Lucette Toussaint

Effects of a Physical Training Programme on Cognitive Function and Walking Efficiency in Elderly Persons with Dementia

Objectives: To study the effects of physical stimulation based on walking exercises, equilibrium and endurance on cognitive function and walking efficiency in patients with dementia. Methods: Randomized controlled trial including 31 subjects suffering from dementia (age: 81.8 ± 5.3 years). The intervention group (n = 16) benefited from a 15-week physical activity programme involving three 1-hour sessions per week. The control group (n = 15) did not practice any physical activities. Before and after rehabilitation, all subjects were evaluated with the Rapid Evaluation of Cognitive Functions test (ERFC French version) and walking analysis. Results: After the 15 weeks of rehabilitation, the subjects from the intervention group improved their overall ERFC score (p < 0.01), while those in the control group decreased their overall ERFC score. Interactions were also observed between walking parameters and groups (p < 0.01); the intervention group improved walking capacities through heightened walking speed, stride length and a reduction in double limb support time. Lastly, the subjects from the control group presented a reduction in both walking speed and stride length. Conclusion: This study shows that a physical activity programme can slow cognitive decline and improve quality of walking in elderly persons suffering from dementia.

Developing Motor Planning over Ages.

Few studies have explored the development of response selection processes in children in the case of object manipulation. In the current research, we studied the end-state comfort effect, the tendency to ensure a comfortable position at the end rather than at the beginning of simple object manipulation tasks. We used two versions of the unimanual bar transport task. In Experiment 1, only 10-year-olds reached the same level of sensitivity to end-state comfort as adults, and 8-year-olds were less efficient than 6-year-olds. In each age group, childrens sensitivity did not increase during a session: i.e., either clearly showed the sensitivity or showed no sensitivity at all. Experiment 2 replicated these results when the bar was replaced by a pencil and when the task did not require much precision. However, when the task required more precision, 8-year-olds increased their level of sensitivity to the end-state comfort effect, whereas this was not the case for younger children. These results describe the development of advanced planning processes from 4 to 10 years of age as well as the positive effect of task constraints on the end-state comfort effect for 8-year-olds.

Effects of motor imagery training on service return accuracy in tennis: The role of imagery ability

Abstract This study examined how imagery ability could affect motor improvement following motor imagery training in tennis. Skilled tennis players were divided into 3 groups with regard to their MIQ scores (good imager, poor imager, and control group). During a pre‐test, participants physically performed 15 service returns toward a target. The motor imagery training period was included during physical training for 15 sessions, and each session consisted of 2 series of 15 imagined trials and 15 physical trials. Some of the participants were required to use internal visual imagery (good and poor imager groups) while others were given a reading task (control group). Finally, 48 hours after the last training session, participants were submitted to a post‐test similar to the pre‐test. Results indicated that motor imagery improved service return, and that this improvement was better in good imagers than in poor imagers. The impact of motor imagery practice on motor performance, for skilled tennis players, is discussed.

Specificity of learning in a video-aiming task : Modifying the salience of dynamic visual cues

The authors investigated whether the salience of dynamic visual information in a video-aiming task mediates the specificity of practice. Thirty participants practiced video-aiming movements in a full-vision, a weak-vision, or a target-only condition before being transferred to the target-only condition without knowledge of results. The full- and weak-vision conditions resulted in less endpoint bias and variability in acquisition than did the target-only condition. Going from acquisition to transfer resulted in a large increase in endpoint variability for the full-vision group but not for the weak-vision or target-only groups. Kinematic analysis revealed that weak dynamic visual cues do not mask the processing of other sources of afferent information; unlike strong visual cues, weak visual cues help individuals calibrate less salient sources of afferent information, such as proprioception.

Specificity of practice: Interaction between concurrent sensory information and terminal feedback.

In 2 experiments, the authors investigated a potential interaction involving the processing of concurrent feedback using design features from the specificity of practice literature and the processing of terminal feedback using a manipulation from the guidance hypothesis literature. In Experiment 1, participants produced (198 trials) flexion-extension movements to reproduce a specific pattern of displacement over time with or without vision of the limb position and with 100% or 33% knowledge of results (KR) frequency. The transfer test was performed without vision and KR. In Experiment 2, the authors assessed whether sensory information processing was modulated by the amount of practice. Participants performed 54 or 396 trials under a 100% or a 33% KR frequency with vision before being transferred to a no-vision condition without KR. Results of both experiments indicated that the Vision-33% condition suffered a larger detrimental effect of withdrawing visual information than the Vision-100% condition. Experiment 2 indicated that this detrimental effect increased with practice. These results indicated the reduction in terminal feedback prompted participants to more deeply process the concurrent visual information thus reinforcing their dependency on the visual information.

On the role of imagery modalities on motor learning

Abstract In the present study, we examine specifically how the sensory conditions available during physical practice of a task might influence the subsequent use of motor imagery. First, as a pre-test, participants had to physically reproduce knee joint positions with or without vision. Second, they practised motor imagery (15 and 150 trials) with visual, kinaesthetic or visuo-kinaesthetic imagery. A control group with no imagery was included. Post-tests were then performed 10 min and 24 h after each imagery session in a sensory condition similar to that used in the pre-test. Results showed that efficient motor imagery instructions have to take account of the sensory information available during physical experience of the task: kinaesthetic or visuo-kinaesthetic imagery in a no-vision condition, and visual imagery or, to a lesser extent, visuo-kinaesthetic imagery in a vision condition. Discussion focuses on the role of sensory motor memory on motor prediction to simulate a specific movement, and on the similarities between physical and mental practice in the development of sensory-specific movement representation.

Role of an Ideomotor Mechanism in Number Processing

The ideomotor principle predicts that the anticipation of expected sensory consequences precedes and controls voluntary goal-directed movements. Recent studies have revealed that an ideomotor mechanism could also support the link between finger movements and number processing. However, it is unknown whether such a mechanism is devoted to number processing per se, that is, without associated movement. In three experiments, we tested whether the ideomotor mechanism was also involved in a verbal number production task without associated goal-directed and motor dimensions. We tested this hypothesis in a response-effect (R-E) paradigm generally used to assess the ideomotor mechanisms. The results of Experiment 1 revealed a compatibility effect both in a stimulus-response task and an R-E task, suggesting the involvement of an ideomotor mechanism during number processing. More importantly, Experiment 2 revealed that performance in a motor imagery task correlated with the R-E compatibility effect, whereas performance in a visual imagery task did not, suggesting a distinct motor imagery contribution to R-E compatibility. Finally, Experiment 3 showed a strong R-E compatibility effect in a verbal word production task, but the correlations with motor or visual imagery tasks were not observed. Altogether, these findings suggest that ideomotor mechanisms play a specific and functional role in number processing.

On the link between action planning and motor imagery: a developmental study

Abstract We examined the link between action planning and motor imagery in 6- and 8-year-old children. Action planning efficiency was assessed with a bar transport task. Motor imagery and visual imagery abilities were measured using a hand mental rotation task and a number (i.e., non-body stimuli) mental rotation task, respectively. Overall, results showed that performance varied with age in all tasks, performance being progressively refined with development. Importantly, action planning performance was correlated with motor imagery, whereas no relationship was evident between action planning and visual imagery at any age. The results showed that the ability to engage sensorimotor mechanisms when solving a motor imagery task was concomitant with action planning efficiency. The present work is the first demonstration that evaluating the consequences of the upcoming action in grasping depends on children’s abilities to mentally simulate the response options to choose the most efficient grasp.

Sensory integration in the learning of aiming toward self-defined targets

Abstract This study aimed at supporting the specificity of learning hypothesis, when aiming was based on internal cues, as directing the hand toward a “self-defined” target location. Participants practiced modest (20 trials) or intensive (720 trials) training with visual and proprioceptive information or proprioceptive information only. Pretests and posttests were performed in sensory conditions that did or did not match the training condition. Results showed that dynamic visual cues played a dominant role at the beginning of the task, and an intensive practice resulted in increased accuracy of kinesthetic information and efferent mechanisms of motor responses. These results have implications with regard to motor learning conceptions and training as a function of the task constraints.

Knowledge of results and explicit instruction: efficiency of learning the crawl stroke in swimming.

Specific verbal instructions when added to simple knowledge of results during learning the crawl stroke by 4 adult novices was followed after 1 mo. of no practice by a higher index of swimming than observed for 4 novices given only the qualitative knowledge of results.