No abstract

Populations with moderate-to-severe motor control impairments often exhibit degraded trunk control and/or lack the ability to sit unassisted. These populations need more research, yet their underdeveloped trunk control complicates identification of neural mechanisms behind their movements. The purpose of this study was to overcome this barrier by developing the first multi-articulated trunk support system to identify visual, vestibular, and proprioception contributions to posture in populations lacking independent sitting. The system provided external stability at a user-specific level on the trunk, so that body segments above the level of support required active posture control. The system included a tilting surface (controlled via servomotor) as a stimulus to investigate sensory contributions to postural responses. Frequency response and coherence functions between the surface tilt and trunk support were used to characterize system dynamics and indicated that surface tilts were accurately transmitted up to 5Hz. Feasibility of collecting kinematic data in participants lacking independent sitting was demonstrated in two populations: two typically developing infants, ~2-8 months, in a longitudinal study (8 sessions each) and four children with moderate-to-severe cerebral palsy (GMFCS III-V). Adaptability in the system was assessed by testing 16 adults (ages 18-63). Kinematic responses to continuous pseudorandom surface tilts were evaluated across 0.046–2Hz and qualitative feedback indicated that the trunk support and stimulus were comfortable for all subjects. Concepts underlying the system enable both research for, and rehabilitation in, populations lacking independent sitting.

A more detailed understanding of trunk behavior during upright sitting is needed to create a foundation to address functional posture impairments. Therefore, we characterized the dynamics of the trunk and head during perturbed sitting. A three-link inverted pendulum model of head and trunk segments was used to analyze kinematics of eight healthy sitting adults. Magnetic sensors were placed at the head and two locations of the trunk (C7 and T7). Six surface tilt stimuli (two spontaneous sway tests [no surface stimulus; eyes open, EO/eyes closed, EC] and four tests with continuous pseudorandom surface tilts [2 peak-to peak amplitudes of 2° or 8°; EO/EC]) were applied in the frontal plane. We used frequency-response functions (FRFs) to analyze sway across ~0.045–3Hz and found systematic differences in sway dynamics across segments. Superior segments exhibited larger fluctuations in gain and phase values across frequencies. FRF gains in superior segments were attenuated compared to other segments only at low frequencies but were larger at the higher frequencies. We also tested the influence of stimulus amplitude and visual availability on FRFs. Across all segments, increasing stimulus amplitude and visual availability (EO) resulted in lower gains, however, these effects were most prominent in superior segments. These changes in gain were likely influenced by changes in sensory reliance across test conditions. In conclusion, these results provide a benchmark for future comparisons to segmental responses from individuals with impaired trunk control. We suggest that a frequency-based approach provides detail needed to characterize multi-segment dynamics related to sensorimotor control.

Dexterous manipulation relies on the ability to attain two goals: controlling object position and orientation (pose) and preventing object slip. Although manipulation has been extensively studied, previous work focused on the control of digit forces for slip prevention. Therefore, how digit forces are coordinated to simultaneously prevent slip and control pose remains unknown. We developed a task requiring subjects to lift an object at different grip configurations while preventing it from tilting. We then mathematically decomposed digit forces into manipulation and grasp forces for pose control and slip prevention, respectively. We found that exertion of seemingly excessive grasp force was instrumental in enhancing manipulation performance. This novel phenomenon was more pronounced at the onset of lift than during hold, underscoring anticipatory mechanisms of pose control before feedback is acquired following object lift. Our approach and findings open new research avenues for investigating neural mechanisms underlying dexterous manipulation and clinical applications.

Dexterous manipulation relies on the ability to simultaneously attain two goals: controlling object position and orientation (pose) and preventing object slip. Although object manipulation has been extensively studied, most previous work has focused only on the control of digit forces for slip prevention. Therefore, it remains underexplored how humans coordinate digit forces to prevent object slip and control object pose simultaneously. We developed a dexterous manipulation task requiring subjects to grasp and lift a sensorized object using different grasp configurations while preventing it from tilting. We decomposed digit forces into manipulation and grasp forces for pose control and slip prevention, respectively. By separating biomechanically-obligatory from non-obligatory effects of grasp configuration, we found that subjects prioritized grasp stability over efficiency in grasp force control. Furthermore, grasp force was controlled in an anticipatory fashion at object lift onset, whereas manipulation force was modulated following acquisition of somatosensory and visual feedback of object’s dynamics throughout object lift. Mathematical modeling of feasible manipulation forces further confirmed that subjects could not accurately anticipate the required manipulation force prior to acquisition of sensory feedback. Our experimental approach and findings open new research avenues for investigating neural mechanisms underlying dexterous manipulation and biomedical applications.