The influence of proximal motor strategies on pianists' upper-limb movement variability

Repetitive movements are considered a risk factor for developing practice-related musculoskeletal disorders. Intra-participant kinematic variability might help musicians reduce the risk of injury during repetitive tasks. No research has studied the effects of proximal motion (i.e., trunk and shoulder movement) on upper-limb movement variability in pianists. The first objective was to determine the effect of proximal movement strategies and performance tempo on both intra-participant joint angle variability of upper-limb joints and endpoint variability. The second objective was to compare joint angle variability between pianist's upper-limb joints. As secondary objectives, we assessed the relationship between intra-participant joint angle variability and task range of motion (ROM) and documented inter-participant joint angle variability. The upper body kinematics of 9 expert pianists were recorded using an optoelectronic system. Participants continuously performed two right-hand chords (lateral leap motions) while changing movements based on trunk motion (with and without) and shoulder motion (counter-clockwise, back-and-forth, and clockwise) at two tempi (slow and fast). Trunk and shoulder movement strategies collectively influenced variability at the shoulder, elbow and, to a lesser extent, the wrist. Slow tempi led to greater variability at wrist and elbow flexion/extension compared to fast tempi. Endpoint variability was influenced only along the anteroposterior axis. When the trunk was static, the shoulder had the lowest joint angle variability. When trunk motion was used, elbow and shoulder variability increased, and became comparable to wrist variability. ROM was correlated with intra-participant joint angle variability, suggesting that increased task ROM might result in increased movement variability during practice. Inter-participant variability was approximately six times greater than intra-participant variability. Pianists should consider incorporating trunk motion and a variety of shoulder movements as performance strategies while performing leap motions at the piano, as they might reduce exposure to risks of injury.     

Kinematic descriptions of upper limb function using simulated tasks in activities of daily living after stroke

Assessment of upper limb function poststroke is critical for clinical management and determining the efficacy of interventions. We designed a unilateral upper limb task to simulate activities of daily living to examine how chronic stroke survivors manage reaching, grasping and handling skills simultaneously to perform the functional task using kinematic analysis. The aim of the study was to compare the motor strategies for performing a functional task between paretic and nonparetic arms. Sixteen chronic stroke survivors were instructed to control an ergonomic spoon to transfer liquid from a large bowl to a small bowl using paretic or nonparetic arm. Kinematic data were recorded using a Vicon motion capture system. Outcome measures included movement duration, relative timing, path length, joint excursions, and trial-to-trial variability. Results showed that movement duration, spoon path length, and trunk path length increased significantly when participants used paretic arm to perform the task. Participants tended to reduce shoulder and elbow excursions, and increase trunk excursions to perform the task with paretic arm and altered the relative timing of the task. Although participants used different motor strategies to perform the task with their paretic arms, we did not find the significant differences in trial-to trial variability of joint excursions between paretic and nonparetic arms. The results revealed differences in temporal and spatial aspects of motor strategies between paretic and nonparetic arms. Clinicians should explore the underlying causes of pathological movement patterns and facilitate preferred movement patterns of paretic arm.     

Toy-oriented changes in early arm movements III: constraints on joint kinematics

The purpose of this study was to identify invariant features of shoulder and elbow kinematics during prereaching arm movements with and without a toy present. Invariant movement features may reflect the presence of constraints that reduce the complexity of learning to reach and provide a link between early arm movements and reaching. Joint excursion and smoothness were consistently greater at the shoulder than the elbow suggesting strong organismal constraints on prereaching movements. Speed became greater in the shoulder than the elbow only with a toy present during the 4 weeks leading up to reach onset suggesting the introduction of task related constraints. We propose that organismal constraints on joint coordination throughout the prereaching period provide a foundation for the overlay of task related constraints closer to reach onset. We also suggest that the coordinative structures of early arm movements and later reaching may be much more similar than currently thought. This similarity would significantly reduce the elements needing to be actively controlled, and simplify the learning process.     

Coupling of Eye,Finger, Elbow,and Shoulder Movements During Manual Aiming

Temporal and spatial coupling of point of gaze (PG) and movements of the finger, elbow, and shoulder during a speeded aiming task were examined. Ten participants completed 40-cm aiming movements with the right arm, in a situation that allowed free movement of the eyes, head, arm, and trunk. On the majority of trials, a large initial saccade undershot the target slightly, and 1 or more smaller corrective saccades brought the eyes to the target position. The finger, elbow, and shoulder exhibited a similar pattern of undershooting their final positions, followed by small corrective movements. Eye movements usually preceded limb movements, and the eyes always arrived at the target well in advance of the finger. There was a clear temporal coupling between primary saccade completion and peak acceleration of the finger, elbow, and shoulder. The initiation of limb-segment movement usually occurred in a proximal-to-distal pattern. Increased variability in elbow and shoulder position as the movement progressed may have served to reduce variability in finger position. The spatial-temporal coupling of PG with the 3 limb segments was optimal for the pick up of visual information about the position of the finger and the target late in the movement.     

Coupling of eye, finger, elbow, and shoulder movements during manual aiming

Temporal and spatial coupling of point of gaze (PG) and movements of the finger, elbow, and shoulder during a speeded aiming task were examined. Ten participants completed 40-cm aiming movements with the right arm, in a situation that allowed free movement of the eyes, head, arm, and trunk. On the majority of trials, a large initial saccade undershot the target slightly, and 1 or more smaller corrective saccades brought the eyes to the target position. The finger, elbow, and shoulder exhibited a similar pattern of undershooting their final positions, followed by small corrective movements. Eye movements usually preceded limb movements, and the eyes always arrived at the target well in advance of the finger. There was a clear temporal coupling between primary saccade completion and peak acceleration of the finger, elbow, and shoulder. The initiation of limb-segment movement usually occurred in a proximal-to-distal pattern. Increased variability in elbow and shoulder position as the movement progressed may have served to reduce variability in finger position. The spatial-temporal coupling of PG with the 3 limb segments was optimal for the pick up of visual information about the position of the finger and the target late in the movement.     

Learning a pointing task with a kinematically redundant limb: Emerging synergies and patterns of final position variability

The study tested a hypothesis that practice of arm pointing movement can lead to a reorganization of the joint coordination reflected in the emergence of several synergies based on the same set of joints. In particular, involvement of the wrist may represent a choice by the central nervous system and not be driven by the typical “freezing-to-freeing” sequence. The effects of practice on the kinematic patterns and variability of a “fast and accurate” pointing movement using a pointer were studied. An obstacle was placed between the initial position and the target to encourage a curvilinear trajectory and larger wrist involvement. Practice led to a decrease in variability indices accompanied by an increase in movement speed of the endpoint and of the elbow and the shoulder, but not of the wrist joint. Five out of six subjects decreased the peak-to-peak amplitude of wrist motion. Before practice, the variability along the line connecting the endpoint to the shoulder (extent) was similar to that in the direction orthogonal to this line. After practice, variability was reduced along the extent, but not along the orthogonal direction perpendicular to this line. Prior to practice, indices of variability of the endpoint were lower than those of the marker placed over the wrist; after practice, the endpoint showed higher variability indices than the wrist. We interpret the data as consequences of the emergence of two synergies: (a) Pointing with a non-redundant set of the elbow and shoulder joints; and (b) keeping wrist position constant. The former synergy is based on a structural unit involving the elbow and the shoulder, while the latter is based on a structural unit that includes all the major arm joints.     

Control of interjoint coordination in the performance of manual circular movements can explain lateral specialization

Between-arm performance asymmetry can be seen in different arm movements requiring specific interjoint coordination to generate the desired hand trajectory. In the current investigation, we assessed between-arm asymmetry of shoulder-elbow coordination and its stability in the performance of circular movements. Participants were 16 healthy right-handed university students. The task consisted of performing cyclic circular movements with either the dominant right arm or the nondominant left arm at movement frequencies ranging from 40% of maximum to maximum frequency in steps of 15%. Kinematic analysis of shoulder and elbow motions was performed through an optoelectronic system in the three-dimensional space. Results showed that as movement frequency increased circularity of left arm movements diminished, taking an elliptical shape, becoming significantly different from the right arm at higher movement frequencies. Shoulder-elbow coordination was found to be asymmetric between the two arms across movement frequencies, with lower shoulder-elbow angle coefficients and higher relative phase for the left compared to the right arm. Results also revealed greater variability of left arm movements in all variables assessed, an outcome observed from low to high movement frequencies. From these findings, we propose that specialization of the left cerebral hemisphere for motor control resides in its higher capacity to generate appropriate and stable interjoint coordination leading to the planned hand trajectory.     

Timing and the Control of Rhythmic Upper-Limb Movements

Accurate timing of limb displacement is crucial for effective motor control. The authors examined the effects of movement velocity, duration, direction, added mass, and auditory cueing on timing, spatial, and trajectory variability of single- and multijoint rhythmic movements. During single-joint movements, increased velocity decreased timing and spatial variability, whereas increased movement duration increased timing variability but decreased spatial variability. For multijoint movements, regardless of condition, increasing velocity decreased joint timing, spatial, and trajectory variability, but all hand variabilities were unaffected by velocity, duration, load, or direction. Timing, spatial, and trajectory variability was greater at the shoulder compared with the elbow and minimal at the hand, supporting the notion that reaching movements are planned in hand space as opposed to joint space.     

The Shoulder and Elbow Joints and Right and Left Sides Demonstrate Similar Joint Position Sense

Proper orientation of the shoulder and elbow is necessary for accurate and precise positioning of the hand. The authors’ goal was to compare these joints with an active joint position sense task, while also taking into account the effects of joint flexion angle and arm dominance. Fifteen healthy subjects were asked to replicate presented joint angles with a single degree of freedom active positioning protocol. There were no significant differences in angular joint position sense errors with respect to joint (shoulder vs. elbow) and side (left vs. right). However, when considering linear positioning, errors were lower for the elbow, due to a shorter lever arm. Also, as flexion angles increased toward 90°, there was a consistent pattern of lower errors for both joints.     

Posture based motor planning in a sequential grasping task

Movement planning in sequential tasks is revealed by grasping postures. We explored aspects of planning a sequential drawer opening and object manipulation task with regard to arm and torso postures. We conducted a detailed kinematic analysis of joint postures at the wrist, elbow, and shoulder for a one-grasp and a two-grasp sequence of movement. The second of the two-grasp sequence was constrained (uncomfortable). We predicted that planning for the second grasp in a two-grasp sequence would influence arm, torso, and whole-body postures at the first grasp. Participants prepared for the second grasp by adjusting the posture of the elbow and shoulder and the distance they stepped to the drawer. The joint postures at the elbow and shoulder changed in the direction of the intended object grasp. These findings show that anticipatory adjustments are revealed at postures other than the end-effector and lend insight into the mechanisms of sequential movement planning.     

Comparison of upper limb kinematics in two activities of daily living with different handling requirements

IntroductionRecently, kinematic analysis of the drinking task (DRINK) has been recommended to assess the quality of upper limb (UL) movement after stroke, but the accomplishment of this task may become difficult for poststroke patients with hand impairment. Therefore, it is necessary to study ADLs that involve a simpler interaction with a daily life target, such as the turning on a light task (LIGHT). As the knowledge of movement performed by healthy adults becomes essential to assess the quality of movement of poststroke patients, the main goal of this article was to compare the kinematic strategies used by healthy adults in LIGHT with those that are used in DRINK.Methods63 adults, aged 30 to 69 years old, drank water and turned on a light, using both ULs separately, while seated. The movements of both tasks were captured by a 3D motion capture system. End-point and joint kinematics of reaching and returning phases were analysed. A multifactorial analysis of variance with repeated measures was applied to the kinematic metrics, using age, sex, body mass index and dominance as main factors.ResultsMean and peak velocities, index of curvature, shoulder flexion and elbow extension were lower in LIGHT, which suggests that the real hand trajectory was smaller in this task. In LIGHT, reaching was less smooth and returning was smoother than DRINK. The instant of peak velocity was similar in both tasks. There was a minimal anterior trunk displacement in LIGHT, and a greater anterior trunk displacement in DRINK. Age and sex were the main factors which exerted effect on some of the kinematics, especially in LIGHT.ConclusionThe different target formats and hand contact in DRINK and LIGHT seem to be responsible for differences in velocity profile, efficiency, smoothness, joint angles and trunk displacement. Results suggest that the real hand trajectory was smaller in LIGHT and that interaction with the switch seems to be less demanding than with the glass. Accordingly, LIGHT could be a good option for the assessment of poststroke patients without grasping ability. Age and sex seem to be the main factors to be considered in future studies for a better match between healthy and poststroke adults.     

Task specificity and the timing of discrete aiming movements

In discrete aiming movements the task criteria of time-minimization to a spatial target (e.g., Fitts, 1954) and time-matching to a spatial-temporal goal (e.g., Schmidt et al., 1979) tend to produce different functions of the speed-accuracy trade-off. Here we examined whether the task-related movement speed-accuracy characteristics were due to differential space-time trade-offs in time-matching, velocity-matching and time-minimizing task goals. Twenty participants performed 100 aiming trials for each of 15 combinations of task-type (3) and space-time condition (5). The prevalence of the primary types of sub-movement (none, pre-peak, post-peak, undershooting and overshooting) was determined from the kinematics of the movement trajectory. There were comparable distributions of trajectory sub-movement profiles and space-time movement outcomes across the three tasks at the short movement duration that became increasingly dissimilar over decreasing movement velocity and increasing movement time conditions. Movement time was the most influential variable in mediating sub-movement characteristics and the spatial/temporal outcome accuracy and variability of discrete aiming tasks – a role that was magnified in the explicit task demands of time-matching. The time-matching and time-minimization task goals in discrete aiming induce qualitatively different control processes that progressively contribute beyond the minimal time conditions to task-specific space-time accuracy and variability characteristics of the respective movement speed-accuracy functions.     

The role of vision in the control of continuous multijoint movements

The authors investigated whether visual fixations during a continuous graphical task were related to arm endpoint kinematics, joint motions, or joint control. The pattern of visual fixations across various shapes and the relationship between temporal and spatial events of the moving limb and visual fixations were assessed. Participants (N=16) performed movements of varying shapes by rotating the shoulder and elbow joints in the transverse plane at a comfortable pace. Across shapes, eye movements consisted of a series of fixations, with the eyes leading the hand. Fixations were spatially related to modulation of joint motion and were temporally related to the portions of the movement where curvature was the highest. Gathering of information related to modulation of interactive torques arising from passive forces from movement of a linked system occurred when the velocity of the movement (a) was the lowest and (b) was ahead of the moving limb, suggesting that that information is used in a feedforward manner.     

Extending Energy Optimization in Goal-Directed Aiming from Movement Kinematics to Joint Angles

Energy optimization in goal-directed aiming has been demonstrated as an undershoot bias in primary movement endpoint locations, especially in conditions where corrections to target overshoots must be made against gravity. Two-component models of upper limb movement have not yet considered how joint angles are organized to deal with the energy constraints associated with moving the upper limb in goal-directed aiming tasks. To address this limitation, participants performed aiming movements to targets in the up and down directions with the index finger and two types of rod extensions attached to the index finger. The rod extensions were expected to invoke different energy optimizing strategies in the up and down directions by allowing the distal joints the opportunity to contribute to end effector displacement. Primary movements undershot the farthest target to a greater extent in the downward direction compared to the upward direction, showing that movement kinematics optimize energy expenditure in consideration of the effects of gravity. As rod length increased, shoulder elevation was optimized in movements to the far-up target and elbow flexion was optimally minimized in movements to the far-down target. The results suggest energy optimization in the control of joint angles independent of the force of gravity.     

Does hand dominance affect the use of motor abundance when reaching to uncertain targets?

This study investigated hemispheric differences in utilizing motor abundance to achieve flexible patterns of joint coordination when reaching to uncertain target locations. Right-handed participants reached with each arm to the same central target when its final location was certain or when there was a 66% probability that its location could change after movement initiation. Use of greater motor abundance was observed when participants reached to the central target under target location uncertainty regardless of the arm used to reach. Joint variance associated with variability of movement direction was larger when reaching with the left, non-dominant arm. This arm also exhibited higher hand path variability compared to the dominant arm. These arm differences were not found when the final (central) target location was known in advance. The results provide preliminary evidence for a greater ability of the dominant (right) arm/left hemisphere to decouple directions in joint space. That is, to increase the use of motor abundance without simultaneously inducing unwanted hand path variability requires that joint variations be restricted to a limited subspace of joint space. Hemispheric differences in motor planning did not appear to account for arm differences related to the use of motor abundance.     

Observation and physical practice: coding of simple motor sequences

An experiment was conducted to determine the coordinate system used in the development of movement codes during observation and utilized on later physical practice performance of a simple spatial-temporal movement sequence. The task was to reproduce a 1.3-s spatial-temporal pattern of elbow flexions and extensions. An intermanual transfer paradigm with a retention test and two transfer tests was used: a mirror transfer test where the same pattern of muscle activation and limb joint angles was required and a nonmirror transfer test where the visual-spatial pattern of the sequence was reinstated on the transfer test. The results indicated a strong advantage for participants in the physical practice condition when transferred to the mirror condition in which the motor coordinates (e.g., pattern of muscle activation and joint angles) were reinstated relative to transfer performance when the visual-spatial coordinates were reinstated (visual and spatial location of the target waveform). The observation group, however, demonstrated an advantage when the visual-spatial coordinates were reinstated. These results demonstrate that codes based in motor coordinates can be developed relatively quickly for simple rapid movement sequences when participants are provided physical practice, but observational practice limits the system to the development of codes based in visual-spatial coordinates. Performances of control participants, who were not permitted to practise or observe the task, were quite poor on all tests.     

Quantifying the three-dimensional joint position sense of the shoulder

Joint position sense is important for performing activities of daily living and recreational activities. The objective of this study was to develop new insights into the proprioceptive capabilities of the shoulder using a novel virtual reality paradigm where participants actively recreated shoulder positions in all three dimensions. This allows for better identification of changes in joint position sense across different shoulder postures. Ten males and ten female healthy adults matched a cursor controlled by shoulder rotations calculated from motion capture tracking, to a target shoulder position presented in a virtual environment with the use of a virtual reality headset. Four elevation angles, three plane of elevation angles, and three rotation angles were investigated, totaling thirty-six angles that encompassed the range of motion of the shoulder. Joint position sense was enhanced as the elevation angle was increased, and further enhanced when the arm was more externally rotated and elevated. As elevation angle increased to 90°, joint position sense significantly increased. There was also a significant interaction of external rotation on elevation angle. As elevation angle increased, participants were more accurate when the arm was externally, but exhibited greater variability. These improvements in joint position sense are likely produced by increased tension in muscles and capsuloligamentous mechanoreceptors within the shoulder. As many sports and activities of daily living require joint position sense to complete a task, the ability to elevate and externally rotate is important for adequate shoulder proprioception and control.     

Observation and physical practice: Coding of simple motor sequences

An experiment was conducted to determine the coordinate system used in the development of movement codes during observation and utilized on later physical practice performance of a simple spatial–temporal movement sequence. The task was to reproduce a 1.3-s spatial–temporal pattern of elbow flexions and extensions. An intermanual transfer paradigm with a retention test and two transfer tests was used: a mirror transfer test where the same pattern of muscle activation and limb joint angles was required and a nonmirror transfer test where the visual–spatial pattern of the sequence was reinstated on the transfer test. The results indicated a strong advantage for participants in the physical practice condition when transferred to the mirror condition in which the motor coordinates (e.g., pattern of muscle activation and joint angles) were reinstated relative to transfer performance when the visual–spatial coordinates were reinstated (visual and spatial location of the target waveform). The observation group, however, demonstrated an advantage when the visual–spatial coordinates were reinstated. These results demonstrate that codes based in motor coordinates can be developed relatively quickly for simple rapid movement sequences when participants are provided physical practice, but observational practice limits the system to the development of codes based in visual–spatial coordinates. Performances of control participants, who were not permitted to practise or observe the task, were quite poor on all tests.     

Concurrent verbal interference of right and left proximal and distal upper extremity tapping

The purpose of this study was to investigate crossed and uncrossed control of the proximal (upper arm and shoulder) and distal (lower arm and hand) musculature of the arms using the dual-task paradigm. Forty-one strongly right-handed men performed a tapping task using primarily the musculature of the upper or lower arms, with and without concurrent verbal processing demands. The results showed that the left distal region was distinguished from the other three effector locations by its relative insensitivity to the demands of the dual-task (verbal processing) condition. Rapid alternating movements of the left arm were functionally independent from the left index finger location in response to dual-task demands. Dual verbal and tapping demands at this effector produced greater interference on both the primary and secondary task. The results preclude the attribution of interference effects to manual dominance factors alone. The results generally support anatomical accounts of increased ipsilateral control over left side arm but not hand movements. Neither the traditional cognitive hemispheric model nor the manual dominance hypothesis were adequate in accounting for the results. An alternative generalized capacity hypothesis was required to account for performance at the LE.     

Stability of inter-joint coordination during circle drawing: effects of shoulder-joint articular properties

The present study addressed the effect of articular conformity of the shoulder joint on the stability of inter-joint coordination during circular drawing movements. Twelve right-handed participants performed clockwise and counter-clockwise circular drawing movements at nine locations in the mid-sagittal plane. The task was paced acoustically at 1.0, 1.5 and 2.0 Hz and performed without visual control. Displacements of seven infrared light emitting diodes that were fixated at relevant joints were sampled at 100 Hz by means of a 3D-motion tracking system (Optotrak 3020). From these data, shoulder, elbow and wrist angular excursions were derived as well as the continuous relative phase of the proximal and distal joint pairs of the arm. The results confirmed earlier observations that the shoulder and elbow are more strongly coupled than the elbow and wrist in sagittal-plane movements. However, a typical characteristic of the architecture of the shoulder joint, that is, its built-in mechanical "joint play", was shown to induce a position-dependent variation in inter-joint coordination stability. We conclude that besides polyarticular-muscle induced synergies and inertial coupling, articular conformity of the shoulder joint constitutes an additional determinant of inter-joint coordination stability that, to date, has been neglected.