Human Movement Science最新文献

The Fitts' task is a simple and effective method for evaluating motor capacity that can be used to reveal detailed aspects of visuomotor control when hand and eye kinematics are recorded simultaneously. With advances in technology, the classical Fitts' reciprocal tapping task was modified for use with digitizer tablets and computer screens that require sliding rather than tapping hand movements, which may rely on different visuomotor control strategies. Given the ubiquity of digital devices and touchscreens that often require execution of sliding movements, it is important to compare the underlying visuomotor control and eye-hand coordination involved in reciprocal sliding and tapping movements, which was the aim of the current study. Twelve young adults performed both tasks while their hand and eye movements were recorded. Results revealed motor capacity was significantly higher (p < 0.0001, d = 2.67) in the tapping task (19.62 ± 5.89 bits/s) compared to the sliding task (7.87 ± 2.02 bits/s). Examining hand kinematics showed the deceleration interval was significantly longer in the sliding compared to the tapping task at the lowest task difficulty (ID 2.28: 0.160 s ± 0.026 vs 0.129 s ± 0.017; p < 0.01), which was exacerbated as task difficulty increased (ID 6.97: 0.355 s ± 0.059 vs 0.226 s ± 0.020, p < 0.0001), indicating greater reliance on visual feedback during the sliding task. Examining temporal eye-hand coordination pattern showed that hand movement initiation tended to precede eye movement in both tasks. Overall, the results of this study provide a comprehensive examination of eye and hand kinematics demonstrating salient differences in visuomotor control between tapping and sliding movements. The findings also reveal a novel insight into the temporal pattern of eye-hand coordination for reciprocal tapping and sliding movements, which is in contrast to previous studies that examined discrete (rather than reciprocal) target-directed pointing movements where the eyes typically precede the hand by approximately 100 ms. In conclusion, the current study revealed substantial differences between the two tasks, one major finding being the sliding movements were performed slower compared to parabolic tapping hand movements, which may have implications for designing interactive digital devices and assessment of eye-hand coordination.

Background

Joint position sense (JPS) is crucial for maintaining posture, protecting joints, and carrying out daily activities such as walking. Studies show that exercises to strengthen muscles and improve proprioception can positively impact JPS during passive and less complex activities. Evidence suggests that motor training can effectively enhance sensory function, including JPS, due to the extensive connections between the motor cortex and somatosensory areas. Gait retraining using real-time feedback has improved outcomes among patients with musculoskeletal disorders. The effect of gait retraining on JPS has not been investigated. This study assessed the effects of gait retraining to reduce knee extension in joint position sense in individuals with knee hyperextension walking patterns.

Methods

Ten women with asymptomatic knee hyperextension (KH) >5° during overground walking participated in this study. Sagittal-plane kinematics were assessed using a three-dimensional (3D) motion analysis system. The JPS was assessed using the Knee Position Active Reproduction Test. The knee with the highest hyperextension was the focus of the gait retraining intervention, which consisted of six 1-h sessions using verbal instructions and visual kinematic feedback. Comparisons of peak knee extension during walking and knee JPS overall error (RMSE) were made using a paired t-test.

Results

Gait retraining intervention significantly reduced knee extension angle during walking (83.8 % change; p < 0.001; Cohen's d = −1.6) and improved knee JPS (62 % change; p = 0.023; Cohen's d = 0.8) post-training. In addition, the improvements in joint kinematics (36.7 % change; p = 0.005; Cohen's d = −1.2) and JPS (52.6 % change; p = 0.015; Cohen's d = 0.9) were observed in the untrained knee.

Significance

Gait retraining can improve joint position sense. This study addresses a gap in our understanding of how gait retraining can influence JPS. Our results corroborate that gait retraining is an evolving and promising strategy for improving gait outcomes, particularly in individuals with KH walking patterns.