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PubMed1982

[The maternal perception of fetal movements during the last trimester of pregnancy].

In a prospective study the foetal movements were simultaneously registered with two real time ultra-sound instruments and compared with the maternal perception of the movements. 35 patients were studied with a mean investigation time of 20 minutes per patient. The mothers pushed a button when they perceived a movements. Synchronous to this registration and storage on a tape were done of the movements of the upper and lower extremities the body movements and the foetal respiratory movements, the foetal heart rate and the uterine contractions. The mothers noticed a total of 38% of all foetal movements. Most frequently the mother noticed in 78% of the cases total foetal movements of the body and extremities. Isolated movements of the foetal body without movements of the extremities were only perceived by the mothers in 31% of the cases and isolated movements of the extremities were only perceived in 15%. In 69% of the cases the mothers correctly indicated that foetal movement took place. In 31% of all maternal signals there was no sonographic evidence of foetal movements of the body or the extremities. In 24% of these cases foetal respiratory movements were evident and in 23% of the cases Braxton-Hicks contractions were found. In 54% of these cases the signal button was used by the mothers without detectable reason. This high failure rate of maternal perception of foetal movements needs to be considered in the evaluation of foetal movements by the mother.

Adolescent↗
PubMed2006

Stability of dynamic trunk movement.

STUDY DESIGN: Nonlinear systems analyses of trunk kinematics were performed to estimate control of dynamic stability during repetitive flexion and extension movements. OBJECTIVE: Determine whether movement pace and movement direction of dynamic trunk flexion and extension influence control of local dynamic stability. SUMMARY OF BACKGROUND DATA: Spinal stability has been previously characterized in static, but not in dynamic movements. Biomechanical models make inferences about static spinal stability, but existing analyses provide limited insight into stability of dynamic movement. Stability during dynamic movements can be estimated from Lyapunov analyses of empirical data. METHODS: There were 20 healthy subjects who performed repetitive trunk flexion and extension movements at 20 and 40 cycles per minute. Maximum Lyapunov exponents describing the expansion of the kinematic state-space were calculated from the measured trunk kinematics to estimate stability of the dynamic system. RESULTS: The complexity of torso movement dynamics required at least 5 embedded dimensions, which suggests that stability components of lumbar lordosis may be empirically measurable in addition to global stability of trunk dynamics. Repeated trajectories from fast paced movements diverged more quickly than slower movement, indicating that local dynamic stability is limited in fast movements. Movements in the midsagittal plane showed higher multidimensional kinematic divergence than asymmetric movements. CONCLUSION: Nonlinear dynamic systems analyses were successfully applied to empirically measured data, which were used to characterize the neuromuscular control of stability during repetitive dynamic trunk movements. Movement pace and movement direction influenced the control of spinal stability. These stability assessment techniques are recommended for improved workplace design and the clinical assessment of spinal stability in patients with low back pain.

Adult↗
PubMed1996

Assessment of fetal health should be based on maternal perception of clusters rather than episodes of fetal movements.

OBJECTIVE: To determine the level of correlation between mother and machine detected episodes and clusters of fetal movements and their association with fetal heart rate acceleration. METHODOLOGY: An observational study conducted on health pregnant women between 29-40 weeks gestation who were admitted in spurious labour to the Department of Obstetrics and Gynaecology, National University Hospital, Republic of Singapore. A continuous record of fetal heart rate and fetal movement was obtained using the fetal actocardiograph. Fetal movements felt by mother were also noted. If a continuous series of fetal movements were perceived over a period of 15 secs or more it was termed clusters of fetal movement. The presence or absence of acceleration in relation to these movements were noted. RESULTS: There was a highly significant correlation between mother and machine in detection of clusters of fetal movements (r = 0.77, p < 0.001); for episodes of fetal movements, the correlation was weaker (r = 0.23, p < 0.05). All clusters of fetal movements perceived by the mother were recorded by the machine and were associated with fetal heart rate accelerations. Two or more accelerations within 3 minutes of the fetal movements were seen with 87.8% of clusters felt by mother compared with 66.7% detected by the machine (p = 0.01). In the 2,263 minutes of recording in 42 women, a cluster of fetal movements was felt at least every 25 minutes by the mother. CONCLUSION: Maternal perception of 1 or 2 clusters of fetal movements in 30 to 60 minutes may be as reliable as a non-stress test in reassuring good health. It would be less time consuming than the traditional count to 10 fetal movement chart and a more reliable indicator of fetal health than counting episodes of fetal movements. Thus, our study suggests that clusters rather than episodes of fetal movements should be considered for evaluating fetal health based on fetal movements.

Adult↗
PubMed1982

Properties of postural adjustments associated with rapid arm movements.

1. We have examined rapid postural adjustments associated with a class of voluntary movements that disturb postural equilibrium. In the text that follows, these motor activities are termed associated postural adjustments and voluntary focal movements, respectively. Standing human subjects performed a variety of movement tasks on a hand-held manipulandum, resulting in disturbances to their postural equilibrium. The experimental use of movements that interact with the subject's environment in a relatively simple was permitted a more precise comparison of the postural adjustments with their associated focal movements. 2. Subjects either pulled or pushed on a stiff interface (the handle) or they responded in a predetermined way to handle perturbations. These activities were carried out with various degrees of steady-state postural stability. Prior to and during these movements, support surface and handle forces, electromyographic (EMG) signals, and body sway were monitored. 3. In addition to previously shown postural adjustments associated with reaction-time armed movements, we have demonstrated these postural activities occur in concept with segmental stretch reflexes and self-initiated (untriggered) movements. Postural adjustments were initiated shortly before all focal movements tested except the short-latency component of the biceps stretch reflex (25- to 30-ms latency). However, this reflex component was rarely elicited by handle perturbations in free-standing subjects; therefore, postural adjustments usually preceded any biceps activity under this condition. 4. By varying the degree of steady-state postural equilibrium, a reciprocal gain/threshold relationship between postural and focal components was documented, i.e., when stability was high, postural activity was reduced or absent and focal activity enhanced. Conversely, the biceps stretch reflex was difficult to elicit under any condition where the subjects was not fully supported in the direction of movement and reaction times of focal movements were prolonged. 5. Postural activities associated with focal movements were found to share a number of organizational properties with automatic postural adjustments to support surface movements. Specifically, the postural muscle synergies were equivalent in muscle composition, relative activation magnitudes, and relative temporal sequencing. Furthermore, both types of postural adjustments were highly specific in locus and magnitude to the quality of steady-state postural equilibrium (e.g., postural "set"). 6. A conceptual model is proposed that suggests one simple way in which the reciprocal influence of postural set on postural and focal movement components and their temporal sequencing might be accomplished. Furthermore, we propose in this model a common central organization of postural adjustments associated with focal movements and those elicited by support-surface movements.

Afferent Pathways↗
PubMed1990

Behaviorally contingent property of movement-related activity of the primate putamen.

1. In this study, the movement-related activity of putamen neurons was investigated in behaving monkeys. The objective of the study was to examine whether the activity occurring in phase with body movements is directly related to the movement per se by encoding movement parameters or whether it is dependent on the circumstances in which the movement is performed. 2. Sensorially triggered arm movements were used as a behavioral task. A sequence of three visually triggered repetitive flexion-extensions of the elbow joint across the target were followed by the delivery of a juice reward. 3. There are two classes of putamen cells: type I, with tonic spontaneous discharges (2-7 Hz) and broad extracellularly recorded action potentials, and type II, with very low spontaneous discharge rate (less than 1 Hz). The movement-related phasic discharges occur exclusively in type II cells. 4. The movement-related activity of type II cells is classified into two contrasting types of cells: type IIa that exhibit burst discharges preceding the first movement of a sequence of repetitive arm or orofacial movements but that are almost inactive during succeeding movements, and type IIb that show movement-locked burst discharges with one-to-one correspondence. The somatotopic location of the cells was identified by microstimulation and/or sensory responses to passive somatosensory manipulation of the periphery. 5. The activities of type IIa cells occur with a short and fairly constant latency after the visual trigger stimulus and cease as soon as the sequence of the learned movements is initiated. In the condition in which the monkey attended to the visual trigger stimulus without initiating learned movements and waited for the delivery of juice reward at a fixed time after the stimulus, type IIa cells exhibited slight but consistent phasic discharges after the visual stimulus with short latency. This indicates that the type IIa cells have a visuomovement property. The type IIb cells, on the other hand, have a longer latency of activity after the visual trigger than type IIa cells and do not have the visuomovement property. 6. The type IIa cells change their activity pattern depending on whether the direction of initial movement is predictable before the trigger stimulus or not. 7. The activities of type IIa cells in the arm area of the putamen precede the electromyogram (EMG) of prime mover muscles by greater than 100 ms on average, whereas most type IIb cells are activated after the EMG during a learned arm-movement task.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1990

Functional organization within the medullary reticular formation of intact unanesthetized cat. I. Movements evoked by microstimulation.

1. The present article described the various patterns of movement evoked in the limbs and neck by microstimulation (33-ms trains, 330 Hz, 0.2-ms pulses at less than or equal to 35 microA) of the medullary reticular formation (MRF) of seven chronically implanted, unanesthetized, intact cats. Altogether 878 loci were stimulated in 83 penetrations. However, as stimulation in the more lateral regions of the MRF was less effective, the results are based on stimulation in 592 loci made in 56 penetrations at distances of between 0.5 and 2.5 mm lateral to the midline. 2. Of these 592 loci, movement of one or more parts of the body was evoked from a total of 539 (91%) sites. Most of these movements were compound in nature, involving movement of one or more limbs as well as the head. Discrete movements were observed only with respect to the head; limb movements were always accompanied by head movement. In addition, hindlimb movements were always accompanied by forelimb movements, although the inverse was generally not true. 3. The most common effects of the stimulation were as follows: a turning of the head to the ipsilateral side (79% of stimulated sites); flexion of the ipsilateral elbow (41%); and extension of the contralateral elbow (45%). Effects in the hindlimbs were more variable and less frequent, with the majority of the effective loci causing flexion of the ipsilateral knee (9%) together with extension of the contralateral knee (8%). In total, including both flexion and extension, 18% of the stimulated sites caused movement of the ipsilateral hindlimb and 11% of the contralateral hindlimb. 4. Although movements of the head were obtained from the whole extent of the brain stem, movements of the forelimbs showed a dorsoventral organization with flexion of the ipsilateral elbow being evoked from the more dorsal regions of the brain stem, whereas contralateral elbow extension was evoked more frequently from the ventral regions. There was a large area of overlap from which movements of both limbs could be obtained simultaneously. Movements of the hindlimbs were more frequently evoked from central and ventral areas of the brain stem and from the most rostral aspect of the explored region. 5. In examining the combinations of movements evoked by the MRF stimulation, it was found that the most commonly evoked pattern was movement of the head to the stimulated side together with flexion of the ipsilateral forelimb and extension of the contralateral forelimb (26.5% of sites).(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1992

Dynamics and efficacy of saccade-facilitated vergence eye movements in monkeys.

1. Four macaque monkeys were trained to fixate visual targets. Eye movements were recorded binocularly using the search coil technique. Saccades, vergence movements, and combinations of the two were elicited by training the monkeys to alternate the gaze between real visual targets that differed in viewing distance and eccentricity with respect to the monkeys' heads. 2. When they shifted the gaze between targets that were at different viewing distances, the monkeys made vergence eye movements. For targets placed along the midsagittal plane, the monkeys often made binocularly symmetric vergence movements. The peak speed of symmetric divergence movements increased linearly with vergence amplitude by 5.7 deg/s per degree of vergence. The peak speed of symmetric convergence movements increased linearly with vergence amplitude by 7.9 deg/s per degree of vergence. 3. For gaze shifts between targets placed eccentrically with respect to the midsagittal plane and at different viewing distances, the monkeys made saccades in combination with vergence eye movements. When a saccade occurred during a vergence movement, peak vergence eye speed increased abruptly and reached a peak that was proportional to the speed of the saccade. For four monkeys, peak divergence speed ranged from 242 to 315 deg/s and peak convergence speed ranged from 257 to 340 deg/s for 16-deg vergence and 20-deg saccadic eye movements. 4. For gaze shifts between far targets at the same viewing distance but different eccentricities, saccadic eye movements were transiently disjunctive even though there was no vergence requirement. Initially, the eyes diverged and then converged to restore fixation to the correct depth plane. Divergence was followed by convergence regardless of the direction of the saccade. 5. The presence of transient saccade-related disjunctive eye movements suggested that the abrupt increase in peak vergence speed during combined saccadic and vergence eye movements was produced by the linear addition of a vergence eye movement and the saccade-related transients. Consistent with this hypothesis, the rate of change in peak vergence speed during various-sized saccades between far targets (no vergence required) was similar to the rate of change in peak vergence speed during combined saccadic and vergence movements. However, the peak vergence speeds during the combined movements were higher than predicted by the linear addition hypothesis, suggesting the presence of an additional mechanism. 6. The saccade-related increase in peak vergence speed during combined saccades and vergences led to a significant decrease in the amount of time required to complete vergence movements.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1986

Kinematics and end-point control of arm movements are modified by unexpected changes in viscous loading.

These experiments were undertaken to evaluate whether the kinematics and end-point control of learned movements were affected by changes in dynamic loads or were determined largely by centrally specified motor programs. Human subjects performed flexion movements about the wrist in a discrete visual tracking task for a range of movement sizes. For some movements, viscosity was increased at movement onset. When the viscous load opposed movement unexpectedly, subjects initially overshot the intended target for all movement sizes, but only for the smaller movements did the overshoot persist. Unexpected introduction of heavier loads was more effective in inducing these behavioral changes; the lightest loads did not alter end-point positioning. When subjects had visual guidance about performance when load changes occurred, the effect of the unexpected occurrences of viscous loads was diminished, suggesting that subjects rapidly adjusted their movement strategy, depending on task demands and performance. The movement responses were mediated by short-latency and long-duration muscle responses triggered by the change in viscous loading. Although the triggered muscle responses were larger when the loads were encountered during performance of large, in comparison to small, movements, smaller muscle responses affected small movements more than large triggered responses did large movements. This suggests that triggered muscle responses are compensatory in certain movement situations but disruptive in others. In addition, these findings demonstrated that dynamic loads especially affect the kinematics and end-point control of smaller movements, suggesting that kinesthetic inputs and central motor commands interact so subjects may achieve accurate positioning for certain classes of movements.

Adolescent↗
PubMed1986

Analysis of local and wide-field movements in the superior temporal visual areas of the macaque monkey.

The middle temporal (MT) and medial superior temporal (MST) areas of the macaque cortex have many cells that respond to straight movements in the frontoparallel plane with directional selectivity (D cells). We examined their responses to movements of a bar, of a wide dot pattern, and to combined movements of the two in anesthetized and immobilized animals. D cells in MT showed a wide variety in the strength of the inhibitory field surrounding the excitatory center field. Responses of SI+-type cells to a bar moving across the excitatory field were suppressed when a wide dot pattern moved over the surround field in the same direction and at the same speed as the bar. Inhibition was selective to the direction and speed of the surround movement, and the effective area for inhibition occupied a wide area, which expanded in all radial directions. Responses of SI- -type cells to a center bar movement were changed little by a conjoint movement over the surround field. Consequently, SI- -type cells responded to wide-field movement as well as to stimuli confined within the excitatory field. Although D cells in MST commonly had large excitatory fields, a proportion of them (Figure type) responded to bar movement much more strongly than to wide-field movement. Their responses to a bar movement were suppressed direction-selectively by a conjoint movement of a wide dot-pattern background. The effective area for inhibition coexisted with the excitatory field in these cells. MST cells of the Nonselective type responded comparably well to the two stimuli, and those of the Field type responded much more strongly to wide-field movement than to bar movement. It is thus suggested that MT cells of the SI+ type and MST cells of the Figure type can detect a difference between movements of an object and its wide background, whereas MST cells of the Field type can detect a conjoint movement of a wide field, neglecting the movements of a single object.

Acoustic Stimulation↗
PubMed1987

Selective neuronal discharge in monkey putamen reflects intended direction of planned limb movements.

Single cell activity was recorded from the putamen in rhesus monkeys (Macaca mulatta) performing limb movements made both with and without a preceding preparatory "set" concerning the impending direction of movement. The monkeys were trained to perform an elbow step-tracking task, each trial of which required the subject to make two sequential movements that were virtually identical in terms of their direction, amplitude, velocity and muscle pattern. The first movement was preceded by a foreperiod, the "pre-instruction" period, during which the monkey could not predict the direction (flexion/extension) of the forthcoming movement. The second movement was also preceded by a variable foreperiod, the "post-instruction" period, but during this interval the monkey was aware of the impending direction of movement because it was always required to match that of the first movement. To dissociate the directions of motor set (and limb movement) from the patterns of tonic (and phasic) muscular activation associated with task performance, some trials included the application of torque loads that either opposed or assisted the movements required by the behavioral paradigm. Two principal forms of task-related activity were observed among the 232 putamen neurons (all located within the region of arm representation) whose discharge patterns showed significant relations to one or more features of the behavioral paradigm. "Movement-related" neurons (178/232, 76.7%) discharged selectively in association with either flexion or extension movements of the elbow. "Set-related" neurons (47/232, 20.3%) manifested sustained, selective changes in discharge throughout the post-instruction period, while the monkey was required to maintain a preparatory set concerning the impending direction of movement. Extensive limb and axial EMG recordings showed no evidence of task-related activity patterns comparable to those that characterized the set-related neurons, and scleral search coil recordings showed no relationship between set-related neuronal activity and either the direction of gaze or the direction and timing of eye movements during task performance. Only a small percentage (7/232, 3.0%) of the task-related neurons showed both movement- and set-related activity. In most cases (37/47, 79%), set-related activity was directionally selective, with the magnitude of discharge reflecting the impending direction of movement.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMedDate not supplied

Tremulous characteristics of the vacuous jaw movements induced by pilocarpine and ventrolateral striatal dopamine depletions.

Vacuous jaw movements induced by the muscarinic agonist pilocarpine and striatal dopamine depletions were examined using a slow motion videotape system. With this procedure, rats were videotaped in a Plexiglas tube so that the profile of the head region could be seen. Vacuous jaw movements were analyzed by examining the tape at 1/6 normal speed. An observer recorded each jaw movement using a computer, and the computer program re-calculated the temporal characteristics of jaw movement responses back to normal speed. The interresponse time was recorded for each jaw movement, and each jaw movement interresponse time was assigned to a 50 ms wide time bin. Thus, the distribution of interresponse times could be used to analyze the temporal characteristics of jaw movement responses. In the first experiment, rats were administered saline vehicle, 1.0 mg/kg and 2.0 mg/kg pilocarpine. The rats were videotaped 10-15 min after injection, and the data were analyzed as described above. Pilocarpine induced very high levels of vacuous jaw movements, and the vast majority of all movements occurred in "bursts" with interresponse times of 1.0 s or less. Analysis of the interresponse time distributions showed that most of the jaw movements were within the 150-350 ms range. The modal jaw movement interresponse time was in the 150-200 ms range, which corresponds to a local frequency of 5-6.66 Hz. In the second experiment, the neurotoxic agent 6-hydroxydopamine was injected directly into the ventrolateral striatum in order to produce a local dopamine depletion. The dopamine-depleted rats were observed for jaw movements 7 days after surgery. The overall level of jaw movement activity resulting from dopamine-depletion was much lower than that produced by pilocarpine. There was a significant inverse correlation between ventrolateral striatal dopamine levels and total number of vacuous jaw movements. Videotape analysis indicated that the temporal characteristics of jaw movements induced by dopamine depletions were similar to those shown with pilocarpine. These experiments indicate that vacuous jaw movements induced by pilocarpine and striatal dopamine depletion occur in a frequency range similar to that shown in parkinsonian tremor.

Animals↗
PubMed2001

The one-target advantage: a test of the movement integration hypothesis.

Two experiments were conducted to compare the temporal structure of single aiming movements to two-component movements involving either a reversal in direction or an extension. For reversal movements, there was no cost associated with the movement time for the first segment of the movement. However, regardless of movement direction, initiation instructions, handedness or effector, two-component extension movements were always associated with a longer movement time for the first movement segment. This disadvantage for extension movements, but not reversal movements, is consistent with the notion that there is interference between the execution of the first movement and implementation of the second movement. By contrast, because the muscular force used to break the first movement is also used to propel the second movement, reversal movements are organised as an integrated unit.

Adolescent↗
PubMed1987

Changes in the variability of movement trajectories with practice.

We studied variability in movement phase plane trajectories (velocity-position relation) during movement. Human subjects performed 10 degrees and 30 degrees elbow flexion and extension movements in a visual step tracking paradigm. The area of ellipses with radii equal to one standard deviation in position and velocity was taken as a measure of trajectory variability. Trajectory variability was determined at 10-ms intervals throughout movements. Trajectory variability in both the acceleration and deceleration phases of movement decreased with practice. The average trajectory variability during deceleration was greater than that during acceleration even after extended practice (1000 trials). During practice, subjects usually increased movement speed while maintaining end-position accuracy. Trajectory variability was also related to movement speed when equal amounts of practice were given. Short duration (fast) movements had greater trajectory variability than long duration movements. Thus there is a tradeoff between movement speed and trajectory variability similar to the classical speed-accuracy tradeoff. Trajectory variability increased rapidly during the acceleratory phase of movement. The rate of increase was positively related to both movement amplitude and speed. Thus, the forces producing limb acceleration were variable and this variability was more marked in faster and larger movements. In contrast, trajectory variability increased more slowly or actually decreased during the deceleratory phase of movements. Forces involved in limb deceleration thus appeared to compensate to a greater or lesser degree for the variability in accelerative forces. The experiments indicate that the entire trajectory of simple limb movements is controlled by the central nervous system. Variations in accelerative forces may be compensated for by associated variations in decelerative forces. The linkage between accelerative and decelerative forces is progressively refined with practice resulting in decreased variability of the movement trajectory.

Journal Article↗
PubMed2004

Oscillatory cortical changes during periodic limb movements.

STUDY OBJECTIVES: Periodic limb movements are a distinctive and frequent finding on polysomnography. The pathophysiology and clinical significance of these common sleep-related movements are not yet well understood. The brainstem, spinal cord, and peripheral nervous system may be implicated in the pathogenesis of periodic limb movements. The goal of our study was to probe if there is any participation of cortical mechanisms in the periodic limb movements. We focused the study on the analysis of electroencephalogram oscillations around the periodic limb movement. PARTICIPANTS: We selected polysomnographic recordings of 6 patients diagnosed with periodic limb movements of sleep. METHODS/DESIGN: We analyzed the cortical activity offline after averaging 10-second segments, having the middle point with the beginning of each limb movement in non-rapid eye movement sleep, selecting exclusively samples without obvious arousals. In each patient, polysomnographic segments containing limb movements were selected from both slow-wave (stage 3-4) and lighter (stage 1-2) non-rapid eye movement sleep. RESULTS: An increase in all the frequencies immediately after the limb movements, having the maximum 2.5 to 3 seconds after the beginning of the movement, was found. The slope started 1.5 to 2 seconds before the limb movements. The topography of this activity was different from the activity accompanying voluntary movements in the awake state. The meaning of this activity is uncertain, but one possibility is its relationship with microarousals or an increase of the sensory inputs. The beginning of the increase before the limb movements suggests that the cortex may be engaged during the neural changes associated with this kind of movement, though not playing a causal role.

Adult↗
PubMed2005

Rhythmic movement disorder in sleep persisting into childhood and adulthood.

STUDY OBJECTIVES: To evaluate the type, duration, and distribution of rhythmic movements in sleep stages in school-aged children and young adults; to find out if cases of rhythmic movement disorder persisting beyond infancy are associated with any daytime symptoms or psychopathology. DESIGN: All participants underwent neurologic examination, biochemical screening, electroencephalography, neuroimaging, overnight videopolysomnography, and psychologic examination. SETTING: Department of Neurology and Sleep Laboratory, 1st Medical Faculty, Charles University, Prague. PATIENTS OR PARTICIPANTS: Ten subjects referred to the sleep disorders center because of rhythmic movement disorder. Five males, 5 females; age range, 7-24 years; mean age 14.7 +/- 5.69 years. INTERVENTIONS: None. MEASUREMENTS AND RESULTS: Biochemical screening, electroencephalogram, and neuroimaging were unremarkable in all cases. According to duration, 2 types of rhythmic movements were observed on polysomnography: longer episodes appeared in wakefulness and in non-rapid eye movement stage 1 sleep, while shorter episodes (2-80 seconds) occurred during non-rapid eye movement stage 2, non-rapid eye movement stage 3-4, and rapid eye movement sleep. According to sleep-stage distribution, we defined (a) rhythmic movements prevailing in the first half of the night and in the morning hours, usually associated with wakefulness or superficial sleep; (b) rhythmic movements occurring throughout the night in all sleep stages; (c) rhythmic movements prevailing in the second half of the night and mainly associated with rapid eye movement sleep. Psychologic examination showed symptoms of the attention-deficit/hyperactivity disorder in 6 cases. CONCLUSIONS: According to our study, rhythmic movement disorder persisting beyond infancy may be connected with various daytime symptoms; a strong association between rhythmic movement disorder and attention-deficit/hyperactivity disorder was found in school-aged children. We speculate that pathogenetic mechanisms similar to those in attention-deficit/hyperactivity disorder are involved in rhythmic movement disorder or that symptoms of attention-deficit/hyperactivity disorder may be secondary to rhythmic movement disorder.

Adolescent↗
PubMed2005

Psychogenic movement disorders.

PURPOSE OF REVIEW: This review focuses on recent studies assessing clinical features and laboratory findings that may help diagnose psychogenic movement disorders, and the ongoing controversy about the relationship of these disorders with preceding peripheral injury. RECENT FINDINGS: 'Organic' movement disorders may still be misdiagnosed as psychogenic. Probably more commonly, however, psychogenic movement disorders are underdiagnosed. Most features typically associated with recognized movement disorders, including geste antagoniste or treatment-induced dyskinesias, can be seen in psychogenic movement disorder, and abnormal movements that would not normally be considered psychogenic or produced by psychological factors, such as palatal tremor, may occur on a psychogenic basis. On the other hand, psychiatric features are sometimes seen in neurologically based movement disorders. The diagnostic criteria for psychogenic movement disorders provide a degree of diagnostic certainty based on a combination of clinical and psychiatric features. Laboratory investigations can help exclude specific diagnoses, such as Parkinson's disease with (123I)beta-CIT single photon emission computed tomography, and neurophysiological methods can demonstrate characteristic features of psychogenic movement disorders, such as entrainment or suppression of psychogenic tremor with contralateral hand movements. However, some tests reported to differentiate psychogenic from neurological movement disorders may have incomplete specificity; for example, psychogenic tremor may not always be associated with complete coherence of tremor frequency. An ongoing controversy surrounds movement disorders following peripheral injuries, but recent evidence suggests that such patients should always be screened for the presence of a psychogenic movement disorder. SUMMARY: Psychogenic movement disorder continues to be a difficult diagnosis to make and is likely to be underrecognized. Clinical and laboratory features are emerging, however, that support this diagnosis. The controversy regarding posttraumatic movement disorders continues, but a diagnosis of a psychogenic movement disorder should be actively sought in such patients.

Diagnosis, Differential↗
PubMed2002

Economy of effort in different speaking conditions. II. Kinematic performance spaces for cyclical and speech movements.

This study was designed to test the hypothesis that the kinematic manipulations used by speakers in different speaking conditions are influenced by kinematic performance limits. A range of kinematic parameter values was elicited by having seven subjects produce cyclical CV movements of lips, tongue blade and tongue dorsum (/ba/, /da/, /ga/), at rates ranging from 1 to 6 Hz. The resulting measures were used to establish speaker- and articulator-specific kinematic performance spaces, defined by movement duration, displacement and peak speed. These data were compared with speech movement data produced by the subjects in several different speaking conditions in the companion study (Perkell et al., 2002). The amount of overlap of the speech data and cyclical data varied across speakers, from almost no overlap to complete overlap. Generally, for a given movement duration, speech movements were larger than cyclical movements, indicating that the speech movements were faster and were produced with greater effort, according to the performance space analysis. It was hypothesized that the cyclical movements of the tongue and lips were slower than the speech movements because they were more constrained by (coupled to) the relatively massive mandible. To test this hypothesis, a comparison was made of cyclical movements in maxillary versus mandibular frames of reference. The results indicate that the cyclical movements were not strongly constrained by mandible movements. The overall results generally indicate that the cyclical task did not succeed in defining the upper limits of kinematic performance spaces within which the speech data were confined. Thus, the hypothesis that performance limits influence speech kinematics could not be tested effectively. The differences between the speech and cyclical movements may be due to other factors, such as differences in speakers' "skill" with the two types of movement, or the size of the movements--the speech movements were larger, probably because of a well-defined target for the primary, stressed vowel.

Biomechanical Phenomena↗
PubMed1996

Central mesencephalic reticular formation (cMRF) neurons discharging before and during eye movements.

1. One hundred twenty neurons were recorded in the central mesencephalic reticular formation (cMRF) of four rhesus monkeys, trained to make visually guided and targeted saccadic eye movements. Eye movements were recorded with the head fixed, using electrooculography (EOG) or subconjunctival scleral search coils. Seventy-six percent (92/120) of cells discharged before and during contraversive visually guided or targeted rapid eye movements, and 76% of these (70/92) responded during contraversive spontaneous saccades in the dark. cMRF neurons had large contraversive movement fields and either a high (> 10 spikes/s) or low background level of spontaneous activity in the dark. The optimal movement vectors (i.e., saccades with greatest response) were predominantly horizontal, although many had a vertical component. Cells with optimal movement vectors within +/- 25 degrees of pure vertical were more rostral in the MRF and were excluded from the analysis. 2. A subgroup of cMRF neurons (31 of 92) that discharged before and during visually guided saccades were examined for visual sensitivity. Slightly less than one-half of these cells (42%, 13/31) were visuomotor units, i.e., they responded to visual targets in the absence of eye movement. The other 58% (n = 18) did not discharge during the visual probe trial; they were movement-related cells. 3. Microstimulation (threshold 40-60 microA at 333 Hz) at the sites of many of these cMRF neurons produced contraversive saccadic eye movements at short latency (< 40 ms). The amplitude and direction of the elicited saccades were similar to the optimal movement vector determined from single-unit recording. This suggested that cMRF cells recorded at the same locus of electrical microstimulation participated in the network responsible for the production and control of rapid eye movements. 4. The 92 saccade-related neurons were divided into two groups on the basis of their background discharge rate. Firing rates for both low background (28%, n = 26) and high background (72%, n = 66) cells increased approximately 30 ms before contraversive saccades and reached a peak discharge just before saccade onset. The low background neurons had either no activity or generated a few spikes just before the end of ipsiversive saccades. The steady rate of discharge (> 10 spikes/s) of high background neurons was inhibited from approximately 20 ms before ipsiversive saccades until just before saccade end. 5. Cells were also subdivided on the basis of how their discharge rates fell at the end of saccades. Clipped cells (38%, n = 35) had activity that fell sharply with saccade offset. Partially clipped cells (62%, n = 57) had persistent firing in the 100 ms following the saccade that was > 20% higher than the firing during the 100 ms before the saccade. 6. Latencies between the 90% point on the rising edge of the peak discharge and the start of the saccade were < or = 5.3 ms for eye movement-related cells in two monkeys. Longer latencies (11-19 ms) were found when measured between the 10% point on the rising edge of the peak discharge and saccade onset. These latencies were equal to or shorter than those obtained for eye movement-related burst neurons in the intermediate and deep layers of the superior colliculus analyzed similarly. Delays between the peak discharge and peak eye velocity were 13.6-15.1 ms for the same group of cMRF eye movement-related cells. These were significantly shorter than the delays measured for eye movement neurons in the superior colliculus (SC) of one of the monkeys. These findings suggest that the buildup discharge of cMRF neurons occurs early enough before saccades to contribute to saccade triggering. The peak discharge, however, occurs with or after the burst in the SC, suggesting that this portion of the discharge serves a function other than saccade triggering. 7. The number of spikes in bursts associated with eye movement was correlated with saccade parameters.

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