Memory for words and drawings in children with hemiplegic cerebral palsy

A list-learning paradigm was used to study learning and memory of verbal and figurative material in children with right versus left-sided hemiplegic cerebral palsy. Thirty-one children with right (n=18), or left (n=13) congenital hemiplegia were compared with normal controls (n=19). All children had normal intelligence (IQ>80), and were attending standard schools. The inclusion criteria for the two hemiplegic groups were; no epilepsy, no hearing or visual impairments, and a mild to moderate hemiparesis. The aim of this study was to explore material-specific (words and drawings) differences in the acquisition, recall and serial position effects in children with an early unilateral brain lesion. The left-hemisphere impaired (i.e. right hemiplegia) group showed impaired acquisition for drawings, as compared with the normal controls. There was also a material-specific difference in the serial position effect for all three groups. Learning of words followed the primacy principle, whereas the learning of drawings followed the recency principle. There were no group-differences in delayed-recall (i.e. long-term memory) for either words or drawings. The results are discussed in terms of acquisition and retention of verbal and figurative materials in relation to lesion side and size.     

Transfer Variables in Tracking Skills

In the present work the effect of two task variables on transfer were studied: shape of the track-circular or triangular; and target speed-constant or variable. One or both of these variables was changed on transfer. Experimental conditions were (a) 10 preshift and 10 post-shift trials, and (b) 20 single-trial alternations of two tasks. 22 groups of 12 Ss each were tested. Condition (a) showed positive transfer with single variable change and zero or negative transfer with simultaneous change in two variables, and condition (b) annulled all transfer effects. Results are discussed in terms of commonality between tasks and receptor and perceptual anticipation.     

Eye Movement Control During Reading: Foveal Load and Parafoveal Processing

We tested theories of eye movement control in reading by looking at parafoveal processing. According to attention-processing theories, attention shifts towards word n+1 only when processing of the fixated word n is finished, so that attended parafoveal processing does not start until the programming of the saccade programming to word n+1 is initiated (Henderson & Ferreira, 1990; Morrison, 1984), or even later when the processing of word n takes too long (Henderson & Ferreira, 1990). Parafoveal preview benefit should be constant whatever the foveal processing load (Morrison, 1984), or should decrease when processing word n outlasts an eye movement programming deadline (Henderson & Ferreira, 1990). By manipulating the frequency and length of the foveal word n and the visibility of the parafoveal word n+1 , we replicated the finding that the parafoveal preview benefit is smaller with a low-frequency word in foveal vision. Detailed analyses, however, showed that the eye movement programming deadline hypothesis could not account for this finding which was due not to cases where the low-frequency words n had received a long fixation, but to cases of a short fixations less than 240 msec. In addition, there was a spill-over effect of word n to word n+1 , and there was an element of parallel processing of both words. The results are more in line with parallel processing limited by the extent to which the parafoveal word processing on fixation n can be combined with the foveal word processing on fixation n+1 .     

The Attention Demands of Movements

The probe technique has been employed extensively to measure the attention demands of movement control. Inherent in any RT paradigm is the potential confounding effect of anticipation. Experiment 1 studied this problem by varying probe frequency (or, conversely, catch-trial frequency) for three independent groups of subjects performing the same movement. Probe frequencies of one-third and two-thirds produced V-shaped curves of probe RT plotted against probe position within the movement, while a three-thirds condition was described by a negatively sloped linear function. Because of the different shaped curves it was recommended that a two-thirds frequency be adopted by all researchers in this area. Experiments 2 and 3 looked at the effects of movement length and movement time on the attention demands of movement. Shorter (11-cm) movements were more attention demanding in the middle of the movement than the longer (50-cm) movements, but movement time had no effect.     

Anticipatory Postural Adjustments for Altering Direction During Walking

The authors examined how individuals adapt their gait and regulate their body configuration before altering direction during walking. Eight young adults were asked to change direction during walking with different turning angles (0deg;, 45deg;, 90deg;), pivot foot (left, right), and walking speeds (normal and fast). The authors used video and force platform systems to determine participants' whole-body center of mass and the center of pressure during the step before they changed direction. The results showed that anticipatory postural adjustments occurred during the prior step and occurred earlier for the fast walking speed. Anticipatory postural adjustments were affected by all 3 variables (turn angle, pivot foot, and speed). Participants leaned backward and sideward on the prior step in anticipation of the turn. Those findings indicate that the motor system uses central control mechanisms to predict the required anticipatory adjustments and organizes the body configuration on the basis of the movement goal.     

The Cognitive Demands of Gait Retraining in Runners: An EEG Study

Abstract

High impact forces during running have been associated with tibial stress injuries. Previous research has demonstrated increasing step rate will decrease impact forces during running. However, no research has determined the cognitive demand of gait retraining. The primary purpose was to determine the cognitive demand and effectiveness of field-based gait retraining. We hypothesized that in-field gait retraining would alter running mechanics without increasing cognitive workload as measured by EEG following learning. Runners with a history of tibial injury completed a gait retraining protocol which included a baseline run, retraining phase, practice phase, and re-assessment following retraining protocol. Results demonstrated an increase in the theta, beta, and gamma power within prefrontal cortex during new learning and corresponding return to baseline following skill acquisition and changes across alpha, beta, gamma, mu, and theta in the motor cortex (p < .05). In the midline superior parietal cortex, spectral power was greater for theta activity during new learning with a corresponding alpha suppression. Overall, the results demonstrated the use of EEG as an effective tool to measure cognitive demand for implicit motor learning and the effectiveness of in-field gait retraining.     

Temporal Distribution of Attention During a Throwing Motion

A reaction-time measure of attention was employed during five segments of a simultaneous dart throw: premovement decision, immediately after recoil was begun, maximum recoil, immediately after forward movement was begun, and after release of the dart. Reaction time was significantly longer when the stimulus was presented during the first or second segment than during later segments. Reaction time during premovement was not consistently greater than that immediately after movement was begun, indicating that information is being sampled at a high rate after movement commences. It appears that monitoring of proprioceptive feedback after movement has begun, and initiation of corrective submovements, is necessary for skillful performance of dart throwing.     

Parkinsonian Patients Reduce Their Stroke Size with Increased Processing Demands

Parkinson's disease (PD) patients often show reductions in writing size (micrographia) as the length of the text they produce increases. The cause for these reductions in stroke size are not well understood. Reductions in stroke size could be associated with either concurrent processing demands that result from the coordination and control of fingers, wrist, and arm during writing and the processing of future words or increased extension of the wrist joint as the execution of the writing progresses to the right across the page, resulting in increased stiffness in the pen-limb system. Parkinson's patients and elderly controls wrote phrases of different lengths with target patterns in various serial positions. When the number of words to be written increased, PD patients reduced their stroke size of the initial target pattern, while the elderly controls did not reduce their stroke size. There was no systematic change in stroke size of the second pattern as function of serial position. This result suggests that PD patients reduce the size of their handwriting strokes when concurrent processing load increases.     

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.     

Lower Extremity Kinetics for Balance Control in Children With Cerebral Palsy

The authors examined and compared the effect of support-surface perturbations of various magnitudes on lower extremity kinetics of 7 children with cerebral palsy (CP) and 8 typically developing (TD) children. Results showed that the highest velocity tolerated without stepping was slower in children with CP than in either age-matched TD or younger TD children. Multimodal torque profiles were more frequent in children with CP than in TD controls. TD groups temporally and spatially organized torque activation, whereas children with CP activated all joints simultaneously and showed altered torque contribution patterns among joints. Those results suggest that impairments in reactive postural control in children with CP result not only from developmental delay but also from pathology. Evidence for pathology included increased numbers of torque bursts required to regain stability and less efficient temporal and spatial organization of torque activation patterns.     

Adaptation of Neuromuscular Synergies During Intentional Constraints of Space-Time Relationships in Human Gait

Tight frequency-to-amplitude relationships are observed in spontaneous human steady gait. They can be modified, if required; that flexibility forms a fundamental basis of the intentional adaptive capabilities of locomotion. In the present experiments, the processes underlying that flexibility were investigated at both the level of joint kinematics and the level of neuromuscular synergies. Subjects (N = 4) walked at the same speed either with a preferred or a nonpreferred frequency-to-amplitude relationship (i.e., constrained, short steps at a high frequency [COS condition] or constrained, long steps at a low frequency [COL condition]); their swing and stance phases were separately analyzed. In the COS condition, increases in EMG activity were specifically required during the swing phase. In the COL condition, several muscles required increases in EMG activity during the stance phase, but decreases of the hamstring muscles were needed during the swing phase. Whereas, in preferred walking, modification of the frequency affects the EMG patterns globally (the gain increasing with the frequency in both the stance and swing phases), the present results show that changing the frequency in a constrained manner either affects the swing phase specifically or affects both phases, but in the opposite direction. That finding indicates mat a separate control is needed in both the swing and the stance phases.     

FACILITATING CONVERSATION THROUGH SELF-INITIATED AUGMENTATIVE COMMUNICATION TREATMENT

We examined the conversational skills of 2 adult males with severe motor and speech deficits resulting from cerebral palsy. A multiple baseline design across subjects was used to determine the effectiveness of an intervention strategy designed to teach them to use an augmentative communication system (Touch Talker) independently. The dependent measure was the number of conversation initiations relative to conversation reactions during spontaneous communication across baseline and treatment. The treatment included specific training on using the augmentative system to participate in communication. Once the intervention began, the production of conversation initiations accelerated at a rapid rate. The treatment program was effective in training the subjects to use the augmentative system to increase conversation participation. These results demonstrate that training on the operation of the device alone is not sufficient to ensure improvement in conversation performance, and that it is important to incorporate direct conversational treatment when providing instruction on the use of augmentative communication systems for severely speech-impaired individuals.     

Influence of Restricted Vision and Knee Joint Range of Motion on Gait Properties During Level Walking and Stair Ascent and Descent

Because elderly individuals experience marked declines in various physical functions (e.g., vision, joint function) simultaneously, it is difficult to clarify the individual effects of these functional declines on walking. However, by imposing vision and joint function restrictions on young men, the effects of these functional declines on walking can be clarified. The authors aimed to determine the effect of restricted vision and range of motion (ROM) of the knee joint on gait properties while walking and ascending or descending stairs. Fifteen healthy young adults performed level walking and stair ascent and descent during control, vision restriction, and knee joint ROM restriction conditions. During level walking, walking speed and step width decreased, and double support time increased significantly with vision and knee joint ROM restrictions. Stance time, step width, and walking angle increased only with knee joint ROM restriction. Stance time, swing time, and double support time were significantly longer in level walking, stair descent, and stair ascent, in that order. The effects of vision and knee joint ROM restrictions were significantly larger than the control conditions. In conclusion, vision and knee joint ROM restrictions affect gait during level walking and stair ascent and descent. This effect is marked in stair ascent with knee joint ROM restriction.     

RELAXATION EXERCISE WITH CEREBRAL PALSIED ADULTS SHOWING SPASTICITY

A method for improving the muscle incoordination associated with cerebral palsy was empirically tested. Relaxation exercises, involving the successive tensing and relaxing of the major muscle groups of the body, were performed by four adults with spastic quadraplegia. All four subjects were sheltered workshop employees. Their IQs ranged from normal to mentally deficient. Testing consisted of two timed-trials of both the Placing Test and the Turning Test from the Minnesota Rate of Manipulation Tests. These tests measured the amount of time required to complete various manual manipulations involving pegs and pegboard. A multiple baseline across subjects design was employed to provide experimental control. All subjects showed significant improvement over baseline performance on the tests following the relaxation training. Limitations of this preliminary investigation and implications of these results for future research were noted.     

Coping Strategies and Resolution in Mothers of Children With Cerebral Palsy

“Parental resolution” represents parents coming to terms with their child’s health condition. Differences in the use of coping strategies between mothers who were resolved versus unresolved to their child’s diagnosis was investigated, and a possible moderating effect of these strategies was explored. A strategy aimed at mobilizing the family to acquire and accept help (institutional, formal support) was shown to be a significant moderating variable, in a way that its more frequent use allowed mothers of children with better functional status (but not mothers of children with poorer functional status) to reach resolution.     

NONVOCAL LANGUAGE ACQUISITION IN ADOLESCENTS WITH SEVERE PHYSICAL DISABILITIES: BLISSYMBOL VERSUS ICONIC STIMULUS FORMATS

This study compared training in two language systems for three severely handicapped, nonvocal adolescents: the Bliss symbol system and an iconic picture system. Following baseline, training and review trials were implemented using an alternating treatments design. Daily probes were conducted to assess maintenance, stimulus generalization, and response generalization, and data were collected on spontaneous usage of either language system throughout the school day. Results showed that students required approximately four times as many trials to acquire Bliss symbols as iconic pictures, and that students maintained a higher percentage of iconic pictures. Stimulus generalization occurred in both language systems, while the number of correct responses during responses generalization probes was much greater for the iconic system. Finally, students almost always showed more iconic responses than Bliss responses in daily spontaneous usage. These results suggest that an iconic system might be more readily acquired, maintained, and generalized to daily situations. Implications of these findings for the newly verbal person were discussed.     

On the Nature of the Probe Reaction-Time Task to Uncover the Attentional Demands of Movement

McLeod (1980) reported some findings which showed that no phase of a movement was more attention-demanding than the other phases, contrary to all the results previously reported (e.g., Ells, 1973; Glencross, 1980). However, McLeod used a paradigm in which the two tasks were serial. Each task consisted of a series of 50 reaction time (RT) trials and/or 50 aiming movement trials. In addition to this, the interval of time between a response and the following signal within each series was constant. In order to try to replicate McLeod’s findings, two experiments were conducted in which the response-signal interval was manipulated. The hypothesis was that time certainty associated with a constant interval would facilitate the allocation of time and would thus artificially reduce the interference between tasks. In Experiment I, manual responses were used for the RT task; in Experiment II, they were vocal. Manipulation of the response-signal interval does not change one of the conclusions reached by McLeod: when the RT task involves vocal responses and the results on the RT task are analyzed in terms of response rather than stimulus arrival during the movement, then there is no phase of the movement which is more attention-demanding than the other phases. However, the results of Experiment II in which both the vocal RT task and the movement task significantly deteriorated in the dual-task condition were taken as an indication that the movement studied involved central attentional demands.