Spontaneous and stimulus-driven rhythmic behaviors in ADHD adults and controls

A cross sectional investigation of the development of rhythmic preferences with motor and perceptual tests

The preferred period hypothesis posits a slowing down of motor and perceptual rhythmic preferences with age, both reflecting an increase in the common internal oscillation period. This study further investigates the preferred period hypothesis by improving the measurement of perceptual rhythmic preferences through two tasks, tempo adjustment and tempo judgment, conducted in auditory and visual modalities. The study was conducted with three groups of children (5-6, 8-9, and 11-12 years old), and a group of young adults (21 to 30 years old) during the same time of the day. Correlational analyses show that the relationship between motor and perceptual rhythmic preferences strengthens between childhood and adulthood. Multilevel analyses reveal a general slowing down of motor and perceptual rhythmic preferences, contingent on the task and modality, with distinct trajectories for males and females. Our study indicate that the range of preferred rhythms narrows with age, becoming less variable in young adulthood, at the expense of a single and consistent, default rhythm. In brief, the preferred period appears only in young adults, with no support for the idea of a slowing down of an internal oscillation that would be reflected by both motor and perceptual rhythmic preferences.

Evoked and entrained pupillary activity while moving to preferred tempo and beyond

People synchronize their movements more easily to rhythms with tempi closer to their preferred motor rates than with faster or slower ones. More efficient coupling at one's preferred rate, compared to faster or slower rates, should be associated with lower cognitive demands and better attentional entrainment, as predicted by dynamical system theories of perception and action. We show that synchronizing one's finger taps to metronomes at tempi outside of their preferred rate evokes larger pupil sizes, a proxy for noradrenergic attention, relative to passively listening. This demonstrates that synchronizing is more cognitively demanding than listening only at tempi outside of one's preferred rate. Furthermore, pupillary phase coherence increased for all tempi while synchronizing compared to listening, indicating that synchronous movements resulted in more efficiently allocated attention. Beyond their theoretical implications, our findings suggest that rehabilitation for movement disorders should be tailored to patients' preferred rates to reduce cognitive demands.

Feature derivation and classification of auditory-motor coupling dynamics in healthy and neurologically impaired adults

The use of auditory stimuli in rehabilitation to target walking has been evidenced in persons with neurological conditions. The methodologies focus on the synchronisation of persons' steps to auditory stimuli showing that the type of stimuli and tempi significantly affect the synchronisation. However, the dynamic of the interaction over time between the motor system and the auditory stimuli, i.e., when steps are aligned (termed as locking) and not aligned (termed as unlocking) to the beat of the stimuli, remains unclear. Quantifying these dynamics would assist in the development of personalised rehabilitation. Nevertheless, it is currently challenging given the variability of responses per individual over time. We propose a methodological solution to quantify the dynamics of the step-to-beat coupling over time within an experimental paradigm where healthy (n = 7) and neurological impaired (n = 6) participants walk three minutes to music and metronomes at various tempi. We applied window partitioning within the time series to account for the changing pattern. To classify data into locked and unlocked events, features of fluctuation and trend were derived on which two statistical tests (circular statistical test and slope test) were done, respectively. Based on the ground truth, the performance of our proposed method yielded high accuracy (91%), precision (90%) and recall (97%). The standard deviation of the inter-step intervals was then modelled across the label and experimental factors. The proposed method is suitable for quantifying fine-grained observation of the dynamics of auditory-motor coupling in adult healthy and neurological impaired participants, with the potential of designing personalised rehabilitation.

A novel method for estimating properties of attentional oscillators reveals an age-related decline in flexibility

Dynamic attending theory proposes that the ability to track temporal cues in the auditory environment is governed by entrainment, the synchronization between internal oscillations and regularities in external auditory signals. Here, we focused on two key properties of internal oscillators: their preferred rate, the default rate in the absence of any input; and their flexibility, how they adapt to changes in rhythmic context. We developed methods to estimate oscillator properties (Experiment 1) and compared the estimates across tasks and individuals (Experiment 2). Preferred rates, estimated as the stimulus rates with peak performance, showed a harmonic relationship across measurements and were correlated with individuals' spontaneous motor tempo. Estimates from motor tasks were slower than those from the perceptual task, and the degree of slowing was consistent for each individual. Task performance decreased with trial-to-trial changes in stimulus rate, and responses on individual trials were biased toward the preceding trial's stimulus properties. Flexibility, quantified as an individual's ability to adapt to faster-than-previous rates, decreased with age. These findings show domain-specific rate preferences for the assumed oscillatory system underlying rhythm perception and production, and that this system loses its ability to flexibly adapt to changes in the external rhythmic context during aging.

Interdependence of movement amplitude and tempo during self-paced finger tapping: evaluation of a preferred velocity hypothesis

This study examined the relation between movement amplitude and tempo during self-paced rhythmic finger tapping to test a preferred velocity account of the preferred tempo construct. Preferred tempo refers to the concept that individuals have preferences for the pace of actions or events in their environment (e.g., the desired pace of walking or tempo of music). The preferred velocity hypothesis proposes that assessments of preferred tempo do not represent a pure time preference independent of spatial movement characteristics, but rather reflects a preference for an average movement velocity, predicting that preferred tempo will depend on movement amplitude. We tested this by having participants first perform a novel spontaneous motor amplitude (SMA) task in which they repetitively tapped their finger at their preferred amplitude without instructions about tapping tempo. Next, participants completed the spontaneous motor tempo (SMT) task in which they tapped their finger at their preferred tempo without instructions about tapping amplitude. Finally, participants completed a target amplitude version of the SMT task where they tapped at their preferred tempo at three target amplitudes (low, medium, and high). Participants (1) produced similar amplitudes and tempi regardless of instructions to produce either their preferred amplitude or preferred tempo, maintaining the same average movement velocity across SMA and SMT tasks and (2) altered their preferred tempo for different target amplitudes in the direction predicted by their estimated preferred velocity from the SMA and SMT tasks. Overall, results show the interdependence of movement amplitude and tempo in tapping assessments of preferred tempo.

Rhythmic motor behavior explains individual differences in grammar skills in adults

A growing body of literature has reported the relationship between music and language, particularly between individual differences in perceptual rhythm skill and grammar competency in children. Here, we investigated whether motoric aspects of rhythm processing-as measured by rhythmic finger tapping tasks-also explain the rhythm-grammar connection in 150 healthy young adults. We found that all expressive rhythm skills (spontaneous, synchronized, and continued tapping) along with rhythm discrimination skill significantly predicted receptive grammar skills on either auditory sentence comprehension or grammaticality well-formedness judgment (e.g., singular/plural, past/present), even after controlling for verbal working memory and music experience. Among these, synchronized tapping and rhythm discrimination explained unique variance of sentence comprehension and grammaticality judgment, respectively, indicating differential associations between different rhythm and grammar skills. Together, we demonstrate that even simple and repetitive motor behavior can account for seemingly high-order grammar skills in the adult population, suggesting that the sensorimotor system continue to support syntactic operations.

Which factors modulate spontaneous motor tempo? A systematic review of the literature

Intentionally or not, humans produce rhythmic behaviors (e.g., walking, speaking, and clapping). In 1974, Paul Fraisse defined rhythmic behavior as a periodic movement that obeys a temporal program specific to the subject and that depends less on the conditions of the action (p. 47). Among spontaneous rhythms, the spontaneous motor tempo (SMT) corresponds to the tempo at which someone produces movements in the absence of external stimuli, at the most regular, natural, and pleasant rhythm for him/her. However, intra- and inter-individual differences exist in the SMT values. Even if several factors have been suggested to influence the SMT (e.g., the age of participants), we do not yet know which factors actually modulate the value of the SMT. In this context, the objectives of the present systematic review are (1) to characterize the range of SMT values found in the literature in healthy human adults and (2) to identify all the factors modulating the SMT values in humans. Our results highlight that (1) the reference value of SMT is far from being a common value of 600 ms in healthy human adults, but a range of SMT values exists, and (2) many factors modulate the SMT values. We discuss our results in terms of intrinsic factors (in relation to personal characteristics) and extrinsic factors (in relation to environmental characteristics). Recommendations are proposed to assess the SMT in future research and in rehabilitative, educative, and sport interventions involving rhythmic behaviors.

Rhythm-based assessment and training for children with attention deficit hyperactivity disorder (ADHD): a feasibility study protocol

Background

The timing-related deficits in individuals with attention deficit hyperactivity disorder (ADHD) contribute to the symptom-related difficulties and cognitive impairments. Current assessment and training measurement only target specific aspects of the timing ability, highlighting the need for more advanced tools to address timing deficits in ADHD. The aim of this study is to develop and validate a rhythm-based assessment and training (RAT) program, which intends to provide a comprehensive understanding of and enhancement to the time-related abilities of children with ADHD, thereby demonstrating its clinical efficacy.

Methods

We will use randomized crossover trials in this study, with participants being randomly assigned to either start with the RAT and then proceed to cognitive training or start with cognitive training and then proceed to the RAT. Both groups will undergo pre- and post- evaluations. The evaluation will be administered immediately before and after the 4-week training period using diagnostic questionnaires, cognitive evaluation tools, and resting electroencephalography (EEG) measurements. Notably, EEG measurements will be conducted concurrently with the RAT evaluations.

Discussion

This study develops and evaluates the feasibility and effectiveness of a RAT while using EEG measurements to elucidate the underlying therapeutic mechanism of auditory rhythm at varying levels of complexity. The study will investigate the potential of RAT as a supplementary or alternative approach for managing ADHD. The multifaceted data collected will yield valuable insights to customize training agendas based on individual developmental stages and prognoses.

Spontaneous motor tempo over the course of a week: the role of the time of the day, chronotype, and arousal

The spontaneous motor tempo (SMT) or internal tempo describes the natural pace of predictive and emergent movements such as walking or hand clapping. One of the main research interests in the study of the spontaneous motor tempo relates to factors affecting its pace. Previous studies suggest an influence of the circadian rhythm (i.e., 24-h cycle of the biological clock), physiological arousal changes, and potentially also musical experience. This study aimed at investigating these effects in participants' everyday life by measuring their SMT four times a day over seven consecutive days, using an experience sampling method. The pace of the SMT was assessed with a finger-tapping paradigm in a self-developed web application. Measured as the inter-tap interval, the overall mean SMT was 650 ms (SD = 253 ms). Using multi-level modelling (MLM), results show that the pace of the SMT sped up over the course of the day, and that this effect depended on the participants' chronotype, since participants tending towards morning type were faster in the morning compared to participants tending towards evening type. During the day, the pace of the SMT of morning types stayed relatively constant, whereas it became faster for evening-type participants. Furthermore, higher arousal in participants led to a faster pace of the SMT. Musical sophistication did not influence the SMT. These results indicate that the circadian rhythm influences the internal tempo, since the pace of SMT is not only dependent on the time of the day, but also on the individual entrainment to the 24-h cycle (chronotype).

Using Motor Tempi to Understand Rhythm and Grammatical Skills in Developmental Language Disorder and Typical Language Development

Children with developmental language disorder (DLD) show relative weaknesses on rhythm tasks beyond their characteristic linguistic impairments. The current study compares preferred tempo and the width of an entrainment region for 5- to 7-year-old typically developing (TD) children and children with DLD and considers the associations with rhythm aptitude and expressive grammar skills in the two populations. Preferred tempo was measured with a spontaneous motor tempo task (tapping tempo at a comfortable speed), and the width (range) of an entrainment region was measured by the difference between the upper (slow) and lower (fast) limits of tapping a rhythm normalized by an individual's spontaneous motor tempo. Data from N = 16 children with DLD and N = 114 TD children showed that whereas entrainment-region width did not differ across the two groups, slowest motor tempo, the determinant of the upper (slow) limit of the entrainment region, was at a faster tempo in children with DLD vs. TD. In other words, the DLD group could not pace their slow tapping as slowly as the TD group. Entrainment-region width was positively associated with rhythm aptitude and receptive grammar even after taking into account potential confounding factors, whereas expressive grammar did not show an association with any of the tapping measures. Preferred tempo was not associated with any study variables after including covariates in the analyses. These results motivate future neuroscientific studies of low-frequency neural oscillatory mechanisms as the potential neural correlates of entrainment-region width and their associations with musical rhythm and spoken language processing in children with typical and atypical language development.

Attention-Deficit/Hyperactivity Disorder (ADHD) and Time Perception in Adults: Do Adults with Different ADHD Symptomatology Severity Perceive Time Differently? Findings from the National Czech Study

BACKGROUND Studies show neurological differences between patients with attention-deficit/hyperactivity disorder (ADHD) and healthy controls. Furthermore, it is possible that poor timing is linked with impairments in neural circuitry. This study aimed to test the hypothesis that there is a difference in time perception between adults with severe ADHD symptomatology and adults with no ADHD symptomatology. MATERIAL AND METHODS Previously, we collected data from a more extensive set of participants (n=1518) concerning the prevalence of ADHD in adulthood. We recruited participants from 3 groups defined by increasing ADHD severity out of this participant pool. Each participant was presented with 2 experimental tasks (in counterbalanced order): duration estimation and duration discrimination. RESULTS In general, we did not find any specific differences in time perception related to the severity of ADHD. Regarding duration estimation, we found that the difference between the actual and estimated durations increased with the actual duration (F(1, 7028.00)=2685.38, P<0.001). Although the differences between groups were not significant, the group×duration interaction was (F[1, 7028.00]=10.86, P<0.001), with a very small effect size (ηp²<0.001, 95% CI [0.00, 0.01]). CONCLUSIONS The results suggest that although individuals may demonstrate increased ADHD symptomatology, they may not have objectively more significant difficulties in time perception tasks than their counterparts with mild symptomatology. Nonetheless, time perception should be further studied because, as qualitative research suggests, participants with more severe ADHD symptomatology subjectively perceive more significant differences in time management in real life.

Memory-Paced Tapping to Auditory Rhythms: Effects of Rate, Speech, and Motor Engagement

PURPOSE

Humans have a near-automatic tendency to entrain their motor actions to rhythms in the environment. Entrainment has been hypothesized to play an important role in processing naturalistic stimuli, such as speech and music, which have intrinsically rhythmic properties. Here, we studied two facets of entraining one's rhythmic motor actions to an external stimulus: (a) synchronized finger tapping to auditory rhythmic stimuli and (b) memory-paced reproduction of a previously heard rhythm.

METHOD

Using modifications of the Synchronization-Continuation tapping paradigm, we studied how these two rhythmic behaviors were affected by different stimulus and task features. We tested synchronization and memory-paced tapping for a broad range of rates, from stimulus onset asynchrony of subsecond to suprasecond, both for strictly isochronous tone sequences and for rhythmic speech stimuli (counting from 1 to 10), which are more ecological yet less isochronous. We also asked what role motor engagement plays in forming a stable internal representation for rhythms and guiding memory-paced tapping.

RESULTS AND CONCLUSIONS

Our results show that individuals can flexibly synchronize their motor actions to a very broad range of rhythms. However, this flexibility does not extend to memory-paced tapping, which is accurate only in a narrower range of rates, around ~1.5 Hz. This pattern suggests that intrinsic rhythmic defaults in the auditory and/or motor system influence the internal representation of rhythms, in the absence of an external pacemaker. Interestingly, memory-paced tapping for speech rhythms and simple tone sequences shared similar "optimal rates," although with reduced accuracy, suggesting that internal constraints on rhythmic entrainment generalize to more ecological stimuli. Last, we found that actively synchronizing to tones versus passively listening to them led to more accurate memory-paced tapping performance, which emphasizes the importance of action-perception interactions in forming stable entrainment to external rhythms.

Testing the stability of 'Default' motor and auditory-perceptual rhythms-A replication failure dataset

Several studies have found that the motor rhythms that individuals produce spontaneously, for example during finger tapping, clapping or walking, are also rated perceptually as ‘very comfortable’ to listen to. This motivated proposal of the Preferred Period Hypothesis, suggesting that individuals have a characteristic preferred rhythm, that generalizes across perception and production.

However, some of the experimental procedures used previously raise two methodological concerns: First, in many of these studies, the rhythms used for assessment of participants’ Perceptual Preferred Tempo (PPT) were tailored specifically around each participant's personal Spontaneous Motor Tempo (SMT). This may have biased results toward the central rhythm used, artificially increasing the similarity between spontaneous motor and auditory perceptual preferences. Second, a key prediction of the Preferred Period Hypothesis is that the same default rhythms are repeatedly found within-subject. However, measures of consistency are seldom reported, and increased within-subject variability has sometimes been used to exclude participants.

The current study was an attempt to replicate reports of a correspondence between motor and perceptual rhythms, and closely followed previous experimental protocols by conducting three tasks: SMT was evaluated by instructing participants to tap ‘at their most comfortable rate’; PPT was assessed by asking participants to rate a 10 different rhythms according to how ‘comfortable’ they were; and motor-replication of rhythms was assessed using a Synchronization-Continuation task, over a wide range of rhythms.

However, in contrast to previous studies, for all participants we use the same 10 perceptual rhythms in both the PPT and Synchronization-Continuation task, irrespective of their SMT. Moreover, we assessed and report measures of within- and between-trial consistency, in order to evaluate whether participants gave similar rating and produced similar motor rhythms across multiple sessions throughout the experiment.

The data presented here fail to show any correlation between motor and perceptual preferences, nor do they support improved synchronization-continuation performance near an individual's so-called SMT or PPT. Rather, they demonstrate substantial within-subject variability in the spontaneous motor rhythms produced across repeated sessions, as well as their subjective rating of perceived rhythms. This report accompanies our article “Spontaneous and Stimulus-Driven Rhythmic Behaviors in ADHD Adults and Controls”[1], and provided motivation and insight for modifying the procedures used for SMT and PPT evaluation, and their interpretation.