HD-tDCS over left supplementary motor area differentially modulated neural correlates of motor planning for speech vs. limb movement

The supplementary motor area (SMA) is implicated in planning, execution, and control of speech production and limb movement. The SMA is among putative generators of pre-movement EEG activity which is thought to be neural markers of motor planning. In neurological conditions such as Parkinson's disease, abnormal pre-movement neural activity within the SMA has been reported during speech production and limb movement. Therefore, this region can be a potential target for non-invasive brain stimulation for both speech and limb movement. The present study took an initial step in examining the application of high-definition transcranial direct current stimulation (HD-tDCS) over the left SMA in 24 neurologically intact adults. Subsequently, event-related potentials (ERPs) were recorded while participants performed speech and limb movement tasks. Participants' data were collected in three counterbalanced sessions: anodal, cathodal and sham HD-tDCS. Relative to sham stimulation, anodal, but not cathodal, HD-tDCS significantly attenuated ERPs prior to the onset of the speech production. In contrast, neither anodal nor cathodal HD-tDCS significantly modulated ERPs prior to the onset of limb movement compared to sham stimulation. These findings showed that neural correlates of motor planning can be modulated using HD-tDCS over the left SMA in neurotypical adults, with translational implications for neurological conditions that impair speech production. The absence of a stimulation effect on ERPs prior to the onset of limb movement was not expected in this study, and future studies are warranted to further explore this effect.

A common format for representing spatial location in visual and motor working memory

Does the mind rely on similar systems of spatial representation for both perception and action? Here, we assessed the format of location representations in two simple spatial localization tasks. In one task, participants simply remembered the location of an item based solely on visual input. In another, participants remembered the location of a point in space based solely on kinesthetic input. Participants' recall errors were more consistent with the use of polar coordinates than Cartesian coordinates in both tasks. Moreover, measures of spatial bias and performance were correlated across modalities. In a subsequent study, we tested the flexibility with which people use polar coordinates to represent space; we show that the format in which the information is presented to participants influences how that information is encoded and the errors that are made as a result. We suggest that polar coordinates may be a common means of representing location information across visual and motor modalities, but that these representations are also flexible in form.

A neuromechanical model characterizing the motor planning and posture control in the voluntary lean in Parkinson's disease

Parkinson's disease targets patients' cognitive and motor abilities, including postural control. Many studies have been carried out to introduce mathematical models for a better understanding of postural control in such patients and the relation between the model parameters and the clinical assessments. So far, these studies have addressed this connection merely in static tests, such as quiet stance. The aim of this study is to develop a model for voluntary lean, and as such, identify the model parameters for both PD patients and healthy subjects from experimental data. The proposed model comprises planning and control sections. The model parameters for the planning section were extracted from the time response characteristics. Parameters for the control section were identified based on the spatial characteristics of the center-of-pressure (COP) response using an optimization process. 24 PD patients along with 24 matched healthy subjects participated in the study. The results showed a significant difference between the two groups in terms of temporal parameters for the planning section. This difference emphasizes bradykinesia as an essential symptom of PD. Also, differences were found for the postural control section. In all directions, the proportional gain of the feedback controller was significantly larger in PD patients; however, the gain of the feedforward controller was significantly smaller in PD patients. Furthermore, the control gains were strongly correlated with the clinical scales (Functional Reach Test and Unified Parkinson's Disease Rating Scale) in certain directions. In conclusion, the new model helps to better understand and quantify some PD symptoms in voluntary lean tasks.

Investigating Object Affordance in People with Complex Regional Pain Syndrome: No Alterations in the Automatic Activation of Motor Plans

Complex Regional Pain Syndrome (CRPS) is a condition of chronic pain, predominantly affecting one limb. CRPS is characterised by motor changes including slowed or uncoordinated movements. Cognitive processes that drive movement planning and/or execution might contribute to these changes. We aimed to investigate the potential alterations to such cognitive mechanisms using an 'object affordance' paradigm. Object affordance refers to the observation that viewing an object modulates associated motor responses, presumably due to the automatic activation of a motor plan. We hypothesised that people with CRPS would show reduced object affordance effects for their affected compared to unaffected hand, and compared to pain-free controls. First, we validated an online object affordance task involving button press responses to everyday objects with handles, in pain-free participants (n = 63; Experiment 1). Object affordance was reflected by faster and more accurate responses when the object handle was aligned to the responding hand ("aligned") compared to when the handle was aligned to the other hand ("non-aligned"). These results were similar for the online task as when administered in person. Second, in a case-control study, we administered the online object affordance task to people with CRPS predominantly affecting the upper limb (n = 25), and age-matched pain-free controls (n = 68; Experiment 2). People with CRPS responded faster and more accurately in the aligned versus non-aligned condition (ie, an object affordance effect), both for the affected and unaffected hands. There were no differences to pain-free participants. Therefore, object affordance effects were seen in people with CRPS, providing no evidence for altered motor planning. PERSPECTIVE: This article presents research investigating cognitive processes related to motor planning in Complex Regional Pain Syndrome (CRPS). Using an online object affordance paradigm, validated in pain-free controls, the authors found that people with CRPS showed intact object affordance effects in the affected and unaffected hand, suggesting unaltered motor planning. DATA AVAILABILITY: The experiment materials, data, pre-processing scripts, and analysis scripts can be found via Open Science Framework (https://osf.io/nc825/files/osfstorage).

Post-stroke deficits in the anticipatory control and bimanual coordination during naturalistic cooperative bimanual action

BACKGROUND

Unilateral stroke leads to asymmetric deficits in movement performance; yet its effects on naturalistic bimanual actions, a key aspect of everyday functions, are understudied. Particularly, how naturalistic bimanual actions that require the two hands to cooperatively interact with each other while manipulating a single common object are planned, executed, and coordinated after stroke is not known. In the present study, we compared the anticipatory planning, execution, and coordination of force between individuals with left and right hemisphere stroke and neurotypical controls in a naturalistic bimanual common-goal task, lifting a box.

METHOD

Thirty-three individuals with chronic stroke (15 LCVA, 18 RCVA) and 8 neurotypical age-matched controls used both hands to lift a box fitted with force transducers under unweighted and weighted conditions. Primary dependent variables included measures of anticipation (peak grip and load force rate), execution (peak grip force, load force), and measures of within-hand (grip-load force coordination) and between-hand coordination (force rate cross-correlations). Primary analyses were performed using linear mixed effects modeling. Exploratory backward stepwise regression examined predictors of individual variability within participants with stroke.

RESULTS

Participants with stroke, particularly the RCVA group, showed impaired scaling of grip and load force rates with the addition of weight, indicating deficits in anticipatory control. While there were no group differences in peak grip force, participants with stroke showed significant impairments in peak load force and in grip-load force coordination with specific deficits in the evolution of load force prior to object lift-off. Finally, there were differences in spatial coordination of load force rates for participants with stroke, and especially the RCVA group, as compared to controls. Unimanual motor performance of the paretic arm and hemisphere of lesion (right hemisphere) were the key predictors of impairments in anticipatory planning of grip force and bimanual coordination among participants with stroke.

CONCLUSIONS

These results suggest that individuals with stroke, particularly those with right hemisphere damage, have impairments in anticipatory planning and interlimb coordination of symmetric cooperative bimanual tasks.

Grip selection without tool knowledge: end-state comfort effect in familiar and novel tool use

A well-known phenomenon for the study of movement planning is the end-state comfort (ESC) effect: When they reach and grasp tools, individuals tend to adopt uncomfortable initial hand postures if that allows a subsequent comfortable final posture. In the context of tool use, this effect is modulated by tool orientation, task goal, and cooperation. However, the cognitive bases of the ESC effect remain unclear. The goal of this study was to determine the contribution of semantic tool knowledge and technical reasoning to movement planning, by testing whether the ESC effect typically observed with familiar tools would also be observed with novel tools. Twenty-six participants were asked to reach and grasp familiar and novel tools under varying conditions (i.e., tool's handle downward vs. upward; tool transport vs. use; solo vs. cooperation). In our findings, the effects of tool orientation, task goal and cooperation were replicated with novel tools. It follows that semantic tool knowledge is not critical for the ESC effect to occur. In fact, we found an "habitual" effect: Participant adopted uncomfortable grips with familiar tools even when it was not necessary (i.e., to transport them), probably because of the interference of habitual movement programming with actual movement programming. A cognitive view of movement planning is proposed, according to which goal comprehension (1) may rely on semantic tool knowledge, technical reasoning, and/or social skills, (2) defines end-state configuration, which in turn (3) calibrates beginning-state comfort and hence the occurrence of the ESC effect.

Choice of end-state comfort is dependent upon the time spent at the beginning-state and the precision requirement of the end-state

Choice of posture while grasping an object typically depends upon several factors including the time spent in that posture, what postures were held prior to choosing that posture, and the precision required by the posture. The purpose of this study was to test choice of end-state thumb-up posture based on time spent at the beginning-state and the precision requirement of the end-state. To determine choice of thumb-up based on time or precision, we varied how long a subject had to hold the beginning state before moving an object to an end location. We made end-state precision either small or large and eliminated the precision needed to stand the object up at the end of the movement. A choice between "comfort" at the beginning or precision at the end-state would be demanded by the conditions with long beginning-state hold times and high precision demands. We aimed to determine which aspect of movement was of greater importance to individuals, overall "comfort" or precision. When the requirement was to hold the initial grasp longer, and the end-target was large, we predicted that we would see more thumb-up postures adopted at the beginning state. When the final placement was small and the initial posture was not constrained, we predicted we would see thumb-up postures adopted at the end state. On average, we found that, as beginning-state grasp time increased, more individuals chose beginning-state thumb-up postures. Perhaps, not surprisingly, we found distinct individual differences within our sample. Some individuals seemed to choose beginning-state thumb-up postures nearly 100% of the time, while other individuals chose end-state thumb-up postures nearly 100% of the time. Both the time spent in a posture and its precision requirements influenced planning, but not necessarily in a systematic way.

End-state comfort planning after explicit goal instructions in children with and without probable developmental coordination disorder

BACKGROUND

When completing grip-selection tasks, healthy adults generally plan for the most comfortable end-posture which is termed the end-state comfort (ESC) effect. Children with and without developmental coordination disorder (DCD) are less likely to plan for ESC which begs the question as to whether they are not able to perform this type of planning or whether they prioritize other aspects of the task.

AIMS

(1) Examine if children with and without probable DCD (pDCD) are able to plan for ESC if they are explicitly instructed to and (2) if this transfers to another similar task. (3) Examine if children with and without pDCD perceive the level of comfort of the grips that they use differently and if this relates to ESC planning.

METHODS

Twelve children with and 12 children without probable DCD (pDCD) (aged 5-9 years) received a 10-min training session in which children were explicitly instructed to end their movement in ESC, after which they formulated their own plan to reach this goal. The study consisted of a pre-post-test design in which changes in the proportion of ESC were analyzed on the task that was trained as well as on an untrained transfer-task. Furthermore, the perceived level of comfort was examined.

RESULTS

Both groups of children showed a higher proportion of ESC on the post-test compared with the pre-test, on the task that was trained as well as on the transfer-task. There were no group differences regarding the perceived level of comfort of the different grip postures.

CONCLUSION

The majority of the children with and without pDCD seems to be able to adjust their planning strategy and prioritize ESC if they are explicitly instructed to.

Addendum: Implicit learning of temporal behavior in complex dynamic environments

New analyses of the data in this study (Salet et al., 2021, Psychonomic Bulletin & Review, https://doi.org/10.3758/s13423-020-01873-x ) have led us to reinterpret our main finding. Previously, we had attributed better performance for targets appearing at regular intervals versus irregular intervals to "temporal statistical learning." That is, we surmised that this benefit for the regular intervals arises because participants implicitly distilled the regular 3000 ms interval from the otherwise variable environment (i.e., irregular intervals) to predict future (regular) targets. The analyses presented in this Addendum, however, show that this benefit can be attributed to ongoing "temporal preparation" rather than temporal statistical learning.

Tactile motor attention induces sensory attenuation for sounds

Sensory events appear reduced in intensity when we actively produce them. Here, we investigated sensory attenuation in a virtual reality setup that allowed us to manipulate the time of tactile feedback when pressing a virtual button. We asked whether tactile motor attention might shift to the tactile location that makes contact with the button. In experiment one, we found that a tactile impulse was perceived as more intense when button pressing. In a second experiment, participants pushed a button and estimated the intensity of sounds. We found sensory attenuation for sounds only when tactile feedback was provided at the time the movement goal was reached. These data indicate that attentional prioritization for the tactile modality during a goal-directed hand movement might lead to a transient reduction in sensitivity in other modalities, resulting in sensory attenuation for sounds.

Motor planning is not restricted to only one hemisphere: evidence from ERPs in individuals with hemiplegic cerebral palsy

The evidence for the hemispheric specialization of motor planning reveals several inconsistencies between the left-lateralized hypothesis and a distributed system across the hemispheres. We compared participants with left hemiplegic cerebral palsy (HCP) to right-handed control subjects in this study's first experiment by inviting them to perform a motor planning task. Participants were required to release the start button, grasp a hexagon, and rotate it according to the instructions. In the second experiment, we compared left-HCP subjects with right-HCP subjects inviting them to perform the same task (we used the data for left-HCP subjects from the first experiment). P2 amplitude, as well as planning time, grasping time, releasing time, and initial grip selection planning patterns, were used as outcome measures in both experiments. The first experiment revealed that controls acted more quickly and chose more effective planning patterns. Also, the P2 amplitude was smaller in left-HCP subjects than in control subjects. No significant group effect was observed in the second experiment for any movement-related measure or P2. At the neural level, however, there was an interaction between 'region' and 'group,' indicating the distinction between the two groups in the right region. The results are discussed in terms of motor planning's hemispheric distribution and individual differences in the HCP group.

Preparing for the unknown: How working memory provides a link between perception and anticipated action

What mechanisms underlie the transfer of a working memory representation into a higher-level code for guiding future actions? Electrophysiological correlates of attentional selection and motor preparation processes within working memory were investigated in two retrospective cuing tasks. In the first experiment, participants stored the orientation and location of a grating. Subsequent feature cues (selective vs. neutral) indicated which feature would be the target for later report. The oscillatory response in the mu and beta frequency range with an estimated source in the sensorimotor cortex contralateral to the responding hand was used as correlate of motor preparation. Mu/beta suppression was stronger following the selective feature cues compared to the neutral cue, demonstrating that purely feature-based selection is sufficient to form a prospective motor plan. In the second experiment, another retrospective cue was included to study whether knowledge of the task at hand is necessary to initiate motor preparation. Following the feature cue, participants were cued to either compare the stored feature(s) to a probe stimulus (recognition task) or to adjust the memory probe to match the target feature (continuous report task). An analogous suppression of mu oscillations was observed following a selective feature cue, even ahead of task specification. Further, a subsequent selective task cue again elicited a mu/beta suppression, which was stronger after a continuous report task cue. This indicates that working memory is able to flexibly store different types of information in higher-level mental codes to provide optimal prerequisites for all required action possibilities.

Less motor (re-)planning requires fewer working memory resources

In the current study, we asked if less motor re-planning requires fewer resources in working memory (WM). To this end, participants executed a spatial WM task in parallel to different sequential motor tasks: (1) a randomised task with a high amount of motor re-planning and (2) an ordered task with a lower amount of motor re-planning. Recall performance in the spatial WM task was measured as the dependent variable. Hand posture was used to calculate the percentage of motor re-planning and, thus, to validate the experimental manipulation. The percentage of motor re-planning was lower in the ordered task, while spatial WM performance was higher. This indicates that WM resources depleted by the motor task scale with the amount of motor re-planning. Results further showed a significant recency effect (i.e. better recall of late items) in the spatial WM task. As previous studies found that recency effects in a verbal WM task are disrupted by a concurrent motor task, the presence of recency in the current study indicates a differential interference of a concurrent motor task on verbal vs. spatial recall, which has important implications for several current models of WM.

Approximate Target Pre-Cueing Reduces Programming Quiet Eye and Movement Preparation Time: Evidence for Parameter Pre-Programming?

Purpose: We examined the effect of target pre-cues on quiet eye duration (QED). If quiet eye (QE) represents the initial and only period for the programming of movement parameters, then the precision of target pre-cues should not affect QED. In contrast, shorter QED after pre-cueing of targets implies some initial programming process to have occurred before QE. Method: Sixteen participants threw darts at targets projected onto a soft screen. We manipulated the precision of target pre-cues by highlighting an area within which the target would appear. These pre-cued areas were either the full screen (i.e., no cue), any half, quarter, or sixteenth of the screen. Participants threw eight times in each condition. Dependent measures included QED (programming and online segments), movement preparation time (MPT; from target presentation to initiation of movement), and radial error (cm). Results: Analysis revealed that programming QE was shorter when the target was pre-cued in the most precise sixteenth condition, compared to the no cue condition. Also, MPT was shorter when pre-cued in the sixteenth condition than in either the no cue or half screen conditions. Target pre-cueing conditions did not affect the other dependent variables. Conclusions: Shorter PQE following the most precise target pre-cueing implies that some pre-programming occurred before QE, perhaps through inhibition, but only when the pre-cue was specific enough to make pre-programming possible.

Differences in behavioral and cortical indices in pianists and non-musicians during a non-musical motor planning task: An event-related potential study

Psychological studies have shown that music has an impact on human cognitive function. We aimed to compare the performance and neural activity of pianists and non-musicians during a non-musical motor-planning task. In addition, we investigated the effect of task complexity on the characteristics of the behavioral and neural responses. The participants had to grasp a hexagonal knob with their right hand and rotate it 60° or 180° clockwise (CW) or counterclockwise (CCW). We examined the groups in terms of the amplitude of the P2 component in the event-related potential (at the neural level) and the planning time, grasping time, releasing time, and planning pattern for initial grip selection (at the behavioral level). At the behavioral level, we observed no significant difference between groups, while at the neural level; we found an interaction between direction and group indicating that pianists showed lower P2 amplitude in the CW directions. However, there was no significant difference between groups in the CCW direction. A significant main effect of rotation was revealed at both the neural and behavioral levels; increasing the rotation angle led to an increase in the planning time and the P2 amplitude, indicating a complexity effect. In conclusion, we observed that pianists had lower P2 amplitude in lateral movements than non-musicians; however, due to the lack of behavioral group differences, further research is warranted to support the far-transfer theory in this field.

Ipsilesional arm reaching movements are not affected by the postural configuration adopted by individuals with stroke

Individuals with stroke present several impairments in the ipsilesional arm reaching movements that can limit the execution of daily living activities. These impairments depend on the side of the brain lesion. The present study aimed to compare the arm reaching movements performed in sitting and standing positions and to examine whether the effects of the adopted posture configuration depend on the side of the brain lesion. Twenty right-handed individuals with stroke (half with right hemiparesis and a half with left hemiparesis) and twenty healthy adults (half used the left arm) reached toward a target displayed on a monitor screen placed in one of three heights (i.e., upper, central, or lower targets). Participants performed the reaches in sitting and standing positions under conditions where the target location was either well-known in advance (certainty condition) or unknown until the movement onset (uncertainty condition). The values of movement onset time, movement time, and constant error were compared across conditions (posture configuration and uncertainty) and groups for each target height. Individuals with stroke were slower and spent more time to start to move than healthy participants, mainly when they reached the superior target in the upright position and under the uncertainty condition. Individuals who have suffered a right stroke were more affected by the task conditions and those who suffered a left stroke showed less accurate reaches. Overall, these results were observed regardless of the adopted posture. The current findings suggested that ipsilesional arm reaching movements are not affected by the postural configuration adopted by individuals with stroke. The central nervous system modulates the reaching movements according to the target position, adopted posture, and the uncertainty in the final target position to be reached.

Motor planning and movement execution during goal-directed sequential manual movements in 6-year-old children with autism spectrum disorder: A kinematic analysis

BACKGROUND

Atypical motor functioning is prevalent in children with autism spectrum disorder (ASD). Knowledge of the underlying kinematic properties of these problems is sparse.

AIMS

To investigate characteristics of manual motor planning and performance difficulties/diversity in children with ASD by detailed kinematic measurements. Further, associations between movement parameters and cognitive functions were explored.

METHODS AND PROCEDURES

Six-year-old children with ASD (N = 12) and typically developing (TD) peers (N = 12) performed a sequential manual task comprising grasping and fitting a semi-circular peg into a goal-slot. The goal-slot orientation was manipulated to impose different motor planning constraints. Movements were recorded by an optoelectronic system.

OUTCOMES AND RESULTS

The ASD-group displayed less efficient motor planning than the TD-group, evident in the reach-to-grasp and transport kinematics and less proactive adjustments of the peg to the goal-slot orientations. The intra-individual variation of movement kinematics was higher in the ASD-group compared to the TD-group. Further, in the ASD-group, movement performance associated negatively with cognitive functions.

CONCLUSIONS AND IMPLICATIONS

Planning and execution of sequential manual movements proved challenging for children with ASD, likely contributing to problems in everyday actions. Detailed kinematic investigations contribute to the generation of specific knowledge about the nature of atypical motor performance/diversity in ASD. This is of potential clinical relevance.

Visuomotor adaptation and its relationship with motor ability in children with and without autism spectrum disorder

The high prevalence rates of motor impairments among individuals with autism spectrum disorder (ASD) lead to increased attention to motor learning. The current study examined the visuomotor adaptability in children with and without ASD using a computerized visuomotor adaptation task in which the real-time visual feedback of hand movement was rotated. The relationships between visuomotor adaptability and clinical symptomology were also investigated. Results revealed that the children with ASD showed a slower rate of improvement and smaller after-effects than their peers on the measures of motor planning. Additionally, autistic characteristics significantly moderated the association between individuals' adaptability and fine motor skills. The findings contribute to the growing evidence of compromised visuomotor adaptability, which suggested the importance of addressing these clinical features of ASD.

The relationship between the implicit visuomotor control and the motor planning accuracy

It has been well established that an implicit motor response can be elicited by a target perturbation or a visual background motion during a reaching movement. Computational studies have suggested that the mechanism of this response is based on the error signal between the efference copy and the actual sensory feedback. If the implicit motor response is based on the efference copy, the motor command accuracy would affect the amount of the modulation of the motor response. Therefore, the purpose of the current study was to investigate the relationship between the implicit motor response and the motor planning accuracy. We used a memory-guided reaching task and a manual following response (MFR) which is induced by visual grating motion. Participants performed reaching movements toward a memorized-target location with a beep cue which was presented 0 or 3 s after the target disappeared (0-s delay and 3-s delay conditions). Leftward or rightward visual grating motion was applied 400 ms after the cue. In addition, an event-related potential (ERP) was recorded during the reaching task, which reflects the motor command accuracy. Our results showed that the N170 ERP amplitude in the parietal electrodes and the MFR amplitude were significantly larger for the 3-s delay condition than the 0-s delay condition. These results suggest that the motor planning accuracy affects the amount of the implicit visuomotor response. Furthermore, there was a significant within-subjects correlation between the MFR and the N170 amplitude, which could corroborate the relationship between the implicit motor response and the motor planning accuracy.

Motor resonance is modulated by an object's weight distribution

Transcranial magnetic stimulation (TMS) studies showed that corticospinal excitability (CSE) is modulated during observation of object lifting, an effect termed 'motor resonance'. Specifically, motor resonance is driven by movement features indicating object weight, such as object size or observed movement kinematics. We investigated in 16 humans (8 females) whether motor resonance is also modulated by an object's weight distribution. Participants were asked to lift an inverted T-shaped manipulandum with interchangeable center of mass after first observing an actor lift the same manipulandum. Participants and actor were instructed to minimize object roll and rely on constrained digit positioning during lifting. Constrained positioning was either collinear (i.e., fingertips on the same height) or noncollinear (i.e., fingertip on the heavy side higher than the one on the light side). The center of mass changed unpredictably before the actor's lifts and participants were explained that their weight distribution always matched the actor's one. Last, TMS was applied during both lift observation and planning of lift actions. Our results showed that CSE was similarly modulated during lift observation and planning: when participants observed or planned lifts in which the weight distribution was asymmetrically right-sided, CSE recorded from the thumb muscles was significantly increased compared to when the weight distribution was left-sided. During both lift observation and planning, this increase seemed to be primarily driven by the weight distribution and not specifically by the (observed) digit positioning or muscle contraction. In conclusion, our results indicate that complex intrinsic object properties such as weight distributions can modulate activation of the motor system during both observation and planning of lifting actions.

Motor Imagery Deficits in High-Functioning Older Adults and its Impact on Fear of Falling and Falls

BACKGROUND

Older adults at risk of falling or who have fear of falling (FoF) present a discrepancy between "imagined" and "performed" actions. Using the gait-related motor imagery (MI) paradigm, we investigated whether prediction accuracy in motor execution is associated with the onset of FoF and with prospective falls among older adults with FoF.

METHODS

A cohort of 184 community-dwelling older adults was tested for imaginary and executed Timed Up and Go (TUG) tests at a fast pace at baseline. They were first asked to imagine performing TUG and estimate the time taken to complete it (iTUG), and then, to perform the actual trial (aTUG); the difference between the two times was calculated. Prospective falls were monitored between baseline and 2-year follow-up of FoF assessment.

RESULTS

At follow-up, 27 of 85 participants without FoF at baseline (31.8%) had developed FoF. Twenty-seven of 99 participants (27.2%) with FoF at baseline experienced falls. A significantly shorter iTUG duration, when compared with aTUG, was observed in those who developed FoF or experienced multiple prospective falls, indicating overestimation of their TUG performance. The adjusted logistic regression model showed that a greater ΔTUG (i.e., tendency to overestimate) at baseline was associated with an increased risk of new-onset FoF among those without FoF at baseline and multiple prospective falls among those with FoF at baseline.

CONCLUSIONS

Deficits in MI (i.e., overestimation of physical capabilities), reflecting impairment in motor planning, could provide an additional explanation of the high risk of FoF and recurrent falls among people with FoF.

Prolonged response time helps eliminate residual errors in visuomotor adaptation

One persistent curiosity in visuomotor adaptation tasks is that participants often do not reach maximal performance. This incomplete asymptote has been explained as a consequence of obligatory computations within the implicit adaptation system, such as an equilibrium between learning and forgetting. A body of recent work has shown that in standard adaptation tasks, cognitive strategies operate alongside implicit learning. We reasoned that incomplete learning in adaptation tasks may primarily reflect a speed-accuracy tradeoff on time-consuming motor planning. Across three experiments, we find evidence supporting this hypothesis, showing that hastened motor planning may primarily lead to under-compensation. When an obligatory waiting period was administered before movement start, participants were able to fully counteract imposed perturbations (Experiment 1). Inserting the same delay between trials – rather than during movement planning – did not induce full compensation, suggesting that the motor planning interval influences the learning asymptote (Experiment 2). In the last experiment (Experiment 3), we asked participants to continuously report their movement intent. We show that emphasizing explicit re-aiming strategies (and concomitantly increasing planning time) also lead to complete asymptotic learning. Findings from all experiments support the hypothesis that incomplete adaptation is, in part, the result of an intrinsic speed-accuracy tradeoff, perhaps related to cognitive strategies that require parametric attentional reorienting from the visual target to the goal.

Preferential Reaching and End-State Comfort: How Task Demands Influence Motor Planning

Various factors (e.g., hand preference, object properties) constrain reach-to-grasp in hemispace. With object use, end-state comfort (ESC) has been shown to supersede the preferential use of one hand at the midline. To assess how location, size, and orientation of objects (dowel, mallet, cup) influence preferred-hand use and ESC (N = 50; M_age = 20.83), three preferential reaching tasks were implemented. Object location influenced hand selection in all tasks, along with size (cups) and orientation (mallets). Object location and orientation influenced ESC, but only with dowels and mallets. When oriented away from the preferred hand in hemispace, there was a higher occurrence of non-preferred hand use to facilitate ESC. Overall, findings add to understanding of ESC and preferential reaching with varying task demands.

Neural activity in functional movement disorders after inpatient rehabilitation

Functional movement disorders (FMD) are a common source of disability in neurology.While treatment of FMD can reduce motor severity and disability, the neural mechanisms implicated in such a response remain unclear. We aimed to investigate neural changes in patients with FMD after a one-week multidisciplinary motor retraining (MoRe) treatment program. Fourteen FMD patients completed an emotional Go/No-Go fMRI task before and after MoRe treatment. Standardized pre- and post-treatment videos were rated for motor severity by a blinded reviewer using the psychogenic movement disorder rating scale (PMDRS). PMDRS scores before and after treatment were used for whole-brain regression. PMDRS scores were significantly reduced after MoRe treatment. Worse severity prior to treatment was associated with greater primary motor cortex (M1) activation at baseline and a larger response to treatment. Globally, increased connectivity between bilateral amygdala and premotor regions was observed following treatment. Lower post-treatment PMDRS scores were associated with increased connectivity between amygdala and ventromedial prefrontal cortex, whereas higher post-treatment PMDRS scores (and poorer treatment response) were associated with increased connectivity between amygdala and M1. Motor retraining in FMD may reorganize activity and connectivity in emotion processing and motor planning networks, with shifts in amygdala connectivity from posterior to frontal/prefrontal regions.

Working memory load does not affect sequential motor planning

Movement planning disrupts the recall performance in a short term memory task, indicating that both processes share common working memory (WM) resources. In the current study, we tested whether this interference was bidirectional. To this end, we combined an easy or a difficult memory task (depleting different amounts of WM resources) with a sequential motor task (opening a column of drawers). The size of the hysteresis effect in the sequential motor task was measured as a proxy for the fraction of motor plan reuse. The different WM loads created by the memory task had no effect on the fractions of motor plan reuse and motor (re-)planning, which supports the idea that motor planning has priority access to WM. A recency effect (better recall of late items) was absent in a verbal memory task but present in a spatial one. Recency is commonly attributed to the episodic buffer, a non-domain-specific storage of the central executive. The domain-specific interference of the motor task with recency indicates that the second assumption needs to be reevaluated.

The impact of athletic clothing style and body awareness on motor performance in women

The type of clothing worn, revealing versus concealing, can affect the performance of women on cognitive tasks. This difference in performance may arise because of changes in body awareness that may draw cognitive resources from the goal task. The present study investigated the influence of the style of athletic clothing and body awareness on visual-motor performance in women. Participants (women ages 18-35 years) were randomly assigned to wear tight and revealing (TR group, n = 40) or loose and concealing (LC group, n = 40) athletic clothing. All participants completed the same visual-motor aiming task to assess spatiotemporal measures of motor performance. In addition to the clothing, participants were primed to be conscious of their bodies via measurements of height, weight, and waist circumference; photographs taken of their bodies; a computerized body-size distortion task; and a mirror in the testing chamber. Results revealed that the TR group had increased movement time variability and did not show performance improvements relative to the LC group. These differences suggest that style of clothing may influence motor performance in women by reallocating cognitive resources towards the body and away from the motor task at hand. This research highlights the interactions between cognitive and motor processes and, potentially, the importance of considering the impact of clothing on performance in many different contexts.

Evidence for asymmetric inhibitory activity during motor planning phases of sensorimotor synchronization

Sensorimotor synchronization (SMS) is frequently dependent on coordination of excitatory and inhibitory activity across hemispheres, as well as the cognitive control over environmental distractors. However, the timing (motor planning versus execution) and cortical regions involved in these processes remain actively debated. Functional magnetic resonance imaging data were therefore analyzed from 34 strongly right-handed healthy adults performing a cued (to initiate motor planning) SMS task with either their right or left hand (motor execution phase) based on spatially congruent or incongruent visual stimuli. Behavioral effects of incongruent stimuli were limited to the first stimulus. Functionally, greater activation was observed in left sensorimotor cortex (SMC) and right cerebellar Lobule V for congruent versus incongruent stimuli. A negative blood-oxygen level dependent response, a putative marker of neural inhibition, was present in bilateral SMC, right supplemental motor area (SMA) and bilateral cerebellar Lobule V during the motor planning, but not execution phase. The magnitude of the inhibitory response was greater in right cortical regions and cerebellar Lobule V. Homologue connectivity was associated with inhibitory activity in the right SMA, suggesting that individual differences in intrinsic connectivity may mediate transcallosal inhibition. In summary, results suggest increased inhibition (i.e., greater negative BOLD response) within the right relative to left hemisphere, which was released once motor programs were executed. Both task and intrinsic functional connectivity results highlight a critical role of the left SMA in interhemispheric inhibition and motor planning.

Shifts of the point-of-change can be attributed to a lower mechanical cost of motor execution

In a previous study on hand selection in a sequential reaching task, the authors showed a shift of the point-of-change (POC) to the left of the midline. This implies that participants conducted a number of contralateral reaches with their dominant, right hand. Contralateral movements have longer planning and execution times and a lower precision. In the current study, we asked whether lower mechanical costs of motor execution or lower cognitive costs of motor planning compensated for these disadvantages. Theories on hemispheric differences postulate lower mechanical costs in the dominant hemisphere and lower cognitive costs in the left hemisphere (independent of handedness). In right-handed participants, both factors act agonistically to reduce the total cost of right-handed reaches. To distinguish between the cost factors, we had left- and right-hand-dominant participants execute a sequential, unimanual reaching task. Results showed a left-shift of the POC in the right-handed and a right-shift in the left-handed group. Both shifts were similar in magnitude. These findings indicate that only the mechanical cost of motor execution compensates for the disadvantages of the contralateral reaches, while the cognitive cost of motor planning is irrelevant for the POC shift.

The motor system (partially) deceives body representation biases in absence of visual correcting cues

The internal models of our body dimensions are prone to bias, but little evidence exists to explain how the motor system achieves fine-grained control despite these distortions. Previous work showed that the hand representation, assessed in a dynamic task (Proprioceptive Matching Task), was less distorted compared to that measured through a static body representation task (Localization Task), suggesting that either the hand representation was updated or the motor trajectory was adjusted during movement. The present study set out to shed light on this phenomenon by administering the Localization Task before and after either the Proprioceptive Matching Task or a control condition in a within-subjects design. Our results showed that hand map biases decreased during the Proprioceptive Matching Task, but that this increase in accuracy did not carry over to the Localization Task. In other words, more accurate performance in the dynamic body representation task does not reflect a change in how the hand is represented. Rather, it likely reflects a refinement of the motor trajectory, due to the integration of multisensory information, providing interesting insights into how the motor system partially overcomes biases in body representations.

Adiposity is related to neuroelectric indices of motor response preparation in preadolescent children

OBJECTIVE

Event-related brain potentials (ERPs) have been utilized to study the cognitive implications of health-related behaviors, although many questions remain regarding the neural correlates underlying the cognition and adiposity relationship in childhood. Specifically, it is unknown whether excess fat mass is associated with the neural correlates of motor preparation and activation. The present work examined interrelationships between adiposity and ERPs that index inhibition, stimulus evaluation, and motor planning.

METHOD

To further elucidate the neural components of inhibitory control that are sensitive to adiposity, N2, P3, and response- and stimulus-locked Lateralized Readiness Potential (LRPs) were measured while preadolescent children completed an attentional inhibition task. Whole body percent adiposity was measured via dual-energy x-ray absorptiometry (DXA).

RESULTS

Adiposity was related to the response-locked LRP amplitudes and marginally to P3 amplitude during the incongruent trials, such that participants with less adiposity elicited larger LRP and P3 components. Furthermore, P3 was strongly related to participant reaction times, suggesting that while LRP is strongly associated with adiposity, P3 has a more direct relationship to behavioral task performance.

CONCLUSIONS

The results suggest that while different cognitive functions may be affected by health-related characteristics, stimulus evaluation and motor activation may be particularly sensitive to excess adiposity in children. These findings extend previous work implicating adiposity in cognitive health in the pediatric population.

STUDY IMPORTANCE

Clinical Registry Number: NCT02630667 at https://clinicaltrials.gov.

Coordination of multiple joints increases bilateral connectivity with ipsilateral sensorimotor cortices

Although most activities of daily life require simultaneous coordination of both proximal and distal joints, motor preparation during such movements has not been well studied. Previous results for motor preparation have focused on hand/finger movements. For simple hand/finger movements, results have found that such movements typically evoke activity primarily in the contralateral motor cortices. However, increasing the complexity of the finger movements, such as during a distal sequential finger-pressing task, leads to additional recruitment of ipsilateral resources. It has been suggested that this involvement of the ipsilateral hemisphere is critical for temporal coordination of distal joints. The goal of the current study was to examine whether increasing simultaneous coordination of multiple joints (both proximal and distal) leads to a similar increase in coupling with ipsilateral sensorimotor cortices during motor preparation compared to a simple distal movement such as hand opening. To test this possibility, 12 healthy individuals participated in a high-density EEG experiment in which they performed either hand opening or simultaneous hand opening while lifting at the shoulder on a robotic device. We quantified within- and cross-frequency cortical coupling across the sensorimotor cortex for the two tasks using dynamic causal modeling. Both hand opening and simultaneous hand opening while lifting at the shoulder elicited coupling from secondary motor areas to primary motor cortex within the contralateral hemisphere exclusively in the beta band, as well as from ipsilateral primary motor cortex. However, increasing the task complexity by combining hand opening while lifting at the shoulder also led to an increase in cross-frequency coupling within the ipsilateral hemisphere including theta, beta, and gamma frequencies, as well as a change in the coupling frequency of the interhemispheric coupling between the primary motor and premotor cortices. These findings demonstrate that increasing the demand of joint coordination between proximal and distal joints leads to increases in communication with the ipsilateral hemisphere as previously observed in distal sequential finger tasks.

Hemispheric lateralization does not affect the cognitive and mechanical cost of a sequential motor task

In sequential, repetitive tasks, we often partially reuse former motor plans. This causes a persistence of an earlier adopted posture (termed motor hysteresis). The cost-optimization hypothesis states that a partial reuse reduces the cognitive cost of a movement, while the persistence in a former posture increases its mechanical cost. An optimal fraction of reuse, which depends on the relative cognitive and mechanical cost, minimizes the total movement cost. Several studies postulate differences in mechanical or cognitive cost as a result of hemispheric lateralization. In the current study, we asked whether these differences would result in different fractions of motor plan reuse. To this end, left- and right-handed dominant participants executed a sequential motor task (opening a column of drawers) with their dominant and non-dominant hand. The size of the motor hysteresis effect was measured as a proxy for the fraction of plan reuse. Participants used similar postures and exhibited a similar hysteresis effect, irrespective of hand and handedness. This finding indicates that either the cognitive and mechanical costs of a motor task are unaffected by hemispheric differences or that their effect on motor planning is negligible.

Grip force preparation for collisions

Grip force has been studied widely in a variety of interaction and movement tasks, however, not much is known about the timing of the grip force control in preparation for interaction with objects. For example, it is unknown whether and how the temporal preparation for a collision is related to (the prediction of) the impact load. To study this question, we examined the anticipative timing of the grip force in preparation for impact loads. We designed a collision task with different types of load forces in a controlled virtual environment. Participants interacted with a robotic device (KINARM, BKIN Technologies, Kingston) whose handles were equipped with force sensors which the participants held in precision grip. Representations of the hand and objects were visually projected on a virtual reality display and forces were applied onto the participant's hand to simulate a collision with the virtual objects. The collisions were alternating between the two hands to allow transfer and learning between the hands. The results show that there is immediate transfer of object information between the two hands, since the grip force levels are (almost) fully adjusted after one collision with the opposite hand. The results also show that the grip force levels are nicely adjusted based on the mass and stiffness of the object. Surprisingly, the temporal onset of the grip force build up did not depend on the impact load, so that participants avoid slippage by adjusting the other grip force characteristics (e.g., grip force level and rate of change), therefore considering these self-imposed timing constraints. With the use of catch trials, for which no impact occurred, we further analyzed the temporal profile of the grip force. The catch trial data showed that the timing of the grip force peak is also independent of the impact load and its timing, which suggests a time-locked planning of the complete grip force profile.

Uncertainty in when a perturbation will arrive influences the preparation and release of triggered responses

The timing and magnitude of muscle responses to perturbations are critical for acting in uncertain environments. A planned movement can strongly influence average muscle responses to perturbations, but certainty in when a perturbation will arrive changes this effect. The objective of this study was to investigate how uncertainty in perturbation timing influences the preparation and release of involuntary, perturbation-triggered responses. We hypothesized that uncertainty would influence the average magnitude of triggered responses and how they develop in time. We investigated three levels of uncertainty in when a proprioceptive cue to move would arrive by changing the duration and variability of the time between a preparation and movement cue. Participants performed ballistic elbow extension movements in response to the movement cue. Unexpected, large perturbations that flexed the elbow were delivered at various times between the preparation and movement cues to evaluate how cue uncertainty influenced the development of triggered responses. We found that this uncertainty strongly influences how a motor response is prepared, and the efficacy of triggering that response by a postural perturbation. When timing was certain, the motor plan was prepared within 150 ms of the expected disturbance, and consistently released earlier by a perturbation than could be done voluntarily. Less predictable stimuli led to much earlier planning and a lower probability of releasing the plan early. These results clarify how uncertainty in when to move influences the planning and early release of perturbation-triggered responses, demonstrating an effect similar to previous reports on the planning of volitional movements.

Mental practice combined with repetitive task practice to rehabilitate handwriting in children

BACKGROUND.

Handwriting dysfunction contributes to 40% of all school-based referrals to occupational therapy. Empirically based handwriting interventions are needed to remediate the negative effects of handwriting dysfunction on a child's occupational performance.

PURPOSE.

This study examined the effectiveness of mental practice (MP) combined with repetitive task practice (RTP) to rehabilitate handwriting in children.

METHOD.

Twenty typically developing first and second graders with impaired handwriting received RTP twice a week for 4 weeks, then engaged in MP combined with RTP for the same duration. Using the Minnesota Handwriting Assessment (MHA), they were assessed across four time points: baseline (1), after RTP (2), after MP combined with RTP (3), and follow-up (4).

FINDINGS.

Children significantly improved and retained this increase on all variables of MHA ( p < .001) after MP combined with RTP. After RTP, the only significant improvement occurred in handwriting form ( p < .001).

IMPLICATIONS.

MP may be a potential therapeutic addition to RTP in rehabilitating global handwriting dysfunction.

Insights from perceptual, sensory, and motor functioning in autism and cerebellar primary disturbances: Are there reliable markers for these disorders?

The contribution of cerebellar circuitry alterations in the pathophysiology of Autism Spectrum Disorder (ASD) has been widely investigated in the last decades. Yet, experimental studies on neurocognitive markers of ASD have not been attentively compared with similar studies in patients with cerebellar primary disturbances (e.g., malformations, agenesis, degeneration, etc). Addressing this neglected issue could be useful to underline unexpected areas of overlap and/or underestimated differences between these sets of conditions. In fact, ASD and cerebellar primary disturbances (notably, Cerebellar Cognitive Affective Syndrome, CCAS) can share atypical manifestations in perceptual, sensory, and motor functions, but neural subcircuits involved in these anomalies/difficulties could be distinct. Here, we specifically deal with this issue focusing on four paradigmatic neurocognitive functions: visual and biological motion perception, multisensory integration, and high stages of the motor hierarchy. From a research perspective, this represents an essential challenge to more deeply understand neurocognitive markers of ASD and of cerebellar primary disturbances/CCAS. Although we cannot assume definitive conclusions, and beyond phenotypical similarities between ASD and CCAS, clinical and experimental evidence described in this work argues that ASD and CCAS are distinct phenomena. ASD and CCAS seem to be characterized by different pathophysiological mechanisms and mediated by distinct neural nodes. In parallel, from a clinical perspective, this characterization may furnish insights to tackle the distinction between autistic functioning/autistic phenotype (in ASD) and dysmetria of thought/autistic-like phenotype (in CCAS).

Intentionally not imitating: Insula cortex engaged for top-down control of action mirroring

Perception and action are inextricably linked, down to the level of single cells which have both visual and motor response properties - dubbed 'mirror neurons'. The mirror neuron system is generally associated with direct-matching or resonance between observed and executed actions (and goals). Yet in everyday interactions responding to another's movements with matching actions (or goals) is not always appropriate. Here we examine processes associated with intentionally not imitating, as separable from merely detecting an observed action as mismatching one's own. Using fMRI, we test how matched and mismatched stimulus-response mapping for actions is modulated depending on task-relevance. Participants were either cued to intentionally copy or oppose a presented action (intentional imitation or counter-imitation), or cued to perform a predefined action regardless of the presented action (incidental imitation or counter-imitation). We found distinct cortical networks underlying imitation compared to counter-imitation, involving areas typically associated with an action observation network and widespread occipital activation. Intentionally counter-imitating particularly involved frontal-parietal networks, including the insula and cingulate cortices. This task-dependent recruitment of frontal networks for the intentional selection of opposing responses supports previous evidence for the preparatory suppression of imitative responses. Sensorimotor mirroring is modulated via control processes, which complex human interactions often require.

Preschool children adapt grasping movements to upcoming object manipulations: Evidence from a dial rotation task

In adults, the motor plans for object-directed grasping movements reflects the anticipated requirements of intended future object manipulations. This prospective mode of planning has been termed second-order planning. Surprisingly, second-order planning is thought to be fully developed only by 10 years of age, when children master seemingly more complex motor skills. In this study, we tested the hypothesis that already 5- and 6-year-old children consistently use second-order planning but that this ability does not become apparent in tasks that are traditionally used to probe it. We asked 5- and 6-year-olds and adults to grasp and rotate a circular dial in a clockwise or counterclockwise direction. Although children's grasp selections were less consistent on an intra- and inter-individual level than adults' grasp selections, all children adjusted their grasps to the upcoming dial rotations. By contrast, in an also administered bar rotation task, only a subset of children adjusted their grasps to different bar rotations, thereby replicating previous results. The results indicate that 5- and 6-year-olds consistently use second-order planning in a dial rotation task, although this ability does not become apparent in bar rotation tasks.

Impaired Voluntary Movement Control and Its Rehabilitation in Cerebral Palsy

Cerebral palsy is caused by early damage to the developing brain, as the most common pediatric neurological disorder. Hemiplegia (unilateral spastic cerebral palsy) is the most common subtype, and the resulting impairments, lateralized to one body side, especially affect the upper extremity, limiting daily function. This chapter first describes the pathophysiology and mechanisms underlying impaired upper extremity control of cerebral palsy. It will be shown that the severity of impaired hand function closely relates to the integrity of the corticospinal tract innervating the affected hand. It will also shown that the developing corticospinal tract can reorganize its connectivity depending on the timing and location of CNS injury, which also has implications for the severity of hand impairments and rehabilitation. The mechanisms underlying impaired motor function will be highlighted, including deficits in movement execution and planning and sensorimotor integration. It will be shown that despite having unimanual hand impairments, bimanual movement control deficits and mirror movements also impact function. Evidence for motor learning-based therapies including Constraint-Induced Movement Therapy and Bimanual Training, and the possible pathophysiological predictors of treatment outcome and plasticity will be described. Finally, future directions for rehabilitations will be presented.

Motor and verbal perspective taking in children with Autism Spectrum Disorder: Changes in social interaction with people and tools

BACKGROUND

Children with Autism Spectrum Disorder (ASD) have difficulty communicating with others nonverbally, via mechanisms such as hand gestures, eye contact and facial expression. Individuals with ASD also have marked deficits in planning future actions (Hughes, 1996), which might contribute to impairments in non-verbal communication. Perspective taking is typically assessed using verbal scenarios whereby the participant imagines how an actor would interact in a social situation (e.g., Sally Anne task; Baron-Cohen, Leslie, & Frith, 1985).

METHOD

The current project evaluated motor perspective taking in five children with ASD (8-11 years old) as they participated in a narrative intervention program over the course of about 16 weeks. The goal of the motor perspective-taking task was to facilitate the action of an experimenter either hammering with a tool or putting it away.

RESULTS

Initially, children with ASD facilitated the experimenter's action less than neurotypical control children. As the narrative intervention progressed, children with ASD exhibited increased motor facilitation that paralleled their increased use of mental state and causal language, indicating a link between verbal and motor perspective taking.

CONCLUSIONS

Motoric perspective taking provides an additional way to assess understanding and communication in children with ASD and may be a valuable tool for both early assessment and diagnosis of children with ASD.

Cortical Potentials Prior to Movement in Parkinson's Disease

INTRODUCTION

Recording cortical potentials prior to movement (bereitschaftspotentials, BP) offer a good non invasive method for studying activity of motor related cortices in Parkinson's Disease (PD). Dopaminergic medications provide some symptomatic relief in advanced stages but they do not stop the progression of the disease. Assessing BP may be a good idea to see the response of anti PD drugs. It remains unclear whether the anti PD medications also improve cortical activity prior to movement even in advanced stages of the disease.

AIM

In this study we recorded scalp BP in patients with varying grades of severity to study the relationship between disease severity and various components of BP.

MATERIALS AND METHODS

We successfully recorded BP at Cz, C3 and C4 sites during self-initiated 100 right wrist movements in 12 male patients with PD having severity Hoehn and Yahn (H&Y) scale 4 (PD3 group). These potentials were compared with age matched patients with H&Y scale 2 (PD1) and scale 3 (PD2) and also with age matched healthy controls.

RESULTS

We found flatter waveforms with increasing severity of disease. Amplitude is first to be affected in mild severity as compared to controls (p=0.011); while with increasing severity early as well as late part of potentials is affected. Such changes are prominently seen at Cz site across the groups.

CONCLUSION

These findings imply that there is increasing defect in cortical activity during movement especially in supplementary motor area with increasing severity in PD in spite of dopaminergic medications. This dynamic nature of dysfunction in supplementary motor cortices must be taken in account while treating advanced cases using newer stimulation techniques.

Effects of singular and dual task constraints on motor skill variability in childhood

We examined the effects of singular versus dual task constraints involving upper and lower extremities in typically developing children in young (4-6 years old), middle (7-9 years old), and old (10-13 years old) age groups. The purposes of this study were: 1) to investigate the effects of singular upper and lower extremity and dual upper and lower extremity conditions on motor variability and 2) to examine if variability in children's motor actions would differ according to age (i.e., young, middle, or old). Twenty-four children (M age=8.7; SD=3.7) completed three tasks: finger rotation (upper extremity singular task constraint), obstacle crossing (lower extremity singular task constraint), and box carrying while walking (upper and lower extremity dual task constraint). Compared to the old age group, the young age group displayed more variable rotation strategies during clockwise (χ²(8, N=24)=12.4, p=0.046) and counterclockwise finger rotation (χ²(8, N=24)=12.8, p=0.047). During box carrying, children in the young age group had the most motor variability in their stride length, velocity, the vertical positioning of the box, and minimum and maximum joint excursion (all ps<0.05). Crossing leg frontal plane hip angles were more variable on low versus high obstacles (all ps<0.05). Our results suggest that four- to six-year-old children may still be developing the ability to produce consistent motor actions, especially under dual-task constraints. Examining children in the context of completing tasks with a variety of constraints may be useful in assessing the development of children's motor variability.

Critical Motor Involvement in Prediction of Human and Non-biological Motion Trajectories

OBJECTIVES

Adaptive interaction with the environment requires the ability to predict both human and non-biological motion trajectories. Prior accounts of the neurocognitive basis for prediction of these two motion classes may generally be divided into those that posit that non-biological motion trajectories are predicted using the same motor planning and/or simulation mechanisms used for human actions, and those that posit distinct mechanisms for each. Using brain lesion patients and healthy controls, this study examined critical neural substrates and behavioral correlates of human and non-biological motion prediction.

METHODS

Twenty-seven left hemisphere stroke patients and 13 neurologically intact controls performed a visual occlusion task requiring prediction of pantomimed tool use, real tool use, and non-biological motion videos. Patients were also assessed with measures of motor strength and speed, praxis, and action recognition.

RESULTS

Prediction impairment for both human and non-biological motion was associated with limb apraxia and, weakly, with the severity of motor production deficits, but not with action recognition ability. Furthermore, impairment for human and non-biological motion prediction was equivalently associated with lesions in the left inferior parietal cortex, left dorsal frontal cortex, and the left insula.

CONCLUSIONS

These data suggest that motor planning mechanisms associated with specific loci in the sensorimotor network are critical for prediction of spatiotemporal trajectory information characteristic of both human and non-biological motions. (JINS, 2017, 23, 171-184).

From intentions to actions: Neural oscillations encode motor processes through phase, amplitude and phase-amplitude coupling

Goal-directed motor behavior is associated with changes in patterns of rhythmic neuronal activity across widely distributed brain areas. In particular, movement initiation and execution are mediated by patterns of synchronization and desynchronization that occur concurrently across distinct frequency bands and across multiple motor cortical areas. To date, motor-related local oscillatory modulations have been predominantly examined by quantifying increases or suppressions in spectral power. However, beyond signal power, spectral properties such as phase and phase-amplitude coupling (PAC) have also been shown to carry information with regards to the oscillatory dynamics underlying motor processes. Yet, the distinct functional roles of phase, amplitude and PAC across the planning and execution of goal-directed motor behavior remain largely elusive. Here, we address this question with unprecedented resolution thanks to multi-site intracerebral EEG recordings in human subjects while they performed a delayed motor task. To compare the roles of phase, amplitude and PAC, we monitored intracranial brain signals from 748 sites across six medically intractable epilepsy patients at movement execution, and during the delay period where motor intention is present but execution is withheld. In particular, we used a machine-learning framework to identify the key contributions of various neuronal responses. We found a high degree of overlap between brain network patterns observed during planning and those present during execution. Prominent amplitude increases in the delta (2-4Hz) and high gamma (60-200Hz) bands were observed during both planning and execution. In contrast, motor alpha (8-13Hz) and beta (13-30Hz) power were suppressed during execution, but enhanced during the delay period. Interestingly, single-trial classification revealed that low-frequency phase information, rather than spectral power change, was the most discriminant feature in dissociating action from intention. Additionally, despite providing weaker decoding, PAC features led to statistically significant classification of motor states, particularly in anterior cingulate cortex and premotor brain areas. These results advance our understanding of the distinct and partly overlapping involvement of phase, amplitude and the coupling between them, in the neuronal mechanisms underlying motor intentions and executions.

Motor hysteresis in a sequential grasping and pointing task is absent in task-critical joints

In a prior study (Schütz et al. in Exp Brain Res 2016. doi: 10.1007/s00221-016-4608-6 ), we demonstrated that the cognitive cost of motor planning did not differ in a vertical pointing and grasping task. It was unclear whether the similar cost implied that both tasks required the same number of independent degrees of freedom (IDOFs) or that the number of IDOFs did not affect motor planning. To differentiate between both cases, a reanalysis of the prior data was conducted. The number of IDOFs in the pointing and grasping tasks was computed by factor analysis. In both tasks, two IDOFs were used, which was the minimum number required for position control. This indicates that hand alignment in the grasping task did not require an additional IDOF. No conclusions regarding the link between the cognitive cost of motor planning and the number of IDOFs could be drawn. A subset of task-critical joint angles was not affected by motor hysteresis. This indicates that a joint's susceptibility to motor hysteresis depends on its relevance to the task goal. In task-critical joints, planning cost minimization by motor plan reuse is suppressed in favor of the task goal.

The side of chronic low back pain matters: evidence from the primary motor cortex excitability and the postural adjustments of multifidi muscles

Hemispheric lateralization of pain processing was reported with overactivation of the right frontal lobe. Specifically in chronic low back pain (CLBP), functional changes in the left primary motor cortex (M1) with impaired anticipatory postural activation (APA) of trunk muscles have been observed. Given the connections between frontal and M1 areas for motor planning, it is hypothesized that the pain side could differently influence M1 function and APA of paravertebral multifidus (MF) muscles. This study aimed at testing whether people with right- versus left-sided CLBP showed different M1 excitability and APA. Thirty-five individuals with lateralized CLBP (19 right-sided and 16 left-sided) and 13 pain-free subjects (normative values) were tested for the excitability of MF M1 area (active motor threshold-AMT) with transcranial magnetic stimulation and for the latency of MF APA during bilateral shoulder flexion and during unilateral hip extension in prone lying. In the right-sided CLBP group, the AMT of both M1 areas was lower than in the left-sided group and the pain-free subjects; the latency of MF APA was shorter in bilateral shoulder flexion and in the left hip extension tasks as compared to the left-sided group. In CLBP, an earlier MF APA was correlated with lower AMT in both tasks. People with right-sided CLBP presented with increased M1 excitability in both hemispheres and earlier MF APA. These results likely rely on cortical motor adaptation related to the tasks and axial muscles tested. Future studies should investigate whether CLBP side-related differences have a clinical impact, e.g. in diagnosis and intervention.

Impaired motor preparation and execution during standing reach in people with chronic stroke

Movement preparation of both anticipatory postural adjustments (APAs) and goal directed movement during a standing reaching task in adults with chronic hemiparesis and healthy controls was investigated. Using a simple reaction time paradigm, while standing on two separate force platforms, subjects received a warning light cue to "get ready to reach" followed 2.5s later by an imperative light cue to "reach as quickly as possible" with the paretic arm (matched arm for controls) to touch a target in front of them for a total of 90 trials. In 30 of the reaching trials a loud acoustic stimulus (LAS) of 123 dB was randomly - -200, or 0ms relative to the "go" cue. APA (postural) responses were characterized by the onset and maximal posterior displacement of center of pressure (CoP) and onset/offset of electromyography (EMG) from tibialis anterior (TA), soleus (SOL), while reach was characterized by onset and maximal forward displacement of the reach hand and onset of the anterior (AD), biceps brachii (BB) and middle deltoid (MD). Subjects with stroke, demonstrated a marked reduction in the occurrence of the StartReact responses for both APA and forward reach at all LAS time points indicating movement preparation dysfunction. Movement execution during a cued reach showed significant delays in APA and reach onsets, significant reduction in the magnitude of APA (posterior CoP displacement) and reach excursion, and an increased latency between the APA and reach compared to controls. EMG activation patterns for the TA and SOL demonstrated co contraction compared to the temporally sequenced pattern of control subjects. When LAS was provided at the "go" there were earlier but not significant differences in APA onset latency compared to reaching without LAS and significant delays in reach onset latency when compared to control subjects with or without LAS. An early burst of EMG in biceps brachii muscles with a further delay of the reach onset compared to reaching without LAS may be indicative of interference of a classical startle reflex activating elbow flexors. Results indicated impairments in movement preparation of both APA's and goal directed UE movement in individuals with stroke which impact the functional performance of reaching in the standing position.

Decision theory, motor planning, and visual memory: deciding where to reach when memory errors are costly

Limitations in visual working memory (VWM) have been extensively studied in psychophysical tasks, but not well understood in terms of how these memory limits translate to performance in more natural domains. For example, in reaching to grasp an object based on a spatial memory representation, overshooting the intended target may be more costly than undershooting, such as when reaching for a cup of hot coffee. The current body of literature lacks a detailed account of how the costs or consequences of memory error influence what we encode in visual memory and how we act on the basis of remembered information. Here, we study how externally imposed monetary costs influence behavior in a motor decision task that involves reach planning based on recalled information from VWM. We approach this from a decision theoretic perspective, viewing decisions of where to aim in relation to the utility of their outcomes given the uncertainty of memory representations. Our results indicate that subjects accounted for the uncertainty in their visual memory, showing a significant difference in their reach planning when monetary costs were imposed for memory errors. However, our findings indicate that subjects memory representations per se were not biased by the imposed costs, but rather subjects adopted a near-optimal post-mnemonic decision strategy in their motor planning.

Cognitive costs of motor planning do not differ between pointing and grasping in a sequential task

Neurophysiologic studies have shown differences in brain activation between pointing and grasping movements. We asked whether these two movement types would differ in their cognitive costs of motor planning. To this end, we designed a sequential, continuous posture selection task, suitable to investigate pointing and grasping movements to identical target locations. Participants had to open a column of drawers or point to a column of targets in ascending and descending progression. The global hand pro/supination at the moment of drawer/target contact was measured. The size of the motor hysteresis effect, i.e., the persistence to a former posture, was used as a proxy for the cognitive cost of motor planning. A larger hysteresis effect equals higher cognitive cost. Both motor tasks had similar costs of motor planning, but a larger range of motion was found for the grasping movements.

The influence of action possibility and end-state comfort on motor imagery of manual action sequences

It has been proposed that the preparation of goal-direct actions involves internal movement simulation, or motor imagery. Evidence suggests that motor imagery is critically involved in the prediction of action consequences and contributes heavily to movement planning processes. The present study examined whether the sensitivity towards end-state comfort and the possibility/impossibility to perform an action sequence are considered during motor imagery. Participants performed a mental rotation task in which two images were simultaneously presented. The image on the left depicted the start posture of a right hand when grasping a bar, while the right image depicted the hand posture at the end of the action sequence. The right image displayed the bar in a vertical orientation with the hand in a comfortable (thumb-up) or in an uncomfortable (thumb-down) posture, while the bar in the left image was rotated in picture plane in steps of 45°. Crucially, the two images formed either a physically possible or physically impossible to perform action sequence. Results revealed strikingly different response time patterns for the two action sequence conditions. In general, response times increased almost monotonically with increasing angular disparity for the possible to perform action sequences. However, slight deviations from this monotonicity were apparent when the sequences contained an uncomfortable as opposed to a comfortable final posture. In contrast, for the impossible sequences, response times did not follow a typical mental rotation function, but instead were uniformly very slow. These findings suggest that both biomechanical constraints (i.e., end-state comfort) and the awareness of the possibility/impossibility to perform an action sequence are considered during motor imagery. We conclude that motor representations contain information about the spatiotemporal movement organization and the possibility of performing an action, which are crucially involved in anticipation and planning of action sequences.