The learning of 90° continuous relative phase with and without Lissajous feedback: external and internally generated bimanual coordination

Effects of trunk extensor muscle fatigue on repetitive lift (re)training using an augmented tactile feedback approach

Augmented tactile and performance feedback has been used to (re)train a modified lifting technique to reduce lumbar spine flexion, which has been associated with low back disorder development during occupational repetitive lifting tasks. However, it remains unknown if the presence of trunk extensor neuromuscular fatigue influences learning of this modified lifting technique. Therefore, we compared the effectiveness of using augmented tactile and performance feedback to reduce lumbar spine flexion during a repetitive lifting task, in both unfatigued and fatigued states. Participants completed repetitive lifting tests immediately before and after training, and 1-week later, with half of the participants completing training after fatiguing their trunk extensor muscles. Both groups demonstrated learning of the modified lifting technique as demonstrated by increased thorax-pelvis coordination variability and reduced lumbar range of motion variability; however, experiencing trunk extensor neuromuscular fatigue during lift (re)training may have slight negative influences on learning the modified lifting technique. Practitioner summary: An augmented lift (re)training paradigm using tactile cueing and performance feedback regarding key movement features (i.e. lumbar spine flexion) can effectively (re)train a modified lifting technique to reduce lumbar flexion and redistribute motion to the hips and knees. However, performing (re)training while fatigued could slightly hinder learning this lifting technique.

Using insights from cognitive science for the teaching of clinical skills: AMEE Guide No. 155

Students have to develop a wide variety of clinical skills, from cannulation to advanced life support, prior to entering clinical practice. An important challenge for health professions' educators is the implementation of strategies for effectively supporting students in their acquisition of different types of clinical skills and also to minimize skill decay over time. Cognitive science provides a unified approach that can inform how to maximize clinical skill acquisition and also minimize skill decay. The Guide discusses the nature of expertise and mastery development, the key insights from cognitive science for clinical skill development and skill retention, how these insights can be practically applied and integrated with current approaches used in clinical skills teaching.

The effect of movement frequency on perceptual-motor learning of a novel bimanual coordination pattern

The most widely known studies of rhythmic limb coordination showed that frequency strongly affects the stability of some coordinations (e.g. 180° relative phase) but not others (e.g. 0°). The coupling of such rhythmic limb movements was then shown to be perceptual. Frequency affected the stability of perceptual information. We now investigated whether frequency would impact the pickup of information for learning a novel bimanual coordination pattern (e.g. 90°) and the ability to sustain the coordination at various frequencies. Twenty participants were recruited and assessed on their performance of bimanual coordination at 0°, 180°, and 90° at five scanning frequencies before and after training at 90°, during which they were assigned to practice with either a high (2.5 Hz) or low (0.5 Hz) frequency until attaining proficiency. The results showed that learning was frequency specific. The best post-training performance occurred at the trained frequency. Although the coordination could be acquired through high frequency training, it was at the cost of a greater amount of training and most surprisingly, did not yield improved performance at lower frequencies that are normally thought to be easier. The findings suggest that movement frequency may determine whether visual or kinesthetic information is used for learning and control of bimanual coordination.

The Influence of Altered-Gravity on Bimanual Coordination: Retention and Transfer

Many of the activities associated with spaceflight require individuals to coordinate actions between the limbs (e.g., controlling a rover, landing a spacecraft). However, research investigating the influence of gravity on bimanual coordination has been limited. The current experiment was designed to determine an individual's ability to adapt to altered-gravity when performing a complex bimanual force coordination task, and to identify constraints that influence coordination dynamics in altered-gravity. A tilt table was used to simulate gravity on Earth [90° head-up tilt (HUT)] and microgravity [6° head-down tilt (HDT)]. Right limb dominant participants (N = 12) were required to produce 1:1 in-phase and 1:2 multi-frequency force patterns. Lissajous information was provided to guide performance. Participants performed 14, 20 s trials at 90° HUT (Earth). Following a 30-min rest period, participants performed, for each coordination pattern, two retention trials (Earth) followed by two transfer trials in simulated microgravity (6° HDT). Results indicated that participants were able to transfer their training performance during the Earth condition to the microgravity condition with no additional training. No differences between gravity conditions for measures associated with timing (interpeak interval ratio, phase angle slope ratio) were observed. However, despite the effective timing of the force pulses, there were differences in measures associated with force production (peak force, STD of peak force mean force). The results of this study suggest that Lissajous displays may help counteract manual control decrements observed during microgravity. Future work should continue to explore constraints that can facilitate or interfere with bimanual control performance in altered-gravity environments.

Construct Validity of the Upper-Limb Interlimb Coordination Test in Stroke

Background

Coordination impairments are under-evaluated in patients with stroke due to the lack of validated assessments resulting in an unclear relationship between coordination deficits and functional limitations.

Objective

Determine the construct validity of the new clinical upper-limb (UL) Interlimb Coordination test (ILC2) in individuals with chronic stroke.

Methods

Thirteen individuals with stroke, ≥40 years, with ≥30° isolated supination of the more-affected (MAff) arm, who could understand instructions and 13 healthy controls of similar age participated in a cross-sectional study. Participants performed synchronous bilateral anti-phase forearm rotations for 10 seconds in 4 conditions: self-paced internally-paced (IP1), fast internally-paced (IP2), slow externally-paced (EP1), and fast externally-paced (EP2). Primary (continuous relative phase-CRP, cross-correlation, lag) and secondary outcome measures (UL and trunk kinematics) were compared between groups.

Results

Participants with stroke made slower UL movements than controls in all conditions, except EP1. Cross-correlation coefficients were lower (i.e., closer to 0) in stroke in IP1, but CRP and lag were similar between groups. In IP1 and matched-speed conditions (IP1 for healthy and IP2 for stroke), stroke participants used compensatory trunk and shoulder movements. The synchronicity sub-scale and total scores of ILC2 were related to temporal coordination in IP2. Interlimb Coordination test total score was related to greater shoulder rotation of the MAff arm. Interlimb Coordination test scores were not related to clinical scores.

Conclusion

Interlimb Coordination test is a valid clinical measure that may be used to objectively assess UL interlimb coordination in individuals with chronic stroke. Further reliability testing is needed to determine the clinical utility of the scale.

Training 90° bimanual coordination at high frequency yields dependence on kinesthetic information and poor performance of dyadic unimanual coordination

Two groups of participants were trained to be proficient at performing bimanual 90° coordination either at a high (2.5 Hz) or low (0.5 Hz) frequency with both kinesthetic and visual information available. At high frequency, participants trained for twice as long to achieve performance comparable to participants training at low frequency. Participants were then paired within (low-low or high-high) or between (low-high) frequency groups to perform a visually coupled dyadic unimanual 90° coordination task, during which they were free to settle at any jointly determined frequency to synchronize their rhythmic movements. The results showed that the coordination skill was frequency-specific. For dyads with one or both members who had learned the 90° bimanual coordination at low frequency, the performance settled at a low frequency (≈0.5 Hz) with more successfully synchronized trials. For dyads with both members who had learned the 90° bimanual coordination at high frequency, they struggled with the task and performed poorly. The dyadic coordination settled at a higher frequency (≈1.5 Hz) on average, but with twice the variability in settling frequency and significantly fewer synchronized trials. The difference between the dyadic coordination and bimanual tasks was that only visual information was available to couple the movements in the former while both kinesthetic and visual information were available in the latter. Therefore, the high frequency group must have relied on kinesthetic information to perform both coordination tasks while the low frequency group was well able to use visual information for both. In the mixed training pairs, the low frequency trained member of the pair was likely responsible for the better performance. These conclusions were consistent with results of previous studies.

The Effects of Manipulating Task Difficulty and Feedback Frequency on Children's Dart Throwing Accuracy and Consistency

In the present study we investigated the effects of manipulating task difficulty (constant vs. progressive difficulty) and frequency of knowledge of results (KR) on the accuracy and consistency of children's performance of a novel fine motor coordination task (dart throwing). We assigned 69 right-handed physical education (PE) students (M age = 10.73, SD = 0.89 years) to progressive (PDG) or constant difficulty (CDG) groups. PDG and CDG were each split into three subgroups who received varying KR frequency (100%KR, 50%KR, and 33%KR), creating a total of six groups. We increased difficulty in the PDG by manipulating the distance to the target (2 m, 2.37 m, and 3.56 m), while distance to the target was constant for CDG throughout the experiment (2.37 m). We conducted performance assessments during familiarization (pre-test), acquisition (post-test), and retention (retention testing) learning phases under both normal condition (NC) and a time pressure condition (TPC). Repeated-measures analysis of variance revealed a significant effect of difficulty manipulation on skill learning under both NC and TPC. Further analyses revealed that skill learning was enhanced by progressive difficulty manipulation. However, learning was not affected by KR frequency changes. Progressive difficulty practice enhanced both accuracy and consistency, specifically at retention testing. These results suggest that motor learning in children may be enhanced by practicing with progressive increases in difficulty. PE teachers are encouraged to gradually introduce difficulty levels in motor learning tasks that require high accuracy.

The effect of frequency of feedback on overground temporal gait asymmetry post stroke

BACKGROUND AND OBJECTIVES

Temporal gait asymmetry (TGA) affects 55% of people with stroke. This study investigated the effects of augmented feedback during overground gait training, on TGA.

METHODS

Eighteen people with chronic stroke were randomized to receive one of two feedback displays (A or B) and one of three feedback frequencies; no feedback (0%), after alternate walking trials (50%) or after every trial (100%). Display A depicted the TGA ratio as a vertical line along a horizontal axis with perfect symmetry in the middle. Display B depicted single limb stance duration of each leg as a bar graph. Participants completed 25 repetitions of 30 second trials with their assigned feedback (acquisition). Participants completed 10 repetitions of 30 second trials without feedback 24 hours later (retention). A pressure sensitive mat recorded TGA and speed. Changes in TGA and speed were investigated by plotting individual motor learning curves and fitting a curve with locally estimated scatterplot smoothing (LOESS) for each feedback group. An effect of feedback was defined a priori as a LOESS fitted curve with a decreasing slope from acquisition to retention.

RESULTS

LOESS curve exhibited a decreasing slope for TGA in the 100B group only and for speed in the 50A and 0FB groups.

DISCUSSION

This study provides preliminary evidence that visual feedback delivered at a high frequency during a single session of overground walking can change TGA post-stroke without reducing gait speed. An overground gait intervention with high frequency visual feedback to improve TGA post-stroke is worthwhile to investigate.

The effect of inherent and incidental constraints on bimanual and social coordination

The current investigation was designed to examine the influence of inherent and incidental constraints on the stability characteristics associated with bimanual and social coordination. Individual participants (N = 9) and pairs of participants (N = 18, 9 pairs) were required to rhythmically coordinate patterns of isometric forces in 1:1 in-phase and 1:2 multi-frequency patterns by exerting force with their right and left limbs. Lissajous information was provided to guide performance. Participants performed 13 practice trials and 1 test trial per pattern. On the test trial, muscle activity from the triceps brachii muscles of each arm was recorded. EMG-EMG coherence between the two EMG signals was calculated using wavelet coherence. The behavioral data indicated that individual participants performed the 1:1 in-phase pattern more accurately and with less variability than paired participants. The EMG coherence analysis indicated significantly higher coherence for individual participants than for the paired participants during the 1:1 in-phase pattern, whereas no differences were observed between groups for the 1:2 coordination pattern. The results of the current investigation support the notion that neural crosstalk can stabilize 1:1 in-phase coordination when contralateral and ipsilateral signals are integrated via the neuromuscular linkage between two effectors.

Effects of practice on a mechanical horse with an online feedback on performing a sitting postural coordination

The present research aims at quantifying the impact of practicing a new coordination pattern with an online visual feedback on the postural coordination performed on a mechanical horse. Forty-four voluntary participants were recruited in this study. They were randomly assigned to four practice groups based on i) with or without feedback (i.e., group 1, control, did not receive the feedback; group 2, 3 and 4 received an online feedback during practice) and ii) the specific trunk/horse coordination to target during practice (group 1, target coordination = 180° (without feedback); group 2, target coordination = 0°; group 3, target coordination = 90°; group 4, target coordination = 180°). All participants performed pre-, practice, post- and retention sessions. The pre-, post- and retention sessions consisted of four trials, with one trial corresponding to one specific target coordination to maintain between their own oscillations and the horse oscillations (spontaneous, 0°, 90°, and 180°). The practice phase was composed of three different sessions during which participants received an online feedback about the coordination between their own oscillations and the horse oscillations. Results showed a significant change with practice in the trunk/horse coordination patterns which persisted even after one month (retention-test). However, all the groups did not show the same nature of change, evidenced by a high postural variability during post-test for 0° and 90° target coordination groups, in opposition to the 180° and spontaneous groups who showed a decrease in coordination variability for the 180° group. The coordination in anti-phase was characterized as spontaneously adopted by participants on the mechanical horse, explaining the ease of performing this coordination (compared to the 0° and 90° target coordination). The effect of online visual feedback appeared not only on the coordination pattern itself, but most importantly on its variability during practice, including concerning initially stable coordination patterns.

The Development of Bimanual Coordination Across Toddlerhood

As one of the hallmarks of human activity and cultural achievement, bimanual coordination has been the focus of research efforts in multiple fields of inquiry. Since the seminal work of Cohen (1971) and Kelso and colleagues (Haken, Kelso, & Bunz, 1985; Kelso, Southard, & Goodman, 1979), bimanual action has served as a model system used to investigate the role of cortical, perceptual, cognitive, and situational underpinnings of coordinated movement sequences (e.g., Bingham, 2004; Oliveira & Ivry, 2008). This work has been guided primarily by dynamical systems theory in general, and by the formal Haken-Kelso-Bunz (HKB; 1985) model of bimanual coordination, in particular. The HKB model describes the self-organizing relationship between a coordinated movement pattern and the underlying parameters that support that pattern, and can also be used to conceptualize and test predictions of how changes in coordination occur. Much of the work investigating bimanual control under the HKB model has been conducted with adults who are acting over time periods of a few seconds to a few days. However, there are also changes in bimanual control that occur over far longer time spans, including those that emerge across childhood and into adolescence (e.g., Wolff, Kotwica, & Obregon, 1998). Using the formal HKB model as a starting point, we analyzed the ontogenetic emergence of a particular pattern of bimanual coordination, specifically, the anti-phase (or inverse oscillatory motion) coordination pattern between the upper limbs in toddlers who are performing a drumming task (see Brakke, Fragaszy, Simpson, Hoy, & Cummins-Sebree, 2007). This study represents a first attempt to document the emergence of the anti-phase pattern by examining both microgenetic and ontogenetic patterns of change in bimanual activity. We report the results of a longitudinal study in which seven toddlers engaged monthly in a bimanual drumming task from 15 to 27 months of age. On some trials, an adult modeled in-phase or anti-phase action; on other trials, no action was modeled. We documented the motion dynamics accompanying the emergence of the anti-phase bimanual coordination pattern by assessing bout-to-bout and month-to-month changes in several movement parameters-oscillation frequency, amplitude ratio of the drumsticks, initial position of the limbs to begin bouts, and primary arm-joint involvement. These parameters provided a good starting point to understand how toddlers explore movement space in order to achieve greater stability in performing the anti-phase coordination pattern. Trained research assistants used Motus software to isolate each bout of drumming and to digitize the movement of the two drumstick heads relative to the stationary drum surface. Because we were primarily interested in the vertical movement of the drumsticks that were held in the child's hands, we relied on two-dimensional analyses and analyzed data that were tracked by a single camera. We used linear mixed effects analyses as well as qualitative analyses for each participant to help elucidate the emergence and stability of the child's use of anti-phase coordination. This approach facilitated descriptions of individual pathways of behavior that are possible only with longitudinal designs such as the one used here. Our analyses indicated that toddlers who were learning to produce anti-phase motion in this context employed a variety of strategies to adjust the topography of their action. Specifically, as we hypothesized, toddlers differentially exploited oscillation frequency and movement amplitude to support change to anti-phase action, which briefly appeared as early as 15 months of age but did not become relatively stable until approximately 20 months of age. We found evidence that many toddlers reduced oscillation frequency before transitioning from in-phase to anti-phase drumming. Toddlers also used different means of momentarily modulating the amplitude ratio between limbs to allow a change in coordination from in-phase to anti-phase. Nevertheless, these oscillation-frequency and amplitude-ratio strategies were interspersed by periods of nonsystematic exploration both within and between bouts of practice. We also observed that toddlers sometimes changed their initial limb positions to start a bout or altered which primary arm joints they used when drumming. When they enacted these changes, the toddlers increased performance of the anti-phase coordination pattern in their drumming. However, we found no evidence of systematic exploration with these changes in limb position and joint employment, suggesting that the toddlers did not intentionally employ these strategies to improve their performance on the task. Although bimanual drumming represents a highly specific behavior, our examination of the mechanisms underlying emergence of the anti-phase coordination pattern in this context is one of the missing pieces needed to understand the development of motor coordination more broadly. Our results document that the anti-phase coordination pattern emerges and stabilizes through modulation of the dynamics of the movement and change of the attractor landscape (i.e., the motor repertoire). Consistent with literatures in motor control, motor learning, and skill development, our results suggest that the acquisition of movements in ontogenetic development can be thought of as exploration of the emergent dynamics of perception and action. This conclusion is commensurate with a systemic approach to motor development in which functional dynamics, rather than specific structures, provide the basis for understanding developmental changes in skill. Based on our results as well as the relevant previous empirical literature, we present a conceptual model that incorporates developmental dynamics into the HKB model. This conceptual model calls for new investigations using a dynamical systems approach that allows direct control of movement parameters, and that builds on the methods and phenomena that we have described in the current work.

The Effects of Expert and Augmented Feedback on Learning a Complex Medical Skill

Many medical skills are complex due to their requirements for integration of declarative (biomedical) knowledge with perceptual-motor and perceptual-cognitive proficiency. While feedback generally helps learners guide their actions, it is unclear how feedback supports the integration of declarative knowledge with skills. Thus, we investigated the effect of expert and augmented feedback on acquisition and retention of a complex medical skill (acquiring a transthoracic echocardiogram) in a simulation study. We randomly assigned 36 medical undergraduate students to one of three feedback sources: Expert (EF), Augmented visual (HS), and Expert plus Help Screen (EF + HS). Participants practiced until reaching proficiency. Outcome measures (knowledge test and practical skill ratings on a 5-point scale), were gathered at initial acquisition and at retention after 11 days, the time needed to obtain the images and the quality of images obtained. We divided the knowledge test into three topics: names of the images, manipulation of the probe, and anatomy of the heart. At acquisition, immediately after training, EF group participants were faster at obtaining images than participants in the two other groups. On the retention test, there were no group differences for speed of obtaining images, but the EF + HS group scored significantly higher than the other two groups on image quality. Thus, expert feedback best assisted initial acquisition and combined augmented and expert feedback best assisted retention of this complex medical task. Expert assistance reduced learners' cognitive load during initial practice, helping learners integrate declarative knowledge with physical skills.

Neurophysiological Correlates of Adaptation and Interference during Asymmetrical Bimanual Movements

In this study, we investigated brain dynamics during interference between hands during bimanual movements. Participants performed a bimanual center-out reaching task in which a visuomotor rotation was applied to the right hand while the left hand did not receive visual feedback of its movements. This manipulation resulted in interference from the adapting right hand to the kinesthetically guided left hand. Electroencephalography (EEG) recordings during the task showed that spectral power in the high and low beta frequency bands was elevated early in exposure, but decreased throughout learning. This may be representative of error-based updating of internal models of movement. Additionally, coherence, a measure of neural functional connectivity, was elevated both within and between hemispheres in the beta frequencies during the initial presentation of the visuomotor rotation, and then decreased throughout adaptation. This suggests that beta oscillatory neural activity may be marker for transmission of conflicting motor information between hemispheres, which manifests in interference between the hands during asymmetrical bimanual movements.

Using visual and/or kinesthetic information to stabilize intrinsic bimanual coordination patterns is a function of movement frequency

Coordination dynamics suggest that both in-phase and anti-phase movements are intrinsic and can be readily performed without practice. As movement frequency increases, individuals performing anti-phase movement inevitably switch to perform in-phase movement. However, due to different frames of reference used to define intrinsic coordination patterns in visual and kinesthetic domains, the perception of intrinsic coordination patterns could be ambiguous, which leads to the question whether the visually or kinesthetically perceived information is used to maintain the intrinsic coordination patterns. The current study explored how the consistency between visual and kinesthetic information would impact the performance and the associated metabolic energy consumption of intrinsic bimanual coordination patterns as movement frequency increased. Thirty participants were recruited and randomly assigned to one of three groups ("Info + Spatial +", "Info + Spatial -", and "Info-Spatial +") to perform intrinsic bimanual coordination tasks using a computer-joystick system at low, high, and self-selected frequencies. The visual and kinesthetic information were manipulated to be either consistent or inconsistent by changing the spatial mapping between the motion of display and motion of joysticks. The results showed that the kinesthetic information was largely used to maintain the stability of intrinsic coordination patterns at high frequency, which could be an energy-conserving solution. However, spatial mapping alone seemed to be beneficial for keeping the visually perceived in-phase and anti-phase coordination patterns equally stable at low movement frequency, and spatially mapping the visual information to be consistent with kinesthetic information greatly enhanced the stability of anti-phase coordination. The dynamical use of visual and kinesthetic information for control of bimanual coordination is discussed.

Differences in skill level influence the effects of visual feedback on motor learning

[Purpose] No previous studies have confirmed whether the effects of visual feedback on motor learning vary according to learner skill level for a learning task. The purpose of this study was to clarify whether differences in skill influence the effects of visual feedback on motor learning. [Participants and Methods] Sixty-four participants were assigned to one of four different feedback groups (concurrent-100%, concurrent-50%, terminal-100%, or terminal-50%). The learning task was to adjust the load amount continuously to the left lower limb in accordance with sound stimulation at intervals of 1 Hz. The four groups performed a pretest, practice sessions, and a retention test 24 hours after practice. After completing these measurements, the participants were classified as either high- or low-skilled based on the results of the pretest. [Results] Only the groups of low-skilled participants who used concurrent feedback showed lower root mean square errors in the retention test compared to in the pretest. [Conclusion] Differences in skill level for the same task influenced the effects of visual feedback on motor learning. Furthermore, concurrent visual feedback can help improve motor learning in low-skilled learners for the same task.

Accessing interpersonal and intrapersonal coordination dynamics

Both intrapersonal and interpersonal coordination dynamics have traditionally been investigated using relative phase patterns of in-phase (ϕ = 0°) and/or anti-phase (ϕ = 180°). Numerous investigations have demonstrated that coordination tasks that require other relative phase patterns (e.g., 90°) are difficult or near impossible to perform without extended practice. Recent findings, however, have demonstrated that an individual can produce a wide range of intrapersonal bimanual patterns within a few minutes of practice when provided integrated feedback. The present experiment was designed to directly compare intra- and interpersonal coordination performance and variability when provided Lissajous feedback or pacing metronome. Single participants (N = 12) and pairs of participants (N = 24, 12 pairs) were required to produce relative phase patterns between 0° and 180° in 30° increments using either pacing metronomes or Lissajous displays. The Lissajous displays involved a goal template and a cursor providing integrated feedback regarding the position of the two effectors. The results indicated both single and pairs of participants could effectively produce a large range of coordination patterns that typically act as repellers after only 6 min of practice when provided integrated feedback. However, single participants performed the in-phase coordination pattern more accurately and with less variability than paired participants, regardless of the feedback condition. These results suggest an advantage for intrapersonal coordination when performing in-phase coordination, possibly due to the stabilizing effect occurring via the neuro-muscular linkage between effectors.

Joint action goals reduce visuomotor interference effects from a partner's incongruent actions

Joint actions often require agents to track others’ actions while planning and executing physically incongruent actions of their own. Previous research has indicated that this can lead to visuomotor interference effects when it occurs outside of joint action. How is this avoided or overcome in joint actions? We hypothesized that when joint action partners represent their actions as interrelated components of a plan to bring about a joint action goal, each partner’s movements need not be represented in relation to distinct, incongruent proximal goals. Instead they can be represented in relation to a single proximal goal – especially if the movements are, or appear to be, mechanically linked to a more distal joint action goal. To test this, we implemented a paradigm in which participants produced finger movements that were either congruent or incongruent with those of a virtual partner, and either with or without a joint action goal (the joint flipping of a switch, which turned on two light bulbs). Our findings provide partial support for the hypothesis that visuomotor interference effects can be reduced when two physically incongruent actions are represented as mechanically interdependent contributions to a joint action goal.

Response biases: the influence of the contralateral limb and head position

Two experiments were designed to determine response biases resulting from production of force in the contralateral limb and head position. Participants were required to react with one limb while tracking a sinewave template by generating a pattern of force defined by the sinewave with the contralateral limb or watching a cursor move through the sinewave. In Experiment 1, participants had to react with their right or left limb while their head was in a neutral position. In Experiment 2, participants had to react with their left limb while their head was turned 60° to the left or right. A color change of the waveform signaled participants to produce an isometric contraction with the reacting limb. Reaction time was calculated as the time interval between the color change of the waveform and the initiation of the response. The results indicated mean reaction time for the left limb was significantly influenced by force production in the right limb. During left limb reactions, reaction time was faster for trials in which both limbs initiated force simultaneously as compared to trials in which the left limb initiated force while the right limb was producing force. Mean reaction time for the right limb was not influenced by force production in the contralateral limb. The results are consistent with the notion that crosstalk can influence the time required to react to stimuli but this influence occurs at the point of force initiation and is asymmetric in nature with the dominant limb exerting a stronger influence on the non-dominant limb than vice versa. However, we did not find a similar effect for head position via the tonic neck response.

Interpersonal and intrapersonal entrainment of self-paced tapping rate

Entrainment is a ubiquitous property not only of interacting non-linear dynamical systems but also of human movements. In the study reported here, two premises of entrainment theory were investigated in a tapping task conducted in both interpersonal (i.e. between individuals) and intrapersonal (i.e. between effectors) conditions. Hypothesis 1 was that interacting oscillatory systems should demonstrate synchronisation, which was predicted to emerge as in-phase tapping behaviour in both inter- and intrapersonal conditions. Support for Hypothesis 1 was observed in the in-phase synchronisation of tapping in both individual bimanual trials and uni-manual and bimanual tapping in dyads. By contrast, Hypothesis 2 was that the oscillatory system with the faster initial rate would decelerate, whereas the one with the slower initial rate would accelerate, as manifest in increased self-paced tapping rates amongst participants with initially slower rates and decreased rates amongst ones who initially tapped at faster rates. However, that pattern predicted in Hypothesis 2 was not observed; on the contrary, all participants increased their tapping rates in interpersonal conditions, which occurred significantly amongst participants with the lowest preferred tapping rates. Such an outcome indicates a novel aspect of synchronised movement in humans that warrants further investigation.

Advantage of Early Focus on Visual Information in Bi-Modal Training of Bimanual Coordination

Previous studies have shown that learning bimanual coordination is modality-specific, and both visual and kinesthetic information about relative phase can be used to facilitate learning. However, an extended training with focus on visual information leads to the neglect of kinesthesis and a complete reliance on vision to perform the coordination. The current study explored the bi-modal training of bimanual coordination, where the participants were guided to attend to both visual and kinesthetic information to learn 90° coordination. Thirty participants in their 20s were trained for 10 sessions (two sessions a day for five days), during which they were randomly divided into three groups of 10 participants each to practice the coordination. The V-K group was focused first on visual information, and then on kinesthetic information, to learn the 90° coordination. The K-V group was focused first on kinesthetic information, and then on visual information to learn the coordination. The Random group randomly shifted their focus between visual and kinesthetic information to learn the coordination. All participants were tested as they performed the 90° coordination with and without visual information before, halfway, and after the training. The results showed that the bi-modal training yielded more improved and transferred coordination than the uni-modal training. However, among the three types of bi-modal training, the V-K schedule exhibited the most modality-specific learning and transfer. Therefore, when using both visual demonstration and physical guidance to teach bimanual coordination skills, providing visual demonstration in the early stage should be recommended.

Joint dyadic action: Error correction by two persons works better than by one alone

We investigated how two people learn to coordinate their movement to achieve a joint goal. Pairs of participants oscillated a joystick with their dominant hand whilst looking at a common feedback, a Lissajous figure, where each participant controlled either the vertical or horizontal coordinate of a moving dot. In the absence of specific instructions, inter-personal coordination was highly variable, punctuated by intermittent phase locking. When participants were required to produce a circular Lissajous figure, coordination variability decreased while accuracy, transfer entropy and the incidence of stable coordinative solutions (fixed points, including bi-stability) increased as a function of practice trials. When one partner closed his/her eyes, so that the other one received the full control of error correction, the stability and accuracy of coordination decreased. A questionnaire showed that partners experienced the feeling of we-control. The results were interpreted in terms of a disturbance ∼ correction challenge: joint action is enhanced by having a flexibly adjusting co-actor rather than a more predictable, but not adjusting, partner. At transfer, partners were able to produce a new, never-practiced Lissajous pattern, evidencing the generalisability of joint learning.

Changes in movement variability and task performance during a fatiguing repetitive pointing task

Changes in neuromuscular strategies employed with fatigue during multi-joint movements are still poorly understood. Studies have shown that motor variability of individual joints increases when performing upper limb tasks to fatigue, while movement parameters related to the task goal remain constant. However, how the inter-limb coordination and its variability change during specific movement phases with fatigue is still unclear. The aim of this study was to assess the effects of neck-shoulder fatigue on shoulder and elbow kinematic variabilities, shoulder-elbow coordination and its variability, and endpoint characteristics during different phases of a forward pointing movement. Nineteen healthy young adults continuously performed a repetitive pointing task until fatigue (Borg rating of 8/10). Changes in elbow-shoulder coordination through the movement were assessed using the continuous relative phase and statistical nonparametric mapping methods. At the end of the task, muscle fatigue was evidenced by significant increases in anterior deltoid (+13%) and biceps brachii (+30%) activity. Shoulder horizontal abduction, elbow flexion variability and shoulder-elbow coordination variability were increased with fatigue at different moments of the movement cycle (shoulder: during the first 17% and most of the second half movement, elbow: from 73% to 91%, coordination: almost the whole movement). However, movement timing errors and endpoint spatial variability were mostly preserved, even with fatigue. We showed that increased variability with fatigue is not only observed in the fatigued joint (shoulder), but also in the elbow and shoulder-elbow coordination, and may have a goal of preserving global task performance.

The effects of feedback format, and egocentric & allocentric relative phase on coordination stability

The stability of coordinated rhythmic movement is primarily affected by the required mean relative phase. In general, symmetrical coordination is more stable than asymmetrical coordination; however, there are two ways to define relative phase and the associated symmetries. The first is in an egocentric frame of reference, with symmetry defined relative to the sagittal plane down the midline of the body. The second is in an allocentric frame of reference, with symmetry defined in terms of the relative direction of motion. Experiments designed to separate these constraints have shown that both egocentric and allocentric constraints contribute to overall coordination stability, with the former typically showing larger effects. However, separating these constraints has meant comparing movements made either in different planes of motion, or by limbs in different postures. In addition, allocentric information about the coordination is either in the form of the actual limb motion, or a transformed, Lissajous feedback display. These factors limit both the comparisons that can be made and the interpretations of these comparisons. The current study examined the effects of egocentric relative phase, allocentric relative phase, and allocentric feedback format on coordination stability in a single task. We found that while all three independently contributed to stability, the egocentric constraint dominated. This supports previous work. We examine the evidence underpinning theoretical explanations for the egocentric constraint, and describe how it may reflect the haptic perception of relative phase.

Challenge to Promote Change: The Neural Basis of the Contextual Interference Effect in Young and Older Adults

Motor performance deteriorates with age. Hence, studying the effects of different training types on performance improvement is particularly important. Here, we investigated the neural correlates of the contextual interference (CI) effect in 32 young (YA; 16 female) and 28 older (OA; 12 female) human adults. Participants were randomly assigned to either a blocked or a random practice schedule, practiced three variations of a bimanual visuomotor task over 3 d, and were retested 6 d later. Functional magnetic resonance imaging data were acquired during the first and last training days and during retention. Although the overall performance level was lower in OA than YA, the typical CI effects were observed in both age groups, i.e., inferior performance during acquisition but superior performance during retention for random relative to blocked practice. At the neural level, blocked practice showed higher brain activity in motor-related brain regions compared with random practice across both age groups. However, although activity in these regions decreased with blocked practice in both age groups, it was either preserved (YA) or increased (OA) as a function of random practice. In contrast, random compared with blocked practice resulted in greater activations in visual processing regions across age groups. Interestingly, in OA, the more demanding random practice schedule triggered neuroplastic changes in areas of the default mode network, ultimately leading to better long-term retention. Our findings may have substantial implications for the optimization of practice schedules, and rehabilitation settings in particular.SIGNIFICANCE STATEMENT In aging societies, it is critically important to understand how motor skills can be maintained or enhanced in older adults, with the ultimate goal to prolong functional independence. Here, we demonstrated that a more challenging random as opposed to a blocked practice environment temporarily reduced performance during the acquisition phase but resulted in lasting benefits for skill retention. In older adults, learning success was critically dependent on reduction of activation in areas of the default mode network, pointing to plastic functional changes in brain regions that are vulnerable to aging effects. The random practice context led to increased economy of brain activity and better skill retention. This provides new perspectives for reversing the negative consequences of aging.

Search strategies in practice: Influence of information and task constraints

The practice of a motor task has been conceptualized as a process of search through a perceptual-motor workspace. The present study investigated the influence of information and task constraints on the search strategy as reflected in the sequential relations of the outcome in a discrete movement virtual projectile task. The results showed that the relation between the changes of trial-to-trial movement outcome to performance level was dependent on the landscape of the task dynamics and the influence of inherent variability. Furthermore, the search was in a constrained parameter region of the perceptual-motor workspace that depended on the task constraints. These findings show that there is not a single function of trial-to-trial change over practice but rather that local search strategies (proportional, discontinuous, constant) adapt to the level of performance and the confluence of constraints to action.

The simplest acquisition protocol is sometimes the best protocol: performing and learning a 1:2 bimanual coordination task

An experiment was conducted to determine if the performance and learning of a multi-frequency (1:2) coordination pattern between the limbs are enhanced when a model is provided prior to each acquisition trial. Research has indicated very effective performance of a wide variety of bimanual coordination tasks when Lissajous plots with goal templates are provided, but this research has also found that participants become dependent on this information and perform quite poorly when it is withdrawn. The present experiment was designed to test three forms of modeling (Lissajous with template, Lissajous without template, and limb model), but in each situations, the model was presented prior to practice and not available during the performance of the task. This was done to decrease dependency on the model and increase the development of an internal reference of correctness that could be applied on test trials. A control condition was also collected, where a metronome was used to guide the movement. Following less than 7 min of practice, participants in the three modeling conditions performed the first test block very effectively; however, performance of the control condition was quite poor. Note that Test 1 was performed under the same conditions as used during acquisition. Test 2 was conducted with no augmented information provided prior to or during the performance of the task. Only participants in the limb model condition were able to maintain performance on Test 2. The findings suggest that a very simple intuitive display can provide the necessary information to form an effective internal representation of the coordination pattern which can be used guide performance when the augmented display is withdrawn.

Abstract spatial, but not body-related, visual information guides bimanual coordination

Visual spatial information is paramount in guiding bimanual coordination, but anatomical factors, too, modulate performance in bimanual tasks. Vision conveys not only abstract spatial information, but also informs about body-related aspects such as posture. Here, we asked whether, accordingly, visual information induces body-related, or merely abstract, perceptual-spatial constraints in bimanual movement guidance. Human participants made rhythmic, symmetrical and parallel, bimanual index finger movements with the hands held in the same or different orientations. Performance was more accurate for symmetrical than parallel movements in all postures, but additionally when homologous muscles were concurrently active, such as when parallel movements were performed with differently rather than identically oriented hands. Thus, both perceptual and anatomical constraints were evident. We manipulated visual feedback with a mirror between the hands, replacing the image of the right with that of the left hand and creating the visual impression of bimanual symmetry independent of the right hand’s true movement. Symmetrical mirror feedback impaired parallel, but improved symmetrical bimanual performance compared with regular hand view. Critically, these modulations were independent of hand posture and muscle homology. Thus, visual feedback appears to contribute exclusively to spatial, but not to body-related, anatomical movement coding in the guidance of bimanual coordination.

Motor Skill Learning and the Development of Visual Perception Processes Supporting Action Identification

This study examined physical training and observational training influences on motor learning and the development of visual discrimination processes. Participants were trained on a bimanual task (relative phase of +90°) defined by a visual training stimulus. There were 2 observational contexts: 1) model-only, watch a learning model, and 2) stimulus-only, watch the visual training stimulus. After 2 d of training, the learning models performed the +90° pattern with reduced error in 2 retention tests. Each observer group showed improvement in performance of the +90° pattern, with the stimulus-only group characterized by a more significant improvement. The learning models and observer groups were characterized by an improvement in visually discriminating 2 features of the trained pattern, relative phase and hand-lead. Overall, physical practice (learning models) established a stronger link between the action and visual discrimination processes compared with the observational contexts. The results show that the processes supporting action production and the visual discrimination of actions are modified in ways specific to the trained action following both physical and observational training.

Intentional Switching Between Bimanual Coordination Patterns

Previous theoretical and empirical work indicates that intentional changes in a bimanual coordination pattern depends on the stability of the bimanual coordination pattern (Kelso, Schotz, & Schöner, 1988; Scholz & Kelso, 1990). The present experiments retest this notion when online Lissajous displays are provided. Switching to and from in-phase and antiphase and to and from 90° and 270° were tested in Experiment 1. Participants were able to very effectively produce the 180°, 90°, and 270° coordination patterns although performance of the in-phase coordination task was even more stable. The data indicated that switching to in-phase from antiphase was more rapid than vice versa and that switching times between 90° to 270° were similar. Experiment 2 investigated switching between 1:2 and 2:1 bimanual coordination patterns. The results indicated that switching time was similar between the 2:1 and 1:2 coordination tasks and that increases in stability over practice resulted in additional decreases in switching times. This provides additional evidence that the attractor landscape is fundamentally different dependent on the type of information provided the performer. What remains to be done is to reconcile these results with the various theories/perspectives currently used to describe and explain bimanual coordination.

Unintentional force changes in cyclical tasks performed by an abundant system: Empirical observations and a dynamical model

The study explored unintentional force changes elicited by removing visual feedback during cyclical, two-finger isometric force production tasks. Subjects performed two types of tasks at 1Hz, paced by an auditory metronome. One - Force task - required cyclical changes in total force while maintaining the sharing, defined as relative contribution of a finger to total force. The other task - Share task - required cyclical changes in sharing while keeping total force unchanged. Each trial started under full visual feedback on both force and sharing; subsequently, feedback on the variable that was instructed to stay constant was frozen, and finally feedback on the other variable was also removed. In both tasks, turning off visual feedback on total force elicited a drop in the mid-point of the force cycle and an increase in the peak-to-peak force amplitude. Turning off visual feedback on sharing led to a drift of mean share toward 50:50 across both tasks. Without visual feedback there was consistent deviation of the two force time series from the in-phase pattern (typical of the Force task) and from the out-of-phase pattern (typical of the Share task). This finding is in contrast to most earlier studies that demonstrated only two stable patterns, in-phase and out-of-phase. We interpret the results as consequences of drifts of parameters in a dynamical system leading in particular to drifts in the referent finger coordinates toward their actual coordinates. The relative phase desynchronization is caused by the right-left differences in the hypothesized drift processes, consistent with the dynamic dominance hypothesis.

Effects of visual and auditory guidance on bimanual coordination complexity

Perceptual guidance of movement with simple visual or temporal information can facilitate performance of difficult coordination patterns. Guidance may override coordination constraints that usually limit stability of bimanual coordination to only in-phase and anti-phase. Movement dynamics, however, might not have the same characteristics with and without perceptual guidance. Do visual and auditory guidance produce qualitatively different dynamical organization of movement? An anti-phase wrist flexion and extension coordination task was performed under no specific perceptual guidance, under temporal guidance with a metronome, and under visual guidance with a Lissajous plot. For the time series of amplitudes, periods and relative phases, temporal correlations were measured with Detrended Fluctuation Analysis and complexity levels were measured with multiscale entropy. Temporal correlations of amplitudes and relative phases deviated from the typical 1/f variation towards more random variation under visual guidance. The same was observed for the series of periods under temporal guidance. Complexity levels for all time series were lower in visual guidance, but higher for periods under temporal guidance. Perceptual simplification of the task's goal may produce enhancement of performance, but it is accompanied by changes in the details of movement organization that may be relevant to explain dependence and poor retention after practice under guidance.

A Direct-Learning Approach to Acquiring a Bimanual Tapping Skill

The theory of direct learning (D. M. Jacobs & C. F. Michaels, 2007 ) has proven useful in understanding improvement in perception and exploratory action. Here the authors assess its usefulness for understanding the learning of a motor skill, bimanual tapping at a difficult phase relation. Twenty participants attempted to learn to tap with 2 index fingers at 2 Hz with a phase lag of 90° (i.e., with a right-right period of 500 ms and a right-left period of 125 ms). There were 30 trials, each with 50 tapping cycles. Computer-screen feedback informed of errors in both period and phase for each pair of taps. Participants differed dramatically in their success. Learning was assessed by identifying the succession of attractors capturing tapping over the experiment. A few participants' attractors migrated from antiphase to 90° with an appropriate period; others became attracted to a fixed right-left interval, rather than phase, with or without attraction to period. Changes in attractor loci were explained with mixed success by direct learning, inviting elaboration of the theory. The transition to interval attractors was understood as a change in intention, and was remarkable for its indifference to typical bimanual interactions.

tDCS over left M1 or DLPFC does not improve learning of a bimanual coordination task

Previously, transcranial direct current stimulation (tDCS) over the primary motor cortex (M1) has resulted in improved performance in simple motor tasks. For a complex bimanual movement, studies using functional magnetic resonance imaging and transcranial magnetic stimulation indicated the involvement of the left dorsolateral prefrontal cortex (DLPFC) as well as left M1. Here we investigated the relative effect of up-regulating the cortical function in left DLPFC and left M1 with tDCS. Participants practised a complex bimanual task over four days while receiving either of five stimulation protocols: anodal tDCS applied over M1, anodal tDCS over DLPFC, sham tDCS over M1, sham tDCS over DLPFC, or no stimulation. Performance was measured at the start and end of each training day to make a distinction between acquisition and consolidation. Although task performance improved over days, no significant difference between stimulation protocols was observed, suggesting that anodal tDCS had little effect on learning the bimanual task regardless of the stimulation sites and learning phase (acquisition or consolidation). Interestingly, cognitive performance as well as corticomotor excitability did not change following stimulation. Accordingly, we found no evidence for behavioural or neurophysiological changes following tDCS over left M1 or left DLPFC in learning a complex bimanual task.

Transposing musical skill: sonification of movement as concurrent augmented feedback enhances learning in a bimanual task

Concurrent feedback provided during acquisition can enhance performance of novel tasks. The 'guidance hypothesis' predicts that feedback provision leads to dependence and poor performance in its absence. However, appropriately structured feedback information provided through sound ('sonification') may not be subject to this effect. We test this directly using a rhythmic bimanual shape-tracing task in which participants learned to move at a 4:3 timing ratio. Sonification of movement and demonstration was compared to two other learning conditions: (1) Sonification of task demonstration alone and (2) completely silent practice (control). Sonification of movement emerged as the most effective form of practice, reaching significantly lower error scores than control. Sonification of solely the demonstration, which was expected to benefit participants by perceptually unifying task requirements, did not lead to better performance than control. Good performance was maintained by participants in the Sonification condition in an immediate retention test without feedback, indicating that the use of this feedback can overcome the guidance effect. On a 24-h retention test, performance had declined and was equal between groups. We argue that this and similar findings in the feedback literature are best explained by an ecological approach to motor skill learning which places available perceptual information at the highest level of importance.

Corticospinal Modulations during Bimanual Movement with Different Relative Phases

The purpose of this study was to investigate corticospinal modulation of bimanual (BM) movement with different relative phases (RPs). The participants rhythmically abducted and adducted the right index finger (unimanual (UM) movement) or both index fingers (BM movement) with a cyclic duration of 1 s. The RP of BM movement, defined as the time difference between one hand movement and the other hand movement, was 0°, 90°, or 180°. Motor evoked potentials (MEPs) in the right flexor dorsal interosseous muscle elicited by transcranial magnetic stimulation (TMS) were obtained during UM or BM movement. Corticospinal excitability in the first dorsal interosseous muscle during BM movement with 90° RP was higher than that during UM movement or BM movement with 0° or 180° RP. The correlation between muscle activity level and corticospinal excitability during BM movement with 90° RP was smaller than that during UM movement or BM movement with 0° or 180° RP. The higher corticospinal excitability during BM movement with 90° RP may be caused by the greater effort expended to execute a difficult task, the involvement of interhemispheric interaction, a motor binding process, or task acquisition. The lower dependency of corticospinal excitability on the muscle activity level during BM movement with 90° RP may reflect the minor corticospinal contribution to BM movement with an RP that is not in the attractor state.

Bimanual Coordination Learning with Different Augmented Feedback Modalities and Information Types

Previous studies have shown that bimanual coordination learning is more resistant to the removal of augmented feedback when acquired with auditory than with visual channel. However, it is unclear whether this differential “guidance effect” between feedback modalities is due to enhanced sensorimotor integration via the non-dominant auditory channel or strengthened linkage to kinesthetic information under rhythmic input. The current study aimed to examine how modalities (visual vs. auditory) and information types (continuous visuospatial vs. discrete rhythmic) of concurrent augmented feedback influence bimanual coordination learning. Participants either learned a 90°-out-of-phase pattern for three consecutive days with Lissajous feedback indicating the integrated position of both arms, or with visual or auditory rhythmic feedback reflecting the relative timing of the movement. The results showed diverse performance change after practice when the feedback was removed between Lissajous and the other two rhythmic groups, indicating that the guidance effect may be modulated by the type of information provided during practice. Moreover, significant performance improvement in the dual-task condition where the irregular rhythm counting task was applied as a secondary task also suggested that lower involvement of conscious control may result in better performance in bimanual coordination.

Symmetrical and asymmetrical influences on force production in 1:2 and 2:1 bimanual force coordination tasks

Results from a recent experiment (Kennedy et al. in Exp Brain Res 233:181-195, 2015) indicated consistent and identifiable distortion of the left limb forces that could be attributable to the production of right limb forces during a multi-frequency bimanual force task. However, distortions in the forces produced by the right limb that could be attributable to the production of force in the left limb were not observed. The present experiment was designed to replicate this finding and determine whether the influence of force produced by one limb on the contralateral limb is the result of the limb assigned the faster frequency on the limb performing the slower frequency or a bias associated with limb dominance. Participants (N = 10) were required to rhythmically coordinate a pattern of isometric forces in a 1:1, 1:2, or 2:1 coordination pattern. The 1:2 task required the right limb to perform the faster rhythm, while the 2:1 task required the left limb to perform the faster rhythm. The 1:1 task was used as a control. Participants performed 13 practice trials and 1 test trial per task. Lissajous displays were provided to guide performance. If the limb assigned the faster frequency was responsible for the distortions observed in the contralateral limb, it was hypothesized that distortions would only be observed in the force trace of the limb producing the slower pattern of force. If a bias associated with limb dominance was responsible for the distortions observed in the contralateral limb, it was hypothesized that in right-limb-dominant participants the right limb would influence the left limb, regardless of limb assignment. Replicating the results of the previous experiment, only distortions in the left limb were observed in the 1:2 coordination task that could be attributed to the production of force by the right limb. However, identifiable distortions were observed in the force produced by both the left and right limb in the 2:1 coordination task. Observed distortions in the left limb, when assigned the faster rhythm indicated that the source of interference is not limited to limb assignment but also a function of limb dominance.

Challenge to promote change: both young and older adults benefit from contextual interference

Current society has to deal with major challenges related to our constantly increasing population of older adults. Since, motor performance generally deteriorates at older age, research investigating the effects of different types of training on motor improvement is particularly important. Here, we tested the effects of contextual interference (CI) while learning a bimanual coordination task in both young and older subjects. Both age groups acquired a low and high complexity task variant following either a blocked or random practice schedule. Typical CI effects, i.e., better overall performance during acquisition but detrimental effects during retention for the blocked compared with the random groups, were found for the low complexity task variant in both age groups. With respect to the high complexity task variant, no retention differences between both practice schedules were found. However, following random practice, better skill persistence (i.e., from end of acquisition to retention) over a 1 week time interval was observed for both task complexity variants and in both age groups. The current study provides clear evidence that the effects of different practice schedules on learning a complex bimanual task are not modulated by age.

A novel approach to enhancing limb control in older adults

Two recent experiments have demonstrated that young adult participants were able to make faster and more harmonic movements in a typical reciprocal Fitts task (ID = 6) following a practice session of sine wave tracking (Boyle et al. in Exp Brain Res 223:377-387, 2012; J Mot Behav 46:277-285, 2014). The purpose of the present experiment was to replicate these findings with a young adult population (age 18-25) and determine whether sine wave tracking also enhances goal-directed limb movements in an older adult population (age 65-90). To establish a performance baseline, all participants were first pretested on a typical ID = 6 Fitts task. Participants in each age group were then randomly assigned to one of the two training conditions where they practiced (45 trials) on a typical Fitts task (ID = 6) or they were asked to track a sine wave template (45 trials). Following practice, all participants were then posttested under the ID = 6 Fitts conditions. The results demonstrated that both young and older adult participants that practiced under the sine wave conditions enhanced their Fitts task performance compared to participants in their respective age groups who practiced under the Fitts conditions. These enhancements included faster movement times, smaller dwell times, and more harmonic movements, all without decreases in movement accuracy. These results replicate our previous findings with young adults and extend the finding to older adult participants. Interestingly, the performances of the older adults following sine wave practice were as fast and as accurate as the young adults following Fitts task practice.

Sonification and haptic feedback in addition to visual feedback enhances complex motor task learning

Concurrent augmented feedback has been shown to be less effective for learning simple motor tasks than for complex tasks. However, as mostly artificial tasks have been investigated, transfer of results to tasks in sports and rehabilitation remains unknown. Therefore, in this study, the effect of different concurrent feedback was evaluated in trunk-arm rowing. It was then investigated whether multimodal audiovisual and visuohaptic feedback are more effective for learning than visual feedback only. Naïve subjects (N = 24) trained in three groups on a highly realistic virtual reality-based rowing simulator. In the visual feedback group, the subject's oar was superimposed to the target oar, which continuously became more transparent when the deviation between the oars decreased. Moreover, a trace of the subject's trajectory emerged if deviations exceeded a threshold. The audiovisual feedback group trained with oar movement sonification in addition to visual feedback to facilitate learning of the velocity profile. In the visuohaptic group, the oar movement was inhibited by path deviation-dependent braking forces to enhance learning of spatial aspects. All groups significantly decreased the spatial error (tendency in visual group) and velocity error from baseline to the retention tests. Audiovisual feedback fostered learning of the velocity profile significantly more than visuohaptic feedback. The study revealed that well-designed concurrent feedback fosters complex task learning, especially if the advantages of different modalities are exploited. Further studies should analyze the impact of within-feedback design parameters and the transferability of the results to other tasks in sports and rehabilitation.

Bimanual force control: cooperation and interference?

Three experiments were designed to determine the level of cooperation or interference observed from the forces generated in one limb on the forces exhibited by the contralateral limb when one or both limbs were producing a constant force (Experiment 1), one limb was producing a dynamic force while the other limb was producing a constant force (Experiment 2), and both limbs were producing dynamic force patterns (Experiment 3). The results for both Experiments 1 and 2 showed relatively strong positive time series cross correlations between the left and right limb forces indicating increases or decreases in the forces generated by one limb resulted in corresponding changes in the forces produced by the homologous muscles of the contralateral limb. Experiment 3 required participants to coordinate 1:1 and 1:2 rhythmical bimanual force production tasks when provided Lissajous feedback. The results indicated very effective performance of both bimanual coordination patterns. However, identifiable influences of right limb forces on the left limb force time series were observed in the 1:2 coordination pattern but not in the 1:1 pattern. The results of all three experiments support the notion that neural crosstalk is partially responsible for the stabilities and instabilities associated with bimanual coordination.