The physiology of motor delusions in anosognosia for hemiplegia: Implications for current models of motor awareness

Right brain damaged patients sometimes deny that their left arm is paralysed or even claim to have just moved it. This condition is known as anosognosia for hemiplegia (AHP). Here, we used fMRI to study patients with and without AHP during the execution of a motor task. We found that the delusional belief of having moved was preceded by brain activation of the cortical regions that are implicated in motor control in the left intact hemisphere and in the spared motor regions of the right hemisphere; patients without anosognosia did not present with the same degree of activation. We conclude that the false belief of movement is associated with a combination of strategically placed brain lesions and the preceding residual neural activity of the fronto-parietal motor network. These findings provide evidence that the activity of motor cortices contributes to our beliefs about the state of our motor system.     

Contribution of cognitive factors to the prediction of post-traumatic stress disorder, phobia and depression after motor vehicle accidents

Past research into the psychological consequences of traumatic events has largely focused on post-traumatic stress disorder (PTSD), although other anxiety disorders and depression are also common in the aftermath of trauma. Little is known about differential predictors of these conditions. The present study investigated the extent to which theoretically derived cognitive variables predict PTSD, phobias and depression after motor vehicle accidents. The cognitive predictors were compared to a set of established, mainly non-cognitive predictors. In addition, we tested how disorder-specific the cognitive predictors are. Participants (n=101) were interviewed within a year after having been injured in a motor vehicle accident. Diagnoses of PTSD, travel phobias and depression, symptom severities and predictor variables were assessed with self-report questionnaires and structured interviews. In multiple regression analyses, the sets of cognitive variables derived from disorder-specific models explained significantly greater proportions of the variance of the symptom severities than the established predictors (PTSD 76% vs. 45%, depression 72% vs. 46% and phobia 66% vs. 40%), and than cognitive variables derived from the models of the other disorders. In addition, the majority of individual cognitive variables showed the expected pattern of differences between diagnostic groups. The results support the hypothesis that disorder-specific sets of cognitive factors contribute to the development and maintenance of PTSD, phobias and depression following traumatic events.     

Bimanual coordination and interhemispheric interaction

Bimanual coordination of skilled finger movements requires intense functional coupling of the motor areas of both cerebral hemispheres. This coupling can be measured non-invasively in humans with task-related coherence analysis of multi-channel surface electroencephalography. Since bimanual coordination is a high-level capability that virtually always requires training, this review is focused on changes of interhemispheric coupling associated with different stages of bimanual learning. Evidence is provided that the interaction between hemispheres is of particular importance in the early phase of command integration during acquisition of a novel bimanual task. It is proposed that the dynamic changes in interhemispheric interaction reflect the establishment of efficient bimanual ‘motor routines'. The effects of callosal damage on bimanual coordination and learning are reviewed as well as functional imaging studies related to bimanual movement. There is evidence for an extended cortical network involved in bimanual motor activities which comprises the bilateral primary sensorimotor cortex (SM1), supplementary motor area, cingulate motor area, dorsal premotor cortex and posterior parietal cortex. Current concepts about the functions of these structures in bimanual motor behavior are reviewed.     

Ageing effects on the attention demands of walking

Attention demands of walking were determined in six male and six female young adults (mean 26.3 yr) and 12 gender-matched healthy, active older adults (mean 71.1 yr) using a dual task procedure with a reaction time (RT) secondary task. In three conditions an auditory stimulus, a visual stimulus and both stimuli (auditory/visual) were presented. Relative to no-walking baselines, increased RT was found in all conditions revealing an attentional cost of normal walking. When participants traversed the laboratory walkway and also positioned one of their feet within a target area on the ground, attention demands were greater than in unconstrained walking. In the targeting task, RTs to the visual stimulus were longer than for the auditory stimulus due to the interference associated with viewing both the stimulus monitor and the foot-target. Older participants' RTs in the visual and auditory/visual conditions, but not in the auditory condition, were significantly longer than for the young group in both walking tasks but RTs for young and older adults were not different in no-walking baseline trials. Inspection of mean RT functions at time intervals following gait initiation (0-3000 ms from the first step) suggested a fluctuating attentional cost of walking with increased demands associated with contingencies requiring step length regulation. The findings have applied significance in demonstrating the possibility of increased falls and pedestrian accident risk in older individuals in dual task situations such as road crossing.     

Differences in postural control and movement performance during goal directed reaching in children with developmental coordination disorder

Poor upper-limb coordination is a common difficulty for children with developmental coordination disorder (DCD). One hypothesis is that deviant muscle timing in proximal muscle groups results in poor postural and movement control. The relationship between muscle timing, arm motion and children's upper-limb coordination deficits has not previously been studied. The aim of this study was to investigate the relationship between functional difficulties with upper-limb motor skills and neuromuscular components of postural stability and coordination. Sixty-four children aged 8-10 years, 32 with DCD and 32 without DCD, participated in the study. The study investigated timing of muscle activity and resultant arm movement during a rapid, voluntary, goal-directed arm movement. Results showed that compared to children without DCD, children with DCD took significantly longer to respond to visual signals and longer to complete the goal-directed movement. Children with DCD also demonstrated altered activity in postural muscles. In particular, shoulder muscles, except for serratus anterior, and posterior trunk muscles demonstrated early activation. Further, anterior trunk muscles demonstrated delayed activation. In children with DCD, anticipatory function was not present in three of the four anterior trunk muscles. These differences support the hypothesis that in children with DCD, altered postural muscle activity may contribute to poor proximal stability and consequently poor arm movement control when performing goal-directed movement. These results have educational and functional implications for children at school and during activities of daily living and leisure activities and for clinicians assessing and treating children with DCD.     

Promoting perspective coordination by dilemma discussion. The effectiveness of classroom group discussion on interpersonal negotiation strategies of 12-year-old students

Promoting social competence and social cognition is an important aim of education and socialization. According to theories of social cognitive and moral development, social cognition may be promoted by adolescent peer interaction. In this study, social cognition is theoretically conceptualized by the interpersonal negotiation strategies model of Selman which distinguishes levels of perspective coordination and steps of information processing (identification of a problem, generating negotiation strategies, selection of a strategy, evaluation). In a pre-post control group design this study investigated whether dilemma discussions among peers lead to higher individual levels of perspective coordination compared to an individualistic condition. Members of the discussion-condition exhibited higher gain scores in perspective coordination compared to the control group regarding the information processing steps generating strategies and strategy selection. In order to analyze verbal interaction in the discussion groups, an integrative coding schedule was developed. In addition, trait-like argumentative motives of the participants were assessed. The results of multilevel analyses suggest that progress in posttest-perspective coordination is mediated by the groups consensual solution of the dilemma as well as by an explanation-oriented discussion style, but only if the latter is accompanied by a trait-like subject- and consensus-oriented argumentative motive. Theoretical and practical conclusions are drawn.     

The relationship between reduplicated babble onset and laterality biases in infant rhythmic arm movements

This study examined changes in rhythmic arm shaking and laterality biases in infants observed longitudinally at three points: just prior to, at, and just following reduplicated babble onset. Infants (ranging in age from 4 to 9 months at babble onset) were videotaped at home as they played with two visually identical audible and silent rattles presented at midline for 1.5 min each. Rate of rattle shaking increased sharply from the pre-babble to the babble onset session; but there was no indication that this increase was specific to the right arm. This finding suggests that the link between babble onset and increased rhythmic arm activity may not be the product of language-specific mechanisms, but is rather part of a broader developmental process that is also perceptual and motor.     

Identification of sensorimotor components accounting for individual variability in Zahlen–Verbindungs-Test (ZVT) performance

The Zahlen–Verbindungs-Test (ZVT) represents a highly feasible measure of information-processing speed that correlates quite highly with standard psychometric tests of intelligence. The present study was designed to identify specific stages of the sensorimotor processing system that may account for individual differences in overall variability of ZVT performance. For this purpose, ZVT, reaction time (RT), lateralized readiness potential (LRP), and electromyogram (EMG) measures were obtained in 48 female participants. While faster RT, smaller intraindividual variability in RT, shorter response-locked LRP and EMG latencies were associated with superior ZVT performance, speed of stimulus analysis, as reflected by stimulus-locked LRP latency, was unrelated to ZVT performance. Additional commonality analyses suggested a functional relationship between ZVT performance and the time course of central aspects of response organization rather than the time required for execution of the overt motor response. These findings provide converging evidence for the general notion of an association between speed of motor processing and intelligence.     

Movement adaptations in 7- to 10-year-old typically developing children: evidence for a transition in feedback-based motor control

We used a modified double-step pointing task to study movement adaptations in 7- to 10-year-old typically developing children. We found that the majority (63%) were able to optimally adapt fast, goal-directed visually-guided movements to a late change in target location meeting the requirements of speed and accuracy. A minority (35%) failed to meet the requirement of accuracy resulting in a less optimal adaptation. The results showed that the ability to adapt movements optimally develops before the age of 7 years in typically developing children. Literature proposes a transition in development of motor control around the age of 8 years. The present results replicate and extend this by suggesting that this transition affects the later phases of fast, goal-directed visually-guided movements rather than the early phases, such as movement programming and acceleration. Finally, the results indicate that the optimally adapted movements were the result of a specific strategy in which a specific component of movement execution was slowed on all trials. This suggests that 7- to 10-year-old typically developing children have developed implicit knowledge about which movement components are the most efficient to adapt.     

Visuomotor contribution to force variability in the plantarflexor and dorsiflexor muscles

The visual correction employed during isometric contractions of large proximal muscles contributes variability to the descending command and alters fluctuations in muscle force. This study explored the contribution of visuomotor correction to isometric force fluctuations for the more distal dorsiflexor (DF) and plantarflexor (PF) muscles of the ankle. Twenty-one healthy adults performed steady isometric contractions with the DF and PF muscles both with (VIS) and without (NOVIS) visual feedback of the force. The target forces exerted ranged from 2.5% to 80% MVC. The standard deviation (SD) and coefficient of variation (CV) of force was measured from the detrended (drift removed) VIS and NOVIS steadiness trials. Removal of VIS reduced the CV of force by 19% overall. The reduction in fluctuations without VIS was significant across a large range of target forces and was more consistent for the PF than the DF muscles. Thus, visuomotor correction contributes to the variability of force during isometric contractions of the ankle dorsiflexors and plantarflexors.