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Lip and Tongue Function in Multiple Sclerosis: A Physiological Analysis

Bruce E. Murdoch, Tracey J. Spencer, Deborah G. Theodoros, and Elizabeth C. Thompson

A physiological analysis of the articulatory function of 16 adults with multiple sclerosis (MS) was performed using lip and tongue transduction systems. Sixteen nonneurologically impaired adults, matched for age, gender, and education, served as controls. The MS speakers demonstrated patterns of tongue function that were significantly different from those of the control speakers. Specifically, the MS speakers had significantly reduced tongue strength, endurance, and rate of repetitive movements. In addition, preclinical signs of lingual dysfunction were evident in nondysarthric MS speakers on endurance and rate tasks when compared to control subjects. These physiological findings could account for the perceptual findings of impaired articulation and reduced intelligibility. No lip dysfunction was revealed through either the physiological or the perceptual assessments.

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Reconstruction of the Unknown Optimization Cost Functions from Experimental Recordings During Static Multi-Finger Prehension

Xun Niu, Alexander V. Terekhov, Mark L. Latash, and Vladimir M. Zatsiorsky

The goal of the research is to reconstruct the unknown cost (objective) function(s) presumably used by the neural controller for sharing the total force among individual fingers in multifinger prehension. The cost function was determined from experimental data by applying the recently developed Analytical Inverse Optimization (ANIO) method (Terekhov et al. 2010). The core of the ANIO method is the Theorem of Uniqueness that specifies conditions for unique (with some restrictions) estimation of the objective functions. In the experiment, subjects (n = 8) grasped an instrumented handle and maintained it at rest in the air with various external torques, loads, and target grasping forces applied to the object. The experimental data recorded from 80 trials showed a tendency to lie on a 2-dimensional hyperplane in the 4-dimensional finger-force space. Because the constraints in each trial were different, such a propensity is a manifestation of a neural mechanism (not the task mechanics). In agreement with the Lagrange principle for the inverse optimization, the plane of experimental observations was close to the plane resulting from the direct optimization. The latter plane was determined using the ANIO method. The unknown cost function was reconstructed successfully for each performer, as well as for the group data. The cost functions were found to be quadratic with nonzero linear terms. The cost functions obtained with the ANIO method yielded more accurate results than other optimization methods. The ANIO method has an evident potential for addressing the problem of optimization in motor control.

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Effect of Oral Levodopa Treatment on Articulatory Function in Parkinson's Disease: Preliminary Results

Louise M. Cahill, Bruce E. Murdoch, Deborah G. Theodoros, Edward J. Triggs, Bruce G. Charles, and Amy A. Yao

To quantify lip function in 16 subjects with Parkinson's disease, a computerized semiconductor lip pressure transducer system was used prior to subjects being administered oral levodopa and at approximately 0.5 hr, 1.5 hr, and 3.0 hr postmedication. Two blood samples were taken from each subject at varying times during the levodopa dosage interval, and the exact time and dosage of levodopa were noted. Lip function measurements were expressed as percentage changes from baseline and were plotted for each subject against time and levodopa concentrations to determine the effects of levodopa therapy on articulatory function. The results supported the effectiveness of levodopa therapy in improving lip function. In particular, lip pressures recorded during both speech and nonspeech tasks tended to improve after levodopa administration, the lip measures improving somewhat in parallel with the rise and fall of blood plasma levodopa concentrations. Evidence of a hysteresis effect was noted.

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The Effect of Vestibular Stimulation on Motor Functions of Children With Cerebral Palsy

Marco Tramontano, Alessandra Medici, Marco Iosa, Alessia Chiariotti, Giulia Fusillo, Leonardo Manzari, and Daniela Morelli

Background:

Cerebral palsy (CP) has been defined as a nonprogressive disease of movement and posture development. Physical therapy techniques use different forms of sensory stimulation to improve neuromotor development.

Aim:

The aim of this study was to assess the efficacy of a vestibular stimulation training in improving motor functions in cerebral palsy.

Population:

Fourteen children with CP were randomly separated into two different groups in a cross-over trial.

Methods:

Over a period of 10 weeks, each group performed 10 sessions of 50 min of neurodevelopmental treatment (NDT) and 10 sessions of vestibular training (VR). Children were evaluated with the Gross Motor Function Measurement-88 scale, the Goal Attainment Scale and the root mean square of head accelerations.

Results:

A significant improvement in the GAS-score (p = .003) was noted after NDT+VR.

Conclusions:

Vestibular stimulation integrated with NDT proved to be an effective complementary strategy for facilitating motor functioning.

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Grasp Stiffness as a Function of Grasp Force and Finger Span

Clayton L. Van Doren

The purpose of this study was to determine whether direct measurements of grasp stiffness agreed with stiffness inferred from the slopes of isovolitional force-span characteristics derived from previous grasp-effort matching data. Grasp stiffness for three-finger pinch was measured as a function of initial force and finger span using step displacements applied in a do-not-intervene paradigm. Subjects pinched a free-floating, motorized manipulandum in each hand and squeezed both with equal effort; one of the hands was perturbed at random. Stiffness was calculated from the initial and final steady-state values of force and span. The effects of step amplitude, rise-time, and initial load stiffness were investigated; grasp stiffness decreased significantly for larger steps, increased slightly for longer rise-times, and was unaffected by load stiffness. Grasp stiffness then was measured as a function of initial force and span using a single set of step parameters. Stiffness increased significantly in proportion to force but was changed only slightly by span. It was concluded that the perturbation and effort-matching measures of stiffness are not equivalent and represent different components of motor behavior.

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Kinematic Characteristics of Aiming Movements as a Function of Temporal and Spatial Constraints

Wan-Xiang Yao and Mark G. Fischman

This study investigated, in aiming movements, the conditions needed to produce a single movement and those needed to produce secondary submovements. Using a 2 × 2 (Temporal Constraint × Spatial Constraint) factorial design with repeated measures on both factors, subjects moved a stylus from a starting position to a target position 12 cm away. They participated in two testing sessions on consecutive days. The first session involved two nonrestrictive target (a set of crosshairs) conditions, moving to the target either within a goal of 400 ms (temporal-accuracy procedure) or within a minimum time (time-minimization procedure). In the second session the subjects performed two strict-target (circle) conditions, moving to the target either within a goal of 400 ms or within a minimum time. The results showed that the two strict-target conditions had a greater percentage of trials containing multiple-submovements than the two nonrestrictive target conditions, regardless of temporal requirements. Therefore, whether an aiming movement contains a single movement or multiple submovements may be a function of spatial constraints regardless of temporal constraints. It appears that with respect to the nature of the speed-accuracy tradeoff, spatial constraints are an important factor.

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Effectiveness of Motor Imagery on Physical Function in Patients With Stroke: A Systematic Review

Jaruwan Prasomsri, Katsuya Sakai, and Yumi Ikeda

Stroke and cerebrovascular accidents are the leading causes of death and disability worldwide ( Turana et al., 2021 ). It has been reported that approximately 75% of stroke victims experience decreased physical function and that 15%–30% of stroke survivors suffer from severe disability ( Go et

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Effects of Daily Hand Activities on Age-Related Declines of Dynamic Motor Function in Individual Fingers

Tomoko Aoki and Koji Kadota

A decline in manual dexterity is commonly observed in older adults. They often encounter difficulty in daily activities such as opening medicine bottles ( Keram & Williams, 1988 ) and removing coins from a wallet ( Shiffman, 1992 ). It has been reported that a broad range of hand functions required

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Sex Differences in Lower Limb Proprioception and Mechanical Function Among Healthy Adults

Xiaoyue Hu, Jingxian Li, and Lin Wang

, & Dragoo, 2019 ; Romani, Patrie, Curl, & Flaws, 2003 ) and mechanical function ( Baker et al., 2017 ; Sugimoto et al., 2016 ; Warden, Saxon, Castillo, & Turner, 2006 ). Mechanical function is an important component for postural control and plays an important role in achieving the competitive sports

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What Does EMC Tell Us about Muscle Function?

Stan C.A.M. Gielen

EMG recordings are frequently used to obtain a better understanding in the coordination of movements. However, EMG activity is made up by the weighted summation of activity of many motor units with different contractile properties. Recent studies have revealed that different motor units contribute to muscle force in different motor tasks. The flexible recruitment of motor units with various contractile properties allows a flexible tuning of muscle properties, but also complicates the interpretation of EMG activity.