Energy minimization within target-directed aiming: the mediating influence of the number of movements and target size

The type 1 submovement conundrum: an investigation into the function of velocity zero-crossings within two-component aiming movements

In rapid manual aiming, traditional wisdom would have it that two components manifest from feedback-based processes, where error accumulated within the primary submovement can be corrected within the secondary submovement courtesy of online sensory feedback. In some aiming contexts, there are more type 1 submovements (overshooting) compared to types 2 and 3 submovements (undershooting), particularly for more rapid movements. These particular submovements have also been attributed to a mechanical artefact involving movement termination and stabilisation. Hence, the goal of our study was to more closely examine the function of type 1 submovements by revisiting some of our previous datasets. We categorised these submovements according to whether the secondary submovement moved the limb closer (functional), or not (non-functional), to the target. Overall, there were both functional and non-functional submovements with a significantly higher proportion for the former. The displacement at the primary and secondary submovements, and negative velocity peak were significantly greater in the functional compared to non-functional. The influence of submovement type on other movement characteristics, including movement time, was somewhat less clear. These findings indicate that the majority of type 1 submovements are related to intended feedforward- and/or feedback-based processes, although there are a portion that can be attributed an indirect manifestation of a mechanical artefact. As a result, we suggest that submovements should be further categorised by their error-reducing function.

Upper extremity kinematics: development of a quantitative measure of impairment severity and dissimilarity after stroke

Background

Strokes are a leading cause of disability worldwide, with many survivors experiencing difficulty in recovering upper extremity movement, particularly hand function and grasping ability. There is currently no objective measure of movement quality, and without it, rehabilitative interventions remain at best informed estimations of the underlying neural structures' response to produce movement. In this article, we utilize a novel modification to Procrustean distance to quantify curve dissimilarity and propose the Reach Severity and Dissimilarity Index (RSDI) as an objective measure of motor deficits.

Methods

All experiments took place at the Medstar National Rehabilitation Hospital; persons with stroke were recruited from the hospital patient population. Using Fugl-Meyer (FM) scores and reach capacities, stroke survivors were placed in either mild or severe impairment groups. Individuals completed sets of reach-to-target tasks to extrapolate kinematic metrics describing motor performance. The Procrustes method of statistical shape analysis was modified to identify reaching sub-movements that were congruous to able-bodied sub-movements.

Findings

Movement initiation proceeds comparably to the reference curve in both two- and three-dimensional representations of mild impairment movement. There were significant effects of the location of congruent segments between subject and reference curves, mean velocities, peak roll angle, and target error. These metrics were used to calculate a preliminary RSDI score with severity and dissimilarity sub-scores, and subjects were reclassified in terms of rehabilitation goals as Speed Emphasis, Strength Emphasis, and Combined Emphasis.

Interpretation

The modified Procrustes method shows promise in identifying disruptions in movement and monitoring recovery without adding to patient or clinician burden. The proposed RSDI score can be adapted and expanded to other functional movements and used as an objective clinical tool. By reducing the impact of stroke on disability, there is a significant potential to improve quality of life through individualized rehabilitation.

Optimization in Manual Aiming: Relating Inherent Variability and Target Size, and Its Influence on Tendency

For manual aiming, the optimized submovement model predicts a tendency toward target-center of primary movement endpoints (probabilistic strategy), while the minimization model predicts target undershooting ("play-it-safe" strategy). The spatial variability of primary movement endpoints directed toward a cross-hair (400-500 ms) (Session 1) were scaled by a multiplicative factor (x1 - 4) to form circular targets of different sizes (Session 2). In recognition of both models, it was predicted that the more that inherent variability exceeded the target size, the greater the tendency to shift from target-center aiming to target undershooting. The central tendency of primary movement endpoints was not influenced by the targets, while it neared target-center. These findings concur with a probabilistic strategy, although we speculate on factors that might otherwise foster a "play-it-safe" strategy.

The multiple process model of goal-directed aiming/reaching: insights on limb control from various special populations

Several years ago, our research group forwarded a model of goal-directed reaching and aiming that describes the processes involved in the optimization of speed, accuracy, and energy expenditure Elliott et al. (Psychol Bull 136:1023-1044, 2010). One of the main features of the model is the distinction between early impulse control, which is based on a comparison of expected to perceived sensory consequences, and late limb-target control that involves a spatial comparison of limb and target position. Our model also emphasizes the importance of strategic behaviors that limit the opportunity for worst-case or inefficient outcomes. In the 2010 paper, we included a section on how our model can be used to understand atypical aiming/reaching movements in a number of special populations. In light of a recent empirical and theoretical update of our model Elliott et al. (Neurosci Biobehav Rev 72:95-110, 2017), here we consider contemporary motor control work involving typical aging, Down syndrome, autism spectrum disorder, and tetraplegia with tendon-transfer surgery. We outline how atypical limb control can be viewed within the context of the multiple-process model of goal-directed reaching and aiming, and discuss the underlying perceptual-motor impairment that results in the adaptive solution developed by the specific group.

Examining the equivalence between imagery and execution within the spatial domain - Does motor imagery account for signal-dependent noise?

Motor imagery is suggested to be functionally equivalent to physical execution as they each utilise a common neural representation. The present study examined whether motor imagery correspondingly reflects the spatial characteristics of physically executed movements, including the signal-dependent noise that typically manifests in more variable end locations (as indicated by effective target width; W_e). Participants executed or imagined a single, upper-limb target-directed aim in the horizontal medio-lateral direction. The start and end of the imagined movements were indexed by the lifting and lowering of the limb over the home position, respectively. Following each imagined movement, participants had to additionally estimate their imagined end location relative to the target. All the movements had to be completed at a pre-specified criterion time (400 ms, 600 ms, 800 ms). The results indicated that the W_e increased following a decrease in movement time for execution, but not imagery. Moreover, the total error of imagined movements was greater than the actual error of executed movements. While motor imagery may comprise a neural representation that also contributes to the execution of movements, it is unable to closely reflect the random sources of variability. This limitation of motor imagery may be attributed to the comparatively limited efferent motor signals.

Performance-related stress mediates the online control and integration of sequential movements

The effects of stress on directing attention within performance have been broadly explained by self-focus and distraction perspectives, where stress causes attention to be drawn internally or toward the sources of worry, respectively. Recent studies that have adopted manual aiming under different levels of stress have illuminated our understanding of the stress-performance framework. The present study seeks to elaborate on this current trend by introducing a sequential task, where the integration of individual movement segments enhances the demands on preparation and control, and thus closely examines the explanatory power of the self-focus and distraction perspectives. This study involved executing aiming movements solely to one-target (1T), or continuing by extending (2TE) and reversing (2TR) the limb to a second target. Participants were instructed to simply execute rapid and accurate movements (low-stress), and additionally provided a socio-comparative stressor (high-stress). While there was no one- (1 T vs. 2TE) or two-target (1T vs. 2TR) advantage, there was a shorter movement time in the first segment of the one-target task that appeared to dissipate when under high-stress. In addition, the high-stress conditions caused shorter reaction and pause times, while the proportion of the sequence time decreased within the pause, but increased within the second segment. Consequently, the overall sequence time failed to differ between low- and high-stress. These findings indicate that the online control of movement is accommodated under high-stress. We suggest these procedures unfold following a primary focus to uphold the performance outcome. Thus, these findings appear to be consistent with the distraction perspective.