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1.
Brain Res ; 1615: 148-156, 2015 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-25935692

RESUMO

In the present study, muscle pain was induced experimentally in healthy subjects by administrating hypertonic saline injections into the tibialis anterior (TA) muscle. We first aimed at comparing the analgesic effects of mechanical vibration applied to either cutaneous or muscle receptors of the TA or to both types simultaneously. Secondly, pain alleviation was compared in subjects in whom muscle tendon vibration evoked kinesthetic illusions of the ankle joint. Muscle tendon vibration, which primarily activated muscle receptors, reduced pain intensity by 30% (p<0.01). In addition, tangential skin vibration reduced pain intensity by 33% (p<0.01), primarily by activating cutaneous receptors. Concurrently stimulating both sensory channels induced stronger analgesic effects (-51%, p<0.01), as shown by the lower levels of electrodermal activity. The strongest analgesic effects of the vibration-induced muscle inputs occurred when illusory movements were perceived (-38%, p=0.01). The results suggest that both cutaneous and muscle sensory feedback reduce muscle pain, most likely via segmental and supraspinal processes. Further clinical trials are needed to investigate these new methods of muscle pain relief.


Assuntos
Ilusões/fisiologia , Músculo Esquelético/fisiopatologia , Mialgia/prevenção & controle , Mialgia/psicologia , Adulto , Articulação do Tornozelo , Feminino , Humanos , Masculino , Fusos Musculares/fisiologia , Músculo Esquelético/inervação , Mialgia/induzido quimicamente , Medição da Dor , Estimulação Física , Vibração , Adulto Jovem
2.
PLoS One ; 8(4): e62475, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23626826

RESUMO

To further elucidate the mechanisms underlying multisensory integration, this study examines the controversial issue of whether congruent inputs from three different sensory sources can enhance the perception of hand movement. Illusory sensations of clockwise rotations of the right hand were induced by either separately or simultaneously stimulating visual, tactile and muscle proprioceptive channels at various intensity levels. For this purpose, mechanical vibrations were applied to the pollicis longus muscle group in the subjects' wrists, and a textured disk was rotated under the palmar skin of the subjects' right hands while a background visual scene was projected onto the rotating disk. The elicited kinaesthetic illusions were copied by the subjects in real time and the EMG activity in the adductor and abductor wrist muscles was recorded. The results show that the velocity of the perceived movements and the amplitude of the corresponding motor responses were modulated by the nature and intensity of the stimulation. Combining two sensory modalities resulted in faster movement illusions, except for the case of visuo-tactile co-stimulation. When a third sensory input was added to the bimodal combinations, the perceptual responses increased only when a muscle proprioceptive stimulation was added to a visuo-tactile combination. Otherwise, trisensory stimulation did not override bimodal conditions that already included a muscle proprioceptive stimulation. We confirmed that vision or touch alone can encode the kinematic parameters of hand movement, as is known for muscle proprioception. When these three sensory modalities are available, they contribute unequally to kinaesthesia. In addition to muscle proprioception, the complementary kinaesthetic content of visual or tactile inputs may optimize the velocity estimation of an on-going movement, whereas the redundant kinaesthetic content of the visual and tactile inputs may rather enhance the latency of the perception.


Assuntos
Mãos/fisiologia , Movimento , Propriocepção/fisiologia , Tato , Visão Ocular , Adulto , Eletromiografia , Feminino , Humanos , Masculino , Percepção de Movimento/fisiologia , Músculo Esquelético/fisiologia , Estimulação Luminosa , Estimulação Física , Desempenho Psicomotor/fisiologia , Adulto Jovem
3.
Exp Brain Res ; 221(2): 167-76, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22766849

RESUMO

We analyzed the cutaneous encoding of two-dimensional movements by investigating the coding of movement velocity for differently oriented straight-line movements and the coding of complex trajectories describing cursive letters. The cutaneous feedback was then compared with that of the underlying muscle afferents previously recorded during the same "writing-like" movements. The unitary activity of 43 type II cutaneous afferents was recorded in the common peroneal nerve in healthy subjects during imposed ankle movements. These movements consisted first of ramp-and-hold movements imposed at two different and close velocities in seven directions and secondly of "writing-like" movements. In both cases, the responses were analyzed using the neuronal population vector model. The results show that movement velocity encoding depended on the direction of the ongoing movement. Discriminating between two velocities therefore involved processing the activity of afferent populations located in the various skin areas surrounding the moving joint, as shown by the statistically significant difference observed in the amplitude of the sum vectors. Secondly, "writing-like" movements induced cutaneous neuronal patterns of activity, which were reproducible and specific to each trajectory. Lastly, the "cutaneous neuronal trajectories," built by adding the sum vectors tip-to-tail, nearly matched both the movement trajectories and the "muscle neuronal trajectories," built from previously recorded muscle afferents. It was concluded that type II cutaneous and the underlying muscle afferents show similar encoding properties of two-dimensional movement parameters. This similarity is discussed in relation to a central gating process that would for instance increase the gain of cutaneous inputs when muscle information is altered by the fusimotor drive.


Assuntos
Vias Aferentes/fisiologia , Articulação do Tornozelo/fisiologia , Movimento/fisiologia , Músculo Esquelético/inervação , Propriocepção/fisiologia , Pele/inervação , Eletromiografia , Potencial Evocado Motor/fisiologia , Retroalimentação Fisiológica , Feminino , Humanos , Masculino , Orientação , Estimulação Física , Tempo de Reação , Punho/inervação , Adulto Jovem
4.
Brain Res ; 1382: 219-29, 2011 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-21276776

RESUMO

UNLABELLED: Here we investigated how the tactile modality is used along with muscle proprioception in hand movement perception, whether these two sensory inputs are centrally integrated and whether they work complementarily or concurrently. The illusory right hand rotations induced in eleven volunteers by a textured disk scrolling under their hand in two directions at three velocities and/or by mechanical vibration applied to their wrist muscles at three frequencies were compared. The kinesthetic illusions were copied by the subjects on-line with their left hand. RESULTS: 1) in all the subjects, tactile stimulation alone induced an illusory hand rotation in the opposite direction to that of the disk, and the velocity of the illusion increased non-linearly with the disk velocity: the highest gain (the illusion velocity to disk velocity ratio) occurred at the slowest disk rotation; 2) adding a consistent proprioceptive stimulus increased the perceptual effects, whereas adding a conflicting proprioceptive stimulus of increasing frequency gradually decreased the tactile illusions and reversed their initial direction; 3) under both consistent and conflicting conditions, only strong proprioceptive stimulation significantly affected the gain of the resulting illusions, whereas the largest gain always occurred at low tactile stimulation levels when the illusory movements were in the same direction as the tactile-induced illusion. Tactile information may equal or even override muscle proprioceptive information in the perception of relatively small, slow hand movements. These two somatosensory inputs may be integrated complementarily, depending on their respective relevance to the task of accurately perceiving one's own hand movements.


Assuntos
Retroalimentação Sensorial/fisiologia , Mãos/fisiologia , Percepção de Movimento/fisiologia , Orientação/fisiologia , Desempenho Psicomotor/fisiologia , Percepção do Tato/fisiologia , Adulto , Feminino , Mãos/inervação , Humanos , Ilusões/fisiologia , Masculino , Músculo Esquelético/inervação , Músculo Esquelético/fisiologia , Testes Neuropsicológicos/normas , Estimulação Física/métodos , Propriocepção/fisiologia , Rotação , Adulto Jovem
5.
J Neurophysiol ; 104(2): 949-59, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20538782

RESUMO

Our sense of body posture and movement is mainly mediated by densely packed populations of tiny mechanoreceptors present in the muscles. Signals triggered in muscle spindles by our own actions contribute crucially to our consciousness of positions and movements by continuously feeding and updating dynamic sensorimotor maps. Deciphering the coding rules whereby the nervous system integrates this proprioceptive information perceptually could help to elucidate the mechanisms underlying kinesthesia. The aim of the present study was to test the validity of a "propriomimetic method" of predicting the proprioceptive streams emitted by each of the muscles involved in two- (2D) and three-dimensional (3D) arm movements. This method was based on the functional properties of muscle spindle populations previously recorded microneurographically in behaving humans. Ia afferent patterns mimicking those evoked when the "arm-forearm" ensemble is drawing straight lines, graphic symbols, and complex 3D figures were calculated. These simulated patterns were then delivered to the main elbow and shoulder muscle tendons of motionless volunteers via a set of vibrators. Results show that the simulated proprioceptive patterns applied induced, in passive subjects, illusory 2D and 3D arm movements, the trajectories of which were very similar to the expected ones. These simulated patterns can therefore be said to be a substitute for the Ia proprioceptive feedback evoked by any human arm movement and this method can certainly be extended to other musculoskeletal ensembles. The illusory movements induced when these proprioceptive patterns are applied to muscle groups via sets of vibrators may provide useful tools for sensorimotor rehabilitation purposes.


Assuntos
Braço/fisiologia , Retroalimentação Sensorial/fisiologia , Ilusões/fisiologia , Movimento/fisiologia , Adulto , Feminino , Humanos , Cinestesia/fisiologia , Masculino , Pessoa de Meia-Idade , Fusos Musculares/fisiologia , Músculo Esquelético/fisiologia , Orientação/fisiologia , Valor Preditivo dos Testes , Vibração/uso terapêutico , Adulto Jovem
6.
J Neurosci ; 29(26): 8483-92, 2009 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-19571139

RESUMO

It is generally agreed that motor imagery involves kinesthetic sensations especially as far as first-person imagery is concerned. It was proposed to determine the extent to which motor imagery and vibration-induced illusory sensations of movement are integrated perceptually. Imagined and illusory hand movements were evoked both separately and in various combinations in 12 volunteers. After each trial, the participants were asked to draw the movement trajectory perceived. In all the subjects, propriomimetic vibration patterns applied to various wrist muscles induced spatially oriented or more complex illusory hand movements such as writing or drawing. Depending on the instructions, the subjects were also able to produce imagined hand movements in various directions and at two different velocities. When straight illusory and imagined movements were evoked simultaneously, all the subjects perceived a single movement trajectory, in which the direction and the velocity of the two ongoing sensations were exactly integrated. This perceptual integration also occurred in the case of more complex movements, such as writing and drawing, giving rise to the perception of original trajectories also combining the features of both motor images. Because these two kinesthetic images, the one intentionally and centrally induced and the other peripherally evoked, activate almost the same neural network including cortical sensory and motor areas, parietal regions, and the cerebellum, these results suggest that common processes may be involved in such a perceptual fusion. The nature of these common processes is discussed, and some fields of research in which these findings could potentially be applied are suggested.


Assuntos
Ilusões/fisiologia , Imaginação/fisiologia , Cinestesia/fisiologia , Percepção/fisiologia , Adulto , Análise de Variância , Eletromiografia/métodos , Potencial Evocado Motor/fisiologia , Feminino , Mãos , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Biológicos , Movimento/fisiologia , Contração Muscular/fisiologia , Músculo Esquelético/inervação , Estimulação Física/métodos , Desempenho Psicomotor/fisiologia , Estatísticas não Paramétricas , Vibração , Adulto Jovem
7.
Neuropsychologia ; 47(8-9): 1909-16, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19428423

RESUMO

Neuropsychological studies, based on pointing to body parts paradigms, suggest that left posterior parietal lobe is involved in the visual processing of other persons' bodies. In addition, some patients have been found with mild deficit when dealing with abstract human representations but marked impairment with realistically represented bodies, suggesting that this processing could be modulated by the abstraction level of the body to be analyzed. These issues were examined in the present fMRI experiment, designed to evaluate the effects of visually processing human bodies of different abstraction levels on brain activity. The human specificity of the studied processes was assessed using whole-body representations of humans and of dogs, while the effects of the abstraction level of the representation were assessed using drawings, photographs, and videos. To assess the effect of species and stimulus complexity on BOLD signal, we performed a two-way ANOVA with factors species (human versus animal) and stimulus complexity (drawings, photographs and videos). When pointing to body parts irrespective of the stimulus complexity, we observed a positive effect of humans upon animals in the left angular gyrus (BA 39), as suggested by lesion studies. This effect was also present in midline cortical structures including mesial prefrontal, anterior cingulate and precuneal regions. When pointing to body parts irrespective of the species to be processed, we observed a positive effect of videos upon photographs and drawings in the right superior parietal lobule (BA 7), and bilaterally in the superior temporal sulcus, the supramarginal gyrus (BA 40) and the lateral extrastriate visual cortex (including the "extrastriate body area"). Taken together, these data suggest that, in comparison with other mammalians, the visual processing of other humans' bodies is associated with left angular gyrus activity, but also with midline structures commonly implicated in self-reference. They also suggest a role of the lateral extrastriate cortex in the processing of dynamic and biologically relevant body representations.


Assuntos
Mapeamento Encefálico , Córtex Cerebral/fisiologia , Corpo Humano , Percepção Visual/fisiologia , Adolescente , Adulto , Análise de Variância , Córtex Cerebral/irrigação sanguínea , Feminino , Lateralidade Funcional , Humanos , Processamento de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Masculino , Testes Neuropsicológicos , Oxigênio/sangue , Estimulação Luminosa/métodos , Desempenho Psicomotor , Tempo de Reação/fisiologia , Adulto Jovem
8.
Eur J Appl Physiol ; 105(2): 235-45, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18974996

RESUMO

Postural stability of bulldozer operators after a day of work is investigated. When operators are no longer exposed to whole-body vibration (WBV) generated by their vehicle, their sensorimotor coordination and body representation remain altered. A sensorimotor treatment based on a set of customized voluntary movements is tested to counter and prevent potential post-work accidents due to prolonged exposure to WBV. This treatment includes muscle stretching, joint rotations, and plantar pressures, all known to minimize the deleterious effects of prolonged exposure to mechanical vibrations. The postural stability of participants (drivers; N = 12) was assessed via the area of an ellipse computed from the X and Y displacements of the center-of-pressure (CoP) in the horizontal plane when they executed a simple balance task before driving, after driving, and after driving and having performed the sensorimotor treatment. An ancillary experiment is also reported in which a group of non-driver participants (N = 12) performed the same postural task three times during the same day but without exposure to WBV or the sensorimotor treatment. Prolonged exposure to WBV significantly increased postural instability in bulldozer drivers after they operated their vehicle compared to prior to their day of work. The sensorimotor treatment allowed postural stability to return to a level that was not significantly different from that before driving. The results reveal that (1) the postural system remains perturbed after prolonged exposure to WBV due to operating a bulldozer and (2) treatment immediately after driving provides a "sensorimotor recalibration" and a significant decrease in WBV-induced postural instability. If confirmed in different contexts, the postural re-stabilizing effect of the sensorimotor treatment would constitute a simple, rapid, inexpensive, and efficient means to prevent post-work accidents due to balance-related issues.


Assuntos
Modalidades de Fisioterapia , Equilíbrio Postural , Desempenho Psicomotor/fisiologia , Transtornos de Sensação/terapia , Vibração/efeitos adversos , Adolescente , Exercício Físico/fisiologia , Humanos , Masculino , Sistemas Homem-Máquina , Veículos Automotores , Doenças Profissionais/terapia , Exposição Ocupacional , Adulto Jovem
9.
J Neurophysiol ; 101(2): 633-40, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19036863

RESUMO

The aim of the present study was to investigate whether the fusimotor control of muscle spindle sensitivity may depend on the movement parameter the task is focused on, either the velocity or the final position reached. The unitary activities of 18 muscle spindle afferents were recorded by microneurography at the common peroneal nerve. We compared in two situations the responses of muscle spindle afferents to ankle movements imposed while the subject was instructed not to pay attention to or to pay attention to the movement, both in the absence of visual cues. In the two situations, three ramp-and-hold movements were imposed in random order. In one situation, the three movements differed by their velocity and in the other by the final position reached. The task consisted in ranking the three movements according to the parameter under consideration (for example, slow, fast, and medium). The results showed that paying attention to movement velocity gave rise to a significant increase in the dynamic and static responses of muscle afferents. In contrast, focusing attention on the final position reached made the muscle spindle feedback better discriminate the different positions and depressed its capacity to discriminate movement velocities. Changes are interpreted as reflecting dynamic and static gamma activation, respectively. The present results support the view that the fusimotor drive depends on the parameter the task is focused on, so that the muscle afferent feedback is adjusted to the task requirements.


Assuntos
Retroalimentação , Neurônios Motores/fisiologia , Movimento/fisiologia , Fusos Musculares/fisiologia , Músculo Esquelético/inervação , Propriocepção/fisiologia , Adulto , Atenção/fisiologia , Eletromiografia , Feminino , Humanos , Masculino , Músculo Esquelético/fisiologia , Neurônios Aferentes/fisiologia , Dinâmica não Linear , Análise e Desempenho de Tarefas , Adulto Jovem
10.
J Electromyogr Kinesiol ; 19(4): e214-22, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18501634

RESUMO

Lower leg amputation generally induces asymmetrical weight-bearing, even after rehabilitation treatment is completed. This is detrimental to the amputees' long term quality of life. In particular, increasing strains on joint surfaces that receive additional weight load causes back and leg pain, premature wear and tear and arthritis. This pilot study was designed to determine whether subjects with lower leg amputation experience postural post-effects after muscle contraction, a phenomenon already observed in healthy subjects, and whether this could improve the weight-bearing on their prosthesis. Fifteen subjects with a unilateral lower leg amputation and 17 control subjects volunteered to participate in this study. Centre of pressure (CP) position was recorded during standing posture, under eyes closed and open conditions. Recordings were carried out before the subjects performed a 30-s voluntary isometric lateral neck muscle contraction, and again 1 and 4 min after the contraction. Postural post-effects characterized by CP shift, occurred in the medio-lateral plane in the majority of the amputated (7/15 eyes closed, 9/15 eyes open) and control (9/17 eyes closed, 11/17 eyes open) subjects after the contraction. Half of these subjects had a CP shift towards the side of the contraction and the other half towards the opposite side. In four amputated subjects tested 3 months apart, shift direction remained constant. These postural changes occurred without increase in CP velocity. Thus, a 30-s voluntary isometric contraction can change the standing posture of persons with lower leg amputation. The post-effects might result from the adaptation of the postural frame of reference to the proprioceptive messages associated with the isometric contraction.


Assuntos
Amputados , Contração Isométrica/fisiologia , Perna (Membro)/fisiologia , Músculos do Pescoço/fisiologia , Equilíbrio Postural/fisiologia , Postura/fisiologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Esforço Físico/fisiologia
11.
Hum Brain Mapp ; 30(3): 990-7, 2009 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18412129

RESUMO

Studying cognitive brain functions by functional magnetic resonance imaging (fMRI) requires appropriate stimulation devices that do not interfere with the magnetic fields. Since the emergence of fMRI in the 90s, a number of stimulation devices have been developed for the visual and auditory modalities. Only few devices, however, have been developed for the somesthesic modality. Here, we present a vibration device for studying somesthesia that is compatible with high magnetic field environments and that can be used in fMRI machines. This device consists of a poly vinyl chloride (PVC) vibrator containing a wind turbine and of a pneumatic apparatus that controls 1-6 vibrators simultaneously. Just like classical electromagnetic vibrators, our device stimulates muscle mechanoreceptors (muscle spindles) and generates reliable illusions of movement. We provide the fMRI compatibility data (phantom test), the calibration curve (vibration frequency as a function of air flow), as well as the results of a kinesthetic test (perceived speed of the illusory movement as a function of vibration frequency). This device was used successfully in several brain imaging studies using both fMRI and magnetoencephalography.


Assuntos
Mapeamento Encefálico/instrumentação , Imageamento por Ressonância Magnética/instrumentação , Mecanorreceptores/fisiologia , Músculo Esquelético/fisiologia , Estimulação Física/instrumentação , Humanos , Vibração
12.
J Neurophysiol ; 101(2): 816-23, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19052107

RESUMO

In humans, tendon vibration evokes illusory sensation of movement. We developed a model mimicking the muscle afferent patterns corresponding to any two-dimensional movement and checked its validity by inducing writing illusory movements through specific sets of muscle vibrators. Three kinds of illusory movements were compared. The first was induced by vibration patterns copying the responses of muscle spindle afferents previously recorded by microneurography during imposed ankle movements. The two others were generated by the model. Sixteen different vibratory patterns were applied to 20 motionless volunteers in the absence of vision. After each vibration sequence, the participants were asked to name the corresponding graphic symbol and then to reproduce the illusory movement perceived. Results showed that the afferent patterns generated by the model were very similar to those recorded microneurographically during actual ankle movements (r=0.82). The model was also very efficient for generating afferent response patterns at the wrist level, if the preferred sensory directions of the wrist muscle groups were first specified. Using recorded and modeled proprioceptive patterns to pilot sets of vibrators placed at the ankle or wrist levels evoked similar illusory movements, which were correctly identified by the participants in three quarters of the trials. Our proprioceptive model, based on neurosensory data recorded in behaving humans, should then be a useful tool in fields of research such as sensorimotor learning, rehabilitation, and virtual reality.


Assuntos
Ilusões/fisiologia , Movimento/fisiologia , Fusos Musculares/fisiologia , Tendões/fisiologia , Vibração , Articulação do Tornozelo/inervação , Feminino , Humanos , Masculino , Modelos Biológicos , Fusos Musculares/inervação , Propriocepção/fisiologia , Reconhecimento Psicológico , Reprodutibilidade dos Testes , Articulação do Punho/inervação
13.
Exp Brain Res ; 186(2): 349-53, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18317743

RESUMO

We studied the relationship between the velocity of movement illusion and the activity level of primary motor area (M1) and of the left angular gyrus (AG) in humans. To induce illusory movement perception, we applied co-vibration at different frequencies on tendons of antagonistic muscle groups. Since it is well established that the velocity of illusory movement is related to the difference in vibration frequency applied to two antagonistic muscles, we compared magnetoencephalography (MEG) signals recorded in two conditions of co-vibration: in the "fast illusion" condition a frequency difference of 80 Hz was applied on the tendons of the right wrist extensor and flexor muscle groups, whereas in the "slow illusion" condition a frequency difference of 40 Hz was applied on the same muscle groups. The dipole strength, reflecting the activity level of structures, was measured over M1 and the left AG in two different time-periods: 0-400 and 400-800 ms in each condition. Our results showed that the activity level of the AG was similar in both conditions whatever the time-period, whereas the activity level of M1 was higher in the "fast illusion" condition compared to the "slow illusion" condition from 400 ms after the vibration onset only. The data suggest that the two structures differently contributed to the perception of illusory movements. Our hypothesis is that M1 would be involved in the coding of cinematic parameters of the illusory movement but not the AG.


Assuntos
Giro do Cíngulo/fisiologia , Mãos/fisiologia , Ilusões/fisiologia , Magnetoencefalografia/métodos , Córtex Motor/fisiologia , Movimento/fisiologia , Adulto , Feminino , Humanos , Masculino , Percepção de Movimento/fisiologia , Vibração
14.
Joint Bone Spine ; 74(5): 461-6, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17693114

RESUMO

OBJECTIVE: Complex regional pain syndrome type I (CRPS-I) is now considered as a central nervous system disease with peripheral manifestations. CRPS-I may result from a mismatch between sensory input and motor output leading to a disorganization of motor programming in cortical structures. According to previous studies in the field of motor control, one efficient way to correct this mismatch could be a proprioceptive feedback enhancement. The goal of the present study was to determine whether vibratory stimulation by improving proprioceptive feedback may increase range of motion and minimize pain in patients with CRPS-I. METHODS: An open non-randomized study was conducted in 11 patients with CRPS-I of the hand and wrist. Conventional rehabilitation sessions were given for 10 weeks. During each session, patients in the intervention group (n=7) received vibratory stimulation of the affected region; the remaining 4 patients served as the controls. RESULTS: After 10 weeks, range-of-motion gains were about 30% larger and pain severity was about 50% lower in the intervention group than in the control group. A significant decrease in analgesic use occurred in the intervention group. DISCUSSION: Vibratory stimulation may significantly improve range of motion and pain in patients with CRPS-I, probably by reestablishing consonance between sensory input and motor output at cortical level. Prospective randomized studies in larger numbers of patients are needed. Cross-over designs or simulated vibratory stimulation should be used to minimize bias.


Assuntos
Retroalimentação , Neuralgia/fisiopatologia , Estimulação Física , Propriocepção/fisiologia , Adulto , Idoso , Feminino , Mãos , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Amplitude de Movimento Articular , Síndrome , Vibração , Punho
15.
J Neurosci ; 27(19): 5172-8, 2007 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-17494703

RESUMO

The aim of the present study was to test whether fusimotor control of human muscle spindle sensitivity changed when attention was selectively directed to the recognition of an imposed two-dimensional movement in the form of a written symbol. The unitary activities of 32 muscle spindle afferents (26 Ia, 6 II) were recorded by microneurography at the level of the common peroneal nerve. The patterns of firing rate in response to passive movements of the ankle, forming different letters or numbers, were compared in two conditions: control and recognition. No visual cues were given in either condition, but subjects had to recognize and name the character in one condition compared with not paying attention in the control condition. The results showed that 58% of the tested Ia afferents presented modified responses to movements when these had to be recognized. Changes in Ia afferent responses included decreased depth of modulation, increased variability of discharge, and changes in spontaneous activity. Not all changes were evident in the same afferent. Furthermore, the percentage of correctly recognized movements amounted to 63% when changes were observed, but it was only 48% when the primary ending sensitivity was unaltered. The responses of group II afferents were only weakly changed or unchanged. It is suggested that the altered muscle spindle sensitivity is because of selective changes in fusimotor control, the consequence of which might be to feed the brain movement trajectory information that is more accurate.


Assuntos
Atenção/fisiologia , Movimento/fisiologia , Fusos Musculares/fisiologia , Músculo Esquelético/fisiologia , Propriocepção/fisiologia , Potenciais de Ação/fisiologia , Adulto , Vias Aferentes/fisiologia , Artefatos , Encéfalo/fisiologia , Sinais (Psicologia) , Retroalimentação/fisiologia , Humanos , Cinestesia/fisiologia , Músculo Esquelético/inervação , Neurônios Aferentes/fisiologia , Reconhecimento Visual de Modelos/fisiologia , Nervo Fibular/fisiologia , Estimulação Luminosa , Desempenho Psicomotor/fisiologia , Limiar Sensorial/fisiologia
16.
J Physiol ; 580(Pt. 2): 649-58, 2007 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-17255169

RESUMO

The aim of this study was to analyse the directional coding of two-dimensional limb movements by cutaneous afferents from skin areas covering a multidirectional joint, the ankle. The activity of 89 cutaneous afferents was recorded in the common peroneal nerve, and the mean discharge frequency of each unit was measured during the outward phase of ramp and hold movements imposed in 16 different directions. Forty-two afferents responded to the movements in the following decreasing order (SA2, n = 24/27; FA2, n = 13/17; FA1, n = 3/24; SA1, n = 2/21). All the units activated responded to a specific range of directions, defining their 'preferred sector', within which their response peaked in a given direction, their 'preferred direction'. Based on the distribution of the preferred directions, two populations of afferents, and hence two skin areas were defined: the anterior and the external lateral parts of the leg. As the directional tuning of each population was cosine shaped, the neuronal population vector model was applied and found to efficiently describe the movement direction encoded by cutaneous afferents, as it has been previously reported for muscle afferents. The responses of cutaneous afferents were then considered with respect to those of the afferents from the underlying muscles, which were previously investigated, and an almost perfect matching of directional sensitivity was observed. It is suggested that the common movement-encoding characteristics exhibited by cutaneous and muscle afferents, as early as the peripheral level, may facilitate the central co-processing of their feedbacks subserving kinaesthesia.


Assuntos
Articulação do Tornozelo/fisiologia , Movimento/fisiologia , Neurônios Aferentes/fisiologia , Pele/inervação , Adulto , Humanos , Modelos Neurológicos
17.
Brain Res ; 1121(1): 200-6, 2006 Nov 22.
Artigo em Inglês | MEDLINE | ID: mdl-17020751

RESUMO

The present study aimed to investigate cortical activity associated with perception of illusory hand movements elicited by tendon vibration using magnetoencephalography (MEG) in humans. We compared MEG responses in two conditions of stimulation, "illusion" and "no illusion". In the "illusion" condition, covibration at different frequencies applied on the tendons of the right wrist flexor and extensor muscle groups evoked illusory movements of the hand. In the "no illusion" condition, covibration was delivered at the same frequency on both tendon groups and no movement was perceived. In both experimental conditions, equivalent current dipoles (ECD) were identified in each of four time windows: 0-200 ms, 200-400 ms, 400-600 ms and 600-800 ms. Our data showed similar activation in S1, superior parietal gyrus and supramarginal gyrus in both conditions, whereas the supplementary motor area, M1 and the left angular gyrus were found active in the "illusion" condition only. Our results confirmed the role of posterior parietal areas as well as motor areas in the arising of kinesthetic sensations. The hypothesis of an interaction between the angular gyrus and the primary motor area occurring about 400 ms after the beginning of the stimulation is discussed.


Assuntos
Córtex Cerebral/fisiologia , Mãos/inervação , Ilusões/fisiologia , Movimento/fisiologia , Percepção/fisiologia , Tendões/fisiologia , Adulto , Feminino , Lateralidade Funcional , Humanos , Magnetoencefalografia , Masculino , Vibração , Articulação do Punho/fisiologia
18.
Exp Brain Res ; 172(2): 163-74, 2006 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-16421730

RESUMO

The aim of the present study was to further investigate the contribution of primary muscle spindle feedback to proprioception and higher brain functions, such as movement trajectory recognition. For this purpose, complex illusory movements were evoked in subjects by applying patterns of muscle tendon vibration mimicking the natural Ia afferent pattern. Ia afferent messages were previously recorded using microneurographic method from the six main muscle groups acting on the ankle joint during imposed "writing like" movements. The mean Ia afferent pattern was calculated for each muscle group and used as a template to pilot each vibrator. Eleven different vibratory patterns were applied to ten volunteers. Subjects were asked both to copy the perceived illusory movements by hand on a digitizing tablet and to recognize and name the corresponding graphic symbol. The results show that the Ia afferent feedback of a given movement evokes the illusion of the same movement when it is applied to the subject via the appropriate pattern of muscle tendon vibration. The geometry and the kinematic parameters of the imposed and illusory movements are very similar and the so-called "two-thirds power law" is present in the reproduction of the vibration-induced illusory movements. Vibrations within the "natural" frequency range of Ia fibres firing (around 30 Hz) produce clear illusions of movements in all the tested subjects. In addition, increasing the mean frequency of the vibration patterns resulted in a linear increase in the size of the illusory movements. Lastly, the subjects were able to recognize and name the symbols evoked by the vibration-induced primary muscle spindle afferent patterns in 83% of the trials. These findings suggest that the "proprioceptive signature" of a given movement is associated with the corresponding "perceptual signature". The neural mechanisms possibly underlying the sensory to perceptual transformation are discussed in the general framework of "the neuronal population vector model".


Assuntos
Retroalimentação/fisiologia , Ilusões , Movimento/fisiologia , Neurônios Aferentes/fisiologia , Tendões/fisiologia , Adulto , Articulação do Tornozelo/anatomia & histologia , Articulação do Tornozelo/fisiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fusos Musculares/fisiologia , Propriocepção/fisiologia , Vibração , Redação
19.
Muscle Nerve ; 32(1): 88-94, 2005 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15806551

RESUMO

In a previous study, we showed that patients with muscular dystrophies (MDs) perceive passive movements, experience sensations of illusory movement induced by muscle tendon vibration, and have proprioceptive-regulated sways in response to vibratory stimulation applied to the neck and ankle muscle tendons. These findings argue for preserved proprioceptive functions of muscle spindles. However, it is unclear whether the function of intrafusal muscle fibers is spared, i.e., whether they retain their ability to contract when submitted to a fusimotor drive. To answer this question, we analyzed the effects of reinforcement maneuvers (mental computation and the Jendrassik maneuver) that are known to increase muscle spindle sensitivity via fusimotor drive in healthy subjects. Nine patients with different MDs participated in the study. Reinforcement maneuvers increased both the mean amplitude of the Achilles tendon reflex (187 +/- 52.9% of the mean control amplitude) and the sensitivity of muscle spindle afferents to imposed movements of the ankle. The same reinforcement maneuvers failed to alter the amplitude of the Hoffmann reflex in the triceps surae muscle. These results suggest that the intrafusal muscle fibers preserve their contractile abilities in slowly progressive MDs. The reasons for a differential impairment of intrafusal and extrafusal muscle fibers and the clinical implications of the present results are discussed.


Assuntos
Fibras Musculares Esqueléticas/fisiologia , Fusos Musculares/fisiologia , Músculo Esquelético/fisiologia , Distrofias Musculares/patologia , Distrofias Musculares/fisiopatologia , Tendão do Calcâneo/inervação , Tendão do Calcâneo/fisiologia , Adulto , Eletromiografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Contração Muscular/fisiologia , Fibras Musculares Esqueléticas/citologia , Músculo Esquelético/citologia , Músculo Esquelético/inervação , Propriocepção , Reflexo de Estiramento/fisiologia , Vibração
20.
Exp Brain Res ; 164(2): 242-9, 2005 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15856208

RESUMO

Proprioceptive feedback from populations of muscle spindle afferents feeds the brain with information relating to the instantaneous velocity and direction of ongoing movements. In this paper, we investigate whether the invariant relationship between the velocity and curvature of a trajectory, i.e. the two-thirds power law, is reflected in this muscle spindle feedback. Sixty unitary muscle spindle afferents from six ankle muscle groups were recorded using intraneural microelectrodes during imposed "writing-like" movements. The movements had kinematic parameters obeying the two-thirds power law and were imposed so that the tip of the foot followed trajectories forming four different letters and six numbers. The responses of the muscle spindle afferent populations were analysed using the population vector model. The results demonstrate that the neuronal trajectories attained from populations of muscle spindles clearly depict the path and kinematic parameters and express the movement invariants, i.e. the trajectory segmentation into units of action and the two-thirds power law. The central vs peripheral origin of such constraints involved in the motor system is discussed.


Assuntos
Retroalimentação/fisiologia , Destreza Motora/fisiologia , Movimento/fisiologia , Músculo Esquelético/fisiologia , Propriocepção/fisiologia , Potenciais de Ação/fisiologia , Vias Aferentes/fisiologia , Articulação do Tornozelo/fisiologia , Fenômenos Biomecânicos , Eletromiografia , Pé/inervação , Pé/fisiologia , Humanos , Contração Muscular/fisiologia , Fusos Musculares/fisiologia , Músculo Esquelético/inervação , Neurônios Aferentes/fisiologia
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