Auditory information is beneficial for adults with Down syndrome in a continuous bimanual task

Adults With Down Syndrome Performed Repetitive Movements Fast With Continuous Music Cues

The present study used a synchronization-continuation paradigm during continuous bimanual drumming with different cues in 17 persons with Down syndrome, eight typical persons with similar mental age and eight typical persons with similar chronological age. The task required participants to hit two drums with their hands at the same time following music (e.g., a tune with various decibel drum beats), auditory (e.g., sound of drumbeat), verbal (e.g., voice saying “drum”), and visual (e.g., video of both hands moving up and down and hitting the drums together) cues for 10 seconds, then continue drumming in the absence of cues for another 10 seconds. In general, when all groups were following the music cues their movements were faster as compared with their movements in the auditory, verbal, and visual conditions. In addition, when following visual cues all groups produced more accurate and consistently coordinated movements than with the other cue types. Further, participants with Down syndrome often stopped moving when the pacing cues were eliminated indicating a need for continuous cues for continuous movements.

Down syndrome: the brain in trisomic mode

Down syndrome is the most common form of intellectual disability and results from one of the most complex genetic perturbations that is compatible with survival, trisomy 21. The study of brain dysfunction in this disorder has largely been based on a gene discovery approach, but we are now moving into an era of functional genome exploration, in which the effects of individual genes are being studied alongside the effects of deregulated non-coding genetic elements and epigenetic influences. Also, new data from functional neuroimaging studies are challenging our views of the cognitive phenotypes associated with Down syndrome and their pathophysiological correlates. These advances hold promise for the development of treatments for intellectual disability.

Adolescents with Down syndrome exhibit greater force and delay in onset of tapping movements

This study examined the control of force and timing during finger tapping sequences of adolescents with Down syndrome. Participants performed both unimanual and bimanual tapping tasks with one self-paced test trial after three audible-synchronized practice trials with concurrent feedback of force output. All tasks consisted of a target force of 2N and a target intertap interval of 500 msec. Adolescents with Down syndrome exhibited a greater magnitude of positive constant error and variable error for peak force than typical adolescents. They also exhibited a greater magnitude of negative constant error and variable error for intertap interval than typical adolescents. Although normally developing comparison adolescents exhibited a linear relationship between peak force and press duration or time-to-peak force, the relationship was not familiar to adolescents with Down's syndrome. This may suggest differences in the manner of motor unit recruitment between the group with Down's syndrome and comparison adolescents.

Unimanual and bimanual continuous movements benefit from visual instructions in persons with Down syndrome

The authors' aim was to understand how persons with Down syndrome (DS) perform different tasks and to assess if there were any differences in performance based on the type of instructions. This is important because of neurological differences in persons with DS and neurological demands for performing different types of tasks. Twenty right-handed participants with DS, 20 chronological age-matched (CA), and 20 mental age-matched (MA) performed unimanual, bimanual, discrete, and continuous drumming following visual, auditory, and verbal instructions. Overall, discrete drumming was performed with shorter movement times than continuous drumming and unimanual drumming was performed with shorter movement amplitude than bimanual drumming. With respect to instructions, persons with DS performed with smaller amplitudes, thus more efficient movements, following the visual instructions than auditory and verbal instructions for all types of tasks, whereas CA performed similarly with all instructions and MA performed with smaller amplitudes with visual instructions than auditory instructions. These results suggest that visual instruction provides the best information for people with DS to aid in performance of many different types of movements.

Reversal of handedness effects on bimanual coordination in adults with Down syndrome

BACKGROUND

Research on unimanual tasks suggested that motor asymmetries between hands may be reduced in people with Down syndrome. Our study examined handedness (as assessed by hand performance) and perceptual-motor integration effects on bimanual coordination.

METHODS

Adults with Down syndrome (13 non-right-handed, 22 right-handed), along with comparison groups of adults (16 non-right-handed, 21 right-handed) and children (15 non-right-handed, 22 right-handed) without Down syndrome, drummed with auditory, verbal and visual instructions.

RESULTS

In contrast to handedness effects in the children and adults without Down syndrome, right-handed participants with Down syndrome led more with the left hand, and had lower coordination stability than non-right-handed participants with Down syndrome.

CONCLUSIONS

The reversed handedness effect during bimanual coordination suggests a complex relationship between handedness and task requirements in adults with Down syndrome.

Persons with and without Down syndrome use similar strategies when using visual instructions for bimanual drumming

BACKGROUND

Previous research suggested that persons with Down syndrome (DS) used a different strategy to drum than typical adults.

METHODS

The present study examined continuous bimanual drumming strategies in response to different instructions in 10 persons with DS, 10 mental age-matched and 10 chronological age-matched groups. The drumming task required participants to hit two drums with the drumsticks at the same time following verbal (e.g. 'up' and 'down'), visual (e.g. video of both drumsticks moving up and down together) or auditory (e.g. sound of both drums being hit, then cymbal being hit) instructions for 10 s. Sensors placed on the wrists of each participant and the end of each drumstick provided data that allowed the assessment of individual drumming strategies.

RESULTS

In general, when persons with DS were following the visual instructions their drumming movements were shorter, straighter and less variable as compared with their movements in the auditory and verbal conditions.

CONCLUSIONS

Whether movement paths were straight or curved, the strategy was to move the drumstick and wrist together as one unit.

Uncontrolled manifold analysis of single trials during multi-finger force production by persons with and without Down syndrome

Recently, the framework of the uncontrolled manifold (UCM) hypothesis has been used to study multi-finger synergies based on analysis of motor variability across large sets of trials. We introduce a similar method of analysis, which can be applied to single trials, and hence may be more relevant to studies of atypical populations. In one experiment, results of across-trials and single-trial UCM analysis were compared for control participants who performed accurate ramp force production trials by pressing with four fingers of the hand. Both types of analysis revealed selective stabilization of total force by co-variations of individual finger forces. The stabilization was more pronounced at higher forces. When the participants purposefully varied the relative involvement of fingers during the ramp, significantly higher UCM effects were observed. However, high-pass filtering of the data at 4 Hz made these results similar to those observed in trials with natural patterns of force production. These observations allow assessment of the contribution of processes at two levels of a hypothetical hierarchical control system to the stabilization of total force. We also applied the single-trial UCM method to re-analyze previously published data from another experiment to study the motor variability in a group of persons with Down syndrome (DS) because these persons have difficulty in motor planning and timing as well as in force stabilization. Results of single-trial UCM analysis demonstrated force stabilization in these persons. The degree of force stabilization improved significantly after three days of practice. The analysis also showed that the total pronation/supination moment generated by the four fingers with respect to the midpoint was stabilized. The degree of moment stabilization did not change with practice. We conclude that the single-trial method of UCM analysis allows the analysis of hypotheses about stabilization of different performance variables by alleged multi-finger synergies in both typical individuals and individuals with DS.

Bimanual coordination dynamics in adults with Down syndrome

Previous experiments involving discrete unimanual tasks have shown that individuals with Down syndrome (DS) have auditory/verbal-motor deficits. The present study investigated unimanual and bimanual continuous perceptual-motor actions in adults with DS. Ten adults with DS, 10 typical adults, and 10 children drew continuous circles at increasing periods bimanually and unimanually with each hand. Movement was paced by either a visual or an auditory metronome. The results revealed that for circle shape and coordination measures, children and adults were more accurate with the visual metronome, whereas adults with DS were more accurate with the auditory metronome. In the unimanual tasks, adults with DS displayed hand asymmetries on spatial measures. In the bimanual task, however, adults with DS adopted an in-phase coordination pattern and stability more similar to adults than children. These results suggest that bimanual coordination in adults with DS is functioning effectively despite hand asymmetries evident in unimanual performance.

The control and learning of patterns of interlimb coordination: past and present issues in normal and disordered control

The present paper provides a historical note on the evolution of the behavioral study of interlimb coordination and the reasons for its success as a field of investigation in the past decades. Whereas the original foundations for this field of science were laid down back in the seventies, it has steadily grown in the past decades and has attracted the attention of various scientific disciplines. A diversity of topics is currently being addressed and this is also expressed in the present contributions to the special issue. The main theme is centered on the brain basis of interlimb coordination. On the one hand, this pertains to the study of the control and learning of patterns of interlimb coordination in clinical groups. On the other hand, basic neural approaches are being merged together with behavioral approaches to reveal the neural basis of interlimb coordination.

Coordination and movement pathology: models of structure and function

Here we consider the role of abstract models in advancing our understanding of movement pathology. Models of movement coordination and control provide the frameworks necessary for the design and interpretation of studies of acquired and developmental disorders. These models do not however provide the resolution necessary to reveal the nature of the functional impairments that characterise specific movement pathologies. In addition, they do not provide a mapping between the structural bases of various pathologies and the associated disorders of movement. Current and prospective approaches to the study and treatment of movement disorders are discussed. It is argued that the appreciation of structure-function relationships, to which these approaches give rise, represents a challenge to current models of interlimb coordination, and a stimulus for their continued development.