Individual differences in the biomechanical effect of loudness and tempo on upper-limb movements during repetitive piano keystrokes

The present study addressed the effect of loudness and tempo on kinematics and muscular activities of the upper extremity during repetitive piano keystrokes. Eighteen pianists with professional music education struck two keys simultaneously and repetitively with a combination of four loudness levels and four tempi. The results demonstrated a significant interaction effect of loudness and tempo on peak angular velocity for the shoulder, elbow, wrist and finger joints, mean muscular activity for the corresponding flexors and extensors, and their co-activation level. The interaction effect indicated greater increases with tempo when eliciting louder tones for all joints and muscles except for the elbow velocity showing a greater decrease with tempo. Multiple-regression analysis and K-means clustering further revealed that 18 pianists were categorized into three clusters with different interaction effects on joint kinematics. These clusters were characterized by either an elbow-velocity decrease and a finger-velocity increase, a finger-velocity decrease with increases in shoulder and wrist velocities, or a large elbow-velocity decrease with a shoulder-velocity increase when increasing both loudness and tempo. Furthermore, the muscular load considerably differed across the clusters. These findings provide information to determine muscles with the greatest potential risk of playing-related disorders based on movement characteristics of individual pianists.     

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.     

Movement Variability Increases With Shoulder Pain When Compensatory Strategies of the Upper Body Are Constrained

This cross-sectional study analyzed the influence of chronic shoulder pain (CSP) on movement variability/kinematics during humeral elevation, with the trunk and elbow motions constrained to avoid compensatory strategies. For this purpose, 37 volunteers with CSP as the injured group (IG) and 58 participants with asymptomatic shoulders as the control group (CG) participated in the study. Maximum humeral elevation (Emax), maximum angular velocity (Velmax), variability of the maximum angle (CVEmax), functional variability (Func_var), and approximate entropy (ApEn) were calculated from the kinematic data. Patients' pain was measured on the visual analogue scale (VAS). Compared with the CG, the IG presented lower Emax and Velmax and higher variability (i.e., CVEmax, Func_var, and ApEn). Moderate correlations were achieved for the VAS score and the kinematic variables Emax, Velmax and variability of curve analysis, Func_varm, and ApEn. No significant correlation was found for CVEmax. In conclusion, CSP results in a decrease of angle and velocity and an increased shoulder movement variability when the neuromuscular system cannot use compensatory strategies to avoid painful positions.     

Three-dimensional kinematics of upper limb anatomical movements in asymptomatic adults: Dominant vs. non-dominant

The effect of dominance on upper limb (UL) kinematics has only been studied on scapular movements. Moreover, when an anatomical UL movement is performed in a specific plane, secondary movements in the remaining planes involuntarily occur. These secondary movements have not been previously evaluated. The aim of this study was to compare the kinematics of primary and secondary angles of dominant and non-dominant UL during anatomical movements in asymptomatic adults.25 asymptomatic adults performed 6 anatomical movements bilaterally: shoulder flexion-extension, abduction-adduction, horizontal abduction-adduction, internal-external rotation, elbow flexion-extension and wrist pronation-supination. Kinematics of the dominant and non-dominant UL were compared by their ranges of motion (ROM) and their angular waveforms (Coefficient of Multiple Correlations, CMC).The comparison between dominant and non-dominant UL kinematics showed different strategies of movement, most notably during elbow flexion-extension (CMC = 0.29): the dominant UL exhibited more pronation at maximal elbow flexion. Significant secondary angles were found on most of the UL anatomical movements; e.g. a secondary ROM of shoulder (humero-thoracic) external-internal rotation (69° ± 16°) was found when the subject intended to perform maximal shoulder abduction-adduction (119° ± 21°).Bias of dominance should be considered when comparing pathological limb to the controlateral one. Normative values of primary and secondary angles during anatomical movements could be used as a reference for future studies on UL of subjects with neurological or orthopedic pathologies.     

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.     

Are synergies continuously present in cyclical movements? An example with the basketball dribble task

In human movement, synergies occur when two or more variables co-vary to stabilize a performance goal. The concept of motor redundancy is associated with the existence of several strategies to complete the same task, which enables a movement system to adapt to an ever-changing environment. This feature provides the system with the ability of being flexible enough to produce adaptive movements, but also stable enough to produce acceptable outputs which is a key issue in motor performance. In a kinetic chain of movement, two proximal joints might reciprocally compensate to stabilize an end-effector (i.e., the most distal segment in the limb that interacts with the environment). End-effector variables are ‘controlled’, and directly linked to performance, whereas the task relevant elements are allowed by the system to have high variability, providing adaptability. In basketball dribbling, we hypothesized that shoulder and elbow variability contributes to stabilize the dribble height as an end-effector performance variable. A specific computational procedure based on the UCM (i.e., Uncontrolled Manifold) notion was used to capture synergies in two groups according to the experience level: amateurs and professionals. Results identified synergy presence during the basketball dribbling, which only occurred when the wrist reached its peak height. The control of the wrist peak height is achieved due to a reciprocal compensation between shoulder and elbow which stabilizes the dribbling height.     

Effects of concurrent physical and cognitive demands on arm movement kinematics in a repetitive upper-extremity precision task

The effect of concurrent physical and cognitive demands on arm motor control is poorly understood. This exploratory study compared movement kinematics in a repetitive high-precision pipetting task with and without additional concurrent cognitive demands in the form of instructions necessary to locate the correct target tube. Thirty-five healthy female subjects performed a standardized pipetting task, transferring liquid repeatedly from one pick-up tube to different target tubes. In the reference condition, lights indicated the target tube in each movement cycle, while the target tube had to be deciphered from a row and column number on a computer screen in the condition with additional cognitive demands. Kinematics of the dominant arm was assessed using the central tendency and variability of the pipette-tip end-point trajectory and joint kinematics properties of the shoulder and elbow. Movements slowed down (lower velocities and higher area under the movement curves) and trajectory variability increased in the condition with additional cognitive demands, but there were no changes in the kinematics properties such as joint range of motion, times of acceleration and deceleration (as indicated by the time to peak velocity), average angles, or phase relationships between angle and angular velocity of shoulder or elbow movements between the two conditions. Further, there were also no differences in the size or structure of variability of the shoulder and elbow joint angles, suggesting that subjects could maintain the motor repertoire unaltered in the presence of these specific additional cognitive demands. Further studies should address motor control at other levels of concurrent cognitive demands, and with motor tasks that are less automated than the pipetting task used in the present study, so as to gain an increased understanding of the effect of concurrent cognitive demands for other activities of relevance to daily life.     

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.     

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.     

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.     

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.     

Control of Three- and Four-Joint Arm Movement: Strategies for a Manipulator With Redundant Degrees of Freedom

Control of arm movements when the number of joints exceeds the degrees of freedom necessary for the task requires a strategy for selecting specific arm configurations out of an infinite number of possibilities. This report reviews strategies used by human subjects to control the shoulder, elbow, and wrist (three degrees of freedom) while moving a pointer to positions in a horizontal plane (two degrees of freedom). Analysis of final arm configurations assumed when the pointer was at the target showed the following: (a) Final arm configurations were virtually independent of the configuration at the start of the pointing movement, (b) subjects avoided configurations subjectively felt to be uncomfortable (e.g., those with extreme flexion or extension of the wrist), and (c) the results could be simulated by assigning hypothetical cost functions to each joint and selecting the arm configuration that minimized the sum of the costs. The fitted cost functions qualitatively agreed with psychophysically determined comfort; they appeared to depend on joint angle and on muscular effort. Simple neural networks can learn implicit representations of these cost functions and use them to specify final arm configurations. The minimum cost principle can be extended to movements that use the fingers as a fourth movable segment. For this condition, however, experiments showed that final configurations of the arm depended upon initial configurations. Analysis of movement trajectories for arms with three degrees of freedom led to a control model in which the minimum cost principle is augmented by a mechanism that distributes required joint movements economically among the three joints and a mechanism that implements a degree of mass-spring control.     

Influences of elbow,shoulder, trunk motion and temporospatial parameters on arm swing asymmetry of Parkinson's disease during walking

Arm swing asymmetry is commonly observed in early Parkinson's disease (PD) and has been found to be useful for early diagnosis. However, there are uncertainties about the nature of its relationships with gait parameters, especially shoulder and elbow motions. Therefore, this study explored how these relationships are different between PD and controls. Forty one early PD and 23 controls were included. Participants walked at self-selected speed for 3D motion analysis. Arm swing at the wrist (AS), temporospatial parameters and kinematics in elbow, shoulder and trunk were obtained. Amplitudes and asymmetries of these variables were compared between PD and control groups. PD group showed increased AS asymmetry, compared to controls. Multiple hierarchical regression analysis on AS asymmetry was conducted in order to investigate how PD influences on the relationship between AS asymmetry and other variables. In pooled data (PD and control group), asymmetries in elbow and shoulder range of motion (RoM) were significant predictors for AS asymmetry but walking speed and asymmetries in temporospatial parameters were not significant. Group effect (PD effect) was significantly mediated by only elbow RoM asymmetry. Interaction between group and elbow RoM asymmetry was statistically significant, indicating that group was an effect modifier for elbow RoM asymmetry effect on AS asymmetry. Conclusively, arm swing asymmetry measured at the wrist represents the involvement of PD effect on the unilateral and distal upper limb in early stage. These findings are helpful for future researches related to clinical applications and mechanisms of arm swing asymmetry in PD.     

Multi-body dynamic coupling mechanism for generating throwing arm velocity during baseball pitching

The purpose of this study was to identify the detailed mechanism how the maximum throwing arm endpoint velocity is determined by the muscular torques and non-muscular interactive torques from the perspective of the dynamic coupling among the trunk, thorax and throwing and non-throwing arm segments. The pitching movements of ten male collegiate baseball pitchers were measured by a three-dimensional motion capture system. Using the induced-segmental velocity analysis (IVA) developed in this study, the maximum fingertip velocity of the throwing arm (MFV) was decomposed into each contribution of the muscular torques, passive motion-dependent torques due to gyroscopic moment, Coriolis force and centrifugal force, and other interactive torque components. The results showed that MFV (31.6 ± 1.7 m/s) was mainly attributed to two different mechanisms. The first is the passive motion-dependent effect on increasing the angular velocities of three joints (thorax rotation, elbow extension and wrist flexion). The second is the muscular torque effect of the shoulder internal rotation (IR) torque on generating IR angular velocity. In particular, the centrifugal force-induced elbow extension motion, which was the greatest contributor among individual joint contributions, was caused primarily by the angular velocity-dependent forces associated with the humerus, thorax, and trunk rotations. Our study also found that a compensatory mechanism was achieved by the negative and positive contributions of the muscular torque components. The current IVA is helpful to understand how the rapid throwing arm movement is determined by the dynamic coupling mechanism.     

Joint control strategies and hand trajectories in multijoint pointing movements

The role of timing in the control of multijoint pointing movements was evaluated. Eight subjects performed rapid pointing movements to a variety of target locations. The subject's right arm was strapped to a 2 degrees of freedom manupilandum that permitted shoulder and elbow motion in the horizontal plane. Initial and final position of the hand and magnitude of displacement was varied to determine effects on timing characteristics. Kinematics and kinetics of the shoulder, elbow, and hand were analyzed. The hand paths and velocity profiles observed were consistent with prior reports. Multiple regression analysis of kinematic variables disclosed that timing of joint movement onset was independent of initial and final positions of the hand, but was linearly related to joint displacement: the joint that moved farther started moving first. Using computer simulations to create joint movement onset, times that were different from the observed ones always resulted in hand paths with increased curvatures and loss of the smooth velocity profiles. Secondly, a very stable, linear relationship was observed between peak velocity and displacement at both the elbow and shoulder joints. This relationship was not affected by variations in movement space. We suggest that space-time transformation based on difference in joint displacement is used to regulated timing of joint movement onset. The simulations indicate that this transformation is set to produce smooth velocity profiles. The relationships between timing of movement onset and displacement and between peak velocity and displacement complement each other: by maintaining a linear relationship between velocity and displacement, a linear space time transformation can be used to control timing. Furthermore, these relationships are probably used to simplify coordination between the moving 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.     

Activity of wrist muscles elicited during imposed or voluntary movements about the elbow joint

To examine the coordination of muscles during multijoint movement, we compared the response of wrist muscles to perturbations about the elbow joint with their activation during a volitional elbow movement. The purpose was to test the following two predictions: (a) Responses can occur in muscles not stretched by the perturbation, as has been reported for other multijoint systems; and (b) the motor pattern in response to a perturbation mimics an opposing volitional motor pattern across the two joints. We recorded the electromyographic (EMG) activity of elbow and wrist muscles as well as the flexion/extension motions at the elbow and wrist joints during individual trials that either involved a response to a torque perturbation that extended the elbow or required volitional elbow flexion. The results of this study confirmed that responses were elicited in the nonstretched wrist muscles when the elbow joint was perturbed. The same motor sequence of elbow and wrist flexors was present for both the volitional and perturbation task (with the forearm supinated), regardless of whether the wrist joint was immobilized or freely moving. The findings suggest that the nervous system relies on the purposeful coupling of elbow and wrist flexors to counter the inertial effects during the unrestricted voluntary movement, even though the coupling does not appear to be purposeful during the perturbation or with the wrist immobilized. The coupling of elbow and wrist flexors, however, was not rigidly fixed, as evidenced by muscle onsets that adapted over repeated perturbation trials and a reversal of the wrist muscle activated (wrist extensor) when the forearm was pronated. Hence, the coupling of muscle activities can be modified quantitatively when not beneficial and can be altered qualitatively with different initial configurations of the arm.     

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.     

The component awareness and accuracy of dual- and single-jointed actions

The accuracy with which people execute wrist and elbow movements were measured using three main conditions: (i) single-jointed (wrist or elbow) movements to targets, (ii) dual-jointed (wrist and elbow) movements to targets, and (iii) components of dual-jointed movements to targets, when the task for the subject was to perform the elbow or wrist constituent of the action in isolation, without displacing the second joint. Elbow precision was significantly worse under component than dual conditions, which is compatible with the notion that wrist and elbow activity are conjugately, rather than independently, programmed when a dual-jointed action is performed. The pattern of wrist accuracy was divergent, but possible reasons for this were discussed. In all cases, error was measured in terms of deviation from perfect posture; using this index, the hypothesis that incorporating more moving joints into an action serves to increase movement complexity and jeopardise precision was tested, but the results were ambiguous. Discussion also centered on the problems of using performance data to infer changes in motor programming, and the need for rigorous conceptualisation and research in this area.