Yen-Hsun Wu

Changes in multifinger interaction and coordination in Parkinson's disease.

In this study, we tested several hypotheses related to changes in finger interaction and multifinger synergies during multifinger force production tasks in Parkinsons disease. Ten patients with Parkinsons disease, mostly early stage, and 11 healthy control subjects participated in the study. Synergies were defined as covaried adjustment of commands to fingers that stabilized the total force produced by the hand. Both Parkinsons disease patients and control subjects performed accurate isometric force production tasks with the fingers of both the dominant and nondominant hands. The Parkinsons disease patients showed significantly lower maximal finger forces and higher unintended force production (enslaving). These observations suggest that changes in supraspinal control have a major effect on finger individuation. The synergy indexes in the patients were weaker in both steady-state and cyclic force production tasks compared with the controls. These indexes also were stronger in the left (nondominant) hand in support of the dynamic-dominance hypothesis. Half of the patients could not perform the cyclic task at the highest frequency (2 Hz). Anticipatory adjustments of synergies prior to a quick force pulse production were delayed and reduced in the patients compared with the controls. Similar differences were observed between the asymptomatic hands of the patients with symptoms limited to one side of the body and matched hands of control subjects. Our study demonstrates that the elusive changes in motor coordination in Parkinsons disease can be quantified objectively, even in patients at a relatively early stage of the disease. The results suggest an important role of the basal ganglia in synergy formation and demonstrate a previously unknown component of impaired feedforward control in Parkinsons disease reflected in the reduced and delayed anticipatory synergy adjustments.

Practicing Elements Versus Practicing Coordination: Changes in the Structure of Variance

ABSTRACT The authors explored effects of practice of a 2-finger accurate force production task on components of finger force variance quantified within the uncontrolled manifold (UCM) hypothesis, VUCM, that had no effect on total force and VORT that affected total force. A variable task with graded instability was designed to encourage use of variable solutions. Two groups of subjects (n = 9 each) were tested prior to a 1.5-hr practice session, after the session, and 2 weeks later (retention test). Group 1 practiced 1 finger at a time, while Group 2 practiced the task with 2 fingers (index and middle) pressing together. Both groups showed comparable improvements in the performance indices. Both groups showed a decrease in VORT, while only Group 2 showed an increase in VUCM. These effects persisted during the retention test. The results show that practicing elements and practicing redundant groups of elements may lead to similar changes in performance (i.e., in the variability of the total force produced by the set of fingers), accompanied by dramatically different changes in the structure of variance: A drop in VUCM after the single-finger practice and an increase following the 2-finger practice. The strong retention effects promise applications of the method to rehabilitation.

The Effects of Practice on Coordination

We review practice-induced changes in two variance components defined based on the uncontrolled manifold hypothesis. One of them affects task performance, whereas the other one does not. Practice leads to a drop in the former component (higher accuracy), whereas the latter can drop, stay unchanged, or even increase. The last scenario can be achieved with practice that challenges performance stability.

Force-stabilizing synergies in motor tasks involving two actors

We investigated the ability of two persons to produce force-stabilizing synergies in accurate multi-finger force production tasks under visual feedback on the total force only. The subjects produced a time profile of total force (the sum of two hand forces in one-person tasks and the sum of two subject forces in two-person tasks) consisting of a ramp-up, steady-state, and ramp-down segments; the steady-state segment was interrupted in the middle by a quick force pulse. Analyses of the structure of inter-trial finger force variance, motor equivalence, anticipatory synergy adjustments (ASAs), and the unintentional drift of the sharing pattern were performed. The two-person performance was characterized by a dramatically higher amount of inter-trial variance that did not affect total force, higher finger force deviations that did not affect total force (motor equivalent deviations), shorter ASAs, and larger drift of the sharing pattern. The rate of sharing pattern drift correlated with the initial disparity between the forces produced by the two persons (or two hands). The drift accelerated following the quick force pulse. Our observations show that sensory information on the task-specific performance variable is sufficient for the organization of performance-stabilizing synergies. They suggest, however, that two actors are less likely to follow a single optimization criterion as compared to a single performer. The presence of ASAs in the two-person condition might reflect fidgeting by one or both of the subjects. We discuss the characteristics of the drift in the sharing pattern as reflections of different characteristic times of motion within the subspaces that affect and do not affect salient performance variables.

Learning to combine high variability with high precision: lack of transfer to a different task.

ABSTRACT The authors studied effects of practicing a 4-finger accurate force production task on multifinger coordination quantified within the uncontrolled manifold hypothesis. During practice, task instability was modified by changing visual feedback gain based on accuracy of performance. The authors also explored the retention of these effects, and their transfer to a prehensile task. Subjects practiced the force production task for 2 days. After the practice, total force variability decreased and performance became more accurate. In contrast, variance of finger forces showed a tendency to increase during the first practice session while in the space of finger modes (hypothetical commands to fingers) the increase was under the significance level. These effects were retained for 2 weeks. No transfer of these effects to the prehensile task was seen, suggesting high specificity of coordination changes. The retention of practice effects without transfer to a different task suggests that further studies on a more practical method of improving coordination are needed.

Control of Finger Force Vectors With Changes in Fingertip Referent Coordinates

ABSTRACT The central hypothesis explored in the experiment is that adjustments of fingertip force vectors during object manipulation could result from a simple scaling rule applied to commands to individual digits. The commands have been associated with referent coordinates of the digit tips. The subjects performed quick lifting movements (over 20 cm in under 0.5 s) of a horizontally oriented handle with different combinations of the external load and torque. The prismatic grasp was used with the 4 fingers pressing on the bottom of the handle and the thumb acting on its top. Principal component and correlation analyses applied to the normal and tangential force vector components confirmed that the force direction of each digit was kept nearly constant in the object-centered referent frame across the loading conditions and movement phases. The middle and ring fingers showed weaker correlations between the force components as compared to the index and little fingers. The differences were likely related to the different roles of the normal force components in the moment of force production. The neural control of the hand, within the studied task, may be adequately described as a simple rule applied to a handful of parameters, such as the referent digit-tip coordinates.