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Dierick F, Hage R, Estievenart W, Bruno J, Nocent O, Bertucci W, Buisseret F. Evaluating cervical spine mobility and Fitt's law compliance: The DidRen laser test adapted for virtual reality with age and sex effects. Hum Mov Sci 2024; 97:103270. [PMID: 39208696 DOI: 10.1016/j.humov.2024.103270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2024] [Revised: 08/13/2024] [Accepted: 08/14/2024] [Indexed: 09/04/2024]
Abstract
Cervical spine mobility assessment is crucial in rehabilitation to monitor patient progress. This study introduces the DidRen VR test, a virtual reality (VR) adaptation of the conventional DidRen laser test, aimed at evaluating cervical spine mobility. We conducted a cross-sectional study involving fifty healthy participants that underwent the DidRen VR test. The satisfaction of Fitts' law within this VR adaptation was examined and we analyzed the effects of age and sex on the sensorimotor performance metrics. Our findings confirm that Fitts' law is satisfied, demonstrating a predictable relationship between movement time and the index of difficulty, which suggest that the DidRen VR test can simulate real-world conditions. A clear influence of age and sex on performance was observed, highlighting significant differences in movement efficiency and accuracy across demographics, which may necessitate personalized assessment strategies in clinical rehabilitation practices. The DidRen VR test presents an effective tool for assessing cervical spine mobility, validated by Fitts' law. It offers a viable alternative to real-world method, providing precise control over test conditions and enhanced engagement for participants. Since age and sex significantly affect sensorimotor performance, personalized assessments are essential. Further research is recommended to explore the applicability of the DidRen VR test in clinical settings and among patients with neck pain.
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Affiliation(s)
- Frédéric Dierick
- Centre National de Rééducation Fonctionnelle et de Réadaptation - Rehazenter, RehaLAB, Rue André Vésale 1, 2674 Luxembourg, Luxembourg; UCLouvain, Faculté des Sciences de la Motricité, Place Pierre de Coubertin 1-2, 1348 Ottignies-Louvain-la-Neuve, Belgium.
| | - Renaud Hage
- UCLouvain, Faculté des Sciences de la Motricité, Place Pierre de Coubertin 1-2, 1348 Ottignies-Louvain-la-Neuve, Belgium; Haute Ecole Louvain en Hainaut, CeREF Technique, Chaussée de Binche 159, 7000 Mons, Belgium; Traitement Formation Thérapie Manuelle (TFTM), Private Physiotherapy/Manual Therapy Center, Avenue des Cerisiers 211A, 1200 Brussels, Belgium
| | - Wesley Estievenart
- Haute Ecole Louvain en Hainaut, CeREF Technique, Chaussée de Binche 159, 7000 Mons, Belgium
| | - Joey Bruno
- Université de Reims Champagne Ardenne, PSMS, UFR Sciences et Techniques des Activités Physiques et Sportives, Moulin de la Housse, 51867 Reims, France
| | - Olivier Nocent
- Université de Reims Champagne Ardenne, PSMS, UFR Sciences et Techniques des Activités Physiques et Sportives, Moulin de la Housse, 51867 Reims, France
| | - William Bertucci
- Université de Reims Champagne Ardenne, PSMS, UFR Sciences et Techniques des Activités Physiques et Sportives, Moulin de la Housse, 51867 Reims, France
| | - Fabien Buisseret
- Haute Ecole Louvain en Hainaut, CeREF Technique, Chaussée de Binche 159, 7000 Mons, Belgium; Haute Ecole Louvain en Hainaut, Laboratoire Forme et Fonctionnement Humain (FFH), Rue Trieu Kaisin 136, 6061 Montignies-sur-Sambre, Belgium; Université de Mons, Service de Physique Nucléaire et Subnucléaire, Research Institute for Complex Systems, Place du Parc 20, 7000 Mons, Belgium
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Franov E, Straub M, Bauer CM, Ernst MJ. Head kinematics in patients with neck pain compared to asymptomatic controls: a systematic review. BMC Musculoskelet Disord 2022; 23:156. [PMID: 35172799 PMCID: PMC8848642 DOI: 10.1186/s12891-022-05097-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Accepted: 02/08/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Neck pain is one of the most common musculoskeletal disorders encountered by healthcare providers. A precise assessment of functional deficits, including sensorimotor control impairment, is regarded necessary for tailored exercise programmes. Sensorimotor control can be measured by kinematic characteristics, such as velocity, acceleration, smoothness, and temporal measures, or by assessing movement accuracy. This systematic review aims to identify movement tasks and distinct outcome variables used to measure kinematics and movement accuracy in patients with neck pain and present their results in comparison to asymptomatic controls. METHODS Electronic searches were conducted in MEDLINE, PEDro, Cochrane Library and CINAHL databases from inception to August 2020. Risk of bias of included studies was assessed. Movement tasks and specific outcome parameters used were collated. The level of evidence for potential group differences in each outcome variable between patients with neck pain and controls was evaluated. RESULTS Twenty-seven studies examining head kinematics and movement accuracy during head-aiming, functional and unconstrained movement tasks of the head were included. Average Risk of Bias of included studies was moderate. In total, 23 different outcome variables were assessed. A strong level of evidence for an increased movement time and for an increased number of errors during head aiming tasks was found. Moderate evidence was found in traumatic neck pain for a decreased mean velocity, peak acceleration, and reaction time, and for point deviation and time on target during head aiming tasks. Moderate evidence was found for decreased acceleration during unconstrained movements, too. Results on the remaining movement task and outcome variables showed only limited, very limited or even conflicting level of evidence for patients with neck pain to differ from controls. CONCLUSIONS Sensorimotor control in NP in the way of kinematic and movement accuracy characteristics of head motion was examined in head aiming, functional or unconstrained movement tasks. The results from this review indicate that for some characteristics that describe sensorimotor control, patients with NP differ from healthy controls. SYSTEMATIC REVIEW REGISTRATION PROSPERO registration number: CRD42020139083.
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Affiliation(s)
- Esther Franov
- Zurich University of Applied Sciences, School of Health Professions, Institute of Physiotherapy, Katharina-Sulzer-Platz 9, 8400, Winterthur, Switzerland
| | - Matthias Straub
- Zurich University of Applied Sciences, School of Health Professions, Institute of Physiotherapy, Katharina-Sulzer-Platz 9, 8400, Winterthur, Switzerland
| | - Christoph M Bauer
- Zurich University of Applied Sciences, School of Health Professions, Institute of Physiotherapy, Katharina-Sulzer-Platz 9, 8400, Winterthur, Switzerland
| | - Markus J Ernst
- Zurich University of Applied Sciences, School of Health Professions, Institute of Physiotherapy, Katharina-Sulzer-Platz 9, 8400, Winterthur, Switzerland.
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Sensorimotor performance in acute-subacute non-specific neck pain: a non-randomized prospective clinical trial with intervention. BMC Musculoskelet Disord 2021; 22:1017. [PMID: 34863120 PMCID: PMC8645120 DOI: 10.1186/s12891-021-04876-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Accepted: 11/15/2021] [Indexed: 01/01/2023] Open
Abstract
Background The assessment of cervical spine kinematic axial rotation performance is of great importance in the context of the study of neck sensorimotor control. However, studies addressing the influence of the level of provocation of spinal pain and the potential benefit of passive manual therapy mobilizations in patients with acute-subacute non-specific neck pain are lacking. Methods A non-randomized prospective clinical trial with an intervention design was conducted. We investigated: (1) the test-retest reliability of kinematic variables during a fast axial head rotation task standardized with the DidRen laser test device in 42 Healthy pain-free Control Participants (HCP) (24.3 years ±6.8); (2) the differences in kinematic variables between HCP and 38 patients with Acute-subacute Non-Specific neck Pain (ANSP) assigned to two different groups according to whether their pain was localized in the upper or lower spine (46.2 years ±16.3); and (3) the effect of passive manual therapy mobilizations on kinematic variables of the neck during fast axial head rotation. Results (1) Intra-class correlation coefficients ranged from moderate (0.57 (0.06-0.80)) to excellent (0.96 (0.91-0.98)). (2) Kinematic performance during fast axial rotations of the head was significantly altered in ANSP compared to HCP (age-adjusted) for one variable: the time between peaks of acceleration and deceleration (p<0.019). No significant difference was observed between ANSP with upper vs lower spinal pain localization. (3) After the intervention, there was a significant effect on several kinematic variables, e.g., ANSP improved peak speed (p<0.007) and performance of the DidRen laser test (p<0.001), with effect sizes ranging from small to medium. Conclusion (1) The DidRen laser test is reliable. (2) A significant reduction in time between acceleration and deceleration peaks was observed in ANSP compared to HCP, but with no significant effect of spinal pain location on kinematic variables was found. (3) We found that neck pain decreased after passive manual therapy mobilizations with improvements of several kinematic variables. Trial registration Registration Number: NCT 04407637 Supplementary Information The online version contains supplementary material available at 10.1186/s12891-021-04876-4.
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Blyton SJ, Edwards S, Moghaddas D, de Zoete RMJ, Palazzi K, Oldmeadow C, Bolton P, Rivett DA, Snodgrass SJ. A Pilot Longitudinal Study of 3-Dimensional Head and Neck Kinematics During Functional Tasks in Individuals With Chronic Idiopathic Neck Pain Either Wait-Listed for or Receiving Chiropractic Spinal Manipulative Therapy With Exercise. J Manipulative Physiol Ther 2020; 43:490-505. [PMID: 32859398 DOI: 10.1016/j.jmpt.2019.01.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Revised: 12/14/2018] [Accepted: 01/25/2019] [Indexed: 01/28/2023]
Abstract
OBJECTIVE The purpose of this study was to determine if there is a relationship between pain and movement kinematics during functional tasks, evaluated over time, in individuals with chronic idiopathic neck pain. METHODS Ten participants with chronic idiopathic neck pain performed 2 functional tasks (overhead reach to the right and putting on a seatbelt) while evaluated using 8 Oqus 300+ cameras. Kinematic variables included joint angles and range of motion (ROM) (°), head segment relative to neck segment (head-neck [HN]); and head/neck segment relative to upper thoracic segment (head/neck-trunk), velocity (m/s), and time (% of movement phase). Pain was quantified using a 100-mm visual analog scale. Linear mixed effects regression models were used to analyze associations between pain and kinematic variables adjusting for treatment group. RESULTS For overhead reach, higher pain was associated with less HN peak rotation at baseline (β = -0.33; 95% CI -0.52 to -0.14, P = .003) and less HN total rotation ROM at 6 months (β = -0.19; 95% CI -0.38 to -0.003, P = .048). For the seatbelt task, higher pain was associated with less HN peak rotation (β = -0.52; 95% CI -0.74 to -0.30 to -0.74, P < .001) and less HN total rotation ROM at baseline (β = -0.32; 95% CI -0.53 to -0.10, P = .006). No other movement variables demonstrated meaningful relationships with pain for the reach or seatbelt tasks. CONCLUSION Higher pain is associated with less HN peak and total rotation during functional reaching tasks requiring head rotation. Recognizing altered functional kinematics in individuals with chronic neck pain may assist patient management.
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Affiliation(s)
- Sarah J Blyton
- Discipline of Physiotherapy, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Suzi Edwards
- School of Environmental and Life Sciences, The University of Newcastle, Ourimbah, New South Wales, Australia
| | - Diana Moghaddas
- School of Environmental and Life Sciences, The University of Newcastle, Ourimbah, New South Wales, Australia
| | - Rutger M J de Zoete
- Discipline of Physiotherapy, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Kerrin Palazzi
- Clinical Research Design, IT and Statistical Support (CReDITSS), Hunter Medical Research Institute, Callaghan, New South Wales, Australia
| | - Chris Oldmeadow
- Clinical Research Design, IT and Statistical Support (CReDITSS), Hunter Medical Research Institute, Callaghan, New South Wales, Australia
| | - Philip Bolton
- School of Biomedical Science and Pharmacy, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Darren A Rivett
- Discipline of Physiotherapy, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Suzanne J Snodgrass
- Discipline of Physiotherapy, The University of Newcastle, Callaghan, New South Wales, Australia.
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Hage R, Buisseret F, Pitance L, Brismée JM, Detrembleur C, Dierick F. Head-neck rotational movements using DidRen laser test indicate children and seniors' lower performance. PLoS One 2019; 14:e0219515. [PMID: 31344044 PMCID: PMC6657844 DOI: 10.1371/journal.pone.0219515] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2019] [Accepted: 06/25/2019] [Indexed: 12/01/2022] Open
Abstract
Sensorimotor control strategies during cervical axial rotation movements have been previously explored in narrow age ranges but never concurrently in Children and Seniors during a well-standardized task. However, the lifespan developmental approach provides a framework for research in human sensorimotor control of the head-neck complex. A cross-sectional design was used to investigate the influence of age on head-neck dynamic performance adopted by asymptomatic Children, Adults and Seniors using a standardized task (DidRen Laser test). Participants performed 5 cycles of left/right head-neck complex fast rotational movements toward 3 targets with 30° of angular separation. Dynamic performances were computed from total execution time of the test and kinematic variables derived from rotational motion of head measured by an optoelectronic system. Eighty-one participants, aged 8–85 yrs, were stratified in four groups: Children, Younger adults, Older adults and Seniors. Children were significantly slower than Younger (p<0.001) and Older adults (p<0.004) and Seniors slower than Younger adults (p<0.017) to perform the test. Children adopted a lower average speed compared to Younger (p<0.001) and Older adults (p<0.008). Children reached the peaks speed significantly later than Younger (p<0.004) and Older adults (p<0.04) and acceleration significantly later than Younger (p<0.001) and Older adults (p<0.013). From the peak acceleration, Children reached end of the cycle significantly slower than Younger (p<0.008) and Older adults (p<0.008). Children significantly differed from all other groups for rotational kinetic energy, with smaller values compared to Younger adults (p<0.001), Older adults (p<0.005) and Seniors (p<0.012). Variability was also significantly higher for Seniors and Children. In conclusion, age influences head-neck visually elicited rotational dynamics, especially in Children. These results suggest that age should be taken into account when establishing normative data and assessing dynamic head-neck sensorimotor control of patients with neck pain.
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Affiliation(s)
- Renaud Hage
- Laboratoire NMSK, Institut de Recherche Expérimentale et Clinique, Université catholique de Louvain, Brussels, Belgium
- * E-mail:
| | - Fabien Buisseret
- Forme & Fonctionnement Humain Lab, CeREF, Haute Ecole Louvain en Hainaut, Charleroi, Belgium
| | - Laurent Pitance
- Laboratoire NMSK, Institut de Recherche Expérimentale et Clinique, Université catholique de Louvain, Brussels, Belgium
- Stomatologie et Chirurgie Maxillo-Faciale, Cliniques Universitaires Saint-Luc, Brussels, Belgium
| | - Jean-Michel Brismée
- Center for Rehabilitation Research, Texas Tech University Health Sciences Center, Lubbock, Texas, United States of America
| | - Christine Detrembleur
- Laboratoire NMSK, Institut de Recherche Expérimentale et Clinique, Université catholique de Louvain, Brussels, Belgium
| | - Frédéric Dierick
- Forme & Fonctionnement Humain Lab, CeREF, Haute Ecole Louvain en Hainaut, Charleroi, Belgium
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Hage R, Dierick F, Roussel N, Pitance L, Detrembleur C. Age-related kinematic performance should be considered during fast head-neck rotation target task in individuals aged from 8 to 85 years old. PeerJ 2019; 7:e7095. [PMID: 31218133 PMCID: PMC6563793 DOI: 10.7717/peerj.7095] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2019] [Accepted: 05/08/2019] [Indexed: 02/04/2023] Open
Abstract
Kinematic behavior during fast cervical rotations is a useful parameter for assessing sensorimotor control performances in neck-pain patients. However, the influence of age in asymptomatic individuals from children to older people still needs to be explored. Our aim was to assess the impact of age on sensorimotor control performance of the head-neck with execution time and kinematic variables (time of task, mean speed/acceleration/deceleration, overshoots (OSs), minimum/maximum speed) during standardized fast rotation target task using the DidRen Laser test. A total of 80 volunteers were stratified in four different age-groups: Children (8–14 years): n = 16; Young Adults (18–35 years): n = 29; Old Adults (36–64 years): n = 18; Seniors (65–85 years): n = 17. Results showed that to perform the test, Children were slower (69.0 (60.6–87.3)s) compared to Young Adults (49.6 (45.6–55.6)s) with p < 0.001, and Old Adults (51.7 (48.4–55.8)s) with p < 0.001. It was also slower in Seniors (57 (52.3–67.6)s) compared to Young Adults with p < 0.013. Mean speed was slower in Children (9.4 ± 2.3 °s−1) and Seniors (10.6 ± 2.4 °s−1) compared to Young Adults (13.7 ± 1.9 °s−1) with p < 0.001 and Old Adults (13.3 ± 2.4 °s−1) with p < 0.001. Mean acceleration was slower for Children (8.4(7.6–10.2) °s−2) compared to Young Adults (11.1 (8.8–15.3) °s−2) with p < 0.016, and Old Adults (12.0(8.4–15.3) °s−2) with p < 0.015. Mean deceleration was slower for Children (−1.9(−2.6–1.4) °s−2) compared to Young Adults (−2.9(−3.7–2.5) °s−2) with p < 0.001 and Old Adults (−3.2(−3.7–2.3) °s−2) with p < 0.003. The DidRen Laser test allows us to discriminate age-specific performances for mean speed, acceleration and deceleration. Seniors and Children needed to be slower to become as precise as Young Adults and Old Adults. No difference was observed for OSs which assesses accuracy of movement. Age should therefore be considered as a key parameter when analyzing execution time and kinematic results during DidRen Laser test. These normative data can therefore guide clinicians in the assessment of subjects with neck pain.
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Affiliation(s)
- Renaud Hage
- Institut de Recherche Expérimentale et Clinique, Laboratoire NMSK, Université Catholique de Louvain, Brussels, Belgium
| | - Frédéric Dierick
- Forme et Fonctionnement Humain Lab, Department of Physical Therapy, CERISIC, CeREF, Haute Ecole Louvain en Hainaut, Charleroi, Hainaut, Belgium
| | - Nathalie Roussel
- Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Laurent Pitance
- Clinique Universitaire Saint-Luc, Stomatologie et Chirurgie Maxillo-Faciale, Université Catholique de Louvain, Brussels, Belgium
| | - Christine Detrembleur
- Institut de Recherche Expérimentale et Clinique, Laboratoire NMSK, Université Catholique de Louvain, Brussels, Belgium
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Aloraini SM, Gelley G, Glazebrook C, Sibley KM, Singer J, Passmore S. Motor Behavior Concepts in the Study of Balance: A Scoping Review. J Mot Behav 2019; 52:97-121. [PMID: 30888258 DOI: 10.1080/00222895.2019.1582472] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Previous research suggests that using Fitts' law; attentional focus or challenge point framework (CPF) is beneficial in balance control studies. A scoping review was conducted to examine studies that utilized these motor behavior concepts during balance control tasks. An extensive literature search was performed up to January 2018. Two independent reviewers conducted a study selection process followed by data extraction of the search results. Forty-six studies were identified, with 2 studies related to CPF, 12 studies related to Fitts' law and 32 studies related to focus of attention. The CPF appears to be a useful method for designing a progressive therapeutic program. Fitts' law can be used as a tool for controlling the difficulty of motor tasks. Focus of attention studies indicate that adopting an external focus of attention improves task performance. Overall, studies included in this review report benefit when using the selected motor behavior concepts. However, the majority (>80%) of studies included in the review involved healthy populations, with only three clinical trials. In order to ascertain the benefits of the selected motor behavior concepts in clinical settings, future research should focus on using these concepts for clinical trials to examine balance control among people with balance impairments.
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Affiliation(s)
- Saleh M Aloraini
- Applied Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.,College of Applied Medical Sciences, Qassim University, Buraidah, Saudi Arabia
| | - Geoffrey Gelley
- Applied Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Cheryl Glazebrook
- Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Manitoba, Canada.,Health, Leisure, and Human Performance Research Institute, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Kathryn M Sibley
- Health, Leisure, and Human Performance Research Institute, University of Manitoba, Winnipeg, Manitoba, Canada.,Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.,Centre for Healthcare Innovation, University of Manitobam, Winnipeg, Manitoba, Canada
| | - Jonathan Singer
- Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Manitoba, Canada.,Health, Leisure, and Human Performance Research Institute, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Steven Passmore
- Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Manitoba, Canada.,Health, Leisure, and Human Performance Research Institute, University of Manitoba, Winnipeg, Manitoba, Canada
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Passmore SR, Johnson MG, Aloraini SM, Cooper S, Aziz M, Glazebrook CM. Impact of Spinal Manipulation on Lower Extremity Motor Control in Lumbar Spinal Stenosis Patients: A Small-Scale Assessor-Blind Randomized Clinical Trial. J Manipulative Physiol Ther 2019; 42:23-33. [DOI: 10.1016/j.jmpt.2018.10.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2017] [Revised: 08/03/2018] [Accepted: 10/21/2018] [Indexed: 12/31/2022]
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Smith DL, Claytor RP. An acute bout of aerobic exercise reduces movement time in a Fitts' task. PLoS One 2019; 13:e0210195. [PMID: 30596776 PMCID: PMC6312392 DOI: 10.1371/journal.pone.0210195] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Accepted: 12/17/2018] [Indexed: 01/21/2023] Open
Abstract
Movement time (MT) is one of the most important variables influencing the way we control our movements. A few previous studies have generally found that MT reduces with reaction time testing during exercise. However, limited evidence exists concerning change in MT following an acute bout of exercise. Our purpose was to investigate the effect of an acute bout of aerobic exercise on movement time as assessed by a Fitts’ Law task. We also sought to determine if exercise would further lower MT during the more difficult task conditions compared with rest. Nineteen (12 male, 7 female) volunteers (19–28 yrs) completed a computerized paired serial pointing task to measure movement time before and after rest (R) and an acute bout of moderate aerobic exercise (E) using a within subjects crossover design. Comparisons between exercise and rest conditions were made to determine if there were differences in movement time. Exercise significantly reduced MT compared with rest. Movement time was reduced by an average of 208 ms following exercise compared with 108 ms following rest. Exercise did not further lower MT during the more difficult task conditions. These results suggest that an acute bout of aerobic exercise reduces movement time which is an important component of motor control. Further studies are needed to determine the duration of the effect as well as the optimum duration and intensity of exercise.
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Affiliation(s)
- Dean L. Smith
- Department of Kinesiology and Health, Miami University, Oxford, Ohio, United States of America
- Essence of Wellness Chiropractic Center, Eaton, Ohio, United States of America
- * E-mail:
| | - Randal P. Claytor
- Department of Kinesiology and Health, Miami University, Oxford, Ohio, United States of America
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Abstract
OBJECTIVE The aim of this study was to measure head rotation movement times in a Fitts' paradigm and to investigate the transition region from ballistic movements to visually controlled movements as the task index of difficulty (ID) increases. BACKGROUND For head rotation, there are gaps in the knowledge of the effects of movement amplitude and task difficulty around the critical transition region from ballistic movements to visually controlled movements. METHOD Under the conditions of 11 ID values (from 1.0 to 6.0) and five movement amplitudes (20° to 60°), participants performed a head rotation task, and movement times were measured. RESULTS Both the movement amplitude and task difficulty have effects on movement times at low IDs, but movement times are dependent only on ID at higher ID values. Movement times of participants are higher than for arm/hand movements, for both ballistic and visually controlled movements. The information-processing rate of head rotational movements, at high ID values, is about half that of arm movements. CONCLUSION As an input mode, head rotations are not as efficient as the arm system either in ability to use rapid ballistic movements or in the rate at which information may be processed. APPLICATION The data of this study add to those in the review of Hoffmann for the critical IDs of different body motions. The data also allow design for the best arrangement of display that is under the design constraints of limited display area and difficulty of head-controlled movements in a data-inputting task.
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Affiliation(s)
| | | | - P T Heung
- City University of Hong Kong, Kowloon Tong
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11
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Fitts’s Law using lower extremity movement: Performance driven outcomes for degenerative lumbar spinal stenosis. Hum Mov Sci 2015; 44:277-86. [DOI: 10.1016/j.humov.2015.09.010] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2015] [Revised: 09/23/2015] [Accepted: 09/23/2015] [Indexed: 12/17/2022]
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Popovich JM, Reeves NP, Priess MC, Cholewicki J, Choi J, Radcliffe CJ. Quantitative measures of sagittal plane head-neck control: a test-retest reliability study. J Biomech 2015; 48:549-54. [PMID: 25553673 DOI: 10.1016/j.jbiomech.2014.11.023] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2014] [Revised: 11/01/2014] [Accepted: 11/17/2014] [Indexed: 10/24/2022]
Abstract
Determining the reliability of measurements used to quantify head-neck motor control is necessary before they can be used to study the effects of injury or treatment interventions. Thus, the purpose of this study was to determine the within- and between-day reliability of position tracking, position stabilization and force tracking tasks to quantify head-neck motor control. Ten asymptomatic subjects performed these tasks on two separate days. Position and force tracking tasks required subjects to track a pseudorandom square wave input signal by controlling their head-neck angular position (position tracking) or the magnitude of isometric force generated against a force sensor by the neck musculature (force tracking) in the sagittal plane. Position stabilization required subjects to maintain an upright head position while pseudorandom perturbations were applied to the upper body using a robotic platform. Within-day and between-day reliability of the frequency response curves were assessed using coefficients of multiple correlations (CMC). Root mean square error (RMSE) and mean bandpass signal energy, were computed for each task and between-day reliability was calculated using intra-class correlation coefficients (ICC). Within- and between-day CMCs for the position and force tracking tasks were all ≥0.96, while CMCs for position stabilization ranged from 0.72 to 0.82. ICCs for the position and force tracking tasks were all ≥0.93. For position stabilization, ICCs for RMSE and mean bandpass signal energy were 0.66 and 0.72, respectively. Measures of sagittal plane head-neck motor control using position tracking, position stabilization and force tracking tasks were demonstrated to be reliable.
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Affiliation(s)
- John M Popovich
- MSU Center for Orthopedic Research, College of Osteopathic Medicine, Michigan State University, Lansing, MI, USA; Department of Osteopathic Surgical Specialties, College of Osteopathic Medicine, Michigan State University, East Lansing, MI, USA.
| | - N Peter Reeves
- MSU Center for Orthopedic Research, College of Osteopathic Medicine, Michigan State University, Lansing, MI, USA; Department of Osteopathic Surgical Specialties, College of Osteopathic Medicine, Michigan State University, East Lansing, MI, USA
| | - M Cody Priess
- MSU Center for Orthopedic Research, College of Osteopathic Medicine, Michigan State University, Lansing, MI, USA; Department of Mechanical Engineering, College of Engineering, Michigan State University, East Lansing, MI, USA
| | - Jacek Cholewicki
- MSU Center for Orthopedic Research, College of Osteopathic Medicine, Michigan State University, Lansing, MI, USA; Department of Osteopathic Surgical Specialties, College of Osteopathic Medicine, Michigan State University, East Lansing, MI, USA
| | - Jongeun Choi
- MSU Center for Orthopedic Research, College of Osteopathic Medicine, Michigan State University, Lansing, MI, USA; Department of Mechanical Engineering, College of Engineering, Michigan State University, East Lansing, MI, USA; Department of Electrical and Computer Engineering, College of Engineering, Michigan State University, East Lansing, MI, USA
| | - Clark J Radcliffe
- MSU Center for Orthopedic Research, College of Osteopathic Medicine, Michigan State University, Lansing, MI, USA; Department of Osteopathic Surgical Specialties, College of Osteopathic Medicine, Michigan State University, East Lansing, MI, USA; Department of Mechanical Engineering, College of Engineering, Michigan State University, East Lansing, MI, USA
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Lumbar Spinal Stenosis and Lower Extremity Motor Control: The Impact of Walking-Induced Strain on a Performance-Based Outcome Measure. J Manipulative Physiol Ther 2014; 37:602-9. [DOI: 10.1016/j.jmpt.2014.08.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2014] [Revised: 07/07/2014] [Accepted: 07/10/2014] [Indexed: 11/20/2022]
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Sarig Bahat H, Weiss PL(T, Sprecher E, Krasovsky A, Laufer Y. Do neck kinematics correlate with pain intensity, neck disability or with fear of motion? ACTA ACUST UNITED AC 2014; 19:252-8. [DOI: 10.1016/j.math.2013.10.006] [Citation(s) in RCA: 64] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2013] [Revised: 10/17/2013] [Accepted: 10/23/2013] [Indexed: 11/30/2022]
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Marchand AA, Cantin V, Murphy B, Stern P, Descarreaux M. Is performance in goal oriented head movements altered in patients with tension type headache? BMC Musculoskelet Disord 2014; 15:179. [PMID: 24884672 PMCID: PMC4049425 DOI: 10.1186/1471-2474-15-179] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2014] [Accepted: 05/22/2014] [Indexed: 12/28/2022] Open
Abstract
Background Head repositioning tasks have been used in different experimental and clinical contexts to quantitatively measure motor control performance. Effects of pain on sensorimotor control have often been described in various musculoskeletal conditions and may provide relevant information with regard to potential mechanisms underlying tension-type headaches. The purpose of the current study was to compare the performance of patients with tension-type headache and healthy participants in a cervical aiming task using the Fitts’ task paradigm. Methods Patients with tension-type headache and healthy controls were compared in a cervical aiming task. Participants were asked to move their head as quickly, and precisely as possible to a target under various experimental conditions. Dependent variables included movement time, variable error, constant error and absolute error. Results As predicted by Fitts’ law, decreasing target size and increasing head rotation amplitudes yielded longer movement times in both groups. Participants with tension-type headache, when compared to healthy participants showed a significant increase in both constant and absolute errors for each of the four conditions. Conclusion Decreased motor performance was observed in participants with tension-type headache, likely due to altered motor control of the neck musculature. Future research is warranted to investigate the clinical aspect related to decrease in motor performance.
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Affiliation(s)
| | | | | | | | - Martin Descarreaux
- Université du Québec à Trois-Rivières, 3351 boul, des Forges, C,P, 500 Trois-Rivières, Québec G9A 5H7, Canada.
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Germain-Robitaille M, Terrier R, Forestier N, Teasdale N. Hand–head coordination changes from discrete to reciprocal hand movements for various difficulty settings. Neurosci Lett 2012; 521:1-5. [DOI: 10.1016/j.neulet.2012.04.074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2012] [Revised: 03/09/2012] [Accepted: 04/30/2012] [Indexed: 10/28/2022]
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Abstract
BACKGROUND Providing adults with knowledge of results (KR) after each practice trial (100% KR) usually is found to be detrimental to motor skill learning compared with conditions in which feedback is less frequently provided. The effect of 100% KR on children's learning is less clear, with research showing that children with cerebral palsy benefit from less frequent KR, whereas children with typical development do not. OBJECTIVE This study was designed to examine the interaction of KR frequency and task complexity on the acquisition, retention, and transfer of a novel throwing skill in fourth- and fifth-grade children with typical development. DESIGN This was an observational study. METHODS Children threw beanbags for accuracy at an unseen target while walking or while standing still. These 2 levels of task complexity were crossed with 2 frequencies (33% and 100%) of KR provision. Following practice, retention tests without feedback were performed 5 minutes later and then 1 week later along with transfer tests to assess the generalizability of learning. RESULTS Analyses revealed that learning was improved on the easy version of the task when a 33% KR frequency was provided during practice. In contrast, in the difficult version, learning was facilitated by provision of a 100% KR frequency during practice. CONCLUSIONS Structuring practice conditions for children should take into account task complexity and feedback frequency in determining the cognitive challenge necessary for optimal skill learning. More generally, the findings suggest that practitioners teaching motor skills should design practice conditions in accordance with the cognitive processing capacity of the learner.
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Guadagnoli M, Morin MP, Dubrowski A. The application of the challenge point framework in medical education. MEDICAL EDUCATION 2012; 46:447-53. [PMID: 22515752 DOI: 10.1111/j.1365-2923.2011.04210.x] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
OBJECTIVES The current paper describes a model of learning that has been used to produce efficient learning, thus yielding greater retention of information and superior performance under stress. In this paper, the model is applied to the learning of technical skills. STRUCTURE After a brief review of the learning-performance paradox and other relevant literature from the field of movement science, the benefits of challenge and adversity for learning are discussed in the context of a framework for learning known as the challenge point framework (CPF). The framework is based on laboratory and field studies of methods that have been shown to consistently enhance learning, and is used to model and generate insight into the relationships between practice protocols and the learning that results from them. APPLICATION The practical application of the CPF to simulation-based medical education and training is described. Firstly, a simple conceptual model that utilises three key elements to adjust the functional difficulty of the tasks to be learned is outlined. Secondly, a number of assessment strategies that may be necessary to ensure that the trainee remains in the optimal learning zone are proposed. Thirdly, a practical example is used to demonstrate how to utilise this conceptual model to design simulation environments suitable for teaching an endotracheal intubation task to beginners and more advanced trainees.
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Affiliation(s)
- Mark Guadagnoli
- Motor Behaviour Laboratory, Department of Kinesiology and Nutrition, University of Nevada, Las Vegas, Nevada 89154-3034, USA.
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Maia Bokums R, M. Meira Jr. C, F. O. Neiva J, Oliveira T, Ferreira Maia J. Self-Controlled Feedback and Trait Anxiety in Motor Skill Acquisition. ACTA ACUST UNITED AC 2012. [DOI: 10.4236/psych.2012.35057] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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