The control of adequate contact forces between the skin and an object (grasp stability) is examined for two classes of prehensile actions that employ a precision grip: lifting objects that are "passive" (subject only to inertial forces and gravity) and preventing "active" objects from moving. For manipulating either passive or active objects the relevant fingertip forces are determined by at least two control processes. "Anticipatory parameter control" is a feedforward controller that specifies the values for motor command parameters on the basis of predictions of critical characteristics, such as object weight and skin–object friction, and initial condition information. Through vision, for instance, common objects can be identified in terms of the fingertip forces necessary for a successful lift according to previous experiences. After contact with the object, sensory information representing discrete mechanical events at the fingertips can (i) automatically modify the motor commands, (ii) update sensorimotor memories supporting the anticipatory parameter control policy, (iii) inform the central nervous system about completion of the goal for each action phase, and (iv) trigger commands for the task's sequential phases. Hence, the central nervous system monitors specific, more or less expected peripheral sensory events to produce control signals that are appropriate for the task at its current phase. The control is based on neural modelling of the entire dynamics of the control process that predicts the appropriate output for several steps ahead. This "discrete-event, sensor-driven control" is distinguished from feedback or other continuous regulation. Using these two control processes, slips are avoided at each digit by independent control mechanisms that specify commands and process sensory information on a local, digit-specific basis. This scheme obviates explicit coordination of the digits and is employed when independent nervous systems lift objects. The force coordination across digits is an emergent property of the local control mechanisms operating over the same time span.Key words: precision grip, hand, grasp stability, grasp force, tactile afferents.
The value of neurohumoral regulation in the outcome of multiple organ failure syndrome in sepsis
