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Carius D, Kaminski E, Clauß M, Schewe Y, Ryk L, Ragert P. Quantifying motor adaptation in a sport-specific table tennis setting. Sci Rep 2024; 14:601. [PMID: 38182640 PMCID: PMC10770152 DOI: 10.1038/s41598-023-50927-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 12/28/2023] [Indexed: 01/07/2024] Open
Abstract
Studies on motor adaptation aim to better understand the remarkable, largely implicit capacity of humans to adjust to changing environmental conditions. So far, this phenomenon has mainly been investigated in highly controlled laboratory setting, allowing only limited conclusions and consequences for everyday life scenarios. Natural movement tasks performed under externally valid conditions would provide important support on the transferability of recent laboratory findings. Therefore, one major goal of the current study was to create and assess a new table tennis paradigm mapping motor adaptation in a more natural and sport-specific setting. High-speed cinematographic measurements were used to determine target accuracy in a motor adaptation table tennis paradigm in 30 right-handed participants. In addition, we investigated if motor adaptation was affected by temporal order of perturbations (serial vs. random practice). In summary, we were able to confirm and reproduce typical motor adaptation effects in a sport-specific setting. We found, according to previous findings, an increase in target errors with perturbation onset that decreased during motor adaptation. Furthermore, we observed an increase in target errors with perturbation offset (after-effect) that decrease subsequently during washout phase. More importantly, this motor adaptation phenomenon did not differ when comparing serial vs. random perturbation conditions.
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Affiliation(s)
- Daniel Carius
- Department of Movement Neuroscience, Faculty of Sport Science, Leipzig University, 04109, Leipzig, Germany.
| | - Elisabeth Kaminski
- Department of Movement Neuroscience, Faculty of Sport Science, Leipzig University, 04109, Leipzig, Germany
- Max Planck Institute for Human Cognitive and Brain Sciences, 04103, Leipzig, Germany
| | - Martina Clauß
- Department of Movement Neuroscience, Faculty of Sport Science, Leipzig University, 04109, Leipzig, Germany
| | - Yannick Schewe
- Department of Movement Neuroscience, Faculty of Sport Science, Leipzig University, 04109, Leipzig, Germany
| | - Lenja Ryk
- Department of Movement Neuroscience, Faculty of Sport Science, Leipzig University, 04109, Leipzig, Germany
| | - Patrick Ragert
- Department of Movement Neuroscience, Faculty of Sport Science, Leipzig University, 04109, Leipzig, Germany
- Max Planck Institute for Human Cognitive and Brain Sciences, 04103, Leipzig, Germany
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de Melo GC, Martes Sternlicht V, Forner-Cordero A. EEG Analysis in Coincident Timing Task Towards Motor Rehabilitation. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2020; 2020:3027-3030. [PMID: 33018643 DOI: 10.1109/embc44109.2020.9175851] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The identification of specific components in EEG signals is often key when designing EEG-based brain-computer interfaces (BCIs), and a good understanding of the factors that elicit such components can be helpful when it comes to precise, energy-efficient and time-accurate actuation of exoskeletons. CNVs (Contingent Negative Variations), ERDs or ERSs (Event-Related Desynchronizations/Synchronizations) as well as ErrPs (Error-Related Potentials) are particularly important components can be identified during motor tasks and related to specific events in a Coincident Timing (CT) task. This work investigates offline EEG signals acquired during an upper limb CT task and analyzes the task protocol with the purpose of correlating the aforementioned EEG features to movement onset. CNVs and ERD/ERS were successfully identified after averaging multiple trials, and it was further concluded that complementary information about muscle activity (via EMG) as well as video tracking of arm movement play a critical role in the synchronization of EEG components with movement onset. The framework for EEG analysis presented in this paper allows for future development of a BCI on top of this CT task capable of assessing motor learning and actuating an exoskeleton to enable faster motor rehabilitation.
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Tacchino G, Coelli S, Reali P, Galli M, Bianchi AM. Bicoherence Interpretation in EEG Requires Signal to Noise Ratio Quantification: An Application to Sensorimotor Rhythms. IEEE Trans Biomed Eng 2020; 67:2696-2704. [DOI: 10.1109/tbme.2020.2969278] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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de Sire A, Bigoni M, Priano L, Baudo S, Solaro C, Mauro A. Constraint-Induced Movement Therapy in multiple sclerosis: Safety and three-dimensional kinematic analysis of upper limb activity. A randomized single-blind pilot study. NeuroRehabilitation 2019; 45:247-254. [PMID: 31498137 DOI: 10.3233/nre-192762] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND There are few evidences on safety of Constraint-Induced Movement Therapy (CIMT), as well as its effects in neurological conditions, including multiple sclerosis (MS). OBJECTIVE To evaluate safety and effectiveness of a 2-week CIMT protocol on upper limb activity of progressive MS patients through a three-dimensional (3D) kinematic analysis. METHODS In this randomized single-blind pilot study, we randomly allocated patients affected by progressive MS reporting a reduced use of one upper limb into two different groups: CIMT group (less affected limb blocked by a splint) and control group (undergoing bi-manual treatment). Primary outcome was CIMT safety. Furthermore, we assessed CIMT effects through clinical outcomes (hand grip strength, HGS, and 9 Hole Peg Test, 9HPT) and 3D kinematic analysis (normalized jerk, number of movement units, going phase duration, mean velocity, endpoint error). All evaluations were performed at baseline (T0) and after 2 weeks of treatment (T1) for both arms in both groups. RESULTS Ten MS patients, mean aged 51.0±7.7 years, were randomly allocated in the 2 groups. After treatment, no differences were found in the blocked arm. Furthermore, CIMT group showed significant improvements in clinical and kinematic parameters. CONCLUSIONS CIMT might be considered a safe and effective technique in MS patients.
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Affiliation(s)
- Alessandro de Sire
- Rehabilitation Unit, "Mons. L. Novarese" Hospital, Moncrivello, Vercelli, Italy.,Physical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont, Novara, Italy
| | - Matteo Bigoni
- Istituto Auxologico Italiano, IRCCS, Department of Neurology and Neurorehabilitation S. Giuseppe Hospital, Piancavallo, Verbania, Italy
| | - Lorenzo Priano
- Istituto Auxologico Italiano, IRCCS, Department of Neurology and Neurorehabilitation S. Giuseppe Hospital, Piancavallo, Verbania, Italy.,Department of Neurosciences, University of Turin, Turin, Italy
| | - Silvia Baudo
- Istituto Auxologico Italiano, IRCCS, Department of Neurology and Neurorehabilitation S. Giuseppe Hospital, Piancavallo, Verbania, Italy
| | - Claudio Solaro
- Rehabilitation Unit, "Mons. L. Novarese" Hospital, Moncrivello, Vercelli, Italy
| | - Alessandro Mauro
- Istituto Auxologico Italiano, IRCCS, Department of Neurology and Neurorehabilitation S. Giuseppe Hospital, Piancavallo, Verbania, Italy.,Department of Neurosciences, University of Turin, Turin, Italy
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Elsner B, Kugler J, Mehrholz J. Transcranial direct current stimulation (tDCS) for upper limb rehabilitation after stroke: future directions. J Neuroeng Rehabil 2018; 15:106. [PMID: 30442158 PMCID: PMC6238340 DOI: 10.1186/s12984-018-0459-7] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2018] [Accepted: 11/07/2018] [Indexed: 11/10/2022] Open
Abstract
Transcranial Direct Current Stimulation (tDCS) is a potentially useful tool to improve upper limb rehabilitation outcomes after stroke, although its effects in this regard have shown to be limited so far. Additional increases in effectiveness of tDCS in upper limb rehabilitation after stroke may for example be achieved by (1) applying a more focal stimulation approach like high definition tDCS (HD-tDCS), (2) involving functional imaging techniques during stimulation to identify target areas more exactly, (3) applying tDCS during Electroencephalography (EEG) (EEG-tDCS), (4) focusing on an effective upper limb rehabilitation strategy as an effective base treatment after stroke. Perhaps going even beyond the application of tDCS and applying alternative stimulation techniques such as transcranial Alternating Current Stimulation (tACS) or transcranial Random Noise Stimulation (tRNS) will further increase effectiveness of upper limb rehabilitation after stroke.
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Affiliation(s)
- Bernhard Elsner
- Department of Public Health, Dresden Medical School, Technical University Dresden, Fetscherstr. 74, 01307, Dresden, Germany.,SRH University of Applied Health Sciences, Gera, Germany
| | - Joachim Kugler
- Department of Public Health, Dresden Medical School, Technical University Dresden, Fetscherstr. 74, 01307, Dresden, Germany
| | - Jan Mehrholz
- Department of Public Health, Dresden Medical School, Technical University Dresden, Fetscherstr. 74, 01307, Dresden, Germany. .,SRH University of Applied Health Sciences, Gera, Germany.
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Faiman I, Pizzamiglio S, Turner DL. Resting-state functional connectivity predicts the ability to adapt arm reaching in a robot-mediated force field. Neuroimage 2018; 174:494-503. [DOI: 10.1016/j.neuroimage.2018.03.054] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2017] [Revised: 03/02/2018] [Accepted: 03/22/2018] [Indexed: 02/02/2023] Open
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Abstract
The present study analyzes the learning in a coincident timing task with force perturbation. We aimed to verify whether a predictable load (constant spring) applied to hand movements could facilitate learning and, thus, performance improvement with respect to movements without any external load and an unpredictable load to perform a coincident timing task with a few number of repetitions (n = 28) under acquisition and transfer phases. The results showed that the group with a predictable load had a significant better performance with lower percentage of errors and smaller time variance in the acquisition and transfer phase. The groups with no load and unpredictable load had a similar performance in the transfer phase. It can be concluded that adding a predictable force to the coincident timing task results in performance improvement. Therefore, learning to reach a target at a correct time could be improved with the application of predictable external loads.
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Bigoni M, Baudo S, Cimolin V, Cau N, Galli M, Pianta L, Tacchini E, Capodaglio P, Mauro A. Does kinematics add meaningful information to clinical assessment in post-stroke upper limb rehabilitation? A case report. J Phys Ther Sci 2016; 28:2408-13. [PMID: 27630445 PMCID: PMC5011609 DOI: 10.1589/jpts.28.2408] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2016] [Accepted: 05/07/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The aims of this case study were to: (a) quantify the impairment and activity
restriction of the upper limb in a hemiparetic patient; (b) quantitatively evaluate
rehabilitation program effectiveness; and (c) discuss whether more clinically meaningful
information can be gained with the use of kinematic analysis in addition to clinical
assessment. The rehabilitation program consisted of the combined use of different
traditional physiotherapy techniques, occupational therapy sessions, and the so-called
task-oriented approach. [Subject and Methods] Subject was a one hemiplegic patient. The
patient was assessed at the beginning and after 1 month of daily rehabilitation using the
Medical Research Council scale, Nine Hole Peg Test, Motor Evaluation Scale for Upper
Extremity in Stroke Patients, and Hand Grip Dynamometer test as well as a kinematic
analysis using an optoelectronic system. [Results] After treatment, significant
improvements were evident in terms of total movement duration, movement completion
velocity, and some smoothness parameters. [Conclusion] Our case report showed that the
integration of clinical assessment with kinematic evaluation appears to be useful for
quantitatively assessing performance changes.
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Affiliation(s)
- Matteo Bigoni
- Department of Neurology and NeuroRehabilitation, Ospedale San Giuseppe, Istituto Auxologico Italiano, IRCCS, Italy
| | - Silvia Baudo
- Department of Neurology and NeuroRehabilitation, Ospedale San Giuseppe, Istituto Auxologico Italiano, IRCCS, Italy
| | - Veronica Cimolin
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Italy
| | - Nicola Cau
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Italy
| | - Manuela Galli
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Italy; IRCCS "San Raffaele Pisana", Tosinvest Sanità, Roma, Italy
| | - Lucia Pianta
- Department of Neurology and NeuroRehabilitation, Ospedale San Giuseppe, Istituto Auxologico Italiano, IRCCS, Italy
| | - Elena Tacchini
- Department of Neurology and NeuroRehabilitation, Ospedale San Giuseppe, Istituto Auxologico Italiano, IRCCS, Italy; Orthopaedic Rehabilitation Unit and Clinical Lab for Gait Analysis and Posture, Ospedale San Giuseppe, Istituto Auxologico Italiano, IRCCS, Italy
| | - Paolo Capodaglio
- Orthopaedic Rehabilitation Unit and Clinical Lab for Gait Analysis and Posture, Ospedale San Giuseppe, Istituto Auxologico Italiano, IRCCS, Italy
| | - Alessandro Mauro
- Department of Neurology and NeuroRehabilitation, Ospedale San Giuseppe, Istituto Auxologico Italiano, IRCCS, Italy; Orthopaedic Rehabilitation Unit and Clinical Lab for Gait Analysis and Posture, Ospedale San Giuseppe, Istituto Auxologico Italiano, IRCCS, Italy; Department of Electronics, Information and Bioengineering, Politecnico di Milano, Italy; IRCCS "San Raffaele Pisana", Tosinvest Sanità, Roma, Italy; Department of Neuroscience "Rita Levi Montalcini", University of Torino, Italy
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Li W, Guo Y, Fan J, Ma C, Ma X, Chen X, He J. The Neural Mechanism Exploration of Adaptive Motor Control: Dynamical Economic Cell Allocation in the Primary Motor Cortex. IEEE Trans Neural Syst Rehabil Eng 2016; 25:492-501. [PMID: 27323368 DOI: 10.1109/tnsre.2016.2580620] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Adaptive flexibility is of significance for the smooth and efficient movements in goal attainment. However, the underlying work mechanism of the cerebral cortex in adaptive motor control still remains unclear. How does the cerebral cortex organize and coordinate the activity of a large population of cells in the implementation of various motor strategies? To explore this issue, single-unit activities from the M1 region and kinematic data were recorded simultaneously in monkeys performing 3D reach-to-grasp tasks with different perturbations. Varying motor control strategies were employed and achieved in different perturbed tasks, via the dynamic allocation of cells to modulate specific movement parameters. An economic principle was proposed for the first time to describe a basic rule for cell allocation in the primary motor cortex. This principle, defined as the Dynamic Economic Cell Allocation Mechanism (DECAM), guarantees benefit maximization in cell allocation under limited neuronal resources, and avoids committing resources to uneconomic investments for unreliable factors with no or little revenue. That is to say, the cells recruited are always preferentially allocated to those factors with reliable return; otherwise, the cells are dispatched to respond to other factors about task. The findings of this study might partially reveal the working mechanisms underlying the role of the cerebral cortex in adaptive motor control, wherein is also of significance for the design of future intelligent brain-machine interfaces and rehabilitation device.
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Molteni E, Rigoldi C, Morante M, Rozbaczylo C, Haro M, Albertini G, Galli M, Bianchi AM. Quantification of long-term effects of botulinum injection in a case of cerebral palsy affecting the upper limb movement. Dev Neurorehabil 2015; 18:145-8. [PMID: 23869622 DOI: 10.3109/17518423.2013.796018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The aim of this work was to put into evidence the long-lasting modification induced by botulinum toxin injection and rehabilitative treatment on motor control. METHODS In this contribution, we report the case of a female child showing hemiplegia, due to cerebral palsy. She underwent botulinum injection, followed by physical and occupational therapy. We quantified the biomechanical, cerebral and occupational aspects of her impaired upper limb, also dynamically, with respect to her pre- and post-treatment condition. RESULTS Small long-lasting improvements--induced on biomechanics by botulinum injection--triggered wide cerebral modification, well reflected in improved contextual movements and motor strategy. CONCLUSION These results provide evidences that small modifications in the end-effector performance often imply cerebral modifications and improvement in finalized motor strategy.
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Affiliation(s)
- Erika Molteni
- Bioengineering Department , Politecnico di Milano, Milan , Italy
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Camerota F, Galli M, Cimolin V, Celletti C, Ancillao A, Blow D, Albertini G. Neuromuscular taping for the upper limb in Cerebral Palsy: A case study in a patient with hemiplegia. Dev Neurorehabil 2014; 17:384-7. [PMID: 24087981 DOI: 10.3109/17518423.2013.830152] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE To assess quantitatively the effects of Neuromuscular Taping (NMT) on the upper limb in a female child with left hemiplegia, due to Cerebral Palsy (CP). METHODS The patient underwent NMT on cervical level, shoulder and hand only of the plegic upper limb, followed by physical therapy. Kinematic data of upper limbs during reaching task were collected before (PRE) and after 2 weeks of treatment (POST). RESULTS After the intervention, the affected limb improved in terms of movement duration, Average Jerk and Number of Unit Movements indices, indicating a faster, smoother and less segmented movement. Improvements appeared at the ranges of motion of the upper limb joints, both at shoulder and elbow joints. No significant changes were globally displayed for the unaffected arm. CONCLUSION NMT seems to be a promising intervention for improving upper limb movement in patients with CP. Further investigations are certainly needed to assess effectively the effects of the intervention in this pathological state.
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Affiliation(s)
- Filippo Camerota
- Physical Medicine and Rehabilitation Division, Orthopaedic Department, Umberto I Hospital, Sapienza University , Rome , Italy
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Movement analysis and EEG recordings in children with hemiplegic cerebral palsy. Exp Brain Res 2012; 223:517-24. [DOI: 10.1007/s00221-012-3278-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2012] [Accepted: 09/18/2012] [Indexed: 10/27/2022]
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Burdet E, Sanguineti V, Heuer H, Popović DB. Motor skill learning and neuro-rehabilitation. IEEE Trans Neural Syst Rehabil Eng 2012; 20:237-8. [PMID: 22792550 DOI: 10.1109/tnsre.2012.2195554] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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