Multiple EMG Activity and Intracortical Inhibition and Facilitation During a Fine Finger Movement Under Pressure

Movement Modifications Related to Psychological Pressure in a Table Tennis Forehand Task

Although many studies on choking under pressure used closed skills, such as golf putting, we examined the influence of pressure on movement during a dynamic skill by studying participants' kinematic and kinetic changes during a table tennis forehand task under pressure. Thirty novice table tennis players hit forehand shots toward a target for 135 practice trials and then performed 10 no-pressure and 10 pressure trials. We added psychological pressure by instructing participants they could earn monetary rewards for successful performance and by cancelling accumulated scores for a poor performance. We measured racket head and ball movements as kinematic variables and grip force as a kinetic variable. We also measured state anxiety and heart rate as checks on our manipulation of psychological pressure. In the pressure condition, both state anxiety and heart rate increased significantly ( p < .025), though the pressure level was relatively small. Analysis of kinematic measures revealed that back swing and forward swing were reduced in length; speed of forward swing and ball speed decreased significantly ( p < .008) under pressure. Also, under pressure, ball and racket contact point shifted forward significantly ( p < .008) to reduce the distance between impact and target locations, and performance declined as the ball-landing locations shifted leftward ( p < .007). Grip force showed no significant change. We conclude that, under pressure, movement was modified toward reduced displacement and lower speed in an apparent risk-aversive hitting strategy; these modifications resulted in a performance decrement.

Alterations in the cortical control of standing posture during varying levels of postural threat and task difficulty

Cortical excitability increases during the performance of more difficult postural tasks. However, it is possible that changes in postural threat associated with more difficult tasks may in themselves lead to alterations in the neural strategies underlying postural control. Therefore, the purpose of this study was to examine whether changes in postural threat are responsible for the alterations in corticospinal excitability and short-interval intracortical inhibition (SICI) that occur with increasing postural task difficulty. Fourteen adults completed three postural tasks (supported standing, free standing, or standing on an unstable board) at two surface heights (ground level or 3 m above ground). Single- and paired-pulse magnetic stimuli were applied to the motor cortex to compare soleus (SOL) and tibialis anterior (TA) test motor-evoked potentials (MEPs) and SICI between conditions. SOL and TA test MEPs increased from 0.35 ± 0.29 to 0.82 ± 0.41 mV (SOL) and from 0.64 ± 0.51 to 1.96 ± 1.45 mV (TA), respectively, whereas SICI decreased from 52.4 ± 17.2% to 39.6 ± 15.4% (SOL) and from 71.3 ± 17.7% to 50.3 ± 19.9% (TA) with increasing task difficulty. In contrast to the effects of task difficulty, only SOL test MEPs were smaller when participants stood at high (0.49 ± 0.29 mV) compared with low height (0.61 ± 0.40 mV). Because the presence of postural threat did not lead to any additional changes in the excitability of the motor corticospinal pathway and intracortical inhibition with increasing task difficulty, it seems unlikely that alterations in perceived threat are primarily responsible for the neurophysiological changes that are observed with increasing postural task difficulty. NEW & NOTEWORTHY We examined how task difficulty and postural threat influence the cortical control of posture. Results indicated that the motor corticospinal pathway and intracortical inhibition were modulated more by task difficulty than postural threat. Furthermore, because the presence of postural threat during the performance of various postural tasks did not lead to summative changes in motor-evoked potentials, alterations in perceived threat are not responsible for the neurophysiological changes that occur with increasing postural task difficulty.

State anxiety disorganizes finger movements during musical performance

Skilled performance, in many situations, exposes an individual to psychological stress and fear, thus triggering state anxiety and compromising motor dexterity. Suboptimal skill execution in people under pressure affects the future career prospects of trained individuals, such as athletes, clinicians, and musicians. However, it has not been elucidated in what manner state anxiety affects multijoint movements and thereby degrades fine motor control. Using principal component analysis of hand kinematics recorded by a data glove during piano performances, we tested whether state anxiety affects the organization of movements of multiple joints or merely constrains the amplitude of the individual joints without affecting joint movement coordination. The result demonstrated changes in the coordination of movements across joints in piano performances by experts under psychological stress. Overall, the change was characterized by reduction of synergistic movements between the finger responsible for the keypress and its adjacent fingers. A regression analysis further identified that the attenuation of the movement covariation between the fingers was associated with an increase in temporal error during performance under pressure. In contrast, neither the maximum nor minimum angles of the individual joints of the hand were susceptible to induced anxiety. These results suggest that degradation of fine motor control under pressure is mediated by incoordination of movements between the fingers in skilled piano performances. NEW & NOTEWORTHY A key issue in neuromuscular control of coordinated movements is how the nervous system organizes multiple degrees of freedom for production of skillful motor behaviors. We found that state anxiety disorchestrates the organization of finger movements so as to decrease synergistic motions between the fingers in musical performance, which degrades fine motor control. The findings are important to shed light on mechanisms underlying loss of motor dexterity under pressure.

Modulation of intracortical inhibition in response to acute psychosocial stress is impaired among individuals with chronic neck pain

OBJECTIVE

Psychosocial stress has been associated with a variety of chronic pain disorders although the mechanisms responsible for this relationship are unknown. The purpose of this study was to compare the excitability of intracortical and corticospinal pathways to the trapezius muscle in individuals with and without chronic neck pain during exposure to low and high levels of psychosocial stress.

METHODS

Single and paired-pulse transcranial magnetic stimulation was used to assess motor evoked potentials (MEPs) and short-interval intracortical inhibition (SICI) during mental math performed in the presence and absence of social evaluative threat.

RESULTS

All participants demonstrated higher amplitude MEPs in the high stress compared to the low stress condition (p < 0.01). Participants with chronic neck pain had significantly greater SICI than healthy participants in the low stress condition (p = 0.03). During exposure to the stressor, healthy participants showed an increase in SICI, whereas participants with neck pain showed no change (group difference for change in SICI, p < 0.01).

CONCLUSIONS

These findings suggest that individuals with chronic neck pain inhibit motor output to the trapezius in the presence of minor stressors, and are unable to compensate for additional stress-evoked increases in corticospinal excitability through further modulation of SICI. This observation has potential implications for the management of patients who have difficulty relaxing painful muscles during times of stress.

Perceived distance during golf putting

This study examined the effect of anxiety states on the relationship between golf-putting distance and performance in an environment requiring high movement accuracy. Twenty-three amateur golfers attempted 15 putts at each of three putting distances, 1.25, 1.50, and 1.75m, under conditions characterized by both control demands and pressure. All attempts were recorded, and kinematic features were analyzed. Under conditions involving an audience and a monetary reward, the mean score on the State-Trait Anxiety Inventory Y-1 and the mean heart rate increased by 14 points and 11bpm, respectively. We grouped participants on an a posteriori basis using the median split. The backswing of high-anxiety performers shortened, the downswing speed declined, and the relative time to peak club-head velocity changed when putting under pressure from 1.25m. In contrast, no change in backswing or relative time to peak velocity was observed in low-anxiety performers, although impact velocity increased under this condition. These results indicate that the degree to which both low- and high-anxiety golfers were anxious about failure affected motor control at the 1.25-m distance, suggesting that a distortion in perceived distance may result from the interaction between putting distance and anxiety related to failure during golf putting.