Performance on a Fine Motor Task by Dominant Hemiplegics

1987 ◽  
Vol 7 (5) ◽  
pp. 259-272 ◽  
Author(s):  
S. K. Shah ◽  
B. I. Cooper

The left and right hand performance of 321 right-dominant older unimpaired persons on a timed test of fine motor planning was compared with that of 244 right-dominant patients with unilatereral brain damage following stroke, using the unaffected hand. The test task, a cost- and time-efficient measure of manipulative ability, differentiated between older unimpaired persons and hemiplegic patients but did not discriminate side affected. The significant effects of right and left hemisphere stroke, aphasia, advancing age, and sex differences on manipulative ability, and their implications, are discussed in relation to the literature on ideational apraxia.

2018 ◽  
Vol 120 (1) ◽  
pp. 239-249 ◽  
Author(s):  
James E. Gehringer ◽  
David J. Arpin ◽  
Elizabeth Heinrichs-Graham ◽  
Tony W. Wilson ◽  
Max J. Kurz

Although it is well appreciated that practicing a motor task updates the associated internal model, it is still unknown how the cortical oscillations linked with the motor action change with practice. The present study investigates the short-term changes (e.g., fast motor learning) in the α- and β-event-related desynchronizations (ERD) associated with the production of a motor action. To this end, we used magnetoencephalography to identify changes in the α- and β-ERD in healthy adults after participants practiced a novel isometric ankle plantarflexion target-matching task. After practicing, the participants matched the targets faster and had improved accuracy, faster force production, and a reduced amount of variability in the force output when trying to match the target. Parallel with the behavioral results, the strength of the β-ERD across the motor-planning and execution stages was reduced after practice in the sensorimotor and occipital cortexes. No pre/postpractice changes were found in the α-ERD during motor planning or execution. Together, these outcomes suggest that fast motor learning is associated with a decrease in β-ERD power. The decreased strength likely reflects a more refined motor plan, a reduction in neural resources needed to perform the task, and/or an enhancement of the processes that are involved in the visuomotor transformations that occur before the onset of the motor action. These results may augment the development of neurologically based practice strategies and/or lead to new practice strategies that increase motor learning. NEW & NOTEWORTHY We aimed to determine the effects of practice on the movement-related cortical oscillatory activity. Following practice, we found that the performance of the ankle plantarflexion target-matching task improved and the power of the β-oscillations decreased in the sensorimotor and occipital cortexes. These novel findings capture the β-oscillatory activity changes in the sensorimotor and occipital cortexes that are coupled with behavioral changes to demonstrate the effects of motor learning.


2019 ◽  
Vol 25 (3) ◽  
pp. 260-270
Author(s):  
Sugalya Amatachaya ◽  
Kitiyawadee Srisim ◽  
Preeda Arrayawichanon ◽  
Thiwabhorn Thaweewannakij ◽  
Pipatana Amatachaya

Background: The effectiveness of dual-task training has been reported in individuals with cognitive impairments. To date, there is no clear evidence on the incorporation of dual-task training in ambulatory individuals with spinal cord injury (SCI) who have intact cognitive functions but have various degrees of sensorimotor dysfunction. Objectives: To compare the immediate effects of dual-task obstacle crossing (DTOC) and single-task obstacle crossing (STOC) training on functional and cognitive abilities in chronic ambulatory participants with SCI. Methods: This is a randomized 2 × 2 crossover design with blinded assessors. Twenty-two participants were randomly trained using a 30-minute DTOC and STOC training program with a 2-day washout period. Outcomes, including 10-Meter Walk Tests (single- and dual-task tests), percent of Stroop Color and Word Test task errors, Timed Up and Go Test (TUG), and five times sit-to-stand test, were measured immediately before and after each training program. Results: Participants showed significant improvement in all outcomes following both training programs ( p < .05), except percent of Stroop Color and Word Test task errors after STOC training. Obvious differences between the training programs were found for the percent of Stroop task errors and TUG ( ps = .014 and .06). Conclusion: Obstacle crossing is a demanding task, thus the obvious improvement was found immediately after both training programs in participants with long post-injury time (approximately 5 years). However, the findings primarily suggest the superior effects of DTOC over STOC on a complex motor task and cognitive activity. A further randomized control trial incorporating a complex dual-task test is needed to strengthen evidence for the benefit of DTOC for these individuals.


2021 ◽  
Vol 10 (14) ◽  
pp. e312101422220
Author(s):  
Lucas Eigi Borges Tanaka ◽  
Ademir Franco ◽  
Rafael Ferreira Abib ◽  
Luiz Roberto Coutinho Manhães-Junior ◽  
Sergio Lucio Pereira de Castro Lopes

Anatomical studies found in cone beam computed tomography (CBCT) an optimal resource for the three-dimensional (3D) assessment of the head and neck. When it comes to the maxillary sinuses, CBCT enables a life-size reliable volumetric analysis. This study aimed to assess the age and sex-related changes of the maxillary sinuses using volumetric CBCT analysis. The sample consisted of CBCT scans of 112 male (n = 57) and female (n = 55) individuals (224 maxillary sinuses) distributed in 5 age categories: 20 |— 30, 31 |— 40, 41 |— 50, 51 |— 60 and > 60 years. Image acquisition was accomplished with the i-CAT Next Generation device set with voxel size of 0.25 mm and field of view that included the maxillary sinuses (retrospective sample collection from an existing database). Image segmentation was performed in itk-SNAP (www.itksnap.org) software. The volume (mm3) of the segmented sinuses was quantified and compared pairwise based on side (left and right), sex (male and female) and age (five groups). Differences between left and right sides volume were not statistically significant (p > 0.05). The mean volume of maxillary sinuses in males was 22% higher than females (p = 0.0001). Volumetric differences were not statistically significant between age categories for males and females (p > 0.05). The discriminant power of sinuses’ volume may support customized and patient-specific treatment planning based on sex.


Author(s):  
Jeremy D. Faulk ◽  
Cameron C. McKee ◽  
Heather Bazille ◽  
Michael Brigham ◽  
Jasmine Daniel ◽  
...  

Active seating designs may enable users to move more frequently, thereby decreasing physiological risks associated with a sedentary lifestyle. In this preliminary study, two active seating designs (QOR360, Ariel; QOR360, Newton) were compared to a static chair (Herman Miller, Aeron) to understand how active vs. static seating may affect task performance, movement, posture, and perceived discomfort. This within-subjects experiment involved n = 11 student participants who sat upon each of the three chairs for 20 minutes while performing a series of computer-based tasks. Participants showed increased trunk movement while also reporting higher levels of perceived discomfort in the two active chair conditions. There was no significant difference in either posture or fine motor task performance between the active and static conditions. Future research may benefit from additional physiological measurements along with a wider variety of tasks that require seated users to make postural adjustments.


2018 ◽  
Vol 119 (1) ◽  
pp. 39-48 ◽  
Author(s):  
Marco Cardis ◽  
Maura Casadio ◽  
Rajiv Ranganathan

Motor variability plays an important role in motor learning, although the exact mechanisms of how variability affects learning are not well understood. Recent evidence suggests that motor variability may have different effects on learning in redundant tasks, depending on whether it is present in the task space (where it affects task performance) or in the null space (where it has no effect on task performance). We examined the effect of directly introducing null and task space variability using a manipulandum during the learning of a motor task. Participants learned a bimanual shuffleboard task for 2 days, where their goal was to slide a virtual puck as close as possible toward a target. Critically, the distance traveled by the puck was determined by the sum of the left- and right-hand velocities, which meant that there was redundancy in the task. Participants were divided into five groups, based on both the dimension in which the variability was introduced and the amount of variability that was introduced during training. Results showed that although all groups were able to reduce error with practice, learning was affected more by the amount of variability introduced rather than the dimension in which variability was introduced. Specifically, groups with higher movement variability during practice showed larger errors at the end of practice compared with groups that had low variability during learning. These results suggest that although introducing variability can increase exploration of new solutions, this may adversely affect the ability to retain the learned solution.NEW & NOTEWORTHY We examined the role of introducing variability during motor learning in a redundant task. The presence of redundancy allows variability to be introduced in different dimensions: the task space (where it affects task performance) or the null space (where it does not affect task performance). We found that introducing variability affected learning adversely, but the amount of variability was more critical than the dimension in which variability was introduced.


2019 ◽  
Vol 5 (2) ◽  
pp. 13
Author(s):  
Nihal Dal

The present study aimed to investigate extraversion as a moderator of social loafing on a motor task that requires fine motor skills as well as perceptual-motor skills. Participants with higher and lower levels of extraversion were asked to group dots according to their color during high and low identifiability conditions. The performance was determined by the number of dots accurately grouped. A 2 (group; high/low extraversion) × 2 (identifiability; high/low) mixed model of ANOVA revealed a significant interaction between extraversion and identifiability, which means that extraverts’ performance increased from the low to high identifiability condition. On the other hand, introverts’ performance remained relatively stable across high and low identifiability conditions. Overall, results suggested that in an identifiable state, extraverts tend to increase their performance.


2004 ◽  
Vol 91 (4) ◽  
pp. 1570-1578 ◽  
Author(s):  
Michael I. Garry ◽  
Gary Kamen ◽  
Michael A. Nordstrom

Motor performance induces a postexercise increase in corticomotor excitability that may be associated with motor learning. We investigated whether there are hemispheric differences in the extent and/or time course of changes in corticomotor excitability following a manipulation task (Purdue pegboard) and their relationship with motor performance. Single- and paired-pulse (3 ms) transcranial magnetic stimulation (TMS) was used to assess task-induced facilitation of the muscle evoked potential (MEP) and intracortical inhibition (ICI) for three intrinsic hand muscles acting on digits 1, 2, and 5. Fifteen right-handed subjects performed three 30-s pegboard trials with left or right hand in separate sessions. TMS was applied to contralateral motor cortex before and after performance. Number of pegs placed was higher with the right hand, and performance improved (motor learning) with both hands over the three trials. MEP facilitation following performance was short-lasting (<15 min), selective for muscles engaged in gripping the pegs, and of similar magnitude in left and right hands. ICI was reduced immediately following performance with the right hand, but not the left. The extent of MEP facilitation was positively correlated with motor learning for the right hand only. We conclude that the pegboard task induces a selective, short-lasting change in excitability of corticospinal neurons controlling intrinsic hand muscles engaged in the task. Only left hemisphere changes were related to motor learning. This asymmetry may reflect different behavioral strategies for performance improvement with left and right upper limb in this task or hemispheric differences in the control of skilled hand movements.


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