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Co-ordinated mandibular and head-neck movements during rhythmic jaw activities in man.

Recent observations in man of concomitant mandibular and head movements during single maximal jaw-opening/-closing tasks suggest a close functional relationship between the mandibular and the head-neck motor systems. This study was aimed at further testing of the hypothesis of a functional integration between the human jaw and neck regions. Spatiotemporal characteristics of mandibular and associated head movements were evaluated for 3 different modes of rhythmic jaw activities: self-paced continuous maximal jaw-opening/-closing movements, paced continuous maximal jaw-opening/-closing movements at 50 cycles/minute, and unilateral chewing. Mandibular and head-neck movements were simultaneously recorded in 12 healthy young adults, by means of a wireless opto-electronic system for 3-D movement recordings, with retro-reflective markers attached to the lower (mandible) and upper (head) incisors. The results showed that rhythmic mandibular movements were paralleled by head movements. An initial change in head position (head extension) was seen at the start of the first jaw-movement cycle, and this adjusted head position was retained during the following cycles. In addition to this prevailing head extension, the maximal jaw-opening/-closing cycles were paralleled by head extension-flexion movements, and in general the start of these head movements preceded the start of the mandibular movements. The results support the idea of a functional relationship between the temporomandibular and the cranio-cervical neuromuscular systems. We therefore suggest a new concept for human jaw function, in which "functional jaw movements" are the result of activation of jaw as well as neck muscles, leading to simultaneous movements in the temporomandibular, atlanto-occipital, and cervical spine joints.

Adult↗

A dynamic theory of coordination of discrete movement.

The concepts of pattern dynamics and their adaptation through behavioral information, developed in the context of rhythmic movement coordination, are generalized to describe discrete movements of single components and the coordination of multiple components in discrete movement. In a first step we consider only one spatial component and study the temporal order inherent in discrete movement in terms of stable, reproducible space-time relationships. The coordination of discrete movement is captured in terms of relative timing. Using an exactly solvable nonlinear oscillator as a mathematical model, we show how the timing properties of discrete movement can be described by these pattern dynamics and discuss the relation of the pattern variables to observable end-effector movement. By coupling several such component dynamics in a fashion analogous to models of rhythmic movement coordination we capture the coordination of discrete movements of two components. We find the tendency to synchronize the component movements as the discrete analogon of in-phase locking and study its breakdown when the components become too different in their dynamic properties. The concept of temporal stability leads to the prediction that remote compensatory responses occur such as the restore synchronization when one component is perturbed. This prediction can be used to test the theory. We find that the discrete analogon to antiphase locking in rhythmic movement is a tendency to move sequentially, a finding that can also be subjected to empirical test.

Cybernetics↗

Effect of rhythmic arm movement on reflexes in the legs: modulation of soleus H-reflexes and somatosensory conditioning.

During locomotor tasks such as walking, running, and swimming, the arms move rhythmically with the legs. It has been suggested that connections between the cervical and lumbosacral spinal cord may mediate some of this interlimb coordination. However, it is unclear how these interlimb pathways modulate reflex excitability during movement. We hypothesized that rhythmic arm movement would alter the gain of reflex pathways in the stationary leg. Soleus H-reflexes recorded during arm cycling were compared with those recorded at similar positions with the arms stationary. Nerve stimulation was delivered with the right arm at approximately 70 degrees shoulder flexion or 10 degrees shoulder extension. H-reflexes were evoked alone (unconditioned) or with sural or common peroneal nerve (CP) conditioning to decrease or increase soleus IA presynaptic inhibition, respectively. Both conditioning stimuli were also delivered with no H-reflex stimulation. H-reflex amplitudes were compared at similar M-wave amplitudes and activation levels of the soleus. Arm cycling significantly reduced (P < 0.05) unconditioned soleus H-reflexes at shoulder flexion by 21.7% and at shoulder extension by 8.8% compared with static controls. The results demonstrate a task-dependent modulation of soleus H-reflexes between arm cycling and stationary trials. Sural nerve stimulation facilitated H-reflexes at shoulder extension but not at shoulder flexion during static and cycling trials. CP nerve stimulation significantly reduced H-reflex amplitude in all conditions. Reflexes in soleus when sural and CP nerve stimulation were delivered alone, were not different between cycling and static trials; thus the task-dependent change in H reflex amplitude was not due to changes in motoneuron excitability. Therefore modulation occurred at a pre-motoneuronal level, probably by presynaptic inhibition of the IA afferent volley. Results indicate that neural networks coupling the cervical and lumbosacral spinal cord in humans are activated during rhythmic arm movement. It is proposed that activation of these networks may assist in reflex linkages between the arms and legs during locomotor tasks.

Adult↗

Role of the basal ganglia in manifestation of rhythmical jaw movement in rats.

Microinjection of picrotoxin (PTX), a selective GABA antagonist, into the rostral part of the head of the caudate-putamen complex (CPC) produced rhythmical potentials of 3-11 Hz there that lasted for about 5-15 s in the rat. Rhythmical jaw movements (RJM) were observed to be associated with these rhythmical potentials. Since the potentials were still observed even after the CPC had been isolated, they were thought to be generated intrinsically by the CPC itself. Increased and grouped neuronal discharges of the CPC were recorded in association with the rhythmical potentials. Periodic or prolonged inhibition of neurons of the pars reticulata of the substantia nigra were also recorded in association with the rhythmical potentials in the CPC. We therefore propose that the basal ganglia are involved directly in the manifestation of RJM in the rat.

Animals↗

Rhythmic jaw movements induced by ethanol in rats.

Intraperitoneal administration of an anaesthetic dose of ethanol, 3.0 mg/kg, produced rapid rhythmic jaw movements (RJM) in rats. The peak effect (90 RJM/min.) occurred after 5 min., and all movements ceased after about 15 min. Clozapine, (4.4 mg/kg intraperitoneally) completely abolished this RJM phenomenon, whereas halopridol (0.5 mg/kg intraperitoneally), apomorphine (1.0 mg/kg subcutaneously) and atropine (10 mg/kg intraperitoneally) reduced it. It is suggested that the postulated brain stem masticatory pattern generator is activated or released from inhibition during induction of ethanol anaesthesia. Apparently this masticatory movement pacemaker is amenable to pharmacological manipulation, as shown by the present experiments.

Animals↗

Stability of rhythmic finger movement in children with a developmental coordination disorder.

The stability of single and bimanual (i.e., in-phase and antiphase) rhythmic finger movements was studied in 24 children with a developmental coordination disorder (DCD) and 24 matched controls from a dynamic pattern perspective. Stability was assessed by applying perturbations and measuring the time the system needed to return to its initial stability (i.e., the relaxation time). In addition, fluctuations of the patterns were measured. For antiphase coordination patterns, the frequency at which loss of stability occurred was also determined. Children with DCD displayed less stable single and bimanual rhythmic coordination patterns than control children. Further, within the DCD group, 9 children were identified as having particularly poor bimanual coordination stability. Individual differences suggested that variability of individual limb oscillations might have contributed to this poorer interlimb coordination stability. Findings were discussed in relation to a previous study on DCD in which the Wing-Kristofferson timekeeper model was applied.

Child↗

Disappearance of rhythmic involuntary movements during sleep in a case of olivopontocerebellar atrophy.

We report on a 54-year-old woman with an 8 or so year history of olivopontocerebellar atrophy associated with the rhythmic involuntary movements of the left upper and lower limbs, and cervical region. Surface electromyogram of the left upper limb revealed rhythmicity (about 3 Hz) and reciprocity between antagonistic muscles, which disappeared on polysomnography at all sleep stages including rapid eye movement sleep without atonia. These were characterized by the co-existence of rhythmic skeletal myoclonus and parkinsonian tremor. These findings suggest that a disturbance of the striatonigral system as well as the dentato-rubro-olivary circuit may be involved in these movements. It also seems that their fate is dependent on the level of wakefulness and that the ascending reticular activating system also plays a role in the development of these movements.

Cerebellar Nuclei↗

Projections of two separate cortical areas for rhythmical jaw movements in the rat.

The cortico-bulbar projection from two separate cortical areas which induce different types of rhythmical jaw movements (RJM), and the relationship between these cortical areas were studied with horseradish peroxidase tracing method. One area (A-area) corresponded to the primary jaw motor area and the other (P-area) was located in the agranular insular cortex. Separate descending pathways from two areas passed through the pyramidal tract and projected to the supratrigeminal nucleus, the intertrigeminal region, the dorsal part of the trigeminal sensory complex, and the reticular formation. In the reticular formation, the A-area projected more medially than the P-area did, and the ipsilateral projection from the P-area was more prominent than that from the A-area, although contralateral projections were dominant in the majority of regions. The two areas had only a sparse reciprocal connection. We suppose that the difference in patterns of RJM induced by the two cortical RJM areas may be due to the different projection patterns from these two areas.

Animals↗

Effects of a serotonin agonist and antagonist on cortically induced rhythmical jaw movements in the anesthetized guinea pig.

The effects of systemic injections of a serotonin agonist (quipazine), and antagonist (methysergide), on rhythmical jaw movements (RJMs) in the ketamine anesthetized guinea pig were examined. It was observed that quipazine, (1) significantly elevated the electrical threshold for inducing RJMs by repetitive stimulation of the masticatory cortex and (2) reduced the amplitude of the digastric and masseter EMG activity during RJMs. In contrast, the excitability of the short latency pathway from masticatory cortex to digastric motoneurons, and the excitability of the digastric reflex evoked by electrical stimulation of the mucosa of the tongue were not significantly affected by quipazine administration. Methysergide administration had little effect on the threshold for evoking RJMs, and on the excitability of the digastric reflex and short latency pathway from cortex to digastric motoneurons. These data suggest that the central pattern generator (CPG) for RJMs is not critically dependent upon serotonin receptor activation since RJMs can be induced after methysergide administration. On the other hand, excitation of the CPG by repetitive cortical stimulation can be inhibited by serotonin receptor activation. These results are interpreted as supporting our previously described model of RJM production by repetitive cortical stimulation.

Animals↗

The effects of orofacial sensory input on spontaneously occurring and apomorphine-induced rhythmical jaw movements in the anesthetized guinea pig.

The effects of tonic mandibular loading (jaw depression) on spontaneously occurring and apomorphine (APO)-induced rhythmical jaw movements (RJMs) were examined in the anesthetized guinea pig. It was found that this type of perturbation significantly increased only the amplitude and burst duration of the masseter (jaw closer) EMG activity, whereas the frequency of RJMs was not changed. The data suggest that jaw closer muscle spindle or temporomandibular joint feedback does not strongly influence the activity of the neural networks responsible for determining the frequency of RJMs in the anesthetized guinea pig.

Anesthesia, General↗

Induction of rhythmic jaw movements by stimulation of the mesencephalic reticular formation in the guinea pig.

This study was designed to investigate whether stimulation of the mesencephalic reticular formation (MRF) induces rhythmic jaw movements (RJMs) and, if it does so, to determine the RJM-inducing region in the MRF in ketamine-anesthetized guinea pigs. The results were as follows: (1) Repetitive electrical stimulation of the MRF at the level of the red nucleus induced rhythmic EMG bursts in the anterior digastric muscle (DIG). (2) The duration and cycle time of the rhythmic DIG EMG burst induced from the medial MRF were longer than those induced from the lateral MRF. (3) Repetitive MRF stimulation after paralysis still induced rhythmic multiple-unit activities in the anterior digastric motoneuron pool. (4) Neither precollicular decerebration nor cerebellectomy affected the MRF induction of RJMs. (5) Transverse hemisection at the rostral border of the pons abolished the RJMs induced from the contralateral, but not ipsilateral, MRF. Midline section of the midbrain abolished RJMs induced from the MRF on either side. (6) A lesion in the pontine pyramidal tract abolished the RJMs induced by stimulation of the ipsilateral cortical masticatory area (CMA), but not those induced from the contralateral MRF. (7) A unilateral lesion of the oral portion of the gigantocellular reticular nucleus, where the rhythm generator for the CMA-induced RJMs is located, abolished RJMs induced from not only the CMA, but also MRF on the contralateral side. (8) Microinjection of L-glutamate into the lateral, but not medial, MRF induced RJMs similar to those elicited by repetitive electrical stimulation of the same site.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Motor training in the therapy of Parkinson's disease.

Motor training techniques may be a helpful adjunct to medical treatment in improving motor function in patients with Parkinson's disease. Rational physical therapy should be based on a detailed understanding of the underlying nature of the motor deficit in Parkinson's disease. The design of training techniques should take into account the known neurophysiologic aspects of motor impairment in Parkinson's disease, such as the inability to initiate movement (akinesia), the inability to perform sequential movements, impairments in the pacing of rhythmic movements, and impairments in the predictability of movements. Training techniques are definitely necessary to prevent the sequelae, especially of the later stages of the disease, including contractures and muscle spasm. To increase voluntary motor activity, physiotherapeutic approaches must take into account specific aspects of the motor control deficit in Parkinson's disease. For example, physical therapy should emphasize large-amplitude movements and truncal activities and make use of cuing as a major facilitator in achieving rhythmic movement patterns. In addition, the psychosocial integration of the patient may be improved by physical exercises, particularly if these are provided in group therapy sessions.

Humans↗

Human movement coordination implicates relative direction as the information for relative phase.

The current studies explore the informational basis of the coupling in human rhythmic movement coordination tasks. Movement stability in these tasks is an asymmetric U-shaped function of mean relative phase; 0 degrees is maximally stable, 90 degrees is maximally unstable and 180 degrees is intermediate. Bingham (2001, 2004a, 2004b) hypothesized that the information used to perform coordinated rhythmic movement is the relative direction of movement, the resolution of which is determined by relative speed. We used an experimental paradigm that entails using a circular movement to produce a linear motion of a dot on a screen, which must then be coordinated with a linearly moving computer controlled dot. This adds a component to the movement that is orthogonal to the display. Relative direction is not uniquely defined between orthogonal components of motion, but relative speed is; it was therefore predicted that the addition of the component would only introduce a symmetric noise component and not otherwise contribute to the U-shape structure of movement stability. Results for experiment 1 supported the hypothesis; movement that involved the additional component was overall less stable than movement that involved only the parallel component along which relative direction can be defined. Two additional studies ruled out alternative explanations for the pattern of data in experiment 1. Overall, the results strongly implicate relative direction as the information underlying performance in rhythmic movement coordination tasks.

Adult↗

Sleep habits and sleep problems among a community sample of schoolchildren.

UNLABELLED: Sleep habits, sleep problems and subjective depth of sleep among 1413 schoolchildren aged 6.2-10.9 y were examined via a questionnaire, answered by the child and parent together. Total sleep time was approximately 10.5 h, with no difference between the sexes. Of 887 children who reported that they were awoken at night, parents considered that 75% were superficial sleepers and 25% were deep sleepers. The prevalence of frequent insomnia, sleepwalking and daytime sleepiness was 13, 7 and 4%, respectively. Logistic regression analyses indicated that onset insomnia was associated with fear of sleeping alone, bone pains, hypnagogic myoclonias, rhythmic movement disorder, enuresis, nocturia, confusion when awoken at night, nightmares, bodily movements during sleep, interrupted sleep, daytime sleepiness and daytime headache or stomach ache. Somnambulism was associated with rhythmic movement disorder, somniloquy, spontaneous confused arousals, nocturia and confusion when awoken at night. Increased risk of daytime sleepiness was found among children with fear of sleeping alone, onset insomnia, rhythmic movement disorder, spontaneous confused arousals, snoring, confusion when awoken, nightmares, bodily movements during sleep and headache or stomach ache. CONCLUSION: The results support the notion that onset insomnia is a problem with a predominantly psychological and behavioural background, while sleepwalking is a disorder of arousal without major psychological implications. The mechanisms behind daytime sleepiness seem to be multifactorial.

Age Factors↗

Coordination disorders in patients with Parkinson's disease: a study of paced rhythmic forearm movements.

Whereas the consequences of Parkinson's disease (PD) for the performance of single-limb movements are well documented (i.e., bradykinesia, akinesia, rigidity, and tremor), fairly little is known about its implications for the coordination between limb movements. To help resolve this situation an experiment was conducted in which 11 PD patients and 11 control subjects performed rhythmic forearm movements at a comfortable amplitude in the in-phase, antiphase, and single-arm mode at pacing frequencies ranging from 0.5 to 3 Hz. The PD group displayed marked coordination problems over and above the known clinical motor symptoms of PD. The performance of both the in-phase and antiphase modes was significantly affected in the PD group compared to the control group; furthermore, the variability of relative phase was significantly increased in this group. These observations were not caused by problems to synchronize the movements with the external pacing signal. In addition to the bimanual coordination problems, involuntary mirror movements (MM) were observed in the single-arm control trials that were significantly larger in the PD group (4.4% of the amplitude of the moving arm) than in the control group (2.3%), suggesting a reduced ability to suppress a basic in-phase coupling of the arms. In the PD group, MM were largest during movements of the least-affected arm. These parkinsonian coordination problems are interpreted in terms of recent evidence on the neural organization of bimanual coordination, suggesting that they are due to cortical rather than callosal dysfunction.

Aged↗

Effects of pontomedullary reticular formation stimulation on the neuronal networks responsible for rhythmical jaw movements in the guinea pig.

1. In the ketamine-anesthetized guinea pig, electromyographic (EMG) responses of the digastric muscle and vertical and horizontal movements of the mandible were studied when loci within the caudal pontine and rostral medullary reticular formation were stimulated during rhythmic jaw movements (RJMs) evoked by stimulation of the masticatory area of the cortex. 2. Within these regions electrical brain stem stimulation of the pontis nucleus caudalis and nucleus gigantocellularis (PnC-Gi) of the reticular formation completely blocked RJMs at stimulus intensities as low as 10 microA while suppressing the short-latency digastric EMG response that was time locked to each cortical stimulus in the train. PnC-Gi stimulation did not, however, reduce the excitability of the short-latency corticotrigeminal excitatory pathway to digastric motoneurons when tested by short pulse train stimulation at 2 Hz (3 pulses, 500 Hz, 0.3 ms) in the absence of RJMs. 3. Short trains (80 ms) of PnC-Gi stimuli delivered at various phases of the RJM cycle produced a permanent phase shift of the RJM rhythm. If the stimulus train was delivered at an early phase of the cycle (8-40%) the next cycle onset was advanced; if the train was delivered later in the cycle (60-80%) the next cycle onset was delayed. Long trains of PnC-Gi stimuli (100, 200, 300, and 400 ms) increased the time of onset of the next cycle by an amount directly proportional to the duration of the stimulus train. 4. Digastric EMG activity occurring during cortically evoked RJMs occupied nearly 50% of the cycle. If a short train of PnC-Gi stimuli was delivered between approximately 5 and 125 ms after the onset of the burst, the duration of the burst was significantly shortened. 5. These results demonstrate that the suppression of cortically evoked RJMs resulting from PnC-Gi stimulation is due to direct effects on central circuits responsible for the production of the RJM behavior and not on the motoneurons themselves. The evidence presented is consistent with our previously presented hypothesis that the neurons involved in mediating the short-latency corticotrigeminal pathway to digastric motoneurons are separate and distinct from those neurons comprising the central networks responsible for the production of the fundamental jaw oscillation during RJMs.

Animals↗

Topographical distribution and functional properties of cortically induced rhythmical jaw movements in the monkey (Macaca fascicularis).

1. The lateral part of the pericentral cortex of both hemispheres in three awake monkeys was explored with intracortical microstimulation (ICMS) using short trains (T/S; 200-microseconds pulses at 333 Hz for 35 ms, less than or equal to microA) and long trains (C/S; 200-microseconds pulses at 50 Hz for 3 s, less than or equal to 60 microA). In both hemispheres of one of these monkeys, the responsiveness of single cortical neurons to stimulation of the orofacial region was tested at the same intracortical sites where ICMS was applied. 2. Movements were evoked from four physiologically defined cortical regions: the primary face motor cortex (MI), the primary face somatosensory cortex (SI), the principal part of the cortical masticatory area (CMAp) which was located in the precentral gyrus lateral to MI, and a deep part of the cortical masticatory area (CMAd) which was located in the inferior face of the frontal operculum. 3. Two types of cortically induced movements were observed: a single twitch movement and EMG activity of the orofacial muscles that was evoked by T/S at a short latency (10-45 ms) and rhythmical jaw movements (RJMs) which were only evoked by C/S. 4. RJMs were evoked at C/S frequencies ranging from 20 to 300 Hz. At movement threshold, the frequency of the cortically induced RJMs varied from 0.7 to 1.5 Hz and usually increased with the increase of C/S intensity up to 2 times movement threshold. The vertical amplitude of RJMs was also stimulus dependent, and at movement threshold it ranged from 3 to 9 mm. 5. The movement patterns of the cortically induced RJMs remained constant during the course of C/S but could be differentiated in the frontal plane into ipsilateral- (RJMi), vertical-(RJMv), and contralateral- (RJMc) directed movements. These three different patterns of RJMs were associated with different patterns of masticatory muscle activity. 6. Each cortical region contained many sites from which RJMs could be induced (so-called RJM sites). The RJMi sites were more numerous than RJMc sites in all regions except SI and were located anterolateral or lateral to the RJMc sites in each region; the RJMv sites were scattered throughout each cortical region. 7. In MI, C/S elicited RJMs from 94 intracortical sites from which short-latency twitch movements could also be evoked by T/S.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Rhythmical jaw movements and lateral ponto-medullary reticular neurons in rats.

Neuronal activity in the lateral reticular formation was investigated in urethane-anesthetized rats. Stimulation of anterior and posterior cortical areas induced two types of rhythmical jaw movements (RJM). The effects of stimulation of these cortical areas, the peripheral nerves, and the trigeminal motor nucleus on these neurons and their activity during the RJM were analyzed. The smallest percentage of neurons receiving anterior cortical input received peripheral input, and most neurons with posterior cortical input received peripheral input. Sixty per cent of reticular neurons showed the rhythmical firing closely related to the RJM. Therefore, these neurons may participate in masticatory pattern formation.

Animals↗