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G L Gottlieb

Publications and source records attributed to G L Gottlieb.

At least 19 recordsLinked to original sources

Muscle activation patterns in point-to-point and reversal movements in healthy, older subjects and in subjects with Parkinson's disease.

When young, healthy subjects perform rapid point-to-point and reversal movements over a range of distances, the patterns of muscle activation associated with accelerating the limb toward the target are modulated in the same way for both movement tasks. Differences in patterns of muscle activation for these two movement types are not observed until the deceleration phase of the movements. In this study, we first test the hypothesis that healthy, older subjects and subjects with Parkinson's disease will modulate the pattern of muscle activation in the same way during the acceleration phase of point-to-point and reversal elbow movements. Second, we test the hypothesis that healthy, older subjects and subjects with Parkinson's disease exhibit the same relationship in muscle activation patterns between the two movement types that have been observed for the young in the deceleration phase of the movements. Subjects performed point-to-point and reversal movements initiated in the direction of flexion over three distances (36, 54 and 72 degrees) "as fast as possible". Angle, velocity, acceleration and surface EMGs from biceps and triceps were recorded. With respect to the first hypothesis, the EMG, kinetic, and kinematic measures related to the acceleration phase of the movements were modulated in the same way for both movement types in the healthy older subjects. In the Parkinson's disease group, the kinematic and kinetic measures during the acceleration phase of the movements were the same in both movement types; however, the flexor and extensor EMG activation was smaller during reversal movements than during point-to-point movements. With respect to the second hypothesis, in contrast to that found in young subjects, in healthy older subjects, there was no significant difference between the movement types in the flexor EMG activity immediately after the time of peak velocity. This difference between younger and older subjects may be attributed to the fact that older subjects perform both movement types more slowly than do younger subjects. Although subjects with Parkinson's disease also move slowly, the flexor EMG shuts off more abruptly and more completely just after the time of peak velocity during reversal movements than during point-to-point movements. These results show that (1) for healthy subjects, when the task requirements are the same for the two movement types (acceleration phase), muscle activation patterns are modulated in the same way, and (2) both age and disease alter the relationship of muscle activation, kinetics and kinematics between point-to-point and reversal movements.

Aged↗

Influence of strategy on muscle activity during impact movements.

Participants (N = 10) made flexions or extensions about the elbow. Movements either were pointing (i.e., self-terminated) or terminated by impact on a barrier. The author examined how the trajectory and the electromyographic (EMG) patterns varied according to the distance moved, the instruction provided concerning speed, or the type of termination. Variations in kinematics induced by changes in the target distance or the instruction regarding speed were the same for impact and pointing movements. In comparison with a pointing movement of similar distance and speed instruction, an impact movement (a) accelerated longer and reached a higher velocity, (b) had a longer agonist EMG burst, and (c) had a low level of contraction that started slightly after the agonist burst and continued throughout the movement but had little or no antagonist burst. Because the different types of movements required different forces from the muscles, there were systematic, task-specific differences in EMG patterns that reflected task-specific differences in central control. The results of this experiment demonstrate that impact movements share some of the rules used in the control of other tasks, such as pointing and reversing movements. The sharing is not imposed by mechanical or physiological constraints but, rather, represents the imposition of internal constraints.

Adult↗

Geriatric mental health services research: Strategic Plan for an Aging Population: Report of the Health Services Work Group of the American Association for Geriatric Psychiatry.

In November 1999, a working group of the American Association for Geriatric Psychiatry (AAGP) convened to consider strategic recommendations for developing geriatric mental health services research as a scientific discipline. The resulting consensus statement summarizes the principles guiding mental health services research on late-life mental disorders, presents timely and topical priorities for investigation with the potential to benefit the lives of older adults and their families, and articulates a systematic program for expanding the supply of well-trained geriatric mental health services researchers. The agenda presented here is designed to address critical questions in provision of effective mental health care to an aging population and the health policies that govern its delivery.

Aged↗

Effect of age and gender in the control of elbow flexion movements.

In previous studies of rapid elbow movements in young healthy men, characteristic task-dependent changes in the patterns of muscle activation when movement speed or distance was varied have been reported. In the present study, the authors investigated whether age or gender is associated with changes in the patterns of muscle activity previously reported in young men. Arm movements of 10 healthy older and 10 healthy younger participants (5 men and 5 women in each group) were studied. Surface electromyograms (EMGs) from agonist (biceps) and antagonist (triceps) muscles, kinematic and kinetic parameters, as well as anthropometric and strength measures were recorded. All 4 groups of participants showed similar task- (distance or speed) dependent changes in biphasic EMG activity. Similar modulation of the initial rate of rise of the EMG, integrated agonist and antagonist EMG activity, as well as their relative timing were observed in all 4 groups. Those results suggest that older individuals of both genders retain the control strategies for elbow movements used by young individuals. Despite the qualitative similarities in the patterns of muscle activation, the men moved more quickly than the women, and younger participants moved more quickly than older participants. Those performance differences could not be explained in terms of differences in body size and strength alone.

Adult↗

Minimizing stress is not enough.

Muscle stress is plainly one of the physical variables that the central nervous system probably wishes to minimize. This criterion does not uniquely define the patterns of muscle activation. It fails to explain the degree of coactivation of muscle antagonists that is widely found, and it cannot explain why two movements or movement segments that follow an identical trajectory driven by identical joint torques can be driven by different patterns of muscle activation. Muscle contraction provides for both net joint torque and limb stability. The minimization of the sum of muscle stresses, raised to any power, is an insufficient rule.

Humans↗

Consensus statement on the upcoming crisis in geriatric mental health: research agenda for the next 2 decades.

It is anticipated that the number of people older than 65 years with psychiatric disorders in the United States will increase from about 4 million in 1970 to15 million in 2030. The current health care system serves mentally ill older adults poorly and is unprepared to meet the upcoming crisis in geriatric mental health. We recommend the formulation of a 15- to 25-year plan for research on mental disorders in elderly persons. It should include studies of prevention, translation of findings from bench to bedside, large-scale intervention trials with meaningful outcome measures, and health services research. Innovative strategies are needed to formulate new conceptualizations of psychiatric disorders, especially those given scant attention in the past. New methods of clinical and research training involving specialists, primary care clinicians, and the lay public are warranted.

Age Distribution↗

An unlearned principle for controlling natural movements.

Recently, Gottlieb and colleagues discovered a linear relation between elbow and shoulder dynamic torque in natural pointing movements in the sagittal plane. The present study investigates if the process of learning to reach involves discovering this linearity principle. We inspected torque data from four infants who were learning to reach and grab a toy in front of them. In a longitudinal study, we collected data both in the period before and after they performed their first successful reaches. Torque profiles at the shoulder and elbow were typically multipeaked and became more and more biphasic toward the end of the first year of life. Torques at the shoulder and elbow were correlated tightly for movements in the prereaching period as well as for reaches later in the year. Furthermore, slopes of a regression of shoulder dynamic torque on elbow dynamic torque were remarkably constant at a value approximately 2.5-3.0. If linear synergy is used by the nervous system to reduce the controlled degrees of freedom, it will act as a strong constraint on the complex of possible coordination patterns for arm movement early in life. Natural reaching movements can capitalize on this constraint because it simplifies the process of learning to reach.

Aging↗

Common principles underlying the control of rapid, single degree-of-freedom movements at different joints.

Studies of rapid, single degree-of-freedom movements have shown different changes in electromyographic patterns for movement tasks that appear very similar (e.g., movements over different ranges of distance). However, it is not clear whether these differences are a result of joint-specific control schemes or whether they are instead due to the limited range of task parameters studied relative to the mechanical constraints of each joint (e.g., short compared with long movements relative to the range of motion of a particular joint). In this study, we measured and compared the kinematic trajectories and electromyograms recorded during various movement tasks at the wrist, elbow, and ankle. Subjects performed movements over a wide range of distances "as fast as possible," "at a comfortable speed," and against two inertial loads (at the elbow only), and they performed movements over a fixed distance at three different speeds at the wrist and ankle. For fast movements we show that, in spite of some joint-specific differences, the basic pattern of electromyographic (EMG) modulation is similar at all three joints; for example, the agonist EMG burst transitions from a fixed duration to an increasing duration with increasing movement distance at all three joints. Moreover, the distance at which this transition occurs in one joint relative to the distance at which this transition occurs in the other two joints is consistent across subjects. The transition occurs at the shortest distance at the ankle and the longest distance at the wrist. In general we suggest that the data are consistent with a single set of control rules applied at all three joints, with the biomechanical constraints at each joint accounting for the differences in the EMG and kinematic patterns observed across joints.

Adult↗

Changes in the symmetry of rapid movements. Effects of velocity and viscosity.

Five subjects made rapid, discrete elbow flexion movements over different distances, against different inertial loads, as well as under distance and load combinations that kept movement time constant. The results demonstrated that an increase in peak movement velocity was associated with an increase in the temporal symmetry ratio of the movement (acceleration time divided by deceleration time), as well as with an increase in both agonist electromyographic (EMG) burst duration and antagonist EMG latency. Since an increase in peak movement velocity is associated with faster agonist muscle shortening, as well as with faster stretching of the antagonist muscle, we hypothesize that the velocity-related changes in movement symmetry can be viewed as, at least partially, a consequence of muscle viscosity. Viscosity increasingly resists the shortening agonist and assists the lengthening antagonist when movement velocity increases. Therefore, the agonist muscles require more time to produce the required impulse, while the antagonist muscle can brake the movement in a shorter period of time. In order to test the hypothesis that viscosity is responsible for the velocity-associated changes in the symmetry ratio, we performed a second experiment with distance and load combinations identical to those of the first experiment, but with different external viscous loads, which resisted the slower and assisted the faster movements. The results demonstrated that the movements became more symmetrical in the presence of the viscous load. There were also changes in agonist duration and antagonist latency. We conclude that changes in the symmetry associated with changes in movement velocity may be due to the effects of either muscle viscosity or changes in how muscles are activated to account for differences in viscous force.

Adult↗

Loss of dopamine D2 receptors in Alzheimer's disease with parkinsonism but not Parkinson's or Alzheimer's disease.

A significant proportion of patients with Alzheimer's disease (AD) exhibit extrapyramidal features that are referred to as parkinsonism (AD/Park) to distinguish the clinical and pathological features that differ from Parkinson's disease (PD). Previous results from this laboratory have shown that, although the presynaptic components of the dopamine (DA) system are markedly affected in AD/Park, the pathology is not similar to PD (Murray et al. 1995; Joyce et al. 1997). In the present study, we determined whether the parkinsonian symptoms in AD/Park might also reflect changes in numbers of postsynaptic DA receptors. We analyzed the binding of [125I]epidepride biding to DA D2/D3 receptors and [3H]SCH 23390 to D1 receptors by autoradiography in the striatum of six patients with PD, nine patients with AD, seven patients with AD/Park, and 14 neurologically intact control subjects. D2 receptors were reduced in the caudate and putamen of the AD/Park group (by 42 and 27% of controls, respectively) but not reduced in AD or PD. D1 receptors were elevated by 36% in the putamen of the PD group. Dopamine receptor changes are, therefore, not similar in PD, AD, and AD/Park. The elevation in D1 receptors in PD may contribute to the unwanted side effects of L-dopa treatment. The loss of D2 receptors in AD/Park, not observed in AD lacking overt parkinsonian symptomatology, may contribute to the presence of parkinsonian features and lack of responsiveness to L-dopa.

Aged↗

Rejecting the equilibrium-point hypothesis.

The lambda version of the equilibrium-point (EP) hypothesis as developed by Feldman and colleagues has been widely used and cited with insufficient critical understanding. This article offers a small antidote to that lack. First, the hypothesis implicitly, unrealistically assumes identical transformations of lambda into muscle tension for antagonist muscles. Without that assumption, its definitions of command variables R, C, and lambda are incompatible and an EP is not defined exclusively by R nor is it unaffected by C. Second, the model assumes unrealistic and unphysiological parameters for the damping properties of the muscles and reflexes. Finally, the theory lacks rules for two of its three command variables. A theory of movement should offer insight into why we make movements the way we do and why we activate muscles in particular patterns. The EP hypothesis offers no unique ideas that are helpful in addressing either of these questions.

Humans↗

Muscle activation patterns during two types of voluntary single-joint movement.

We examined the systematic variations in the EMG patterns during two types of single joint elbow movements. These patterns may be interpreted as exhibiting rules by which the CNS controls movement parameters. Normal human subjects performed two series of fast elbow flexion movements of 20-100 degrees in a horizontal plane manipulandum. The first series consisted of pointing movements (PMs) from an initial position to a target; the second series consisted of reversal movements (RMs) to the same targets with an immediate return to the starting position. Both series showed kinematic and electromyographic (EMG) patterns that followed our previously described speed-insensitive strategy for controlling movement distance. Kinematic patterns of PMs and RMs were identical to about the time of peak PM deceleration. Agonist EMG bursts were also initially the same, but RM bursts ended abruptly in a silent period, whereas PM bursts declined more gradually. Antagonist EMG bursts of RMs were later than those of PMs but were not larger, contrary to our prior expectation and despite the larger net extension torque during RMs. The increase in net RM extension-directed torque that takes the limb back to its initial position appears to be a consequence of reduced flexor muscle torque rather than increased extensor muscle torque. We propose that rules for movement control may be similar for different kinds of movements as long as they are functionally sufficient for the task. However, even in a single-joint movement paradigm, physics alone, that is, the knowledge of net muscle torque and limb kinematics, is not adequate to fully predict those rules or the muscle activation patterns they produce. These must be discovered by experiment. The simplest expression of such rules may not be in terms of torque or kinematic variables but rather explicitly in terms of muscle activation patterns.

Elbow Joint↗

Directional control of planar human arm movement.

We examined the patterns of joint kinematics and torques in two kinds of sagittal plane reaching movements. One consisted of movements from a fixed initial position with the arm partially outstretched, to different targets, equidistant from the initial position and located according to the hours of a clock. The other series added movements from different initial positions and directions and >40-80 cm distances. Dynamic muscle torque was calculated by inverse dynamic equations with the gravitational components removed. In making movements in almost every direction, the dynamic components of the muscle torques at both the elbow and shoulder were related almost linearly to each other. Both were similarly shaped, biphasic, almost synchronous and symmetrical pulses. These findings are consistent with our previously reported observations, which we termed a linear synergy. The relative scaling of the two joint torques changes continuously and regularly with movement direction. This was confirmed by calculating a vector defined by the dynamic components of the shoulder and elbow torques. The vector rotates smoothly about an ellipse in intrinsic, joint torque space as the direction of hand motion rotates about a circle in extrinsic Cartesian space. This confirms a second implication of linear synergy that the scaling constant between the linearly related joint torques is directionally dependent. Multiple linear regression showed that the torque at each joint scales as a simple linear function of the angular displacement at both joints, in spite of the complex nonlinear dynamics of multijoint movement. The coefficients of this function are independent of the initial arm position and movement distance and are the same for all subjects. This is an unanticipated finding. We discuss these observations in terms of the hypothesis that voluntary, multiple degrees of freedom, rapid reaching movements may use rule-based, feed-forward control of dynamic joint torque. Rule-based control of joint torque with separate dynamic and static controllers is an alternative to models such as those based on the equilibrium point hypotheses that rely on a positionally based controller to produce both dynamic and static torque components. It is also an alternative to feed-forward models that directly solve the problems of inverse dynamics. Our experimental findings are not necessarily incompatible with any of the alternative models, but they describe new, additional findings for which we need to account. The rules are chosen by the nervous system according to features of the kinematic task to couple muscle contraction at the shoulder and elbow in a linear synergy. Speed and load control preserves the relative magnitudes of the dynamic torques while directional control is accomplished by modulating them in a differential manner. This control system operates in parallel with a positional control system that solves the problems of postural stability.

Arm↗

Nonlinear control of movement distance at the human elbow.

The kinematic, kinetic, and electromyographic (EMG) patterns observed during fast, single-joint flexion movement have been widely studied as a paradigm for understanding voluntary movement. Several patterns have been described that depend upon the movement task (e.g., distance, speed, and load). A previous model that interpreted differences in EMG patterns in terms of pulse-height or pulse-width modulation of rectangular pulses of motoneuron pool excitation cannot explain all the EMG patterns reported in the literature. We proposed a more general version of that model, consisting of a set of four equations, which specify the parameters of the excitation pulses for a wide variety of movement tasks. Here we report experiments in which subjects performed fast elbow flexions over a range of distances from 2.8 degrees to 45 degrees. The EMG patterns that we observe are consistent with this more general model. We conclude that this model is sufficient to specify muscle excitation patterns that will launch a movement toward and stop it in the neighborhood of a target. This model operates on the basis of prior knowledge about the task rather than feedback received during the task.

Adult↗

Coordinating movement at two joints: a principle of linear covariance.

1. Six subjects performed fast, "single-joint" flexions at either the elbow or shoulder over three angular distances in a sagittal plane. Movement endpoints were located to require flexion of only a single, "focal" joint, without any external, mechanical constraint on the other, "nonfocal" joint. Three subjects performed another series of movements between two targets while moving along different paths and in which both joints were flexed. 2. We compared the torque patterns that were produced at the two joints. For single-joint movements, they were both biphasic pulses that accelerated and then decelerated the limb. 3. The torque at the nonfocal joint of a single joint movement was very close to linearly proportional to that at the focal joint throughout the movement. Elbow and shoulder torques differed by a linear scaling constant and went through extrema and zero crossings almost simultaneously. 4. In contrast, during movements in which subjects were explicitly instructed to use a hand path they would not naturally, use the linear interjoint torque scaling rule did not apply. This demonstrated that when we wish to move along a path between two targets that is not produced by linear torque covariation, we are able to modify that rule at will. 5. We speculate that linear, dynamic covariation of the torque patterns across two joints may be an important principle for reducing the number of degrees of freedom that the nervous system must independently control in performing unconstrained limb movements over naturally chosen paths.

Analysis of Variance↗

Coordinating two degrees of freedom during human arm movement: load and speed invariance of relative joint torques.

1. Eight subjects performed three series of pointing tasks with the unconstrained arm. Series one and two required subjects to move between two fixed targets as quickly as possible with different weights attached to the wrist. By specifying initial and final positions of the finger tip, the first series was performed by flexion of both shoulder and elbow and the second by shoulder flexion and elbow extension. The third series required flexion at both joints, and subjects were instructed to vary movement speed. We examined how variations in load or intended speed were associated with changes in the amount and timing of the electromyographic (EMG) activity and the net muscle torque production. 2. EMG and torque patterns at the individual joints varied with load and speed according to most of the same rules we have described for single-joint movements. 1) Movements were produced by biphasic torque pulses and biphasic or triphasic EMG bursts at both joints. 2) The accelerating impulse was proportional to the load when the subject moved "as fast and accurately as possible" or to speed if that was intentionally varied. 3) The area of the EMG bursts of agonist muscles varied with the impulse. 4) The rates of rise of the net muscle torques and of the EMG bursts were proportional to intended speed and insensitive to inertial load. 5) The areas of the antagonist muscle EMG bursts were proportional to intended movement speed but showed less dependence on load, which is unlike what is observed during single-joint movements. 3. Comparisons across joints showed that the impulse produced at the shoulder was proportional to that produced at the elbow as both varied together with load and speed. The torques at the two joints varied in close synchrony, achieving maxima and going through zero almost simultaneously. 4. We hypothesize that "coordination" of the elbow and shoulder is by the planning and generation of synchronized, biphasic muscle torque pulses that remain in near linear proportionality to each other throughout most of the movement. This linear synergy produces movements with the commonly observed kinematic properties and that are preserved over changes in speed and load.

Arm↗

On the voluntary movement of compliant (inertial-viscoelastic) loads by parcellated control mechanisms.

1. Experiments were performed to characterize the trajectories, net muscle torques, and electromyogram (EMG) patterns when subjects performed voluntary elbow flexions against different compliant loads. Subjects made movements in a single-joint manipulandum with different loads generated by a torque motor. Some series of movements were performed under entirely known and predictable load conditions. Other series were performed with the same known loads, interspersed, just before movement onset with occasional, unpredictable changes in the magnitude of the load. 2. To move a larger load, subjects increase the impulse (torque-time integral) by prolonging the duration of the accelerating torque while keeping its rate of rise constant. Subjects modulate torque most for inertial loads, less for viscous loads, and least for elastic loads, and modulation is greater under predictable than unpredictable load conditions. 3. Even when the loads are predictable, subjects move large inertial and viscous, but not elastic, loads more slowly than small. Unpredictable changes in load have a larger effect on movement kinematics than do known changes of the same magnitude. 4. Subjects prolong the duration and increase the area of the agonist EMG burst but do not change its rate of rise to move larger, predictable loads. Subjects change the area of the antagonist burst according to the torque requirements of the load, increasing it only for increases in inertial loads. These effects are usually greater for predictable than unpredictable loads but in either case, are highly variable across subjects. 5. Predictable loads that slow the movements delay the onset of the antagonist burst. When changes in load are unpredictable, only inertial changes affect antagonist latency. 6. The initial change in muscle force when there is an unexpected change in the external load is due to the viscous properties of muscle tissue. Electromyographic evidence of reflex changes in muscle activation follow this intrinsic mechanical response by 50-70 ms. Elastic neuromuscular properties may also be important but only late in the movement as the final position is approached. 7. We propose that the central command for a voluntary movement should be described by three elements. The first element (alpha) specifies the muscle activation pattern expected to generate dynamic forces adequate and appropriate to produce a satisfactory trajectory. This feed-forward control program uses simple rules, based on an internal model of task dynamics constructed from prior experience. The second element (lambda) is a kinematic plan or reference trajectory utilizing the negative feedback of reflex action to partially compensate for errors in alpha or for unexpected perturbations during the movement. It defines the locus of a moving, instantaneous equilibrium position of the limb, a "template" for the intended trajectory. As movements become slower and require smaller dynamic (velocity and acceleration dependent) forces, lambda will become the dominant control signal. It is also used for correction and updating of the internal model used to generate alpha. The third element (gamma) modulates volitional set, the degree and manner in which multiple reflex mechanisms can contribute to the muscle activation patterns if the actual trajectory deviates from the planned one. Reflex mechanisms work in parallel with intrinsic muscle compliance to provide partial adaptation of neuromuscular system dynamics to external load dynamics. These controlled compliant mechanisms maintain the stability of the motor system, without which both posture and movement would not be possible.

Elbow↗