Handedness: effect of prolonged practice on between hand performance differences

Nondominant Hand Skills Spatial and Psychomotor Analysis During a Complex Virtual Reality Neurosurgical Task-A Case Series Study

BACKGROUND

Virtual reality surgical simulators provide detailed psychomotor performance data, allowing qualitative and quantitative assessment of hand function. The nondominant hand plays an essential role in neurosurgery in exposing the operative area, assisting the dominant hand to optimize task execution, and hemostasis. Outlining expert-level nondominant hand skills may be critical to understand surgical expertise and aid learner training.

OBJECTIVE

To (1) provide validity for the simulated bimanual subpial tumor resection task and (2) to use this simulation in qualitative and quantitative evaluation of nondominant hand skills for bipolar forceps utilization.

METHODS

In this case series study, 45 right-handed participants performed a simulated subpial tumor resection using simulated bipolar forceps in the nondominant hand for assisting the surgery and hemostasis. A 10-item questionnaire was used to assess task validity. The nondominant hand skills across 4 expertise levels (neurosurgeons, senior trainees, junior trainees, and medical students) were analyzed by 2 visual models and performance metrics.

RESULTS

Neurosurgeon median (range) overall satisfaction with the simulated scenario was 4.0/5.0 (2.0-5.0). The visual models demonstrated a decrease in high force application areas on pial surface with increased expertise level. Bipolar-pia mater interactions were more focused around the tumoral region for neurosurgeons and senior trainees. These groups spent more time using the bipolar while interacting with pia. All groups spent significantly higher time in the left upper pial quadrant than other quadrants.

CONCLUSION

This work introduces new approaches for the evaluation of nondominant hand skills which may help surgical trainees by providing both qualitative and quantitative feedback.

The neural mechanisms of manual dexterity

The hand endows us with unparalleled precision and versatility in our interactions with objects, from mundane activities such as grasping to extraordinary ones such as virtuoso pianism. The complex anatomy of the human hand combined with expansive and specialized neuronal control circuits allows a wide range of precise manual behaviours. To support these behaviours, an exquisite sensory apparatus, spanning the modalities of touch and proprioception, conveys detailed and timely information about our interactions with objects and about the objects themselves. The study of manual dexterity provides a unique lens into the sensorimotor mechanisms that endow the nervous system with the ability to flexibly generate complex behaviour.

Expertise- and Tempo-Related Performance Differences in Unimanual Drumming

BACKGROUND

High-speed drumming requires precise control over the timing, velocity, and magnitude of striking movements.

AIM

To examine effects of tempo and expertise on unaccented repetitive drumming performance using 3D motion capture.

METHODS

Expert and amateur drummers performed unimanual, unaccented, repetitive drum strikes, using their dominant right hand, at five different tempi. Performance was examined with regard to timing variability, striking velocity variability, the ability to match the prescribed tempo, and additional variables.

RESULTS

Permutated multivariate analysis of variance (PERMANOVA) revealed significant main effects of tempo (p < .001) and expertise (p <.001) on timing variability and striking velocity variability; low timing variability and low striking velocity variability were associated with low/medium tempo as well as with increased expertise. Individually, improved precision appeared across an optimum tempo range. Precision was poorest at maximum tempo (400 hits per minute) for precision variables.

CONCLUSIONS

Expert drummers demonstrated greater precision and consistency than amateurs. Findings indicate an optimum tempo range that extends with increased expertise.

Tapping Speed Asymmetry in Drummers for Single-Hand Tapping with a Stick

The purpose of this study was to investigate tapping speed asymmetry in 13 right-handed drummers and 13 right-handed nondrummers. The participants executed single-hand tapping with a stick as fast as possible for 10 sec. with the left and right hand. There was no significant difference in the tapping speed of the right hand between the drummers and the nondrummers, whereas in the left hand, the drummers tapped significantly faster than the nondrummers. Drummers showed less tapping speed asymmetry than nondrummers. These results suggest that the tapping speed of the nonpreferred hand progressed nearly to the level of the preferred hand through daily drum training.

On the Other Hand

In two studies, we investigated the influence of hand dominance on the sense of self-causation or agency. Participants alternately used their dominant or nondominant hand to cause the occurrence of an effect (a tone) in a task in which agency was made ambiguous. Participants were subsequently asked to indicate the degree to which they felt they had caused that tone to occur. Results showed that the sense of agency was increased when individuals used their nondominant hand prior to the onset of the tone, compared to when they used their dominant hand. Furthermore, the degree of experienced agency was moderated by perceived effort. The difference in agency levels occurred independently of experimentally induced or naturally occurring differences in response latencies and even occurred in the absence of (major) arm movement.

Intrinsic constraint of asymmetry acting as a control parameter on rapid, rhythmic bimanual coordination: a study of professional drummers and nondrummers

Expert musicians show experience-dependent reduced asymmetry in the structure of motor-related brain areas and in the maximum tapping frequency between the hands. Therefore we hypothesized that a reduced hand-skill asymmetry is strongly related to rapid and rhythmical bimanual coordination and developed a dynamical model including a symmetry-breaking parameter Δω, for human bimanual coordination. We conducted unimanual and bimanual drumming experiments to test the following model predictions. 1) The asymmetry in the maximum tapping frequency is more pronounced in nondrummers than that in drummers. If so, 2) a larger number of phase wanderings (i.e., succession of taps by the same hand), 3) larger SD of the relative phase between the hands (SD ), and 4) larger deviation of mean relative phase (mean ) from 180° would be observed in nondrummers than that in professional drummers during antiphase bimanual drumming at the maximum speed. In a unimanual tapping task, the asymmetry in maximum tapping frequency of nondrummers was more pronounced than that of professional drummers. In a bimanual coordination task, phase wanderings were observed only in nondrummers and SD of the nondrummers is significantly larger than that of professional drummers. On the other hand, there was no significant difference between the mean of the two groups. All these observations were successfully reproduced by changing Δω, which corresponded to the asymmetry in the maximum tapping frequency. These results support the hypothesis indicating that the prominent bimanual coordination pattern emerges spontaneously after a nonspecific change in Δω or symmetry restoration of the nonlinear dynamical systems.

Effects of motor imagery on intermanual transfer: a near-infrared spectroscopy and behavioural study

Intermanual transfer is the ability that previous studies by one limb promote the later learning by the other limb. This ability has been demonstrated in various effectors and types of training. Motor imagery, the mental simulation of motor execution, is believed to be strongly associated with the cognitive aspects of motor execution, and the pattern of brain activity during motor imagery is similar to that of motor execution, although the activation pattern is smaller, and the level is lower. If the cognitive component of motor execution strongly contributes to transfer, the training effect of motor imagery would be expected to transfer to the contralateral limb. In the present study, we used the tapping sequence paradigm to evaluate the occurrence of intermanual transfer through motor imagery and to compare differences of transfer effects to motor execution learning. We divided participants into three groups: an execution group, a motor imagery group and a no-training control group. Before and after a nondominant left hand training session, ipsilateral hand tests were conducted. After the post-test, a contralateral right-hand test was also conducted. In order to investigate the relationship between transfer effect and neural activation during the learning phase, we measured motor-related brain area activity using near-infrared spectroscopy (NIRS). Execution was effective especially for trained movement, imagery was effective for both trained movement and intermanual transfer. Brain activity suggesting predictive transfer differed between two groups, suggesting that motor execution and motor imagery training have different behavioural effects and neural contributions.

Categories of manual asymmetry and their variation with advancing age

Manual asymmetries were analyzed in 18- to 63-year-old right-handers in different motor tasks. This analysis aimed at describing the asymmetry profile for each task and assessing their stability across ages. For this purpose, performance of the right and left hands were analyzed in the following aspects: simple reaction time, rate of sequential finger movements, maximum grip force, accuracy in anticipatory timing, rate of repetitive tapping, and rate of drawing movements. In addition, stability of manual preference across ages was assessed through the Edinburgh inventory (Oldfield, 1971). The results indicated different profiles of manual asymmetry, with identification of three categories across tasks: symmetric performance (asymmetry indices close to zero), inconsistent asymmetry (asymmetry indices variable in magnitude and direction), and consistent asymmetry (asymmetry indices favoring a single hand). The different profiles observed in the young adults were stable across ages with two exceptions: decreased lateral asymmetry for maximum grip force and increased asymmetry for sequential drawing in older individuals. These results indicate that manual asymmetries are task specific. Such task specificity is interpreted to be the result of different sensorimotor requirements imposed by each motor task in association with motor experiences accumulated over the lifetime. Analysis of manual preference showed that strength of preference for the right hand was greater in older individuals.

Motor control in children with ADHD and non-affected siblings: deficits most pronounced using the left hand

BACKGROUND

Attention-deficit/hyperactivity disorder (ADHD) is strongly influenced by heritability. Identifying heritable vulnerability traits (endophenotypes) that mark a relatively high risk of developing the disorder can contribute to the identification of risk genes. A fruitful area for the search for such endophenotypes may be motor control in children with ADHD, since the disorder is frequently accompanied by motor problems.

METHOD

The current study used a large sample of 350 children with ADHD, 195 non-affected siblings and 271 normal controls aged 5-19 years. Children were administered two computerised motor control tasks in which they had to trace a path between two circles (Tracking task) and follow a randomly moving target (Pursuit task). Both tasks were performed with both the right and the left hand.

RESULTS

Children with ADHD were less precise and stable than controls. Non-affected siblings also deviated from controls, but only on the Tracking task. Group differences were modulated by the use of the right versus the left hand: no group differences emerged when the right hand was used, yet group differences did emerge when the left hand was used. Performance on both tasks was significantly familial.

CONCLUSIONS

Imprecision and instability of movements in children with ADHD and in their non-affected siblings as measured by the Tracking task might be suitable endophenotypic candidates: these deficits are familially present in children having ADHD as well as in their non-affected siblings. Motor performance might be best assessed in children using their left hand, because motor control deficits are most pronounced using the left hand. This might relate to right hemispheric brain pathology in children with ADHD (and possibly in their non-affected siblings) that is related to the control of the left hand and/or relate to differential effects of daily life practice on both hands, which may be smaller on the left hand.

Writing with the non-dominant hand: cross-handedness trainability in adult individuals

Adult volunteers (8 males and 13 females) aged 20-56 years, both right- and left-handed, were asked to train their non-preferred hand to write two standard sentences by practising daily over a 28-day period. At the end of this period their non-preferred-hand writing was of good quality and participants felt quite comfortable performing this task. The quality of non-preferred-hand writing achieved was unrelated to age. We postulate that handedness, in terms of actual performance, may be less pronounced than is suggested by studies of hand preference.

The advantage of a decreasing right-hand superiority: The influence of laterality on a selected musical skill (sight reading achievement)

In this study, the unrehearsed performance of music, known as 'sight reading', is used as a model to examine the influence of motoric laterality on highly challenging musical performance skills. As expertise research has shown, differences in this skill can be partially explained by factors such as accumulated practise and an early start to training. However, up until now, neurobiological factors that may influence highly demanding instrumental performance have been widely neglected. In an experiment with 52 piano students at a German university music department, we could show that the most challenging musical skill, sight reading (which is characterized by extreme demands on the performer's real time information processing), is positively correlated with decreasing right-hand superiority of performers. Laterality was measured by the differences between left and right-hand performance in a speed tapping task. SR achievement was measured using an accompanying task paradigm. An overall superiority of 22% for non-right-handed pianists was found. This effect is gender-related and stronger in non-right-handed males (r(24) = -0.49, p<0.05) than in non-right-handed females (r(28) = -0.16, p>0.05). We conclude that non-right-handed motoric laterality is associated with neurobiological advantages required for sight reading, an extremely demanding musical subskill.

Non-dominant leg training improves the bilateral motor performance of soccer players

The aim of this experiment was to evaluate bilateral motor performance effects from training the non-dominant leg of competitive soccer players. The subjects were 39 soccer players, 15-20 years of age, performance-matched and randomly divided into a training group (n = 18) and a control group (n = 21) both belonging to the same team. Both groups were tested by using two standardised foot-tapping tests and three soccer-specific tests. The training intervention consisted of the experimental group participating in all parts of their soccer training except full play, using the non-dominant leg for 8 weeks. Statistical analyses for the soccer-specific tests revealed that the experimental group improved significantly as compared to the control group from the pre-test to the post-test period in their use of the trained non-dominant leg. Somewhat unexpectedly, the experimental group also improved significantly in the tests, which made use of the dominant side. The standardised foot-tapping tests revealed similar results. The results might be explained by improved generalised motor programmes, or from a Dynamic Systems Approach, indicating that the actual training relates to the handling of all the information available to the subject in the situation, and that the body self-organises the motor performance.

Intermanual transfer in a simple motor task

The present study examines the effects of a four-week training session in a pegboard task on uni- and bimanual performance. Of particular interest was whether practice transfer from the trained to the untrained hand takes place. Twenty-five consistently right-handed subjects were trained to perform the task with the dominant hand, or the subdominant hand, or with both hands. After this training, the learning effects for the trained and untrained hands were analysed. To summarise, we obtained the following findings: (1) After training, movement times were considerably reduced for all hands and for all training conditions (practice effects); (2) practice effects were found for the hand trained and also for the untrained hand; (3) there was not a great difference in the size of the practice effects for the right hand after left hand training or for the left hand after right hand training; (4) task difficulty had no clear influence on the practice effect; (5) and finally, we discovered that bimanual movements not only profit from bimanual training but also from unimanual training and conversely unimanual movements benefit from bimanual training. These findings are discussed in the context of different motor control models and in the light of recent brain imaging findings.

Lateral asymmetries in the development of the overarm throw

Lateral asymmetries of manual, pedal, and ocular preferences, and motor asymmetry in the performance of the forceful overarm throw were analyzed in 71 children aged 4 to 10 years old. Performance with each side of the body was assessed on the basis of qualitative analysis, as proposed by M. A. Roberton and L. Halverson (1984) for identification of developmental stages by components of the task. Lateral preference was indicated by the frequency the children used the right or the left side of their body to carry out different manual, pedal, and ocular tasks. The overarm throw movement pattern was developed with both sides of the body but at different levels. Development of the nondominant side lagged behind that of the dominant side at all ages; a significant asymmetry in performance detected in the 4-year-olds was stable up to the age of 10 years. Indices of asymmetry for lateral preference and performance were found to be specific because no consistent correlations were observed among them throughout the age periods studied. Those results show the multidimensional character of human laterality and imply a property of motor development that prevents asymmetry of performance from increasing because of unilateral practice.

When paying attention becomes counterproductive: impact of divided versus skill-focused attention on novice and experienced performance of sensorimotor skills

Two experiments examined the impact of attention on sensorimotor skills. In Experiment 1, experienced golfers putted under dual-task conditions designed to distract attention from putting and under skill-focused conditions that prompted attention to step-by-step putting performance. Dual-task condition putting was more accurate. In Experiment 2, right-footed novice and experienced soccer players dribbled through a slalom course under dual-task or skill-focused conditions. When using their dominant right foot, experts again performed better in the dual-task condition. However, when using their less proficient left foot, experts performed better in the skill-focused condition. Novices performed better under skill-focus regardless of foot. Whereas novices and the less-proficient performances of experts benefit from online attentional monitoring of step-by-step performance, high-level skill execution is harmed.

Predicting hand preference with performance on motor tasks

Handedness may be defined as preference or hand-differences in task performance. The strength and significance of the relationship between hand preference and hand performance asymmetries have been contested. To evaluate this relationship, we administered the Edinburgh Handedness Inventory and measured asymmetries in finger tapping, Purdue Pegboard, and grip strength in 30 subjects who prefer their right hand and 30 subjects who prefer their left hand. Hand asymmetries in finger tapping, Purdue Pegboard, and grip strength each predicted hand preference scores. However, a multiple regression equation best predicted hand preference by using performance of each task. Hand asymmetries in finger tapping correlated strongly with asymmetries in Purdue Pegboard performance, but neither of these asymmetries correlated strongly with asymmetries in grip strength. These findings indicate that hand preference and asymmetries in motor proficiency are strongly related, but suggest that preference and proficiency for different aspects of motor performance may be independently lateralized.

Hand preference and transcranial magnetic stimulation asymmetry of cortical motor representation

Human handedness may be associated with asymmetry in the corticospinal motor system. Previous studies measuring the threshold for eliciting motor evoked potentials (MEPs) to transcranial magnetic stimulation (TMS) have provided evidence consistent with this hypothesis. However, TMS asymmetry observed in previous studies may have reflected cortical or spinal differences. We therefore undertook this investigation to test the hypothesis that handedness is associated with asymmetry in cortical motor representations. We used TMS to map contralateral cortical motor representations of the right and left abductor pollicis brevis (APB) and flexor carpi radialis (FCR) muscles in nine normal subjects (three left-handed). Using focal stimulation with a figure-of-8 shaped magnetic coil, we found no differences in MEP threshold or MEP size between the preferred and the nonpreferred hand. However, we observed that the number of scalp stimulation sites eliciting MEPs was statistically greater for APB and FCR muscles of the preferred limb. We found significant asymmetry between right-handed and left-handed subjects, such that in right-handers, the representation of the right APB was larger than that of the left APB, but in left-handers the representation of right APB was smaller than that of the left APB. These results suggest that handedness is associated with asymmetry in cortical motor representation.

Transcranial magnetic stimulation reveals a hemispheric asymmetry correlate of intermanual differences in motor performance

Hemispheric asymmetries in the threshold for eliciting motor evoked potentials (MEPs) with transcranial magnetic stimulation (TMS) are associated with hand preference. We posited that hemispheric asymmetries in TMS thresholds may be strongly correlated with some hand-differences in motor performance. MEPs result from the activation of neuronal networks targeting large cortical motoneurons. Thus, MEP thresholds might reflect physiological features of the corticospinal motor system. Considering the role of corticospinal pathways in the control of independent finger movement, we hypothesized that MEP thresholds would better predict speed and dexterity than strength. In 30 right-handers and 30 left-handers, we correlated right and left hand-differences in the threshold for eliciting MEPs with hand-differences in the performance of three manual tasks: finger-tapping speed, pegboard dexterity, and grip strength. Correlations of hand-differences in TMS thresholds with hand-differences in performance indicated that a lower TMS threshold for one hand is strongly associated with greater ability with that hand. The correlations of hand-differences in TMS thresholds with hand-differences in finger-tapping and pegboard dexterity were significantly larger than the correlation of hand-differences in TMS thresholds with hand-differences in grip strength. Our results indicate that hemispheric asymmetries in MEP thresholds may have functional significance related to basic parameters of movement. These results are consistent with the critical role of the corticospinal motor system in the control of independent finger movement. Furthermore, they imply that asymmetry in the corticospinal motor system may be an important substrate for asymmetries in hand preference and performance.

Hand skill asymmetry in professional musicians

Hand skill asymmetry on two handedness tasks was examined in consistent right-handed musicians and nonmusicians as well as mixed-handed and consistent left-handed nonmusicians. Musicians, although demonstrating right-hand superiority, revealed a lesser degree of hand skill asymmetry than consistent right-handed nonmusicians. Increased left-hand skill in musicians accounted for their reduced asymmetry. Musicians predominantly playing keyboard instruments demonstrated superior tapping performance than musicians playing predominantly string instruments, although they did not differ with respect to hand skill asymmetry. Since the diminished tapping asymmetry in musicians was related to early commencement but not duration of musical training, results are interpreted as an adaptation process due to performance requirements interacting with cerebral maturation during childhood.

The Specificity of Motor Skill and Manual Asymmetry: A Review of the Evidence and Its Implications

Results of investigations on gaining control of limb movements are reviewed, and their contribution to understanding the development of manual asymmetries is discussed in relation to the discrimination and programming of appropriate neuromuscular resources. An examination of the relevant evidence on number and types of manual asymmetries recorded provides strong grounds for concluding that where asymmetries occur, they simply represent a further example of the well-documented activity-specific nature of motor skills and of the extremely lengthy periods of learning or experience needed for their acquisition and perfection. This specificity of motor skill and manual asymmetry also readily accounts for most of the discrepancy usually reported between assessments of hand preference and performance differences between hands, because these alternative measures of handedness have rarely employed the same range or variety of tasks.

Right-handers and left-handers show differences and important similarities in task integration when performing manual and vocal tasks concurrently

For a sample of 73 consistent left-handers, 46 inconsistent left-handers and 65 right-handers, reciprocal interactions between unimanual or bimanual tasks and concurrent reading tasks were shown to be a complex function of task characteristics and sample composition. The suggestion that subgrouping of left-handers [Hellige and Key, Cerebral Control of Speech and Limb Movements, North Holland, Amsterdam, 1990] influences task interactions in left-handers was borne out. Both manual and vocal performance were measured. The effects of the vocal task on the manual task were variable for groups and conditions, but an important common trend emerged: all handedness groups showed the same robust effect: vocal task performance was better when the right hand performed the manual task. Finally, speaking rate increased and tapping rate decreased during concurrent single hand tapping [cf. Hiscock, Brain Cognit. 1, 119-131, 1982]; and there was an opposite effect with concurrent bimanual tapping. The results favour a task integration model rather than an interference in cerebral functions space model.

Quantitation of the alternate movement rate in normal and diabetic subjects

Functional abnormalities of alternate movement rate (AMR) of finger and foot tapping were quantitated in 162 patients with diabetic neuropathy and 30 control subjects using a simple electronic device. The quantitative AMR (QAMR) averaged 29.5 +/- 3.0 for finger tapping and 20.4 +/- 3.7 for foot tapping in controls, and 27.5 +/- 4.8 (P less than 0.05) and 17.0 +/- 5.6 (P less than 0.005) for finger and foot, respectively, in diabetic patients. Fifty-one patients had abnormal QAMR in the finger and 79 in the foot. The QAMR values correlated with the results of nerve conduction studies of patients. Testing for abnormalities of AMR is a useful addition to the testing of dysfunction secondary to diabetic neuropathy. It provides quantitation of a common, subject-initiated, functional task more accurately than possible by clinical observation.

Interhemispheric differences in the planning and execution of sequences of skilled finger movements

An index-middle finger (double) tapping task was used to examine hemispheric differences in the planning and execution of skilled finger movements. In two experiments, subjects responded to a simple cue presented tachistoscopically in the left or right visual field, by performing a predetermined number of double taps, (between one and eight inclusive), with either the left or right hand. Reaction times (RT) increased linearly as a function of increasing number of taps, when response sequences were controlled by the left hemisphere. In contrast, an inverse quadratic trend was obtained with right hemisphere control. When both hemispheres were involved in the stimulus-response sequence, the latency function incorporated elements of both trends, suggesting interaction between the hemispheres. The RT trends reflect differences in motor planning between the hemispheres. The conditions engaging only the right or left hemispheres did not differ in motor execution, as measured by tapping duration, variability or errors. However, when both hemispheres were involved there was evidence of interaction, which was evident as interference when the right visual field or left hemisphere was cued but the motor response was under the control of the right hemisphere (left hand). Overall, the results indicate that hand differences in fine motor skill may be determined by hemispheric differences associated with motor preparation rather than response execution.

Hand Asymmetries in Interresponse Intervals During Rapid Repetitive Finger Tapping

Interresponse intervals (IRIs) were recorded as 8 right-handed male subjects tapped a key separately with the index finger of each hand as fast as possible for twenty 10-s runs. Frequency distributions of the IRIs produced by each hand showed that the shorter mean IRI that is usually reported for preferred-hand tapping is a result of a systematic production of shorter IRIs by the preferred hand. It is not secondary to inflation of the mean IRI of the non-preferred hand by the sporadic occurrence of long IRIs.

Differences between fingers and hands in tapping ability: dissociation between speed and regularity

The mean inter-tap interval (ITI) and the coefficient of variation of the ITI (ITIVAR) were measured in all five fingers of the preferred and non-preferred hand in two experiments. Subjects were right- or left-handed, males or females in experiments I and right-handed female typists, pianists, or controls in experiment II. Lack of consistent difference between right- and left-handers, and between those with and without special manual skills, suggested that hand differences in tapping are not a consequence of differential practise between hands. ITI showed differences both between fingers and between hands, whereas ITIVAR only showed differences between fingers. Separate mechanisms are inferred, and it is suggested that differences between fingers are a function of differential peripheral motor control, whereas differences between hands are a consequence of cerebral dominance of control mechanisms, and a model is presented.