Stephen A. Coombes

Emotion and motor preparation: A transcranial magnetic stimulation study of corticospinal motor tract excitability

In the present study, we examined whether preparing motor responses under different emotional conditions alters motor evoked potentials (MEPs) elicited by transcranial magnetic stimulation delivered to the motor cortex. Analyses revealed three findings: (1) Reaction times were expedited during exposure to unpleasant images, as compared with pleasant and neutral images; (2) force amplitude was greater during exposure to unpleasant images, as compared with pleasant and neutral images; and (3) MEPs were larger while participants viewed unpleasant images, as compared with neutral images. Hence, coupling the preparation of motor responses with the viewing of emotional images led to arousal-driven changes in corticospinal motor tract excitability, whereas movement speed and force production varied as a function of emotional valence. These findings demonstrate that the effects of emotion on the motor system manifest at varying sensitivity levels across behavioral and neurophysiological measures. Moreover, they validate the action readiness component of emotional experience by demonstrating that emotional states influence the execution of future movements but, alone, do not lead to overt movement.

Emotion and movement: Activation of defensive circuitry alters the magnitude of a sustained muscle contraction

Understanding the emotion-movement relationship is crucial to the development of motor theory and movement rehabilitation recommendations for a wide range of diseases and injuries that involve motor impairment. Behaviorally, when movements are executed following exposure to emotional stimuli, evidence suggests that active defensive circuitry results in faster but more variable voluntary movements. However, each of the existing protocols has involved movement execution following the offset of anxiety or emotion eliciting stimuli. The specific aim of this study, therefore, was to determine whether the continued exposure to emotional stimuli would alter the magnitude and variability of a sustained motor contraction. During the presentation of pleasant, unpleasant, neutral, and blank images, participants (N=45) were instructed to respond to the onset of an auditory stimulus by initiating and then sustaining a maximal bimanual isometric contraction of the wrist and finger extensor muscles against two independent load cells (left/right limb). Corroborating previous evidence and supporting hypothesis 1, findings indicated that exposure to unpleasant images lead to an increase in mean force production. Variability of movement, however, did not vary as a function of affective context. These findings indicate that continued exposure to unpleasant stimuli magnifies the force production of a sustained voluntary movement, without sacrificing the variability of that contraction. Mechanism driven open and closed loop explanations are offered for these phenomena, implications are addressed, and future directions are discussed.

Attentional control theory: Anxiety, emotion, and motor planning

The present study investigated how trait anxiety alters the balance between attentional control systems to impact performance of a discrete preplanned goal-directed motor task. Participants executed targeted force contractions (engaging the goal-directed attentional system) at the offset of emotional and non-emotional distractors (engaging the stimulus-driven attentional system). High and low anxious participants completed the protocol at two target force levels (10% and 35% of maximum voluntary contraction). Reaction time (RT), performance accuracy, and rate of change of force were calculated. Expectations were confirmed at the 10% but not the 35% target force level: (1) high anxiety was associated with slower RTs, and (2) threat cues lead to faster RTs independently of trait anxiety. These new findings suggest that motor efficiency, but not motor effectiveness is compromised in high relative to low anxious individuals. We conclude that increased stimulus-driven attentional control interferes with movements that require greater attentional resources.

Force control and degree of motor impairments in chronic stroke

OBJECTIVE This study determined the variability and regularity of force production in impaired upper extremities of chronic stroke survivors. Two hypotheses included: (1) stroke will increase the variability and regularity of force output in comparison to age-matched controls and (2) degree of motor impairments will be positively correlated with the variability and regularity of force output. METHODS Nine chronic stroke and nine age-matched controls performed unimanual isometric wrist and finger extension movements for 20s to three different target force levels. Force output was indexed by magnitude, accuracy, variability, and regularity. Stroke motor impairment levels were determined by Fugl-Meyer upper extremity assessment. RESULTS The stroke group demonstrated increased variability and regularity of the force output. Further, motor impairments scaled with increase in variability and regularity of force output. CONCLUSIONS The variability and regularity of force differentiated isometric contractions performed by chronic stroke survivors from age-matched controls. Moreover, in clinical settings an objective assessment of force control on variability and regularity appears to be most meaningful at 25% of MVC. SIGNIFICANCE Increased variability contributes to reduced steadiness in force output. Increased regularity characterizes the adaptability losses in motor capabilities following stroke. This knowledge may facilitate planning and evaluating rehabilitation protocols.

Emotion and Motor Control: Movement Attributes Following Affective Picture Processing

The authors investigated the impact of emotion on the performance of a square-tracing task after participants (N = 40) were exposed to pleasant (P), unpleasant (U), and neutral (N) pictures. Physiological and self-report measures indexed affective valence and arousal. In Experiment 1, greater error followed exposure to 4 consecutive U images than exposure to 4 consecutive P images. Speed of performance did not vary as a function of valence. In Experiment 2, participants viewed 1 slide per trial within a modified exposure protocol. Speed of performance varied as a function of valence; faster performance followed U relative to P stimuli. Accuracy of performance did not vary between conditions. Corresponding self-report and physiological measures generally corroborated previous evidence. Findings collectively indicated that the length of exposure to affective stimuli mediates speed and accuracy of motor performance; compared with P stimuli, U stimuli led to either increased error (short exposure) or increased speed (multiple exposures). The authors conclude that brief and extended exposures to affective pictures have direct behavioral consequences, and they discuss the implications of that finding.

Mechanisms of attentional cueing during observational learning to facilitate motor skill acquisition

Abstract We examined the effectiveness of different cueing conditions during observational learning of a soccer accuracy pass. Sixty participants (30 males, 30 females) were randomly assigned and stratified by sex into one of six groups: discovery learning, verbal instruction, video model with visual cues, video model with verbal cues, video model with visual and verbal cues, and video model only. Each participant completed eight blocks of 10 trials each, with trial blocks 1 and 2 representing the practice phase (no manipulation), trial blocks 3, 4, 5 and 6 the acquisition phase (manipulation administered) and trial blocks 7 and 8 the retention phase (24 h after acquisition, with no manipulation). Absolute error, variable error and kicking form were recorded. The results indicated that those who used video modelling with visual and verbal cues collectively displayed less error and more appropriate form across acquisition and retention trial blocks compared with other groups. Our findings suggest that verbal information in addition to visual cues enhances perceptual representation and retention of modelled activities to improve task reproduction capabilities. Future research directions are proposed with implications for both direct and indirect perception accounts of skill acquisition through observed behaviours.

Selective regions of the visuomotor system are related to gain-induced changes in force error.

When humans perform movements and receive on-line visual feedback about their performance, the spatial qualities of the visual information alter performance. The spatial qualities of visual information can be altered via the manipulation of visual gain and changes in visual gain lead to changes in force error. The current study used functional magnetic resonance imaging during a steady-state precision grip force task to examine how cortical and subcortical brain activity can change with visual gain induced changes in force error. Small increases in visual gain < 1° were associated with a substantial reduction in force error and a small increase in the spatial amplitude of visual feedback. These behavioral effects corresponded with an increase in activation bilaterally in V3 and V5 and in left primary motor cortex and left ventral premotor cortex. Large increases in visual gain > 1° were associated with a small change in force error and a large change in the spatial amplitude of visual feedback. These behavioral effects corresponded with increased activity bilaterally in dorsal and ventral premotor areas and right inferior parietal lobule. Finally, activity in the left and right lobule VI of the cerebellum and left and right putamen did not change with increases in visual gain. Together, these findings demonstrate that the visuomotor system does not respond uniformly to changes in the gain of visual feedback. Instead, specific regions of the visuomotor system selectively change in activity related to large changes in force error and large changes in the spatial amplitude of visual feedback.

Emotional states alter force control during a feedback occluded motor task.

The aim of the current experiment was to determine the extent to which pleasant and unpleasant emotional states altered the ability of men and women to control force production on a feedback occluded motor task that was not direction specific. Participants produced a precision pinch grip with visual feedback. After 5 s, feedback was occluded and replaced with a pleasant, unpleasant, or neutral image. The amplitude, variability, and structure of force production were calculated. As expected, the removal of visual feedback led to progressive force decay. More important, relative to neutral conditions, pleasant and unpleasant emotional states led to greater force production, resulting in attenuated force decay. The variability and structure of force production were not altered by affective state. In addition, men and women performed similarly across all conditions for all measures. We conclude that when sustained force production is not directed toward or away from the body, pleasant and unpleasant emotional states similarly excite the motor system. Neurobiological mechanisms are proposed to account for these findings. Implications and future research directions are discussed.

Upper extremity improvements in chronic stroke: Coupled bilateral load training

BACKGROUND The current treatment intervention study determined the effect of coupled bilateral training (i.e., bilateral movements and EMG-triggered neuromuscular stimulation) and resistive load (mass) on upper extremity motor recovery in chronic stroke. METHODS Thirty chronic stroke subjects were randomly assigned to one of three behavioral treatment groups and completed 6 hours of rehabilitation in 4 days: (1) coupled bilateral training with a load on the unimpaired hand, (2) coupled bilateral training with no load on the unimpaired hand, and (3) control (no stimulation assistance or load). RESULTS Separate mixed design ANOVAs revealed improved motor capabilities by the coupled bilateral groups. From the pretest to the posttest, both the coupled bilateral no load and load groups moved a higher number of blocks and demonstrated more regularity in the sustained contraction task. Faster motor reaction times across test sessions for the coupled bilateral load group provided additional evidence for improved motor capabilities. CONCLUSIONS Together these behavioral findings lend support to the contribution of coupled bilateral training with a load on the unimpaired arm to improved motor capabilities on the impaired arm. This evidence supports a neural explanation in that simultaneously moving both limbs during stroke rehabilitation training appears to activate balanced interhemispheric interactions while an extra load on the unimpaired limb provides stability to the system.

Emotional state and initiating cue alter central and peripheral motor processes.

Evidence indicates that voluntary and involuntary movements are altered by affective context as well as the characteristics of an initiating cue. The purpose of this study was to determine the contribution of central and peripheral mechanisms to this phenomenon. During the presentation of pleasant, unpleasant, neutral, and blank images, participants (N = 33) responded to auditory stimuli (startle, 107 dB startle or 80 dB tone) by initiating a bimanual isometric contraction of the wrist and finger extensor muscles. Analyses of electromyography and force measures supported the hypothesis that exposure to unpleasant images accelerates central processing times and increases the gradient of slope of peripheral movement execution. In addition, startle cues as compared with tone cues accelerated and magnified all temporal and amplitude indices. Collectively, these findings have noteworthy implications for (a) those seeking to facilitate the speed and force of voluntary movement (i.e., movement rehabilitation), (b) understanding the higher incidence of motor difficulty in individuals with affective disorders, and (c) those seeking to regulate emotional input so as to optimize the quality of intended movements.