Experimental Brain Research

, Volume 151, Issue 3, pp 289–300 | Cite as

Interjoint coordination dynamics during reaching in stroke

  • M. C. Cirstea
  • A. B. Mitnitski
  • A. G. Feldman
  • M. F. Levin
Research Article

Abstract

A technique is described that characterizes the dynamics of the interjoint coordination of arm reaching movements in healthy subjects (n=10) and in patients who had sustained a left-sided cerebrovascular accident (n=18). All participants were right-handed. Data from the affected right arm of patients with stroke were compared with those from the right arm of healthy subjects. Seated subjects made 25 pointing movements in a single session. Movements were made from an initial target located ipsilaterally to the right arm beside the body, to a final target located in front of the subject in the contralateral arm workspace. Kinematic data from the finger, wrist, elbow, both shoulders and sternum were recorded in three dimensions at 200 Hz with an optical tracking system. Analysis of interjoint coordination was based on the patterns of temporal delay between rotations at two adjacent joints (shoulder and elbow). The data were reduced to a single graph (Temporal Coordination or TC index) integrating the essential temporal characteristics of joint movement (the angular displacements, velocities and timing). TC segments, duration and amplitude, were analysed. The analysis was sensitive to the differences in interjoint coordination between healthy subjects and patients with arm motor deficits. In patients, the temporal coordination between elbow and shoulder movements was disrupted from the middle to the end of the reach. More specifically, in mid-reach, all patients had difficulty coordinating elbow flexion with shoulder horizontal adduction. In addition, patients with severe arm hemiparesis had difficulty changing elbow movement direction from flexion to extension and in coordinating this change with shoulder movement. At the end of the reach, patients with severe hemiparesis had deficits in the execution of elbow extension while all patients had impaired coordination of elbow extension and shoulder horizontal adduction. In addition, active ranges of joint motions were significantly decreased in the stroke compared to the healthy subjects. Finally, TC analysis revealed significant relationships between specific aspects of disrupted interjoint coordination and the level of motor impairment, suggesting that it may be a useful tool in the identification of specific movement coordination deficits in neurological impaired populations that can be targeted in treatment for arm motor recovery.

Keywords

Arm reaching Interjoint coordination Velocity-angle diagrams Stroke Hemiplegia 

References

  1. Alexandrov A, Frolov A, Massion J (1998) Axial synergies during human trunk upper trunk bending. Exp Brain Res 118:210–220PubMedGoogle Scholar
  2. Baldissera F, Cavallari P, Marini G, Tassone G (1991) Differential control of in-phase and anti-phase coupling of rhythmic movements of ipsilateral hand and foot. Exp Brain Res 83:375–380PubMedGoogle Scholar
  3. Beer RF, Dewald JPA, Rymer WZ (2000) Deficits in the coordination of multijoint arm movements in patients with hemiparesis: evidence for disturbed control of limb dynamics. Exp Brain Res 131:305–319CrossRefPubMedGoogle Scholar
  4. Berkinblit MB, Feldman AG, Fukson OI (1986) Adaptability of innate motor patterns and motor control mechanisms. Behav Brain Sci 9:585–638Google Scholar
  5. Carr JH, Shepherd RB (1987) A motor learning model for rehabilitation. In: Carr JH, Shepherd RB, Gordon J, Gentile AM, Held JN (eds) Movement science: foundations for physical therapy in rehabilitation. Aspen, Rockville, MD, pp 31–91Google Scholar
  6. Carr JH, Shepherd RB (1998) Reaching and manipulation. In: Carr JH, Shepherd RB (eds) Neurological rehabilitation: optimizing motor performance, Butterworth-Heinemann, Oxford, pp 126–153Google Scholar
  7. Chen R, Cohen LG, Hallett M (1997) Role of the ipsilateral motor cortex in voluntary movement. Can J Neurol Sci 24:284–291PubMedGoogle Scholar
  8. Cirstea MC, Levin MF (2000) Compensatory strategies for reaching in stroke. Brain 123:940–953CrossRefPubMedGoogle Scholar
  9. Clark JE, Phillips SJ (1993) A longitudinal study of intralimb coordination in the first year of independent walking. Child Dev 645:1143–1157Google Scholar
  10. Dancause N, Ptito A, Levin MF (2002) Error correction strategies for motor behavior after unilateral brain damage: short-term motor learning processes. Neuropsychologia 40:1313–1323CrossRefPubMedGoogle Scholar
  11. Diedrich FJ, Warren WH (1995) Why change gait? Dynamics of the walk-run transition. J Exp Physiol 21:183–202Google Scholar
  12. Dietz V, Trippel M, Berger W (1991) Reflex activity and muscle tone during elbow movements in patients with spastic paresis. Ann Neurol 30:767–779PubMedGoogle Scholar
  13. El-Abd MA, Ibrahim IK, Dietz V (1993) Impaired activation pattern in antagonist elbow muscles of patients with spastic hemiparesis: contribution to movement disorder. Electromyogr Clin Neurophysiol 33:247–255PubMedGoogle Scholar
  14. Esparza DY, Archambault PS, Winstein CJ, Levin MF (2002) Hemispheric specialization in the co-ordination of arm and trunk movements during pointing in patients with unilateral brain damage. Exp Brain Res (in press)Google Scholar
  15. Fellows SJ, Kaus C, Thilmann AF (1994) Voluntary movement at the elbow in spastic hemiparesis. Ann Neurol 36:397–407PubMedGoogle Scholar
  16. Fugl-Meyer AR, Jääskö L, Leyman I, Olsson S, Steglind S (1975) The post-stroke hemiplegic patient. I. A method for evaluation of physical performance. Scand J Rehab Med 7:13–31Google Scholar
  17. Geffen GM, Jones DL, Geffen LB (1994) Interhemispheric control of manual motor activity. Behav Brain Res 64:131–140PubMedGoogle Scholar
  18. Ghafouri M, Feldman AG (2001) The timing of control signals underlying fast point-to-point arm movements. Exp Brain Res 137:411–423CrossRefPubMedGoogle Scholar
  19. Given JD, Dewald JPA, Rymer WZ (1995) Joint dependent passive stiffness in paretic and contralateral limbs of spastic patients with hemiparetic stroke. J Neurol Neurosurg Psychiatry 59:271–279PubMedGoogle Scholar
  20. Gowland C, Stratford P, Ward M, Moreland J, Torresin W, Van Hullenaar S, et al. (1993) Measuring physical impairment and disability with Chedoke-McMaster Stroke Assessment. Stroke 24:58–63PubMedGoogle Scholar
  21. Haaland KY, Harrington DL (1989) Hemispheric control of the initial and corrective components of aiming movements. Neuropsychologia 27:961–969Google Scholar
  22. Haaland KY, Harrington DL (1994) Limb-sequencing deficits after left but not right hemispheric damage. Brain Cogn 24:104–122CrossRefPubMedGoogle Scholar
  23. Haaland KY, Harrington DL, Yeo R (1987) The effects of task complexity on motor performance in left and right CVA patients. Neuropsychologia 25:18:794Google Scholar
  24. Kelso JAS, Holt KG, Rubin P, Kugler PN (1981) Patterns of human interlimb coordination emerge from the properties of non-linear, limit cycle oscillatory processes: theory and data. J Mot Behav 13:226–261Google Scholar
  25. Kelso JAS, Buchanan JJ, Wallace SA (1991) Order parameters for the neural organization of single multijoint limb movement patterns. Exp Brain Res 85:432–444Google Scholar
  26. Kelso JAS, Buchanan JJ, DeGuzman GC, Ding M (1993) Spontaneous recruitment and annihilation of degrees of freedom in biological coordination. Phys Lett A 179:364–371CrossRefGoogle Scholar
  27. Kim SG, Ashe J, Hendrich K, Ellermann JM, Merkle H, Ugurbil K, Georgopoulos AP (1993) Functional magnetic resonance imaging of motor cortex: hemispheric asymmetry and handedness. Science 261:615–617PubMedGoogle Scholar
  28. Kugler PN, Kelso JAS, Turvey MT (1980) On the control and coordinative structure as dissipative structure. I. Theoretical lines of convergence. In: Stelmach GE, Requin J (eds) Tutorials in motor behavior. North Holland, Amsterdam, pp 3–47Google Scholar
  29. Lacquaniti F, Soechting JF (1982) Coordination of arm and wrist motion during a reaching task. J Neurosci 2:399–408PubMedGoogle Scholar
  30. Latash ML, Scholz JP, Schöner G (2002) Motor control strategies revealed in the structure of motor variability. Exerc Sport Sci Rev 30:26–31PubMedGoogle Scholar
  31. Levin MF (1996) Interjoint coordination during pointing movements is disrupted in spastic hemiparesis. Brain 119:281–294PubMedGoogle Scholar
  32. Levin MF, Hui-Chan CWY (1992) Relief of hemiparetic spasticity by TENS is associated with improvement in reflex and voluntary motor functions. Electroencephalogr Clin Neurophysiol 85:131–142CrossRefPubMedGoogle Scholar
  33. Levin MF, Selles RW, Verheul MHG, Meijer OG (2000) Deficits in the coordination of agonist and antagonist muscles in stroke patients: implications for normal motor control. Brain Res 853:352–369CrossRefPubMedGoogle Scholar
  34. Li Li, van den Bogert ECH, Caldwell GE, Van Emmerik REA, Hamill J (1999) Coordination patterns of walking and running at similar speed and stride frequency. Hum Mov Sci 18:67–85CrossRefGoogle Scholar
  35. Ma S, Feldman AG (1995) Two functionally different synergies during arm reaching movements involving the trunk. J Neurophysiol 73:2120–2122PubMedGoogle Scholar
  36. Mah C, Hulliger M, Lee RG, O'Callaghan IS (1994) Quantitative analysis of human movement synergies: constructive pattern analysis for gait. J Mot Behav 26:83–102Google Scholar
  37. Mitnitski AB, Cirstea MC, Feldman AG, Levin MF (2000) Phase-delay analysis of interjoint coordination during reaching movements. Société Biomécanique-Canadian Society of Biomechanics, Montreal, CanadaGoogle Scholar
  38. Mussa-Ivaldi FA, McIntyre J, Bizzi E (1988) Theoretical and experimental perspectives on arm trajectory formation: a distributed model of motor redundancy. In: Clementi E, Chin S (eds) Biological and artificial intelligence systems. ESCOM, Leiden, pp 563–577Google Scholar
  39. Newell KM, van Emmerik REA (1989) The acquisition of coordination: preliminary analysis of learning to write. Hum Mov Sci 8:17–32CrossRefGoogle Scholar
  40. Olsen TS (1990) Arm and leg paresis as outcome predictors in stroke rehabilitation. Stroke 21:247–251PubMedGoogle Scholar
  41. Parker VM, Wade DT, Hewer RL (1986) Loss of arm function after stroke: measurement, frequency and recovery. Int J Rehab Med 8:69–73Google Scholar
  42. Pigeon P, Yahia L, Mitnitski AB, Feldman AG (2000) Superposition of independent units of coordination during pointing movements involving the trunk with and without visual feedback. Exp Brain Res 131:336–349PubMedGoogle Scholar
  43. Robinson LM, Fitts SS, Kraft GH (1990) Laterality of performance in fingertapping rate and grip strength by hemisphere of stroke and gender. Arch Phys Med Rehabil 71:695–698PubMedGoogle Scholar
  44. Sunderland A, Bowers MP, Sluman SM, Wilcock DJ, Ardron ME (1999) Impaired dexterity of the ipsilateral hand after stroke and the relationship to cognitive deficit. Stroke 30:949–955PubMedGoogle Scholar
  45. van Emmerik REA, Newell KM (1990) The influence of task and organismic constraints on intralimb and pen-point kinematics in a drawing task. Acta Psychol 73:171–190CrossRefGoogle Scholar
  46. van Emmerik REA, Wagenaar RC (1996) Effect of walking velocity on relative phase dynamics in the trunk in human walking. J Biomech 29:1175–1184CrossRefPubMedGoogle Scholar
  47. Wagenaar RC, van Emmerik REA (1994) Dynamics of pathological gait. Hum Mov Sci 13:441–471CrossRefGoogle Scholar
  48. Winstein CJ, Pohl PS (1995) Effects of unilateral brain damage on the control of goal-directed hand movements. Exp Brain Res 105:163–174PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • M. C. Cirstea
    • 1
    • 2
  • A. B. Mitnitski
    • 1
    • 3
  • A. G. Feldman
    • 1
    • 3
  • M. F. Levin
    • 1
    • 4
    • 5
  1. 1.Centre for Interdisciplinary Research in Rehabilitation (CRIR)Rehabilitation Institute of MontrealMontrealCanada
  2. 2.Neurological Sciences Research CentreUniversité de MontréalMontrealCanada
  3. 3.Institute of Biomedical EngineeringÉcole Polytechnique de MontréalMontrealCanada
  4. 4.School of RehabilitationUniversité de MontréalMontrealCanada
  5. 5.CRIR, IRM siteInstitut de Réadaptation de MontréalMontréalCanada

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