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Hemodynamic and ventilatory effects of manual respiratory physiotherapy techniques of chest clapping, vibration, and shaking in an animal model.

Chest clapping, vibration, and shaking were studied in 10 physiotherapists who applied these techniques on an anesthetized animal model. Hemodynamic variables (such as heart rate, blood pressure, pulmonary artery pressure, and right atrial pressure) were measured during the application of these techniques to verify claims of adverse events. In addition, expired tidal volume and peak expiratory flow rate were measured to ascertain effects of these techniques. Physiotherapists in this study applied chest clapping at a rate of 6.2 +/- 0.9 Hz, vibration at 10.5 +/- 2.3 Hz, and shaking at 6.2 +/- 2.3 Hz. With the use of these rates, esophageal pressure swings of 8.8 +/- 5.0, 0.7 +/- 0.3, and 1.4 +/- 0.7 mmHg resulted from clapping, vibration, and shaking respectively. Variability in rates and "forces" generated by these techniques was <20% in average coefficients of variation. In addition, clinical experience accounted for 76% of the variance in vibration rate (P = 0.001). Cardiopulmonary physiotherapy experience and layers of towel used explained approximately 79% of the variance in clapping force (P = 0.004), whereas age and clinical experience explained >80% of variance in shaking force (P = 0.003). Application of these techniques by physiotherapists was found to have no significant effects on hemodynamic and most ventilatory variables in this study. From this study, we conclude that chest clapping, vibration, and shaking 1). can be consistently performed by physiotherapists; 2). are significantly related to physiotherapists' characteristics, particularly clinical experience; and 3). caused no significant hemodynamic effects.

Adult↗

Distinct patterns of stimulus generalization of increases and decreases in VOR gain.

Motor learning must be capable of increasing or decreasing the amplitude of movements to meet the demands of the environment. One way to implement such opposite learned changes would be to store them with bidirectional plasticity mechanisms (i.e., long-term potentiation and depression at the same synapses). At the behavioral level, this scheme should result in similar patterns of stimulus generalization of increases and decreases in movement amplitude because the same synapses would be modified but in opposite directions. To test this idea, we quantitatively compared the stimulus generalization of learned increases and decreases in the gain (amplitude) of the vestibuloocular reflex (VOR) in mice and in monkeys. When examined across different sinusoidal frequencies of head rotation, decreases in VOR gain generalized more than increases in gain. This difference was apparent not only in the gain, but also the phase (timing) of the VOR. Furthermore, this difference held when animals were trained with high-frequency rotational stimuli, a manipulation that enhances frequency generalization. Our results suggest that increases and decreases in VOR gain are not exact inverses at the circuit level. At one or more sites, the plasticity mechanisms supporting decreases in VOR gain must be less synapse-specific, or affect neurons more broadly tuned for head rotation frequency, than the mechanisms supporting increases in gain.

Adaptation, Physiological↗

Otolith deprivation induces optokinetic compensation.

According to the multisensory integration theory vestibular, optokinetic and proprioceptive inputs act in concert to maintain a stable retinal image of the visual world. Yet, it remains elusive to what extent the otolith organs contribute to this process and whether a specific loss of otolith input is compensated for. Here we investigated the compensatory eye movements in tilted mice, which lack otoconia because of a mutation in otopetrin 1. Tilted mice showed very small displacements of the eyes in the orbit during static roll paradigms, suggesting the absence of functional otolith organs. Independent of head position with respect to gravity, the gain and phase lead of angular vestibuloocular reflex of tilted mice were decreased and increased, respectively (frequencies 0.2 to 1 Hz and peak accelerations 8 to 197 degrees /s2, respectively). Furthermore, lack of otolith input increases the dependency of the vestibular system on stimulus frequency. In contrast, the gain of optokinetic reflex in tilted mice was significantly higher in the low-frequency range than in control mice, regardless of the position of the mice in space or the plane of the eye movements. To explain these results, a simple model was used in which a multisensory integration unit was embedded. With this model, we were able to simulate all the behaviors observed. Thus our data and the model support the presence of the multisensory integration system and revealed a compensatory enhanced optokinetic reflex in tilted mice, indicating an adaptive synergism in the processing of otolith and visually driven signals.

Acceleration↗

Visuomotor sensitivity to visual information about surface orientation.

We measured human visuomotor sensitivity to visual information about three-dimensional surface orientation by analyzing movements made to place an object on a slanted surface. We applied linear discriminant analysis to the kinematics of subjects' movements to surfaces with differing slants (angle away form the fronto-parallel) to derive visuomotor d's for discriminating surfaces differing in slant by 5 degrees. Subjects' visuomotor sensitivity to information about surface orientation was very high, with discrimination "thresholds" ranging from 2 to 3 degrees. In a first experiment, we found that subjects performed only slightly better using binocular cues alone than monocular texture cues and that they showed only weak evidence for combining the cues when both were available, suggesting that monocular cues can be just as effective in guiding motor behavior in depth as binocular cues. In a second experiment, we measured subjects' perceptual discrimination and visuomotor thresholds in equivalent stimulus conditions to decompose visuomotor sensitivity into perceptual and motor components. Subjects' visuomotor thresholds were found to be slightly greater than their perceptual thresholds for a range of memory delays, from 1 to 3 s. The data were consistent with a model in which perceptual noise increases with increasing delay between stimulus presentation and movement initiation, but motor noise remains constant. This result suggests that visuomotor and perceptual systems rely on the same visual estimates of surface slant for memory delays ranging from 1 to 3 s.

Acceleration↗

Influence of visual motion on tactile motion perception.

Subjects were presented with pairs of tactile drifting sinusoids and made speed discrimination judgments. On some trials, a visual drifting sinusoid, which subjects were instructed to ignore, was presented simultaneously with one of the two tactile stimuli. When the visual and tactile gratings drifted in the same direction (i.e., from left to right), the visual distractors were found to increase the perceived speed of the tactile gratings. The effect of the visual distractors was proportional to their temporal frequency but not to their perceived speed. When the visual and tactile gratings drifted in opposite directions, the distracting effect of the visual distractors was either substantially reduced or, in some cases, reversed (i.e., the distractors slowed the perceived speed of the tactile gratings). This result suggests that the observed visual-tactile interaction is dependent on motion and not simply on the oscillations inherent in drifting sinusoids. Finally, we find that disrupting the temporal synchrony between the visual and tactile stimuli eliminates the distracting effect of the visual stimulus. We interpret this latter finding as evidence that the observed visual-tactile interaction operates at the sensory level and does not simply reflect a response bias.

Female↗

Motor adaptation to single force pulses: sensitive to direction but insensitive to within-movement pulse placement and magnitude.

Although previous experiments have identified that errors in movement induce adaptation, the precise manner in which errors determine subsequent control is poorly understood. Here we used transient pulses of force, distributed pseudo-randomly throughout a movement set, to study how the timing of feedback within a movement influenced subsequent predictive control. Human subjects generated a robust adaptive response in postpulse movements that opposed the pulse direction. Regardless of the location or magnitude of the pulse, all pulses yielded similar changes in predictive control. All current supervised and unsupervised theories of motor learning presume that adaptation is proportional to error. Current neural models that broadly encode movement velocity and adapt proportionally to motor error can mimic human insensitivity to pulse location, but cannot mimic human insensitivity to pulse magnitude. We conclude that single trial adaptation to force pulses reveals a categorical strategy that humans adopt to counter the direction, rather than the magnitude, of movement error.

Adaptation, Physiological↗

Fusion of visuo-ocular and vestibular signals in arm motor control.

Keeping the finger pointing at an Earth-fixed object during body displacements can be achieved if compensatory arm movements counteract the effect of the rotation on the hand's position in space. Here we investigated the fusion of signals that originated from systems having different neurophysiological properties (i.e., the visuo-oculomotor and vestibular systems) in the production of such compensatory arm movements. To this end, we analyzed the subjects' performance in three conditions that differed according to the information they provided about relative target-body motion. This information originated either from the vestibular or visuo-oculomotor system, or from a combination of the two. To highlight the integration of visuo-oculomotor and vestibular signals, we compared the arm response to motion frequencies presumed to allow or not to allow optimal vestibular and oculomotor responses. When they could be used in isolation, the ocular signals allowed long-latency but precise kinematics control of the arm movement, whereas vestibular signals allowed accurate motor response early in the rotation but their contribution declined as body rotation developed. Optimal performance was obtained throughout the whole movement and for all rotation frequencies when the visuo-oculomotor and vestibular signals could be used together. This increase in hand-tracking performance could not be explained by a unimodal model or an additive model of vestibular and ocular cues, even when using weighted signals. Rather, the results supported a functional model in which vestibular and visuo-oculomotor signals have different influences on the temporal and spatial aspects of hand movement compensating for body motion.

Adult↗

Postural control in the rabbit maintaining balance on the tilting platform.

A deviation from the dorsal-side-up body posture in quadrupeds activates the mechanisms for postural corrections. Operation of these mechanisms was studied in the rabbit maintaining balance on a platform periodically tilted in the frontal plane. First, we characterized the kinematics and electromyographic (EMG) patterns of postural responses to tilts. It was found that a reaction to tilt includes an extension of the limbs on the side moving down and flexion on the opposite side. These limb movements are primarily due to a modulation of the activity of extensor muscles. Second, it was found that rabbits can effectively maintain the dorsal-side-up body posture when complex postural stimuli are applied, i.e., asynchronous tilts of the platforms supporting the anterior and posterior parts of the body. These data suggest that the nervous mechanisms controlling positions of these parts of the body can operate independently of each other. Third, we found that normally the somatosensory input plays a predominant role for the generation of postural responses. However, when the postural response appears insufficient to maintain balance, the vestibular input contributes considerably to activation of postural mechanisms. We also found that an asymmetry in the tonic vestibular input, caused by galvanic stimulation of the labyrinths, can affect the stabilized body orientation while the magnitude of postural responses to tilts remains unchanged. Fourth, we found that the mechanisms for postural corrections respond only to tilts that exceed a certain (threshold) value.

Animals↗

A cortical network sensitive to stimulus salience in a neutral behavioral context across multiple sensory modalities.

Stimulus salience depends both on behavioral context and on other factors such as novelty and frequency of occurrence. The temporo-parietal junction (TPJ) responds preferentially to behaviorally relevant stimuli and is thought to play a general role in detecting salient stimuli. If so, it should respond preferentially to novel or infrequent events, even in a neutral behavioral context. To test this hypothesis, we used event-related functional magnetic resonance imaging (fMRI) to identify brain regions sensitive to the novelty of visual, auditory, and tactile stimuli during passive observation. Cortical regions with a greater response to novel than familiar stimuli across all modalities were identified at two sites in the TPJ region: the supramarginal gyrus (SMG) and superior temporal gyrus. The right inferior frontal gyrus (IFG), right anterior insula, left anterior cingulate cortex (ACC), and left inferior temporal gyrus also showed sensitivity to novelty. The novelty-sensitive TPJ activation in SMG overlaps a region previously identified as sensitive behavioral context. This region may play a general role in identifying salient stimuli, whether the salience is due to the current behavioral context or not. The IFG activation overlaps regions previously identified as responsive to nonnovel sensory events regardless of behavioral context. The IFG may therefore play a general role in stimulus evaluation rather than a specific role in identifying novel stimuli. The ACC activation lies in a region active during complex response-selection tasks, suggesting a general role in detecting and/or planning responses to salient events. A frontal-parietal-cingulate network may serve to identify and evaluate salient sensory stimuli in general.

Acoustic Stimulation↗

Neonatal cortical ablation disrupts multisensory development in superior colliculus.

The ability of cat superior colliculus (SC) neurons to synthesize information from different senses depends on influences from two areas of the cortex: the anterior ectosylvian sulcus (AES) and the rostral lateral suprasylvian sulcus (rLS). Reversibly deactivating the inputs to the SC from either of these areas in normal adults severely compromises this ability and the SC-mediated behaviors that depend on it. In this study, we found that removal of these areas in neonatal animals precluded the normal development of multisensory SC processes. At maturity there was a substantial decrease in the incidence of multisensory neurons, and those multisensory neurons that did develop were highly abnormal. Their cross-modal receptive field register was severely compromised, as was their ability to integrate cross-modal stimuli. Apparently, despite the impressive plasticity of the neonatal brain, it cannot compensate for the early loss of these cortices. Surprisingly, however, neonatal removal of either AES or rLS had comparatively minor consequences on these properties. At maturity multisensory SC neurons were quite common: they developed the characteristic spatial register among their unisensory receptive fields and exhibited normal adult-like multisensory integration. These observations suggest that during early ontogeny, when the multisensory properties of SC neurons are being crafted, AES and rLS may have the ability to compensate for the loss of one another's cortico-collicular influences so that normal multisensory processes can develop in the SC.

Acoustic Stimulation↗

Responses of reticulospinal neurons in the lamprey to lateral turns.

When swimming, the lamprey maintains a definite orientation of its body in the vertical planes, in relation to the gravity vector, as the result of postural vestibular reflexes. Do the vestibular-driven mechanisms also play a role in the control of the direction of swimming in the horizontal (yaw) plane, in which the gravity cannot be used as a reference direction? In the present study, we addressed this question by recording responses to lateral turns in reticulospinal (RS) neurons mediating vestibulospinal reflexes. In intact lampreys, the activity of axons of RS neurons was recorded in the spinal cord by implanted electrodes. Vestibular stimulation was performed by periodical turns of the animal in the yaw plane (60 degrees peak to peak). It was found that the majority of responding RS neurons were activated by the contralateral turn. By removing one labyrinth, we found that yaw responses in RS neurons were driven mainly by input from the contralateral labyrinth. We suggest that these neurons, when activated by the contralateral turn, will elicit the ipsilateral turn and thus will compensate for perturbations of the rectilinear swimming caused by external factors. It is also known that unilateral eye illumination elicits a contralateral turn in the yaw plane (negative phototaxis). We found that a portion of RS neurons were activated by the contralateral eye illumination. By eliciting an ipsilateral turn, these neurons could mediate the negative phototaxis.

Action Potentials↗

Neuronal substrates of motor learning in the velocity storage generated during optokinetic stimulation in the squirrel monkey.

Chronic motor learning in the vestibuloocular reflex (VOR) results in changes in the gain of this reflex and in other eye movements intimately associated with VOR behavior, e.g., the velocity storage generated by optokinetic stimulation (OKN velocity storage). The aim of the present study was to identify the plastic sites responsible for the change in OKN velocity storage after chronic VOR motor learning. We studied the neuronal responses of vertical eye movement flocculus target neurons (FTNs) during the optokinetic after-nystagmus (OKAN) phase of the optokinetic response (OKR) before and after VOR motor learning. Our findings can be summarized as follows. 1) Chronic VOR motor learning changes the horizontal OKN velocity storage in parallel with changes in VOR gain, whereas the vertical OKN velocity storage is more complex, increasing with VOR gain increases, but not changing following VOR gain decreases. 2) FTNs contain an OKAN signal having opposite directional preferences after chronic high versus low gain learning, suggesting a change in the OKN velocity storage representation of FTNs. 3) Changes in the eye-velocity sensitivity of FTNs during OKAN are correlated with changes in the brain stem head-velocity sensitivity of the same neurons. And 4) these changes in eye-velocity sensitivity of FTNs during OKAN support the new behavior after high gain but not low gain learning. Thus we hypothesize that the changes observed in the OKN velocity storage behavior after chronic learning result from changes in brain stem pathways carrying head velocity and OKN velocity storage information, and that a parallel pathway to vertical FTNs changes its OKN velocity storage representation following low, but not high, gain VOR motor learning.

Adaptation, Physiological↗

Neural basis of visually guided head movements studied with fMRI.

We used event-related fMRI to measure brain activity while subjects performed saccadic eye, head, and gaze movements to visually presented targets. Two distinct patterns of response were observed. One set of areas was equally active during eye, head, and gaze movements and consisted of the superior and inferior subdivisions of the frontal eye fields, the supplementary eye field, the intraparietal sulcus, the precuneus, area MT in the lateral occipital sulcus and subcortically in basal ganglia, thalamus, and the superior colliculus. These areas have been previously observed in functional imaging studies of human eye movements, suggesting that a common set of brain areas subserves both oculomotor and head movement control in humans, consistent with data from single-unit recording and microstimulation studies in nonhuman primates that have described overlapping eye- and head-movement representations in oculomotor control areas. A second set of areas was active during head and gaze movements but not during eye movements. This set of areas included the posterior part of the planum temporale and the cortex at the temporoparietal junction, known as the parieto-insular vestibular cortex (PIVC). Activity in PIVC has been observed during imaging studies of invasive vestibular stimulation, and we confirm its role in processing the vestibular cues accompanying natural head movements. Our findings demonstrate that fMRI can be used to study the neural basis of head movements and show that areas that control eye movements also control head movements. In addition, we provide the first evidence for brain activity associated with vestibular input produced by natural head movements as opposed to invasive caloric or galvanic vestibular stimulation.

Acoustic Stimulation↗

Relationship between visual and tactile representations in cat superior colliculus.

A stratified organization of visual, somatic and acoustic representations was observed in the cat SC. Cells of the superficial laminae were exclusively visual. Visual, somatic, and acoustic cells were observed in the intermediate laminae while the deeper laminae were predominantly nonvisual. A detailed examination of the tactile representation revealed a somatotopic plan which was in register with the overlying visuotopy. The magnified representation of central visual fields overlapped the magnified tactile representation of the face and, as visual RFS moved temporally, the underlying tactile RFS were displaced caudal and distal. This topographical overlap can be recognized if the visual field is depicted as a flexible sheet which is stretched over the body with the area centralis superimposed on the nose and the limbs radiating out at an acute angle. The overlapping topographies and similarities in stimulus specificity of somatic and visual cells, as well as the similar behavioral deficits previously described following SC lesions, suggests a functional parallel between modalities in the SC. The possibility that visual, somatic, and acoustic cells converge on a common delivery or distribution system, which is located in the intermediate-deeper SC strata and organizes orienting and following responses on the basis of multimodality cues, is discussed.

Acoustic Stimulation↗

Fast ballistic arm movements triggered by visual, auditory, and somesthetic stimuli in the monkey. I. Activity of precentral cortical neurons.

Single-unit recordings from motor cortex (area 4) were obtained in two monkeys trained to perform simple flexion and extension movements of the arm in response to somesthetic, visual, and auditory signals. All neurons tested showed movement-related responses that were identical for equivalent movements irrespective of the modality of the triggering stimulus. Progressively longer reaction times were always associated with progressively longer latencies of unit responses. When visual and auditory stimuli were presented simultaneously, the intensity and the duration of both motor and unitary responses remained unchanged as if only one stimulus (auditory) had been given. When the auditory stimulus was appropriately delayed with respect to the visual one, shortening of motor reaction time was observed with a corresponding shortening of the latency of unit responses. In addition to movement-related responses, some neurons showed sensory-related responses mainly to the somesthetic stimulus (37%) and more rarely to the auditory (11%) and visual stimuli (3%). These "sensory" responses preceded and were independent of the movement-related responses; they showed no obvious correlation with the reaction time. Whenever tested, the somatosensory responses persisted after extinction of the motor responses. These findings suggest that, in our experimental conditions, area 4 neurons of the monkey are not involved in the early processing of sensory information required for the initiation of simple, triggered movements. Rather, they appear to generate signals that are mainly related to the characteristics of the motor responses.

Acoustic Stimulation↗