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Range of motion of the foot as a function of age.

Movement of the foot is essential for human locomotion. The purpose of this paper was to quantify the range of motion of the foot as a function of age and to compare the rage of motion measurements for the foot in a laboratory coordinate system and a coordinate system fixed to the tibia. The measurements were taken in vivo using a range of motion instrument developed by Allinger (University of Calgary, Canada, 1990) from 121 subjects. The results suggest that: (1) the range of motion in general is greater for women than for men in the young adult group; (2) the range of motion in general is in the same order of magnitude for women and men in the oldest age group; and (3) the range of motion is about 8 degrees smaller in dorsiflexion and about 8 degrees higher in plantarflexion for women than for men in the oldest age group. It is speculated that physical activity and common shoe wear are factors influencing the age- and gender-dependent differences in range of motion. Furthermore, it has been shown that the range of motion values measured in a laboratory coordinate system and in a coordinate system fixed in the tibia are different in all directions except inversion. The differences in plantarflexion and dorsiflexion and inversion and eversion are relatively small. However, they are substantial for adduction and abduction. In all cases, the results were bigger for measurements in the laboratory coordinate system compared with the tibia coordinate system, because the movement of the lower leg was included in the measurements in the laboratory coordinate system.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

fMRI response during visual motion stimulation in patients with late whiplash syndrome.

After whiplash trauma, up to one fourth of patients develop chronic symptoms including head and neck pain and cognitive disturbances. Resting perfusion single-photon-emission computed tomography (SPECT) found decreased temporoparietooccipital tracer uptake among these long-term symptomatic patients with late whiplash syndrome. As MT/MST (V5/V5a) are located in that area, this study addressed the question whether these patients show impairments in visual motion perception. We examined five symptomatic patients with late whiplash syndrome, five asymptomatic patients after whiplash trauma, and a control group of seven volunteers without the history of trauma. Tests for visual motion perception and functional magnetic resonance imaging (fMRI) measurements during visual motion stimulation were performed. Symptomatic patients showed a significant reduction in their ability to perceive coherent visual motion compared with controls, whereas the asymptomatic patients did not show this effect. fMRI activation was similar during random dot motion in all three groups, but was significantly decreased during coherent dot motion in the symptomatic patients compared with the other two groups. Reduced psychophysical motion performance and reduced fMRI responses in symptomatic patients with late whiplash syndrome both point to a functional impairment in cortical areas sensitive to coherent motion. Larger studies are needed to confirm these clinical and functional imaging results to provide a possible additional diagnostic criterion for the evaluation of patients with late whiplash syndrome.

Adult↗

An investigation into the validity of cervical spine motion palpation using subjects with congenital block vertebrae as a 'gold standard'.

BACKGROUND: Although the effectiveness of manipulative therapy for treating back and neck pain has been demonstrated, the validity of many of the procedures used to detect joint dysfunction has not been confirmed. Practitioners of manual medicine frequently employ motion palpation as a diagnostic tool, despite conflicting evidence regarding its utility and reliability. The introduction of various spinal models with artificially introduced 'fixations' as an attempt to introduce a 'gold standard' has met with frustration and frequent mechanical failure. Because direct comparison against a 'gold standard' allows the validity, specificity and sensitivity of a test to be calculated, the identification of a realistic 'gold standard' against which motion palpation can be evaluated is essential. The objective of this study was to introduce a new, realistic, 'gold standard', the congenital block vertebra (CBV) to assess the validity of motion palpation in detecting a true fixation. METHODS: Twenty fourth year chiropractic students examined the cervical spines of three subjects with single level congenital block vertebrae, using two commonly employed motion palpation tests. The examiners, who were blinded to the presence of congenital block vertebrae, were asked to identify the most hypomobile segment(s). The congenital block segments included two subjects with fusion at the C2-3 level and one with fusion at C5-6. Exclusion criteria included subjects who were frankly symptomatic, had moderate or severe degenerative changes in their cervical spines, or displayed signs of cervical instability. Spinal levels were marked on the subject's skin overlying the facet joints from C1 to C7 bilaterally and the motion segments were then marked alphabetically with 'A' corresponding to C1-2.Kappa coefficients (K) were calculated to determine the validity of motion palpation to detect the congenitally fused segments as the 'most hypomobile' segments. Sensitivity and specificity of the diagnostic procedure were also calculated. RESULTS: Kappa coefficients (K) showed substantial overall agreement for identification of the segment of greatest hypomobility (K = 0.65), with substantial (K = 0.76) and moderate (K = 0.46) agreement for hypomobility at C2-3 and C5-6 respectively. Sensitivity ranged from 55% at the C5-6 CBV to 78% at the C2-3 level. Specificity of the procedure was high (91 - 98%). CONCLUSION: This study indicates that relatively inexperienced examiners are capable of correctly identifying inter-segmental fixations (CBV) in the cervical spine using 2 commonly employed motion palpation tests. The use of a 'gold standard' (CBV) in this study and the substantial agreement achieved lends support to the validity of motion palpation in detecting major spinal fixations in the cervical spine.

Cervical Vertebrae↗

An objective spinal motion imaging assessment (OSMIA): reliability, accuracy and exposure data.

BACKGROUND: Minimally-invasive measurement of continuous inter-vertebral motion in clinical settings is difficult to achieve. This paper describes the reliability, validity and radiation exposure levels in a new Objective Spinal Motion Imaging Assessment system (OSMIA) based on low-dose fluoroscopy and image processing. METHODS: Fluoroscopic sequences in coronal and sagittal planes were obtained from 2 calibration models using dry lumbar vertebrae, plus the lumbar spines of 30 asymptomatic volunteers. Calibration model 1 (mobile) was screened upright, in 7 inter-vertebral positions. The volunteers and calibration model 2 (fixed) were screened on a motorized table comprising 2 horizontal sections, one of which moved through 80 degrees. Model 2 was screened during motion 5 times and the L2-S1 levels of the volunteers twice. Images were digitised at 5fps. Inter-vertebral motion from model 1 was compared to its pre-settings to investigate accuracy. For volunteers and model 2, the first digitised image in each sequence was marked with templates. Vertebrae were tracked throughout the motion using automated frame-to-frame registration. For each frame, vertebral angles were subtracted giving inter-vertebral motion graphs. Volunteer data were acquired twice on the same day and analysed by two blinded observers. The root-mean-square (RMS) differences between paired data were used as the measure of reliability. RESULTS: RMS difference between reference and computed inter-vertebral angles in model 1 was 0.32 degrees for side-bending and 0.52 degrees for flexion-extension. For model 2, X-ray positioning contributed more to the variance of range measurement than did automated registration. For volunteer image sequences, RMS inter-observer variation in intervertebral motion range in the coronal plane was 1.86 degrees and intra-subject biological variation was between 2.75 degrees and 2.91 degrees. RMS inter-observer variation in the sagittal plane was 1.94 degrees. Radiation dosages in each view were below the levels recommended for a plain film. CONCLUSION: OSMIA can measure inter-vertebral angular motion patterns in routine clinical settings if modern image intensifier systems are used. It requires skillful radiography to achieve optimal positioning and dose limitation. Reliability in individual subjects can be judged from the variance of their averaged inter-vertebral angles and by observing automated image registration.

Adult↗

Initial ocular following in humans depends critically on the fourier components of the motion stimulus.

Visual motion is sensed by low-level (energy-based) and high-level (feature-based) mechanisms. Our interest is in the motion detectors underlying the initial ocular following responses (OFR) that are elicited at ultrashort latencies by sudden motions of large images. OFR were elicited in humans by applying horizontal motion to vertical square-wave gratings lacking the fundamental. In the frequency domain, a pure square wave is composed of the odd harmonics--first, third, fifth, seventh, etc.--such that the third, fifth, seventh, etc., have amplitudes that are one-third, one-fifth, one-seventh, etc., that of the first, and the missing fundamental stimulus lacks the first harmonic. Motion consisted of successive quarter-wavelength steps, so the features and 4n+1 harmonics (where n = integer) shifted forward, whereas the 4n-1 harmonics--including the strongest Fourier component (the third harmonic)--shifted backward (spatial aliasing). Thus, the net Fourier energy and the non-Fourier features moved in opposite directions. Initial OFR, recorded with the search coil technique, had minimum latencies of 60 to 70 ms and were always in the direction of the third harmonic, for example, leftward steps resulted in rightward OFR. Thus, the earliest OFR were strongly dependent on the motion of the major Fourier component, consistent with mediation by oriented spatiotemporal visual filters as in the well-known energy model of motion detection. Introducing interstimulus intervals of 10 to 100 ms (during which the screen was uniform gray) reversed the initial direction of tracking, consistent with extensive neurophysiological and psychophysical data suggesting that the visual input to the motion detectors has a biphasic temporal impulse response.

Fourier Analysis↗

Knee joint motion: description and measurement.

Knee joint motion has been described in various ways in the literature. These are explained and commented on. Two methods for describing knee joint motion with 6 degrees of freedom (DOF)--Euler angle and the helical axis of motion--are discussed. Techniques to measure joint motion which can either approximate the motion to less than 6 DOF or fully measure the spatial motion are identified. These include electrical linkage methods, radiographic and video techniques, fluoroscopic techniques and electromagnetic devices. In those cases where the full spatial motion is measured, the data are available to describe the motion in simpler terms (or with less DOF) than three rotations with three translations. This is necessary for clinical application and to facilitate communication between the clinician and the engineer.

Arthrography↗

Biological resurfacing of full-thickness defects in patellar articular cartilage of the rabbit. Investigation of autogenous periosteal grafts subjected to continuous passive motion.

We compared the effects of continuous passive motion with those of intermittent active motion on the results of the resurfacing with autogenous periosteal grafts of full-thickness defects on the articular surface of rabbit patellae. Of 45 rabbits with defects, 30 received grafts. Fifteen of these had continuous passive motion for two weeks and intermittent active motion for four weeks; the other 15 had intermittent active motion for six weeks. In 15 the defects were not grafted (control group) and they had intermittent active motion for six weeks. Ten more rabbits had a sham operation. Six weeks after surgery, the results were assessed by the gross appearance, histology, histochemistry, immunohistochemistry and electron microscopy. By all assessments the quality of neochondrogenesis produced by periosteal grafts was superior to that in ungrafted defects (p less than 0.05) and the results in continuous passive motion treated animals were superior to those in intermittent active motion treated animals (p less than 0.05). The periosteal grafts produced hyaline cartilage containing type II collagen but the organisation of its fibres was irregular.

Animals↗

Effect of spatial configuration on motion aftereffects.

Sensitivity to motion was measured by the percentage of trials on which an observer reported seeing motion of briefly presented high-contrast sinusoidal gratings moving over a range of velocities. The psychometric curve was remeasured following adaptation to a grating moving in one direction for an extended period of time. Adaptation shifted the minimum of the psychometric curve toward the direction of the direction of the adapting stimulus. The shift was smaller when the adapting field was larger than the test. In a second set of experiments we measured the effect of motion adaptation on contrast thresholds for moving gratings of different sizes. Threshold elevation was maximal when adapting and test sizes matched. We present a mechanistic model of the motion aftereffect that consists of independent multiplicative gain controls in motion-sensing mechanisms tuned to different rates of motion. In addition, we discuss a model of size effects in motion adaptation that invokes diffuse inhibitory connections among motion-sensing mechanisms.

Adaptation, Ocular↗

Apparent motion produced by temporally modulated brightness contrast and assimilation.

When regions containing a counterphasing sine-wave grating are presented side by side and in spatial and temporal quadrature phase, a transparent perception of motion results. This occurs even though none of the stimulus parts is moving. The two percepts of motion in these displays are in opposite directions, one analogous to brightness contrast, the other to brightness assimilation. If the regions are separated by a gap, the contrast and assimilation motions remain visible for separations up to 0.5 and 1 period, respectively. Both motions occur at temporal frequencies from 1 to 16 Hz. The perceived motion analogous to brightness assimilation is easily modeled with elongated receptive fields that integrate flux along the long axis, such as simple cells. The perceived motion analogous to brightness contrast can be accounted for by receptive fields that subtract the flux in one region from the flux in another region. Examples are center-surround subunits such as are found in the elaborated Reichart model [W. Reichardt, in Sensory Communication, W. A. Rosenblith, ed. (MIT Press, Cambridge, Mass., 1961), pp. 303-317; J. P. H. van Santen and G. Sperling, J. Opt. Soc. Am. A 2, 300-321 (1985)]. The dual perceived motion suggests that more than one kind of motion channel (distinguished by the two-dimensional receptive field of the front-end filter) is present in the human visual system.

Contrast Sensitivity↗

Motion thresholds can be predicted from contrast discrimination.

The detection thresholds for oscillatory motion and flicker were compared across a wide range of pedestal contrasts, spatial frequencies, and temporal frequencies in both foveal and peripheral vision. Motion and flicker stimuli were both generated by summation of a counterphase test grating with a static pedestal grating. For the oscillatory motion task the test and the pedestal were presented 90 deg out of phase to each other, whereas for flicker the two gratings were presented in phase. Since detection of both stimuli would depend on the same test stimulus, detection thresholds could be similar even though the tasks differ. Although there was a slight elevation in flicker detection thresholds compared with motion thresholds, our main finding is that oscillatory motion and flicker thresholds for suprathreshold sinusoidal gratings are similar. This finding supports the idea that motion and flicker have a common underlying detection mechanism. Our finding that flicker thresholds are slightly higher than jitter thresholds indicates that the contrast gain control (or saturating energy transducer) has a weak phase dependence. The ability to discriminate motion from flicker was elevated relative to their detection thresholds, particularly at high temporal frequencies. We offer two models to account for this behavior. The discrimination of motion from flicker may require a temporal comparison of the outputs of directionally selective filters tuned to opposite directions or to the population statistics of a bank of separable mechanisms.

Contrast Sensitivity↗

Second-order motion perception in peripheral vision: limits of early filtering.

Spatial and temporal analysis of contrast-modulated sine-wave gratings reveals that the second-order motion stimulus contains two sidebands, with equal energy but moving in opposite directions, flanking a stationary carrier. Any early linear spatial filtering process in the visual system that attenuates one sideband more than the other will be detrimental to the balance between the two sidebands, so that the perceived direction of the carrier might be opposite to that of the envelope motion. We tested this hypothesis by using contrast-modulated gratings presented centrally or at 20 deg in the horizontal nasal field with a two-alternative forced-choice staircase paradigm. We found that when the envelope frequency was close to that of the carrier, a second-order stimulus whose envelope motion direction was correctly identified in the fovea appeared to drift in the opposite direction in the periphery. Further increasing the envelope spatial frequency resulted in a reversed motion percept in both central and peripheral viewing conditions. For subjects to identify correctly the direction of motion of the envelope, the spatial frequency ratio of the carrier to the envelope had to be more than 2 in the fovea and more than 6 in the periphery. These phenomena in second-order motion perception can be explained by a linear model of motion detection with an early spatial filtering process. Further experiments and computer simulation show that undersampling of the carrier has little effect on second-order motion perception in the periphery, as long as the carrier is detectable.

Adult↗

Spatiotemporal interpolation and quality of apparent motion.

We investigate the conditions under which stimuli in apparent (sampled) motion are indistinguishable from those in smooth motion and compare this discrimination with the precision achieved by the visual system in interpolating apparent motion. In an initial experiment, observers were required to discriminate smooth from apparent motion, at variable step sizes, contrasts, velocities, and stimulus types (broadband line or bar stimuli and grating patches of different spatial frequency). Thresholds for discriminating smooth from sampled motion were approximately 40 arc min under optimal conditions, corresponding to the diameter of foveal photoreceptors. The tolerated step size between stations increased with velocity, more so for low- than for high-spatial-frequency stimuli. Tolerated step size decreased with presentation duration and with stimulus contrast. A separate experiment examined precision of interpolation. Vernier offsets were produced through temporal delays along the trajectory of an apparent motion, and thresholds for the discrimination of direction of offset were measured as a function of speed of motion and of distance between stations of apparent motion. Perfect interpolation was achieved for distances between stations of approximately 2 arc min. A model based on spatiotemporal filtering at an early stage of processing accounts well for the results of both types of experiments.

Adult↗

Motion interference in speed discrimination.

Human speed discrimination can be degraded by additional stimuli in close spatial and temporal proximity to the designated test target. In these experiments, observers judged the relative asynchrony between a pair of briefly flashed dots: speed discrimination for two-dot apparent motion. The addition of two irrelevant (interfering) flashed dots to the stimulus, which produces accelerating apparent motion, impaired speed discrimination. We call this impairment motion interference; adjacent stimuli are not processed independently by the motion system. Motion interference is time selective; interfering dots simultaneous with the target dots do not impair speed discrimination, nor do interfering dots that precede or follow the target by 200 msec or more. Motion interference was observed even when the interfering dots were as far away as 1 deg from the test pair. Similar effects were observed with a smoothly moving test target and with interfering stimuli composed only of high spatial frequencies. A multiple-independent-channel model containing several parallel motion-energy detectors with different receptive-field sizes is considered and rejected. We conclude that speed discrimination depends on a time-selective combination of local motion signals from many detectors. These aggregate detectors combine information from local subunits, degrading information about acceleration.

Discrimination, Psychological↗

Model for the computation of self-motion in biological systems.

I present a method by which direction- and speed-tuned cells, such as those commonly found in the middle temporal area of the primate brain, can be used to analyze the patterns of retinal image motion that are generated during observer movement through the environment. For pure translation, the retinal image motion is radial in nature and expands out from a point that corresponds to the direction of heading. This heading direction can be found by the use of translation detectors that act as templates for the radial image motion. Each translation detector sums the outputs of direction- and speed-tuned motion sensors arranged such that their preferred direction of motion lies along the radial direction out from the detector center. The most active detector signifies the heading direction. Rotation detectors can be constructed in a similar fashion to detect areas of uniform image speed and direction in the motion field produced by observer rotation. A model consisting of both detector types can determine the heading direction independently of any rotational motion of the observer. The model can achieve this from the outputs of the two-dimensional motion sensors directly and does not assume the existence of accurate estimates of image speed and direction. It is robust to the aperture problem and is biologically realistic. The basic elements of the model have been shown to exist in the primate visual cortex.

Animals↗

Motion segmentation in artificial and biological system.

In the early steps of visual information processing motion is one of the most important queues for the development of spatial representations. Obstacle detection and egomotion estimation are only two examples of the powerfulness of visual motion detection systems. The underlying process of information extraction has to be active due to the observer's capabilities of egomotion. This means that the observer's motion has an impact on the projected retinal motion field. Therefore one of the challenging tasks for biological as well as for technical vision systems is to couple retinal motion and egomotion and to uncouple egomotion and object motion. The following sections describe a model that couples visual motion processing with the egomotion parameters of a moving observer. Beneath a theoretical introduction of the model an application to traffic scene analysis is presented. At last the paper relates the model to biological motion processing systems.

Animals↗

Spatiotemporal tuning of rapid interactions between visual-motion analysis and reaching movement.

In addition to the goal-directed preplanned control, which strongly governs reaching movements, another type of control mechanism is suggested by recent findings that arm movements are rapidly entrained by surrounding visual motion. It remains, however, controversial whether this rapid manual response is generated in a goal-oriented manner similarly to preplanned control or is reflexively and directly induced by visual motion. To investigate the sensorimotor process underlying rapid manual responses induced by large-field visual motion, we examined the effects of contrast and spatiotemporal frequency of the visual-motion stimulus. The manual response amplitude increased steeply with image contrast up to 10% and leveled off thereafter. Regardless of the spatial frequency, the response amplitude increased almost proportionally to the logarithm of stimulus speed until the temporal frequency reached 15-20 Hz and then fell off. The maximum response was obtained at the lowest spatial frequency we examined (0.05 cycles/degrees). These stimulus specificities are surprisingly similar to those of the reflexive ocular-following response induced by visual motion, although there is no direct motor entrainment from the ocular to manual responses. In addition, the spatiotemporal tuning is clearly different from that of perceptual effects caused by visual motion. These comparisons suggest that the rapid manual response is generated by a reflexive sensorimotor mechanism. This mechanism shares a distinctive visual-motion processing stage with the reflexive control for other motor systems yet is distinct from visual-motion perception.

Adult↗

Charting the lower superior temporal region, a new motion-sensitive region in monkey superior temporal sulcus.

Although the role of the middle temporal (MT/V5) area and its medial superior temporal (MST) satellites in motion processing has been well explored, relatively little is known about motion regions located more rostrally in the superior temporal sulcus (STS), such as the fundus of the superior temporal (FST) area, the superior temporal polysensory (STP) region, or beyond. To fill this void, we used contrast-enhanced functional magnetic resonance imaging in awake macaques and a five-step testing procedure that allowed us to identify six motion-sensitive regions within the STS. Direction adaptation tests confirmed the motion sensitivity of these six regions. Five of them [MT/V5, its three satellites, and the middle part of the STP (STPm) region in the upper bank of the STS] have been documented by previous single-cell studies. A sixth, previously unknown motion-responsive region, which we termed the lower superior temporal (LST) region, was observed on the lower bank and fundus of the STS, 6-8 mm anterior to the FST area. In contrast to the MST areas, the LST region responds to slow as well as fast speeds and is responsive to static and moving images of objects, to patterns defined by opponent motion, and to actions. These results, obtained in both group and single-subject analyses, suggest that motion information in the STS might follow a second path, in addition to the MT/V5-MST path. This ventral path including the LST region, FST area, and STPm region is likely involved in the visual analysis of actions and biological motion.

Animals↗

Visual neurons in the pigeon brain encode the acceleration of stimulus motion.

Seeing target motion is a vital capability of the visual system in humans and animals. Physically, motion is described by its acceleration, speed, and direction. Motion-sensitive neurons in all the visual areas examined to date are selective for the direction and speed of motion. Here, we show by single-unit recording that one-third of motion-sensitive neurons in the pigeon's pretectal nucleus also encode the acceleration of stimulus motion. These neurons are characterized by plateau-shaped speed-tuning curves in which the firing rate is the same over a wide range of speeds, a feature that allows these neurons to encode unambiguously the rate of change of speed over time. Acceleration-sensitive neurons also show transient responses to the offset of motion in the preferred and/or nonpreferred directions; acceleration-insensitive neurons do not. We observed the same sensitivity to target acceleration for brief ramps of stimulus speed and for sinusoidal modulation of speed. The locations of acceleration-sensitive and -insensitive neurons are segregated in the pretectal nucleus. The visual responses of pretectal neurons indicate that the visual and vestibular systems share not only a spatial but also a temporal reference frame that can detect the acceleration produced by self-motion of an organism.

Acceleration↗