Previous research has shown that Parkinson's-disease (PD) patients produce irregular movement paths during a rapid arm pointing task. The aim of this study was to investigate the movement paths of PD patients during a prehensile action to objects requiring different levels of precision. Thus, we sought to determine if movement-accuracy requirements affect the control of movement path. Thirteen PD patients and 13 age-matched controls served as participants. In addition to having prolonged movement times, PD patients showed differences in the kinematic patterns of the transport and grasp components. For the transport component, relative time to maximum deceleration and relative time to maximum elbow velocity occurred earlier for the PD patients than the controls. Analyses of wrist paths indicated that, when accuracy requirements were increased, patients produced paths that appeared more segmented than controls. For PD patients, reaches to a small object resulted in wrist paths that were significantly less smooth, as reflected by higher jerk values, and were less continuous, as indicated by larger standard deviations in curvature. A temporal analysis of movement-initiation patterns in the vertical and horizontal planes indicated that control participants had a minimal offset between initial movement in the vertical plane and initial movement in the horizontal plane regardless of accuracy constraints. However, PD patients had a significantly longer interval between initial movement in the vertical plane and subsequent movement in the horizontal plane when reaching to the small object. Higher accuracy constraints also resulted in PD patients achieving relative time to maximum elbow velocity significantly earlier than controls. For the grasp component, PD patients produced movement patterns in which the amplitude of and relative time to maximum aperture were less sensitive to object size. In addition, patients exhibited greater variability in the time to maximum aperture. Additional analyses of the grasp component indicated that control participants exhibited a stable position, relative to object location, in which aperture began to close. Conversely, PD patients showed little consistency in where aperture began to close with respect to object location. Irregularities in the transport component suggest that PD patients have a reduced capability to precisely coordinate joint segments, particularly under high accuracy requirements. Variability in where aperture began to close and disruptions in transport-grasp coordination suggests that the basal-ganglia dysfunction, as exhibited in PD, affects the specification of these movement parameters used to produce a consistent pattern of coordination between prehensile components.

Past studies have examined the coupling of reach and grasp components during prehensile movements. Many of these studies have supported the view that these components reflect the output of two parallel, though temporally coupled, motor programs. When the grip aperture is Altered prior to the onset of prehension from its usual, normally flexed position to one of maximal finger extension, our previous work has shown that the grasp component appears to reorganize itself during the reach. This reorganization, consisting of a brief closing and reopening of the grip aperture, only slightly influenced the temporal components of the wrist transport. The present experiment continues this research theme by examining the characteristics of grip aperture reorganization through the comparison of the kinematics of prehension components during movements to two different size objects under normal and Altered grip aperture conditions. It was hypothesized that if the grip reorganization is task dependent it should be related to object size. The experiment found that in the Altered grip condition reorganization did occur, as indicated by a slight closing and reopening of the aperture without influencing the transport of the wrist. The amplitude of and the time to the observed inflection point in the aperture time course were related to object size. The velocity of grip closing for the large object showed double peaks, with the first substantially smaller than the second. Moreover, for the small object, the velocity of grip aperture closing also was double peaked, but the difference between peaks was less pronounced. These changes in grip velocity suggest that the grip reorganization is related to object size. No effect of Altered aperture was observed on the transport component. For both object sizes in the Altered condition, the final peak velocity of grip aperture was statistically significantly correlated with transport time and time to peak deceleration. In contrast, such correlations were not observed for the initial peak velocity of the grip aperture. Furthermore, time to maximum grip aperture was correlated with both time to peak wrist velocity and time peak to wrist deceleration. Thus, as the reach progressed toward the object, the grip and transport components became more interdependent. The results are consistent with the notion that, when a well-practiced, coordinated act such as prehension is confronted with an Altered grip posture at the onset of the reach, the grip can be reorganized during the transport to preserve the relative timing between them. Thus these data add to the growing awareness that not only is there temporal coupling between the reach and grasp components but that these components may be integrated by higher-order control mechanism.

Many studies have examined the coordination of reach-to-grasp movements. However, there is debate regarding the mechanism of coordination between the transport and grasp components. The current study investigated the stability of temporal and spatial measures for reaches in which transport path was altered early or late in the reaching action. Transport alteration was accomplished by placing an obstacle either 10 cm (near) or 20 cm (far) from the hand starting position. Obstacle location affected the formation of transport path such that maximum wrist elevation coincided with the location of the obstacle. Kinematic analyses revealed that reaches over the near obstacle significantly prolonged transport time and time to maximum velocity compared with reaches over the far obstacle. A similar pattern of results was observed for the grasp component; reaches over the near obstacle resulted in a prolongation of grip duration, time to maximum aperture, and time to maximum opening and closing velocity. Grip closing velocity was decreased in the obstacle conditions. These results confirm findings from earlier studies that have shown that changes in the transport component affect grasp formation. A spatial and temporal analysis of grasp opening and closing was also performed. Grasp closing time varied significantly between conditions, while closing distance or the distance traveled by the wrist after maximum aperture remained essentially constant across conditions. These results suggest that the central nervous system may be using a spatial controller to coordinate prehensile components.

The transport and grip components are two controlled components of a prehensile movement. These components are coordinated so that objects of varying size and shape resting in diverse locations can be grasped easily. It has been suggested that the timing between these two components is a specified parameter, although the origin of such timing is unknown. The present study examines the interdependency of the reach and grasp components when the transport component is modified by placing an obstacle of varying height (9 cm and 11 cm) in the hand path between the starting position and the target object location. Subjects were asked to reach over a Plexiglas barrier and grasp a 2-cm dowel. To reach the object, the subject had to elevate the hand. At issue in this experiment is whether changes in hand path trajectory caused by obstacle avoidance produce corresponding changes in the kinematics of grip aperture. The findings showed that reaching in the presence of an obstacle resulted in the prolongation of most transport component time parameters except peak acceleration and a few amplitude parameters. Changes in the transport component also produced systematic prolongation in all time parameters of grip kinematics, including grip closure time. Temporal prolongation was also reflected in a significant decrease in grip opening and closing velocity; only relative time-to-peak closing velocity was maintained. Closure distance and maximum grip aperture were smaller for the obstacle conditions. Together with the observed smaller variability for the distance to peak aperture, these findings suggest that spatial localization of the hand aperture is an important prehensile movement control feature. Parameterization processes for the grip component are closely linked to those of the transport component, and their organization appears to be interdependent.