Multi-finger Force Production Tasks Research Articles

Synergic control of action in levodopa-naïve Parkinson's disease patients: I. Multi-finger interaction and coordination.

We explored the origin of the impaired control of action stability in Parkinson's disease (PD) by testing levodopa-naïve PD patients to disambiguate effects of PD from possible effects of long-term exposure to levodopa. Thirteen levodopa-naïve PD patients and 13 controls performed single- and multi-finger force production tasks, including producing a self-paced quick force pulse into a target. A subgroup of patients (n = 10) was re-tested about 1h after the first dose of levodopa. Compared to controls, PD patients showed lower maximal forces and synergy indices stabilizing total force (reflecting the higher inter-trial variance component affecting total force). In addition, PD patients showed a trend toward shorter anticipatory synergy adjustments (a drop in the synergy index in preparation to a quick action) and largernon-motor equivalent finger force deviations. Lower maximal force, higher unintentional force production (enslaving) and higher inter-trial variance indices occurred in PD patients after one dosage of levodopa. We conclude that impairment in synergies is present in levodopa-naïve patients, mainly in indices reflecting stability (synergy index), but not agility (anticipatory synergy adjustments). A single dose of levodopa, however, did not improve synergy indices, as it did in PD patients on chronic anti-PD medication, suggesting a different mechanism of action. The results suggest that indices of force-stabilizing synergies may be used as an early behavioral sign of PD, although it may not be sensitive to acute drug effects in drug-naïve patients.

Effects of spastic cerebral palsy on multi-finger coordination during isometric force production tasks.

In this study, we quantified changes in finger interdependence (enslaving), multi-finger synergies, and feedforward modulation of synergy properties (i.e., anticipatory synergy adjustment) during single- and multi-finger force production tasks in individuals with cerebral palsy (CP). Spastic diplegic CP and healthy control subjects performed sets of finger force production tasks by each of the hands, including maximal force production and submaximal quick pulse force production in an isometric condition. The framework of the uncontrolled manifold hypothesis was used to quantify the indices of multi-finger synergies and the anticipatory synergy adjustment (ASA). The CP group showed lower maximal forces and higher indices of finger interdependence (enslaving), while the indices of multi-finger synergies stabilizing total finger forces during stable force production were not different significantly compared to the controls. Further, the time of ASA for the CP group was not delayed. The CP group showed a significantly less drop in the synergy indices during the anticipatory and quick pulse phase compared to the control group, which was accompanied by larger co-contraction indices of the forearm muscles. These findings suggest that the function of assembling motor synergies for stable force production is not affected by CP, while the ability to modulate synergy properties may be impaired with CP partially due to spasticity. The spasticity presumably hampers the purposeful feedforward destabilization of the performance. The results suggest that quantification of multi-digit synergies may provide an alternative tool for quantitative assessment of impaired coordination in the CP individuals.

Multi-finger synergies and the muscular apparatus of the hand.

We explored whether the synergic control of the hand during multi-finger force production tasks depends on the hand muscles involved. Healthy subjects performed accurate force production tasks and targeted force pulses while pressing against loops positioned at the level of fingertips, middle phalanges, and proximal phalanges. This varied the involvement of the extrinsic and intrinsic finger flexors. The framework of the uncontrolled manifold (UCM) hypothesis was used to analyze the structure of inter-trial variance, motor equivalence, and anticipatory synergy adjustments prior to the force pulse in the spaces of finger forces and finger modes (hypothetical finger-specific control signals). Subjects showed larger maximal force magnitudes at the proximal site of force production. There were synergies stabilizing total force during steady-state phases across all three sites of force production; no differences were seen across the sites in indices of structure of variance, motor equivalence, or anticipatory synergy adjustments. Indices of variance, which did not affect the task (within the UCM), correlated with motor equivalent motion between the steady states prior to and after the force pulse; in contrast, variance affecting task performance did not correlate with non-motor equivalent motion. The observations are discussed within the framework of hierarchical control with referent coordinates for salient effectors at each level. The findings suggest that multi-finger synergies are defined at the level of abundant transformation between the low-dimensional hand level and higher dimensional finger level while being relatively immune to transformations between the finger level and muscle level. The results also support the scheme of control with two classes of neural variables that define referent coordinates and gains in back-coupling loops between hierarchical control levels.

Stability of hand force production. I. Hand level control variables and multifinger synergies.

We combined the theory of neural control of movement with referent coordinates and the uncontrolled manifold hypothesis to explore synergies stabilizing the hand action in accurate four-finger pressing tasks. In particular, we tested a hypothesis on two classes of synergies, those among the four fingers and those within a pair of control variables, stabilizing hand action under visual feedback and disappearing without visual feedback. Subjects performed four-finger total force and moment production tasks under visual feedback; the feedback was later partially or completely removed. The "inverse piano" device was used to lift and lower the fingers smoothly at the beginning and at the end of each trial. These data were used to compute pairs of hypothetical control variables. Intertrial analysis of variance within the finger force space was used to quantify multifinger synergies stabilizing both force and moment. A data permutation method was used to quantify synergies among control variables. Under visual feedback, synergies in the spaces of finger forces and hypothetical control variables were found to stabilize total force. Without visual feedback, the subjects showed a force drift to lower magnitudes and a moment drift toward pronation. This was accompanied by disappearance of the four-finger synergies and strong attenuation of the control variable synergies. The indexes of the two types of synergies correlated with each other. The findings are interpreted within the scheme with multiple levels of abundant variables.NEW & NOTEWORTHY We extended the idea of hierarchical control with referent spatial coordinates for the effectors and explored two types of synergies stabilizing multifinger force production tasks. We observed synergies among finger forces and synergies between hypothetical control variables that stabilized performance under visual feedback but failed to stabilize it after visual feedback had been removed. Indexes of two types of synergies correlated with each other. The data suggest the existence of multiple mechanisms stabilizing motor actions.

Changes in Multidigit Synergies and Their Feed-Forward Adjustments in Multiple Sclerosis

ABSTRACTThe authors explored the changes in multidigit synergies in patients with multiple sclerosis (MS) within the framework of the uncontrolled manifold hypothesis. The specific hypotheses were that both synergy indices and anticipatory synergy adjustments prior to the initiation of a self-paced quick action would be diminished in the patients compared to age-matched controls. The MS patients and age-matched controls (n = 13 in both groups) performed one-finger and multifinger force production tasks involving both accurate steady-state force production and quick force pulses. The patients showed significantly lower maximal finger forces and a tendency toward slower force pulses. Enslaving was increased in MS, but only in the lateral fingers (index and little). Indices of multifinger synergies during steady-state force production were lower in MS, mainly due to the lower amount of intertrial variance that did not affect total force. Anticipatory synergy adjustments were significantly delayed in MS. The results show that MS leads to significant changes in multidigit synergies and feed-forward adjustments of the synergies prior to a quick action. The authors discuss possible contributions of subcortical structures to the impaired synergic control.

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.

Task-Specific Stability of Multifinger Steady-State Action

ABSTRACTThe authors explored task-specific stability during accurate multifinger force production tasks with different numbers of instructed fingers. Subjects performed steady-state isometric force production tasks and were instructed not to interfere voluntarily with transient lifting-and-lowering perturbations applied to the index finger. The main results were (a) intertrial variance in the space of finger modes at steady states was larger within the subspace that had no effect on the total force (the uncontrolled manifold [UCM]); (b) perturbations caused large deviations of finger modes within the UCM (motor equivalence); and (c) deviations caused by the perturbation showed larger variance within the UCM. No significant effects of the number of task fingers were noted in any of the 3 indicators. The results are discussed within the frameworks of the UCM and referent configuration hypotheses. The authors conclude, in particular, that all the tasks were effectively 4-finger tasks with different involvement of task and nontask fingers.

The effect of stroke on motor selectivity for force control in single- and multi-finger force production tasks

The stroke patients have difficulties in both voluntary muscle contraction and individual movements. However, there is a lack of quantitative analysis focusing on decreased finger control in stroke patients. The purpose of the study was to identify the changes in motor selectivity in stroke patients during a finger force production task. Fifteen stroke patients and fifteen control subjects were asked to perform maximum voluntary force (MVF) production during single- and multi-finger force tasks. Finger interaction indices such as force independence (FI) and force sharing deviation (FSD) were analyzed using measured individual finger forces. MVF analysis in the impaired hand of stroke patients showed that they produced 31% or 41% lower force than their unimpaired hand or the control hand, respectively. For the finger interaction indices, the stroke patients' impaired hand had lower FI and higher FSD than their unimpaired hand or the normal subjects' hand. The lower FI and higher FSD show that stroke patients have a limited ability to produce force independently and to synchronize produced multi-finger force, respectively. These results have a negative impact on the selectivity of their motor control. In terms of rehabilitation, we expect that the finger interaction indices used in the present study can quantify motor selectivity in the damaged central nervous system.

Dopaminergic modulation of motor coordinaton in Parkinson's disease

BackgroundWe applied the idea of synergies and the framework of the uncontrolled manifold hypothesis to explore the effects of dopamine replacement therapy on finger interaction and coordination in patients with early-stage Parkinson's disease (PD). MethodsEight patients performed single-finger and multi-finger force production tasks with both the dominant and non-dominant hand before (off-drug) and after (on-drug) taking their dopaminergic medications. Synergy indices were defined as co-varied adjustments of commands to fingers that stabilized the total force produced by the hand. ResultsPD patients showed significantly lower maximal finger forces off-drug compared to the on-drug condition, while indices of finger individuation (enslaving) were unchanged. The synergy indices were weaker during steady-state force production off-drug compared to on-drug. Anticipatory adjustments of synergies prior to the quick force pulse initiation were delayed and reduced off-drug as compared to the on-drug condition. These drug effects were observed in both the symptomatic and asymptomatic hands of the patients whose symptoms were limited to one side of the body. ConclusionsThe study demonstrates dopaminergic modulation of motor coordination in PD and supports that the analysis of different components of multi-finger synergies offers a set of indices sensitive to the effects of dopamine replacement therapy in early-stage PD. The results suggest an important role of the basal ganglia in synergy formation and in feed-forward synergy adjustments. Future studies using these methods may yield more objective, quantitative biomarker(s) of motor coordination impairments in PD, and better understanding of subcortical involvement in the neural control of natural actions.

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.

What Do Synergies Do? Effects of Secondary Constraints on Multidigit Synergies in Accurate Force-Production Tasks

We used the framework of the uncontrolled manifold (UCM) hypothesis to explore changes in the structure of variability in multifinger force-production tasks when a secondary task was introduced. Healthy young subjects produced several levels of the total force by pressing with the four fingers of the hand on force sensors. The frame with the sensors rested on the table (Stable condition) or on a narrow supporting beam (Unstable conditions) that could be placed between different finger pairs. Most variance in the finger mode space was compatible with a fixed value of the total force across all conditions, whereas the patterns of sharing of the total force among the fingers were condition dependent. Moment of force was stabilized only in the Unstable conditions. The finger mode data were projected onto the UCM computed for the total force and subjected to principal component (PC) analysis. Two PCs accounted for >90% of the variance. The directions of the PC vectors varied across subjects in the Stable condition, whereas two "default" PCs were observed under the Unstable conditions. These observations show that different persons coordinate their fingers differently in force-production tasks. They converge on similar solutions when an additional constraint is introduced. The use of variable solutions allows avoiding a loss in accuracy of performance when the same elements get involved in another task. Our results suggest a mechanism underlying the principle of superposition suggested in a variety of human and robotic studies.

Interaction between Finger Force and Neural Command in Multi-Finger Force Production

In this study, we investigated the relationship between the finger force and the neural command in multi-finger force production tasks in order to characterize the neural enslaving effect and the force-deficit effect among fingers. Seven healthy male subjects were instructed to press one, two, three and four fingers on the finger sensors as hard as possible acting in parallel in all possible combinations. Then, the finger forces in each task were recorded and analyzed to represent the neural enslaving effect and the force-deficit effect. The results confirmed that individual finger forces were smaller in multi-finger maximal voluntary contraction tasks than in single-finger tasks. The force deficit effect increased with the number of fingers involved. A mathematical model proposed in this paper based on the experimental results could explicitly describe the two effects of finger interaction by representing the relationship between the neural commands and finger forces. The present results could be useful information to understand the basic neuro-muscular mechanism in hand biomechanics and the fundamentals of intelligent hand robots.

Perception of individual finger forces during multi-finger force production tasks

The present study examined perception of individual finger forces during multi-finger force production tasks. In an ipsilateral force matching paradigm, 12 healthy subjects were instructed to produce a reference force pre-determined at 30% MVC of involved fingers (varying from 1 to 4 fingers, visual feedback of total force, 5 s), and then to reproduce only the index or little finger portion of the total reference force (i.e., a portion of the sum, no visual feedback, 4 s) after a brief relaxation period (visual feedback of all finger forces, 3 s). The absolute force that individual fingers produced was approximately 30% of single-finger maximal force across different multi-finger reference force production tasks. During subsequent force matching, the index finger matching force was not significantly different from its own reference force, independent of the number of simultaneously activated fingers. The little finger, in contrast, produced significantly greater matching forces when three (middle, ring, and little) or four (index, middle, ring and little) fingers, but not two (ring and little) fingers, were simultaneously activated. The results suggest that index finger forces are more accurately estimated than little finger forces during multi-finger force production. The disparity in perception of individual finger forces is likely due to the ability of the central nervous system to partition and direct descending motor commands to the index finger.

손가락 하중과 신경명령 사이의 다중 관계에 관한 연구

During multi-finger force-production tasks, finger forces can be generated without the involvement of neural commands which called the enslaving effect. In addition, the force produced by a given finger in a multi-finger task is smaller than the force generated by this finger in its single-finger maximal force-production task which called the force deficit effect. The purposes of this study were to represent quantitatively both the enslaving effect and the force deficit effect and propose the relationship between the finger force and the neural command by the experimental results. Seven subjects were instructed to press one, two, three and four fingers on the finger sensors as hard as possible acting in parallel in all possible combinations. The results confirmed that the finger forces were generated without the neural commands up to 20% of their maximal forces as the enslaving effect. In addition, the force deficit effect increased with the number of fingers involved. The mathematical model proposed in this paper could explicitly describe the two effects of finger interaction. The present results could be useful information to understand the basic neuro-muscular mechanism in hand biomechanics and the fundamentals of intelligent hand robots.

Finger interaction during accurate multi-finger force production tasks in young and elderly persons

We addressed a hypothesis that changes in indices of finger interaction during maximal force production (MVC) tasks are accompanied by changed coordination of fingers in multi-finger accurate force production tasks. To modify relative involvement of extrinsic and intrinsic hand muscles, the subjects produced force by pressing either at their distal phalanges or at their proximal phalanges. As in earlier studies, in MVC trials, the elderly subjects showed a greater force decline when pressing at the proximal phalanges as compared to pressing at the distal phalanges. Two methods were applied to analyze finger coordination during the task of four-finger force production from zero to 30% of MVC over 5 s, at the level of finger forces (performance variables) and at the level of modes (control variables). Our previous observations of higher indices of variability during the ramp task in elderly subjects have been generalized to both sites of force application. An index of finger force covariation (the difference between the variance of the total force and the sum of the variances of individual finger forces) revealed small age related differences, which did not depend on the site of the force application. In contrast, analysis of covariation of force modes within the uncontrolled manifold (UCM) hypothesis showed much better stabilization of the time profile of the total force by young subjects. The UCM hypothesis was also used to test stabilization of the pronation/supination moment during the ramp task. Young subjects showed better moment stabilization than elderly. Age related differences in both force- and moment-stabilization effects were particularly strong during force application at the proximal phalanges. We conclude that the drop in MVC is accompanied in elderly subjects with worse coordination of control signals to fingers in multi-finger tasks. The UCM analysis was more powerful as compared to analysis of force variance profiles in revealing significant differences between the groups. This general result underscores the importance of efforts to analyze motor coordination using control rather than performance variables.

Analysis of a Network for Finger Interaction during Two-Hand Multi-Finger Force Production Tasks

This study involved an optimization, numerical analysis of a network for two-hand multi-finger force production, analogous in its structure to the double-representation mirror image (DoReMi) network suggested earlier based on neurophysiological data on cortical finger representations. The network accounts for phenomena of enslaving (unintended finger force production), force deficit (smaller force produced by a finger in multi-finger tasks as compared to its single-finger task), and bilateral deficit (smaller forces produced in two-hand tasks as compared to one-hand tasks). Matrices of connection weights were computed, and the results of optimization were compared to the experimental data on finger forces during one- and two-hand maximal force production (MVC) tasks. The network was able to reproduce the experimental data in two-hand experiments with high accuracy (average error was 1.2 N); it was also able to reproduce findings in one-hand multi-finger MVC tasks, which were not used during the optimization procedure, although with a somewhat higher error (2.8 N). Our analysis supports the feasibility of the DoReMi network. It suggests that within-a-hand force deficit and bilateral force deficit are phenomena of different origins whose effects add up. Is also supports a hypothesis that force deficit and enslaving have different neural origins.

Finger interaction during multi-finger tasks involving finger addition and removal.

The purpose of this study was to investigate changes in finger forces and their interactions in one-hand multi-finger force production tasks involving finger addition and removal. Eight male subjects were instructed to produce maximal (MVC) forces with explicitly instructed ('master') fingers. After reaching maximal force with a set of master fingers, the subjects added/removed one master finger while continuing to produce the MVC with the new group of master fingers. The non-instructed ('slave') fingers also produced forces (enslaving). Finger addition/removal led to changes in the forces of individual master fingers expected from earlier studies of maximal force production by different finger groups acting synchronously. A significant increase in the forces of remaining master fingers was observed after finger removal and a close-to-significant drop in the forces of previously recruited master fingers was observed after finger addition. These effects were larger when subjects started the task with a smaller number of explicitly involved fingers. The enslaving effects increased after finger addition while they did not change after finger removal. Forces produced by the same group of master fingers acting in different tasks showed no history-dependent effects. However, significant effects of history were seen in enslaving. These observations speak against hypotheses of more independent behaviour of effectors during their asynchronous involvement. They show that finger interaction may show effects of the history of finger involvement in a task.

Coupling phenomena during asynchronous submaximal two-hand, multi-finger force production tasks in humans

We studied asynchronous two-hand multi-finger force production at submaximal levels. Subjects produced constant levels of force with one hand ( F REF), and started ramp force production with the other hand ( F RAMP) 3 s later. The zero–maximal force–zero ramp lasted 10 s. Visual feedback was provided only for F REF during the first 3 s and only for F RAMP during the rest of the trial. The initiation of F RAMP induced a transient overshoot by F RAMP and a drop in F REF; both scaled with F REF. Later into the trial, F REF dropped slowly, while F RAMP undershot maximal force by about 15%. Two regimes of bimanual interaction are hypothesized, ‘strong interaction’ when an effector is added to a one-hand task, and ‘weak interaction’ during two-hand force production.

Structure of motor variability in marginally redundant multifinger force production tasks.

The framework of the uncontrolled manifold hypothesis (UCM hypothesis) was applied to the analysis of the structure of finger force variability during oscillatory force production tasks. Subjects produced cycles of force with one, two (index and middle), or three (index, middle, and ring) fingers acting in parallel against force sensors mounted inside a small frame. The frame could be placed on the top of a table (stable conditions) or on a 4-mm-wide supporting surface (unstable conditions). Subjects were less variable when they used two fingers than when using one finger; adding the third finger did not change indices of variability of the performance. Components of finger force variance that did (VUN) or did not (VCOMP) change the value of a particular functional variable were computed for two control hypotheses: (1) at each time, the subjects tried to stabilize the total value of force (force-control); and (2), at each time, the subjects tried to stabilize the total moment produced with respect to an axis parallel to the hand/forearm (moment-control). Most subjects showed selective stabilization of moment and destabilization of force throughout most of the force cycle, in both stable and unstable conditions. The shapes of VUN and VCOMP suggested a possibility of selective compensation of timing errors across fingers within force cycles. One subject showed different relations between VUN and VCOMP, suggesting that these relations did in fact reflect particular central strategies of solving the tasks. The UCM method is applicable to force production tasks. It allows the comparison of control hypotheses in a quantitative way and unveils central strategies of control of redundant motor systems. Within this approach, redundancy (rather, abundance) is not a problem but an inherent part of a solution for natural motor tasks.

The effect of a fatiguing exercise by the index finger on single- and multi-finger force production tasks.

We studied the effects of fatigue, induced by a 60-s maximal isometric force production with the index finger, on multi-finger coordination and force production by the other fingers of the hand. Finger forces were measured during single- and multi-finger maximal voluntary force production (MVC) at two sites, the middle of the distal or the middle of the proximal phalanges. Two fatiguing exercises involving force production by the index finger were used, one at the distal phalanx and the other at the proximal phalanx. The MVC of the index finger dropped by about 33% when it was produced at the site involved in the fatiguing exercise. In addition, large transfer effects of fatigue were observed across sites of force application and across fingers. Force deficit increased under fatigue, especially due to a drop in the recruitment of the index finger. Under fatigue, the index finger was less enslaved during force production by other fingers. During multi-finger tasks, the percentage of total force produced by the index finger was significantly reduced after the fatiguing exercise. The principle of minimization of secondary moments was violated under fatigue. We suggest that the most impaired (fatigued) finger shows less interaction with other fingers or, in other words, is being progressively removed from the multi-finger synergy. Some of the observed changes in finger coordination suggest effects of fatigue at a central (neural) level.