Florian A. Kagerer

Adaptation to gradual as compared with sudden visuo-motor distortions

Abstract If visual feedback is discordant with movement direction, the visuo-motor mapping is disrupted, but can be updated with practice. In this experiment subjects practiced discrete arm movements under conditions of visual feedback rotation. One group was exposed to 10°-step increments of visual feedback rotation up to a total of 90°, a second group to a 90° visual feedback rotation throughout the experiment. After the first group reached the 90° visual feedback rotation, its subjects performed faster, with less spatial error, and showed larger aftereffects than the subjects who practiced constantly under the 90° visual feedback rotation condition. Results suggest that gradually increasing feedback distortion allows more complete adaptation than a large, sudden distortion onset.

Bilateral and unilateral movement training on upper limb function in chronic stroke patients: A TMS study

The use of activity-dependent interventions has shown some success in promoting recovery of upper limb function in chronic stroke patients. This study compared the neurophysiological and behavioural changes associated with two such rehabilitation protocols: unilateral and bilateral movement training. Twelve chronic stroke patients were randomly assigned to the two training protocols involving six daily practice sessions. Each session consisted of 50 trials of a dowel placement task performed either with both impaired and unimpaired arm moving synchronously (bilateral training group) or with only the impaired arm moving (unilateral training). Kinematic measurements of upper limb movements were made in four unilateral test trials performed prior to and following each practice session. Functional assessments of the impaired upper limb and neurophysiological assessments, using transcranial magnetic stimulation (TMS), of the affected and non-affected cortical hemispheres were made prior to and following the intervention sessions. Individuals receiving bilateral training showed a reduction in movement time of the impaired limb and increased upper limb functional ability compared to individuals receiving unilateral training. In some patients changes to upper limb function were associated with changes to the cortical representation of a target muscle in the non-affected hemisphere. Overall, these findings suggest that a short-term bilateral training intervention may be effective in facilitating upper limb motor function in chronic stroke patients.

Cortical involvement in temporal reproduction: evidence for differential roles of the hemispheres.

Only few studies have addressed temporal processing for durations longer than 1 s, and even fewer studies have investigated cortical involvement in time perception, in particular temporal production and reproduction. The present study investigated temporal reproduction in healthy control subjects and patients with anterior or posterior cortical lesions in the left or right hemisphere, or with subcortical left-hemispheric lesions. The paradigm involved presentation of either auditory or visual stimuli of 10 different standard intervals ranging from 1 to 5.5 seconds duration. Participants were required to reproduce the duration of a stimulus. Our results show that: (1) temporal reproduction across this temporal range can be better described with two separate linear regressions (bilinear approach) than with one single linear regression, thus contrasting the scalar timing concept; (2) that patients can, regardless of the hemisphere lesioned, perform reproductions of durations smaller than 2-3 s with reasonable accuracy; and (3) that patients with right-hemispheric lesions appear to be impaired in reproductions of stimuli longer than 2-3 s. Since attention appeared not to be impaired in the patients tested, the findings suggest that the integrity of the right hemisphere seems to be critical for temporal reproduction of intervals longer than 2-3 s.

Instabilities during antiphase bimanual movements: are ipsilateral pathways involved?

The spatial and temporal coupling between the hands is known to be very robust during movements which use homologous muscles (in-phase or symmetric movements). In contrast, movements using nonhomologous muscles (antiphase or asymmetric movements) are less stable and exhibit a tendency to undergo a phase transition to in-phase movements as movement frequency increases. The instability during antiphase movements has been modeled in terms of signal interference mediated by the ipsilateral corticospinal pathways. In this study we report that participants in whom distal ipsilateral motor-evoked potentials could be elicited with transcranial magnetic stimulation (TMS), exhibited higher variability during a bimanual circling task than participants whose ipsilateral pathways could not be transcranially activated. These results suggest that ipsilateral control of the limb affects the level of bimanual coupling, and may contribute to uncoupling phenomena observed during asymmetric coordination.

Ataxia reflected in the simulated movements of patients with cerebellar lesions

Abstract Previous studies demonstrated that the time required to simulate mentally a complex movement is highly correlated with the time required to execute the same task. The purpose of this experiment was to examine whether this relationship exists when execution times are prolonged as a consequence of the motor abnormalities exhibited by patients with substantial cerebellar pathology. The paradigm required subjects to alternate between moving a hand-held stylus horizontally on a digitizing tablet through a four-segment template and imagining the same movement through the same template. These two modes of performance were compared based on the times required to complete the two types of trials. Performance using both upper extremities was assessed using templates with two different levels of difficulty. Difficulty was varied by interposing gates that narrowed the path through the template. Using a MANOVA, measurements of actual and simulated movement times were compared between the group of cerebellar patients and a group of age- and sex-matched controls. The results showed that: (1) both movement times and mental-simulation times were greater for cerebellar patients than for control subjects under all experimental conditions, (2) both the movement times and the mental-simulation times of the patients were greater on the more-affected side than on the less-affected side, and (3) on the more-affected side, there was no significant difference between the patients’ simulation and movement times for either the more difficult or less difficult condition. Thus, the consequence of cerebellar dysfunction on the time required to execute a volitional movement is reflected in the time needed to simulate the same behavior.

Improvements in proprioceptive functioning influence multisensory-motor integration in 7- to 13-year-old children

Accurate and efficient sensorimotor behavior depends on precise localization of the body in space, which may be estimated using multiple sensory modalities (i.e., vision and proprioception). Although age-related differences in multisensory-motor integration across childhood have been previously reported, the extent to which age-related changes in unimodal functioning affect multisensory-motor integration is unclear. The purpose of the current study was to address this knowledge gap. Thirty-seven 7- to 13-year-old children moved their dominant hand in a target localization task to visual, proprioceptive, and concurrent visual and proprioceptive stimuli. During a subsequent experimental phase, we introduced a perturbation that placed the concurrent visual and proprioceptive stimuli in conflicting locations (incongruent condition) to determine the relative contributions of vision and proprioception to the multisensory estimate of target position. Results revealed age-related differences in the localization of incongruent stimuli in which the visual estimate of target position contributed more to the multisensory estimate in the younger children whereas the proprioceptive estimate was up-weighted in the older children. Moreover, above and beyond the effects of age, differences in proprioceptive functioning systematically influenced the relative contributions of vision and proprioception to the multisensory estimate during the incongruent trials. Specifically, improvements in proprioceptive functioning resulted in an up-weighting of proprioception, suggesting that the central nervous system of school-aged children utilizes information about unimodal functioning to integrate redundant sensorimotor inputs.

Adaptation of sound localization induced by rotated visual feedback in reaching movements

A visuo-motor adaptation task was used to investigate the effects of this adaptation on the auditory-motor representation during reaching movements. We show that, following exposure to a rotated screen cursor-hand relationship, the movement paths during auditory conditions exhibited a similar pattern of aftereffects as those observed during movements to visual targets, indicating that the newly formed model of visuo-motor transformations for hand movement was available to the auditory-motor network for planning the hand movements. This plasticity in human sound localization does not require active cross-modal experience, and retention tests indicated that the newly formed internal model does not reside primarily within the central auditory system as suggested in past studies examining the plasticity of sound localization to distorted spatial vision.

Evidence for Multisensory Spatial-to-Motor Transformations in Aiming Movements of Children

The extant developmental literature investigating age-related differences in the execution of aiming movements has predominantly focused on visuomotor coordination, despite the fact that additional sensory modalities, such as audition and somatosensation, may contribute to motor planning, execution, and learning. The current study investigated the execution of aiming movements toward both visual and acoustic stimuli. In addition, we examined the interaction between visuomotor and auditory-motor coordination as 5- to 10-yr-old participants executed aiming movements to visual and acoustic stimuli before and after exposure to a visuomotor rotation. Children in all age groups demonstrated significant improvement in performance under the visuomotor perturbation, as indicated by decreased initial directional and root mean squared errors. Moreover, children in all age groups demonstrated significant visual aftereffects during the postexposure phase, suggesting a successful update of their spatial-to-motor transformations. Interestingly, these updated spatial-to-motor transformations also influenced auditory-motor performance, as indicated by distorted movement trajectories during the auditory postexposure phase. The distorted trajectories were present during auditory postexposure even though the auditory-motor relationship was not manipulated. Results suggest that by the age of 5 yr, children have developed a multisensory spatial-to-motor transformation for the execution of aiming movements toward both visual and acoustic targets.

Altered corticomotor representation in patients with Parkinson's disease.

In 6 patients with Parkinsons disease (PD) and 6 age‐matched controls, transcranial magnetic stimulation was applied at 56 regions over the motor cortex and premotor cortex of each hemisphere, with the first dorsal interosseous (FDI) muscle of both hands activated at 15% maximum voluntary contraction during stimulation. For each site, motor evoked potential (MEP) landmarks were recovered, including MEP amplitude, MEP onset latency, and silent period duration. Scaled MEP amplitudes were used to construct individual cortical maps of the FDI muscles. The maps revealed an anterior displacement of the muscle representation in PD patients. This anterior shift over motor cortical areas may reflect increased contributions of corticocortical connections between motor cortex and premotor cortical areas, possibly enhanced by the visual feedback aspect of the task. These alterations may reflect adaptations to the impairments in striatocortical circuits in PD.

Continuous and discontinuous drawing: high temporal variability exists only in discontinuous circling in young children.

The authors studied whether the drawing variability in young children is best explicable by (a) demands on the explicit timing system, (b) an underdeveloped ability to control limb dynamics, or (c) both. The explicit timing demands were lower in continuous drawing in comparison with the discontinuous task. The authors manipulated limb dynamics by changing the number of joints involved, with line drawing requiring fewer joints than circle drawing. Results showed that young children had high temporal variability in discontinuous circling but not in other conditions. The authors argue that both explicit timing and dynamic complexity of limb control may be determinants of temporal consistency and may thus play an important role in the development of drawing and writing skills in children.