Decreased Movement Speed in Girls with Turner Syndrome: A Problem in Motor Planning or Muscle Initiation?

In three experiments with graphical tasks we examined whether the decreased movement speed in girls with Turner Syndrome (TS) is caused either by a diminished planning capacity or by more peripheral motor execution problems. Fourteen girls with TS and 14 matched controls (mean age 11.6 years) participated. Task difficulty addressed the muscle-initiation, size control, and shape-programming level (Van Galen, 1991). The influence of task difficulty on accuracy, velocity, velocity profile and dwell time was analyzed and confirmed that girls with TS do not plan and program their movements differently from normals. We conclude that the decreased movement speed in TS is caused by problems at the muscle initiation level.

Hyperactive action monitoring during motor-initiation in conversion paralysis: an event-related potential study

Conversion paralysis (CP) is featured by a stress-induced tonic immobility. Although the neural correlates of this psychiatric condition remain largely unexplored, previous reports showed CP to be associated with anterior cingulate cortex (ACC) hyperactivity. We examined the ACC action monitoring function by recording event-related potentials (ERPs) when conversion patients (n = 6) with unilateral arm paresis made speeded responses with their affected and healthy arms on a flankers task. During this task, pre-response ACC action monitoring is reflected in the N2 ERP component, which is increased when incongruent stimuli lead to simultaneously activated competing response tendencies. The results showed that the N2 congruency effects were significantly increased for responses with affected hands compared to healthy hands. There were no such results for post-response monitoring. This study is the first to present electrophysiological correlates of action monitoring in CP and suggests ACC to be hyperactive when movements with affected arms are to be initiated.

Differential effects of mental load on proximal and distal arm muscle activity

Work-related upper extremity disorders (WRUEDs) that result from keyboarding tasks are prevalent and costly. Although the precise mechanisms causing the disorder are not yet fully understood, several risk factors have been proposed. These include the repetitive nature of the motor task and the associated sustained static working postures, but also more psychological factors such as mental load. Epidemiological surveys have shown that WRUEDs are more prone to develop in the postural muscles of the neck/shoulder area than in the executive muscles controlling the hand. The present study investigated whether the activation patterns of these two muscle types are differentially affected by an additional mental load during the performance of a repetitive tapping task. Participants tapped various keying patterns with their dominant index finger at two prescribed tempi. Mental load was manipulated by means of an auditory short-term memory task. We recorded the EMG activity of two neck/shoulder muscles (trapezius and deltoid), two upper arm muscles (biceps and triceps), and four forearm muscles (flexor digitorum superficialis, extensor digitorum, extensor carpi radialis longus and extensor carpi ulnaris) and analyzed the kinematics and impact forces of the index finger. The results confirmed that the upper limb has two functions. Specifically, activity of the executive distal musculature was increased during tapping at the higher pace, while the activity of the postural upper limb musculature was elevated due to the memory task. We argue that continuously increased muscular activity can lead to fatigue and thus eventually cause musculoskeletal complaints. The results are discussed with respect to biomechanical adaptation strategies that deal with the consequences of increased noise in the neuromotor system due to enhanced mental processing.

Muscular co-contraction covaries with task load to control the flow of motion in fine motor tasks

This study focuses on the relationship between movement-time fluctuations in fine motor tasks and changing levels of muscular co-contraction. Based on a recent neuromotor noise theory, we expected that increased task stress would increase muscular co-contraction and prolong movement times. Ten right-handed adults performed a graphic task, which elicited local movement-time prolongations. In half the trials, a distracting sound was presented as an external stressor. Besides pen-tip kinematics, two estimates of muscular co-contraction were obtained from the surface EMG measurements of eight arm and hand muscles. The results confirm the presumed co-variation of movement time and co-contraction. We conclude that muscular co-contraction forms a strategic means to adapt the flow of motion to central information processing demands.

Force Levels in Uni- and Bimanual Isometric Tasks Affect Variability Measures Differently Throughout Lifespan

Ninety-four participants (age 5-93 years) performed isometric force production tasks at five different levels of their maximum voluntary contraction (MVC) with either one or two index fingers. Research questions were whether variability measures in the bimanual task condition were different compared to the unimanual condition and whether this difference showed a developmental trend. Results showed that force regulation was more demanding during bimanual tasks (33% increase in error) During development signal-to-noise ratio (SNR) increased threefold from 5-12 years of age and again 60% from 12 years to adulthood. SNR for the elderly was comparable to values of 9 to 10-year-olds. SNR decreased in the bimanual task, particularly for the older persons. For adults and elderly, optimal SNR levels were observed around 36% of their MVC. In younger children, however, the inverted U-shape in the SNR over the full range of forces was not yet present.

Action monitoring in motor control: ERPs following selection and execution errors in a force production task

Action monitoring has been studied in many tasks by means of measuring the error-related negativity (Ne/ERN), but never in a motor control task requiring precise force production. Errors in discrete choice reaction tasks are the result of incorrect selections, but errors in force production can also arise from incorrect executions. ERPs were obtained while participants produced low or high isometric forces with their left or right hand. As expected, incorrect choices of hand elicited an Ne/ERN. Interestingly, Ne/ERNs were also present in the less discrete selection error of an incorrect choice of force, but only when erroneously a low instead of a high force was chosen. In both force ranges, no Ne/ERNs were found after errors in execution. These errors showed a large positivity in feedback ERPs and, similar to correct responses, a prolonged negativity in response ERPs. We propose that, compared to selection errors, the time uncertainty aspects of execution errors and the resulting changing response representations prohibit error detection by the internal monitoring system responsible for generating the Ne/ERN.

Patients suffering from nonspecific work-related upper extremity disorders exhibit insufficient movement strategies

The purpose of this research was to investigate whether patients experiencing nonspecific complaints of the forearm caused by sustained use of the personal computer exhibit deviant movement strategies as compared to healthy participants. Patients (N=10) and controls (N=24) performed a graphical aiming task combined with an auditory memory task. Force production (pen pressure), kinematic- and performance variables were recorded. During a trial, the control group gradually increased pen pressure from the stationary phases to the dynamic phase. The patients increased their pen pressure much more abruptly and to such a degree that the final pressure during real-time movement far exceeded that of the controls. Memory load led to a greater increase of pen pressure from the stationary phase to the dynamic phase in the patient group. Patients further displayed longer reaction times. The results are discussed within the framework of our recent theory on the role of neuromotor noise in the regulation of task performance under conditions of stress.

Lateralized effects of orthographical irregularity and auditory memory load on the kinematics of transcription typewriting

This study investigated the combined effects of orthographical irregularity and auditory memory load on the kinematics of finger movements in a transcription-typewriting task. Eight right-handed touch-typists were asked to type 80 strings of ten seven-letter words. In half the trials an irregularly spelt target word elicited a specific key press sequence of either the left or right index finger. In the other trials regularly spelt target words elicited the same key press sequence. An auditory memory load was added in half the trials by asking participants to remember the pitch of a tone during task performance. Orthographical irregularity was expected to slow down performance. Auditory memory load, viewed as a low level stressor, was expected to affect performance only when orthographically irregular words needed to be typed. The hypotheses were confirmed. Additional analysis showed differential effects on the left and right hand, possibly related to verbal-manual interference and hand dominance. The results are discussed in relation to relevant findings of recent neuroimaging studies.

Low elementary movement speed is associated with poor motor skill in Turner's syndrome

The article aims to discriminate between 2 features that in principle both may be characteristic of the frequently observed poor motor performance in girls with Turner's syndrome (TS). On the one hand, a reduced movement speed that is independent of variations in spatial accuracy demands and therefore suggests a problem in motor execution. On the other hand, a disproportional slowing down of movement speed under spatial-accuracy demands, indicating a more central problem in motor programming. To assess their motor performance problems, 15 girls with TS (age 9.6-13.0 years) and 14 female controls (age 9.1-13.0 years) were tested using the Movement Assessment Battery for Children (MABC). In additionally, an experimental procedure using a variant of Fitts' graphic aiming task was used to try and disentangle the role of spatial-accuracy demands in different motor task conditions. The results of the MABC reestablish that overall motor performance in girls with TS is poor. The data from the Fitts' task reveal that TS girls move with the same accuracy as their normal peers but show a significantly lower speed independent of task difficulty. We conclude that a problem in motor execution is the main factor determining performance differences between girls with TS and controls.

Slow Motor Performance in Girls with Turner Syndrome Is Not Related to Increased Neuromotor Noise

This study examined the relationship between decreased speed-accuracy trade-off and increased neuromotor noise in girls with Turner Syndrome (TS). Fifteen girls with TS and 15 age-matched controls performed isometric force contractions with both index fingers separately at 5 force levels, based on their maximum voluntary contraction. The results revealed that (a) groups did not differ in speed-accuracy tradeoff or neuromotor noise, (b) output-variability increased linearly with force level, (c) signal-to-noise ratio changed according to an inverted U-shaped function, (d) broadening in the frequency profile is highest at the lower force levels, (e) with increasing force level, the power peak in the 0-4 Hz domain dominates, (f) frequency profile broadens more in the dominant hand. These findings suggest that, in girls with TS, motor performance is not diminished in an isometric force task, that motor recruitment is intact, and that neuromotor noise is not increased. The findings are discussed with respect to motor control and neuromotor noise.

Forearm EMG response activity during motor performance in individuals prone to increased stress reactivity

BACKGROUND

Work-related Upper Extremity Disorders (WRUEDs) are conceived of as a multifactorial syndrome caused by the effects of excessive repetitive motions, sustained static postures, and muscular stiffness. Our aim is to test an etiological model derived from a theory by Van Galen and Van Huygevoort [2000] Biol Psychol 51:151-171. The theory holds that physical, emotional, and psychosocial stressors enhance muscular stiffness as a compensatory filtering of impoverished signal-to-noise ratios in the motor system. High individual levels of arousal, as measured by Spielberger et al. [1970], State and Trait Anxiety Test would further enhance a subject's predisposition to react with stiffness responses in conditions of stress.

METHODS

Ten participants with a high- and 10 with a low trait-anxiety score performed a computer task involving series of fast but well-dosed accelerations of the forearm along the surface of a digitizer. To induce cognitive stress a tone had to be remembered simultaneously with the aiming task. Pen-tip displacements and surface electromyographic (EMG) signals were recorded from four forearm muscles.

RESULTS

Memory load did not affect error rates but produced shorter reaction times and prolonged movement times. EMG data show that under stress overall levels of neuromotor activation were enhanced. High-anxious participants exhibited higher cocontraction levels than low-anxious participants.

CONCLUSIONS

The findings support the view that stress and muscular tension are closely related and may provide a clue to the origin of WRUEDs.