Balls to the wall: How acoustic information from a ball in motion guides interceptive movement in people with Parkinson’s disease

Sensory augmentation for a rapid motor task in a multisensory environment

Background

Sensory substitution and augmentation systems (SSASy) seek to either replace or enhance existing sensory skills by providing a new route to access information about the world. Tests of such systems have largely been limited to untimed, unisensory tasks.

Objective

To test the use of a SSASy for rapid, ballistic motor actions in a multisensory environment.

Methods

Participants played a stripped-down version of air hockey in virtual reality with motion controls (Oculus Touch). They were trained to use a simple SASSy (novel audio cue) for the puck's location. They were tested on ability to strike an oncoming puck with the SASSy, degraded vision, or both.

Results

Participants coordinated vision and the SSASy to strike the target with their hand more consistently than with the best single cue alone, t(13) = 9.16, p <.001, Cohen's d = 2.448.

Conclusions

People can adapt flexibly to using a SSASy in tasks that require tightly timed, precise, and rapid body movements. SSASys can augment and coordinate with existing sensorimotor skills rather than being limited to replacement use cases - in particular, there is potential scope for treating moderate vision loss. These findings point to the potential for augmenting human abilities, not only for static perceptual judgments, but in rapid and demanding perceptual-motor tasks.

Exploration of sensory-motor tradeoff behavior in Parkinson's disease

While slowness of movement is an obligatory characteristic of Parkinson's disease (PD), there are conditions in which patients move uncharacteristically fast, attributed to deficient motor inhibition. Here we investigate deficient inhibition in an optimal sensory-motor integration framework, using a game in which subjects used a paddle to catch a virtual ball. Display of the ball was extinguished as soon as the catching movement started, segregating the task into a sensing and acting phase. We analyzed the behavior of 9 PD patients (ON medication) and 10 age-matched controls (HC). The switching times (between sensing and acting phase) were compared to the predicted optimal switching time, based on the individual estimates of sensory and motor uncertainties. The comparison showed that deviation from predicted optimal switching times were similar between groups. However, PD patients showed a weaker correlation between variability in switching time and sensory-motor uncertainty, indicating a reduced propensity to generate exploratory behavior for optimizing goal-directed movements. Analysis of the movement kinematics revealed that PD patients, compared to controls, used a lower peak velocity of the paddle and intercepted the ball with greater velocity. Adjusting the trial duration to the time for the paddle to stop moving, we found that PD patients spent a smaller proportion of the trial duration for observing the ball. Altogether, the results do not show the premature movement initiation and truncated sensory processing that we predicted to ensue from deficient inhibition in PD.

Reaching and Grasping Movements in Parkinson's Disease: A Review

Parkinson's disease (PD) is known to affect the brain motor circuits involving the basal ganglia (BG) and to induce, among other signs, general slowness and paucity of movements. In upper limb movements, PD patients show a systematic prolongation of movement duration while maintaining a sufficient level of endpoint accuracy. PD appears to cause impairments not only in movement execution, but also in movement initiation and planning, as revealed by abnormal preparatory activity of motor-related brain areas. Grasping movement is affected as well, particularly in the coordination of the hand aperture with the transport phase. In the last fifty years, numerous behavioral studies attempted to clarify the mechanisms underlying these anomalies, speculating on the plausible role that the BG-thalamo-cortical circuitry may play in normal and pathological motor control. Still, many questions remain open, especially concerning the management of the speed-accuracy tradeoff and the online feedback control. In this review, we summarize the literature results on reaching and grasping in parkinsonian patients. We analyze the relevant hypotheses on the origins of dysfunction, by focusing on the motor control aspects involved in the different movement phases and the corresponding role played by the BG. We conclude with an insight into the innovative stimulation techniques and computational models recently proposed, which might be helpful in further clarifying the mechanisms through which PD affects reaching and grasping movements.

The impact of pitch on tempo-spatial accuracy and precision in intercepting a virtually moving ball

In two experiments, horizontal and vertical orientated sounds moved in parabolas. Participants had to touch a screen to indicate where and when a virtual moving ball would cross a visible line. We predicted that due to the sensitivity of the auditory system to temporal information, manipulations of pitch should affect temporal errors more than spatial errors. Stimuli were sound sources at five different pitches moving along a parabola produced through loudspeakers mounted around a touch screen. Results showed pitch effects on spatial constant and spatial variable errors when the parabola was horizontally oriented (Exp. 1), and on temporal constant errors in vertically oriented parabolas (Exp. 2). We conclude that temporal and spatial precision in interception tasks were affected differently by pitch manipulations and require consideration in future studies when assessing the impact of auditory information on catching virtually moving balls.

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.

Anticipatory and Compensatory Postural Adjustments in Response to External Lateral Shoulder Perturbations in Subjects with Parkinson's Disease

The purpose of this study was to investigate the anticipatory (APA) and compensatory (CPA) postural adjustments in individuals with Parkinson’s disease (PD) during lateral instability of posture. Twenty-six subjects (13 individuals with PD and 13 healthy matched controls) were exposed to predictable lateral postural perturbations. The electromyographic (EMG) activity of the lateral muscles and the displacement of the center of pressure (COP) were recorded during four time intervals that are typical for postural adjustments, i.e., immediately before (APA1, APA2) and after (CPA1 and CPA2) the postural disturbances. The magnitude of the activity of the lateral muscles in the group with PD was lower only during the CPA time intervals and not during the anticipatory adjustments (APAs). Despite this finding, subjects with PD exhibit smaller COP excursions before and after the disturbance, probably due to lack of flexibility and proprioceptive impairments. The results of this study suggest that postural instability in subjects with PD can be partially explained by decreased postural sway, before and after perturbations, and reduced muscular activity after body disturbances. Our findings can motivate new studies to investigate therapeutic interventions that optimize the use of postural adjustment strategies in subjects with PD.

(Dis-)Harmony in movement: effects of musical dissonance on movement timing and form

While the origins of consonance and dissonance in terms of acoustics, psychoacoustics and physiology have been debated for centuries, their plausible effects on movement synchronization have largely been ignored. The present study aimed to address this by investigating whether, and if so how, consonant/dissonant pitch intervals affect the spatiotemporal properties of regular reciprocal aiming movements. We compared movements synchronized either to consonant or to dissonant sounds and showed that they were differentially influenced by the degree of consonance of the sound presented. Interestingly, the difference was present after the sound stimulus was removed. In this case, the performance measured after consonant sound exposure was found to be more stable and accurate, with a higher percentage of information/movement coupling (tau coupling) and a higher degree of movement circularity when compared to performance measured after the exposure to dissonant sounds. We infer that the neural resonance representing consonant tones leads to finer perception/action coupling which in turn may help explain the prevailing preference for these types of tones.