Maarten Steyvers

Motor learning and Parkinson’s disease: refinement of within-limb and between-limb coordination as a result of practice

Even though the basal ganglia have been assigned a role in motor learning, few studies have addressed motor learning capabilities in Parkinson patients. In the present experiment, improvement of bimanual figure drawing across practice was compared between Parkinson patients and normal age-matched controls. At regular intervals during acquisition, performance was assessed under normal vision and blindfolded conditions. At initiation of practice, the typical signs associated with Parkinsons disease became evident, such as bradykinesia and hypometria. Moreover, reduced synchronization between the force-time specifications of both limbs was observed. When vision was withdrawn, Parkinson patients showed a larger drift of drawing performance across the workspace, indicative of a decline in proprioception. In spite of the aforementioned deficits, Parkinson patients made marked improvements in the speed of execution, the consistency of the spatial trajectories, and the synchronization between the limbs across practice, even though they never reached the performance levels obtained in elderly controls. The findings demonstrate that Parkinson patients do benefit from practice to refine their upper limb control and to alleviate their most basic motor deficits.

Changes in corticomotor excitability following prolonged muscle tendon vibration

The present experiment addressed whether increases in corticospinal excitability following sensory stimulation with muscle tendon vibration are accompanied by reorganization of the forearm musculature representation within the primary motor cortex. Using transcranial magnetic stimulation, we mapped the corticomotor projection to the dominant flexor carpi radialis (FCR) and extensor carpi radialis brevis (ECR) muscle before and after interventional sensory stimulation obtained via muscle tendon vibration (80Hz, 60 min) to the dominant distal wrist flexor tendons. Following vibration, MEP amplitude at the optimal stimulation position, motor output area, as well as map volume, increased significantly for the ECR. None of these effects reached significance for the FCR. These results suggest that the antagonistic vibratory response (AVR), which is considered to be of cortical origin, induces a delayed facilitation of musculature that is antagonistic to the site of the directly activated Ia afferent pathways. This example demonstrates that peripheral sensory stimulation can induce lasting increases in corticospinal excitability in the absence of actual movements.

Directional invariance during loading-related modulations of muscle activity: evidence for motor equivalence

Abstract. In the present study, we investigated the influence of external force manipulations on movements in different directions, while keeping the amplitude invariant. Subjects (n=10) performed a series of cyclical anteroposterior, mediolateral, and oblique line-drawing movements (star drawing task) with their dominant limb in the horizontal plane. To dissociate kinematics from the underlying patterns of muscle activation, spring loading was applied to the forearm of the moving limb. Whereas spring loading of the arm resulted in considerable changes in the overall amount of muscle activation in the elbow and shoulder muscles, invariance was largely maintained at the kinematic level. Subjects produced the required movement directions and amplitudes of the star drawing largely successfully, irrespective of the force bias induced by the spring. These observations demonstrate motor equivalence and strengthen the notion that the spatial representation of drawing movements is encoded in the higher brain regions in a rather abstract form that is dissociated from the concrete muscle activation patterns underlying a particular movement direction. To achieve this goal, the central nervous system shifted between two or more muscle grouping strategies to overcome modulations in the interaction among posture-dependent (joint stiffness), dynamic (inertial), and elastic (spring) torque components in the joints. Spring loading induced general changes in the overall amount of EMG activity, which was largely muscle but not direction specific, presumably to represent the posture-dependent biasing force of the spring. Loading was mainly shown to increase muscle coactivation in the elbow joint. This indicates that the subjects tended to increase stiffness in the elbow to compensate for changes in the spring bias forces in order to minimize trajectory errors. Changes in muscle grouping of the shoulder antagonists were mainly a consequence of movement direction but were also affected partly by loading, presumably reflecting the influence of dynamic force components. Taken together, the results confirmed the hypothesis that changes of movement direction and direction of force in the end-effector generated specific sets of muscle grouping to overcome the dynamic requirements in the joints while keeping the kinematics largely unchanged. This suggests that directional tuning in muscle activity and changes in muscle grouping reflects the formation of appropriate internal models in the CNS that give rise to motor equivalence.

Bimanual coordination and limb-specific parameterization in patients with Parkinson's disease

Bimanual coordination and the capability to parameterize the individual limb movements were examined in patients with Parkinsons disease (PD) as compared to healthy control subjects. In-phase and anti-phase patterns were performed while the individual limb movements were subjected to amplitude and loading manipulations. Findings showed that PD patients produced the bimanual configurations with lower degrees of phasing accuracy and consistency than control subjects, indicating an impairment at the global (coordinative) level of simultaneously produced movements. At the local (limb-specific) level, the imposed distances with and without loading were unaffected in PD patients as compared to control subjects, whereas cycle times were prolonged and depended on the task requirements. This illustrates a disturbance at the limb-specific level in complying with the execution of the submovements. The finding that movement slowness only became evident in the more complex conditions, suggests that it did not mainly represent a deficit in the execution of coordinated movements, but rather an inability to accommodate the motor output during stringent spatiotemporal task constraints.

Proprioceptive regulation of interlimb behavior: interference between passive movement and active coordination dynamics.

Abstract. The coordination of homolateral effectors (right arm/right leg) according to the in-phase or anti-phase mode was perturbed through passive movement of a third segment (left arm or left leg) imposed by the experimenter. The manipulated parameters of the passive segment were frequency and amplitude along with their degree of scaling. Results showed that passive movement degraded anti-phase patterns more than in-phase patterns. Furthermore, the anti-phase mode deteriorated profoundly during frequency manipulation, but scaling did not induce additional effects, whereas a linear association was observed between anti-phase deterioration and amplitude manipulation. Together, these data indicate that passive movement disturbed the coordination dynamics of an actively performed task. The fact that interference depended on the manipulated parameter suggests a distinction in the degree of intrusiveness of the irrelevant afferent information induced by the passive limb. It is concluded that sensory discrimination between irrelevant and relevant input is critical in performing a coordinated task adequately under perturbed conditions.

Dynamical changes in corticospinal excitability during imagery of unimanual and bimanual wrist movements in humans: a transcranial magnetic stimulation study

This study explored the dynamical changes in corticospinal excitability during the imagination of cyclical unimanual and bimanual wrist flexion-extension movements. Transcranial magnetic stimulation was applied over the left motor cortex to evoke motor evoked potentials in the right wrist flexor and extensor muscles. Findings provided evidence for increased reciprocal excitability changes during imagery of symmetrical in-phase movements as compared to asymmetrical (anti-phase) or unimanual movements. This suggests that in-phase movements may reinforce whereas anti-phase movements may reduce the temporal representation of the task in the corticospinal motor networks of the brain.