Two-dimensional kinematic analysis was performed of the reaching movements that six subjects with Parkinson's disease and six healthy subjects produced under self-determined maximal speed and visually cued conditions. Subjects were required to reach as fast as possible to grasp a ball (i) that was fixed stationary in the centre of a designated contact zone on an inclined ramp (self-determined maximal speed condition), or (ii) that rolled rapidly from left to right down the incline and into the contact zone (visually cued condition). Parkinson's disease subjects displayed bradykinesia when performing maximal speed reaches to the stationary ball, but not when they reached for the moving ball. In response to the external driving stimulus of the moving ball, Parkinson's disease subjects showed the ability to exceed their self-determined maximal speed of reaching and still maintain a movement accuracy that was comparable to that of healthy subjects. Thus, the bradykinesia of Parkinson's disease subjects did not seem to be the result of a basic deficit in their force production capacity or to be a compensatory mechanism for poor movement accuracy. Instead, bradykinesia appeared to result from the inability of Parkinson's disease subjects to maximize their movement speed when required to internally drive their motor output. The occasional failure of Parkinson's disease subjects to successfully grasp the moving ball suggested errors of coincident anticipation and impairments in grasp performance rather than limitations in the speed or accuracy of their reaches. These results are discussed in relation to the notion that the motor circuits of the basal ganglia play an important role in the modulation of internally regulated movements.

The coordination between the trunk and arm of six subjects was examined during unrestrained pointing movements to five target locations. Two targets were within arm's length, three were beyond. The trunk participated in reaching primarily when the target could not be attained by arm and scapular motion. When the trunk did contribute to hand transport, its motion started simultaneously with arm movement and continued until target contact. Redundancy in the degrees of freedom used to execute the movement had no effect on the configuration of joints and segments used to attain a specified target; no difference in variability was noted regardless of whether redundancy existed. However, different configurations were used to achieve the same wrist coordinates along a common endpoint path, depending on the final position of the hand. The addition of trunk flexion, rotation and scapular motion did not alter the coupling between the elbow and shoulder joints and had no effect on the path of the hand or the smoothness of its velocity profile. Thus, trunk motion was integrated smoothly into the transport phase of the hand. As the trunk's contribution to hand transport increased, it played a progressively greater role in positioning the hand close to the target during the terminal stage of the reach. Of the movement components measured, trunk flexion was the last component to complete its motion when target reaches were made beyond arm's length. Hence, the trunk not only acts as a postural stabilizer during reaching, but becomes an integral component in positioning the hand close to the target.

Training that restricted compensatory truncal motion during TRT improved the precision of reaching more than during RE. Truncal restraint during rehabilitation of reaching may be an effective therapeutic strategy in patients with moderately severe hemiparetic stroke, especially when combined with TRT.

Walking while carrying a hand-held object requires the generation of appropriate grip forces to offset the inertial forces produced during locomotion. The present study examined the interaction between grip forces and locomotion-induced inertial forces across the gait cycle. Eight subjects transported a container under three conditions: self-paced transport with and without accuracy constraints and a velocity-constrained condition. The results showed that the trunk and transported container moved in a synchronized, sinusoidal pattern during all conditions. Grip and inertial forces of the transporting hand were highly coupled in an anticipatory fashion, regardless of task demands. The inertial forces were higher and the coupling was greater in the faster, unconstrained condition. However, grip force modulation was observed even when the inertial forces acting on the container were small and applied indirectly to the container through the locomotor effects originating in the legs and trunk. We suggest that continuous grip force adjustment is used as a generalized strategy to maximize efficiency during object transport regardless of the size or origin of the inertial forces.

No abstract

The aim of the present study was to investigate the relationship between the focal and postural components of a functional movement during the preparatory phase of a task. The contribution of the arms, trunk, and legs were varied by having subjects reach for two targets within and two beyond arm's length. In addition, the degree of postural stability was manipulated by varying the size of the base of support (BoS). Nine subjects reached and grasped a dowel placed at four locations while standing on a force plate with their feet in a parallel or step stance (right foot forward) under simple reaction-time (RT) conditions. Anticipatory postural adjustments (APAs) occurring prior to arm movement and RTs were analyzed. APAs varied depending on the demands of the task. For movements within arm's length, subjects selected different strategies to initiate the movement. However, for movements beyond arm's length, all subjects used the same strategy: the center of pressure (CoP) was shifted posteriorly, which resulted in the center of mass (CoM) moving towards the target. Target distance and BoS had no effect on the onset of APAs. In contrast, amplitude and duration of APAs increased linearly with target distance, and amplitude was always greater during the more posturally stable BoS configuration. Although wrist RT increased linearly with movement amplitude for both stance configurations, the rate of change was less under the more stable BoS. These results suggest that, during the performance of a functional task, dynamic changes that occur in the trunk and lower extremities prior to initiation of arm movement serve not only to stabilize the body, but are also used to initiate and assist whole-body reaching.

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.

Gysin P, Kaminsk TR, Hass CJ, Grobet CE, Gordon AM. Effects of gait variations on grip force coordination during object transport.