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1.
Scand J Med Sci Sports ; 28(5): 1604-1614, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29377312

RESUMO

The experiment investigated the progressions of the qualitative and quantitative changes in the movement dynamics of learning the ski-simulator as a function of prior-related task experience. The focus was the differential timescales of change in the candidate collective variable, neuromuscular synergies, joint motions, and task outcome as a function of learning over 7 days of practice. Half of the novice participants revealed in day 1 a transition of in-phase to anti-phase coupling of center of mass (CoM)-platform motion whereas the remaining novices and experienced group all produced on the first trial an anti-phase CoM-platform coupling. The experienced group also had initially greater amplitude and velocity of platform motion-a performance advantage over the novice group that was reduced but not eliminated with 7 days of practice. The novice participants who had an in-phase CoM-platform coupling on the initial trials of day 1 also showed the most restricted platform motion in those trials. Prior-related practice experience differentially influenced the learning of the task as evidenced by both the qualitative organization and the quantitative motion properties of the individual degrees of freedom (dof) to meet the task demands. The findings provide further evidence to the proposition that CoM-platform coupling is a candidate collective variable in the ski-simulator task that provides organization and boundary conditions to the motions of the individual joint dof and their couplings.


Assuntos
Teste de Esforço/instrumentação , Aprendizagem , Movimento , Esqui/fisiologia , Adulto , Fenômenos Biomecânicos , Feminino , Humanos , Condicionamento Físico Humano , Prática Psicológica , Amplitude de Movimento Articular , Adulto Jovem
2.
Neurosci Lett ; 580: 41-6, 2014 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-25067826

RESUMO

This study was designed to examine differences in the coupling dynamics between upper limb motion, physiological tremor and whole body postural sway in young healthy adults. Acceleration of the hand and fingers, forearm EMG activity and postural sway data were recorded. Estimation of the degree of bilateral and limb motion-postural sway coupling was determined by cross correlation, coherence and Cross-ApEn analyses. The results revealed that, under postural tremor conditions, there was no significant coupling between limbs, muscles or sway across all metrics of coupling. In contrast, performing a rapid alternating flexion/extension movement about the wrist joint (with one or both limbs) resulted in stronger coupling between limb motion and postural sway. These results support the view that, for physiological tremor responses, the control of postural sway is maintained independent to tremor in the upper limb. However, increasing the level of movement about a distal segment of one arm (or both) leads to increased coupling throughout the body. The basis for this increased coupling would appear to be related to the enhanced neural drive to task-specific muscles within the upper limb.


Assuntos
Mãos/fisiologia , Movimento , Equilíbrio Postural , Postura , Tremor , Aceleração , Eletromiografia , Dedos/fisiologia , Antebraço/fisiologia , Humanos , Masculino , Músculo Esquelético/fisiologia , Adulto Jovem
3.
Neurosci Lett ; 534: 69-74, 2013 Feb 08.
Artigo em Inglês | MEDLINE | ID: mdl-23206750

RESUMO

A characteristic of Parkinson's disease (PD) is the development of tremor within the 4-6Hz range. One method used to better understand pathological tremor is to compare the responses to tremor-type actions generated intentionally in healthy adults. This study was designed to investigate the similarities and differences between voluntarily generated 4-6Hz tremor and PD tremor in regards to their amplitude, frequency and coupling characteristics. Tremor responses for 8 PD individuals (on- and off-medication) and 12 healthy adults were assessed under postural and resting conditions. Results showed that the voluntary and PD tremor were essentially identical with regards to the amplitude and peak frequency. However, differences between the groups were found for the variability (SD of peak frequency, proportional power) and regularity (Approximate Entropy, ApEn) of the tremor signal. Additionally, coherence analysis revealed strong inter-limb coupling during voluntary conditions while no bilateral coupling was seen for the PD persons. Overall, healthy participants were able to produce a 5Hz tremulous motion indistinguishable to that of PD patients in terms of peak frequency and amplitude. However, differences in the structure of variability and level of inter-limb coupling were found for the tremor responses of the PD and healthy adults. These differences were preserved irrespective of the medication state of the PD persons. The results illustrate the importance of assessing the pattern of signal structure/variability to discriminate between different tremor forms, especially where no differences emerge in standard measures of mean amplitude as traditionally defined.


Assuntos
Doença de Parkinson/fisiopatologia , Tremor/fisiopatologia , Adulto , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Movimento (Física) , Periodicidade , Postura , Descanso , Adulto Jovem
4.
J Aging Res ; 2012: 891218, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22900179

RESUMO

Aging is characterized by a general decline in physiological and behavioral function that has been widely interpreted within the context of the loss of complexity hypothesis. In this paper, we examine the relation between aging, neuromuscular function and physiological-behavioral complexity in the arm-hand effector system, specifically with reference to physiological tremor and isometric force production. Experimental findings reveal that the adaptive behavioral consequences of the aging-related functional decline in neurophysiological processes are less pronounced in simple motor tasks which provides support for the proposition that the motor output is influenced by both extrinsic (e.g., task related) and intrinsic (e.g., coordination, weakness) factors. Moreover, the aging-related change in complexity can be bidirectional (increase or decrease) according to the influence of task constraints on the adaptation required of the intrinsic properties of the effector system.

5.
Exp Brain Res ; 213(4): 403-14, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21769546

RESUMO

This study was designed to investigate the effects of increasing movement frequency of a single limb on the degree of similarity and coherence of the motor outflow in the non-active limb. Twelve young adults performed a series of unilateral hand-clapping tasks (horizontal and vertical in 25-s trials) while seated. Individuals began the movements at a frequency of 1 Hz for 5 s and were required to increase the movement frequency so as to reach their maximum movement frequency during the latter parts of the trial. Hand and finger kinematics and surface EMG of each arm were recorded. The results showed a progressive emergence of overflow muscle activity and involuntary motion in the non-active arm as the movement frequency of the unilateral action increased toward the upper frequency limits of voluntary movement. This ceiling occurred within the range of 6-7 Hz. Activity in the non-active limb emerged as the movement frequency requirements increased, irrespective of the direction of motion for the task (vertical, horizontal), hand used (preferred, non-preferred) or the auditory timing stimulus provided (metronome, no-metronome). The dynamics of the motor overflow in the non-active limb exhibited time- and frequency-dependent patterns similar to those of the active arm. Together, these results demonstrate that the high-frequency unilateral movements of one limb drives the emergence of motor outflow to the opposite limb with the motor output dynamics being produced across both limbs being progressively similar as movement speed increases.


Assuntos
Braço/fisiologia , Lateralidade Funcional/fisiologia , Movimento/fisiologia , Músculo Esquelético/fisiologia , Desempenho Psicomotor/fisiologia , Adolescente , Braço/inervação , Fenômenos Biomecânicos/fisiologia , Dedos/inervação , Dedos/fisiologia , Mãos/inervação , Mãos/fisiologia , Humanos , Contração Muscular/fisiologia , Músculo Esquelético/inervação , Tempo de Reação/fisiologia , Fatores de Tempo , Adulto Jovem
6.
J Intellect Disabil Res ; 53(9): 797-806, 2009 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19627429

RESUMO

BACKGROUND: The adaptation to the task demands of grasping (grip mode and object mass) was investigated as a function of level of developmental disability. METHODS: Subjects grasped objects of different grip widths and masses that were instrumented to record grip forces. RESULTS: Proportionally, fewer participants from the profound compared with moderate and severe disability groups were able to complete the prehensile tasks. Nevertheless, all participants who completed the task showed adaptive grasping behaviour in terms of level and variability of force produced. There was higher absolute and relative force variability in low mass tasks that was enhanced with greater level of developmental disability. CONCLUSIONS: The findings show task relevant adaptive grasping control with inhibition of force output at very-low-force conditions being the primary performance deficit of the profound disability group as a function of level of developmental disability.


Assuntos
Força da Mão , Deficiência Intelectual/fisiopatologia , Adulto , Análise de Variância , Feminino , Humanos , Masculino , Destreza Motora , Psicometria/métodos , Índice de Gravidade de Doença
7.
Neurosci Lett ; 454(3): 233-8, 2009 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-19429090

RESUMO

This study examined what changes occur in upper-limb bilateral coordination during clapping as the movement frequency requirements were increased to the maximum. Subjects were required to begin the clapping action at approximately 1Hz and gradually increase the movement speed until their maximal frequency was achieved. Hand and finger displacement and surface electromyograms (EMG) from finger flexor/extensor muscles were recorded. The results showed that the maximal attainable movement frequency was between 7 and 8Hz. As the action approached the ceiling frequency (>5Hz), there was a significant reduction in movement amplitude of the non-preferred limb accompanied by increased co-activation of the muscles within this limb. The movement amplitude of preferred limb was maintained. Subsequently, there was a decrease in coupling between the two limbs with the bilateral coordination pattern transitioning from an in-phase pattern to an asymmetric mode, where only the preferred limb was moving. These findings reveal that there is a frequency induced transition to single-limb motion that reflects a stability boundary at the upper frequency limits of bimanual coordination.


Assuntos
Braço/fisiologia , Lateralidade Funcional/fisiologia , Mãos/fisiologia , Músculo Esquelético/fisiologia , Desempenho Psicomotor/fisiologia , Adulto , Eletromiografia , Humanos
8.
Hum Mov Sci ; 28(3): 319-33, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19062119

RESUMO

In this paper, the major assumptions of influential approaches to the structure of variability in practice conditions are discussed from the perspective of a generalized evolving attractor landscape model of motor learning. The efficacy of the practice condition effects is considered in relation to the theoretical influence of stochastic perturbations in models of gradient descent learning of multiple dimension landscapes. A model for motor learning is presented combining simulated annealing and stochastic resonance phenomena against the background of different time scales for adaptation and learning processes. The practical consequences of the model's assumptions for the structure of practice conditions are discussed, together with their implications for teaching and coaching.


Assuntos
Aclimatação/fisiologia , Adaptação Psicológica/fisiologia , Aprendizagem/fisiologia , Atividade Motora/fisiologia , Movimento/fisiologia , Atenção/fisiologia , Comportamento/fisiologia , Humanos , Destreza Motora , Ruído , Oscilometria , Processos Estocásticos
9.
Neurosci Lett ; 443(3): 123-8, 2008 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-18682273

RESUMO

The time- and frequency-dependent patterns of standing balance centre of pressure (COP) and finger postural/resting tremor of 12 older individuals and eight age-matched Parkinsonian (PD) participants (on/off medication) were investigated. Tremor and COP data were analysed using measures of signal amplitude (RMS), time-dependent structure (approximate entropy, ApEn), time-frequency analysis and synchrony (Cross ApEn). Results showed that the PD individuals had significantly greater tremor amplitude and COP excursions in comparison to controls. Differences in the time-dependent structure were also observed between groups. In comparison to the elderly, the resting/postural tremor output of the PD subjects was more regular (lower ApEn). However, for the postural measures, a reciprocal pattern was observed with the COP being more complex (higher ApEn). All group differences were magnified when the PD individuals were off their medication. There was also greater synchrony between tremor and postural sway for the PD individuals, indicating a high degree of association between these motor outputs. These results are consistent with the view that the neural signal driving the enhanced limb tremor in PD is propagated throughout the motor system, consequently emerging within the postural sway dynamics. This commonality of motor output may be a contributing factor in the differential pattern in the dynamics of effector signal structure in PD as a function of task.


Assuntos
Dedos/fisiopatologia , Doença de Parkinson/complicações , Equilíbrio Postural/fisiologia , Postura/fisiologia , Tremor/etiologia , Tremor/patologia , Idoso , Análise de Variância , Entropia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dinâmica não Linear , Pressão , Análise de Regressão , Fatores de Tempo
10.
Motor Control ; 11(2): 119-35, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-17575337

RESUMO

This experiment examined the magnitude and structure of force variability in isometric index finger force production tasks at 5, 15, 25, 35, 45, 55, 65, 75, 85, and 95% of maximal force in two different finger orientations. In the finger flexion task, the participants generated a downward isometric force through index finger flexion. In the finger abduction task, isometric force was generated by adducting the index finger (mediolateral motion of the middle finger and forearm were restricted). The task-related, normal force (Fz) and tangential forces (Fx and Fy) were collected with a three-dimensional force transducer. The standard deviation (SD) of the task-related force output (Fz) increased exponentially with force level. With increasing force level, approximate entropy (ApEn, a measure of irregularity) of Fz followed an inverted-U function for finger flexion, but decreased linearly in finger abduction. However, changes in the ApEn of the tangential forces were generally opposite to that of Fz, revealing compensations in the irregularity of force output between force dimensions. The findings provide evidence that force variability is related to muscle force-length characteristics (Feldman, 1966; Gottlieb %%% Agarwal, 1988).


Assuntos
Dedos , Músculo Esquelético/inervação , Músculo Esquelético/fisiologia , Fenômenos Fisiológicos do Sistema Nervoso , Adulto , Entropia , Feminino , Humanos , Contração Isométrica , Masculino , Modelos Biológicos , Transdutores
11.
Exp Brain Res ; 181(2): 347-58, 2007 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-17375291

RESUMO

The aim of this study was to investigate the postural center of pressure (COP) and surface muscle (EMG) dynamics of young adult participants under conditions where they were required to voluntarily produce random and regular sway motions in contrast to that of standing still. Frequency, amplitude and regularity measures of the COP excursion and EMG activity were assessed, as were measures of the coupling relations between the COP and EMG outputs. The results demonstrated that, even when standing still, there was a high degree of regularity in the COP output, with little difference in the modal frequency dynamics between standing still and preferred motion. Only during random conditions was a significantly greater degree of irregularity observed in the COP measures. The random-like movements were also characterized by a decrease in the level of synchrony between COP motion on the anterior-posterior (AP) and medio-lateral (ML) axes. In contrast, at muscle level, the random task resulted in the highest level of regularity (decreased ApEn) for the EMG output for soleus and tibialis anterior. The ability of individuals to produce a random motion was achieved through the decoupling of the COP motion in each dimension. This decoupling strategy was reflected by increased regularity of the EMG output as opposed to any significant change in the synchrony in the firing patterns of the muscles examined. Increased regularity across the individual muscles was accompanied by increased irregularity in COP dynamics, which can be characterized as a complexity tradeoff. Collectively, these findings support the view that the dynamics of muscle firing patterns does not necessarily map directly to the dynamics at the movement task level and vice versa.


Assuntos
Movimento/fisiologia , Músculo Esquelético/fisiologia , Equilíbrio Postural/fisiologia , Postura/fisiologia , Adulto , Algoritmos , Análise de Variância , Interpretação Estatística de Dados , Eletromiografia , Entropia , Retroalimentação/fisiologia , Feminino , Gravitação , Humanos , Masculino , Visão Ocular/fisiologia
12.
J Mot Behav ; 38(2): 88-100, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16531392

RESUMO

The authors examined the effects of learning on the change in the organization of the mechanical and dynamical degrees of freedom in 5 men who performed a ski-simulator task. A 3-dimensional analysis of the motion of the total-body center of mass and the segmental centers of mass (head, torso, thighs, and shanks) over practice showed that the recruitment of mechanical degrees of freedom was strongly influenced by anatomical and task constraints. Principal components analysis of the body segments' motions revealed that practice shifted their relative contributions but did not change the number of principal components. The present findings show that there can be independence in the patterns of change in the mechanical and dynamical degrees of freedom that arise from practice.


Assuntos
Aprendizagem/fisiologia , Movimento/fisiologia , Adolescente , Adulto , Fenômenos Biomecânicos , Cabeça/fisiologia , Humanos , Masculino
13.
Exp Brain Res ; 169(3): 350-60, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16284754

RESUMO

This experiment examined the acquisition of the global and local dynamics of the changes in the total body center of mass-platform and inter-limb coordination motions over the course of practice (20, 30 s trials each day for 7 days) in the ski-simulator task. Four blocks of trials, representative of early, moderate, and extensive practice were analyzed through power spectrum and coherence analyses. The oscillation frequencies of the knee joints became tuned to that of the platform-performer system and there were changes due to practice in the lower inter-limb coordination dynamics independent of the center of mass and platform coordination pattern. Acquisition of global level dynamics occurs to achieve a stable task solution that can allow for degenerate frequency- and phase-locking of the mechanical degrees of freedom at both the local intra- and inter-limb levels.


Assuntos
Destreza Motora/fisiologia , Dinâmica não Linear , Equilíbrio Postural/fisiologia , Prática Psicológica , Esqui/educação , Adolescente , Adulto , Análise de Variância , Fenômenos Biomecânicos , Simulação por Computador , Feminino , Humanos , Articulação do Joelho/fisiologia , Masculino , Esqui/fisiologia , Análise Espectral
14.
J Mot Behav ; 37(4): 285-94, 2005 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15967754

RESUMO

The authors investigated the structure of force production and variability as a function of grip configuration and width during precision grasping. Variability was studied in absolute (standard deviation) and relative (coefficient of variation) terms; in addition, the authors used approximate entropy to examine regularity. In Experiment 1, the participants (N = 14) used a 2-digit grasp (thumb, index), whereas in Experiment 2, the participants (N = 11) used a 3-digit grasp (thumb, index, middle). The level and regularity of force increased with grip width. The amount of variability was least at narrow grip widths for 2-digit grasping and greatest at narrow grip widths for 3-digit grasping. That pattern of findings is not necessitated by the mechanical equilibrium of grasping; thus, it also reflected adaptive neural reorganization of force output to task demands.


Assuntos
Força da Mão , Adulto , Exercício Físico , Feminino , Humanos , Masculino , Percepção de Tamanho , Interface Usuário-Computador
15.
J Mot Behav ; 37(4): 325-34, 2005 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15967757

RESUMO

The authors examined the influence of intermittent (40-5,000 ms) visual information on the control of rhythmical isometric force output (0.5, 2.0, and 4.0 Hz) in 10 participants. Force variability decreased as a function of less intermittent visual information only in the 0.5- and 2.0-Hz tasks. Vision influenced the frequency structure of force output through 0-12 Hz in the 0.5-Hz task, but in only the 10.0- to 12.0-Hz range in the 2.0-Hz task and not in the 4.0-Hz task. The effective use of intermittent visual information in force output was mediated by task frequency, and that mediation was reflected in the differential emphasis of feedback and feedforward processes over multiple timescales of control.


Assuntos
Percepção de Movimento , Periodicidade , Percepção Visual , Adulto , Retroalimentação , Feminino , Humanos , Masculino , Movimento
16.
J Mot Behav ; 37(3): 247-56, 2005 May.
Artigo em Inglês | MEDLINE | ID: mdl-15883122

RESUMO

The authors examined the learning function of a multiple biomechanical degrees of freedom coordination task. Four adult participants practiced the pedalo locomotion task for 350 trials over 7 days. On the basis of the Cauchy theorem, the authors applied a movement pattern difference score that provides a measure of convergence to a fixed point as the criterion for quantifying learning. The findings showed a significant reduction of the movement pattern difference score over practice. Neither an exponential (0.11) nor a power law (0.10) function accommodated a large percentage of the variance of the pattern difference measure on individual learning functions, but the respective fits were higher, although not different, for movement time (.57, .55). Principal components analysis showed a decrease of components over practice; the analysis also showed that 3-5 components were required to accommodate 90% of the variance of the whole-body motion at the end of the final practice session. Those findings on the learning functions for movement and outcome scores are discussed in relation to the redundancy of the biomechanical system in moving to a dynamical stable fixed point in this task.


Assuntos
Aprendizagem , Locomoção/fisiologia , Extremidade Inferior/fisiologia , Adulto , Feminino , Humanos , Masculino , Modelos Psicológicos , Movimento/fisiologia , Prática Psicológica , Fatores de Tempo
17.
Hum Mov Sci ; 20(4-5): 695-715, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11750683

RESUMO

Bernstein (The Co-ordination and Regulation of Movements, Pergamon, London, 1967) outlined a theoretical framework for the degrees of freedom problem in motor control that included a 3-stage approach to the reorganization of the peripheral biomechanical degrees of freedom in motor learning and development. We propose that Bernstein's conception of change through the stages of learning is too narrow in its consideration of the degrees of freedom problem and the actual pathways of change evident in motor learning. It is shown that change in both the organization of the mechanical degrees of freedom and the dimension of the attractor dynamic organizing motor output can either increase or decrease, according to the confluence of constraints imposed on action. The central issue determining directional change in dimension is whether the dimensionality of the task relevant intrinsic dynamic needs to be increased or decreased to realize new task demands.


Assuntos
Cinestesia , Destreza Motora , Orientação , Desempenho Psicomotor , Adulto , Fatores Etários , Idoso , Humanos , Lactente , Cinestesia/fisiologia , Destreza Motora/fisiologia , Orientação/fisiologia , Desempenho Psicomotor/fisiologia , Psicofísica , Psicofisiologia , Tremor/fisiopatologia
18.
J Exp Child Psychol ; 80(4): 392-408, 2001 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11689037

RESUMO

This study examined whether age-related improvements observed in the motor performance of children result from a reduction of noise in the output of the sensori-motor system. Children ages 6, 8, and 10 years and young adults (N = 48, 12 per group) performed continuous, constant isometric force contractions with the index finger at four different force levels with and without visual feedback. The results revealed that: (a) performance improved with increases in age, (b) the force output signal exhibited increased irregularity and a more broadband frequency profile with increases in age under conditions with feedback, and (c) there were no age differences in the irregularity of the force signal and smaller age differences in the frequency profiles under conditions without feedback. It is proposed that the age-related enhancements in performance throughout childhood are primarily due to a more appropriate mapping of the organization of the sensori-motor system to the task constraints rather than to reduction of system noise.


Assuntos
Desenvolvimento Infantil , Contração Isométrica/fisiologia , Desempenho Psicomotor/fisiologia , Detecção de Sinal Psicológico/fisiologia , Adolescente , Adulto , Análise de Variância , Criança , Feminino , Humanos , Conhecimento Psicológico de Resultados , Masculino
19.
Neuropsychologia ; 39(13): 1410-8, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11585609

RESUMO

The current article reports an investigation of the influence of visual feedback on force production in Parkinson's disease (PD) that required subjects to maintain a constant amount of isometric force with their index finger and thumb with and without visual feedback. Eight PD and eight matched control subjects produced force at 5, 25 and 50% of their maximal voluntary contraction for 20 s. In conditions of full vision, the force trajectory and force target were viewed on the computer monitor. In the no visual feedback condition, visual feedback of the force trajectory vanished after the initial 8 s of the trial. The results showed that under the vision condition PD subjects produced levels of maximal and submaximal force that were similar to controls. Approximately 1.5-2.5 s following the removal of visual feedback, the force level in both subject groups decreased to steady-state levels. There was no difference in the time between visual feedback removal and the beginning of force decay in PD. There was a larger amount and faster rate of force decay after visual feedback removal in PD subjects compared to the controls. It is proposed that the increased force decay in PD does not result from sensory reflex deficits but from higher order sensory-motor memory processes.


Assuntos
Biorretroalimentação Psicológica , Força da Mão , Memória de Curto Prazo , Doença de Parkinson/psicologia , Idoso , Idoso de 80 Anos ou mais , Fenômenos Biomecânicos , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Modelos Neurológicos , Propriocepção , Visão Ocular
20.
Exp Clin Psychopharmacol ; 9(3): 262-8, 2001 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11534536

RESUMO

Tardive dyskinesia (TD) is a movement disorder that can be expressed at various body effector points, including the face, neck, arms, fingers, legs, and torso. In this prospective longitudinal study researchers examined whether the effector pattern of TD changed during the course of neuroleptic medication withdrawal in adults with mental retardation. Results indicated that the effector pattern of TD changed over the course of neuroleptic withdrawal. Peak dyskinesia was associated with the involvement of more body areas relative to baseline. Although dyskinesia decreased at follow-up and fewer body areas showed signs of dyskinesia, there were still differences in the effector pattern of dyskinesia relative to baseline at periods of 1 to 2 years following neuroleptic withdrawal. These findings suggest that TD is a dynamic disorder associated with changes in both severity and effector pattern over time.


Assuntos
Antipsicóticos/efeitos adversos , Discinesia Induzida por Medicamentos/psicologia , Síndrome de Abstinência a Substâncias/psicologia , Adolescente , Adulto , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Desempenho Psicomotor/fisiologia
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