Search PubMed⌕ Search

Biomedical subjects

N Accornero

Publications and source records attributed to N Accornero.

At least 55 records · Page 3Linked to original sources

Posture control and trajectory formation during arm movement.

One hypothesis for the generation of spatially oriented arm movements by the central nervous system is that a desired joint position is determined by the ratio of the tensions of agonist and antagonist muscles. According to this hypothesis, the transition between equilibrium states should be solely a function of the contraction time of the motor units and the mechanical properties of the arm. We tested this hypothesis in intact and deafferented rhesus monkeys by holding the forearm and measuring the accelerative transient after release of the forearm and by directly measuring the time course of the increase in torque during the movement. Both methods indicated an average time of 400 msec for attaining peak torque in a movement with a duration of 700 msec. In addition, by displacing the arm from its normal trajectory during the movement, we observed that the arm returned neither to the initial nor to the final equilibrium positions, but to points intermediate between them. We conclude that the processes underlying trajectory formation must be more complex than a simple switch between one equilibrium position and another.

Afferent Pathways↗

[Perception of light modulation].

A simple method for testing visual sensitivity to flickering light sources is proposed. The method employs a triangular function generator, which modulates the luminance of a chromatic light source. Amplitude and frequency of the triangular pattern are adjusted until the subject perceives a periodic variation of luminance. In normal subjects the maximum sensitivity was found at a frequency modulation of 5-10 Hz. In multiple sclerosis patients the method proved to be more accurate than flicker fusion frequency in revealing subclinical damage of the visual pathway.

Flicker Fusion↗

The orbicularis oculi response after hemispheral damage.

The corneal and blink reflexes were evaluated in 20 normal subjects and in 30 patients with motor deficits secondary to unilateral hemispheral lesions of vascular origin. In the normal population there were no differences between subjects below and subjects above 50 years of age. In the patients the reflex evoked by electrical stimulation of the cornea of the clinically affected side was depressed in 24 out of 30 cases. The depression mainly affected the afferent branch of the circuit, which triggers both homolateral and contralateral orbicularis oculi discharge (afferent abnormality). In three cases the depression was exerted concomitantly on the efferent branch (afferent and efferent abnormality) and only in one case was it limited to the efferent branch (efferent abnormality). The late R2 component of the blink reflex was depressed in 15 out of 30 patients. The early R1 component was slightly facilitated on the affected side. The changes of the corneal reflex and of the R2 component of blink reflex were similar, but the blink reflex had a greater safety factor. The patients with an abnormal corneal reflex had more extensive damage than had the patients with normal corneal response, as shown by computer tomography, but the site of the lesion was comparable in the two groups. Conduction through the brain stem circuits mediating the orbicularis oculi response is normally under pyramidal facilitatory influences while facial motoneurons are subjected to pyramidal inhibition. After pyramidal damage the transmission of impulses in the brain stem was slowed down, ultimately to a degree that abolished the reflex. Removal of pyramidal inhibition on facial motoneurons is probably the basis of the slight facilitation of the R1 component of the blink reflex.

Adult↗

Arm trajectory formation in monkeys.

The formation of forearm trajectories of moderate velocities (0.3-1.3 rad/s) was studied in monkeys performing a simple visuomotor task. The experiments were designed to test the hypothesis that the transition from one position to another is subserved by a rapid shift to a final equilibrium of forces in agonist and antagonist muscles. This idea is attractive because it suggests the possibility that in simple movements the trajectory is determined by the inherent inertial and viscoelastic properties of the limb and muscles around a joint. The results indicate that these moderate speed movements are controlled by a gradual, and not a step-like, shift to the final equilibrium position.

Afferent Pathways↗

Analgesic activity of carprofen on human experimental dental pain.

1. The effects of an orally administered single dose of placebo, acetylsalicyclic acid (ASA) and (d,1)-6-chloro-a-methyl carbazole-2-acetic acid (carprofen) have been evaluated on an experimental pain model by electrical stimulation of dental pulp in man. 2. ASA and carprofen showed a significant analgesic action, while placebo was ineffective. 3. Analgesic activity of ASA and carprofen was similar. The two drugs were ineffective in modifying the pain threshold; on the contrary, the tolerance to the strongest painful sensation was significantly increased.

Adult↗

Congenital absence of pain.

A 16-year-old boy had congenital absence of pain sensitivity and no impairment of other sensory modalities. Routine electrophysiologic investigation showed no abnormalities. The threshold and latency of electrically elicited corneal reflex and cortical potentials evoked by tooth pulp stimulation were normal, but suprathreshold electric stimulation of corneal mucosa and dental pulp, as well as electric stimulation of dorsal roots, did not elicit pain. The total CSF opioid activity was raised. However, naloxone hydrochloride administration failed to reverse the analgesia. The axon reflex to intradermal injection of histamine dihydrochloride was absent. Cutaneous nerve branches showed unspecific changes affecting part of unmyelinated axons. most of the unmyelinated as well as the myelinated axons were normal. We consider the case an example of congenital indifference to pain.

Adolescent↗

Active surface EMG probe and contour follower.

Simple and reliable electronic equipment to detect and process EMG surface signals is described. A first stage of differential amplification built upon the electrodes is connected by a multiple cable to a second unit for further amplification, full wave rectification and integration.

Amplifiers, Electronic↗

Corneal reflex elicited by electrical stimulation of the human cornea.

The corneal reflex can be elicited in humans by electrical stimulation of the cornea. This method is harmless and allows precise quantification of the reflex response. In 18 patients with trigeminal lesions, the reflex was abolished or significantly altered on the diseased side in all cases. Measurement of the threshold is the most significant characteristic.

Adult↗

Selective Activation of peripheral nerve fibre groups of different diameter by triangular shaped stimulus pulses.

1. The differential block of cutaneous nerve fibres has been achieved with a simple method of electrical stimulation, employing a single pair of active electrodes. 2. The method allows the selective activation of 95% of small myelinated (delta) axons, without activation of the larger (beta) ones; and activation of unmyelinated (C) fibres, without A fibre activation. Asynchronous firing of myelinated axons was absent in the majority of the experiments. 3. The method employs triangularly shaped electrical pulses, with a steep rise front and a slow exponential decay. The outward flow of current at the cathode fires conducted impulses in both larger and smaller axons, and the inward flow inactivates differentially the conduction in the smaller ones. 4. The differential effect of anodal currents rests upon the greater internal conductance and greater conduction velocity of larger fibres. 5. The method has the advantage over the conventional polarization block of simpler surgical preparation, longer nerve survival and minimal latency distortion. However, it cannot be applied in experiments requiring physiological stimulation of peripheral receptors.

Action Potentials↗