Biomedical subjects
Publications and source records attributed to D P Carey.
Most people prefer to use their right eye for viewing. New evidence reveals that this dominance is much more plastic than that for one hand or foot: it changes from one eye to the other depending on angle of gaze. Remarkably, sighting dominance depends on the hand being directed towards the visual target.
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Memory-driven reaching and grasping movements were analysed in patients with left cerebral hemispheric damage and impaired gesture imitation. The dorsal and ventral streams of the visual pathway model of Milner and Goodale (Milner and Goodale, The Visual Brain in Action, 1995) are thought to operate relatively independently. However, cross-connections between the areas of each pathway are likely to enable interactions essential for higher-level praxis. Apraxic errors such as seen in gesture imitation can possibly be understood as arising from a disconnection of the two visual pathways. If the integrated action of the perceptual and visuomotor systems in patients with apraxia is compromised, then we would expect to find indications of impaired motor programming and misreaching in these patients when making movements driven by stored representations. Such a pattern, however, was not found in our sample of apraxic patients. Patients with limb apraxia produced normal movement kinematics and normal end-point accuracy when making memory-driven reaching movements with or without visual guidance of movement. Furthermore, perceptual information about object size and object distance were incorporated as normal in memory-driven grasping movements of these patients.
Many studies have found differences in movements made to either side of the body midline. A popular interpretation of these differences has been that movements made by the arm, which is on same side of space in which the visual target appeared, are faster and better organised because they are processed within-hemisphere. Carey et al. (Experimental Brain Research 112 (1996) 496) showed that hemispatial movement differences cannot be accounted for by such a model. Their data suggested that biomechanical factors such as those proposed by Gordon et al. (Experimental Brain Research 99 (1994) 112) could better account for differences in movement duration and several characteristics of velocity and acceleration. The present study examines these arguments by requiring subjects to make rapid pointing movements in two experiments. In the first, results demonstrated that hemispatial effects occurred in pointing movements made without any visual target or vision of the limb. These findings suggest that intra- and inter-hemispheric models are untenable. Gordon et al. argued that hand path direction relative to the long axis of the upper arm accounts for hemispatial effects on kinematics. In the second experiment hand path direction and hemispace were dissociated. Contralateral movements were performed more efficiently than ipsilateral movements, when target and starting positions required an adductive movement to acquire the contralateral target and an abductive movement to acquire the ipsilateral target. These results provide strong support for the Gordon et al. model, although the possible contributions of other dynamic factors and/or differential control of proximal and distal muscles by the central nervous system cannot be ruled out.
Most football players and coaches agree that players are capable of learning to use both feet with equal frequency and efficiency--that is, become 'two-footed'. There is also some consensus that two-footed play is associated with skill in individual players. If these assumptions are true, then the world's elite football players should be substantially less 'one-footed' than the rest of the population. To examine this issue, we quantified the pattern of foot use in a sample of 236 players from 16 teams in the 1998 World Cup (France '98). Our findings indicate that World Cup players are as right-footed as the general population (approximately 79%). The remaining players were largely left-footed and as biased towards the use of their preferred foot as their right-footed counterparts. Very few players used each foot with equal frequency. Remarkably, both left- and right-footed players were as skilled, on average, with their non-preferred foot as they were with their preferred foot, on the rare occasions when they used it. Therefore, it is unlikely that infrequent use of one foot compared to the other foot can be accounted for by skill differences between the feet. Players were most asymmetrical for set pieces; nevertheless, first touches, passes, dribbles and tackles were rarely performed with the non-preferred foot as well. Our results support a biological model of foot preference and performance, as well as demonstrating the usefulness of soccer for studies of lateral asymmetries.
The neglect of one side of space exhibited by some brain-damaged patients can be ameliorated by cueing the patient to the neglected side of space. A related effect has been found to depend on the hand being seen and felt at the same time. The results add to a growing literature on somatosensory-visual interactions.
Single-unit recording has revealed both hand and eye movement-related activity in the parietal cortex of the macaque monkey. These experiments, as well as neuropsychological studies, are unravelling the complex nature of how the eye and the hand work together in the control of visually guided movements.
Visual-form agnosic patient DF, who has severe difficulties in using visual information about size, shape and orientation for perceptual report, can nevertheless--under normal viewing conditions--use the same information to accurately guide her hand movements. However, her performance of prehension tasks requiring the analysis of visual depth is severely disrupted when binocular vision is prevented. We have suggested that this deterioration in visuomotor control is due to an inability to use pictorial depth cues to compensate for the removal of binocular vision. In the current study we investigated whether DF was able to use motion parallax as an alternative to binocular cues. We asked her to grasp a square plaque slanted at different orientations in depth, under two monocular testing conditions. In one condition her head remained stationary on a chin rest, and in the other condition she made large lateral head movements just prior to each prehension movement. The results confirmed that DF is impaired in adjusting her hand orientation to the orientation of the target object when reaching monocularly with her head stationary. In contrast, when she made head movements, her manual performance was restored to almost normal levels. Our results are consistent with the idea that the processing of pictorial depth cues depends on the cortical ventral stream, which is known to be disrupted by DF's lesion. They further indicate that orientation in depth can be computed from motion parallax just as well as from binocular cues in the absence of a normally functioning ventral stream.
It has been suggested that the insensitivity of the visuomotor system to various visual illusions is based on mechanisms in the so-called 'dorsal stream' of primate extrastriate cortex, which may depend upon binocular cues for their functions. The present study investigated the effects of binocular and monocular viewing on perception of and action to Müller-Lyer figures. Fourteen participants were required to match and grasp the shaft of a Müller-Lyer display under both viewing conditions. In the matching condition, participants were required to show the perceived extent of the central shaft of one of the two Müller-Lyer figures, using the extent of the gap between their finger and thumb. In the grasping task, participants were required to quickly and accurately reach out and grasp the central shaft of the specified Müller-Lyer figure. First, there was a striking effect of the illusion on the matching performance under both viewing conditions. However, the maximum grip aperture remained unaffected by the illusion figures. These results add to the theory of distinct modes of visual processing for perception and action. However, we did not find that grasping performance was affected by the illusion under monocular conditions. It is plausible that monocular depth cues distinct from those responsible for the illusion can successfully drive accurate grasping. Additional concerns regarding claims of action system resistance to the perceptual distortions of various illusions are discussed.
PURPOSE: To evaluate the accuracy of thin-section magnetic resonance (MR) imaging (in-plane resolution, 0.6 x 0.6 mm) in the preoperative assessment of the depth of extramural tumor infiltration, which is a major prognostic indicator in rectal cancer. MATERIALS AND METHODS: In a prospective study of 28 consecutive patients, preoperative MR imaging was performed. The tumor stage according to the TNM classification system and the measured depth of extramural tumor invasion in matched MR images and histopathologic slices were compared. RESULTS: Preoperative MR imaging correctly indicated the histopathologic tumor stage in all 25 patients in whom comparisons were possible. The difference between the depth of extramural tumor measured on preoperative MR images and corresponding measurements on histopathologic slices of the resection specimen ranged from -5.0 mm to +5.5 mm (mean difference, +0.13 mm; 95% CI: -2.72, +2.98 mm), indicating good agreement. The mesorectal fascia, and the relation of the tumor to it, could be visualized in every case. In all five patients with involvement of the circumferential excision margins of resection specimens, extensive extramural invasion was identified on preoperative MR images. CONCLUSION: Preoperative thin-section MR imaging accurately indicates the tumor stage of rectal cancer and depth of extramural tumor infiltration. It provides valuable information for identifying T3 tumors for preoperative adjuvant therapy in patients who are at high risk of failure of complete excision.
OBJECTIVE: To determine effects of protein intake on blood variables, plasma volume, and maximal oxygen uptake (VO2max) in sled dogs undergoing rigorous training. ANIMALS: 32 Alaskan sled dogs, between 2 and 6 years old. PROCEDURE: Dogs were assigned to 1 of 4 groups on the basis of age, sex, and ability. Isocaloric diets containing 18% (diet A), 23% (diet B), 29% (diet C), or 35% (diet D) of energy as protein were assigned randomly to each group and fed 1 month before and during a 12-week training period. Maximal oxygen uptake was measured at 0 (before training) and 12 weeks. Body weight, protein and energy intake, plasma volume, PCV, hemoglobin concentration, and serum biochemical variables were measured at 0, 8, and 12 weeks. RESULTS: Serum biochemical variables, PCV, and hemoglobin concentration remained within reference ranges for all dogs. Dogs fed diet A had a decrease in VO2max and a greater rate of soft tissue injury throughout training, compared with dogs fed the other diets. At 12 weeks, dogs fed diets C and D had greater serum sodium concentration and hemoglobin concentration than did dogs fed diet A. Dogs fed diet D also had more plasma volume at 12 weeks than did dogs of any other group. CONCLUSIONS AND CLINICAL RELEVANCE: Consumption of a diet with 18% dietary protein on an energy basis (3.0 g of protein/kg of body weight) is insufficient to meet the metabolic requirements of sled dogs in training. For intense interval work, a diet with 35% dietary protein as energy (6.0 g of protein/kg) may provide a performance advantage by promoting an increase in plasma volume.
The cortical visual mechanisms involved in processing spatial relationships remain subject to debate. According to one current view, the "dorsal stream" of visual areas, emanating from primary visual cortex and culminating in the posterior parietal cortex, mediates this aspect of visual processing. More recently, others have argued that while the dorsal stream provides egocentric coding of visual location for motor control, the separate "ventral" stream is needed for allocentric spatial coding. We have assessed the visual form agnosic patient DF, whose lesion mainly affects the ventral stream, on a prehension task requiring allocentric spatial coding. She was presented with transparent circular disks. Each disk had circular holes cut in it. DF was asked to reach out and grasp the disk by placing her fingers through the holes. The disks either had three holes (for forefinger, middle finger, and thumb) or two holes (for forefinger and thumb). The distance between the forefinger and thumb holes, and the orientation of the line formed by them, were independently varied. DF was quite unable to adjust her grip aperture or her hand orientation in the three-hole task. Although she was able to orient her hand appropriately for the two-hole disks, she still remained unable to adjust her grip aperture to the distance between the holes. These findings are consistent with the idea that allocentric processing of spatial information requires a functioning ventral stream, even when the information is being used to guide a motor response.
Little is known about distance processing in patients with posterior brain damage. Although many investigators have claimed that distance estimates are normal or abnormal in some of these patients, many of these observations were made informally and the examiners often asked for relative, and not absolute, distance estimates. The present investigation served two purposes. First, we wanted to contrast the use of distance information in peripersonal space for perceptual report as opposed to visuomotor control in our visual form agnosic patient, DF. Second, we wanted to see to what extent her abilities to process distance cues were dependent on binocular vision, in light of Milner et al.'s (1991) observations of preserved stereopsis in DF, and Dijkerman et al.'s (1996) and Marotta et al.'s (1997) observations that her visual guidance of grasping may be particularly dependent on binocular vision of the target. We hypothesized that DF's visuomotor responses would show normal sensitivity to target distance, while her perceptual estimates would not. In the first experiment, we required DF and two age- and sex-matched control subjects to reach out and grasp black cubes placed at varying distances, or to estimate the distance of the cubes from the hand starting position without making a reaching movement. In the second experiment, we required DF and two age-matched control subjects to point as rapidly and accurately as possible to small LED targets which differed in spatial location, under binocular and monocular conditions. The results showed that, relative to the control subjects, DF's grasping movements produced normal peak velocity-distance scaling-when she reached for blocks which varied in depth or pointed to LED targets which were presented at different distances in depth. In contrast, in the cube experiment, her verbal estimates of object distance were poorly scaled, although they improved slightly under the binocular conditions. The results are discussed in terms of current theories of processing streams in extrastriate visual cortex and the distinction between categorical and coordinate spatial processing.
Ms D., a 76 year-old woman with a slowly progressive bilateral parietal lobe degeneration, showed an unusual variant of misreaching as yet unreported. When required to reach to a target in extrafoveal vision, she slavishly reached straight to the foveal fixation point instead ("magnetic misreaching"). Three dimensional recordings of limb movements to foveal and extrafoveal targets revealed that her reach endpoints were determined by the place she was looking, independent of the distance between target and fixation point. The sign was present in both hands. Magnetic misreaching differs from motor misbehaviours which follow frontal lobe damage. The neuropsychological and behavioural profile of Ms D., coupled with neuroimaging evidence suggest that magnetic misreaching is a manifestation of parietal lobe dysfunction.
There have been several proposals for the mechanism by which we are able to recognize an object across a number of viewpoints. Viewpoint-dependent accounts suggest that recognition may be based on an incremental transformation (e.g., mental rotation) strategy, while a variety of viewpoint-independent mechanisms for object recognition have also been proposed. Recent research in neurobiology, based on the two cortical visual systems account, suggest that the processes of viewpoint-dependent and viewpoint-independent object recognition may rely on separate anatomical regions, and that brain lesions may leave patients with selective access to particular types of representation. Evidence from a variety of neuropsychological disorders are reviewed to support the position that viewpoint-independent object recognition depends upon the integrity of occipitotemporal structures. In addition, it is suggested that viewpoint-dependent processes (perhaps depending on occipitoparietal structures) may supplement this primary system under nonoptimal circumstances.
OBJECTIVE: To evaluate the effect of immediate postexercise carbohydrate supplementation on muscle glycogen (MG) repletion during the first 4 hours of recovery in sled dogs. ANIMALS: 24 Alaskan Huskies. PROCEDURE: Dogs were assigned to 1 of 3 treatment groups, and a muscle biopsy specimen was obtained 1 hour before and immediately (group A) or 4 hours (groups B and C) after a 30-km run. Immediately after exercise, dogs in group A and group C were given water; dogs in group B were given a glucose polymer solution (1.5 g/kg of body weight) in water. RESULTS: At 4 hours after exercise, MG concentration was significantly greater in group-B than in group-C dogs; the value in group-C dogs was not different from the value in group-A dogs immediately after exercise. Assuming similar rates of glycogen depletion between treatment groups, during the first 4 hours of recovery, group-B dogs replaced 49% of the glycogen used during exercise. Plasma glucose concentration was significantly greater in group-B than in group-A and group-C dogs at 100 minutes after exercise. CONCLUSIONS: Immediate postexercise carbohydrate supplementation in sled dogs leads to increased glucose concentration, which in turn promotes more rapid rate of MG repletion in the first 4 hours of recovery than is observed in dogs not given supplements. CLINICAL RELEVANCE: For dogs running in multiple heats on a single day or over several consecutive days, immediate postexercise carbohydrate supplementation may promote more rapid and complete recovery between bouts of exercise.
Cells in the premotor cortex of the macaque monkey respond to the sight of specific hand actions made by either the animal itself or the experimenter. What could be the function of such cells?
Previous studies have reported that the visual form agnosic D.F. is able to use information about visual targets for the control of motor acts, but has great difficulty in using the same visual information for perceptual report. This intact visuomotor performance may be mediated by relatively intact parieto-frontal cortical mechanisms. The present study investigated the ability of D.F. to use binocular and monocular information about the orientation of an object in the depth plane for perceptual and visuomotor purposes. A square plaque was presented at seven different orientations in depth to D.F. and to three age- and sex-matched control subjects. Subjects were required to reach out and grasp the plaque using a precision grip (index finger and thumb) under binocular and monocular viewing conditions, and in separate trials to match the orientation of a hand-held plaque to the perceived orientation of the target object, also under both binocular and monocular conditions. D.F.'s performance in grasping trials was found to be normal under binocular conditions, but was substantially worsened by removal of binocular vision. She was severely impaired at matching the orientation of the test square, although under binocular conditions her performance rose clearly above chance. The data suggest that the separation of cortical processing for visuomotor and visual perceptual purposes also applies, at least in part, to information about the orientation in depth of an object. The impaired performance under monocular viewing conditions on the visuomotor task is in agreement with recent physiological data and suggests that posterior parietal systems depend critically on binocular input for the processing of orientation in depth when ventral-stream information is unavailable.