Dexterous manipulation: Differential sensitivity of manipulation and grasp forces to task requirements.

How humans coordinate digit forces to perform dexterous manipulation is not well understood. This gap is due to the use of tasks devoid of dexterity requirements and/or the use of analytical techniques that cannot isolate the roles that digit forces play in preventing object slip and controlling object position and orientation (pose). In our recent work, we used a dexterous manipulation task and decomposed digit forces into FG, the internal force that prevents object slip, and FM, the force responsible for object pose control. Unlike FG, FM was modulated from object lift onset to hold, suggesting their different sensitivity to sensory feedback acquired during object lift. However, the extent to which FG and FM can be controlled independently remains to be determined. Importantly, how FG and FM change as a function of object property is mathematically indeterminate and therefore requires active modulation. To address this gap, we systematically changed either object mass or external torque. The FM normal component responsible for object orientation control was modulated to changes in object torque but not mass. In contrast, FG was distinctly modulated to changes in object mass and torque. These findings point to a differential sensitivity of FG and FM to task requirements and provide novel insights into the neural control of dexterous manipulation. Importantly, our results indicate that the proposed digit force decomposition has the potential to capture important differences in how sensory inputs are processed and integrated to simultaneously ensure grasp stability and dexterous object pose control.

Distinct sensorimotor mechanisms underlie the control of grasp and manipulation forces for dexterous manipulation.

Dexterous manipulation relies on the ability to simultaneously attain two goals: controlling object position and orientation (pose) and preventing object slip. Although object manipulation has been extensively studied, most previous work has focused only on the control of digit forces for slip prevention. Therefore, it remains underexplored how humans coordinate digit forces to prevent object slip and control object pose simultaneously. We developed a dexterous manipulation task requiring subjects to grasp and lift a sensorized object using different grasp configurations while preventing it from tilting. We decomposed digit forces into manipulation and grasp forces for pose control and slip prevention, respectively. By separating biomechanically-obligatory from non-obligatory effects of grasp configuration, we found that subjects prioritized grasp stability over efficiency in grasp force control. Furthermore, grasp force was controlled in an anticipatory fashion at object lift onset, whereas manipulation force was modulated following acquisition of somatosensory and visual feedback of object's dynamics throughout object lift. Mathematical modeling of feasible manipulation forces further confirmed that subjects could not accurately anticipate the required manipulation force prior to acquisition of sensory feedback. Our experimental approach and findings open new research avenues for investigating neural mechanisms underlying dexterous manipulation and biomedical applications.

Motion analysis evaluation of adolescent athletes during dual-task walking following a concussion: A multicenter study.

BACKGROUND: Research suggests that dynamic balance in adolescents is compromised following concussion and may worsen if patients return to sport (RTS) too soon. Understanding if there are ongoing dynamic balance deficits in adolescents at the time of RTS clearance would determine if more complex motor tasks are necessary to facilitate safe RTS decisions. RESEARCH QUESTION: The purpose of this study was to determine if there were remaining dynamic balance deficits in concussed adolescents at the time of clearance for RTS. METHODS: Sixteen concussed adolescent athletes (age 14.6 ±â€¯1.8 years; 9 males; 57 ±â€¯46 days post injury) performed a simple walking task as well as two split attention gait tasks (reciting months backwards and audio Stroop). The center of mass (COM) movement and walking velocity during these tasks was compared to a control group of 15 healthy non-concussed adolescent athletes (age 13.8 ±â€¯1.4 years; 9 male). RESULTS: The results indicated that there were no statistically significant differences between the two groups for any of the tasks. Height-normalized walking speed did not differ between groups during walking alone (control: 0.757 ±â€¯0.119, concussed: 0.739 ±â€¯0.108, p = 0.34), with the recitation task (control: 0.555 ±â€¯0.095, concussed: 0.557 ±â€¯0.143, p = 0.72), or with the Stroop task (control: 0.589 ±â€¯0.129, concussed: 0.567 ±â€¯0.141, p = 0.43). Similarly, height-normalized medial-lateral COM displacement did not differ between groups during walking alone (control: 0.027 ±â€¯0.007, concussed: 0.028 ±â€¯0.007, p = 0.98, with the recitation task (control: 0.037 ±â€¯0.012, concussed: 0.0.037 ±â€¯0.016, p = 0.82), or with the Stroop task (control: 0.032 ±â€¯0.014, concussed: 0.033 ±â€¯0.009, p = 0.891). SIGNIFICANCE: These findings indicate that the patients were returned to sport when their dynamic balance was similar to controls suggesting that this cohort had recovered from their concussion. However, large variability in dynamic balance measures in both the patient and control groups may reflect ongoing neuromuscular development and requires further exploration.

A Trunk Support System to Identify Posture Control Mechanisms in Populations Lacking Independent Sitting.

Populations with moderate-to-severe motor control impairments often exhibit degraded trunk control and/or lack the ability to sit unassisted. These populations need more research, yet their underdeveloped trunk control complicates identification of neural mechanisms behind their movements. The purpose of this study was to overcome this barrier by developing the first multi-articulated trunk support system to identify visual, vestibular, and proprioception contributions to posture in populations lacking independent sitting. The system provided external stability at a user-specific level on the trunk, so that body segments above the level of support required active posture control. The system included a tilting surface (controlled via servomotor) as a stimulus to investigate sensory contributions to postural responses. Frequency response and coherence functions between the surface tilt and trunk support were used to characterize system dynamics and indicated that surface tilts were accurately transmitted up to 5 Hz. Feasibility of collecting kinematic data in participants lacking independent sitting was demonstrated in two populations: two typically developing infants, [Formula: see text] months, in a longitudinal study (eight sessions each) and four children with moderate-to-severe cerebral palsy (GMFCS III-V). Adaptability in the system was assessed by testing 16 adults (ages 18-63). Kinematic responses to continuous pseudorandom surface tilts were evaluated across 0.046-2 Hz and qualitative feedback indicated that the trunk support and stimulus were comfortable for all subjects. Concepts underlying the system enable both research for, and rehabilitation in, populations lacking independent sitting.

Segmental trunk and head dynamics during frontal plane tilt stimuli in healthy sitting adults.

A more detailed understanding of trunk behavior during upright sitting is needed to create a foundation to address functional posture impairments. Therefore, we characterized the dynamics of the trunk and head during perturbed sitting. A three-link inverted pendulum model of head and trunk segments was used to analyze kinematics of eight healthy sitting adults. Magnetic sensors were placed at the head and two locations of the trunk (C7 and T7). Six surface tilt stimuli (two spontaneous sway tests [no surface stimulus; eyes open, EO/eyes closed, EC] and four tests with continuous pseudorandom surface tilts [2 peak-to peak amplitudes of 2° or 8°; EO/EC]) were applied in the frontal plane. We used frequency-response functions (FRFs) to analyze sway across ~0.045-3Hz and found systematic differences in sway dynamics across segments. Superior segments exhibited larger fluctuations in gain and phase values across frequencies. FRF gains in superior segments were attenuated compared to other segments only at low frequencies but were larger at the higher frequencies. We also tested the influence of stimulus amplitude and visual availability on FRFs. Across all segments, increasing stimulus amplitude and visual availability (EO) resulted in lower gains, however, these effects were most prominent in superior segments. These changes in gain were likely influenced by changes in sensory reliance across test conditions. In conclusion, these results provide a benchmark for future comparisons to segmental responses from individuals with impaired trunk control. We suggest that a frequency-based approach provides detail needed to characterize multi-segment dynamics related to sensorimotor control.

Interpersonal synergies: static prehension tasks performed by two actors.

We investigated multidigit synergies stabilizing components of the resultant force vector during joint performance of a static prehension task by two persons as compared to similar tasks performed by a single person using both hands. Subjects transferred the instrumented handle from the right hand to the left hand (one-person condition) or passed that handle to another person (two-person condition) while keeping the handle's position and orientation stationary. Only three digits were involved per hand, the thumb, the index finger, and the middle finger; the forces and moments produced by the digits were measured by six-component sensors. We estimated the performance-stabilizing synergies within the uncontrolled manifold framework by quantifying the intertrial variance structure of digit forces and moments. The analysis was performed at three levels: between hands, between virtual finger and virtual thumb (imagined digits producing the same mechanical variables as the corresponding actual digits combined) produced by the two hands (in both interpersonal and intrapersonal conditions), and between the thumb and virtual finger for one hand only. Additionally, we performed correlation and phase synchronization analyses of resultant tangential forces and internal normal forces. Overall, the one-person conditions were characterized by higher amount of intertrial variance that did not affect resultant normal force components, higher internal components of normal forces, and stronger synchronization of the normal forces generated by the hands. Our observations suggest that in two-person tasks, when participants try to achieve a common mechanical outcome, the performance-stabilizing synergies depend on non-visual information exchange, possibly via the haptic and proprioceptive systems. Therefore, synergies quantified in tasks using visual feedback only may not be generalizable to more natural tasks.

Force-stabilizing synergies in motor tasks involving two actors.

We investigated the ability of two persons to produce force-stabilizing synergies in accurate multi-finger force production tasks under visual feedback on the total force only. The subjects produced a time profile of total force (the sum of two hand forces in one-person tasks and the sum of two subject forces in two-person tasks) consisting of a ramp-up, steady-state, and ramp-down segments; the steady-state segment was interrupted in the middle by a quick force pulse. Analyses of the structure of inter-trial finger force variance, motor equivalence, anticipatory synergy adjustments (ASAs), and the unintentional drift of the sharing pattern were performed. The two-person performance was characterized by a dramatically higher amount of inter-trial variance that did not affect total force, higher finger force deviations that did not affect total force (motor equivalent deviations), shorter ASAs, and larger drift of the sharing pattern. The rate of sharing pattern drift correlated with the initial disparity between the forces produced by the two persons (or two hands). The drift accelerated following the quick force pulse. Our observations show that sensory information on the task-specific performance variable is sufficient for the organization of performance-stabilizing synergies. They suggest, however, that two actors are less likely to follow a single optimization criterion as compared to a single performer. The presence of ASAs in the two-person condition might reflect fidgeting by one or both of the subjects. We discuss the characteristics of the drift in the sharing pattern as reflections of different characteristic times of motion within the subspaces that affect and do not affect salient performance variables.

Learning to combine high variability with high precision: lack of transfer to a different task.

The authors studied effects of practicing a 4-finger accurate force production task on multifinger coordination quantified within the uncontrolled manifold hypothesis. During practice, task instability was modified by changing visual feedback gain based on accuracy of performance. The authors also explored the retention of these effects, and their transfer to a prehensile task. Subjects practiced the force production task for 2 days. After the practice, total force variability decreased and performance became more accurate. In contrast, variance of finger forces showed a tendency to increase during the first practice session while in the space of finger modes (hypothetical commands to fingers) the increase was under the significance level. These effects were retained for 2 weeks. No transfer of these effects to the prehensile task was seen, suggesting high specificity of coordination changes. The retention of practice effects without transfer to a different task suggests that further studies on a more practical method of improving coordination are needed.

Unintentional movements produced by back-coupling between the actual and referent body configurations: violations of equifinality in multi-joint positional tasks.

We tested several predictions of a recent theory that combines the ideas of control with referent configurations, hierarchical control, and the uncontrolled manifold (UCM) hypothesis. In particular, we tested a hypothesis that unintentional changes in hand coordinate can happen following a long-lasting transient perturbation. The subjects grasped a handle with the right hand, occupied an initial position against a bias force produced by the HapticMaster robot, and then tried not to react to changes in the robot-produced force. Changes in the force were smooth and transient; they always ended with the same force as the bias force. The force-change amplitude and the time the force was kept at the new level (dwell time) varied across conditions. After the transient force change was over, the handle rested in a position that differed significantly from the initial position. The amplitude of this unintentional movement increased with the amplitude of transient force change and with the dwell time. In the new position, the across-trials joint configuration variance was mostly confined to a subspace compatible with the average handle coordinate and orientation (the UCMs for these variables). We view these results as the first experimental support for the hypothesis on back-coupling between the referent and actual body configurations during multi-joint actions. The results suggest that even under the instruction "not to react to transient force changes," the subjects may be unable to prevent unintentional drift of the referent configuration. The structure of joint configuration variance after such movements was similar to that in earlier reports on joint configuration variance after intentional movements. We conclude that the intentional and unintentional movements are products of a single neural system that can lead to intentional and unintentional shifts of the referent body configuration.

Equifinality and its violations in a redundant system: control with referent configurations in a multi-joint positional task.

We tested a prediction that equifinality at the task level may be accompanied by violations of equifinality within the redundant set of elemental variables. Seated subjects grasped a handle, and occupied an initial arm configuration against a bias force produced by a robot. The robot applied a smooth, transient change in the force (perturbation). The subjects were instructed "not to intervene voluntarily" with hand deviations. After the robot force returned to the bias value, the hand returned close to the original position and orientation. Analysis of across-trials variance in the joint configuration space confirmed that most variance of the difference between the initial and final states was compatible with unchanged values of both hand position and orientation. These results provide direct support for the theoretical scheme that combines the ideas of synergies and control with referent configurations.

The effects of practice on coordination.

We review practice-induced changes in two variance components defined based on the uncontrolled manifold hypothesis. One of them affects task performance, whereas the other one does not. Practice leads to a drop in the former component (higher accuracy), whereas the latter can drop, stay unchanged, or even increase. The last scenario can be achieved with practice that challenges performance stability.

Anticipatory synergy adjustments: preparing a quick action in an unknown direction.

We studied a mechanism of feed-forward control of a multi-finger action, namely anticipatory synergy adjustments (ASAs), prior to a quick force correction in response to a change in the gain of the visual feedback. Synergies were defined as co-varied across trials adjustments of commands to fingers that stabilized (decreased variance of) the total force. We hypothesized that ASAs would be highly sensitive to prior information about the timing of the action but not to information on its direction, i.e., on whether the gain would go up or down. The subjects produced accurate constant total force by pressing with four fingers on individual force sensors. The feedback signal could change from veridical (the sum of finger forces) to modified, with the middle finger force multiplied by 0.2 or by 1.8. The timing of the gain change and its direction could be known or unknown to the subject in advance. When the timing of the gain change was known, ASA was seen as a drop in the synergy index starting about 250-300 ms prior to the first visible correction of the total force. When the gain change timing was unknown, ASAs started much later, less than 100 ms prior to the total force correction. The magnitude of synergy index changes was significantly larger under the "time known" conditions. Information on the direction of the visual gain change had no effect on the ASA timing, while the ASA magnitude was somewhat larger when this information was not available to the subject. After the total force correction, the synergy index was significantly larger for the force signal computed using the modified gain values as compared to the synergy index value for the actual total force. We conclude that ASAs represent an important feed-forward motor control mechanism that allows preparing for a quick action even when the direction of the action is not known in advance. The results emphasize the subtle control of multi-finger synergies that are specific to the exact contributions of individual fingers to performance variables. The data fit well the central back-coupling hypothesis of synergies and the idea of control with referent body configurations.

Control of finger force vectors with changes in fingertip referent coordinates.

The central hypothesis explored in the experiment is that adjustments of fingertip force vectors during object manipulation could result from a simple scaling rule applied to commands to individual digits. The commands have been associated with referent coordinates of the digit tips. The subjects performed quick lifting movements (over 20 cm in under 0.5 s) of a horizontally oriented handle with different combinations of the external load and torque. The prismatic grasp was used with the 4 fingers pressing on the bottom of the handle and the thumb acting on its top. Principal component and correlation analyses applied to the normal and tangential force vector components confirmed that the force direction of each digit was kept nearly constant in the object-centered referent frame across the loading conditions and movement phases. The middle and ring fingers showed weaker correlations between the force components as compared to the index and little fingers. The differences were likely related to the different roles of the normal force components in the moment of force production. The neural control of the hand, within the studied task, may be adequately described as a simple rule applied to a handful of parameters, such as the referent digit-tip coordinates.

Improving finger coordination in young and elderly persons.

We studied the effects of a single practice session of a variable task with subject-specific adjustments of task difficulty (instability) on indices of multi-finger coordination in young and elderly persons. The main hypothesis was that practicing such a task would lead to contrasting changes in the amounts of two components of variance estimated across repetitive trials within the uncontrolled manifold (UCM) hypothesis: V UCM that had no effect on total force and V ORT that affected total force. In addition, we also expected to see strong transfer effects to a different task. A variable task with graded instability was designed to encourage use of variable solutions during the accurate production of total force with two fingers. The subjects practiced with the index and middle fingers pressing on individual force sensors. Overall, the older subjects showed lower indices of performance and higher indices of both V UCM and V ORT. After about 1 h of practice, both groups showed an increase in the index of involuntary force production by non-task fingers (enslaving). Both groups improved the indices of performance. The two variance indices showed opposite effects of practice: V ORT dropped with practice, while V UCM increased leading to an increase in the total amount of variance in the space of commands to fingers and in the index of force-stabilizing synergy. Performance in a simpler, non-practiced task improved, but there was no transfer of the changes in the structure of variance. Specifically, both variance components, V ORT and V UCM, dropped in the non-practiced task. The results show that the neural system responsible for synergies stabilizing important features of performance is highly adaptable to practice of tasks designed to encourage use of variable solutions. We view the results as highly promising for future use in populations with impaired coordination characterized by low synergy indices.

Practicing elements versus practicing coordination: changes in the structure of variance.

The authors explored effects of practice of a 2-finger accurate force production task on components of finger force variance quantified within the uncontrolled manifold (UCM) hypothesis, V(UCM), that had no effect on total force and V(ORT) that affected total force. A variable task with graded instability was designed to encourage use of variable solutions. Two groups of subjects (n = 9 each) were tested prior to a 1.5-hr practice session, after the session, and 2 weeks later (retention test). Group 1 practiced 1 finger at a time, while Group 2 practiced the task with 2 fingers (index and middle) pressing together. Both groups showed comparable improvements in the performance indices. Both groups showed a decrease in V(ORT), while only Group 2 showed an increase in V(UCM). These effects persisted during the retention test. The results show that practicing elements and practicing redundant groups of elements may lead to similar changes in performance (i.e., in the variability of the total force produced by the set of fingers), accompanied by dramatically different changes in the structure of variance: A drop in V(UCM) after the single-finger practice and an increase following the 2-finger practice. The strong retention effects promise applications of the method to rehabilitation.

Multi-digit coordination during lifting a horizontally oriented object: synergies control with referent configurations.

We explored digit coordination during the acceleration phase of a quick lifting movement of a hand-held horizontal object. We tested three hypotheses related to: (1) the scaling of mechanical variables produced by the hand with changes in the external load, torque, and moment of inertia; (2) changes in the safety margin for the thumb with both the loading conditions and acceleration; and (3) changes in the indices of synergies. The subjects held a horizontal handle with a prismatic grasp (the thumb acted on top of the handle) and performed series of "very quick" lifting movements to a visual target. Multi-digit synergies were quantified as co-variation indices among elemental variables (forces and moments produced by individual digits). The resultant force scaled with the external load but not torque, while the grip force scaled with the external torque but not load. The safety margin dropped with an increase in acceleration; it also showed changes with the external torque and moment of inertia. Total moment of force was primarily produced by the tangential forces (over 80 %) across all movement phases and loading conditions. The index and little fingers produced close to zero moment with their normal forces, while the middle and ring fingers produced consistent moments due to the reproducible shifts of their centers of pressure. Synergy indices at the upper level of the assumed hierarchy (the task is shared between the thumb and virtual finger--an imagined digit with the action equal to that of the four fingers combined) did not drop with acceleration for the three force vector components and one of the moment vector components. They did drop with acceleration at the lower level (virtual finger action is shared among the four fingers). There was a trade-off between synergy indices computed at the two levels for the three force vector components, but not for the moment of force components. We confirmed specialization of different fingers with respect to different task components in quick manipulation tasks. The findings have implications for hypotheses on the control of voluntary movements involving redundant sets of effectors. Within the referent configuration hypothesis, components of a referent configuration may be adjusted to task mechanical characteristics using simple scaling rules. The neural organization of multi-digit synergies in a hierarchal system is able to selectively protect synergies related to stabilization of some performance variables from detrimental effects of the rate of change of those variables. A large number of apparently redundant elemental variables are not the source of additional computational problems but may be beneficial, allowing the central nervous system to facilitate synergies at both levels of the hierarchy.

Changes in multifinger interaction and coordination in Parkinson's disease.

In this study, we tested several hypotheses related to changes in finger interaction and multifinger synergies during multifinger force production tasks in Parkinson's disease. Ten patients with Parkinson's disease, mostly early stage, and 11 healthy control subjects participated in the study. Synergies were defined as covaried adjustment of commands to fingers that stabilized the total force produced by the hand. Both Parkinson's disease patients and control subjects performed accurate isometric force production tasks with the fingers of both the dominant and nondominant hands. The Parkinson's disease patients showed significantly lower maximal finger forces and higher unintended force production (enslaving). These observations suggest that changes in supraspinal control have a major effect on finger individuation. The synergy indexes in the patients were weaker in both steady-state and cyclic force production tasks compared with the controls. These indexes also were stronger in the left (nondominant) hand in support of the dynamic-dominance hypothesis. Half of the patients could not perform the cyclic task at the highest frequency (2 Hz). Anticipatory adjustments of synergies prior to a quick force pulse production were delayed and reduced in the patients compared with the controls. Similar differences were observed between the asymptomatic hands of the patients with symptoms limited to one side of the body and matched hands of control subjects. Our study demonstrates that the elusive changes in motor coordination in Parkinson's disease can be quantified objectively, even in patients at a relatively early stage of the disease. The results suggest an important role of the basal ganglia in synergy formation and demonstrate a previously unknown component of impaired feedforward control in Parkinson's disease reflected in the reduced and delayed anticipatory synergy adjustments.

Static prehension of a horizontally oriented object in three dimensions.

We studied static prehension of a horizontally oriented object. Specific hypotheses were explored addressing such issues as the sharing patterns of the total moment of force across the digits, presence of mechanically unnecessary digit forces, and trade-off between multi-digit synergies at the two levels of the assumed control hierarchy. Within the assumed hierarchy, at the upper level, the task is shared between the thumb and virtual finger (an imagined finger producing a wrench equal to the sum of the wrenches of individual fingers). At the lower level, action of the virtual finger is shared among the four actual fingers. The subjects held statically a horizontally oriented handle instrumented with six-component force/torque sensors with different loads and torques acting about the long axis of the handle. The thumb acted from above while the four fingers supported the weight of the object. When the external torque was zero, the thumb produced mechanically unnecessary force of about 2.8 N, which did not depend on the external load magnitude. When the external torque was not zero, tangential forces produced over 80% of the total moment of force. The normal forces by the middle and ring fingers produced consistent moments against the external torque, while the normal forces of the index and little fingers did not. Force and moment variables at both hierarchical levels were stabilized by covaried across trials adjustments of forces/moments produced by individual digits with the exception of the normal force analyzed at the lower level of the hierarchy. There was a trade-off between synergy indices computed at the two levels of the hierarchy for the three components of the total force vector, but not for the moment of force components. Overall, the results have shown that task mechanics are only one factor that defines forces produced by individual digits. Other factors, such as loading sensory receptors may lead to mechanically unnecessary forces. There seems to be no single rule (for example, ensuring similar safety margin values) that would describe sharing of the normal and tangential forces and be valid across tasks. Fingers that are traditionally viewed as less accurate (e.g., the ring finger) may perform more consistently in certain tasks. The observations of the trade-off between the synergy indices computed at two levels for the force variables but not for the moment of force variables suggest that the degree of redundancy (the number of excessive elemental variables) at the higher level is an important factor.