Proprioceptive Control of Goal-Directed Movements in Man, Studied by Means of Vibratory Muscle Tendon Stimulation

Reliability of online visual and proprioceptive feedback: impact on learning and sensorimotor coding

Multisensory integration is essential for learning and sensorimotor coding, facilitating learners' adaptation to environmental changes. Recent findings confirm that introducing unreliability into visual feedback enhances the use of motor coding, probably because proprioceptive cues are given greater weight. The present study was designed to test this hypothesis and, more generally, to explore the impact of visual versus proprioceptive cue reliability on learning processes. Participants performed a 12-target pointing sequence 100 times with different combinations of visual and proprioceptive feedback: reliable versus unreliable. Retention tests and intermanual transfer tests were administered 24 h later. Results showed that learning and sensorimotor coding were both affected by the different combinations of visual and proprioceptive cue reliability. Fully reliable feedback allowed for the best retention, while fully unreliable feedback resulted in the worst retention. Visual reliability alone mediated the level of visuospatial coding performance in visuospatial transfer, regardless of the level of proprioceptive reliability, and conversely, reliable proprioception combined with unreliable vision provided the optimum sensory environment for motor coding in the motor transfer test. Overall, our study highlighted the essential role of both visual cue reliability and proprioceptive cue reliability -and their interactions- in motor learning and its generalization.

Adapting to Altered Sensory Input: Effects of Induced Paresthesia on Goal-Directed Movement Planning and Execution

The current study investigated how temporarily induced paresthesia in the moving limb affects the performance of a goal-directed target aiming task. Three-dimensional displacement data of 14 neurotypical participants were recorded while they pointed to a target on a computer monitor in four conditions: (i) paresthesia-full-vision; (ii) paresthesia-without-target vision; (iii) no-paresthesia-full-vision; (iv) no paresthesia-without-target vision. The four conditions were blocked and counterbalanced such that participants performed the paresthesia and no-paresthesia conditions on two separate days. To assess how aiming performance changed in the presence of paresthesia, we compared early versus late performance (first and last 20% of trials). We found that endpoint accuracy and movement speed were reduced in the presence of paresthesia, but only without target vision. With repetition, participants adjusted their movement performance strategy, such that with induced paresthesia, they used a movement strategy that included more pre-planned movements that depended less on online control.

Simple and Reliable Position Sense Assessment under Different External Torques: Toward Developing a Post-stroke Proprioception Evaluation Device

Evaluation of position sense post-stroke is essential for rehabilitation. Position sense may be an output of a process needing position information, external torque, and the sense of effort. Even for healthy individuals, it is unclear whether external torque affects position sense. Thus, evaluation of position sense under different external torques in clinical settings is strongly needed. However, simple devices for measuring position sense under different external torques in clinical settings are lacking. Technologically advanced devices that may evaluate the elbow position sense under different torques were reported to be infeasible clinically because of device complexity and the need for technical experts when analyzing data. To address the unmet need, in this study, a simple and light elbow position sense measurement device was developed that allows clinicians to measure elbow position sense under different external torques in the form of position matching error objectively without any technical difficulties. The feasibility of the device, including intra-session intra-rater reliability and test-retest reliability over two consecutive days, was verified to be clinically applicable using tests with 25 healthy subjects. Thanks to its ease of use, high reliability, and ease of data analysis, it is expected that the device can help to evaluate the position sense post-stroke comprehensively.

Detecting Endpoint Error of an Ongoing Reaching Movement: the Role of Vision, Proprioception, and Efference

Brief windows of vision presented during reaching movements contribute to endpoint error estimates. It is not clear whether such error detection processes depend on other sources of information (e.g., proprioception and efference). In the current study, participants were presented with a brief window of vision and then judged whether their movement endpoint under- or over-shot the target after: 1) performing an active reach; 2) being passively guided by a robotic arm; and 3) observing a fake hand moved by the robot arm. Participants were most accurate at estimating their endpoint error in the active movement conditions and least accurate in the action observation condition. Thus, both efferent and proprioceptive information significantly contribute to endpoint error detection processes even with brief visual feedback.

Older adults rely on somatosensory information from the effector limb in the planning of discrete movements to somatosensory cues

While younger and older adults can perform upper-limb reaches to spatial targets with comparable endpoint accuracy (i.e., Helsen et al., 2016; Goodman et al., 2020), movement planning (i.e., reaction time) is significantly longer in older versus younger adults (e.g., Pohl et al., 1996; Goodman et al., 2020). Critically relevant to the current study, age-related differences in reaction time are even greater when older adults plan movement towards somatosensory versus visual or bimodal targets in the absence of vision of the moving limb (e.g., Goodman et al., 2020). One proposed explanation of these lengthened reaction times to somatosensory targets is that older adults may be experiencing challenges in implementing sensorimotor transformations when planning discrete movements of their unseen limb. To test this idea and assess the contributions of somatosensory information to these motor planning processes, tendon vibration was applied to the muscles of the effector limb between reaching movements made towards visual, somatosensory, or bimodal targets. The results revealed that older adults show the greatest increases in reaction times when vibration was applied during the preparation of movements to somatosensory targets. Further, both older and younger adults exhibited decreased movement endpoint precision when tendon vibration was applied. However, only older adults showed significantly lower movement endpoint precision due to tendon vibration when making movements to somatosensory targets, versus both visual and bimodal targets. These results corroborate previous evidence that older adults have difficulties planning upper-limb movements to somatosensory targets. As well, these results yielded novel evidence that such motor planning processes in older adult rely on somatosensory cues from the effector limb.

Comparison of high-frequency intensive balneotherapy with low-frequency balneotherapy combined with land-based exercise on postural control in symptomatic knee osteoarthritis: a randomized clinical trial

Knee osteoarthritis (KOA) can generate postural control impairments which can increase fall risk. Land-based exercise (LBE) and balneotherapy are two modalities currently prescribed, but the impact of the latter on balance control has not been studied. This study aimed to compare two programs of balneotherapy with or without LBE to improve postural control, looking at frequency and duration of treatment. A total of 236 KOA patients (mean age = 64 years) were included in this prospective and randomized study: 122 patients went through 3 weeks of standardized continuous balneotherapy (high frequency/short duration) program (Gr1) and 114 went through 3 weeks of discontinuous (low frequency) balneotherapy program followed by 3 weeks of LBE (Gr2). The total number of treatment sessions was the same for both groups. Posturography was carried out before balneotherapy (W0) and at 3 (W3), 6 (W6), and 12 (W12) weeks after the beginning of treatment. Postural control increased in Gr1 from W0 to W3 and from W0 to W12 and in Gr2 from W0 to W6 and from W3 to W6. The improvement was greater in Gr1 from W0 to W3 and from W6 to W12 and in Gr2 from W3 to W6. High-frequency intensive balneotherapy improved posture control at 3 weeks, while low-frequency balneotherapy did not. This improvement persisted over a 12-week assessment period at the same level. LBE generated an improvement that did not persist over time. Sustained improvement of postural control requires high-frequency repetition of consecutive balneotherapy sessions.

Using proprioception to control ongoing actions: dominance of vision or altered proprioceptive weighing?

Visual feedback is crucial for movement accuracy (e.g., Keele and Posner, J Exp Psychol 77:155-158, 1968). As well, proprioception has been argued to be important for the control of voluntary movements (e.g., Bagesteiro et al., Exp Brain Res 171:358-370, 2006; Rossetti et al., J Neurophysiol 74:457-463, 1995). While tendon vibration (TVib) has been used to perturb proprioceptive information during limb matching tasks (Goodwin et al., Science 175:1382-1384, 1972), the current study employed between-trial dual-muscle TVib, coupled with vision occlusion, to assess the use of vision and proprioception for the online control of voluntary movements. Participants (n = 17) performed an upper-limb reaching task (30 cm). TVib influenced both accuracy and precision of movement endpoint. Critically, variability analyses showed that participant's performance was most affected by TVib at 75% of the movement duration, even in the presence of vision. These findings demonstrate that between-trial dual-muscle tendon vibration can perturb proprioceptive feedback, and further, suggest that proprioception can be important for the online control of reaches, even when vision is available.

Amending Ongoing Upper-Limb Reaches: Visual and Proprioceptive Contributions?

In order to maximize the precise completion of voluntary actions, humans can theoretically utilize both visual and proprioceptive information to plan and amend ongoing limb trajectories. Although vision has been thought to be a more dominant sensory modality, research has shown that sensory feedback may be processed as a function of its relevance and reliability. As well, theoretical models of voluntary action have suggested that both vision and proprioception can be used to prepare online trajectory amendments. However, empirical evidence regarding the use of proprioception for online control has come from indirect manipulations from the sensory feedback (i.e., without directly perturbing the afferent information; e.g., visual–proprioceptive mismatch). In order to directly assess the relative contributions of visual and proprioceptive feedback to the online control of voluntary actions, direct perturbations to both vision (i.e., liquid crystal goggles) and proprioception (i.e., tendon vibration) were implemented in two experiments. The first experiment employed the manipulations while participants simply performed a rapid goal-directed movement (30 cm amplitude). Results from this first experiment yielded no significant evidence that proprioceptive feedback contributed to online control processes. The second experiment employed an imperceptible target jump to elicit online trajectory amendments. Without or with tendon vibration, participants still corrected for the target jumps. The current study provided more evidence of the importance of vision for online control but little support for the importance of proprioception for online limb–target regulation mechanisms.

The Effect of Kinesthetic Stimulation on Acquisition and Retention of a Gross Motor Skill

The role of kinesthetic stimulation in motor learning and performance of a gross motor task was investigated. Forty healthy female adult volunteers, ages 20 to 30 years old, were required to learn a gross motor task involving the kicking of a ball. Subjects were randomly assigned to one of two training groups, a kinesthetic stimulus group or a non-kinesthetic stimulus group. Results indicated that kinesthetic stimulation during practice and retention phases seemed to enhance task acquisition. Kinesthetic stimulation may have provided important feedback information for the learners that might have enabled them to make the necessary adjustments during performance. In addition, it appears that the stimulation affected the motor memory processes and left a more stable representation of the movement pattern. The use of continuous pressure as a means of kinesthetic stimulation for the facilitation of motor skill acquisition is recommended, although further research is required in order to generalize these findings to the clinic.

Automatic online control of motor adjustments in reaching and grasping

Following the princeps investigations of Marc Jeannerod on action-perception, specifically, goal-directed movement, this review article addresses visual and non-visual processes involved in guiding the hand in reaching or grasping tasks. The contributions of different sources of correction of ongoing movements are considered; these include visual feedback of the hand, as well as the often-neglected but important spatial updating and sharpening of goal localization following gaze-saccade orientation. The existence of an automatic online process guiding limb trajectory toward its goal is highlighted by a series of princeps experiments of goal-directed pointing movements. We then review psychophysical, electrophysiological, neuroimaging and clinical studies that have explored the properties of these automatic corrective mechanisms and their neural bases, and established their generality. Finally, the functional significance of automatic corrective mechanisms-referred to as motor flexibility-and their potential use in rehabilitation are discussed.

Contributions of efference copy to limb localization: evidence from deafferentation

Previous research with deafferented subjects suggests that efference copy can be used to update limb position. However, the contributions of efference copy to limb localization are currently unclear. We examined the performance of JDY, a woman with severe, longstanding proprioceptive deficits from a sensory peripheral neuropathy, on a reaching task to explore the contribution of efference copy to trajectory control. JDY and eight healthy controls reached without visual feedback to a target that either remained stationary or jumped to a second location after movement initiation. JDY consistently made hypermetric movements to the final target, exhibiting significant problems with amplitude control. Despite this amplitude control deficit, JDY's performance on jump trials showed that the angle of movement correction (angle between pre- and post-correction movement segments) was significantly correlated with the distance (but not time) of movement from start to turn point. These data suggest that despite an absence of proprioceptive and visual information regarding hand location, JDY derived information about movement distance that informed her movement correction on jump trials. The same type of information that permitted her to correct movement direction on-line, however, was not available for control of final arm position. We propose that efference copy can provide a consistent estimate of limb position that becomes less informative over the course of the movement. We discuss the implications of these data for current models of motor control.

Evidence for Automatic On-Line Adjustments of Hand Orientation During Natural Reaching Movements to Stationary Targets

Control of the spatial orientation of the hand is an important component of reaching and grasping movements. We studied the contribution of vision and proprioception to the perception and control of hand orientation in orientation-matching and letter-posting tasks. In the orientation-matching task, subjects aligned a “match” handle to a “target” handle that was fixed in different orientations. In letter-posting task 1, subjects simultaneously reached and rotated the right hand to insert a match handle into a target slot fixed in the same orientations. Similar sensory conditions produced different error patterns in the two tasks. Furthermore, without vision of the hand, final hand-orientation errors were smaller overall in letter-posting task 1 than in the orientation-matching task. In letter-posting task 2, subjects first aligned their hand to the angle of the target and then reached to it with the instruction not to change their initial hand orientation. Nevertheless, hand orientation changed during reaching in a way that reduced the initial orientation errors. This did not occur when there was no explicitly defined target toward which the subjects reached (letter-posting task 3). The reduction in hand-orientation errors during reach, even when told not to change it, suggests the engagement of an automatic error correction mechanism for hand orientation during reaching movements toward stationary targets. The correction mechanism was engaged when the task involved transitive actions directed at the target object. The on-line adjustments can occur without vision of the hand and even when target orientation is defined only by proprioceptive inputs.

Hand preference, practice order, and spatial assimilations in rapid bimanual movement

When subjects make rapid bimanual aiming movements over different distances, spatial assimilations are shown; the shorter distance limb overshoots when paired with a longer distance limb. Recent research has also shown spatial assimilations to be greater in the nonpreferred left limb of right-handed subjects, but it is not known whether the increased spatial assimilations represent a handedness effect or one of hemispheric lateralization of motor control. To determine the nature of the asymmetric effect, left- (n = 32) and right- (n = 60) handed subjects part practiced, then whole practiced, short (20 degrees ) and long 60 degrees ) reversal movements. During whole practice, both groups showed spatial assimilations in the shorter distance limb, particularly when the left limb performed the short movement. This asymmetry was greatest for right-handed subjects, but left-handed subjects showed smaller, but systematic effects, providing moderate support for the hypothesis that the asymmetric effect is due to hemispheric lateralization of motor control. All interlimb differences in spatial accuracy for the short and long movements were eliminated with practice, however, suggesting the asymmetric effect was temporary as well. In addition, subjects who part practiced the long movement just prior to whole practice showed greater overshooting in the short distance limb compared with subjects who followed the other practice order throughout whole practice and the no-KR retention trials. Such findings suggest that the part-practice order of bimanual tasks can directionally bias whole-task performance.

Role of proprioceptive information in movement programming and control in 5 to 11-year old children

The role of proprioceptive inputs in the control of goal-directed movements was examined, by means of the tendon vibration technique, in 5 to 11-year old children performing a serial pointing task. Children pointed, with movements of various amplitudes and at various positions, by alternating wrist flexions and extensions. Tendon vibration was applied to both agonist and antagonist muscles to perturb relevant muscular proprioceptive inputs during the static or dynamic phase of the task, i.e., during stops on targets or during movement execution. Constant and variable amplitude errors as well as constant position error were evaluated. Vibratory perturbation applied during movement execution resulted in a similar reduction in movement amplitude, yielding an increased constant error in all age groups and a systematic position error in the direction of the movement starting point. Perturbing proprioception during static phases preceding movement resulted in an age-related increase in the variable amplitude error, which was maximal in 5-year old children performing extension movements. The results were interpreted in terms of the use of proprioceptive information in the feedforward and feedback based components of movement control in children. In particular, the results indicated (1) developmental changes in the relative weighting of each component, (2) an increased capacity to move from one strategy to the other, depending on the availability of information, and (3) developmental changes from an alternated to an integrated control of amplitude and position in serial pointing.

Updating Target Location at the End of an Orienting Saccade Affects the Characteristics of Simple Point-to-Point Movements

Six results are reported. (a) Reaching accuracy increases when visual capture of the target is allowed (e.g., target on vs. target off at saccade onset). (b) Whatever the visual condition, trajectories diverge only after peak acceleration, suggesting that accuracy is improved through feedback mechanisms. (c) Feedback corrections are smoothly implemented, causing the corrected and uncorrected velocity profiles to exhibit similar shapes. (d) Initial kinematics poorly predict final accuracy whatever the condition, indicating that target capture is not the only critical input for feedback control. (e) Hand and eye final variability are unrelated, suggesting that gaze direction is not a target signal for arm control. (f) Extent errors are corrected without modification of movement straightness; direction errors cause path curvature to increase. Together these data show that movements with straight paths and bell-shaped velocity profiles are not necessarily ballistic.

Basal ganglia network mediates the control of movement amplitude

In the present study we address the hypothesis that the basal ganglia are specifically involved in the planning of movement amplitude (or related covariates). This prediction has often been put forward based on the observation that Parkinson's disease (PD) patients exhibit hypokinesia. A close examination of the literature shows, however, that this commonly reported clinical symptom is not consistently echoed by experimental observations. When required to point to visual targets in the absence of vision of the moving limb, PD subjects exhibit various patterns of inaccuracy, including hypometria, hypermetria, systematic direction bias, or direction-dependent errors. They have even been shown to be as accurate as healthy, age-matched subjects. The main aim of the current study is to address the origin of these inconsistencies. To this end, we required nine patients presenting with advanced PD and 15 age-matched control subjects to perform planar reaching movements to visual targets. Eight targets were presented in equally spaced directions around a circle centered on the hand's starting location. Based on a previously validated parsing procedure, end-point errors were segmented into localization and planning errors. Localization errors refer to the existence of systematic biases in the estimation of the initial hand location. These biases can potentially transform a simple pattern of pure amplitude errors into a complex pattern involving both amplitude and direction errors. Results indicated that localization errors were different in the PD patients and the control subjects. This is not surprising knowing both that proprioception is altered in PD patients and that the ability to locate the hand at rest relies mainly on the proprioceptive sense, even when vision is available. Unlike normal subjects, localization errors in PD were idiosyncratic, lacking a consistent pattern across subjects. When the confounding effect of initial hand localization errors was canceled, we found that end-point errors were only due to the implementation of an underscaled movement gain (15%), without direction bias. Interestingly, the level of undershoot was found to increase with the severity of the disease (inferred from the Unified Parkinson's Disease Rating Scale, UPDRS, motor score). We also observed that movement variability was amplified (32%), but only along the main movement axis (extent variability). Direction variability was not significantly different in the patient population and the control group. When considered together, these results support the idea that the basal ganglia are specifically involved in the control of movement amplitude (or of some covariates). We propose that this structure participates in extent planning by modulating cortical activity and/or the tuning of the spinal interneuronal circuits.

Target and hand position information in the online control of goal-directed arm movements

The present study compared the contribution of visual information of hand and target position to the online control of goal-directed arm movements. Their respective contributions were assessed by examining how human subjects reacted to a change of the position of either their seen hand or the visual target near the onset of the reaching movement. Subjects, seated head-fixed in a dark room, were instructed to look at and reach with a pointer towards visual targets located in the fronto-parallel plane at different distances to the right of the starting position. LEDs mounted on the tip of the pointer were used to provide true or erroneous visual feedback about hand position. In some trials, either the target or the pointer LED that signalled the actual hand position was shifted 4.5 cm to the left or to the right during the ocular saccade towards the target. Because of saccadic suppression, subjects did not perceive these displacements, which occurred near arm movement onset. The results showed that modifications of arm movement amplitude appeared, on average, 150 ms earlier and reached a greater extent (mean difference=2.7 cm) when there was a change of target position than when a change of the seen hand position occurred. These findings highlight the weight of target position information to the online control of arm movements. Visual information relative to hand position may be less contributive because proprioception also provides information about limb position.

Forward modeling allows feedback control for fast reaching movements

Delays in sensorimotor loops have led to the proposal that reaching movements are primarily under pre-programmed control and that sensory feedback loops exert an influence only at the very end of a trajectory. The present review challenges this view. Although behavioral data suggest that a motor plan is assembled prior to the onset of movement, more recent studies have indicated that this initial plan does not unfold unaltered, but is updated continuously by internal feedback loops. These loops rely on a forward model that integrates the sensory inflow and motor outflow to evaluate the consequence of the motor commands sent to a limb, such as the arm. In such a model, the probable position and velocity of an effector can be estimated with negligible delays and even predicted in advance, thus making feedback strategies possible for fast reaching movements. The parietal lobe and cerebellum appear to play a crucial role in this process. The ability of the motor system to estimate the future state of the limb might be an evolutionary substrate for mental operations that require an estimate of sequelae in the immediate future.

Functional roles of the proprioceptive system in the control of goal-directed movement

This article explored functional roles of the proprioceptive system during the control of goal-directed movements. Proprioceptive information contributes to the control of movement through both reflex and central connections. Spinal and transcortical reflex loops establish a servomechanism which provides automatic corrections of unexpected changes in muscle length and allows compensation for undesirable irregularities in the mechanical properties of muscles by modulating limb stiffness at the subconscious level. Central connections provide the control system with information about peripheral states which is used in voluntary components of movement control. Before the initiation of movement, proprioceptive information about initial limb orientation becomes a basis for the programming of motor commands. During a movement, proprioceptive input about velocities and angular displacements of a limb is used to regulate movement by triggering planned sequences of muscle activation and modulating motor commands. After movement, feedback produced by responses is compared with previously stored information, verifying the quality of the movement. Considering potential roles of the reflex and central connections, the proprioceptive system seems to constitute an important aspect of motor control mechanisms, providing the control system with efficiency and flexibility in the regulation of goal-directed movements.

Postural control of three-dimensional prehension movements

This experiment was carried out to test the hypothesis that three-dimensional upper limb movements could be initiated and controlled in the joint space via a mechanism comparing an estimate of the current postural state of the upper arm with a target value determined by one specific inverse static transform converting the coordinates of the object into a set of arm, forearm, and wrist angles. This hypothesis involves two main predictions: 1) despite joint redundancy, the posture reached by the upper limb should be invariant for a given context; and 2) a movement programmed in joint space should exhibit invariant characteristics of the joint covariation pattern as well as a corresponding variable hand path curvature in the task space. To test these predictions, we examined prehension movements toward a cylindrical object presented at a fixed spatial location and at various orientations without vision of the moving limb. Once presented, the object orientation was either kept constant (unperturbed trials) or suddenly modified at movement onset (perturbed trials). Three-dimensional movement trajectories were analyzed in both joint and task spaces. For the unperturbed trials, the task space analysis showed a variable hand path curvature depending on object orientation. The joint space analysis showed that the seven final angles characterizing the upper limb posture at hand-to-object contact varied monotonically with object orientation. At a dynamic level, movement onset and end were nearly identical for all joints. Moreover, for all joints having a monotonic variation, maximum velocity occurred almost simultaneously. For the elbow, the only joint presenting a reversal, the reversal was synchronized with the time to peak velocity of the other joint angles. For the perturbed trials, a smooth and complete compensation of the movement trajectory was observed in the task space. At a static level the upper limb final posture was identical to that obtained when the object was initially presented at the orientation following the perturbation. This result was particularly remarkable considering the large set of comfortable postures allowed by joint redundancy. At a dynamic level, the joints' covariation pattern was updated to reach the new target posture. The initial synergies were not disrupted by the perturbation, but smoothly modified, the different joints' movements ending nearly at the same time. Taken together, these results support the hypothesis that prehension movements are initiated and controlled in the joint space on the basis of a joint angular error vector rather than a spatial error vector.

Impaired limb position sense after stroke: a quantitative test for clinical use

OBJECTIVE

A quantitative measure of wrist position sense was developed to advance clinical measurement of proprioceptive limb sensibility after stroke. Test-retest reliability, normative standards, and ability to discriminate impaired and unimpaired performance were investigated.

DESIGN

Retest reliability was assessed over three sessions, and a matched-pairs study compared stroke and unimpaired subjects. Both wrists were tested, in counterbalanced order.

SETTING

Patients were tested in hospital-based rehabilitation units.

PATIENTS AND OTHER PARTICIPANTS

Reliability was investigated on a consecutive sample of 35 adult stroke patients with a range of proprioceptive discrimination abilities and no evidence of neglect. A consecutive sample of 50 stroke patients and convenience sample of 50 healthy volunteers, matched for age, sex, and hand dominance, were tested in the normative-discriminative study. Age and sex were representative of the adult stroke population.

MAIN OUTCOME MEASURES

The test required matching of imposed wrist positions using a pointer aligned with the axis of movement and a protractor scale.

RESULTS

The test was reliable (r = .88 and .92) and observed changes of 8 degrees can be interpreted, with 95% confidence, as genuine. Scores of healthy volunteers ranged from 3.1 degrees to 10.9 degrees average error. The criterion of impairment was conservatively defined as 11 degrees (+/-4.8 degrees) average error. Impaired and unimpaired performance were well differentiated.

CONCLUSIONS

Clinicians can confidently and quantitatively sample one aspect of proprioceptive sensibility in stroke patients using the wrist position sense test. Development of tests on other joints using the present approach is supported by our findings.

A defective control of small-amplitude movements in monkeys with globus pallidus lesions: an experimental study on one component of pallidal bradykinesia

The effects of globus pallidus (GP) lesion were examined in two monkeys trained to perform a visually guided pointing movement in simple and choice reaction time tasks involving small and large amplitude movements. The reaction time (RT) and the movement time (MT) were measured. The Y-axis error (EY) was also analyzed in order to assess the movement accuracy. Unilateral GP lesion was made by locally injecting an excitatory amino acid, quisqualic acid. GP lesion led to little change in the RTs (simple and choice RTs) and in the EY, whereas a large increase in the MT occurred. The MT impairments seem to have been correlated with the movement amplitude, since they were larger in the case of small-amplitude than large-amplitude movements. These results suggest that the GP may be involved in the control of small-amplitude rather than large-amplitude movements. As various studies have shown that proprioceptive cues are more strongly involved in the control of discrete than large-amplitude movements, the MT deficit, i.e., the bradykinesia observed here, may reflect a defective integration of proprioceptive information occurring after GP lesion.

Control of Rapid Arm Movements When Target Position Is Altered During Saccadic Suppression

This experiment examined whether rapid arm movements can be corrected in response to a change in target position that occurs just prior to movement onset, during saccadic suppression of displacement. Because the threshold of retinal input reaches its highest magnitude at that time, displacement of the visual target of a saccade is not perceived. Subjects (N = 6) were instructed to perform very rapid arm movements toward visual targets located 16, 20, and 24 degrees from midline (on average, movement time was 208 ms). On some trials the 20 degrees target was displaced 4 degrees either to the right or to the left during saccadic suppression. For double-step trials, arm movements did not deviate from their original trajectory. Movement endpoints and movement structure (i.e., velocity-and acceleration-time profiles) were similar whether or not target displacements occurred, showing the failure of proprioceptive signals or internal feedback loops to correct the arm trajectory. Following this movement, terminal spatially oriented movements corrected the direction of the initial movement (as compared with the single-step control trials) when the target eccentricity decreased by 4 degrees. Subjects were unaware of these spatial corrections. Therefore, spatial corrections of hand position were driven by the goal level of the task, which was updated by oculomotor corrective responses when a target shift occurred.

Representation of hand position prior to movement and motor variability

Pointing accuracy of six human subjects was measured in two blocked conditions where the hand was either never visible (T: target only) or only visible in static position prior to movement onset (H+T: hand+target). It was shown in condition H+T that, viewing the hand prior to movement greatly decreased end-point variability compared with condition T. This effect was associated with a significant modification of the movement kinematics: the H+T condition induced a shortened acceleration phase with a corresponding lengthened deceleration phase, compared with the T condition. These results led us to the hypothesis that viewing the hand prior to movement onset allowed a decrease of pointing variability through a feedback process. This hypothesis was further tested by turning the target off during the deceleration phase of the movement at half peak velocity. It was shown that turning the target off had no effect upon the T condition but induced a significant increase of pointing variability in the H+T condition. This result suggests that vision of the static hand enhances the proprioceptive localization of the limb and allows for a better visual to kinesthesic feedback.

The effect of viewing the static hand prior to movement onset on pointing kinematics and variability

Pointing accuracy and arm movement kinematics of six human subjects were measured in three conditions where the hand was never visible during the ongoing movement: (1) in the dark; (2) the static hand was seen in peripheral vision prior to target presentation, but not during the reaction time (H-T); (3) the static hand was seen in peripheral vision until movement onset (H+T). It was shown that: (1) viewing the hand prior to movement decreased pointing variability as compared to the dark condition. (2) Viewing simultaneously hand and target (H+T) and further decreased pointing variability as compared to the H-T condition. This effect was proportional to the reaction time. (3) A lengthening of the deceleration phase was observed for movements performed in the H+T condition, as compared to the other two conditions. (4) A negative correlation between variability and the first part of the deceleration phase was observed in the H+T condition, but neither in the H-T condition nor in the dark. These results suggest that the decrease in pointing variability observed in the H+T condition is due to a feedback based on kinesthetic reafference. Better encoding of the initial position of the hand relative to the target (as in H+T) would allow a calibration of arm position sense, which is used to drive the hand toward the target during the deceleration phase.