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Biomedical subjects

K M Newell

Publications and source records attributed to K M Newell.

At least 37 records · Page 2Linked to original sources

The dynamics of resting and postural tremor in Parkinson's disease.

OBJECTIVE: The study examines the time and frequency structure of Parkinson's disease tremor in patients that exhibit no clinical signs of tremor. METHODS: Eight mild to moderate Parkinson's disease and 8 matched control subjects maintained their limb in a constant position (30 s) under a postural finger, postural hand and resting tremor condition. Finger acceleration from the middle phalange, electromyographic (EMG) activity from extensor digitorum communis and flexor digitorum superficialis (FDS) were recorded. RESULTS: The data confirmed that there were no differences in the amount of limb motion and the modal frequency was around 9 Hz for each subject group. The time-dependent organization of tremor was more regular (lower approximate entropy [ApEn]) in Parkinson's disease. Both time and frequency analyses between the acceleration and extensor EMG signals demonstrate a reduction in the 20-25 Hz tremor component and an increase in the 8-12 Hz region of tremor. CONCLUSIONS: The results are discussed in relation to the proposal that increased regularity results from an increase in motor unit synchronization at 8-12 Hz and a reduction in the amplitude of the 20-25 Hz tremor component. The time and frequency structure of tremor may be useful in assessing individuals with Parkinson's disease.

Aged↗

Postural and resting tremor in the upper limb.

OBJECTIVE: Tremor from multiple segments of the upper limb was recorded under postural and resting conditions. The aims of this study were to examine the nature of tremor within a single limb segment, intra- and inter-limb co-ordination of tremor, and the influence of cardiac mechanical events on physiological tremor. METHODS: Tremor was recorded from eight healthy adult subjects during a postural pointing task where the level of support for the upper limb segments was successively increased. The dynamics of tremor within a single segment were examined using power spectral, ApEn and amplitude analyses. Inter-segment tremor relations were determined using coherence and Cross-correlation analyses. RESULTS: Single segment analysis demonstrated that each (unsupported) limb segment contained two major frequency peaks (at 1-4 Hz and 8-12 Hz). Both peaks were still evident in the distal segments when the proximal segments were supported. External support of the more proximal limb segments also resulted in decreased finger tremor, but these changes were not simply additive over segments within a limb or equal across fingers. There were significant relations between adjacent proximal and distal limb segment pairs but no correlations between contralateral limb segments or between heart rate and limb tremor. CONCLUSIONS: These findings imply that: the low frequency component (1-4 Hz) of physiological tremor in the hand and finger could not be attributed to passive transmission of oscillations from the upper arm and forearm; and the contribution of proximal segments on tremor in the index finger tremor could not be predicted from mechanical principles alone. The minimization of finger tremor involved compensatory coupling of segments of the upper arm with particular emphasis upon active control of the wrist joint.

Acceleration↗

Body-scaled transitions in human grip configurations.

This article reports two experiments that were set up to examine the preferred human grip configuration used to displace cubes that varied in length (Lc), mass (Mc), and density (ML3). In particular, the authors sought to provide a more precise test of a dimensional relation between the object and the hand that had previously been shown to predict the grip configuration used to transport an object from one location to another. The experiments examined 2 grip transitions (from 3 digits to 4 digits and from 1 hand to 2 hands) within 2 sets of object conditions. In Experiment 1, cubes with a low density and a small increment in size (1 mm) were used, whereas in Experiment 2, cubes with 2 fixed sizes and small increments in mass were used. The results showed that the body-scaled equation K = logLc + (logMc/a + bMh + cLh), where Mh and Lh are the anthropometric measures of the hand mass and length and a, b, and c are empirical constants, is the body-scaled information that predicts the grip configurations used to displace objects.

Adult↗

Coordination of grip configurations as a function of force output.

In this investigation, the authors examined the coordination and control of force production by the digits of the hand as a function of criterion force level and grip configuration. Each adult participant (N = 6: 3 men and 3 women) was required to place the thumb and a finger (or fingers) upon load cells that were fixed to a grasping apparatus that was clamped to a table. In the task, participants had to match a criterion continuous constant total force level displayed on a computer screen. There were 10 trials at each grip configuration and criterion force level combination on each of 3 consecutive days. The results showed that (a) different grip configurations minimized error at each force level; (b) there was a specific digit pairing within a given grip configuration that produced the highest correlation of force output; (c) the correlation between the force output of digits generally increased at higher force levels; (d) error was reduced at each force level and grip configuration over the practice period; and (e) the organization of the force output of each digit varied as a function of digit, force level, grip configuration, and practice. The findings are consistent with the hypothesis that coordination of the digits in prehension is reflective of an adaptive, task-specific solution that is modified with practice.

Adult↗

Variability and noise in continuous force production.

In the present 3 experiments, the authors examined the hypothesis, derived from information theory, that increases in the variability of motor responses result from increases in perceptual-motor noise. Three different groups of participants (Ns = 10, 9, and 10, respectively, in Experiments 1, 2, and 3) produced continuous isometric force under either low, intermediate, or high target force levels. When considered together, the results showed that force variability (SD) increased exponentially as a function of force level. However, an index of information transmission (M/SD), as well as measures of noise in both the time (approximate entropy) and the frequency (power spectrum) domains, changed according to an inverted-U-shaped function over the range of force levels. The findings provide further evidence that increased information transmission is related to increases, and not to decreases, in the noisiness of the structure of force output.

Adolescent↗

Force and timing variability in rhythmic unimanual tapping.

In 3 experiments the interdependencies between timing and force production in unimanual paced and self-paced rhythmic tapping tasks were examined as participants (N = 6 in each experiment) tapped (a) to 1 of 3 target periods (333 ms, 500 ms, and 1,000 ms), while they simultaneously produced a constant peak force (PF) over a 50-s trial; (b) to produce 1 of 3 target forces (5, 10, and 15 N) at their preferred frequency, while keeping their rhythm as invariant as possible; and (c) to all combinations of target force and period. The results showed that (a) magnitudes of force and period were largely independent; (b) variability in timing increased proportionally with tapping period, and the variability in force increased with peak force; (c) force variability decreased at faster tapping rates; and (d) timing variability decreased with increasing force levels. (e) Analysis of tap-to-tap variability revealed adjustments over sequences of taps and an acceleration in the tapping rate in unpaced conditions. The interdependencies of force and time are discussed with respect to the challenges they provide for an oscillator-based account.

Adult↗

On learning to move randomly.

In 2 experiments, the authors examined whether and to what degree young adults can learn to produce random planar motion of the index finger or fingers. Three different types of information feedback were provided to the participants (N = 8 in each experiment) over up to 5 days of practice across the 2 experiments. The results from both experiments revealed that the participants produced a relatively low level of movement randomness in finger motion and that they did not learn through practice to enhance the stochastic properties of their movement under any feedback conditions. The findings provide further evidence that there are relatively tight constraints on the number of dimensions that are regulating single-limb planar motion and that those constraints are not susceptible to change through typical learning protocols.

Adult↗

Limb stiffness and postural tremor in the arm.

The relation between limb stiffness and postural tremor in the upper arm was investigated during a pointing task. The task goal was to minimize the amount of motion (tremor) at the index finger under levels of increasing limb stiffness. This study investigated the influence of increasing limb stiffness on the pattern of intra- and interlimb dynamics. The frequency profile of the tremor for all limb segments across all conditions displayed two peaks, one between 2-4 Hz and another between 8-12 Hz. A third, higher frequency component (20-22 Hz) was present in the index finger. Increasing limb stiffness through voluntary co-contraction of antagonistic muscle pairs effectively constrained the segments of the upper limb to increasingly operate as a single biomechanical degree of freedom. Higher levels of limb stiffness typically led to an increase in the frequency and power of the 2-4 and 8-12 Hz peaks. There was also a decrease in the frequency of the 20-22 Hz component of finger tremor. The act of reducing the effective degrees of freedom in joint space through voluntarily stiffening of the upper limbs also resulted in decreased performance as determined by an increase in finger tremor. In the preferred, natural level of limb stiffness, specific intralimb segment relations were observed but there was no significant interlimb coupling. The intralimb segment correlations were characterized by compensatory (out of phase) coupling between the upper arm/forearm and hand/index finger segment pairs of each limb that were organized about the action of the wrist joint. Increasing the degree of limb stiffness led to a decrease in the level of intralimb coupling. The findings suggest that the most efficient mechanism for reducing tremor at the periphery is that of compensatory coupling between relevant intralimb segments with a low level of limb stiffness.

Adult↗

Intermittency in the control of continuous force production.

The purpose of the current investigation was to examine the influence of intermittency in visual information processes on intermittency in the control continuous force production. Adult human participants were required to maintain force at, and minimize variability around, a force target over an extended duration (15 s), while the intermittency of on-line visual feedback presentation was varied across conditions. This was accomplished by varying the frequency of successive force-feedback deliveries presented on a video display. As a function of a 128-fold increase in feedback frequency (0.2 to 25.6 Hz), performance quality improved according to hyperbolic functions (e.g., force variability decayed), reaching asymptotic values near the 6.4-Hz feedback frequency level. Thus, the briefest interval over which visual information could be integrated and used to correct errors in motor output was approximately 150 ms. The observed reductions in force variability were correlated with parallel declines in spectral power at about 1 Hz in the frequency profile of force output. In contrast, power at higher frequencies in the force output spectrum were uncorrelated with increases in feedback frequency. Thus, there was a considerable lag between the generation of motor output corrections (1 Hz) and the processing of visual feedback information (6.4 Hz). To reconcile these differences in visual and motor processing times, we proposed a model where error information is accumulated by visual information processes at a maximum frequency of 6.4 per second, and the motor system generates a correction on the basis of the accumulated information at the end of each 1-s interval.

Adult↗

Dynamics of lip dyskinesia associated with neuroleptic withdrawal.

The lip movements associated with dyskinesia in adults with mental retardation were investigated through a dynamic analysis at medication baseline, at the points of the highest level of withdrawal dyskinesia as indexed by the DISCUS rating scale, and at the lowest level of dyskinesia following complete withdrawal of the medication. Results showed that the changes in the amount of lip oscillations following medication reduction and eventual withdrawal were strongly linked to changes in the structural complexity of the dynamics of lip motions. These findings provide evidence that neuroleptic medication reduces the df of the dynamics of the movement output and that this change is inversely related to the level of tardive dyskinetic motion observed in the clinical setting.

Adolescent↗

Noise, information transmission, and force variability.

This study was designed to test the hypothesis derived from information theory that increases in the variability of motor responses result from increases in perceptual-motor noise. Young adults maintained isometric force for extended periods at different levels of their maximum voluntary contraction. Force variability (SD) increased exponentially as a function of force level. However, the signal-to-noise ratio (M/SD), an index of information transmission, as well as measures of noise in both the time (approximate entropy) and frequency (power spectrum) domains, changed according to an inverted U-shaped function over the range of force levels. These findings indicate that force variability is not directly related to noise but that force output noisiness is positively correlated with the amount of information transmitted.

Adult↗

The scaling of human grip configurations.

The many degrees of freedom of the hand and arm afford the wide range and rich adaptability of human grip configurations in action. Several classification schemes of human grip configurations have been proposed, but none is based on scaling laws of physical biology, which are well established for other categorizations of fundamental physical activities such as locomotion. This study examined the preferred human grip configurations used to displace to a new location cubes that varied systematically in length (L), mass (M), and density (ML-3). The body-scaled equation K = log L + (log M)/h (where h refers to anthropometric measures of the hand) predicted the grip configurations used to displace objects. The findings suggest that information about the dynamic scaling relation is picked up visually and organizes the many degrees of freedom of the hand-arm complex in the coordination of prehensile grip configurations.

Adult↗

On taking the grasping out of prehension.

Smeets and Brenner provide a very clear and useful statement of the work that has been stimulated by Jeannerod's 1984 paper but seem more concerned about the viability of model fitting than model assumptions. The theoretical and practical limitations of viewing "grasping as nothing more than pointing" are noted. We reemphasize the importance in prehension of the union of the hand with the object in the act of realizing a task goal.

Biomechanical Phenomena↗

Dynamics of self-injurious behaviors.

Self-injurious behavior was examined in a case study of head-banging by an 8-year-old girl with profound mental retardation and an autistic disorder. Trajectories of the arm movements and impact forces of the head blows were determined from a dynamic analysis of videotapes. Results revealed a high degree of cycle-to-cycle consistency in the qualitative dynamics of the limb motions, with one hand motions being faster than those with two hands (inphase and antiphase) and the motions with the helmet about 25% faster than those without the helmet. The impact force of SIBs as a percentage of body weights are near the low end of forces generated in boxing blows and karate hits.

Adolescent↗

Variability of stereotypic body-rocking in adults with mental retardation.

The variability of stereotypic body-rocking motions of adults with severe and profound mental retardation not on medication was examined through a kinematic analysis. A matched nonretarded group of adults was also examined in the production of preferred rates of body-rocking. The inter- and intra-individual variability of the body-rocking motions was, on average, higher for the individuals with mental retardation, although a few participants showed as low a variability as the least variable participants in the nonretarded group. These findings provide further evidence that the kinematic variability of stereotypies is not lower than that displayed by others engaged in similar movement activities and support the proposition that low variability of discrete kinematic variables may not be a defining feature of stereotypy.

Adult↗

Motor redundancy during maximal voluntary contraction in four-finger tasks.

The goal of the study was to investigate force-sharing patterns in multi-finger tasks. Maximal normal force (MNF) as well as the force-time curves produced by individual fingers were measured in 10 young male subjects in three tasks: (1) holding an instrumented handle in a pad opposition with the thumb at seven different locations, from opposing the index finger (L0) to opposing the little finger (L6); (2) holding the handle in a pad opposition with the thumb at an individually selected comfortable location; and (3) pressing with the four fingers against the same handle fixed to the external support. We found that: (1) The moment due to the normal finger forces changed systematically when the thumb position varied from L0 to L5/ L6, and it was equal to zero at a certain middle position of the thumb, the neutral position. At this position, the shear force produced by the fingers was zero. (2) The total MNF changed in an ascending-descending manner when the thumb position varied from L0 to L5/L6. The highest value of the maximal total normal force was produced at a position of the thumb that was preferred as the most comfortable position in the grip task. (3) In the press task, the neutral line - the line with respect to which the moment generated by the four fingers equals zero - was at the same location as the preferred thumb position in the grip tasks. (4) Larger total normal force corresponded to smaller total shear forces. (5) In grip tasks, with the thumb in a comfortable position, the force-force relationships among fingers were approximately linear. Hence, in these thumb positions, the force-sharing pattern was established at the beginning of the trial. At the extreme positions of the thumb, irregular patterns of the force-force relationships were observed. (6) In trials with different thumb locations, a significant correlation was found between the maximal force produced by the index and small fingers. (7) Peak force exerted by individual fingers in the multi-finger tasks was much smaller than the maximal force displayed by the same fingers in the single-finger tasks. The peak force depended on the thumb position and varied from 11.3% to 65.2% of the maximal force exerted by the same finger in the single-finger task. With the thumb in the comfortable position, the relative peak force for all fingers was approximately at the same level, 50-55%. The data are in agreement with the hypothesis that the total force is shared among individual fingers, minimizing the moment with respect to the functional hand axis.

Fingers↗

Aging and time to instability in posture.

Two experiments are reported that were set up to examine the spatial-temporal boundaries of postural instability in upright stance as a function of age (60-96 years) and postural conditions. Subjects stood on a force platform under different experimental conditions (vision/no vision and arms up/down) so that the effect of age on key dynamic properties of postural stability could be determined. The findings showed that the ratio of the area of the motion of the center of pressure to the area within the stability boundary increased with age. Also, the virtual time-to-contact with the postural stability boundary decreased with age. Collectively, the findings show that the margins to the spatial-temporal boundaries of postural stability decrease with advancing age in the elderly. These reduced margins of dynamic stability may be a factor contributing to the progressive instability of posture with aging in the elderly.

Aged↗

Practice of a precision isometric grip-force task by children with spastic cerebral palsy.

The ability to produce and sustain a criterion level of precision isometric grip force was studied in a group of 7- to 12-year-old children with cerebral palsy (CP) and in a control group. On-line visual feedback of the forces produced relative to a stationary target was provided for each 5-second trial. Subjects practised 48 trials on each of 3 consecutive days. Measures of accuracy and variability revealed significantly reduced accuracy and increased variability in isometric force production for the group with CP. Both groups demonstrated improvement with practice, with the significantly greater change in the control subjects. There was substantial variability in performance among subjects with CP. Gains associated with practice were sustained over a 5-day retention interval for both groups. The requirement to control proximal segments of the upper extremity was not associated with increased error in grip-force production of the group with CP.

Cerebral Palsy↗