Assessing Proprioception in Children: A Review

Proprioception is the subconscious and conscious awareness of the spatial and mechanical status of the musculoskeletal framework. When working with children with motor delays and sensory integrative dysfunction, occupational therapists routinely assess the client's proprioceptive system. However, currently available assessments for occupational therapists are primarily observer-based and concerns have been raised about the reliability of observer-based assessments of sensation. The author's purpose was to review measures of proprioception currently available to occupational therapists and explore direct measures of proprioception from neuroscience and rehabilitation that can be adapted for pediatric clinical use. Observer-based and direct measurements of proprioception assessments complement each other in meeting clinical needs. A better understanding of both types of evaluation will improve proprioceptive evaluation.     

First-Trial Adaptation to Prism Exposure

Terminal target-pointing error on the 1st trial of exposure to optical displacement is usually less than that expected from the optical displacement magnitude. Such 1st trial adaptation was confirmed in 2 experiments (N = 48 students in each) comparing pointing toward optically displaced targets and toward equivalent physically displaced targets (no optical displacement), with visual feedback delayed until movement completion. First-trial performance could not be explained by ordinary target undershoot, online correction, or reverse optic flow information about true target position and was unrelated to realignment aftereffects. Such adaptation might be an artifact of the asymmetry of the structured visual field produced by optical displacement, which induces a felt head rotation opposite to the direction of the displacement, thereby reducing the effective optical displacement.     

Visual and Proprioceptive Adaptation of Arm Position in a Virtual Environment

The authors examined the resolution of a discrepancy between visual and proprioceptive estimates of arm position in 10 participants. The participants fixed their right shoulder at 0°, 30°, or 60° of transverse adduction while they viewed a video on a head-mounted display that showed their right arm extended in front of the trunk for 30 min. The perceived arm position more closely approached the seen arm position on the display as the difference between the actual and visually displayed arm positions increased. In the extreme case of a 90° discrepancy, the seen arm position on the display was very gradually perceived as approaching the actual arm position. The magnitude of changes in sensory estimates was larger for proprioception (20%) than for vision (< 10%).     

Development of Force Adaptation During Childhood

Humans learn to make reaching movements in novel dynamic environments by acquiring an internal motor model of their limb dynamics. Here, the authors investigated how 4- to 11-year-old children (N = 39) and adults (N = 7) adapted to changes in arm dynamics, and they examined whether those data support the view that the human brain acquires inverse dynamics models (IDM) during development. While external damping forces were applied, the children learned to perform goal-directed forearm flexion movements. After changes in damping, all children showed kinematic aftereffects indicative of a neural controller that still attempted to compensate the no longer existing damping force. With increasing age, the number of trials toward complete adaptation decreased. When damping was present, forearm paths were most perturbed and most variable in the youngest children but were improved in the older children. The findings indicate that the neural representations of limb dynamics are less precise in children and less stable in time than those of adults. Such controller instability might be a primary cause of the high kinematic variability observed in many motor tasks during childhood. Finally, the young children were not able to update those models at the same rate as the older children, who, in turn, adapted more slowly than adults. In conclusion, the ability to adapt to unknown forces is a developmental achievement. The present results are consistent with the view that the acquisition and modification of internal models of the limb dynamics form the basis of that adaptive process.     

Proprioception as a Basis for the Temporal Anticipation of Motor Responses,

The present study attempted to distinguish between the proprioceptive Decay and proprioceptive Input Hypotheses of motor timing behavior. The hypothesis that an increased level of proprioceptive cues results in more proficient temporal anticipation was also tested. 90 male Ss were required to anticipate (no preview) the coincidence of a moving pointer and a stationary one. The timing response was executed with the right hand while 3 levels of proprioceptive cues were indirectly manipulated in the left arm. While results were unable to distinguish between the hypotheses, support was found for the hypothesis that an increased level of proprioceptive feedback administered during the interval can increase anticipatory response consistency.     

Calibration and Alignment are Separable: Evidence From Prism Adaptation

In 2 prism adaptation experiments, the authors investigated the effects of limb starting position visibility (visible or not visible) and visual feedback availability (early or late in target pointing movements). Thirty-two students participated in Experiment 1 and 24 students participated in Experiment 2. Independent of visual feedback availability, constant error was larger and variable error was smaller for target pointing when limb starting position was visible during prism exposure. Independent of limb starting position visibility, aftereffects of prism exposure were determined by visual feedback availability. Those results support the hypothesis that calibration is determined by limb starting position visibility, whereas alignment is determined separately by visual feedback availability.     

The Effects of Brain Lateralization on Motor Control and Adaptation

ABSTRACT

Lateralization of mechanisms mediating functions such as language and perception is widely accepted as a fundamental feature of neural organization. Recent research has revealed that a similar organization exists for the control of motor actions, in that each brain hemisphere contributes unique control mechanisms to the movements of each arm. The authors review present research that addresses the nature of the control mechanisms that are lateralized to each hemisphere and how they impact motor adaptation and learning. In general, the studies suggest an enhanced role for the left hemisphere during adaptation, and the learning of new sequences and skills. The authors suggest that this specialization emerges from a left hemisphere specialization for predictive control—the ability to effectively plan and coordinate motor actions, possibly by optimizing certain cost functions. In contrast, right hemisphere circuits appear to be important for updating ongoing actions and stopping at a goal position, through modulation of sensorimotor stabilization mechanisms such as reflexes. The authors also propose that each brain hemisphere contributes its mechanism to the control of both arms. They also discuss the potential advantages of such a lateralized control system.     

Strategie Calibration and Spatial Alignment: A Model From Prism Adaptation

Two types of adaptive processes involved in prism adaptation have been identified: slower spatial realignment among the several unique sensorimotor coordinate systems (spatial maps) and faster strategic motor control responses (including skill learning and calibration) to spatial misalignment. One measures the 1st process by assessing the aftereffects of prism exposure, whereas direct effects of the prism during exposure are a measure of the 2nd process. A model is described that relates those adaptive processes and distinguishes between extraordinary alignment and ordinary calibration. A conformal translation algorithm that operates on the hypothesized circuitry is proposed. The authors apply the model to explain the advantage of visual calibration when the limb is seen in the starting position prior to movement initiation. Implications of the model for the use of prism adaptation as a tool for investigation of motor control and learning are discussed.     

Modulation of Gait During Visual Adaptation to Dark

The authors investigated the modulation of gait during dark adaptation. Twenty-five women (mean age = 72 years, SD = 5 years) walked back and forth on an arbitrarily uneven walkway during normal lighting at speeds ranging from slow to fast. Participants then performed 20 trials at preferred speed after sudden reduction of lighting; the authors compared those trials with point estimates at equivalent speeds representing normal lighting. The authors estimated speed, cadence, mediolateral trunk acceleration, and mediolateral interstep trunk-acceleration variability for each trial. Participants compensated for sudden reduction of lighting by reducing their walking speed. Compared with performance at equivalent speeds during normal lighting, cadence, trunk acceleration, and interstep trunk-acceleration variability initially increased. All variables showed an asymptotic approximation toward normal values during 60-90 s of walking in subdued lighting. The authors suggest that the sudden transition from normal to marginal lighting, rather than marginal lighting itself, may challenge locomotor control.     

Multi-day Adaptation and Savings in Manual and Locomotor Tasks

Using an individual differences approach, we evaluated whether manual and locomotor adaptation are associated in terms of adaptation and savings across days, and whether they rely on shared underlying mechanisms involving visuospatial working memory or visual field dependence. Participants performed a manual and a locomotor adaptation task during 4 separate test sessions over a 3-month period. Reliable adaptation and savings were observed for both tasks. It was further found that higher visuospatial working memory performance and lower visual field dependence scores were associated with faster learning in the manual and locomotor tasks, respectively. Moreover, adaptation rates were correlated between the 2 tasks in the final test session, suggesting that people may gradually be learning something generalizable about the adaptation process.     

The Functional Role of Cognitive Frameworks on Visuomotor Adaptation Performance

The authors investigated the effects of cognitive representations of movement directions on sensorimotor adaptation performance. Adaptation performance was measured via a pointing experiment in which participants were provided with visual feedback that was distorted along the midsagittal plane (i.e., left-right reversal). Performance was analyzed relative to participants’ individual adaptation gains and 3 groups were subsequently defined (i.e., skilled, average, and poor adapters). The group separation was kept for the Cognitive Measurement of Represented Directions, which was used to analyze participants’ cognitive representation of movement directions. The results showed that skilled adapters, in contrast to poor adapters, possess a global representation of movement directions aligned to the cardinal axes. The cognitive representation structure hence supports the sensorimotor adaptation performance.     

Position Sense Dysfunction Affects Proximal and Distal Arm Joints in Children with Developmental Coordination Disorder

It is unclear, whether proprioceptive dysfunction in developmental coordination disorder (DCD) is localized affecting only specific joints or whether it is generalized affecting proximal and distal joints. Thus, this study assessed position sense acuity at the elbow and wrist in twenty children with DCD (age: 9–11 yrs.) using a joint position matching paradigm. Position sense bias (systematic error) at either joint was not significantly higher in DCD children when compared to typically developing children (TD). However, DCD children exhibited significantly lower position sense precision (random error) than TD children at both elbow and wrist. That is, response reliability to proprioceptive stimuli is altered in DCD. Our findings are consistent with a view that proprioceptive dysfunction in DCD is generalized in nature.     

Submovement Organization,Pen Pressure,and Muscle Activity Are Modulated to Precision Demands in 2D Tracking

The authors investigated how tracking performance, submovement organization, pen pressure and muscle activity in forearm and shoulder muscles were affected by target size in a 2D tracking task performed with a pen on a digitizer tablet. Twenty-six subjects took part in an experiment, in which either a small dot or a large dot was tracked, while it moved quasirandomly across a computer screen at a constant velocity of 2 cm/s. The manipulation of precision level was successful, because mean distance to target and the standard deviation of this distance were significantly smaller with the small target than with the large target. With a small target, subjects trailed more behind the center of target and used submovements with larger amplitudes and of shorter duration, resulting in higher tracking accuracy. This change in submovement organization was accompanied by higher pen pressure, while at the same time muscle activity in the forearm extensors and flexors was increased, indicating higher endpoint stability. In conclusion, increased precision demands were accommodated by both a different organization of submovements and higher endpoint stability in a 2D tracking task performed with a pen on a digitizer tablet.     

The Effects of Time and Distance on Accuracy of Target-Directed Locomotion

Dual adaptation to different amounts or directions of prismatic displacement, or both, can be acquired and maintained with little mutual interference. Associative recalibration of the regional task- or workspace, contingent on differentiation of distinguishing sensory information, can explain such adaptation. In contrast, nonassociative realignment restores dimensional mapping among spatial representations. Methods for measuring the separate contributions of those 2 kinds of prism adaptation are identified in the present article. On the basis of a critique of dual-adaptation studies, the authors suggest that recalibration can explain the data but that the method used in those experiments confounded realignment and might have obscured the effectiveness of dual-calibration training.     

Effects of Visual Error Timing on Smooth Pursuit Gain Adaptation in Humans

Smooth pursuit (SP) is one of the precise oculomotor behaviors when tracking a moving object. Adaptation of SP is based on a visual-error driven motor learning process associated with predictable changes in the visual environment. Proper timing of a sensory signal is an important factor for adaptation of fine motor control. In this study, we investigated whether visual error timing affects SP gain adaptation. An adaptive change in SP gain is produced experimentally by repeated trials of a step-ramp tracking with 2 different velocities (double-velocity paradigm). The authors used the double-velocity paradigm where target speed changes 400 or 800 ms after the target onset. The results show that SP gain changed in a certain time window following adaptation. The authors suggest that SP adaptation shown in this study is associated with timing control mechanisms.     

Higher visuo-Attentional Demands of Multiple Object Tracking (MOT) Lead to A Lower Precision in Pointing Movements

Multiple object tracking (MOT) requires visually attending to dynamically moving targets and distractors. This cognitive ability is based on perceptual-attentional processes that are also involved in goal-directed movements. This study aimed to test the hypothesis that MOT affects the motor performance of aiming movements. Therefore, the participants performed pointing movements using their fingers or a computer mouse that controlled the movements of a cursor directed at the targets in the MOT task. The precision of the pointing movements was measured, and it was predicted that a higher number of targets and distractors in the MOT task would result in a lower pointing precision. The results confirmed this hypothesis, indicating that MOT might influence the performance of motor actions. The potential factors underlying this influence are discussed.     

自尊和心理控制源对留守儿童社会适应的影响研究

本研究以积极心理学理论为依据,采用量表法,对农村留守儿童和非留守儿童进行了比较研究。结果表明:留守儿童和非留守儿童在自尊、心理控制源以及社会适应性上都存在着显著性差异。在该研究结果上,深入分析了高自尊和内控归因这两种积极心理品质作为心理弹性的保护性因子对留守儿童社会适应性所发挥的作用。     

Adaptation in Modern Times

Since the beginning of Christian mission, adaptation to local cultures (later called acculturation or inculturation) has been the main factor in mission failure or success. Placide Tempels is considered a pioneer of adaptation in modern times. He was a Flemish Franciscan missionary in Congo from 1933 to 1962 (with two breaks) and is well known for his adaptation to the Bantu worldview. Referring to spiritual and intellectual adaptation, the paper will answer the following questions: Was the adaptation of Placide Tempels successful? If it was or was not, why and in what way? The analysis will be linked to William Biernatzki's theory of root paradigms and meanings. To conclude, a connection will be made to the process of adaptation in international mission organizations today.     

Adaptation in conflict: are conflict-triggered control adjustments protected in the presence of motivational distractors?

Solving a conflict between two response options in an interference task has been found to increase control in a subsequent conflict situation. The present research examined whether such conflict adaptation persists in the presence of distractors that have motivational relevance and are therefore competing for attentional resources (i.e. they signal opportunities for monetary gains or losses contingent on overall task performance). In an adjusted flanker task, motivational (versus neutral versus no) distractors were presented together with the current trial while the previous trial never included any distractor. Accumulated evidence across three studies showed that motivational distractors reduced the conflict adaptation effect. This was found irrespective of the location at which the distractor occurred (Study 1), and independent of its valence (i.e. reward or loss, Study 2). Study 3 and a merged data analysis ruled out low-level alternative explanations. In line with a dual competition account (Pessoa, L. (2009). How do emotion and motivation direct executive control? Trends in Cognitive Sciences, 13(4), 160–166. doi:10.1016/j.tics.2009.01.006), our results show that conflict adaptation is not fully protected in the presence of motivational distractors. We discuss whether this should be interpreted as a limitation, or as reflecting the flexibility of the control system in dealing with motivationally relevant information.     

The Learning of Programmed- and Feedback-Based Processes Controlling the Production of a Positioning Response in Two Dimensions

Two experiments were conducted to investigate the learning of the programmed- and feedback-based processes controlling the production of a slow, self-paced positioning response in two dimensions (direction and extent) in the horizontal plane. Both experiments had two phases: an acquisition phase of 60 trials with KR, followed by a KR withdrawal phase of 20 trials. In Experiment 1, one group (N=15) had visual feedback about the ongoing movement and the other group (N=15) did not. In Experiment 2, one group (N=15) practiced initiating the response in the criterion direction and moving the criterion extent, whereas, the other group (N=15) practiced initiating the response in the criterion direction and moving randomly varied extents. The results of Experiment 1 indicated that the learning of a programmed-based process is a gradually acquired freedom from visual feedback. Experiment 2 revealed that a programmed-based process can be learned independent of a feedback-based process.