occupational and recreational performance. Binocular visual function is a crucial aspect of vision that requires the ability to combine inputs from both eyes into a unified percept. Summation and fusion are two aspects of binocular processing associated with performance advantages, including more efficient visuomotor control of upper limb movements. This paper uses the multiple processes model of limb control to explore how binocular viewing could facilitate the planning and execution of prehension movements in adults and typically developing children. Insight into the contribution of binocularity to visuomotor control also comes from examining motor performance in individuals with amblyopia, a condition characterized by reduced visual acuity and poor binocular function. Overall, research in this field has advanced our understanding of the role of binocular vision in the development and performance of visuomotor skills, the first step towards developing assessment tools and targeted rehabilitation for children with neurodevelopment disorders at risk of poor visuomotor outcomes. This article is part of a discussion meeting issue 'New approaches to 3D vision'.

Re-examining the integration of routine and adaptive expertise: there is no such thing as routine from a motor control perspective

The study of adaptive expertise in health professions education has focused almost exclusively on cognitive skills, largely ignoring the processes of adaptation in the performance of precision technical skills. We present a focused review of literature to argue that repetitive practice is much less repetitive than often perceived. Our main thesis is that all skilled movement reflects components of adaptive expertise. Through an overview of perspectives from the field of motor control and learning, we emphasize the interplay between the inherent noisiness of the human motor architecture and the stability of motor skill performances. Ultimately, we challenge the very idea of routine. Our goal is threefold: to reconcile common misconceptions about the rote nature of routine precision skill performance, to offer educators principles to enhance adaptive expertise as an outcome of precision skill training, and to expand the conversation between 'routine' and 'adaptive' forms of expertise in health professions education.

Binocular Viewing Facilitates Size Constancy for Grasping and Manual Estimation

A prerequisite for efficient prehension is the ability to estimate an object's distance and size. While most studies demonstrate that binocular viewing is associated with a more efficient grasp programming and execution compared to monocular viewing, the factors contributing to this advantage are not fully understood. Here, we examined how binocular vision facilitates grasp scaling using two tasks: prehension and manual size estimation. Participants (n = 30) were asked to either reach and grasp an object or to provide an estimate of an object's size using their thumb and index finger. The objects were cylinders with a diameter of 0.5, 1.0, or 1.5 cm placed at three distances along the midline (40, 42, or 44 cm). Results from a linear regression analysis relating grip aperture to object size revealed that grip scaling during monocular viewing was reduced similarly for both grasping and estimation tasks. Additional analysis revealed that participants adopted a larger safety margin for grasping during monocular compared to binocular viewing, suggesting that monocular depth cues do not provide sufficient information about an object's properties, which consequently leads to a less efficient grasp execution.

The multiple process model of goal-directed aiming/reaching: insights on limb control from various special populations

Several years ago, our research group forwarded a model of goal-directed reaching and aiming that describes the processes involved in the optimization of speed, accuracy, and energy expenditure Elliott et al. (Psychol Bull 136:1023-1044, 2010). One of the main features of the model is the distinction between early impulse control, which is based on a comparison of expected to perceived sensory consequences, and late limb-target control that involves a spatial comparison of limb and target position. Our model also emphasizes the importance of strategic behaviors that limit the opportunity for worst-case or inefficient outcomes. In the 2010 paper, we included a section on how our model can be used to understand atypical aiming/reaching movements in a number of special populations. In light of a recent empirical and theoretical update of our model Elliott et al. (Neurosci Biobehav Rev 72:95-110, 2017), here we consider contemporary motor control work involving typical aging, Down syndrome, autism spectrum disorder, and tetraplegia with tendon-transfer surgery. We outline how atypical limb control can be viewed within the context of the multiple-process model of goal-directed reaching and aiming, and discuss the underlying perceptual-motor impairment that results in the adaptive solution developed by the specific group.

Early Impulse Control: Treatment of Potential Errors within Pre-Programming and Control

Early aiming adjustments following an online perturbation are made possible by impulse control. This process may unfold even earlier when perturbations impose a greater risk of a costly overshoot error. Participants executed upward and downward aims to mediate the cost of potential errors-downward overshoots require more energy to correct against gravity. On 33% of the trials, texture elements on the aiming surface were shifted following onset to appear congruent or incongruent with the aiming direction, and consequently generate a misperception of the limb moving slower or faster, respectively. Thus, the risk of potential errors could be influenced by the online perturbation (e.g., increased perceived likelihood of overshooting following the incongruent background). Findings indicated greater undershooting for down compared to up, which reflects the principle of movement optimisation. There was also more undershooting for an incongruent compared to congruent background, which is consistent with early online adjustments counter-acting the misperceived limb velocity. However, there were no interactions throughout the movement trajectory. We suggest that while the initial pre-programme considers the cost of potential errors (target direction), early impulse control fails to discriminate the likelihood of these errors occurring following an online perturbation (moving background).

Examining the equivalence between imagery and execution - Do imagined and executed movements code relative environmental features?

Imagined actions engage some of the same neural substrates and related sensorimotor codes as executed actions. The equivalency between imagined and executed actions has been frequently demonstrated by the mental and physical chronometry of movements; namely, the imagination and execution of aiming movements in a Fitts paradigm. The present study aimed to examine the nature or extent of this equivalence, and more specifically, whether imagined movements encompass the relative environmental features as do executed movements. In two separate studies, participants completed a series of imagined or executed reciprocal aiming movements between standard control targets (no annuli), perceptually small targets (large annuli) and perceptually large targets (small annuli) (Ebbinghaus illusions). The findings of both studies replicated the standard positive relation between movement time and index of difficulty for imagined and executed movements. Furthermore, movement times were longer for targets with surrounding annuli compared to the movement times without the annuli suggesting a general interference effect. Hence, the surrounding annuli caused a longer time, independent of the illusory target size, most likely to avoid a potential collision and more precisely locate the endpoint. Most importantly, this feature could not be discriminated as a function of the task (imagined vs. executed). These findings lend support to the view of a common domain for imagined and executed actions, while elaborating on the precision of their equivalence.

The Impact of Strategic Trajectory Optimization on Illusory Target Biases During Goal-Directed Aiming

During rapid aiming, movements are planned and executed to avoid worst-case outcomes that require time and energy to correct. As such, downward movements initially undershoot the target to avoid corrections against gravity. Illusory target context can also impact aiming bias. Here, the authors sought to determine how strategic biases mediate illusory biases. Participants aimed to Müller-Lyer figures in different directions (forward, backward, up, down). Downward biases emerged late in the movement and illusory biases emerged from peak velocity. The illusory effects were greater for downward movements at terminal endpoint. These results indicate that strategic biases interact with the limb-target control processes associated with illusory biases. Thus, multiple control processes during rapid aiming may combine and later affect endpoint accuracy (D. Elliott et al., 2010 ).

Visual Online Control of Goal-Directed Aiming Movements in Children

The present study investigated whether the initial impulse of goal-directed movements was visually monitored by 5- to 12-years-old children (n = 36) in a manner similar to adults (n = 12). The participants moved a cursor toward a fixed target. In some trials, the cursor was unpredictably translated by 20 mm following movement initiation. The results showed that even the youngest children visually monitor the initial impulse of goal-directed movements. This monitoring and the error correction process that it triggers seem automatic because it occurs even when the cursor jump is not consciously detected. Finally, it appears that this process does not fully mature before late childhood, which suggests that a putative dedicated channel for processing visual hand information develops during childhood.

Does the size-illusion effect on prehensile movements depend on preview duration for visuomotor process?

Given that visual estimation of an object's size is affected by an illusory figure, the present study investigates the Ebbinghaus size-illusion effect on visuomotor performance within different preview durations for viewing an object (no preview, 300, 700, 1500, and 3000 ms) before initiating the movement. Twenty participants performed the following actions: (a) grasping the object and (b) matching the perceived object size with the finger aperture configuration as in the grasping task. The illusion affected the grasping aperture size only in the no- and 300-ms preview durations, while the matching aperture was affected across all preview conditions. These results suggest that the preview duration influences the size illusion to affect the grasping performance, and subjects adopt different visuomotor processes, depending on preview duration.

Line copying: distinct "where" and "aiming" spatial bias in healthy adults

BACKGROUND

Spatial bias in natural, implicit tasks such as reaching and grasping may manifest differently from that in arbitrary laboratory-experiment line bisection tasks. Because spatial processing in everyday activities is difficult to quantify, it is important to study spatial behavior in an implicit laboratory task. Drawing tasks of copying lines or objects integrate spatial perceptual-attentional ("where") input and motor-intentional ("aiming") output, and may be more implicit than line bisection because participants are unaware that the placement of their drawings will be assessed.

OBJECTIVES

We examined whether it is possible to distinguish "where" and "aiming" spatial biases in a line-copying task. We examined changes in "where" and "aiming" biases in response to bottom-up versus top-down cues (hemispace presentation and drawing direction).

METHODS

In 13 healthy adults, we collected copied-line displacements and lengths in both the natural (left-right congruency) and reversed (left-right incongruency) viewing conditions, to distinguish "where" and "aiming" biases.

RESULTS

Participants displaced lines leftward (P=0.01) as they copied, displaying primarily a "where" bias. They displaced lines in the drawing direction irrespective of viewing condition, a finding consistent with induced "aiming" effects (P=0.291). Presenting lines on participants' right or left side did not affect the "where" spatial bias. Cues did not affect copied-line lengths.

CONCLUSIONS

We showed that an implicit laboratory-experiment task of copying lines can discern complex stages of spatial processing in healthy adults. Further evaluation of this task will greatly contribute to the understanding of mechanisms of human spatial cognition.

The planning and control model (PCM) of motorvisual priming: reconciling motorvisual impairment and facilitation effects

Previous research on dual-tasks has shown that, under some circumstances, actions impair the perception of action-consistent stimuli, whereas, under other conditions, actions facilitate the perception of action-consistent stimuli. We propose a new model to reconcile these contrasting findings. The planning and control model (PCM) of motorvisual priming proposes that action planning binds categorical representations of action features so that their availability for perceptual processing is inhibited. Thus, the perception of categorically action-consistent stimuli is impaired during action planning. Movement control processes, on the other hand, integrate multi-sensory spatial information about the movement and, therefore, facilitate perceptual processing of spatially movement-consistent stimuli. We show that the PCM is consistent with a wider range of empirical data than previous models on motorvisual priming. Furthermore, the model yields previously untested empirical predictions. We also discuss how the PCM relates to motorvisual research paradigms other than dual-tasks.

Action representations in perception, motor control and learning: implications for medical education

OBJECTIVES

the motor behaviours or 'actions' that provide the basis for precision limb control, including the performance of complex medical procedures, are represented at different levels in the central nervous system. This review focuses on how these representations influence the way people perceive, execute and learn goal-directed movements.

PERCEPTION AND ATTENTION

the neural processes associated with paying attention to an object are part and particle of the same processes engaged to physically interact with that object. The automatic way in which specific actions are engaged makes it important that we structure perceptual motor environments in a manner that facilitates goal actions and minimises the likelihood of unwanted actions.

MOTOR CONTROL

most actions are organised to optimise speed, accuracy and energy expenditure while avoiding worst-case outcomes. To achieve a good outcome on movements, the performer must have the opportunity to experiment with the way specific actions are executed. Early in the discovery process, errors are necessary if the performer is to determine his or her performance boundaries. motor learning: as learning progresses, representations of action become predictive. For example, if rapid corrective processes are to operate, the performer needs to anticipate sensorimotor consequences of movement. Thus, practice should be specific to the conditions under which actions are performed, and the performer. Although nothing can replace physical practice, complex representations of action can develop by observing both expert performers and learners. In many cases, practice scenarios that include both physical practice and observations of other learners can be the most efficient use of time and resources.

CONCLUSIONS

although most of the experiments reviewed here involved laboratory tasks such as rapid aiming and movement sequencing, the majority of the principles apply to motor control and learning in more complex situations. Thus, they should be considered when developing methods to train medical personnel to perform perceptual motor procedures with precision.