Spiral drawing performance as an indicator of fine motor function in people with multiple sclerosis

This study investigated spiral drawing performance as an indicator of fine motor function, as well as to gain insight into adaptive movement strategies used by people with multiple sclerosis (MS). Seven people with MS, nine younger controls (mean age of 20) and eight older controls (mean age of 40) drew spirals on a graphics tablet at a comfortable speed and size. Spirography (i.e., a subjective visual assessment of the static trace) revealed indications of reduced control of the pen for people with MS. Analysis of the movements showed that people with MS tended to draw the spirals slower and with less pen pressure than controls. All groups increased their speed and pressure along with spiral size, but this increase was much steeper for the controls. MS participants drew spirals with more variability around an ideal trajectory, highlighting fine motor control degradation. MS patients tended to use a smaller scaling ratio, resulting in smaller spirals for a given number of revolutions. The younger and older control groups drew the spirals in a similar manner, and age was not a significant factor in any of the analyses. It is argued that the relatively lower pressure used, and slower, smaller movements (particularly during the more difficult outer sections of the spiral) are in part an adaptive strategy used to reduce movement variability. These results demonstrate the utility of the analysis of spiral movements as an objective technique for assessing motor control degradation, which can compliment the subjective rating based on the static pen trace. As such, it can provide further insight into the biomechanical strategies used when performing fine movements.     

Digitalized spiral drawing in Parkinson’s disease: A tool for evaluating beyond the written trace

One of the current scientific challenges is to propose novel tools and tasks designed to identify new motor biomarkers in Parkinson’s disease (PD). Among these, a focus has placed on drawing tasks. Independently from clinical ratings, this study aimed to evaluate the pen movement and holding in digitalized spiral drawing in individuals with PD without and with medical treatment and in healthy controls. A three-step data-driven analysis was conducted. First, the effects of spatial and temporal constraints on several variables were determined. Second, the relationship between handedness and dominance of PD symptoms was investigated for the most relevant variables. Finally, a third analysis was conducted to assess the occurrence of changes associated with PD. The first analysis revealed that the number of velocity peaks and pen altitude variations were the most relevant variables in spiral drawing for evaluating the effect of the disease and medication. The second analysis revealed that the effect of medication was present for the movement fluency only, when spirals with spatial constraints were produced at a spontaneous speed by the hand on the side of dominant PD signs. Finally, the third analysis showed that the effect of medication was greater at the beginning of drawing than at the end. Digitalized spiral drawing makes it possible to observe precisely when the kinematic changes related to the disease occur during the task. Such a simple and quick task might be of great relevance to contribute to the diagnosis and follow-up of PD.     

Effect of Hand Posture on the Temporal and Kinematic Properties of Pointing and Drawing Movements Executed by Healthy Subjects and by a Patient With Primary Writing Tremor

Healthy individuals (n = 6) and a patient with "pure" primary writing tremor executed pointing and drawing movements while adopting different hand postures. The control subjects and the patient exhibited similar kinematics for most conditions. The patient displayed a severe right hand 4- to 6-Hz tremor and prolonged movements only when drawing with his normal hand posture. His tremor was manifested after a ready cue, in anticipation of a go command. The premovement tremor was abolished when the authors simply eliminated the ready cue and instructed the patient to relax and not think about drawing until he heard the go cue. Thus, the patient's writing tremor depended not only upon the writing or drawing act but also upon the hand position adopted and the intent to write, even in the absence of movement. The present results suggest that (a) similar high-level control mechanisms exist for pointing and drawing in healthy subjects and (b) the patient's deficits are compatible with a higher motor defect in central nervous system structures involved in the control of pointing and drawing movements.     

Habit and skill learning in schizophrenia: evidence of normal striatal processing with abnormal cortical input

Different forms of nondeclarative learning involve regionally specific striatal circuits. The motor circuit (involving the putamen) has been associated with motor–skill learning and the dorsolateral prefrontal cortex (DLPFC) circuit (involving the caudate) has been associated with cognitive–habit learning. Efforts to differentiate functional striatal circuits within patient samples have been limited. Previous studies have provided mixed results regarding striatal-dependent nondeclarative learning deficits in patients with schizophrenia. In this study, a cognitive–habit learning task (probabilistic weather prediction) was used to assess the DLPFC circuit and a motor–skill learning task (pursuit rotor) was used to assess the motor circuit in 35 patients with schizophrenia and 35 normal controls. Patients with schizophrenia displayed significant performance differences from controls on both nondeclarative tasks; however, cognitive–habit learning rate in patients did not differ from controls. There were performance and learning-rate differences on the motor–skill learning task between the whole sample of patients and controls, however, analysis of a subset of patients and controls matched on general intellectual level eliminated learning rate differences between groups. The abnormal performance offset between patients with schizophrenia and controls in the absence of learning rate differences suggests that abnormal cortical processing provides altered input to normal striatal circuitry.     

Unilateral vs. bilateral coordination of circle-drawing tasks

The number of joint motions available in the upper extremity provides for multiple solutions to the coordination of a motor task. Making use of these abundant joint motions provides for task flexibility. Controlling bimanual movements poses another level of complexity because of possible tradeoffs between coordination within a limb and coordination between the limbs. We examined how flexible patterns of joint coordination were used to stabilize the hand's path when drawing a circle independently compared to a bimanual pattern. Across-trial variance of joint motions was partitioned into two components: goal-equivalent variance (GEV), representing variance of joint motions consistent with a stable hand path and non-goal-equivalent variance (NGEV) representing variance of joint motions that led to deviations of the hand's path. GEV was higher than NGEV in both unimanual and bimanual drawing, with one exception. Both GEV and NGEV, related to control of the individual hands' motion, decreased when engaged in the bimanual compared to unimanual drawing. Moreover, NGEV, leading to variability in the vectorial distance between the hands, was higher when the two hands drew circles in a bimanually asymmetric vs. symmetric pattern, consistent with reported differences in the relative phasing of the two hands. Our results suggest that the nervous system controls the individual hands' motions by separate intra-limb synergies during both unimanual and bimanual drawing, and superimposes an additional synergy to achieve stable relative motion of the two hands during bimanual drawing.     

Adaptation to spiral motion in crowding condition

When a single, moving stimulus is presented in the peripheral visual field, its direction of motion can be easily distinguished, but when the same stimulus is flanked by other similar moving stimuli, observers are unable to report its direction of motion. In this condition, known as 'crowding', specific features of visual stimuli do not access conscious perception. The aim of this study was to investigate whether adaptation to spiral motion is preserved in crowding conditions. Logarithmic spirals were used as adapting stimuli. A rotating spiral stimulus (target spiral) was presented, flanked by spirals of the same type, and observers were adapted to its motion. The observers' task was to report the rotational direction of a directionally ambiguous motion (test stimulus) presented afterwards. The directionally ambiguous motion consisted of a pair of spirals flickering in counterphase, which were mirror images of the target spiral. Although observers were not aware of the rotational direction of the target and identified it at chance levels, the direction of rotation reported by the observers during the test phase (motion aftereffect) was contrarotational to the direction of the adapting spiral. Since all contours of the adapting and test stimuli were 90 degrees apart, local motion detectors tuned to the directions of the mirror-image spiral should fail to respond, and therefore not adapt to the adapting spiral. Thus, any motion aftereffect observed should be attributed to adaptation of global motion detectors (ie rotation detectors). Hence, activation of rotation-selective cells is not necessarily correlated with conscious perception.     

Effects of motor programming on the power spectral density function of finger and wrist movements

Power spectral density analysis was applied to the frequency content of the acceleration signal of pen movements in line drawing. The relative power in frequency bands between 1 and 32 Hz was measured as a function of motoric and anatomic task demands. Results showed a decrease of power at the lower frequencies (1-4 Hz) of the spectrum and an increase in the middle (9-12 Hz), with increasing motor demands. These findings evidence the inhibition of visual control and the disinhibition of physiological tremor under conditions of increased programming demands. Adductive movements displayed less power than abductive movements in the lower end of the spectrum, with a simultaneous increase at the higher frequencies. The relevance of the method for the measurement of neuromotor noise as a possible origin of delays in motor behavior is discussed.     

Visuomotor coordination and visuospatial working memory of children with specific reading disabilities: a study using the Rey-Osterrieth Complex Figure

The aim of the present study was to examine the visuospatial perception, short-term working memory, and motor skills of children with special reading difficulties, using the Rey-Osterrieth Complex Figure, which can record visuomotor and memory skills, observe drawing processes, and detect deficiencies in specific skills. 306 right- and left-handed boys and girls, ages 6.6 to 9.6 yr. (102 with special reading difficulties, 102 normal readers, and 102 with general learning difficulties) comprised one experimental and two control groups, respectively. The task was to depict the Rey-Osterrieth Complex Figure under two conditions, copying and drawing it from memory. Analysis indicated that (a) difficulty of the depiction of the Rey-Osterrieth Complex Figure, especially from memory, sharply affects children's performance and (b) the experimental group's performance was significantly poorer than that of controls in both conditions. The results are discussed in view of the predictive value of certain motor and cognitive skill deficiencies of children with special reading difficulties.     

Characterization of fine motor development: Dynamic analysis of children’s drawing movements

In this study, we investigated children’s fine motor development by analyzing drawing trajectories, kinematics and kinetics. Straight lines drawing task and circles drawing task were performed by using a force sensitive tablet. Forty right-handed and Chinese mother-tongue students aged 6–12, attending classes from grade 1 to 5, were engaged in the experiment. Three spatial parameters, namely cumulative trace length, vector length of straight line and vertical diameter of circle were determined. Drawing duration, mean drawing velocity, and number of peaks in stroke velocity profile (NPV) were derived as kinematic parameters. Besides mean normal force, two kinetic indices were proposed: normalized force angle regulation (NFR) and variation of fine motor control (VFC) for circles drawing task. The maturation and automation of fine motor ability were reflected by increased drawing velocity, reduced drawing duration, NPV and NFR, with decreased VFC in circles drawing task. Grade and task main effects as well as significant correlations between age and parameters suggest that factors such as schooling, age and task should be considered in the assessment of fine motor skills. Compared with kinematic parameters, findings of NFR and VFC revealed that kinetics is another important perspective in the analysis of fine motor movement.     

Functional Mobility in a Divided Attention Task in Older Adults With Cognitive Impairment

ABSTRACT. Motor disorders may occur in mild cognitive impairment (MCI) and at early stages of Alzheimer's disease (AD), particularly under divided attention conditions. We examined functional mobility in 104 older adults (42 with MCI, 26 with mild AD, and 36 cognitively healthy) using the Timed Up and Go test (TUG) under 4 experimental conditions: TUG single task, TUG plus a cognitive task, TUG plus a manual task, and TUG plus a cognitive and a manual task. Statistically significant differences in mean time of execution were found in all four experimental conditions when comparing MCI and controls (p < .001), and when comparing MCI and AD patients (p < .05). Receiver-operating characteristic curve analyses showed that all four testing conditions could differentiate the three groups (area under the curve > .8, p < .001 for MCI vs. controls; area under the curve > .7, p < .001 for MCI vs. AD). The authors conclude that functional motor deficits occurring in MCI can be assessed by the TUG test, in single or dual task modality.     

Fine motor deficiencies in children with developmental coordination disorder and learning disabilities: an underlying open-loop control deficit

Thirty-two children with Developmental Coordination Disorder (DCD) and learning disabilities (LD) and their age-matched controls attending normal primary schools were investigated using kinematic movement analysis of fine-motor performance. Three hypotheses about the nature of the motor deficits observed in children with LD were tested: general slowness hypothesis, limited information capacity hypothesis, and the motor control mode hypothesis. Measures of drawing movements were analyzed under different task conditions using a Fitts' paradigm. In a reciprocal aiming task, the children drew straight-line segments between two targets 2.5 cm apart. Three Target Sizes were used (0.22, 0.44, and 0.88 cm). Children used an electronic pen that left no trace on the writing tablet. To manipulate the degree of open-loop movement control, the aiming task was performed under two different control regimes: discrete aiming and cyclic aiming. The kinematic analysis of the writing movements of the 32 children with DCD/LD that took part in the experimental study confirmed that besides learning disabilities they have a motor learning problem as well. Overall, the two groups did not differ in response time, nor did they respond differently according to Fitts' Law. Both groups displayed a conventional trade-off between Target Size and average Movement Time. However, while movement errors for children with DCD/LD were minimal on the discrete task, they made significantly more errors on the cyclic task. This, together with faster endpoint velocities, suggests a reduced ability to use a control strategy that emphasizes the terminal control of accuracy. Taken together, the results suggest that children with DCD/LD rely more on feedback during movement execution and have difficulty switching to a feedforward or open-loop strategy.     

Control of oscillatory force tasks: Low-frequency oscillations in force and muscle activity

Force variability during steady force tasks is strongly related to low-frequency oscillations (<0.25 Hz) in force. However, it is unknown whether low-frequency oscillations also contribute to the variability of oscillatory force tasks. To address this, twelve healthy young participants (21.08 ± 2.99 years, 6 females) performed a sinusoidal force task at 15% MVC at two different frequencies (0.5 and 1 Hz) with isometric abduction of the index finger. We recorded the force from the index finger and surface EMG from the first dorsal interosseous muscle and quantified the following outcomes: 1) trajectory variability and accuracy; 2) power spectrum of force and EMG bursting below 2 Hz; 3) power spectrum of the interference EMG from 4 to 60 Hz. The trajectory variability and error significantly increased from 0.5 to 1 Hz task (P < 0.01). Increased force oscillations <0.25 Hz contributed to greater trajectory variability and error for both the 0.5 and 1 Hz oscillatory task (R² > 0.33; P < 0.05). The <0.25 Hz oscillations in force were positively associated with greater power in the <0.25 Hz for EMG bursting (R² > 0.52; P < 0.01). The modulation of the interference EMG from 35 to 60 Hz was a good predictor of the <0.25 Hz force oscillations for both the 0.5 Hz task and 1 Hz task (R² > 0.66; P < 0.01). These results provide novel evidence that, similar to steady contractions, low-frequency oscillations of the motor neuron pool appear to be a significant mechanism that controls force during oscillatory force tasks.     

Last but not least.

New variations of the spiral illusion are demonstrated. They include spiral illusions of the Café Wall illusion and the Z?llner illusion, as well as other new orientation illusions. Thus the spiral illusion is not limited to the Fraser illusion. We discuss the role that detectors of spirals in a higher visual area might play in the spiral illusion.     

Neurobiological degeneracy: Supporting stability,flexibility and pluripotentiality in complex motor skill

This paper investigated neurobiological degeneracy of the motor system that emerged as a function of levels of environmental constraint. Fourteen participants performed a breaststroke-swimming task that required them to develop a specific biomechanically expert pattern and in turn provide the basis for a suitable task vehicle to study the functional role of movement variability. Inter-limb coordination was defined based on the computation of continuous relative phase between elbow and knee oscillators. Unsupervised cluster analysis on arm–leg coordination revealed the existence of different patterns of coordination when participants achieved the same task goal under different levels of environmental constraints (i.e. different amounts of forward resistances). In addition, clusters differed in terms of higher order derivatives (e.g., joint angular velocity, joint amplitude), suggesting an effective role for degeneracy in learning by allowing the exploration of the key relationships between motor organization and interacting constraints. There is evidence to suggest that neurobiological degeneracy supports the potential for motor re-organization to enhance motor learning.     

Training compliance control yields improved drawing in 5–11 year old children with motor difficulties

There are a large number of children with motor difficulties including those that have difficulty producing movements qualitatively well enough to improve in perceptuo-motor learning without intervention. We have developed a training method that supports active movement generation to allow improvement in a 3D tracing task requiring good compliance control. Previously, we tested a limited age range of children and found that training improved performance on the 3D tracing task and that the training transferred to a 2D drawing test. In the present study, school children (5–11 years old) with motor difficulties were trained in the 3D tracing task and transfer to a 2D drawing task was tested. We used a cross-over design where half of the children received training on the 3D tracing task during the first training period and the other half of the children received training during the second training period. Given previous results, we predicted that younger children would initially show reduced performance relative to the older children, and that performance at all ages would improve with training. We also predicted that training would transfer to the 2D drawing task. However, the pre-training performance of both younger and older children was equally poor. Nevertheless, post-training performance on the 3D task was dramatically improved for both age groups and the training transferred to the 2D drawing task. Overall, this work contributes to a growing body of literature that demonstrates relatively preserved motor learning in children with motor difficulties and further demonstrates the importance of games in therapeutic interventions.     

Atypical speech lateralization in adults with developmental coordination disorder demonstrated using functional transcranial Doppler ultrasound

Research using clinical populations to explore the relationship between hemispheric speech lateralization and handedness has focused on individuals with speech and language disorders, such as dyslexia or specific language impairment (SLI). Such work reveals atypical patterns of cerebral lateralization and handedness in these groups compared to controls. There are few studies that examine this relationship in people with motor coordination impairments but without speech or reading deficits, which is a surprising omission given the prevalence of theories suggesting a common neural network underlying both functions. We use an emerging imaging technique in cognitive neuroscience; functional transcranial Doppler (fTCD) ultrasound, to assess whether individuals with developmental coordination disorder (DCD) display reduced left‐hemisphere lateralization for speech production compared to control participants. Twelve adult control participants and 12 adults with DCD, but no other developmental/cognitive impairments, performed a word‐generation task whilst undergoing fTCD imaging to establish a hemispheric lateralization index for speech production. All participants also completed an electronic peg‐moving task to determine hand skill. As predicted, the DCD group showed a significantly reduced left lateralization pattern for the speech production task compared to controls. Performance on the motor skill task showed a clear preference for the dominant hand across both groups; however, the DCD group mean movement times were significantly higher for the non‐dominant hand. This is the first study of its kind to assess hand skill and speech lateralization in DCD. The results reveal a reduced leftwards asymmetry for speech and a slower motor performance. This fits alongside previous work showing atypical cerebral lateralization in DCD for other cognitive processes (e.g., executive function and short‐term memory) and thus speaks to debates on theories of the links between motor control and language production.     

Visual load and variability of muscle activation: Effects on reactive driving of older adults

BackgroundThe functional significance of the increase in motor output variability with increased visual information processing in older adults remains unclear. Here, we test the hypothesis that increased visual information processing increases muscle activation variability in older adults and impairs their ability to react as fast and as precisely as young adults during a simulated reactive driving task.MethodsFourteen young and sixteen older adults performed a reactive driving simulation task that required responding to unexpected brake lights of the car ahead during a simple reaction time task (low visual information processing condition) and a choice reaction time task with “no go” trials condition (high visual information processing condition). We quantified the following: 1) reactive driving performance – combination of premotor response time, motor response time, and brake force error; 2) motor output variability – brake impulse variability; 3) muscle activation variability – variability in the tibialis anterior (TA) muscle activity.ResultsThe increase in information processing exacerbated the impaired reactive driving performance in older adults. The best predictor of this impairment was the increase in brake force error. The impaired reactive driving performance was related to brake impulse variability and variability in the TA activity.ConclusionsThis study provides novel evidence that increased information processing increases muscle activation variability in older adults with detrimental consequences to their ability to perform a simulated reactive driving task.     

Synchronization in repetitive smooth movement requires perceptible events

Accurate timing performance during auditory–motor synchronization has been well documented for finger tapping tasks. It is believed that information pertaining to an event in movement production aids in detecting and correcting for errors between movement cycle completion and the metronome tone. Tasks with minimal event-related information exhibit more variable synchronization and less rapid error correction. Recent work from our laboratory has indicated that a task purportedly lacking an event structure (circle drawing) did not exhibit accurate synchronization or error correction (Studenka & Zelaznik, in press). In the present paper we report on two experiments examining synchronization in tapping and circle drawing tasks. In Experiment 1, error correction processes of an event-timed tapping timing task and an emergently timed circle drawing timing task were examined. Rapid and complete error correction was seen for the tapping, but not for the circle drawing task. In Experiment 2, a perceptual event was added to delineate a cycle in circle drawing, and the perceptual event of table contact was removed from the tapping task. The inclusion of an event produced a marked improvement in synchronization error correction for circle drawing, and the removal of tactile feedback (taking away an event) slightly reduced the error correction response of tapping. Furthermore, the task kinematics of circle drawing remained smooth providing evidence that event structure can be kinematic or perceptual in nature. Thus, synchronization and error correction, characteristic of event timing (Ivry, Spencer, Zelaznik, & Diedrichsen, 2002; Repp, 2005), depends upon the presence of a distinguishable source of sensory information at the timing goal.     

Motor imagery vividness and symptom severity in Parkinson's disease

Motor imagery (MI), the mental simulation of movement in the absence of overt motor output, has demonstrated potential as a technique to support rehabilitation of movement in neurological conditions such as Parkinson's disease (PD). Existing evidence suggests that MI is largely preserved in PD, but previous studies have typically examined global measures of MI and have not considered the potential impact of individual differences in symptom presentation on MI. The present study investigated the influence of severity of overall motor symptoms, bradykinesia and tremor on MI vividness scores in 44 individuals with mild to moderate idiopathic PD. Linear mixed effects modelling revealed that imagery modality and the severity of left side bradykinesia significantly influenced MI vividness ratings. Consistent with previous findings, participants rated visual motor imagery (VMI) to be more vivid than kinesthetic motor imagery (KMI). Greater severity of left side bradykinesia (but not right side bradykinesia) predicted increased vividness of KMI, while tremor severity and overall motor symptom severity did not predict vividness of MI. The specificity of the effect of bradykinesia to the left side may reflect greater premorbid vividness for the dominant (right) side or increased attention to more effortful movements on the left side of the body resulting in more vivid motor imagery.     

Event rate and reaction time performance in ADHD: Testing predictions from the state regulation deficit hypothesis using an ex-Gaussian model

According to the state regulation deficit (SRD) account, ADHD is associated with a problem using effort to maintain an optimal activation state under demanding task settings such as very fast or very slow event rates. This leads to a prediction of disrupted performance at event rate extremes reflected in higher Gaussian response variability that is a putative marker of activation during motor preparation. In the current study, we tested this hypothesis using ex-Gaussian modeling, which distinguishes Gaussian from non-Gaussian variability. Twenty-five children with ADHD and 29 typically developing controls performed a simple Go/No-Go task under four different event-rate conditions. There was an accentuated quadratic relationship between event rate and Gaussian variability in the ADHD group compared to the controls. The children with ADHD had greater Gaussian variability at very fast and very slow event rates but not at moderate event rates. The results provide evidence for the SRD account of ADHD. However, given that this effect did not explain all group differences (some of which were independent of event rate) other cognitive and/or motivational processes are also likely implicated in ADHD performance deficits.