Impact of Neurologic Deficits on Motor Imagery: A Systematic Review of Clinical Evaluations

Motor imagery (MI, the mental representation of an action without engaging in its actual execution) is a therapeutically relevant technique to promote motor recovery after neurologic disorders. MI shares common neural and psychological bases with physical practice. Interestingly, both acute and progressive neurologic disorders impact brain motor networks, hence potentially eliciting changes in MI capacities. How experimental neuroscientists and medical practitioners should assess and take into account these changes in order to design fruitful interventions is largely unresolved. Understanding how the psychometric, behavioral and neurophysiological correlates of MI are impacted by neurologic disorders is required. To address this brain-behavior issue, we conducted a systematic review of MI data in stroke, Parkinson’s disease, spinal cord injury, and amputee participants. MI evaluation methods are presented. Redundant MI profiles, primarily based on psychometric and behavioral evaluations, emerged in each clinical population. When present, changes in the psychometric and behavioral correlates of MI were highly congruent with the corresponding motor impairments. Neurophysiological recordings yielded specific changes in cerebral activations during MI, which mirrored structural and functional reorganizations due to neuroplasticity. In this view, MI capacities may not be deteriorated per se by neurologic diseases resulting in chronic motor incapacities, but adjusted to the current state of the motor system. Literature-driven orientations for future clinical research are provided.     

Cerebral Organization of Motor Programming and Verbal Processing as a Function of Degree of Hand Preference and Familial Sinistrality

Seventy-six right- and left-handed subjects responded to monaurally presented verbal stimuli (CVs) using their right and left hands on separate occasions. Both degree of hand preference and familial sinistrality (FS) were taken into account. It was found that, contrary to expectation, the manual response interfered with the verbal perception task, but only in the consistent strong handers. The pattern of interference suggests that those with a consistent hand preference (right or left) have general motor programming in the left hemisphere. Those with an inconsistent strong hand preference probably have some degree of general motor programming in both hemispheres. No effect for FS was found for the lateralization of verbal processing or general motor programming.     

Prehension in children and adults: The effects of object size

Studies of visually goal-directed arm movements in adults have shown that various task constraints such as intention, context, and object properties affect different kinematic characteristics of the movement components (Jeannerod, 1984; MacKenzie et al., 1987; Marteniuk et al., 1987, 1990; Paulignan et al., 1991; Soechting, 1984). The purpose of the present study was to compare the effects of varying object size on the kinematics of reaching and grasping in both children and adults. Five children aged 9–10 years and five adults aged 18–24 years reached for and grasped three different sized cubes. Results revealed that object size had the same effect on the planning and control of reaching and grasping movements in children as in adults. Unlike adults, however, children in this age range spent more time in deceleration and reached peak aperture much later in the movement trajectory. The results were interpreted as immature integration of the visual and proprioceptive systems in 9–10 year olds. The implications of these findings for further examining developmental trends in prehension are discussed.PsycINFO classification: 2330     

Selection Criteria for a Career Development Program for the Mentally Ill: Evaluation of the Self-Directed Search (SDS)

Criteria were developed for the selection of a career development program appropriate for the mentally ill. The criteria were based on the Career Development Curriculum (CDC) for the mentally ill and the Purdue Stepped Approach Model. The Self-Directed Search (SDS) was chosen as a program because it met all the selection criteria. Mentally ill program participants showed a significant change (p<.035) on the My Vocational Situation Identity Scale. The findings support the selection of the SDS as a program and the feasibility of offering career development services to mentally ill clients.     

Multisensory Information in the Control of Complex Motor Actions

ABSTRACT— For many of the complex motor actions we perform, perceptual information is available from several different senses including vision, touch, hearing, and the vestibular system. Here I discuss the use of multisensory information for the control of motor action in three particular domains: aviation, sports, and driving. It is shown that performers in these domains use information from multiple senses—frequently with beneficial effects on performance but sometimes with dangerous consequences. Applied psychologists have taken advantage of our natural tendency to integrate sensory information by designing multimodal displays that compensate for situations in which information from one or more of our senses is unreliable or is unattended due to distraction.     

The Influence of Motor Imagery on Postural Sway: Differential Effects of Type of Body Movement and Person Perspective

The present study examined the differential effects of kinesthetic imagery (first person perspective) and visual imagery (third person perspective) on postural sway during quiet standing. Based on an embodied cognition perspective, the authors predicted that kinesthetic imagery would lead to activations in movement-relevant motor systems to a greater degree than visual imagery. This prediction was tested among 30 participants who imagined various motor activities from different visual perspectives while standing on a strain gauge plate. The results showed that kinesthetic imagery of lower body movements, but not of upper body movements, had clear effects on postural parameters (sway path length and frequency contents of sway). Visual imagery, in contrast, had no reliable effects on postural activity. We also found that postural effects were not affected by the vividness of imagery. The results suggest that during kinesthetic motor imagery participants partially simulated (re-activated) the imagined movements, leading to unintentional postural adjustments. These findings are consistent with an embodied cognition perspective on motor imagery.     

The Role of Visual Cues in Movement Control and Motor Memory

3 groups of 12 Ss performed an index finger letter-writing task with visual information but without kinesthetic cues (+V?K), followed immediately by repeating the same letters without vision (?V?K). All groups performed 6 test trials of + V?K, then ?V?K writing. Group 1 had no experience with the task prior to the test trials, Group 2 practiced the letters without vision with kinesthetic cues (?V+K), while Group 3 had visual and kinesthetic practice (+V+K). Visual cues efficiently guided performance in the absence of kinesthesis, and visual memory traces had a marked reinforcing effect. Further, learned reliance on kinesthetic cues was present even in +V?K performance, but reliance on visual cues did not develop.     

The Concept of Voluntary Motor Control in the Recent Neuroscientific Literature

Synthese - The concept of voluntary motor control(VMC) frequently appears in the neuroscientific literature, specifically in the context of cortically-mediated, intentional motor actions. For...     

Afferent Information for Motor Control: The Role of Visual Information in Different Portions of the Movement

The question addressed in the present study was whether subjects (N = 24) can use visual information about their hand, in the first half of an aiming movement, to ensure optimal directional accuracy of their aiming movements. Four groups of subjects practiced an aiming task in either a complete vision condition, a no-vision condition, or in a condition in which their hand was visible for the first half [initial vision condition (IV)] or the second half of the movement [final vision condition (FV)]. Following 240 trials of acquisition, all subjects were submitted to a transfer test that consisted of 40 trials performed in a no-vision condition. The results indicated that seeing the hand early in movement did not help subjects to optimize either directional or amplitude accuracy. On the other hand, when subjects viewed their hand closer to the target, movements resulted that were as accurate as those performed under a complete vision condition. In transfer, withdrawing vision did not cause any increase in aiming error for the IV or the no-vision conditions. These results replicated those of Carlton (1981) and extended those of Bard and colleagues (Bard, Hay, & Fleury, 1985) in that they indicated that the kinetic visual channel hypothesized by Paillard (1980; Paillard & Amblard, 1985) appeared to be inoperative beyond 40deg of visual angle.     

Detriangulation of Absent Fathers in Single-Parent Black Families: Techniques of Imagery

The projection of the mother's unresolved feelings about an absent father onto one or more of her children-often the eldest son expected to assume the role of parental child-is an obstacle frequently encountered in therapy with single-parent Black families. Acknowledgment and resolution of these feelings by the mother is an important step toward reestablishing generational boundaries and improving communication between mother and children. It is suggested that the empty chair procedure and the use of family photographs are two interventions that can be used within the context of structural and/or transgenerational family therapies to help the mother separate her feelings about the absent father from her feelings about her children. Models for the use of both approaches and the potential benefits of each is presented. The successful outcome of either technique may depend, however, on variables in the family's history and the stage of therapy during which the techniques are introduced.     

Effects of Response Blocking and Programmed Stimulus Control on Motor Stereotypy: A Pilot Study

We evaluated response blocking with programmed stimulus control, wearing tennis wrist bands, to reduce motor stereotypy in a student with autism. Response blocking was effective and subsequent analysis revealed that wearing the tennis wrist bands alone maintained low frequency stereotypy. Results suggest that controlling effects from a procedure such as response blocking can be transferred to a programmed stimulus in the absence of physical intervention.     

Higher Levels of Psychopathy Predict Poorer Motor Control: Implications for Understanding the Psychopathy Construct

A review of the literature suggests that higher levels of psychopathy may be linked to less effective behavioral control. However, several commentators have urged caution in making statements of this type in the absence of direct evidence. In two studies (total N?=?142), moment-to-moment accuracy in a motor control task was examined as a function of dimensional variations in psychopathy in an undergraduate population. As hypothesized, motor control was distinctively worse at higher levels of psychopathy relative to lower levels, both as a function of primary and secondary psychopathy and particularly their shared variance. These novel findings provide support for the idea that motor control systematically varies by psychopathy, in a basic manner, consistent with views of psychopathy emphasizing lesser control.     

Increased Intrasubject Variability in Boys with ADHD Across Tests of Motor and Cognitive Control

Increased intrasubject variability (ISV), or short-term, within-person fluctuations in behavioral performance is consistently found in Attention-Deficit/Hyperactivity Disorder (ADHD). ADHD is also associated with impairments in motor control, particularly in boys. The results of the few studies that have examined variability in self-generated motor output in children with ADHD have been inconsistent. The current study examined variability in motor control during a finger sequencing task among boys with and without ADHD as well as the relationship between intrasubject variability during motor and cognitive control tasks. Changes in performance over the course of the task and associations with ADHD symptom domains were also examined to elucidate the nature of impaired motor control in children with ADHD. Fifty-one boys (ages 8 to 12 years) participated in the study, including 28 boys with ADHD and 23 typically developing (TD) boys. Participants completed a finger sequencing task and a Go/No-Go task providing multiple measures of response speed and variability. Boys with ADHD were slower and more variable in both intertap interval on the finger sequencing task and reaction time on the Go/No-Go task, with measures of speed and variability correlated across the two tasks. For the entire cohort, the only unique predictor of parent ratings of hyperactive-impulsive symptoms was variability in intertap interval during finger sequencing, whereas inattentive symptoms were only predicted by reaction time variability on the Go/No-Go task. These findings suggest that inefficient motor control is implicated in the pathophysiology of ADHD, particularly in regards to developmentally inappropriate levels of hyperactivity and impulsivity.     

The Effects of Objectives and Constraints on Motor Control Strategy in Reciprocal Aiming Movements

The goal of this study was to examine how the kinematics of reciprocal aiming movements were affected by both the objective of the movement and the constraints operating on that movement. In Experiment 1, the objective of the movement was indirectly manipulated by capitalizing on the fact that subjects determine their own accuracy and speed limits, despite uniform task instructions to move as quickly and accurately as possible. A Fitts' type reciprocal aiming paradigm was employed, in which 69 subjects were asked to move a stylus repetitively between two spatially separated targets. Four target widths were orthogonally combined with four movement amplitudes, resulting in 16 conditions. Movements were made on an X-Y digitizing tablet. Based on the mean variable error produced on both targets, subjects were differentiated post hoc into three movement objective groups: speed, accuracy, and speed-plus-accuracy. Kinematic analyses revealed that the programming and execution of movements were systematically influenced by both the movement objective and the movement constraints. That is, movement time, peak velocity, dwell time, acceleration and deceleration time, normalized acceleration and normalized deceleration varied systematically as a function of both the speed-accuracy movement objective and the movement constraints of target size and movement distance. Moreover, the consequences of changing the constraints of the movement were affected by an interaction with the objective of the movement. In Experiment 2, the objective of the movement was directly manipulated by varying speed and/or accuracy instructions to subjects. The basic results of Experiment 1 were substantiated. Overall, the results were consistent with the view that motor control is dependent upon sensory consequences.     

Children of Mentally Ill Parents Participating in Preventive Support Groups: Parental Diagnoses and Child Risk

In the Netherlands, preventive support groups are offered to children of mentally ill parents. Given the variety of parental diagnoses it might be questionable if offering a standardized program for all these children is the most effective response. While no overall knowledge exists about the type of parental disorder and varying risk levels and support needs among the participating children, we examined whether there are differences between these children that are related to their parents’ diagnoses. With questionnaires we assessed risk factors in 122 mentally ill parents and their children: high parental illness severity, low perceived parental competence, parent–child interaction problems, poor family functioning, difficult child temperament, and low child competence. We also assessed the children’s psychosocial problems and negative cognitions about their parent’s illness. Results showed that most parents had co-morbidity (multiple diagnoses) and/or personality disorders. Children of parents with either of these conditions were more likely to be exposed to the risk factors: high parental illness severity, low perceived parental competence, problematic parent–child interaction, and low perceived child competence, compared to children of parents without these conditions. They were also faced with more risk factors and had more psychosocial problems and negative cognitions. From these results we may conclude that children of parents with co-morbidity and/or personality disorders require more extensive support than children of parents without these conditions. We suggest strengthening the children’s competence and involving parents as important focuses of preventive interventions for children at high risk. Longitudinal studies should test these assumptions.