The co-ordination of bimanual rapid aiming movements following stroke

Objective: To determine the role of anticipatory and movement control processes for the coordination of bimanual target aiming in individuals post stroke. Subjects: Thirty adults with chronic stroke and 30 individuals without stroke history. Design: A two-group (stroke, control) by two-aiming type (unimanual, bimanual) by two-limb (paretic, nonparetic; left, right for controls) design with repeated measures on the last two factors. Outcome measures: Kinematic analyses of performance and psychometric measures of reaction time, movement time, peak resultant velocity, time to and after peak resultant velocity and interlimb timing for movement initiation and target impact. Results: Compared with unimanual aiming, the nonparetic limb exhibited a prolonged movement time in the bimanual condition; the locus for prolongation was primarily in the deceleration phase. This adaptive response allowed for a nearly simultaneous (both limbs) target impact in 81% of trials. Compared with the unimanual condition, the nonparetic limb exhibited a lower peak velocity (10%) in the bimanual condition. Conversely, compared with the unimanual condition, the paretic limb exhibited a higher peak velocity (4%) in the bimanual condition. This disociation between limb and condition was observed for the stroke group but not the control group. Conclusions: The interlimb coordination that emerged for the stroke group revealed a complex and asymmetric contribution from each limb mediated through anticipatory and motor control processes. We suggest that this coordination may be harnessed for future bimanual intervention approaches to rehabilitation of upper limb function after stroke.

[1]  V. Mathiowetz,et al.  Grip and pinch strength: normative data for adults. , 1985, Archives of physical medicine and rehabilitation.

[2]  C B Walter,et al.  Bilateral facilitation of motor control in chronic hemiplegia. , 2002, Acta psychologica.

[3]  D Goodman,et al.  On the coordination of two-handed movements. , 1979, Journal of experimental psychology. Human perception and performance.

[4]  Carol A. Putnam,et al.  On the Space-Time Structure of Human Interlimb Co-Ordination , 1983, The Quarterly journal of experimental psychology. A, Human experimental psychology.

[5]  R. C. Oldfield.  The assessment and analysis of handedness: the Edinburgh inventory. , 1971, Neuropsychologia.

[6]  S Hocherman,et al.  Reaction and movement times in patients with hemiparesis for unilateral and bilateral elbow flexion. , 1993, Physical therapy.

[7]  J. F. Soechting,et al.  Invariant characteristics of a pointing movement in man , 1981, The Journal of neuroscience : the official journal of the Society for Neuroscience.

[8]  I. Kermadi,et al.  Do bimanual motor actions involve the dorsal premotor (PMd), cingulate (CMA) and posterior parietal (PPC) cortices? Comparison with primary and supplementary motor cortical areas. , 2000, Somatosensory & motor research.

[9]  R L Hewer,et al.  Enhanced physical therapy for arm function after stroke: a one year follow up study. , 1994, Journal of neurology, neurosurgery, and psychiatry.

[10]  E. Taub,et al.  Constraint-Induced Movement Therapy: a new family of techniques with broad application to physical rehabilitation--a clinical review. , 1999, Journal of rehabilitation research and development.

[11]  K. Lashley.  Basic neural mechanisms in behavior. , 1930 .

[12]  B. Fowler,et al.  The Coordination of Bimanual Aiming Movements: Evidence for Progressive Desynchronization , 1991, The Quarterly journal of experimental psychology. A, Human experimental psychology.

[13]  K. Newell,et al.  Interlimb Coupling and Left Hemiplegia Because of Right Cerebral Vascular Accident , 2001 .

[14]  K. Mauritz,et al.  Repetitive training of isolated movements improves the outcome of motor rehabilitation of the centrally paretic hand , 1995, Journal of the Neurological Sciences.

[15]  M. Jeannerod.  The timing of natural prehension movements. , 1984, Journal of motor behavior.

[16]  E. Taub,et al.  Constraint-induced movement therapy for motor recovery after stroke. , 1997, NeuroRehabilitation.

[17]  C. MacKenzie,et al.  Bimanual Movement Control: Information processing and Interaction Effects , 1984 .

[18]  R. Shaw,et al.  Perceiving, Acting and Knowing : Toward an Ecological Psychology , 1978 .

[19]  M Wiesendanger,et al.  Kinematics of a coordinated goal-directed bimanual task , 2002, Behavioural Brain Research.

[20]  P. Fitts,et al.  INFORMATION CAPACITY OF DISCRETE MOTOR RESPONSES. , 1964, Journal of experimental psychology.

[21]  P. Fitts.  The information capacity of the human motor system in controlling the amplitude of movement. , 1954, Journal of experimental psychology.

[22]  J. Whitall,et al.  Repetitive Bilateral Arm Training With Rhythmic Auditory Cueing Improves Motor Function in Chronic Hemiparetic Stroke , 2000, Stroke.

[23]  Pamela W. Duncan,et al.  Similar Motor Recovery of Upper and Lower Extremities After Stroke , 1994, Stroke.

[24]  K. J. Cole,et al.  Kinematic and electromyographic responses to perturbation of a rapid grasp. , 1987, Journal of neurophysiology.

[25]  Richard W. Bohannon,et al.  Interrater reliability of a modified Ashworth scale of muscle spasticity. , 1987, Physical therapy.

[26]  S. Swinnen.  Intermanual coordination: From behavioural principles to neural-network interactions , 2002, Nature Reviews Neuroscience.

[27]  J. Abbs,et al.  Sensorimotor actions in the control of multi-movement speech gestures , 1983, Trends in Neurosciences.

[28]  H. Zelaznik,et al.  Kinematics properties of rapid aimed hand movements. , 1986, Journal of motor behavior.

[29]  P. Davies,et al.  Steps to Follow , 2000, Springer Berlin Heidelberg.

[30]  M Wiesendanger,et al.  Time structure of a goal-directed bimanual skill and its dependence on task constraints , 1999, Behavioural Brain Research.

[31]  D. Morris,et al.  Constraint-induced movement therapy for moter recovery after stroke , 1997 .

[32]  G. Fullerton.  Psychology and physiology. , 1896 .

[33]  T. Matyas,et al.  Can simultaneous bilateral movement involve the undamaged hemisphere in reconstruction of neural networks damaged by stroke? , 2000, Disability and rehabilitation.

[34]  Paul J. Friedman,et al.  The Star Cancellation Test in acute stroke , 1992 .

[35]  Robert Sessions Woodworth,et al.  THE ACCURACY OF VOLUNTARY MOVEMENT , 1899 .

[36]  B. Steenbergen,et al.  Bimanual movement coordination in spastic hemiparesis , 1996, Experimental Brain Research.

[37]  D Goodman,et al.  On the nature of human interlimb coordination. , 1979, Science.

[38]  E. Vaadia,et al.  Primary motor cortex is involved in bimanual coordination , 1998, Nature.

[39]  A. Fugl-Meyer,et al.  The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. , 1975, Scandinavian journal of rehabilitation medicine.

[40]  J. Cauraugh,et al.  Two Coupled Motor Recovery Protocols Are Better Than One: Electromyogram-Triggered Neuromuscular Stimulation and Bilateral Movements , 2002, Stroke.

[41]  Paul Van Hecke,et al.  Brain areas involved in interlimb coordination , 1999 .