Effects of hand termination and accuracy constraint on eye–hand coordination during sequential two-segment movements

Visual feedback and declines in attention are associated with altered visual strategy during a force-steadiness task in older adults

Greater heterogeneity exists in older adults relative to young adults when performing highly skilled manual tasks. The purpose of this study was to assess the influence of visual feedback and attentional demand on visual strategy during a submaximal force-steadiness task in young and older adults. Eye movements of 21 young (age 20-38 yr; 11 females, 10 males) and 21 older (age 65-90 yr; 11 females, 10 males) adults were recorded during a pinch force-steadiness task while viewing feedback with higher and lower gain and while performing a visuospatial task. For the visuospatial task, participants imagined a star moving around four boxes and reported the final location after a series of directions. Performance on standardized tests of attention was measured. All participants gazed near the target line and made left-to-right saccadic eye movements during the force-steadiness tasks without the visuospatial task. Older adults made fewer saccades than young adults (21.0 ± 2.9 and 23.6 ± 4.4 saccades, respectively) and with higher versus lower gain (20.9 ± 4.0 and 23.7 ± 3.5 saccades, respectively). Most participants used the same visual strategy when performing the visuospatial task though seven older adults used an altered strategy; gaze did not stay near the target line nor travel exclusively left to right. Performance on standardized measures of attention was impaired in this subset compared with older adults who did not use the altered visual strategy. Results indicate that visual feedback influences visual strategy and reveals unique eye movements in some older adults when allocating attention across tasks.NEW & NOTEWORTHY This study contributes novel findings of age-related changes in visual strategy and associations with attentional deficits during hand motor tasks. Older adults used fewer saccades than young adults and with higher versus lower gain visual feedback during a force-steadiness task. A subset of older adults used an altered visual strategy when allocating attention across multiple tasks. Given that this subset demonstrated attentional deficits, the altered visual strategy could serve to indicate motor and/or cognitive impairments.

Delay of gaze fixation during reaching movement with the non-dominant hand to a distant target

The present study examined the effects of hand and task difficulty on eye-hand coordination related to gaze fixation behavior (i.e., fixating a gaze to the target until reach completion) in single reaching movements. Twenty right-handed young adults made reaches on a digitizer, while looking at a visual target and feedback of hand movements on a computer monitor. Task difficulty was altered by having three target distances. In a small portion of trials, visual feedback was randomly removed at the target presentation. The effect of a moderate amount of practice was also examined using a randomized trial schedule across target-distance and visual-feedback conditions in each hand. The results showed that the gaze distances covered during the early reaching phase were reduced, and the gaze fixation to the target was delayed when reaches were performed with the left hand and when the target distance increased. These results suggest that when the use of the non-dominant hand or an increased task difficulty reduces the predictability of hand movements and its sensory consequences, eye-hand coordination is modified to enhance visual monitoring of the reach progress prior to gaze fixation. The randomized practice facilitated this process. Nevertheless, variability of reach trajectory was more increased without visual feedback for right-hand reaches, indicating that control of the dominant arm integrates more visual feedback information during reaches. These results together suggest that the earlier gaze fixation and greater integration of visual feedback during right-hand reaches contribute to the faster and more accurate performance in the final reaching phase.

Development of eye-hand coordination in typically developing children and adolescents assessed using a reach-to-grasp sequencing task

Eye-hand coordination is required to accurately perform daily activities that involve reaching, grasping and manipulating objects. Studies using aiming, grasping or sequencing tasks have shown a stereotypical temporal coupling pattern where the eyes are directed to the object in advance of the hand movement, which may facilitate the planning and execution required for reaching. While the temporal coordination between the ocular and manual systems has been extensively investigated in adults, relatively little is known about the typical development of eye-hand coordination. Therefore, the current study addressed an important knowledge gap by characterizing the profile of eye-hand coupling in typically developing school-age children (n = 57) and in a cohort of adults (n = 30). Eye and hand movements were recorded concurrently during the performance of a bead threading task which consists of four distinct movements: reach to bead, grasp, reach to needle, and thread. Results showed a moderate to high correlation between eye and hand latencies in children and adults, supporting that both movements were planned in parallel. Eye and reach latencies, latency differences, and dwell time during grasping and threading, showed significant age-related differences, suggesting eye-hand coupling becomes more efficient in adolescence. Furthermore, visual acuity, stereoacuity and accommodative facility were also found to be associated with the efficiency of eye-hand coordination in children. Results from this study can serve as reference values when examining eye and hand movement during the performance of fine motor skills in children with neurodevelopmental disorders.

Gaze control during reaching is flexibly modulated to optimize task outcome

When reaching for an object with the hand, the gaze is usually directed at the target. In a laboratory setting, fixation is strongly maintained at the reach target until the reaching is completed, a phenomenon known as "gaze anchoring." While conventional accounts of such tight eye-hand coordination have often emphasized the internal synergetic linkage between both motor systems, more recent optimal control theories regard motor coordination as the adaptive solution to task requirements. We here investigated to what degree gaze control during reaching is modulated by task demands. We adopted a gaze-anchoring paradigm in which participants had to reach for a target location. During the reach, they additionally had to make a saccadic eye movement to a salient visual cue presented at locations other than the target. We manipulated the task demands by independently changing reward contingencies for saccade reaction time (RT) and reaching accuracy. On average, both saccade RTs and reach error varied systematically with reward condition, with reach accuracy improving when the saccade was delayed. The distribution of the saccade RTs showed two types of eye movements: fast saccades with short RTs, and voluntary saccade with longer RTs. Increased reward for high reach accuracy reduced the probability of fast saccades but left their latency unchanged. The results suggest that gaze anchoring acts through a suppression of fast saccades, a mechanism that can be adaptively adjusted to the current task demands.NEW & NOTEWORTHY During visually guided reaching, our eyes usually fixate the target and saccades elsewhere are delayed ("gaze anchoring"). We here show that the degree of gaze anchoring is flexibly modulated by the reward contingencies of saccade latency and reach accuracy. Reach error became larger when saccades occurred earlier. These results suggest that early saccades are costly for reaching and the brain modulates inhibitory online coordination from the hand to the eye system depending on task requirements.

An exploratory study of gaze behaviour in young adults with developmental coordination disorder

Developmental Coordination Disorder (DCD) is characterized by substantial difficulties with motor coordination to the extent that it has a clear impact on the daily functioning of those who suffer from the disorder. Laboratory-based research indicated impaired oculomotor control in individuals with DCD. However, it is not clear how these oculomotor problems contribute to control and coordination in daily tasks. This study explored differences and similarities in gaze behaviour during reading and cup stacking between young adults with DCD and their matched typically developing counterparts (TD; aged 20-23 years). Gaze behaviour was recorded using eye-tracking, and hand movements were registered using a digital camera. Results of the reading tasks demonstrated similar behaviour between the groups, apart from a lower number of characters recorded per fixation in the DCD group. In cup stacking, the individuals with DCD were slower than their counterparts when three cups had to be displaced to a central target using the dominant hand. The gaze strategy of individuals with DCD involved systematic fixations on the cup or target prior to the hand movement to that cup or target, whereas these alternating saccades between cup and target were less obvious in the TD group. In the bimanual stacking task, where a pyramid of six cups had to be built on a central target using both hands, both groups mainly fixated the central target for the whole duration of the task, without distinct differences in gaze behaviour and duration of performance between individuals with and those without DCD. In conclusion, gaze behaviour of young adults with DCD shows differences from that of their typically developing counterparts that may be related to underlying oculomotor deficits in some but not all daily tasks.

Effects of auditory feedback on movements with two-segment sequence and eye-hand coordination: Using a short auditory contact cue

During sequential reaches to multiple targets, eye and hand movements are highly coordinated, and the gaze is anchored to each target until the reaching hand makes contact to each of them. Such contact events are monitored by multimodal (visual, proprioceptive) sensory systems, and one function of the gaze anchoring to each target is verification of successful target contact (reach completion). The present study focused on this verification function and examined how planning and control of eye and hand movements during two-segment eye-hand movements are affected by augmented auditory feedback of reach completion. Young adults made a reach to the first target with a saccade, and then made another saccade to the second target in blocked trials. An auditory target-contact cue condition delivered four short sounds during the initial reach, and the last sound was synchronized with target contact, whereas a control condition lacked the last target-contact sound. The results showed that saccadic reaction time increased with the target-contact cue, especially when the reaching accuracy demand was high. The reach also became slower with lower peak velocity and longer time to peak velocity with that cue, suggesting that the limb-motor system lower the preplanned speed of the reach in a top-down fashion for a better preparation toward reach completion. However, no auditory effects were found for the timing of gaze shift to the second target. These results were different from those seen in previous studies, indicating that the effects of the additional auditory contact feedback differ depending on behavioral tasks and cue characteristics.

Effects of auditory feedback on movements with two-segment sequence and eye-hand coordination

The present study investigated the effect of auditory feedback on planning and control of two-segment reaching movements and eye-hand coordination. In particular, it was examined whether additional auditory information indicating the progression of the initial reach (i.e., passing the midway and contacting the target) affects the performance of that reach and gaze shift to the second target at the transition between two segments. Young adults performed a rapid two-segment reaching task, in which both the first and second segments had two target sizes. One out of three auditory feedback conditions included the reach-progression information: a continuous tone was delivered at a consistent timing during the initial reach from the midway to the target contact. Conversely, the other two were control conditions: a continuous tone was delivered at a random timing in one condition or not delivered in the other. The results showed that the initial reach became more accurate with the auditory reach-progression cue compared to without any auditory cue. When that cue was available, movement time of the initial reach was decreased, which was accompanied by an increased peak velocity and a decreased time to peak velocity. These findings suggest that the auditory reach-progression feedback enhanced the preplanned control of the initial reach. Deceleration time of that reach was also decreased with auditory feedback, but it was observed regardless of whether the sound contained the reach-progression information. At the transition between the two segments, the onset latencies of both the gaze shift and reach to the second target became shorter with the auditory reach-progression cue, the effect of which was pronounced when the initial reach had a higher terminal accuracy constraint. This suggests that the reach-progression cue enhanced verification of the termination of initial reach, thereby facilitating the initiation of eye and hand movements to the second target. Taken together, the additional auditory information of reach-progression enhances the planning and control of multi-segment reaches and eye-hand coordination at the segment transition.

Contrasting effects of adaptation to a visuomotor rotation on explicit and implicit measures of sensory coupling

We previously investigated sensory coupling of the sensed positions of cursor and hand in a cursor-control task and found differential characteristics of implicit and explicit measures of the bias of sensed hand position toward the position of the cursor. The present study further tested whether adaptation to a visuomotor rotation differentially affects these two measures. Participants made center-out reaching movements to remembered targets while looking at a rotated feedback cursor. After sets of practice trials with constant (adaptation condition) or random (control condition) visuomotor rotations, test trials served to assess sensory coupling. In these trials, participants judged the position of the hand at the end of the center-out movement, and the deviation of these judgments from the physical hand positions served as explicit measure of the bias of sensed hand position toward the position of the cursor, whereas the implicit measure was based on the direction of the return movement. The results showed that inter-individual variability of explicitly assessed biases of sensed hand position toward the cursor position was less in the adaptation condition than in the control condition. Conversely, no such changes were observed for the implicit measure of the bias of sensed hand position, revealing contrasting effects of adaptation on the explicit and implicit measures. These results suggest that biases of explicitly sensed hand position reflect sensory coupling of neural representations that are altered by visuomotor adaptation. In contrast, biases of implicitly sensed hand position reflect sensory coupling of neural representations that are unaffected by adaptation.

Eye-hand coordination during visuomotor adaptation: effects of hemispace and joint coordination

We previously examined adaptive changes of eye-hand coordination during learning of a visuomotor rotation. Gazes during reaching movements were initially directed to a feedback cursor in early practice, but were gradually shifted toward the target with more practice, indicating an emerging gaze anchoring behavior. This adaptive pattern reflected a functional change of gaze control from exploring the cursor-hand relation to guiding the hand to the task goal. The present study further examined the effects of hemispace and joint coordination associated with target directions on this behavior. Young adults performed center-out reaching movements to four targets with their right hand on a horizontal digitizer, while looking at a rotated visual feedback cursor on a computer monitor. To examine the effect of hemispace related to visual stimuli, two out of the four targets were located in the ipsilateral workspace relative to the hand used, the other two in the contralateral workspace. To examine the effect of hemispace related to manual actions, two among the four targets were related to reaches made in the ipsilateral workspace, the other two to reaches made in the contralateral workspace. Furthermore, to examine the effect of the complexity of joint coordination, two among the four targets were reaches involving a direct path from the start to the target involving elbow movements (simple), whereas the other two targets were reaches involving both shoulder and elbow movements (complex). The results showed that the gaze anchoring behavior gradually emerged during practice for reaches made in all target directions. The speed of this change was affected mainly by the hemispace related to manual actions, whereas the other two effects were minimal. The gaze anchoring occurred faster for the ipsilateral reaches than for the contralateral reaches; gazes prior to the gaze anchoring were also directed less at the cursor vicinity but more at the mid-area between the starting point and the target. These results suggest that ipsilateral reaches result in a better predictability of the cursor-hand relation under the visuomotor rotation, thereby prompting an earlier functional change of gaze control through practice from a reactive to a predictive control.

Upper limb and eye movement coordination during reaching tasks in people with stroke

PURPOSE

To enhance understanding of the relationship between upper limb and eye movements during reaching tasks in people with stroke.

METHODS

Eye movements were recorded from 10 control participants and 8 chronic stroke participants during a visual orienting task (Experiment 1) and a series of reaching tasks (Experiment 2). Stroke participants completed the reaching tasks using (i) their less impaired upper limb, (ii) their more impaired upper limb without support, and (iii) their more impaired upper limb, with support (SaeboMAS gravitational support and/or electrical stimulation). Participants were tested individually and completed both experiments in the same session.

RESULTS

Oculomotor control and the coordination between the upper limb and the oculomotor system were found to be intact in stroke participants when no limb movements were required, or when the less impaired upper limb was used. However, when the more impaired upper limb was used, success and accuracy in reaching decreased and patterns of eye movements changed, with an observed increase in eye movements to the limb itself. With upper limb support, patterns of hand-eye coordination were found to more closely resemble those of the control group.

CONCLUSION

Deficits in upper limb motor systems result in changes in patterns of eye movement behavior during reaching tasks. These changes in eye movement behavior can be modulated by providing upper limb support. Implications for Rehabilitation Deficits in upper limb motor systems can result in changes in patterns of eye movement behavior during reaching tasks. Upper limb support can reduce deficits in hand-eye coordination. Stroke rehabilitation outcomes should consider motor and oculomotor performance.

Eye-Hand Coordination during Visuomotor Adaptation with Different Rotation Angles: Effects of Terminal Visual Feedback

This study examined adaptive changes of eye-hand coordination during a visuomotor rotation task under the use of terminal visual feedback. Young adults made reaching movements to targets on a digitizer while looking at targets on a monitor where the rotated feedback (a cursor) of hand movements appeared after each movement. Three rotation angles (30°, 75° and 150°) were examined in three groups in order to vary the task difficulty. The results showed that the 30° group gradually reduced direction errors of reaching with practice and adapted well to the visuomotor rotation. The 75° group made large direction errors of reaching, and the 150° group applied a 180° reversal shift from early practice. The 75°and 150° groups, however, overcompensated the respective rotations at the end of practice. Despite these group differences in adaptive changes of reaching, all groups gradually adapted gaze directions prior to reaching from the target area to the areas related to the final positions of reaching during the course of practice. The adaptive changes of both hand and eye movements in all groups mainly reflected adjustments of movement directions based on explicit knowledge of the applied rotation acquired through practice. Only the 30° group showed small implicit adaptation in both effectors. The results suggest that by adapting gaze directions from the target to the final position of reaching based on explicit knowledge of the visuomotor rotation, the oculomotor system supports the limb-motor system to make precise preplanned adjustments of reaching directions during learning of visuomotor rotation under terminal visual feedback.

Gaze locations affect explicit process but not implicit process during visuomotor adaptation

The role of vision in implicit and explicit processes involved in adaptation to novel visuomotor transformations is not well-understood. We manipulated subjects' gaze locations through instructions during a visuomotor rotation task that established a conflict between implicit and explicit processes. Subjects were informed of a rotated visual feedback (45° counterclockwise from the desired target) and instructed to counteract it by using an explicit aiming strategy to the neighboring target (45° clockwise from the target). Simultaneously, they were instructed to gaze at either the desired target (target-gaze group), the neighboring target (hand-target-gaze group), or anywhere (free-gaze group) during aiming. After initial elimination of behavioral errors caused by strategic aiming, the subjects gradually overcompensated the rotation in the early practice, thereby increasing behavioral errors (i.e., a drift). This was caused by an implicit adaptation overriding the explicit strategy. Notably, prescribed gaze locations did not affect this implicit adaptation. In the late practice, the target-gaze and free-gaze groups reduced the drift, whereas the hand-target-gaze group did not. Furthermore, the free-gaze group changed gaze locations for strategic aiming through practice from the neighboring target to the desired target. The onset of this change was correlated with the onset of the drift reduction. These results suggest that gaze locations critically affect explicit adjustments of aiming directions to reduce the drift by taking into account the implicit adaptation that is occurring in parallel. Taken together, spatial eye-hand coordination that ties the gaze and the reach target influences the explicit process but not the implicit process.

Eye-hand coordination during visuomotor adaptation with different rotation angles

This study examined adaptive changes of eye-hand coordination during a visuomotor rotation task. Young adults made aiming movements to targets on a horizontal plane, while looking at the rotated feedback (cursor) of hand movements on a monitor. To vary the task difficulty, three rotation angles (30°, 75°, and 150°) were tested in three groups. All groups shortened hand movement time and trajectory length with practice. However, control strategies used were different among groups. The 30° group used proportionately more implicit adjustments of hand movements than other groups. The 75° group used more on-line feedback control, whereas the 150° group used explicit strategic adjustments. Regarding eye-hand coordination, timing of gaze shift to the target was gradually changed with practice from the late to early phase of hand movements in all groups, indicating an emerging gaze-anchoring behavior. Gaze locations prior to the gaze anchoring were also modified with practice from the cursor vicinity to an area between the starting position and the target. Reflecting various task difficulties, these changes occurred fastest in the 30° group, followed by the 75° group. The 150° group persisted in gazing at the cursor vicinity. These results suggest that the function of gaze control during visuomotor adaptation changes from a reactive control for exploring the relation between cursor and hand movements to a predictive control for guiding the hand to the task goal. That gaze-anchoring behavior emerged in all groups despite various control strategies indicates a generality of this adaptive pattern for eye-hand coordination in goal-directed actions.

Adaptation of gaze anchoring through practice in young and older adults

During visually guided manual movements, gaze is usually fixated to a target until a pointing movement is completed to that target, showing gaze anchoring. We previously examined gaze anchoring during a two-segment eye-hand task under a low accuracy constraint. Eye movements were made to predetermined first and second targets, while hand movements were varied across two conditions: (1) stop at the first target and discontinue (HS1) and (2) stop at both the first and the second targets (HS1S2). Young adults previously broke gaze anchoring at the first target only when the second pointing was excluded (HS1). However, older adults did not break gaze anchoring for either condition. The present study further investigated whether young and older adults break gaze anchoring through short-term practice under the same conditions. An HS1 practice proceeded to an HS1S2 practice. The results showed that the timing of terminating gaze anchoring relative to pointing completion oscillated considerably during the HS1 practice until it was stabilized. Conversely, that timing was stable during the HS1S2 practice. Nevertheless, the young adults benefited from the HS1 practice and broke gaze anchoring even when the second pointing was included in HS1S2. This indicates that gaze anchoring to pointing completion is not a prerequisite for the production of subsequent pointing. By contrast, older adults did not improve the timing of gaze anchoring termination for either practice condition, thereby failing to break gaze anchoring. Thus, aging compromises a predictive control of terminating gaze anchoring relative to pointing completion, which is difficult to overcome through short-term practice.

Effects of hand termination and accuracy requirements on eye-hand coordination in older adults

This study investigated how aging compromises the control of saccades and eye-hand coordination when accuracy constraints and termination requirements of hand movement are altered. Seventeen older adults and seventeen young controls performed two-segment aiming movements. The first segment had two target sizes to alter accuracy constraints. Two-segment eye movements were always made to first and second targets, whereas hand movements were varied across three hand-movement types with different termination requirements: (1) stop both at the first and second targets, (2) stop at the first target and discontinue, and (3) move through the first target and discontinue. Compared to the young adults, the older adults produced hypometric primary saccades and delayed gaze fixation to the first target. The older adults also modified eye movements less depending on the hand termination and accuracy requirements. After pointing completion to the first target, the older adults maintained their gaze fixation to that target for a longer duration than young adults. However, this prolonged gaze fixation was minimized when a hand termination was not required. Conversely, the prolongation of gaze fixation was magnified when the hand termination was required at the first target while the eye movement was continuing to the next target. Thus, older adults have difficulties in concurrent control of inhibiting hand movement and initiating eye movement at a target within a sequence. Taken together, it is suggested that aging reduces the ability to modify eye movements to meet various behavioral constraints imposed on manual aiming tasks.