Evaluation of a finger prompt variation in the treatment of pediatric feeding disorders

Children with feeding disorders often engage in refusal behavior to escape or avoid eating. Escape extinction combined with reinforcement is a well-established intervention to treat food refusal. Physical guidance procedures (e.g., jaw prompt, finger prompt) have been shown to increase food acceptance and decrease inappropriate mealtime behavior when more commonly employed escape extinction (e.g., nonremoval of the spoon) procedures are ineffective. The finger prompt, however, has not been extensively evaluated as a treatment adjunct to target food refusal, thus necessitating further examination. The purpose of this prospective study was to assess a variation of a finger prompt procedure to treat food refusal and to assess caregivers' acceptability of the procedure. Three children age 1 to 4 years admitted to an intensive feeding disorders program and their caregivers participated. The finger prompt was effective in increasing bite acceptance across all participants and decreasing or maintaining low levels of inappropriate behavior for 2 participants. The procedure was also acceptable to all caregivers.     

Developmental trajectory in the relationship between calculation skill and finger dexterity: A longitudinal study

A 2‐year longitudinal study of 33 children aged 4–6 years was conducted to clarify the developmental relationship between calculation skill and finger dexterity, as well as the selectivity of the predictive power of finger dexterity on later calculation skill. We examined individual developmental change in the relationship between addition performance and finger dexterity and observed whether children fit a linear developmental pattern. Multiple regression analysis showed that participants' performance on addition tests was strongly predicted by their finger dexterity. However, their performance on vocabulary tests was not strongly influenced by finger dexterity. These findings suggest that calculation skill in children aged 4–6 years is strongly related to finger dexterity.     

Frequency of finger looking during finger counting is related to children's working memory capacities

Finger counting can be useful in solving arithmetic problems, noticeably because it reduces the working memory demand of mental calculations. However, proprioceptive information might not be sufficient to keep track of the number of fingers raised during problem solving, and visual input may play an important role in this process. The present study was designed to address this question and shows that 8-year-old children look at their fingers in 60% of the trials during finger counting when solving additive problems. Moreover, our results reveal that the frequency of finger looking is negatively correlated with working memory capacities and is higher for more difficult problems. These findings suggest that finger looking is recruited in managing the cognitive demand of the arithmetic task, probably by providing additional external cues to monitor the number of steps that have to be incremented during finger counting.     

Impact of Tactile Sensation on Dexterity: A Cross-Sectional Study of Patients With Impaired Hand Function After Stroke

The authors sought to explore the impact of tactile sensation on manual dexterity and the validity of the strength-dexterity test in subjects with chronic impairments after stroke in a cross-sectional study of 24 patients with impaired hand function after stroke. Dexterity was assessed by the strength-dexterity test, Box and Blocks, and Nine-Hole Peg Test, and the ABILHAND questionnaire. Sensation was measured by pinprick, cotton-wool, graphesthesia, and 2-point discrimination tests. Sensation in the paretic hand had strong association with paretic hand performance in the strength-dexterity test and Nine-Hole Peg Test and explained 13% of the variance. Sensation in the nonparetic hand was associated with the results of the ABILHAND questionnaire. Among sensory tests, 2-point discrimination had the strongest association with dexterity tests. No significant correlations between sensation, pinch force, and dexterity tests were found for the nonparetic hand. The strength-dexterity test exhibited strong correlations with the other dexterity measures and with pinch force. There is an association between tactile sensation and dexterous performance in the paretic hand; activity level performance is associated with sensation in the nonparetic hand. The study supports the validity of the strength-dexterity test when applied in subjects in the chronic stage after stroke.     

Multivariate Relationships Between Motor and Personality Measures in Culturally Deprived High School Pupils

The relationship between personality, as measured by the IPAT-HSPQ, and certain motor performance variables was studied by utilizing the multivariate technique of canonical correlation. Ss for the study were 91 culturally deprived high school students who were achieving well below their expected capacity. A significant canonical relationship was not found between the domains of personality and motor performance. Also, no significant relationships between motor sub-domains and personality were found. It was thus concluded that for the population under study, the domains of motor performance and personality were independent Some discussion of the multivariate technique of canonical correlation was offered and compared with univariate procedures.     

Bilateral Transfer as a Function of Mental Imagery

Three experiments are reported which investigate the role of mental imagery in the bilateral transfer from right to left hand of rotary pursuit skill. In Experiment 1 both mental imagery and physical rehearsal showed significant positive transfer relative to a control condition. However, work decrement may have accumulated and transferred in the physical rehearsal group thereby depressing this group’s left-hand performance. Experiment 2 was conducted under conditions designed to allow work decrement to dissipate prior to transfer to the contralateral limb. The data still showed no difference between physical re-hearsal and mental imagery. One interpretation of these data is that work decrement was present under both the physical rehearsal and mental imagery manipulations in Experiment 1. The data from Experiment 3 confirmed this interpretation as well as replicated the positive transfer effects found for mental imagery in Experiments 1 and 2. The data are discussed in terms of central versus peripheral explanatory mechanisms.     

Shift of manual preference in right-handers following unimanual practice

The effect of unimanual practice of the non-preferred hand on manual asymmetry and manual preference for sequential finger movements was evaluated in right-handers before, immediately after, and 30 days following practice. The results demonstrate that unimanual practice induced a persistent shift of manual preference for the experimental task in most participants, but no significant correlation between manual asymmetry and manual preference was detected. These findings are explained by proposing that manual preference is influenced by a task-specific confidence developed from the recent history of differential use of the limbs, in interaction with a generalized confidence on a single hand for performance of motor skills.     

Phases of procedural learning and memory: characterisation with perceptual-motor sequence tasks

ABSTRACT

Procedural learning and memory has been conceptualised as consisting of cognitive and autonomous phases. Although the Serial Reaction Time Task (SRTT) is a popular task used to study procedural memory (PM), it has not been used to explore the different phases of PM. The present study employed a modified SRTT and investigated whether it can distinguish phases of PM. Our results revealed that performance at the beginning of typing a repeating sequence was marked by a steep learning curve, followed by gradual improvements and ending in high performance levels without further improvement. Steep performance increases characterise the effortful learning of the cognitive phase, gradual increases at higher performances characterise emerging automatisation of the associative phase, and sustained highest performance characterises autonomous procedures when PM has formed. Our study presents an easy-to-use measure, capable of distinguishing phases of PM, and which can be useful to assess PM during brain development.     

Age-Associated Differences in Positional Variability Are Greater With the Lower Limb

The authors’ purpose was to determine the interaction of age and limb used on positional variability at different loads. Eleven young adults and 10 older adults were asked to accurately match and maintain a horizontal target line with 5° abduction of their index finger and 5° dorsiflexion of their ankle for 20 s at loads ranging from 2 to 50% of the maximal load that could be lifted with each limb. The visual gain was kept constant at 1° (visual angle). Positional variability was greater in older adults for both limbs, nonetheless age-associated differences were greater for the ankle dorsiflexion task compared with the abduction of the index finger task. In addition, we found that, independent of age, motor output variability was greater with the lower limb. These results provide novel evidence that older adults may exhibit greater impairments in motor control with the foot compared with the finger. Furthermore, these findings support the idea, using a different task than previous literature, that the lower limb has greater motor output variability than the upper limb.     

Sequential and Biomechanical Factors Constrain Timing and Motion in Tapping

The authors examined how timing accuracy in tapping sequences is influenced by sequential effects of preceding finger movements and biomechanical interdependencies among fingers. Skilled pianists tapped sequences at 3 rates; in each sequence, a finger whose motion was more or less independent of other fingers' motion was preceded by a finger to which it was more or less coupled. Less independent fingers and those preceded by a more coupled finger showed large timing errors and change in motion because of the preceding finger's motion. Motion change correlated with shorter intertap intervals and increased with rate. Thus, timing of sequence elements is not independent of the motion trajectories that individuals use to produce them. Neither motion nor its relation to timing is invariant across rates.