Richard E.A. van Emmerik

Free(z)ing Degrees of Freedom in Skill Acquisition

Abstract This study reports an empirical investigation into Bernsteins (1967) ideas that in the early stages of the acquisition of a movement skill the coordination problem is reduced by an initial freezing out of degrees of freedom, followed later in the learning process by the release of these degrees of freedom and their incorporation into a dynamic, controllable system. “Freezing” degrees of freedom was made operational both as a rigid fixation of individual degrees of freedom and as the formation of rigid couplings between multiple degrees of freedom. Five subjects practiced slalom-like ski movements on a ski apparatus for 7 consecutive days. Results showed that at the early phases of learning, the joint angles of the lower limbs and torso displayed little movement, as expressed by their standard deviations and ranges of angular motion, whereas joint couplings were high, as shown by the relatively high cross correlations between joint angles. Over practice, angular movement significantly increased i...

A dynamical systems approach to lower extremity running injuries.

UNLABELLED In this paper, we are presenting an alternative approach to the investigation of lower extremity coupling referred to as a dynamical systems approach. In this approach, we calculate the phase angle of each segment and joint angle. Pairing the key segment/joint motions, we use phase angles to determine the continuous relative phase and the variability of the continuous relative phase. Data from two studies illustrate the efficacy of the dynamical systems approach. Individuals who were asymptomatic, even though they may have anatomical aberrant structural problems (i.e. high Q-angle vs low Q-angle) showed no differences in the pattern of the continuous relative phase or in the variability of the continuous phase. However, differences in the variability of the continuous relative phase were apparent in comparing individuals who were symptomatic with patellofemoral pain with non-injured individuals. Patellofemoral pain individuals showed less variability in the continuous relative phase of the lower extremity couplings than did the healthy subjects. We hypothesize that the lower variability of the couplings in the symptomatic individuals indicates repeatable joint actions within a very narrow range. RELEVANCE We claim that the traditional view of the variability of disordered movement is not tenable and suggest that there is a functional role for variability in lower extremity segment coupling during locomotion. While the methods described in this paper cannot determine a cause of the injury, they may be useful in the detection and treatment of running injuries.

On the functional aspects of variability in postural control.

Current research in nonlinear dynamics and chaos theory has challenged traditional perspectives that associate high variability with performance decrement and pathology. It is argued that variability can play a functional role in postural control and that reduction of variability is associated with changes in balance with aging and neurological disease.

Identification of axial rigidity during locomotion in parkinson disease

OBJECTIVES To identify coordination changes and stability in the movements of the trunk during locomotion in Parkinson disease (PD) as a function of walking velocity. STUDY DESIGN Comparison of treadmill locomotion with an opto-electronic tracking device. PATIENTS Newly diagnosed patients with PD (n = 27) and a group of healthy control subjects (n = 11). RESULTS Coordination between transversal pelvic and thoracic rotations showed significantly smaller changes in mean relative phase (p < .0001) and lower variability in relative phase (p < .0001) in the PD group. No significant differences were found in stride duration and variability in stride duration. CONCLUSIONS The relative phase data contradict traditional notions of increased variability in motor control in PD and pinpoint the importance of the trunk in identifying axial rigidity. This discrepancy may be due to lack of control for walking velocity in earlier studies. It is concluded that systematic manipulation of walking velocity can identify coordination deficits and rigidity in trunk movement. This coordination of trunk movement can also be a sensitive measure for (early) diagnosis and the assessment of movement and pharmacological therapy in PD.

Dynamics of pathological gait

Abstract This paper is aimed at applying tools of dynamical systems theory to the evaluation and treatment of movement disorders. A key notion in this approach is that qualitative changes in movement coordination emerge spontaneously as a result of unspecific and continuous changes in control parameters. Our research on the dynamics of gait indicates that gradually varying walking velocity as a control parameter results in systematic changes in the frequency and phase relations of arm and leg movements as well as in the phase relation of pelvic and thoratic rotation within the bipedal walking mode. Identification of these intrinsic dynamics of gait enables the classification of pathological coordination patterns. Stability and the ability to make transitions between patterns (adaptability) are important issues in the evaluation of movement disorders. For exercise therapy this implies that the patient must learn to tap the appropriate control parameter in order to facilitate spontaneous emergence of the desired coordination pattern. The use of perceptual information in the form of external auditory and visual rhythms can have positive influences on hemiplegic and Parkinsonian gait by synchronizing the movements of the body segments. The effects of rhythmic exercises are, however, very sensitive to the nature and magnitude of the rhythms manipulated. It is concluded that a systematic investigation of the role of perceptual control variables is a necessary prerequisite to understand and treat movement disorders.

Quantifying rearfoot–forefoot coordination in human walking

A method is proposed to facilitate the quantification and interpretation of inter-joint/-segment coordination. This technique is illustrated using rearfoot-forefoot kinematic data. We expand existing vector coding techniques and introduce a set of operational terms through which the coordinative patterns between the rearfoot segment and the forefoot segment are summarized: in-phase, anti-phase, rearfoot phase and forefoot phase. The literature on foot mechanics has characterized the stable foot at pushoff by a decreasing medial longitudinal arch angle in the sagittal plane, which is accompanied by forefoot pronation and concurrent rearfoot supination-in other words, anti-phase motion. Nine skin markers were placed on the rearfoot and forefoot segments according to a multi-segment foot model. Three healthy subjects performed standing calibration and walking trials (1.35ms(-1)), while a three-dimensional motion capture system acquired their kinematics. Rearfoot-forefoot joint angles were derived and the arch angle was inferred from the sagittal plane. Coupling angles of rearfoot and forefoot segments were derived and categorized into one of the four coordination patterns. Arch kinematics were consistent with the literature; in stance, the arch angle reached peak dorsiflexion, and then decreased rapidly. However, anti-phase coordination was not the predominant pattern during mid- or late stance. These preliminary data suggest that the coordinative interactions between the rearfoot and the forefoot are more complicated than previously described. The technique offers a new perspective on coordination and may provide insight into deformations of underlying tissues, such as the plantar fascia.

Leg power asymmetry and postural control in women with multiple sclerosis.

UNLABELLED The extent of and the interactions between muscle strength, walking speed, postural control, and symptomatic fatigue in multiple sclerosis (MS) are not known, nor are the effects of bilateral strength asymmetries on these variables. PURPOSE To quantify the magnitude of and the associations between bilateral strength and limb-loading asymmetries, postural control, and symptomatic fatigue in women with MS. METHODS Peak knee extensor (KE) and dorsiflexor (DF) isometric torque and isotonic power were assessed bilaterally in 12 women with MS (Expanded Disability Status Scale = 4 +/- 1) and 12 age-matched female controls using a Biodex dynamometer (Biodex Medical, Shirley, NY). Center of pressure (CoP) variability during 20 s of quiet stance was measured in the anteroposterior (AP) and the mediolateral (ML) directions using adjacent force plates. Bilateral asymmetry scores were calculated for power and torque. Normal and brisk walk times (25 ft) and symptomatic fatigue (Visual Analog Fatigue Scale and Fatigue Severity Scale) were measured before strength and balance testing. RESULTS Fatigue was greater and walk times (normal and brisk) were longer in MS (P < or = 0.01). Dorsiflexor (DF) isometric torque and power and knee extensor (KE) isometric strength were similar between groups. KE power was lower (mean +/- SD = 21.5 +/- 16.2%; P < or = 0.05) and KE power asymmetry was greater in MS than in controls (9.2 +/- 6.9%; P = 0.02). Postural variability of the CoP was greater in the AP direction in MS than in controls (7.52 +/- 3.02 and 4.33 +/- 1.79 mm, respectively; P = 0.005). KE power asymmetry was associated with fatigue and walk times (P < or = 0.02), and AP CoP variability was correlated with fatigue, walk times, and power asymmetries (P < or = 0.05). CONCLUSIONS These data provide new evidence of a potential role for KE strength asymmetries in the symptomatic fatigue and physical dysfunction of persons with MS, possibly through an effect on postural stability.

Low back pain status affects pelvis-trunk coordination and variability during walking and running.

BACKGROUND The purpose of this study was to compare pelvis-trunk coordination and coordination variability over a range of walking and running speeds between three groups of runners; runners with low to moderate low back pain; runners who had recovered from a single bout of acute low back pain; and runners who had never experienced any symptoms of low back pain. METHODS Pelvis and trunk kinematic data were collected as speed was systematically increased on a treadmill. Coordination between pelvis and trunk in all three planes of motion was measured using continuous relative phase, and coordination variability was defined as the standard deviation of this measure. FINDINGS Oswestry Disability Index indicated the low back pain group was high functioning (mean 7.9% out of 100%). During walking, frontal plane coordination was more in-phase for the low back pain group compared to controls (P=0.029), with the resolved group showing an intermediate coordination pattern (P=0.064). During running, both low back pain (P=0.021) and resolved (P=0.025) groups showed more in-phase coordination in the transverse plane than the control group. The low back pain group also showed reduced transverse plane coordination variability compared to controls (P=0.022). INTERPRETATION Coordination and coordination variability results showed a continuum of responses between our three groups. Taken together, the data lend insight into increased injury risk and performance deficits associated with even one bout of low back pain, and suggest that clinicians need to look beyond the resolution of pain when prescribing rehabilitation for low back pain.

Limitations in the use and interpretation of continuous relative phase.

Continuous relative phase (CRP), a variable used to quantify intersegmental coordination, is difficult to interpret if care is not taken regarding the assumptions and limitations of the measure. Specifically, CRP is often interpreted as a higher resolution form of discrete relative phase (DRP). DRP, however, yields information regarding the relative dispersion of events in oscillatory signals while CRP describes their relationship in a higher order phase-plane domain. In this paper we address issues surrounding the calculation of CRP and suggest a new interpretation based on the aforementioned methodological issues. Through the use of test signals, with known properties, it was found that the CRP information will be arbitrary if no normalization procedures are used to account for frequency differences in the component oscillators. In addition, signals with non-sinusoidal trajectories will produce patterns in CRP that are not equivalent to discrete relative phase (DRP) measures. The implications of these issues are discussed.

Coordinative variability and overuse injury

Overuse injuries are generally defined as a repetitive micro-trauma to tissue. Many researchers have associated particular biomechanical parameters as an indicator of such injuries. However, while these parameters have been reported in single studies, in many instances, it has been difficult to verify these parameters as causative to the injury. We have investigated overuse injuries, such as patella-femoral pain syndrome, using a dynamical systems approach. Using such methods, the importance of the structure of coordinative variability (i.e. the variability of the interaction between segments or joints) becomes apparent. We view coordinative variability as functionally important to the movement and different from end-point or goal variability. Using concepts derived from the work of Bernstein, we conducted studies using a continuous relative phase and/or modified vector coding approaches to investigate the coordinative variability of overuse injuries. Consistently, we have found that the higher variability state of a coordinative structure is the healthy state while the lower variability state is the unhealthy or pathological state. It is clear that very high coordinative variability could also result in injury and that there must be a window of ‘higher variability’ in which non-injured athletes function. While this finding that coordinative variability is functional has been shown in several studies, it is still not clear if reduced variability contributes to or results from the injury. Studies are currently underway to determine the potential reasons for the reduced variability in injured athletes. Nevertheless, our laboratory believes that this understanding of how joints interact can be important in understanding overuse injuries.