The attractiveness of salient distractors to reaching movements is task dependent

Reaching the cognitive-motor interface: effects of cognitive load on arm choice and motor performance after stroke

A vexing characteristic of motor disability after stroke is that many individuals fail to use their affected arm effectively despite having the capacity to do so, a phenomenon termed arm nonuse. Based on the hypothesis that nonuse is influenced by the competing cognitive demands of many daily activities, we examined the effects of cognitive load on arm choice and motor performance in individuals with stroke using a novel virtual reality paradigm that mimics the demands of real-life visual search, object selection, and reaching to targets. Twenty individuals with single left or right hemispheric chronic stroke (11 left cerebrovascular accident; 9 right cerebrovascular accident) and 10 age-matched neurotypical participants completed the Virtual Reality Arm Choice task, in which they reached for target objects in an array under varied cognitive demand. To manipulate cognitive demand, we varied the semantic similarity of objects in the reaching space and the presence or absence of a secondary task. The results showed reduced use of the paretic arm under increased demand. Under cognitive load, participants with stroke also showed slower reach initiation, slower movements, increased reach curvature, and increased performance differences between the paretic and non-paretic arms. The arm choice of neurotypical individuals was also modulated under cognitive load. These data indicate that cognitive factors influence arm choice and motor performance in naturalistic reaching tasks in individuals with chronic stroke. Performance decrements under cognitive load may in turn influence reduced paretic arm use during daily activities.

Reaching movements are attracted by stimuli that signal reward

When presented with a set of possible reach targets, the movement trajectory can reveal aspects of the underlying competition for action selection. Current goals and physical salience can affect the trajectory of reaching movements to be attracted towards a distractor. Some studies demonstrated that stimuli associated with reward can also cause an attraction when reaching towards the reward stimulus was previously rewarded and the reward stimulus was physically salient. Here we demonstrate that a non-salient stimulus that signals the availability of reward attracts reaching movements even when moving towards it was never necessary nor rewarded. Moreover, the attraction by reward is particularly evident with short-latency movements. We conclude that neither physical salience nor reinforcing the movement towards a stimulus is necessary for reward to gain priority in the selection for action.