J. Greg Anson

What are “normal movements” in atypical populations?

Redundancy of the motor control system is an important feature that gives the central control structures options for solving everyday motor problems. The choice of particular control patterns is based on priorities (coordinative rules) that are presently unknown. Motor patterns observed in unimpaired young adults reflect these priorities. We hypothesize that under certain atypical conditions, which may include disorders in perception of the environment and in decision making, structural or biochemical changes within the central nervous system (CNS), and/or structural changes of the effectors, the central nervous system may reconsider its priorities. A new set of priorities will reflect the current state of the system and may lead to different patterns of voluntary movement. Under such conditions, changed motor patterns should be considered not pathological but rather adaptive to a primary disorder and may even be viewed as optimal for a given state of the system of movement production. Therapeutic approaches should not be directed toward restoring the motor patterns to as close to “normal” as possible but rather toward resolving the original underlying problem. We illustrate this approach using, as examples, movements in amputees, in patients with Parkinsons disease, in patients with dystonia, and in persons with Down syndrome.

Does Joe influence Fred's action?: Inhibition of return across different nervous systems

Inhibition of return (IOR) refers to the slowing of responses to a target that appears in the same location as a previous event. Many researchers have speculated that IOR arises from inhibitory neural processes that have developed through evolution to facilitate efficient search patterns by biasing the action and/or attention of an individual towards novel locations. Throughout evolution, however, humans conducted searches as individuals as well as members of a group. In this context, we sought to determine if IOR could also be observed in the behavior of one individual after the observation of anothers behavior. Consistent with our reasoning, there was no difference in the magnitude of the IOR effect found when participants followed their own response or the response of their partner. These results are discussed in the context of action-based attention and possible underlying neural mechanisms.

Current status of the motor program: Revisited

The motor program is a concept that has had a major influence on theorizing in the field of motor control. However, there has been a lack of consensus as to what exactly is a motor program and its role in movement organization and execution. In 1994 Morris, Summers, Matyas, and Iansek concluded from a review of the application of the motor program concept in the field of physical therapy that continued use of the term may impede progress in the field. In this paper we examine what has happened to the motor program concept in the thirteen years since the previous evaluation. The review indicates that although the term is still being used in different ways, the theoretical existence of a motor program appears to be generally accepted by researchers in experimental psychology, movement science, and neurophysiology. The recent development of powerful brain imaging techniques may allow determination of whether the motor program should be regarded as a metaphorical or literal concept.

Intensity and physiological strain of competitive ultra-endurance exercise in humans

Abstract The aim of this study was to determine the magnitude and pattern of intensity, and physiological strain, of competitive exercise performed across several days, as in adventure racing. Data were obtained from three teams of four athletes (7 males, 5 females; mean age 36 years, s = 11; cycling [Vdot]O2 peak 53.9 ml · kg−1 · min−1, s = 6.3) in an international race (2003 Southern Traverse; 96 – 116 h). Heart rates (HR) averaged 64% (95% confidence interval: ± 4%) of heart rate range [%HRR = (HR − HRmin)/(HRmax − HRmin) × 100] during the first 12 h of racing, fell to 41% (±4%) by 24 h, and remained so thereafter. The level and pattern of heart rate were similar across teams, despite one leading and one trailing all other teams. Core temperature remained between 36.0 and 39.2°C despite widely varying thermal stress. Venous samples, obtained before, during, and after the race, revealed increased neutrophil, monocyte and lymphocyte concentrations (P < 0.01), and increased plasma volume (25 ± 10%; P < 0.01) with a stable sodium concentration. Standardized exercise tests, performed pre and post race, showed little change in the heart rate – work rate relationship (P = 0.53), but a higher perception of effort post race (P < 0.01). These results provide the first comprehensive report of physiological strain associated with adventure racing.

Within- and between-nervous-system inhibition of return: Observation is as good as performance

Inhibition of return (IOR) has been shown to occur when an individual returns to a target location (within-person IOR) and when an individual moves to a location just engaged by another individual (between-person IOR). Although within- and between-person IOR likely result from the same inhibitory mechanisms, different processes must activate these mechanisms following the performance and observation of action. Consistent with the suggestion that the mirror neuron system may be responsible for activating the inhibitory mechanisms behind IOR on observation trials, between-person IOR was only detected under restricted viewing conditions known to activate mirror neurons. These results indicate that mirror neuron system may be involved in both higher-order and automatic cognitive behavior.

Neuromotor programming: Bilateral and unilateral effects on simple reaction time ☆

The effect of unilateral and simultaneous bilateral response requirements on fractionated simple reaction time for finger extension and elbow flexion tasks was examined. Twelve neurologically normal, female subjects participated in two blocks of 20 trials in each of the four conditions. There were no significant differences (p > 0.05) in simple reaction time (SRT) or premotor time (PMT) between unilateral and bilateral elbow flexion responses. In contrast the differences in SRT and PMT between unilateral and bilateral finger extension responses were significant (p < 0.05). A possible explanation in light of the different neural architecture for proximal and distal muscle representation is that elbow flexion responses are able to use a single neuromotor programme for bilateral and/or unilateral responses whereas bilateral finger extension responses require the ‘linking’ of two separate programmes.

Mechanisms of orthostatic intolerance following very prolonged exercise

Nine men completed a 24-h exercise trial, with physiological testing sessions before (T1, approximately 0630), during (T2, approximately 1640; T3, approximately 0045; T4, approximately 0630), and 48-h afterwards (T5, approximately 0650). Participants cycled and ran/trekked continuously between test sessions. A 24-h sedentary control trial was undertaken in crossover order. Within testing sessions, participants lay supine and then stood for 6 min, while heart rate variability (spectral analysis of ECG), middle cerebral artery perfusion velocity (MCAv), mean arterial pressure (MAP; Finometer), and end-tidal Pco(2) (Pet(CO(2))) were measured, and venous blood was sampled for cardiac troponin I. During the exercise trial: 1) two, six, and four participants were orthostatically intolerant at T2, T3, and T4, respectively; 2) changes in heart rate variability were only observed at T2; 3) supine MAP (baseline = 81 +/- 6 mmHg) was lower (P < 0.05) by 14% at T3 and 8% at T4, whereas standing MAP (75 +/- 7 mmHg) was lower by 16% at T2, 37% at T3, and 15% at T4; 4) Pet(CO(2)) was reduced (P < 0.05) at all times while supine (-3-4 Torr) and standing (-4-5 Torr) during exercise trial; 5) standing MCAv was reduced (P < 0.05) by 23% at T3 and 30% at T4 during the exercise trial; 6) changes in MCAv with standing always correlated (P < 0.01) with changes in Pet(CO(2)) (r = 0.78-0.93), but only with changes in MAP at T1, T2, and T3 (P < 0.05; r = 0.62-0.84); and 7) only two individuals showed minor elevations in cardiac troponin I. Recovery was complete within 48 h. During prolonged exercise, postural-induced hypotension and hypocapnia exacerbate cerebral hypoperfusion and facilitate syncope.

The impact of 100 hours of exercise and sleep deprivation on cognitive function and physical capacities

Abstract In this study, we examined the effect of 96–125 h of competitive exercise on cognitive and physical performance. Cognitive performance was assessed using the Stroop test (n = 9) before, during, and after the 2003 Southern Traverse adventure race. Strength (MVC) and strength endurance (time to failure at 70% current MVC) of the knee extensor and elbow flexor muscles were assessed before and after racing. Changes in vertical jump (n = 24) and 30-s Wingate performance (n = 27) were assessed in a different group of athletes. Complex response times were affected by the race (16% slower), although not significantly so (P = 0.18), and were dependent on exercise intensity (less so at 50% peak power output after racing). Reduction of strength (P < 0.05) of the legs (17%) and arms (11%) was equivalent (P = 0.17). Reductions in strength endurance were inconsistent (legs 18%, P = 0.09; arms 13%, P = 0.40), but were equivalent between limbs (P = 0.80). Similar reductions were observed in jump height (−8 ± 9%, P < 0.01) and Wingate peak power (−7 ± 15%, P = 0.04), mean power (−7 ± 11%, P < 0.01), and end power (−10 ± 11%, P < 0.01). We concluded that: moderate-intensity exercise may help complex decision making during sustained stress; functional performance was modestly impacted, and the upper and lower limbs were affected similarly despite being used disproportionately.

Chapter 13 Neuromotor Control and Down Syndrome

Publisher Summary This chapter describes neuromotor control and Down syndrome (DS). Its neuropathology is well described and the physical characteristics are distinct. Although the effect of DS on motor control appears to parallel that observed in other similarly mentally retarded individuals, there are notable unique exceptions, particularly with respect to speed of responding. The results of the experiments indicate the involvement of both peripheral and central mechanisms in the slower reaction time observed in DS individuals. A distal-proximal pattern of movement initiation, however, suggests a complex relationship between central and peripheral mechanisms in DS individuals. In addition, the chapter also investigates whether practice improves motor performance in Down syndrome.

Distinct Modulation of Event-Related Potentials during Motor Preparation in Patients with Motor Conversion Disorder

Objective Conversion paresis patients and healthy people feigning weakness both exhibit weak voluntary movement without detectable neuropathology. Uniquely, conversion patients lack a sense of conscious awareness of the origin of their impairment. We investigated whether conversion paresis patients show distinct electroencephalographic (EEG) markers associated with their unconscious movement deficits. Methods Six unilateral upper limb conversion paresis patients, 12 feigning participants asked to mimic weakness and 12 control participants performed a precued reaction time task, requiring movements of either hand, depending on precue information. Performance measures (force, reaction and movement time), and event-related EEG potentials (ERP) were compared, between groups and across hands or hemisphere, using linear mixed models. Results Feigners generated the same inter-hand difference in reaction and movement time as expressed by patients, even though no specific targets were set nor feedback given on these measures. We found novel ERP signatures specific to patients. When the symptomatic hand was precued, the P3 ERP component accompanying the precue was dramatically larger in patients than in feigning participants. Additionally, in patients the earlier N1 ERP component was diminished when the precue signalled either the symptomatic or asymptomatic hand. Conclusions These results are consistent with previous suggestions that lack of awareness of the origin of their symptoms in conversion disorder patients may result from suppression of brain activity normally related to self-agency. In patients the diminished N1 to all precues is consistent with a generalised reduction in cognitive processing of movement-related precues. The P3 enhancement in patients is unlikely to simply reflect changes required for generation of impaired movements, because it was not seen in feigners showing the same behavioural deficits. Rather, this P3 enhancement in patients may represent a neural biomarker of unconscious processes, including additional emotional loading, related to active suppression of brain circuits involved in the attribution of self-agency.