Biomedical subjects

Marco Santello

Publications and source records attributed to Marco Santello.

10 recordsLinked to original sources

PubMed2005

Review of motor control mechanisms underlying impact absorption from falls.

The absorption of impacts resulting from contact with a landing surface during gait, running and drop landings has received considerable attention in the literature. This research has important clinical relevance as failure to appropriately plan and control impact absorption may lead to injuries to the musculo-skeletal system. This review attempts to summarize evidence gathered by studies on the motor control aspects of impact absorption during landing movements. Although this review focuses primarily on the control of landings from self-initiated falls or 'drop landings', an understanding of the motor control mechanisms underlying impact absorption is essential to understand common anticipatory and reflex mechanisms involved in a broader variety of movements such as running and jumping. The review is structured in three parts: the first two parts examine the preparatory muscle activity occurring during the fall (Part I) and after touch down (Part II). Part III explores the proposed sensorimotor mechanisms underlying the control of landing. The review concludes with as yet unresolved questions and directions for future research.

Accidental Falls↗

PubMed2004

Common input to motor units of digit flexors during multi-digit grasping.

The control of whole hand grasping relies on complex coordination of multiple forces. While many studies have characterized the coordination of finger forces and torques, the control of hand muscle activity underlying multi-digit grasping has not been studied to the same extent. Motor-unit synchrony across finger muscles or muscle compartments might be one of the factors underlying the limited individuation of finger forces. Such "unwanted" coupling among finger forces, however, might be desirable when a high level of force coupling is required to prevent object slip during grasping. The goal of this study was to quantify the strength of synchrony between single motor units from extrinsic hand muscles as subjects held a device with a five-digit grasp. During the hold phase, we recorded the normal force exerted by each digit and the electrical activity of single motor units from each of the four divisions of the muscle flexor digitorum profundus (FDP) and one thumb flexor muscle, m. flexor pollicis longus (FPL). The strength of motor-unit synchrony was quantified by the common input strength index (CIS). We found moderate to strong motor-unit synchrony between FPL and the index FDP compartment [CIS: 0.49 +/- 0.03 (SE)] and across most FDP compartments (0.34 +/- 0.02). Weak synchrony, however, was found between FPL and the middle, ring, and little finger FDP compartments (0.25 +/- 0.01). This difference might reflect the larger force contribution of the thumb-index finger pair relative to other thumb-finger combinations in five-digit grasping.

Adult↗

PubMed2004

Role of across-muscle motor unit synchrony for the coordination of forces.

Evidence from five-digit grasping studies indicates that grip forces exerted by pairs of digits tend to be synchronized. It has been suggested that motor unit synchronization might be a mechanism responsible for constraining the temporal relationships between grip forces. To evaluate this possibility and quantify the effect of motor unit synchrony on force relationships, we used a motor unit model to simulate force produced by two muscles using three physiological levels of motor unit synchrony across the two muscles. In one condition, motor units in the two muscles discharged independently of one another. In the other two conditions, the timing of randomly selected motor unit discharges in one muscle was adjusted to impose low or high levels of synchrony with motor units in the other muscle. Fast Fourier transform analysis was performed to compute the phase differences between forces from 0.5 to 17 Hz. We used circular statistics to assess whether the phase differences at each frequency were randomly or non-randomly distributed (Rayleigh test). The mean phase difference was then computed on the non-random distributions. We found that the number of significant phase-difference distributions increased markedly with increasing synchronization strength from 18% for no synchrony to 65% and 82% for modest and strong synchrony conditions, respectively. Importantly, most of the mean angles clustered at very small phase difference values (approximately 0 to 10 degrees), indicating a strong tendency for forces to be exerted in a synchronous fashion. These results suggest that motor unit synchronization could play a significant functional role in the coordination of grip forces.

Electrophysiology↗

PubMed2004

Control of multidigit grasping in Parkinson's disease: effect of object property predictability.

We examined the extent to which subjects with Parkinson's disease (PD) modulate normal fingertip forces during five-digit grasping based on the object's center of mass (CM). We also tested the effect of trial-to-trial predictability of CM location on the distribution of all fingertip forces relative to thumb force. Ten right-handed subjects with PD (OFF and ON medication) and 10 healthy age-matched control subjects participated. Subjects lifted a manipulandum that measured normal forces exerted by each digit. The CM location was changed from trial-to-trial either in an unpredictable (random) or predictable (blocked) order. Discriminant analysis and information theory were used to quantify the extent to which force-sharing patterns could be discriminated as a function of CM location. All subjects modulated fingertip normal forces as a function of CM location regardless of its predictability, although larger forces were employed when its location was unpredictable. However, in controls, normal force modulation of individual fingers to the object's CM location occurred over a greater range of forces when the CM location was predictable than when it was unpredictable. In contrast, subjects with PD exhibited a similar force modulation to CM location regardless of its predictability. There was a clearer discrimination of force-sharing patterns when the CM location was predictable for controls but not for subjects with PD OFF medication. Medication improved the time course of normal force modulation to CM location. These results indicate that subjects with PD maintained the ability to modulate individual fingertip forces to the object's physical properties. Nevertheless, subjects with PD did not benefit from the a priori knowledge of object CM location to the same extent as controls. These findings support the notion that PD affects the ability to use anticipatory control mechanisms.

Adult↗

PubMed2004

Hand function: peripheral and central constraints on performance.

The hand is one of the most fascinating and sophisticated biological motor systems. The complex biomechanical and neural architecture of the hand poses challenging questions for understanding the control strategies that underlie the coordination of finger movements and forces required for a wide variety of behavioral tasks, ranging from multidigit grasping to the individuated movements of single digits. Hence, a number of experimental approaches, from studies of finger movement kinematics to the recording of electromyographic and cortical activities, have been used to extend our knowledge of neural control of the hand. Experimental evidence indicates that the simultaneous motion and force of the fingers are characterized by coordination patterns that reduce the number of independent degrees of freedom to be controlled. Peripheral and central constraints in the neuromuscular apparatus have been identified that may in part underlie these coordination patterns, simplifying the control of multi-digit grasping while placing certain limitations on individuation of finger movements. We review this evidence, with a particular emphasis on how these constraints extend through the neuromuscular system from the behavioral aspects of finger movements and forces to the control of the hand from the motor cortex.

Fingers↗

PubMed2003

The role of vision on hand preshaping during reach to grasp.

During reaching to grasp objects with different shapes hand posture is molded gradually to the object's contours. The present study examined the extent to which the temporal evolution of hand posture depends on continuous visual feedback. We asked subjects to reach and grasp objects with different shapes under five vision conditions (VCs). Subjects wore liquid crystal spectacles that occluded vision at four different latencies from onset of the reach. As a control, full-vision trials (VC5) were interspersed among the blocked vision trials. Object shapes and all VCs were presented to the subjects in random order. Hand posture was measured by 15 sensors embedded in a glove. Linear regression analysis, discriminant analysis, and information theory were used to assess the effect of removing vision on the temporal evolution of hand shape. We found that reach duration increased when vision was occluded early in the reach. This was caused primarily by a slower approach of the hand toward the object near the end of the reach. However, vision condition did not have a significant effect on the covariation patterns of joint rotations, indicating that the gradual evolution of hand posture occurs in a similar fashion regardless of vision. Discriminant analysis further supported this interpretation, as the extent to which hand posture resembled object shape and the rate at which hand posture discrimination occurred throughout the movement were similar across vision conditions. These results extend previous observations on memory-guided reaches by showing that continuous visual feedback of the hand and/or object is not necessary to allow the hand to gradually conform to object contours.

Adult↗

PubMed2003

Task-dependent modulation of multi-digit force coordination patterns.

When grasping and holding an object with five digits under a variety of task constraints, subjects use well-defined force coordination patterns, i.e., consistent force covariations and in-phase synchronization among all digit pairs. The question arises as to whether these force coordination patterns are default mechanisms for controlling multi-digit force production or whether they are specific to lifting and holding an object. To address this question, we asked subjects to grasp a manipulandum and exert forces with five digits simultaneously so as to match a force template measured from an actual object grasp, lift, and hold task (GLH). Unlike GLH, the force production task (FP) lacked the constraint of having to maintain object stability against gravity. The amplitude of individual finger forces and force covariations were similar for both tasks (with the exception of the little finger, which tended to produce less force in FP). Nonetheless, when multiple grip forces were not required to hold the manipulandum against gravity (FP), there was a significantly lower tendency for forces to be synchronized with higher intertrial variability of phase differences between forces exerted by all digit-pairs. Furthermore, the tendency for force phase differences to cluster at 0 degrees was lower for FP than GLH. These results suggest that some aspects of the control of multi-digit grasping, i.e., force synchronization, are specific to object lift and hold rather than to the production of multi-digit forces. Modeling work suggests that motor unit synchronization might play an important role in the modulation of force synchronization patterns.

Cerebral Cortex↗

PubMed2002

Force synergies for multifingered grasping: effect of predictability in object center of mass and handedness.

To grasp with five digits of the hand requires an efficient parceling of contact forces in order to maintain static equilibrium as an object is lifted and held. In a previous study, subjects were asked to reach, grasp and lift a five-digit grip apparatus whose center of mass (CM) location was changed for each block of trials. Despite a modulation of force sharing patterns among the digits as a function of center of mass location, consistent in-phase and out-of-phase relationships between normal forces were found in the frequency domain. In the present study, we have used the same task to assess the effect of (a) predictability of an object's CM location (random vs blocked presentation) and (b) handedness (dominant vs non-dominant hand). Contrary to our original expectations, we found a similar modulation of normal forces to CM location during the hold phase across all conditions. Specifically, the force sharing pattern, i.e., the rank order of force contributed by each digit, emerged very early in the grasp sequence, remaining relatively stable throughout the duration of the lift and hold. Nevertheless, the extent to which force sharing patterns could be discriminated as a function of CM location was lower in the random than in the blocked conditions. Lastly, normal forces exerted by pairs of digits tended to be synchronized, both in-phase (thumb and fingers) and out-of-phase (pairs of digits) across a large proportion of the functional frequency range (up to 10 Hz) in all conditions. The composite of these findings suggests that the central nervous system uses stereotyped control strategies for coordinating multiple grip forces during grasping. Specific aspects of these schemes appear to be affected by predictability of object CM location, but not by hand dominance.

Adult↗

PubMed2002

Patterns of hand motion during grasping and the influence of sensory guidance.

This study was aimed at describing temporal synergies of hand movement and determining the influence of sensory cues on the control of these synergies. Subjects were asked to reach to and grasp various objects under three experimental conditions: (1) memory-guided movements, in which the object was not in view during the movement; (2) virtual object, in which a virtual image of the object was in view but the object was not physically present; and (3) real object, in which the object was in view and physically present. Motion of the arm and of 15 degrees of freedom of the hand was recorded. A principal components analysis was developed to provide a concise description of the spatiotemporal patterns underlying the motion. Vision of the object during the reaching movement had no influence on the kinematics, and the effect of the physical presence of the object became manifest primarily after the fingers had contacted the object. Two principal components accounted for >75% of the variance. For both components, there was a strong positive correlation in the rotations of metacarpophalangeal and proximal interphalangeal joints of the fingers. The first principal component exhibited a pattern of finger extension reversing to flexion, whereas the second principal component became important only in the second half of the reaching movement.

Arm↗

PubMed2002

Coordination and control of forces during multifingered grasping in Parkinson's disease.

In this study, we focused on how subjects with Parkinson's disease (PD) grasp and lift with five-digits of the hand. This task provided the opportunity to simultaneously examine (a) the coordination of multiple segments (i.e., digits), (b) the sequencing of multiple tasks (i.e., force development, object lift, and hold), and (c) the control of force output. We found that PD patients coordinated and controlled five-digit forces comparable to that of age-matched controls. Specifically, these groups developed and maintained similar force amplitudes and force sharing patterns across all grasping phases. In addition, PD patients demonstrated similar levels of variability both within and across trials. In the frequency domain, however, some differences were observed across groups, especially in PD patients exhibiting obvious action tremor (AT) at a single modal frequency. In these subjects (four of nine PD patients), there was a systematic disruption, i.e., a phase-shifting away from approximately 0 degrees, in-phase force synchronization patterns normally observed between digits. This disruption typically occurred at and around the AT frequency, while at many other frequencies synchronization patterns were maintained. The composite of these findings implies that although global features observed in five-digit grasping in PD patients are preserved, more subtle aspects of the coordination between digits, as revealed by frequency domain analysis, are not. These results are discussed in relation to the neural mechanisms that might underlie physiological synchronization of forces and its pathological disruption.

Aged↗