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The early treatment of motion complications after reconstruction of the anterior cruciate ligament.

The use of active and passive knee motion in the immediate postoperative period and a treatment plan for early postoperative limitations in knee motion has proven highly effective in restoring motion after anterior cruciate ligament (ACL) reconstruction. Of 207 knees, 189 (91%) regained a full range of motion of 0 degrees-135 degrees. The remaining 18 knees (9%) did not regain motion as rapidly as the others and were placed in an early postoperative phased treatment program. Six knees had serial extension casts, nine had early gentle manipulation under anesthesia, and three had arthroscopic lysis of intraarticular adhesions and scar tissue. Fourteen of these 18 knees regained a full range of knee motion. Two of the remaining four knees lacked 5 degrees of full extension, whereas the other two, in patients who had failed to follow medical advice and the rehabilitation program, had permanent and significant limitation of motion. The incidence of postoperative motion problems was related to the extent of the surgical procedure. The incidence was 4% in patients who had only ACL reconstruction, 10% in cases in which added lateral extraarticular procedure had been done, 12% where a meniscus repair had been done, and 23% where a medial collateral ligament repair was done.

Adult↗

Stroboscopic vision as a treatment for motion sickness: strobe lighting vs. shutter glasses.

INTRODUCTION: Countermeasures (e.g., drugs, training, etc.) designed to combat the problem of space motion sickness (SMS) have had only limited successes. A possible solution for SMS and terrestrial motion sickness may rest in preventing retinal slip via stroboscopic vision. METHODS: There were 32 subjects who participated in a study to investigate the effect of stroboscopic illumination on motion sickness using either a strobe light or liquid crystal display (LCD) shutter glasses. There were 19 subjects who read text and made +/- 20 degrees head movements in the horizontal plane (yaw) at 0.2 Hz while wearing left-right reversing prisms and exposed to 4-Hz stroboscopic or normal room illumination (control condition). Motion sickness was scored using the Miller and Graybiel scale and subjective self-ratings. In a crossover design, testing was repeated using stroboscopic LCD shutter glasses with an additional 13 subjects and 6 subjects from the first condition. RESULTS: During the experiment with a strobe light, motion sickness scores were significantly lower than in the control condition (chi 0.32 strobe vs. chi 3.79 light = p < 0.003). Results with the LCD shutter glasses corresponded with those when the environment was strobed in an otherwise dark room (chi 1.0 glasses vs. chi 4.1 light = p < 0.001). CONCLUSIONS: Stroboscopic illumination reduced the severity of motion sickness symptoms, and shutter glasses with a flash frequency of 4 Hz are as effective as a strobe light. Stroboscopic illumination appears to be an effective countermeasure where retinal slip is a significant factor in eliciting motion sickness due to either self- or surround-motion.

Adult↗

Motion perimetry identifies nerve fiber bundlelike defects in ocular hypertension.

OBJECTIVE: To determine whether patients with ocular hypertension (OHT) have elevated motion perimetry thresholds. DESIGN: Motion perimetry uses a customized computer graphics program to detect the ability to identify a coherent shift in position of 50% of dots in a defined circular area against a background of fixed dots. Motion size threshold is defined as the smallest circular area in which dot motion is detected. Subjects respond by touching the area of the computer monitor with a light pen where motion stimuli are perceived. Reaction times (milliseconds) to stimuli and localization error (number of pixels from target center) are also obtained for each trial. SETTING: University hospital ophthalmology clinic. PATIENTS OR OTHER PARTICIPANTS: Twenty-seven patients with OHT and 27 age-matched normal subjects. One eye was tested in each subject. MAIN OUTCOME MEASURES: Random dot motion stimuli size thresholds and total deviation probability plot data, reaction times, and spatial localization errors. RESULTS: The patients with OHT had more abnormal test points in the total deviation probability plot analysis compared with the controls (P < .001, chi 2). The abnormal test points were concentrated in the superior and inferior nasal regions. Six subjects had nerve fiber bundlelike defects to motion stimuli. Six subjects (5 overlapping with the probability plot analysis) had abnormal glaucoma hemifield test results. The patients with OHT also had significantly greater localization errors. CONCLUSION: Motion threshold perimetry may be a more sensitive method to detect visual field abnormalities in OHT than conventional automated perimetry.

Adult↗

Scopolamine for preventing and treating motion sickness.

BACKGROUND: Motion sickness - the discomfort experienced when perceived motion disturbs the organs of balance - may include symptoms such as nausea, vomiting, pallor, cold sweats, hypersalivation, hyperventilation and headaches. The control and prevention of these symptoms have included pharmacological, behavioural and complementary therapies. Although scopolamine has been used in the treatment and prevention of motion sickness for decades, there have been no systematic reviews of its effectiveness. OBJECTIVES: To assess the effectiveness of scopolamine versus no therapy, placebo, other drugs, behavioural and complementary therapy or two or more of the above therapies in combination for motion sickness in persons (both adults and children) without known vestibular, visual or central nervous system pathology. SEARCH STRATEGY: The Cochrane Ear, Nose and Throat Disorders Group Specialised Register, the Cochrane Central Register of Controlled Trials (The Cochrane Library, Issue 4, 2003), MEDLINE (OVID, 1966 to March Week 1 2004), EMBASE (1974 to 2004) CINAHL (Ovid, 1982 to March Week 1 2004) and reference lists of retrieved studies were searched for relevant studies. No language restrictions were applied. SELECTION CRITERIA: All parallel-arm, randomised controlled trials (RCTs) focusing on scopolamine versus no therapy, placebo, other drugs, behavioural and complementary therapy or two or more of the above therapies in combination were included. Outcomes relating to the prevention of onset or treatment of clinically-defined motion sickness, task ability and psychological tests, changes in physiological parameters and adverse effects were considered. DATA COLLECTION AND ANALYSIS: Data from the studies were extracted independently by two authors using standardised forms. Study quality was assessed. Dichotomous data were expressed as odds ratio (OR) and a pooled OR was calculated using the random effects model. MAIN RESULTS: Of 27 studies considered potentially relevant, 12 studies enrolling 901 subjects met the entry criteria. Scopolamine was administered via transdermal patches, tablets or capsules, oral solutions or intravenously. Scopolamine was compared against placebo, calcium channel antagonists, antihistamine, meth-scopolamine or a combination of scopolamine and ephedrine. Studies were generally small in size and of varying quality. Scopolamine was more effective than placebo in the prevention of symptoms. Comparisons between scopolamine and other agents were few and suggested that scopolamine was superior (versus meth-scopolamine) or equivalent (versus antihistamines) as a preventative agent. Evidence comparing scopolamine to cinnarizine or combinations of scopolamine and ephedrine is equivocal or minimal. Although sample sizes were small, scopolamine was no more likely to induce drowsiness, blurring of vision or dizziness compared to other agents. Dry mouth was more likely with scopolamine than with meth-scopolamine or cinnarizine. No studies were available relating to the therapeutic effectiveness of scopolamine in the management of established symptoms of motion sickness. REVIEWERS' CONCLUSIONS: The use of scopolamine versus placebo in preventing motion sickness has been shown to be effective. No conclusions can be made on the comparative effectiveness of scopolamine and other agents such as antihistamines and calcium channel antagonists. In addition, no randomised controlled trials were identified that examined the effectiveness of scopolamine in the treatment of established symptoms of motion sickness.

Humans↗

Visual detection of motion speed in humans: spatiotemporal analysis by fMRI and MEG.

Humans take a long time to respond to the slow visual motion of an object. It is not known what neural mechanism causes this delay. We measured magnetoencephalographic neural responses to light spot motion onset within a wide speed range (0.4-500 degrees /sec) and compared these with human reaction times (RTs). The mean response latency was inversely related to the speed of motion up to 100 degrees /sec, whereas the amplitude increased with the speed. The response property at the speed of 500 degrees /sec was different from that at the other speeds. The speed-related latency change was observed when the motion duration was 10 msec or longer in the speed range between 5 and 500 degrees /sec, indicating that the response is directly related to the speed itself. The source of the response was estimated to be around the human MT+ and was validated by functional magnetic imaging study using the same stimuli. The results indicate that the speed of motion is encoded in the neural activity of MT+ and that it can be detected within 10 msec of motion observation. RT to the same motion onset was also inversely related to the speed of motion but the delay could not be explained by the magnetic response latency change. Instead, the reciprocal of RT was linearly related to the reciprocal of the magnetic response latency, suggesting that the visual process interacts with other neural processes for decision and motor preparation.

Adult↗

Molecular orientation of ultrahigh molecular weight polyethylene induced by various sliding motions.

Wear and wear debris of ultrahigh molecular weight polyethylene (UHMWPE) in joint replacements have been recognized as one of the major contributors to the failure of orthopedic implants. The detailed wear mechanism of polyethylene under biomechanic motions is not well understood. In simulation wear bench tests, it was found that unidirectional sliding produces the least amount of wear, reciprocating motion increases wear significantly, and cross-shear motion (similar to hip and knee joint motion in the human body) produces the highest amount of wear. Conventional wear theories are inadequate to explain this observation. This study utilizes resonant absorption of linearly polarized soft X-rays at a synchrotron radiation beam line to measure the molecular orientation of a UHMWPE surface layer subjected to different wear motions. Carbon-K-edge partial-electron-yield X-ray absorption measurements were done on the worn UHMWPE samples. X-ray absorption measurements show conclusively that the molecular chains of UHMWPE align preferentially parallel to the direction of sliding. Examination under various wear motions showed that unidirectional shear produced the maximum chain orientation, whereas cross-shear wear motions produced the least amount of orientation. When polymeric chains align, the surface layer tends to be more brittle and hard, thus resisting wear. When they do not align, loose chains may be subjected to both Mode I and Mode II fracture, hence increasing the wear rate. This molecular alignment observation may offer an explanation of why different wear motions have different wear characteristics.

Humans↗

Retrospective motion compensation using variable-density spiral trajectories.

PURPOSE: To develop a method of retrospectively correcting for motion artifacts using a variable-density spiral (VDS) trajectory. MATERIALS AND METHODS: Each VDS interleaf was designed to adequately sample the same center region of k-space. This central overlapping region can then be used to measure rigid body motion between the acquisition of each VDS interleaf. By applying appropriate phase shifts and rotations of the k-space data, rigid body motion artifacts can be removed, resulting in images with less motion corruption. RESULTS: Both phantom and volunteer experiments are shown, demonstrating the technique's ability to further reduce artifacts in images acquired with an already motion-resistant acquisition trajectory. Registration accuracy is highly dependent on the trajectory design parameters. This space was explored to find an optimal design of VDS trajectories for motion compensation. CONCLUSION: Using appropriately designed VDS trajectories, residual motion artifacts can be significantly reduced by retrospectively correcting for in-plane rigid body motion. An overlapping region of approximately 8% of the central region of k-space and approximately 70 interleaves were found to be near-optimal parameters for retrospective correction using VDS trajectories.

Artifacts↗

Simultaneous recordings of visual evoked potentials and BOLD MRI activations in response to visual motion processing.

Visual motion processing in humans was studied by simultaneous 32-channel electroencephalography (EEG) recordings of visual evoked potentials and BOLD MRI activations at 2.9 T. The paradigms compared three different random dot patterns (12 s duration) with stationary random dots (18 s) or with each other. The stimuli represented pattern reversal (500 ms switches between two stationary patterns), motion onset (200 ms of starfield motion followed by 1000 ms of stationary dots) and motion reversal (reversal of moving starfield directions every 1000 ms). Whereas motion-evoked visual potentials, and in particular the N2 component in occipito-temporal channels, were most prominent for motion onset, the most extended BOLD MRI activations and strongest signal changes in V5/MT+ were obtained in response to motion reversal. These apparently contradictory findings most likely reflect different physiological aspects of the neural activity associated with visual motion processing. For example, desynchronized activity of subpopulations of cortical neurons inside V5/MT+ is expected to attenuate visual evoked potentials in scalp recordings while continuously driving metabolic demands that lead to sustained BOLD MRI responses. The understanding of the physiological correlates and neural processes underlying either technique is fundamental to exploring fully the potential of combined EEG-MRI for studying human brain function at both high temporal and spatial resolution.

Adult↗

The effects of spatial attention on motion processing in deaf signers, hearing signers, and hearing nonsigners.

Visual abilities in deaf individuals may be altered as a result of auditory deprivation and/or because the deaf rely heavily on a sign language (American Sign Language, or ASL). In this study, we asked whether attentional abilities of deaf subjects are altered. Using a direction of motion discrimination task in the periphery, we investigated three aspects of spatial attention: orienting of attention, divided attention, and selective attention. To separate influences of auditory deprivation and sign language experience, we compared three subject groups: deaf and hearing native signers of ASL and hearing nonsigners. To investigate the ability to orient attention, we compared motion thresholds obtained with and without a valid spatial precue, with the notion that subjects orient to the stimulus prior to its appearance when a precue is presented. Results suggest a slight advantage for deaf subjects in the ability to orient spatial attention. To investigate divided attention, we compared motion thresholds obtained when a single motion target was presented to thresholds obtained when the motion target was presented among confusable distractors. The effect of adding distractors was found to be identical across subject groups, suggesting that attentional capacity is not altered in deaf subjects. Finally, to investigate selective attention, we compared performance for a single, cued motion target with that of a cued motion target presented among distractors. Here, deaf, but not hearing, subjects performed better when the motion target was presented among distractors than when it was presented alone, suggesting that deaf subjects are more affected by the presence of distractors. In sum, our results suggest that attentional orienting and selective attention are altered in the deaf and that these effects are most likely due to auditory deprivation as opposed to sign language experience.

Adult↗

Neural adaptation of imaginary visual motion.

Observers made time-to-contact judgements about an imagined moving object that passed through an area of the visual field previously adapted to a single direction of real motion. The direction of imagined motion varied relative to the direction of adapting motion. When imagined motion was in the same direction as that experienced during adaptation, imagined speed was slowed; when imagined motion was in the opposite direction, its speed was increased; when adaptation and imagined motions were orthogonal, imagined speed was unaffected. The particular influence that prior adaptation has on imagined speed suggests that imagined motion and real vision may engage common neural mechanisms without being functionally equivalent. Negative aftereffects observed in imagined motion imply that the imagination represents movement as an inference from position changes of static images.

Eye Movements↗

The activity in human areas V1/V2, V3, and V5 during the perception of coherent and incoherent motion.

We have used the technique of positron emission tomography to study and compare the cortical activity produced when humans view a pattern of small squares moving incoherently with respect to one another and when the same pattern moves coherently and unidirectionally. A stationary version of the stimulus acted as a control. Our choice of paradigm was inspired by psychophysical models and physiological studies in the macaque monkey which show that directionally selective cells in V5 respond optimally to unidirectional coherent motion, whereas those of V1 respond to motion within their receptive fields, regardless of the motion in surrounding parts. Our results show that human V1/V2, V3, and V5 are all activated by both types of motion stimuli. Incoherent motion, however, proved to be more effective than coherent motion in activating V1/V2 and V5. Thus the higher perceptual salience of unidirectional coherent motion in comparison to incoherent motion is not reflected by any increased activation of human area V5.

Adult↗

Local motion processing in the optic tectum of the Japanese toad, Bufo japonicus.

The results of previous behavioral studies can be so interpreted that the prey-catching behavior in the toad is elicited if there is a 'local' motion restricted within a small part of the visual field, while it is suppressed if there is a 'global' motion over a large part of the visual field. This has led us to design experiments to answer a specific question (yet a very essential one for understanding neural processes underlying this behavior): Are there 'local motion detectors' in the toad's visual system that are not activated by 'global' motion over a large part of the visual field but are activated by 'local' motion confined within a smaller part of it? The present study showed that (1) the majority of the toad's tectal neurons exhibit properties of the 'local motion detectors' as defined above, and (2) these properties can be explained from the receptive field structure revealed in the present experiments. Based on these results, we suggest that the tectal 'local motion detectors' are essential for the detection and localization of small moving prey-objects in the natural environment while ignoring the large moving objects or the self-induced motion of the visual field.

Animals↗

Directional tuning of motion-sensitive cells in the anterior superior temporal polysensory area of the macaque.

An investigation was made into the directional sensitivity of cells in the macaque anterior superior temporal polysensory region (STPa) to the motion of objects. The cells studied were sensitive to the presence of motion but showed little or no selectivity for the form of the stimulus. Directional tuning was not continuously distributed about all possible directions. The majority of cells were most responsive to motion in a direction within 15 degrees of one of the three cartesian axes (up/down, left/right, towards/away). Tuning to direction varied in sharpness. For most (34/37) cells the angular change in direction required to reduce response to half maximal was between 45 and 70 degrees (for 3/37 cells it was > 90 degrees). The estimates of the directionality (median Id = 0.97) of STPa cells was similar to that reported for posterior motion processing areas (the middle temporal area, MT, and the medial superior temporal area, MST). The tuning for direction (sharpness, distribution and discrimination) of the motion-sensitive STPa cells were found to be similar to the tuning for perspective view of STPa cells selective for static form of the head and body. On average the STPa responses showed a 100- to 300-ms transient burst of activity followed by a tonic discharge maintained at approximately 20% of the peak firing rate for the duration of stimulation. The responses of motion-sensitive STPa cells occurred at an earlier latency (mean 91 ms) than responses of cells selective for static form (mean 119 ms), but the time course of responses of the two classes of cell were similar in many other respects. The early response latency and directional selectivity indicate that motion sensitivity in STPa cells derives from the dorsal visual pathway via MT/MST. The similarity of tuning for direction and perspective view within STPa may facilitate the integration of motion and form processing within this high-level brain area.

Acoustic Stimulation↗

Velocity invariance of preferred axis of motion for single spot stimuli in simple cells of cat striate cortex.

Directional tuning for motion of a long bar and a spot was compared quantitatively over a wide range of velocities in 23 simple cells of cat striate cortex whose "on" and "off" receptive field subregions had been mapped with optimally oriented, stationary flash-presented bars. Tuning curves were derived using stimuli whose polarity of contrast was appropriate for the dominant receptive field subregion of each cell (i.e. light stimuli for on-subregions and dark stimuli for off-subregions); stimulus sweep was centred accurately on the centre of that subregion. Bar stimuli were of optimal width, and spot diameter was equal to the width of the bars. In all simple cells, preferred axis of motion for a long bar was invariant with velocity, being orthogonal to preferred orientation, as assessed with a stationary flash-presented bar. In 20 of 23 simple cells, preferred axis for spot motion was approximately orthogonal to that for bar motion (i.e., parallel to preferred orientation) at all velocities tested, including those just above threshold for spot stimuli. However, tuning for the spot became sharper as velocity was increased, due to an increase in response to the spot moving along the preferred axis and a decrease in response to spot motion along other axes, including the preferred axis for the bar. Both preferred and upper cut-off velocity were consistently higher for spot than for bar motion. The remaining 3 simple cells showed no response to spot motion at any velocity, and their preferred axis of motion for the shortest bar which evoked a consistent response was the same as the long bar.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Single-unit analysis of pattern-motion selective properties in the middle temporal visual area (MT).

The middle temporal visual area (MT) in macaque extrastriate cortex is characterized by a high proportion of neurons selective for the direction of stimulus motion, and is thus thought to play an important role in motion perception. Previous studies identified a population of cells in MT that appeared capable of coding the motion of whole visual patterns independent of the motions of contours within them (Gizzi et al. 1983; Movshon et al. 1985). These "pattern-motion selective" neurons are unlike motion sensitive cells that have been observed at earlier stages of the visual system. Using very different criteria, we have also previously identified an apparently functionally distinct group of MT neurons (Albright 1984). We predicted that these "Type II" neurons correspond to the pattern-motion neurons. In the present study, we have applied both sets of criteria to individual neurons in MT and found that these two differently defined sets of cells actually form the same population. These results support the idea that MT contributes to a specialized type of motion processing which reflects the integrity of normal perception.

Animals↗

Modeling human motion perception. I. Classical stimuli.

Motion perception is one of the most prominent tasks of the visual system and therefore has been extensively investigated both experimentally and theoretically. A classical model describing the mechanism of motion detection originally developed in the context of insect orientation behavior, the elementary motion detector (EMD) of the correlation type, turned out to be very powerful in explaining many basic aspects of human motion perception. For more complex visual tasks, like the discrimination of a figure from its background by relative motion, on the other hand, further processing of motion information is required. In the first part of this review it will be illustrated by means of a few examples, what kind of motion information can be derived from the mere correlation-type model, and what perceptual phenomena can be accounted for by the EMD. In the second part, more recently developed stimuli will be introduced to answer the question what further processing steps, or more sophisticated mechanisms than the EMD, have to be assumed in order to understand "higher" aspects of human motion perception.

Cybernetics↗

Auditory cortex neurons sensitive to correlates of auditory motion: underlying mechanisms.

Neuronal response properties such as phasic vs. tonic, onset vs. offset, monotonicity vs. non-monotonicity, and E/E vs. E/I, can be shown to act synergistically suggesting underlying mechanisms for selectivity to binaural intensity correlates of auditory sound source motion. Both identical (diotic), and oppositely directly dichotic AM ramps were used as stimuli in the lightly anesthetized cat, simulating motion in four canonical directions in 3-dimensional space. Motion in either azimuthal direction evokes selective activity in cells which respond best to the onset of monaural sound in one ear and show a decreased response to binaural stimulation (E/I or I/E). In some cells specificity is increased by "off" components in the non-dominant ear. Although these cells fire only at the onset of stationary sound, they fire throughout oppositely directed AM ramps. Motion toward or away from the head evokes responses from EE cells; strong binaural facilitation increases selectivity for motion in depth. The sharpness of direction of tuning was related to the degree of binaural facilitation in E/E cells. Selectivity for sound moving away from the head is correlated with "off" responses, while "on" responses correlate with preference for motion toward the head. Most units showed a monotonic rate function as AM ramp excursion and rate was increased. One third were selective for slower rates of intensity change and may therefore encode slower rates of stimulus motion, as well as direction of movement. The findings suggest that neural processing of auditory motion involves neural mechanisms distinct from those involved in processing stationary sound location and that these mechanisms arise from interactions between the more traditionally studied response properties of auditory cortex neurons.

Acoustic Stimulation↗

Hitting moving targets: a dissociation between the use of the target's speed and direction of motion.

Previous work has indicated that people do not use their judgment of a target's speed to determine where to hit it. Instead, they use their judgment of the target's changing position and an expected speed (based on the speed of previous targets). In the present study we investigate whether people also ignore the target's apparent direction of motion, and use the target's changing position and an expected direction of motion instead. Subjects hit targets that moved in slightly different directions across a screen. Sometimes the targets disappeared after 150 ms, long before the subjects could reach the screen. This prevented subjects from using the target's changing position to adjust their movements, making it possible to evaluate whether subjects were relying on the perceived or an expected (average) direction to guide their movements. The background moved perpendicular to the average direction of motion in some trials. This influences the target's perceived direction of motion while leaving its perceived position unaffected. When the background was stationary, subjects hit disappearing targets along their trajectory, just as they hit ones that remained visible. Moving the background affected the direction in which subjects started to move their hand, in accordance with the illusory change in direction of target motion. If the target disappeared, this resulted in a hit that was systematically off the target's trajectory. If the target remained visible, subjects corrected their initial error. Presumably they did so on the basis of information about the target's changing position, because if the target disappeared they did not correct the error. We conclude that people do use the target's perceived direction of motion to determine where to hit it. Thus the perceived direction of motion is treated differently than the perceived speed. This suggests that the motion of an object is not broken down into speed components in different directions, but that speed and direction are perceived and used separately.

Humans↗