The relationship between outcome prediction and cognitive fatigue: A convergence of paradigms

Cognitive fatigue is common after strenuous cognitive effort. A large body of literature has implicated a network of brain areas in fatigue, including the basal ganglia and cortical areas including ventro-medal prefrontal cortex and anterior cingulate cortex (ACC). Furthermore, the ACC has been shown to be involved in processes such as error and conflict monitoring, outcome prediction, and effort processing. Thus, the ACC appears to be one common denominator between clinical work on fatigue and research on outcome prediction and effort. In the present study, we examined whether the same region of the ACC is activated during the processing of errors and fatigue. Cognitive fatigue was induced by having subjects perform a difficult working memory task, during which they rated on-task fatigue. Activation associated with error processing was determined by using error trials on the working memory task. After localizing the region engaged in error processing, we evaluated whether there was a relationship between BOLD activation of that region and on-task fatigue scores. The results showed that as subjects became more fatigued, they responded with longer latencies and increased accuracy for the more difficult task. Moreover, the ACC areas that were activated by error processing were also associated with fatigue. These results suggest that cognitive fatigue may be related to changes in effort and reward. We speculate that as the brain detects these changes, cognitive fatigue is generated as a way for the brain to signal itself that the effort required for the task no longer merits the rewards received for performing it.     

Effects of fatigue induced by repetitive movements and isometric tasks on reaction time

PurposeThe understanding of fatigue of the human motor system is important in the fields of ergonomics, sport, rehabilitation and neurology. In order to understand the interactions between fatigue and reaction time, we evaluated the effects of two different fatiguing tasks on reaction time.Methods83 healthy subjects were included in a case-control study with three arms where single and double choice reaction time tasks were performed before and after 2 min fatiguing task (an isometric task, a finger tapping task and at rest).ResultsAfter an isometric task, the right-fatigued hand was slower in the choice component of a double choice reaction time task (calculated as the individual difference between single and double choice reaction times); also, the subjects that felt more fatigued had slower choice reaction time respect to the baseline assessment. Moreover, in relationship to the performance decay after two minutes, finger tapping task produces more intense fatigability perception.ConclusionsWe confirmed that two minutes of isometric or repetitive tasks are enough to produce fatigue. The fatigue perception is more intense for finger tapping tasks in relation to the performance decay. We therefore confirmed that the two fatiguing tasks produced two different kind of fatigue demonstrating that with a very simple protocol it is possible to test subjects or patients to quantify different form of fatigue.     

Accuracy of perceptual processes subserving different perception-action systems

The accuracy of perceptual processes subserving different perception-action systems was evaluated by presenting subjects (N = 17) with similar optic flow patterns, while requiring different actions from them. Squash balls were dropped along a fixed trajectory, and subjects were asked to (a) hit the ball using their own arm, (b) release an artificial arm to hit the ball, and (c) indicate when the ball was at the point of contact of conditions (a) and (b). The variability of the temporal initiation point of the actions, which served as an operationalization of perceptual accuracy, was compared under all three conditions. The results indicated that the variability of the temporal initiation point was smallest under the natural arm condition, even though movement time was more variable here than under the artificial arm condition. It is argued that, because perception and action are intimately interwoven components of a perceiving/acting system, it is not an extrinsically (experimenter-) determined simplicity of perceptual and/or motor aspects of the task, but the intrinsic make-up of this overarching system that determines which couplings lead to a more accurate performance.     

Central fatigue mechanisms are responsible for decreases in hand proprioceptive acuity following shoulder muscle fatigue

Muscle fatigue is a complex phenomenon, consisting of central and peripheral mechanisms which contribute to local and systemic changes in motor performance. In particular, it has been demonstrated that afferent processing in the fatigued muscle (e.g., shoulder), as well as in surrounding or distal muscles (e.g., hand) can be altered by fatigue. Currently, it is unclear how proximal muscle fatigue affects proprioceptive acuity of the distal limb. The purpose of the present study was to assess the effects of shoulder muscle fatigue on participants’ ability to judge the location of their hand using only proprioceptive cues. Participants’ (N = 16) limbs were moved outwards by a robot manipulandum and they were instructed to estimate the position of their hand relative to one of four visual reference targets (two near, two far). This estimation task was completed before and after a repetitive pointing task was performed to fatigue the shoulder muscles. To assess central versus peripheral effects of fatigue on the distal limb, the right shoulder was fatigued and proprioceptive acuity of the left and right hands were tested. Results showed that there was a significant decrease in the accuracy of proprioceptive estimates for both hands after the right shoulder was fatigued, with no change in the precision of proprioceptive estimates. A control experiment (N = 8), in which participants completed the proprioceptive estimation task before and after a period of quiet sitting, ruled out the possibility that the bilateral changes in proprioceptive accuracy were due to a practice effect. Together, these results indicate that shoulder muscle fatigue decreases proprioceptive acuity in both hands, suggesting that central fatigue mechanisms are primarily responsible for changes in afferent feedback processing of the distal upper limb.     

Assessing muscular fatigue with a portable tremor measurement system suitable for field use

The utility of a portable tremor measurement system for detecting muscle fatigue was evaluated. Static arm extension was used to induce fatigue. A probe containing two accelerometers, held in the extended hand, recorded horizontal and vertical tremor oscillations in the 1- to 18-Hz range. Several summary amplitude and frequency measures were then derived to analyze hand/arm tremor in the unfatigued and the fatigued states. Large increases from unfatigued to fatigued states were observed in all of the amplitude measures in both axes. Summary frequency measures were far less sensitive to fatigue. Correlations between consecutively measured observations revealed high levels of reliability (r τ .80) in all of the amplitude measures, but not in the frequency measures. The most robust index of fatigue was the total power in the entire 1- to 18-Hz spectrum. The other amplitude measures, however, are suitable for examining the effects of fatigue in isolated portions of the spectrum.     

Task-induced fatigue states and simulated driving performance

States of fatigue are implicated in driver impairment and motor vehicle accidents. This article reports two studies investigating two possible mechanisms for performance impairment: (1) loss of attentional resources; and (2) active regulation of matching effort to task demands. The first hypothesis predicts that fatigue effects will be accentuated by high task demands, but the second hypothesis predicts that fatigue effects will be strongest in "underload" conditions. In two studies, drivers performed a stimulated driving task, in which task demands were manipulated by varying road curvature. In a "fatigue induction" condition, the early part of the drive was occupied by performance of a demanding secondary task concurrently with driving, after which the concurrent task ceased. Post-induction driving performance was compared with a control condition in which drivers were not exposed to the induction. In both studies, the fatigue induction elicited various subjective fatigue and stress symptoms, and also raised reported workload. Fatigue effects on vehicle control and signal detection were assessed during and after the fatigue induction. The fatigue induction increased heading error, reduced steering activity, and, in the second study, reduced perceptual sensitivity on a secondary detection task. These effects were confined to driving on straight rather than on curved road sections, consistent with the effort regulation hypothesis. The second study showed that fatigue effects were moderated by a motivational manipulation. Results are interpreted within a control model, such that task-induced fatigue may reduce awareness of performance impairment, rather than reluctance or inability to mobilize compensatory effort following detection of impairment.     

Muscle force compensation among synergistic muscles after fatigue of a single muscle

PurposeThe aim of this study was to examine control strategies among synergistic muscles after fatigue of a single muscle. It was hypothesized that the compensating mechanism is specific for each fatigued muscle.MethodsThe soleus (SOL), gastrocnemius lateralis (GL) and medialis (GM) were fatigued in separate sessions on different days. In each experiment, subjects (n = 11) performed maximal voluntary contractions prior to and after fatiguing a single muscle (SOL, GL or GM) while the voluntary muscle activity and torque were measured. Additionally, the maximal single twitch torque of the plantarflexors and the maximal spinal reflex activity (H-reflex) of the SOL, GL and GM were determined. Fatigue was evoked using neuromuscular stimulation.ResultsFollowing fatigue the single twitch torque decreased by −20.1%, −19.5%, and −23.0% when the SOL, GL, or GM, have been fatigued. The maximal voluntary torque did not decrease in any session but the synergistic voluntary muscle activity increased significantly. Moreover, we found no alterations in spinal reflex activity.ConclusionsIt is concluded that synergistic muscles compensate each other. Furthermore, it seems that self-compensating mechanism of the fatigued muscles occurred additionally. The force compensation does not depend on the function of the fatigued muscle.     

Posture-movement responses to stance perturbations and upper limb fatigue during a repetitive pointing task

Localized muscle fatigue and postural perturbation have separately been shown to alter whole-body movement but little is known about how humans respond when subjected to both factors combined. Here we sought to quantify the kinematics of postural control and repetitive upper limb movement during standing surface perturbations and in the presence of fatigue. Subjects stood on a motion-based platform and repetitively reached between two shoulder-height targets until noticeably fatigued (rating of perceived exertion = 8/10). Every minute, subjects experienced a posterior and an anterior platform translation while reaching to the distal target. Outcomes were compared prior to and with fatigue (first vs. final minute data). When fatigued, regardless of the perturbation condition, subjects decreased their shoulder abduction and increased contralateral trunk flexion, a strategy that may relieve the load on the fatiguing upper limb musculature. During perturbations, kinematic adaptations emerged across the trunk and arm to preserve task performance. In contrast to our expectation, the kinematic response to the perturbations did not alter in the presence of fatigue. Kinematic adaptations in response to the perturbation predominantly occurred in the direction of the reach whereas fatigue adaptations occurred orthogonal to the reach. These findings suggest that during repetitive reaching, fatigue and postural perturbation compensations organize so as to minimize interaction with each other and preserve the global task characteristics of endpoint motion.     

Mental fatigue and the control of cognitive processes: effects on perseveration and planning

We tested whether behavioural manifestations of mental fatigue may be linked to compromised executive control, which refers to the ability to regulate perceptual and motor processes for goal-directed behaviour. In complex tasks, compromised executive control may become manifest as decreased flexibility and sub-optimal planning. In the study we use the Wisconsin Card Sorting Test (WCST) and the Tower of London (TOL), which respectively measure flexibility (e.g., perseverative errors) and planning. A simple memory task was used as a control measure. Fatigue was induced through working for 2 h on cognitively demanding tasks. The results showed that compared to a non-fatigued group, fatigued participants displayed more perseveration on the WCST and showed prolonged planning time on the TOL. Fatigue did not affect performance on the simple memory task. These findings indicate compromised executive control under fatigue, which may explain the typical errors and sub-optimal performance that are often found in fatigued people.     

Bimanual coupling effects during arm immobilization and passive movements

When humans simultaneously perform different movements with both hands, each limb movement interferes with the contralateral limb movement (bimanual coupling). Previous studies on both healthy volunteers and patients with central or peripheral nervous lesions suggested that such motor constraints are tightly linked to intentional motor programs, rather than to movement execution. Here, we aim to investigate this phenomenon, by using a circles-lines task in which, when subjects simultaneously draw lines with the right hand and circles with the left hand, both the trajectories tend to become ovals (bimanual coupling effect). In a first group, we immobilized the subjects’ left arm with a cast and asked them to try to perform the bimanual task. In a second group, we passively moved the subjects’ left arm and asked them to perform voluntary movements with their right arm only. If the bimanual coupling arises from motor intention and planning rather than spatial movements, we would expect different results in the two groups. In the Blocked group, where motor intentionality was required but movements in space were prevented by immobilization of the arm, a significant coupling effect (i.e., a significant increase of the ovalization index for the right hand lines) was found. On the contrary, in the Passive group, where movements in space were present but motor intentionality was not required, no significant coupling effect was observed. Our results confirmed, in healthy subjects, the central role of the intentional and predictive operations, already evidenced in pathological conditions, for the occurrence of bimanual coupling.     

Tests of parallel versus integrated structure in polyrhythmic tapping

Musically trained subjects tapped three beats with their right hand versus two beats with their left hand in synchrony with two corresponding tones. For independent groups of subjects, the pitch difference of the two tones was either small to encourage an integrated perceptual organization or large to encourage a streamed perceptual organization. Integrated versus parallel motor organization was tested by examining the pattern of covariances among intertap intervals. All subjects exhibited integrated motor organization. An integrated multiplicative hierarchical model of motor organization was superior to a serial chained model and to an independent hierarchical model in describing the pattern of covariances. The subjects who heard tones that encouraged an integrated percept performed with less variability than the subjects who heard tones that encouraged a streamed percept. This superior performance with an integrated motor organization and an integrated rather than a streamed perceptual organization is interpreted as evidence for temporal perceptual-motor compatibility.     

Fatigue biases the decoy effect in males but not females

Individuals often need to make critical decisions even when they are in a fatigued state. Mental fatigue may lead to increased susceptibility to distraction and poor information processing but it is unclear exactly how fatigue shapes individuals' decision‐making. We studied how mental fatigue influences sensitivity to contextual information, indexed as decoy bias. Mental fatigue was induced using a multi‐source interference task, and decoy bias was assessed using a gambling task, in 124 young adults. Results showed that mental fatigue increased decoy bias through enhanced perceptual salience of contextual cues, but only in males. The findings provide insight into a gender‐specific relationship between fatigue and poor judgments. This study extends the current literature on links between fatigue and poor decision‐making by documenting a possible mechanism of the association. The results may have practical implications for designing optimal working hours and safeguarding people from suboptimal decisions.     

What do fully paralyzed awake humans feel when they attempt to move?

Subjects are able to judge the strength of muscle contraction. In theory, the force of muscular exertion could be perceived either from mechanoreceptor afferents or from knowledge of central motor command (corollary discharge). Sensations of great effort or exerted force have been described by subjects when their limbs were weakened by fatigue or partial paralysis. This has been taken as evidence that effort sensations arise from central motor commands rather than from mechanoreceptor afferent signals produced by muscle contraction. To differentiate between these possibilities, we used neuromuscular block to completely paralyze four waking subjects and required them to attempt maximal contraction of inspiratory muscles and of hand muscles. They were questioned after recovery about what their sensations were when attempting these contractions. None described the sensations of exerted force, great effort, or heaviness, which would have been expected if motor commands alone were the source of these sensations. The contradiction between our findings and those previously reported suggests that the specific neural mechanisms for effort sensations must be reexamined.     

Effects of variable fatigue levels on reaction-time components

The effects of varying fatigue levels on reaction-time components were determined for 20 young, adult males. Each subject squeezed a hand-gripping device until strength decrements of 20, 40, or 60% were recorded; then the subject released his tension and then reacted to an auditory stimulus by gripping as quickly and forcefully as possible. Testing was also conducted under a nonfatigued state, and every subject was tested under all conditions. Total reaction time was divided into (a) a promoter component, the time from the stimulus to an alteration in the EMG of the finger flexors, and (b) a motor component, the time from the change in the EMG to the first sign of tension uptake. Analyses of variance failed to reveal any alterations in either reaction time or promoter time; however, there was a significant (p < .05) elongation of motor time when the muscle was fatigued, with motor time tending to increase linearly as fatigue increased. The results suggest that localized fatigue of this nature is primarily of peripheral (muscular) origin.     

The effect of fatigue driving on car following behavior

Existing fatigued driving analysis methods mainly focus on lateral driving performance by using the measurements related to the steering wheel or lane position. There is a lack of research on longitudinal car following behavior. In this study, 40 professional drivers are invited to participate in field expressway driving experiment, lasting at least for 6 h. During the test, their performance is measured in terms of their self-reported fatigued driving level according to the Karolinska Sleepiness Scale (KSS), the PERcentage of eye CLOSures (PERCLOS) and the Time Headway (THW). Then the effects of the fatigued driving level on car following behavior are evaluated. The results indicate that the fatigue level (for both KSS and PERCLOS) has significantly impact on THW parameters, including the mean, standard deviation and minimum THW. An increase in KSS and PERCLOS leads to a lower mean and minimum THW. Meanwhile, the standard deviation of THW increases with the increase of KSS and PERCLOS. In conclusion, this study found that a higher fatigue level leads to the driver keeping a smaller THW when following another vehicle and choosing shorter THW to make lane change. More deviation of car following performance was also found with the increase of fatigue level. Therefore, the findings of this study can be used to explain fatigue as one of the major reasons for rear-end collisions. Also, the research findings demonstrate the impact of fatigue on driving behavior in terms of car following performance, which can be used as a measurement for monitoring fatigued drivers.     

Perceptual and motor factors in the imitation of simple temporal patterns

Summary This study investigated the relative importance of perceptual and motor factors in the imitation of simple temporal patterns. Previous research in which subjects tap out interval sequences using one finger has suggested that perceptual factors play an important role in response timing. Studies of bimanual tapping, in contrast, stress the importance of motor interactions between the two hands. In this experiment we compared the ability of subjects to tap out two-interval sequences using one finger, two fingers on one hand, and two fingers on opposite hands. The results showed almost identical performance under the three response conditions. It is suggested that the perceptual relations between intervals in a pattern were the main determinant of performance in this experiment.     

Effects of physical fatigue and cognitive challenges on the potential for low back injury

There is no question that the motor control system will adapt under fatiguing conditions; however, there is documented evidence showing that when fatigued or challenged, the motor control system will, on occasion, perform inappropriate muscle sequencing, increasing the risk of injury, or directly causing injury. Knowing that inappropriate muscle activations can lead to injury, the purpose of this study was to investigate motor patterns during cognitive and physical challenges. Rather than ensure change with severe challenges, milder challenges were purposefully chosen. Eight male subjects performed a low external load task performed near end ROM while in an unchallenged state, and while in three challenged states: passive tissue creep, muscle fatigue and cognitive distraction. Data were collected using EMG of the trunk muscles and angular displacement of the lumbar spine. Comparison of motor control patterns between the unchallenged state and each of the three challenged conditions showed no systematic differences. However, several random anomalies were observed. A case study of a single subject was chosen to show inappropriate motor control during one trial under the cognitive distraction conditions. The response of the motor control system is very individualized and does on occasion produce inappropriate motor patterns. This supports the notion that injury may also occur as the result of random motor control errors as well as predictable, systematic changes.     

Do perception and motor production share common timing mechanisms: A correlational analysis

The two experiments of this study exploited individual variation in timing ability to ask whether the production of time intervals by different motor effectors and the judgement of perceptually based time intervals all share common timing mechanisms. In one task subjects produced a series of taps, attempting to maintain constant intervals between them. Individual differences in variability of the produced intervals correlated across the effectors of finger and foot. That is, people that were ‘good timers’ with one effector tended to be ‘good timers’ with another. Besides timing motor production, the subjects also judged durations of brief perceptual events. The acuity of perceptual judgements correlate substantially with regularity of motor production. Further results involving maximum speed of motor production suggested that variability of motor timing comes from two sources, one source in common with perception, and hence called clock variability, and the other source in common with motor speed, and hence called motor implementation variability. The second experiment showed that people high in skill on the piano were better at both types of timing on the average than control subjects with no expertise.     

Implicit motor sequence learning is not purely perceptual

Many reports have indicated that implicit learning of sequences in a choice response time task is primarily perceptual; subjects learn the sequence of stimuli rather than the sequence of motor responses. Three experiments tested whether implicit motor sequence learning could be purely perceptual: no support was found for that hypothesis. Subjects who merely watched stimuli did not learn the sequence implicitly (Experiment 1), and sequence learning transferred robustly to a different set of stimulus cues (Experiment 2). In the final experiment, the stimulus-response mapping was changed at transfer so that one group of subjects pushed the same sequence of keys but saw new stimuli, whereas another group pushed a different sequence of keys but saw the same stimuli. Transfer to the new mapping was shown only if the motor sequence was kept constant, not the perceptual sequence. It is proposed that subjects learn a sequence of response locations in this and similar tasks.