Patricia McKinley

Motor strategies in landing from a jump: the role of skill in task execution

SummaryA motor performance which involves multijoint coordination and belongs to the natural repertoire of motor behavior has been studied. Displacements have been related to EMG in the lower limb when taking off and landing from a jump down (45 cm) onto two surfaces of differing compliance in two populations of teenage girls: skilled and unskilled. To evaluate the performance, an index was defined taking into account: 1) the time required for reaching stability (1 body weight) after landing, and 2) the amount of sway during the stabilization time. Despite the apparent intra and inter subject similarities in performing the jump-down, slight differences were observed in both the kinematics and electromyogram patterns. During takeoff, two strategies were identified that were not related to either skill or landing surface compliance. The most common strategy, “Push Off”, is characterized by almost full joint extension when departing from the jump platform and includes a swing period during flight. The other strategy, “Roll Off”, is characterized by joint flexion at departure and continual extension during midflight. While the ankle dorsiflexor, tibialis anterior, is active in preparation for the takeoff phase in both strategies, it is followed by activation of the ankle plantarflexors, lateral gastrocnemious and soleus and the hip/knee musculature, rectus femoris, biceps femoris, and vastus lateralis, only in the push off strategy. The roll off strategy is characterized by a lack of other muscle activation prior to takeoff. At landing, regardless of the strategy used in takeoff, onset of muscles followed the same sequence for both landing surfaces; ankle musculature activity began first followed by activity in the knee and hip musculature. The onset of the musculature occurred closer to landing when landing on the more compliant surface. Skilled subjects were characterized by adjustments in amount of ankle extension present at landing and concomitant flexion post-landing with respect to landing surface. When landing on the rigid surface, the ankle was more plantarflexed and onset of the dorsiflexor occurred after that of the plantarflexors; on foam, dorsiflexor activity was coincident with the plantarflexors. Ankle joint range of motion post-landing was subsequently larger when landing on the rigid surface. In contrast, unskilled individuals used a default strategy for landing on both surfaces where the ankle position and movement was between that seen for the two conditions in the skilled individual. It is suggested the landing and takeoff phases are programmed independently in both skilled and unskilled subjects. Further, it is hypothesized that the skilled individuals may be more adept at making subtle adjustments to landing surfaces by continual update during execution of the movement, while in unskilled subjects this capability is less evident. The effect of long term learning as well as the adaptive capabilities of the nervous system during the execution of the movement in skilled and unskilled subjects is discussed.

Argentine tango dance compared to mindfulness meditation and a waiting-list control: A randomised trial for treating depression

OBJECTIVES To determine whether tango dancing is as effective as mindfulness meditation in reducing symptoms of psychological stress, anxiety and depression, and in promoting well-being. DESIGN This study employed analysis of covariance (ANCOVA) and multiple regression analysis. PARTICIPANTS Ninety-seven people with self-declared depression were randomised into tango dance or mindfulness meditation classes, or to control/waiting-list. SETTING classes were conducted in a venue suitable for both activities in the metropolitan area of Sydney, Australia. INTERVENTIONS Participants completed six-week programmes (1½h/week of tango or meditation). The outcome measures were assessed at pre-test and post-test. MAIN OUTCOME MEASURES Depression, Anxiety and Stress Scale; The Self Esteem Scale; Satisfaction with Life Scale, and Mindful Attention Awareness Scale. RESULTS Sixty-six participants completed the program and were included in the statistical analysis. Depression levels were significantly reduced in the tango (effect size d=0.50, p=.010), and meditation groups (effect size d=0.54, p=.025), relative to waiting-list controls. Stress levels were significantly reduced only in the tango group (effect size d=0.45, p=.022). Attending tango classes was a significant predictor for the increased levels of mindfulness R(2)=.10, adjusted R(2)=.07, F (2,59)=3.42, p=.039. CONCLUSION Mindfulness-meditation and tango dance could be effective complementary adjuncts for the treatment of depression and/or inclusion in stress management programmes. Subsequent trials are called to explore the therapeutic mechanisms involved.

Changes in the electromyographic spectrum power distribution caused by a progressive increase in the force level

The purpose of the present study was to determine the specific changes occurring in the power spectrum with an increasing force level during isometric contractions. Surface electromyographic signals of the triceps brachii (TB) and the anconeus (AN) of 29 normal subjects were recorded during isometric ramp contractions performed from 0 to 100% of the maximum voluntary contraction (MVC) in a 5-s period. Power spectra were obtained at 10, 20, 30, 40, 50, 60, 70, 80 and 90% MVC. Changes in the shape of these spectra were evaluated visually and with the calculation of several statistical parameters related to the distribution of power along the frequency axis, such as median frequency and mean power frequency, standard deviation, skewness, first and third quartiles and half-power range. For the AN, the behaviour of the spectrum was relatively similar across subjects, presenting a shift toward higher frequencies without any major change in the shape of the spectrum. For the TB, subjects with a thin skinfold thickness presented similar behaviours. In subjects with a thicker skinfold, however, a loss of power in the high frequency region paralleled the increase in the force level. Significant correlations were obtained between the extent of the change in the value of higher order statistical parameters across force and the thickness of the skin. This points out the importance of the skinfold layer when recording with surface electrodes. Furthermore, the use of a combination of several parameters appears to provide a better appreciation of the changes occurring in the spectrum than any single parameter taken alone.

Topographic organization of baboon primary motor cortex: face, hand, forelimb, and shoulder representation.

(1) The fine details of the motor organization of the forelimb, face, and tongue representation of the baboon (Papio h. anubis) primary motor cortex were studied in four adult animals, using intracortical microstimulation (ICMS). (2) A total of 293 electrode penetrations were made. ICMS was delivered to 10,052 sites, and of these, 6,186 sites were verified to have been located within the grey matter. Motor effects were evoked from 30% of these sites. (3) The baboon motor cortex is confined, in large part, to the cortical tissue lying along the anterior bank of the central sulcus. When the electrode penetrations were confined to the precentral gyrus, few sites were capable of evoking movement when stimulated by currents of 40 microA or less. (4) The details of the motor maps varied among the four animals; nonetheless, a general topographic organization existed, with the tongue musculature being represented most laterally, followed by a medial progression of the face, digits, wrist, forearm, and shoulder. Within the representation of a given body part, the muscles were organized as a mosaic, wherein the same muscle was multiply represented. (5) A zone of unresponsive cortex was observed to lie consistently between the face and forelimb representation in all four animals. Repeated electrode penetrations within the unresponsive zone failed to elicit muscle contractions even with stimulating currents as high as 80 microA. (6) Our results suggest that the baboon motor cortex is topographically organized; however, embedded within this overall pattern lies a fine-grained mosaic incorporating multiple representations of the same muscle.

Reliability of kinematic measures of functional reaching in children with cerebral palsy.

Aim  The determination of rehabilitation effectiveness in children with cerebral palsy (CP) depends on the metric properties of the outcome measure. We evaluated the reliability of kinematic measures of functional upper limb reaching movements in children with CP.

The effectiveness of task‐oriented intervention and trunk restraint on upper limb movement quality in children with cerebral palsy

Aim  The goal of this study was to contribute evidence towards the effectiveness of task‐oriented training with and without restriction of trunk movement (trunk restraint) on the quality of upper limb movement in children with cerebral palsy (CP).

Visual responsiveness and direction selectivity of cells in area 18 during local reversible inactivation of area 17 in cats

We have investigated the effects of inactivation of localized sites in area 17 on the visual responses of cells in visuotopically corresponding regions of area 18. Experiments were performed on adult normal cats. The striate cortex was inactivated by the injection of nanoliters of lidocaine hydrochloride or of gamma-aminobutyric acid (GABA) dissolved in a staining solution. Responses of the simple and complex cells of area 18 to optimally oriented light and dark bars moving in the two directions of motion were recorded before, during, and after the drug injection. Two main effects are described. First, for a substantial number of cells, the drug injection provoked an overall reduction of the cells visual responses. This nonspecific effect largely predominated in the complex cell family (76% of the units affected). This effect is consistent with the presence of long-range excitatory connections in the visual cortex. Second, the inactivation of area 17 could affect specific receptive-field properties of cells in area 18. The main specific effect was a loss of direction selectivity of a number of cells in area 18, mainly in the simple family (more than 53% of the units affected). The change in direction selectivity comes either from a disinhibitory effect in the nonpreferred direction or from a reduction of response in the preferred direction. It is proposed that the disinhibitory effects were mediated by inhibitory interneurones within area 18. In a very few cases, the change of directional preference was associated with a modification of the cells response profile. These results showed that the signals from area 17 are necessary to drive a number of units in area 18, and that area 17 can contribute to, or at least modulate, the receptive-field properties of a large number of cells in the parastriate area.

Responsiveness of reorganized primary somatosensory (SI) cortex after local inactivation of normal SI cortex in chronic spinal cats.

The cortical map of adult cats that sustained spinal cord transection at T12 when they were 2 weeks old is characterized by a clear duplication of the representation of the forelimb, rostral trunk, and neck. The novel representation is located in the cortical region that is, in nonoperated animals, normally devoted to the hindlimb representation. We have investigated the possibility that the reactivation of the deprived hindlimb cortex may be mediated by corticocortical projections from normal to reorganized cortex. The primary somatosensory (SI) cortex was initially mapped to determine the boundaries of the normal and reorganized cortical representations. Somatotopically corresponding regions in both normal and reorganized cortex representing the trunk, the web space, or the shoulder were more precisely mapped. Inactivation of normal cortex was achieved by the nanoinjection of a solution of lidocaine hydrochloride stained with Chicago sky blue. Two major findings are described. First, inactivation of a circumscribed region of normal cortex representing a given receptive field (RF) failed to reduce or inhibit the responsiveness of a somatotopically corresponding RF represented in reorganized cortex. Therefore, it is unlikely that intracortical connections between normal and reorganized cortex could account for the reorganizational processes observed in cats that sustained spinal cord transection at 2 weeks of age. Second, the chemical blockade of normal cortex provoked an increase of the responsiveness and of the size of the peripheral RFs represented in reorganized cortex. This finding suggests that there are corticocortical connections (possibly topographically organized) between normal and reorganized cortex, and that these connections are inhibitory.

Virtual reality as adjunctive therapy for upper limb rehabilitation in cerebral palsy

As part of a larger study evaluating the effects of trunk restraint on the kinematics of arm movements in children with cerebral palsy (CP), we evaluated the level of cooperation and satisfaction of the children when practicing arm and hand movements during play-like activities in a physical environment (PE) compared to a video-capture based (IREX, GestureTek) virtual environment (VE) using 5-point Likert scales. While cooperation was similar in both environments, children expressed greater satisfaction with the PE compared to the VE (p ≪ 0.04). Reasons for this may include difficulty or frustration with the VE activities and/or appropriateness of the computer games.

Chronological Observations of Primary Somatosensory Cortical Maps in Kittens following Low Thoracic (T12) Spinal Cord Transection at 2 Weeks of Age

The present study investigated the reorganization of the somatosensory cortex in kittens following T12 spinal cord transection at 2 weeks of age. Multiunit electrophysiological methods were used to map the somatosensory cortex of kittens at 3, 6, and 9 weeks after the transection. The entire reorganized cortical region was driven by substitute cutaneous inputs, primarily from the trunk, at 3 weeks after spinal cord transection. Although the level of cortical responsiveness remained the same throughout the 9 weeks studied, internal trunk representation changed, and there was an increase in shoulder girdle representation and emergence of forelimb representation. Poor somatotopic and topographic order was observed in the reorganized cortex, regardless of time posttransection. Finally, trunk receptive fields displayed a wide variety of shapes, sizes, and orientations not seen in the normal cortex.