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Biomedical subjects

J Duysens

Publications and source records attributed to J Duysens.

At least 37 records · Page 2Linked to original sources
PubMed2004

Cutaneous reflexes from the foot during gait in hereditary spastic paraparesis.

OBJECTIVE: It is known that P2 cutaneous reflexes from the foot show phase-dependent modulation during gait. The role of the motor cortex and the cortico-spinal tract in these reflexes and their modulation is unknown. Patients with hereditary spastic paraparesis (HSP) have a lesion in the cortico-spinal tract and may show deficits in P2 reflexes and/or their modulation. METHODS: Reflex responses of tibialis anterior and biceps femoris after sural nerve stimulation in 10 HSP-patients were compared with those in 10 healthy subjects. The reflexes were studied at two different moments in the step cycle during walking on a treadmill. RESULTS: Both patients and controls showed a phase-dependent modulation of P2 responses. For the individual muscles, no significant difference in reflex activity was observed between HSP-patients and the controls. However, when all muscles were taken together, the reflex activity for the controls was significantly higher than for the patients. CONCLUSIONS: The results of this study suggest that the cortico-spinal tract is involved in the regulation of the amplitude of the P2 responses and their phase-dependent modulation.

Adult↗
PubMed2004

Gait adjustments in response to an obstacle are faster than voluntary reactions.

It has been reported that obstacle avoidance reactions during gait have very short latencies. This raises the question whether the cortex can be involved, as it is in voluntary reactions. In this study, latencies of obstacle avoidance (OA) reactions were determined and related to latencies of voluntary stride modifications and simple reaction times (SRT) of hand and foot. Twenty-five healthy young adults participated in this study. While they were walking on the treadmill, an obstacle suddenly fell in front of their left leg. The first reaction to the obstacle was the moment at which the differentiated acceleration curve of the foot deviated from the control signal. Latencies of OA reactions were 122 ms (SD 14 ms) on average. Two very different avoidance reactions (lengthening and shortening of the stride) were noticed, but there was no avoidance strategy effect on OA latencies. OA latencies were significantly shorter as compared to latencies of voluntary stride modifications and simple reaction times of hand and foot. The short OA latencies could not only be explained from the dynamic nature of the task. It is suggested that subcortical pathways might be involved in obstacle avoidance.

Cues↗
PubMed2004

Development of unimanual versus bimanual task performance in an isometric task.

Sixty-three children between 5 and 12 years of age and 15 adults performed a unimanual and a bimanual isometric force task. The performance of the preferred hand in the unimanual task was compared to the performance of the preferred hand in the bimanual task. It was hypothesized that in the bimanual task the absolute error will be higher, there will be more irregularity and the participants will need more time due to the additional effort from the central nervous system, especially with respect to the communication between the hemispheres. Furthermore, in younger children bimanual force variability was expected to be higher due to developmental aspects concerning callosal maturation and attention. It was found that with respect to force generation the preferred hand was not affected by bilateral isometric force generation, but with respect to force regulation it was. The coefficient of variation (CV) of the force was 34% larger in the bimanual task as compared to the unimanual task. For the time to target force, the increase was 28%. With repetition of the trials the CV decreased in the bimanual task, but only in the youngest age group. During development there was no change in absolute error, yet there was a major reduction in force variability in the bimanual task. It is suggested that improvement in interhemispheric communication and in the ability to focus attention plays a role in the decrease in variability with age.

Adult↗
PubMed2004

Compensation for rotational malalignment after intramedullary nailing for femoral shaft fractures. An analysis by plantar pressure measurements during gait.

INTRODUCTION: Even though rotational malalignment due to a femoral shaft fracture leads to clinical complaints, a large number of patients may have none of significance. The ability to compensate may play a role. The purpose of this study is to give insight into aspects of compensatory gait of patients with a femoral malrotation and the relation with clinical complaints. METHODS: In a cross-sectional laboratory setting, foot-progression angles (FPA) during gait were measured using a foot scan device. Results were related to CT determined femoral torsion and clinical complaints. RESULTS: Patients with external (EMR) or internal malrotation (IMR) showed differences in foot-progression angles (DeltaFPA) in the same direction of their malrotation. Compared to IMR patients, EMR patients appeared to compensate less for their malrotation. No statistically significant differences were detected between these groups for absolute and relative compensation. EMR patients scored worse at the Oxford 12-item and WOMAC score and experienced more problems executing demanding activities than do patients without malrotation. Correlations were found between Oxford 12-item and WOMAC score and relative compensation. CONCLUSIONS: Femoral torsion and the FPA are strongly related. All patients compensate towards normal values of FPA at their fractured side. Patients who are less able to compensate have more physical complaints. EMR patients tend to have more complaints and difficulty compensating.

Adaptation, Physiological↗
PubMed2004

Speed related changes in muscle activity from normal to very slow walking speeds.

The study of neuromuscular activity at very slow walking speeds may lead to a better understanding of the mechanisms underlying speed regulation during walking, and may aid the interpretation of gait data in patients who walk slowly. Extreme reductions in walking speed will cause changes in locomotor task demands that may eventually result in modifications of the patterning of muscle activity that underlies walking. The aim of the present study was to investigate patterns of lower limb muscle activity during very slow walking (< 0.28 m s(-1)), and to study the neuromuscular gain functions that reflect the phase dependent effects of walking speed on electromyographic (EMG) amplitude. Nine healthy young adults walked at seven different walking speeds (1.39, 0.83, 0.28, 0.22, 0.17, 0.11, and 0.06 m s(-1)) while EMG was recorded from eight lower extremity muscles. Results showed that the phasing of muscle activity remained relatively stable over walking speeds despite substantial changes in its amplitude. However, between 1.39 and 0.28 m s(-1), epochs of Rectus femoris, Biceps femoris and Tibialis anterior activities were found that were typical for specific speed ranges. When walking speed decreased further to almost standing still (0.06 m s(-1)), negative gain values were found in Peroneus longus during midstance and Rectus femoris in late swing, indicating the emergence of new bursts of activity with decreasing walking speed. It is proposed that these extra activities may be attributed to increased demands on postural stability, and the altered dynamics of the swinging limb at very slow speeds.

Adult↗
PubMed2003

Retinal slip during active head motion and stimulus motion.

Gaze control in various conditions is important, since retinal slip deteriorates the perception of 3-D shape of visual stimuli. Several studies have shown that visual perception of 3-D shape is better for actively moving observers than for passive observers watching a moving object. However, it is not clear to what extent the improved percept of 3-D shape for active observers has to be attributed to corollary discharges to higher visual centers or whether the improved percept might be due to improved gaze stabilization during active head movements. The aim of this study was to measure binocular eye movements and to make a quantitative comparison of retinal slip for subjects instructed to fixate a visual stimulus in an active condition (subject makes an active head movement, object is stationary) and in a passive condition (the stimulus moves, the subject is stationary) for various movement frequencies, viewing distances, and stimulus diameters. Retinal slip remains below the "acuity threshold" of about 4 deg/s in active conditions, except for the highest frequency tested in this study (1.5 Hz) for nearby targets (0.25 cm). Retinal slip exceeds this threshold for most passive conditions. These results suggest that the enhanced performance in the visual perception of 3-D shape during active head movements can, at least partly, be explained by better fixation by actively moving observers.

Adult↗
PubMed2003

Reflex responses in the lower leg following landing impact on an inverting and non-inverting platform.

In the lower leg, landing after a jump induces reflexes, the role of which is not well understood. This is even more so for reflexes following landing on inverting surfaces. The latter condition is of special interest since ankle inversion traumata are one of the most common injuries during sport. Most studies have investigated ankle inversions during a static standing condition. However, ankle injuries occur during more dynamic activities such as jumping. Therefore, the present study aimed at reproducing these situations but in a completely safe setting. EMG responses were recorded after landing on an inverting surface, which caused a mild ankle inversion of 25 deg of rotation (in a range sufficient to elicit reflexes but safe enough to exclude sprains). The results are compared with data from landing on a non-inverting surface to understand the effect of the inversion. In general, landing on the platform resulted in short and long latency responses (SLR and LLR) in triceps surae (soleus, gastrocnemius medialis and lateralis) and peroneal muscles (long and short peroneal) but not in the tibialis anterior muscle. Landing on the inverting platform caused significant LLRs in the peroneal muscles (which underwent the largest stretch) but not in the triceps muscles. Conversely, landing on a non-inverting platform induced larger SLRs in triceps than in the peroneal muscles. Although the peroneal LLRs thus appeared to be selectively recruited in an inverting perturbation, their role during such perturbations should be limited since the latency of these responses was about 90 ms while the inversion lasts only 42 ms. The SLRs, if present, had an onset latency of around 44 ms. In the period following the inversion, however, the responses may be important in preventing further stretch of these muscles.

Adult↗
PubMed2003

Suppressive musculocutaneous reflexes in tibialis anterior following upper leg stimulation at the end of the swing phase.

In the cat it is known that the distribution and modulation of the so-called P2 responses are similar, irrespective of whether they are obtained with electrodes implanted in the different skin areas or in the various leg muscles. In man it is known that the specific stimulation of cutaneous afferents from different parts of the foot evokes P2 responses, the phase-dependent modulation pattern of which exhibits both location-specific and common features. Responses generally differ, but one striking feature is the occurrence of suppressive responses in the tibialis anterior (TA) of the ipsilateral (i) leg at the end of the swing phase independent of the nerve stimulated. The question arises of whether this aspecificity is limited to the foot. Can similar suppressive P2 responses in iTA be obtained when afferents outside the region of the foot are stimulated during walking? If so this would indicate that there is a very general suppression occurring of input to the TA motor neuron pool, for example through presynaptic inhibition of a corticospinal drive. To answer this type of question the motor responses following transcutaneous stimulation of the rectus femoris (RF) and the motor responses following stimulation of the femoral nerve branch innervating the skin area above the quadriceps were determined during human locomotion. Electromyographic (EMG) activity in iTA was recorded by means of surface electrodes. In all subjects (N=10), the first consistent responses following RF stimulation occurred at about 80 ms poststimulus. The amplitude of these responses showed a clear phase-dependent modulation pattern. Facilitatory responses occurred during the end stance and early swing phase and turned into suppressive responses at the end of the swing phase. To investigate whether cutaneous afferents overlying the RF determined some of the responses following transcutaneous RF stimulation, the experiments were repeated following local anesthesia of the skin under the stimulation electrodes. This did not affect the responses substantially, indicating that most of the RF stimulation results were related to activation of muscle afferents. A similar phase-dependent modulation pattern was found following stimulation of cutaneous afferents of the femoral nerve (Fn). However, this phase-dependent modulation pattern was less pronounced and less consistent over the subjects when compared to the one found following RF stimulation. Our first conclusion is that the results show that P2 reflexes can be elicited both by stimulation of cutaneous afferents in the foot and by proximal cutaneous nerve and muscle stimulation. Secondly, it can be concluded that the suppressive responses at the end of the swing phase are present for both RF stimulation and stimulation of cutaneous afferents of the foot. This result indicates that a wide variety of afferent inputs have a suppressive influence on the input drive to TA motor neurons just prior to heel strike.

Adult↗
PubMed2003

Fine motor deficiencies in children with developmental coordination disorder and learning disabilities: an underlying open-loop control deficit.

Thirty-two children with Developmental Coordination Disorder (DCD) and learning disabilities (LD) and their age-matched controls attending normal primary schools were investigated using kinematic movement analysis of fine-motor performance. Three hypotheses about the nature of the motor deficits observed in children with LD were tested: general slowness hypothesis, limited information capacity hypothesis, and the motor control mode hypothesis. Measures of drawing movements were analyzed under different task conditions using a Fitts' paradigm. In a reciprocal aiming task, the children drew straight-line segments between two targets 2.5 cm apart. Three Target Sizes were used (0.22, 0.44, and 0.88 cm). Children used an electronic pen that left no trace on the writing tablet. To manipulate the degree of open-loop movement control, the aiming task was performed under two different control regimes: discrete aiming and cyclic aiming. The kinematic analysis of the writing movements of the 32 children with DCD/LD that took part in the experimental study confirmed that besides learning disabilities they have a motor learning problem as well. Overall, the two groups did not differ in response time, nor did they respond differently according to Fitts' Law. Both groups displayed a conventional trade-off between Target Size and average Movement Time. However, while movement errors for children with DCD/LD were minimal on the discrete task, they made significantly more errors on the cyclic task. This, together with faster endpoint velocities, suggests a reduced ability to use a control strategy that emphasizes the terminal control of accuracy. Taken together, the results suggest that children with DCD/LD rely more on feedback during movement execution and have difficulty switching to a feedforward or open-loop strategy.

Biomechanical Phenomena↗
PubMed2003

Development of isometric force and force control in children.

Fifty-six children between 5 and 12 years of age and 15 adults performed a task (pressing on a lever with the index finger of the preferred hand), in which a force had to be maintained constant at five levels with on-line visual feedback. Since this is a simple isometric task, the hypothesis is that optimal performance (in terms of force variability control) closely matches the maturation of the corticospinal tract up to age 10. It was found that maximum voluntary contraction (MVC) matured over the full range of the examined age groups. In contrast, the coefficient of variation of force showed maturation mainly up to the age of 9-10, as hypothesised. Gender differences were found for MVC but not for the other force control parameters. Power spectral density analysis revealed developmental differences in the lower (1-6 and 7-12 Hz) and higher frequencies bands (13-18 and 19-24 Hz). In the lowest frequency range the amount of energy decreased with age, presumably because young children (5-8 years of age) rely more heavily on control from proprioceptive and visual feedback. It is argued that with increasing neural maturation the control processes become more dependent upon internal representation manifested by feed forward control that starts to substitute feedback-based control.

Adult↗
PubMed2003

Distraction affects the performance of obstacle avoidance during walking.

In this study, dual-task interference in obstacle-avoidance tasks during human walking was examined. Ten healthy young adults participated in the experiment. While they were walking on a treadmill, an obstacle suddenly fell on the treadmill in front of their left leg during either midswing, early stance, or late stance of the ipsilateral leg. Participants were instructed to avoid the obstacle, both as a single task and while they were concurrently performing a cognitive secondary task (dual task). Rates of failure, avoidance strategy, and a number of kinematic parameters were studied under both task conditions. When only a short response time was available, rates of failure on the avoidance task were larger during the dual task than during the single task. Smaller crossing swing velocities were found during the dual task as compared with those observed in the single task. The difference in crossing swing velocities was attributable to increased stiffness of the crossing swing limb. The results of the present study indicated that divided attention affects young and healthy individuals' obstacle-avoidance performance during walking.

Adult↗
PubMed2002

Responses of neurons in area VIP to self-induced and external visual motion.

Single-unit recordings were obtained from directionally tuned neurons in area VIP (ventral intraparietal) in two rhesus monkeys under conditions of external (passive) and self-induced (active) visual motion. A large majority of neurons showed significant differences in directional tuning for passive and active visual motion with regard to preferred direction and tuning width. The differences in preferred directions are homogeneously distributed between similar and opposite. Generally, VIP neurons are more broadly tuned to passive than to active visual motion. This is most striking for the group of cells with widely different preferred directions in active and passive conditions. Response amplitudes to passive and active visual motion are not different in general, but are slightly smaller for passive visual motion if the preferred directions differ widely. We conclude that VIP neurons can distinguish between passive and active visual motion.

Animals↗
PubMed2002

Mechanically induced ankle inversion during human walking and jumping.

A new method to study sudden ankle inversions during human walking and jumping is presented. Ankle inversions of 25 degrees were elicited using a box containing a trap door. During the gait task, subjects walked at a speed of 4 km/h. At a pre-programmed delay after left heel strike, an electromagnet released the box on the treadmill. This delay enabled the subject to step on the box without having to change the walking cadence. During the jumping task, subjects jumped from a 30 cm high platform on the box in a standardised way. In both tasks 20 stimulus and 20 control trials were presented randomly. The average tilting velocity of the trap door during the stimulus trials was 403 degrees /s during the walking task and 595 degrees /s during the jumping task. For the control trials a tilting of 0 degrees was used. With this method it is possible to evoke reproducible ankle inversions causing characteristic EMG responses in six lower leg muscles.

Adult↗
PubMed2002

Adaptations in arm movements for added mass to wrist or ankle during walking.

The aim of the present study was to answer the question whether adaptations to local perturbations are restricted to the perturbed limb or whether they induce a reorganization of all co-moving limbs. Specifically, we studied the adaptations in arm movements to mass perturbations in seven healthy adults during walking on a treadmill. Four different perturbation conditions were employed in random order (no perturbation, mass added to both wrists, to the right wrist, and to the right ankle). During each experimental condition ten different belt speeds (0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0 km/h) were successively offered, while the arm movements and the electromyographic activity of the musculus deltoid posterior and anterior were measured. The results indicated that cadence was not affected by adding mass to the wrist or ankle. However, adding mass to a wrist not only resulted in an increase in muscle activity and a decrease of movement amplitude of the perturbed arm, but also in alterations in the non-perturbed arm. Notably, adding mass to one ankle induced adaptive changes in both arms, in that both muscle activity and arm movement increased. The present results indicate that during walking the loading of one of the limbs induces a general reorganization, involving all participating bodily segments, presumably to maintain balance while providing rhythm constancy.

Adaptation, Physiological↗
PubMed2002

The breakdown of Fitts' law in rapid, reciprocal aiming movements.

According to Fitts' law, there is speed-accuracy trade-off in a wide variety of discrete aiming movements. However, it is unknown whether the same law applies to cyclic aiming movements. In the present study, a comparison is made between discrete versus cyclic aiming movements. A group of 24 healthy participants made graphical pen movements in 12 different aiming tasks in which successive finger and wrist movements were emphasized, consecutively executed as discrete and cyclic movements and varying in three target widths. In the cyclic condition, aiming movements consisted of back-and-forth movements that were performed in immediate succession for 20 s. In the discrete condition, back-and-forth aiming movements were drawn as 20 single strokes, starting after a go signal and stopping after reaching the target area. The targets had various levels of spatial accuracy and the movements had different directions (from lower left to upper right; from lower right to upper left) elicit either predominantly wrist or finger movements. The amount of information processed per unit of time (bits per second; index of performance, IP), tangential velocity, the pen pressure, and the ratio of peak-over-mean velocity were studied to gain understanding about the differences in control between discrete and cyclic movements. It was found that the IP and movement velocity were almost twice as large in cyclic versus discrete movements. In contrast, the axial pen pressure and the ratios of peak-over-mean velocity were much lower in cyclic movements (1.24 N versus 0.94 N; 2.26 N versus 1.81 N). The results of our study indicate that the predicted constant IP does not hold for rapid cyclic aiming movements and that speed-accuracy trade-off is different. It is concluded that cyclic movements exploit the energetic and physiological properties of the neuromotor system. Expected differences in brain activity related to discrete and cyclic aiming movements are discussed as well as several neurophysiological mechanisms, which predict more economic force recruitment and information processing in cyclic than in discrete movements.

Adult↗
PubMed2002

A walking robot called human: lessons to be learned from neural control of locomotion.

From what we know at present with respect to the neural control of walking, it can be concluded that an optimal biologically inspired robot could have the following features. The limbs should include several joints in which position changes can be obtained by actuators across the joints. The control of mono- and biarticular actuators should occur at least at three levels: one at direct control of the actuators (equivalent to motoneuron level), the second at indirect control acting at a level which controls whole limb movement (flexion or extension) and the third at a still higher level controlling the interlimb coordination. The limb level circuits should be able to produce alternating flexion and extension movements in the limb by means of coupled oscillator flexor and extensor parts which are mutually inhibitory. The interlimb control level should be able to command the various limb control centers. All three control levels should have some basic feedback circuits but the most essential one is needed at the limb control level and concerns the decision to either flex or extend a given limb. The decision to activate the extensor part of the limb oscillator has to be based on feedback signalling the onset of loading of the limb involved. This should be signalled by means of load sensors in the limb. The decision to activate the flexor part of the limb oscillator has to depend on various types of feedback. The most important requirement is that flexion should only occur when the limb concerned is no longer loaded above a given threshold. The rule for the initiation of limb flexion can be made more robust by adding the requirement that position at the base of the limb ("hip") should be within a normal end of stance phase range. Hence, human locomotion is thought to use a number of principles which simplify control, just as in other species such as the cat. It is suggested that cat and human locomotion are good models to learn from when designing efficient walking robots.

Animals↗
PubMed2001

Constraints during bimanual coordination: the role of direction in relation to amplitude and force requirements.

The present study addressed the status of spatial encoding during a bimanual task paradigm. This was based on the premise that patterns of contralateral interference during bimanual coordination provide a window into those movement parameters that are primarily encoded within the central nervous system. Results showed that both direction and amplitude were subject to (bilateral) interference when different specifications were to be generated simultaneously for each limb. Directional interference was found to be partially independent of the amount and pattern of underlying muscle activation, suggesting that direction is encoded at a rather abstract level in the central nervous system. The findings are consistent with single-cell recording studies that have pointed to the role of directional tuning in various brain areas. Moreover, the findings suggest that spatial parameters of movement constrain the coordination of limb movements in addition to temporal parameters.

Adult↗