Age-Specific Effects of Mirror-Muscle Activity on Cross-Limb Adaptations Under Mirror and Non-Mirror Visual Feedback Conditions

Cross-limb transfer (CLT) describes the observation of bilateral performance gains due to unilateral motor practice. Previous research has suggested that CLT may be reduced, or absent, in older adults, possibly due to age-related structural and functional brain changes. Based on research showing increases in CLT due to the provision of mirror visual feedback (MVF) during task execution in young adults, our study aimed to investigate whether MVF can facilitate CLT in older adults, who are known to be more reliant on visual feedback for accurate motor performance. Participants (N = 53) engaged in a short-term training regime (300 movements) involving a ballistic finger task using their dominant hand, while being provided with either visual feedback of their active limb, or a mirror reflection of their active limb (superimposed over the quiescent limb). Performance in both limbs was examined before, during and following the unilateral training. Furthermore, we measured corticospinal excitability (using TMS) at these time points, and assessed muscle activity bilaterally during the task via EMG; these parameters were used to investigate the mechanisms mediating and predicting CLT. Training resulted in significant bilateral performance gains that did not differ as a result of age or visual feedback (both p > 0.1). Training also elicited bilateral increases in corticospinal excitability (p < 0.05). For younger adults, CLT was significantly predicted by performance gains in the trained hand (β = 0.47), whereas for older adults it was significantly predicted by mirror activity in the untrained hand during training (β = 0.60). The present study suggests that older adults are capable of exhibiting CLT to a similar degree to younger adults. The prominent role of mirror activity in the untrained hand for CLT in older adults indicates that bilateral cortical activity during unilateral motor tasks is a compensatory mechanism. In this particular task, MVF did not facilitate the extent of CLT

The Influence of Mirror-Visual Feedback on Training-Induced Motor Performance Gains in the Untrained Hand

The well-documented observation of bilateral performance gains following unilateral motor training, a phenomenon known as cross-limb transfer, has important implications for rehabilitation. It has recently been shown that provision of a mirror image of the active hand during unilateral motor training has the capacity to enhance the efficacy of this phenomenon when compared to training without augmented visual feedback (i.e., watching the passive hand), possibly via action observation effects [1]. The current experiment was designed to confirm whether mirror-visual feedback (MVF) during motor training can indeed elicit greater performance gains in the untrained hand compared to more standard visual feedback (i.e., watching the active hand). Furthermore, discussing the mechanisms underlying any such MVF-induced behavioural effects, we suggest that action observation and the cross-activation hypothesis may both play important roles in eliciting cross-limb transfer. Eighty participants practiced a fast-as-possible two-ball rotation task with their dominant hand. During training, three different groups were provided with concurrent visual feedback of the active hand, inactive hand or a mirror image of the active hand with a fourth control group receiving no training. Pre- and post-training performance was measured in both hands. MVF did not increase the extent of training-induced performance changes in the untrained hand following unilateral training above and beyond those observed for other types of feedback. The data are consistent with the notion that cross-limb transfer, when combined with MVF, is mediated by cross-activation with action observation playing a less unique role than previously suggested. Further research is needed to replicate the current and previous studies to determine the clinical relevance and potential benefits of MVF for cases that, due to the severity of impairment, rely on unilateral training programmes of the unaffected limb to drive changes in the contralateral affected limb

Preconditioning tDCS facilitates subsequent tDCS effect on skill acquisition in older adults.

Functional motor declines that often occur with advancing age-including reduced efficacy to learn new skills-can have a substantial impact on the quality of life. Recent studies using noninvasive brain stimulation indicate that priming the corticospinal system by lowering the threshold for the induction of long-term potentiation-like plasticity before skill training may facilitate subsequent skill learning. Here, we used "priming" protocol, in which we used transcranial direct current stimulation (tDCS) applying the cathode over the primary motor cortex (M1) before the anode placed over M1 during unimanual isometric force control training (FORCEtraining). Older individuals who received tDCS with the cathode placed over M1 before tDCS with the anode placed over M1 concurrent with FORCEtraining showed greater skill improvement and corticospinal excitability increases following the tDCS/FORCEtraining protocol compared with both young and older individuals who did not receive the preceding tDCS with the cathode placed over M1. The results suggested that priming tDCS protocols may be used in clinical settings to improve motor function and thus maintain the functional independence of older adults

Motor planning and execution in left and right-handed individuals during a bimanual grasping and placing task

Hughes C, Reissig P, Seegelke C. Motor planning and execution in left and right-handed individuals during a bimanual grasping and placing task. Acta Psychologica. 2011;138(1):111-118

The representation of comfortable goal postures is not contigent on the sensitivity toward those end-states.

Reissig P, Hughes C, Koester D, Schack T. The representation of comfortable goal postures is not contigent on the sensitivity toward those end-states. Presented at the Progress in Motor Control VIII - Recent Advances in Neural, Computational and Dynamical Approaches, Cincinnati, OH, USA

Effects of stimulus cueing on bimanual grasp posture planning

Hughes C, Seegelke C, Reissig P, Schütz C. Effects of stimulus cueing on bimanual grasp posture planning. Experimental Brain Research. 2012;219(3):391-401.The purpose of the present study was to investigate whether difficulties in bimanual grasp posture planning arise from conflicts in response selection. Forty-five participants were assigned to one of three groups (symbolic cueing, semi-symbolic cueing, and direct cueing) and instructed to reach for, grasp, and place two objects on a board in various end-orientations, depending on condition. In general, the tendency to adopt initial grasps that resulted in end-state comfort was significantly higher for the semi-symbolic, than that for the other two groups. There were, however, noticeable individual differences in grip behavior in the symbolic and direct cueing groups. Although the majority of participants performed the task in a similar fashion to the semi-symbolic group, there was a subset of participants (40 % in each group) who grasped the two objects using an overhand grip in virtually all trials, regardless of condition. It is hypothesized that the observed individual differences in grasp posture strategy arise from differences in motor planning abilities, or the strategies participants employ in order to comply with task demands. A secondary finding is that the degree of interlimb coupling was larger for congruent, than incongruent, conditions irrespective of stimulus cueing. This finding indicates that the interference in the execution of bimanual grasping and placing tasks arises from interference during the specification of movement parameters specific to planning and execution of bimanual movements, or neuronal cross-talk in efferent pathways, rather than response selection conflicts

Problems in planning bimanually incongruent grasp postures relate to simultaneous response specification processes

Hughes CML, Seegelke C, Reissig P. Problems in planning bimanually incongruent grasp postures relate to simultaneous response specification processes. Brain and Cognition. 2014;87:22-29.The purpose of the current experiments was to examine whether the problems associated with grasp posture planning during bimanually incongruent movements are due to crosstalk at the motor programming level. Participants performed a grasping and placing task in which they grasped two objects from a table and placed them onto a board to targets that required identical (congruent) or non-identical degrees of rotation (incongruent). The interval between the presentation of the first stimulus and the second stimulus (stimulus onset asynchrony: SOA) was manipulated. Results demonstrate that the problems associated with bimanually incongruent grasp posture planning are reduced at SOA durations longer than 1000 ms, indicating that the costs associated with bimanual incongruent movements arise from crosstalk at the motor programming level. In addition, reach-to-grasp times were shorter, and interlimb limb coupling was higher, for congruent, compared to incongruent, object end-orientation conditions in both Experiment 1 and 2. The bimanual interference observed during reach-to-grasp execution is postulated to arise from limitations in the visual motor system or from conceptual language representations. The present results emphasize that bimanual interference arises from constraints active at multiple levels of the neurobiological-cognitive system. (C) 2014 Elsevier Inc. All rights reserved

Getting a grasp on bimanual coordination

Hughes C, Seegelke C, Reissig P, Schütz C. Getting a grasp on bimanual coordination. Presented at the The European Federation of Sport Psychology (FEPSAC), Madeira Island

Grip behavior during a bimanual grasping and placing task is similar regardless of stimulus onset asynchrony

Hughes C, Seegelke C, Reissig P, Schack T. Grip behavior during a bimanual grasping and placing task is similar regardless of stimulus onset asynchrony. Journal of Sport &amp; Exercise Psychology. 2011;33:76-77

Is end-state comfort represented in memory?

Reissig P, Koester D, Hughes C, Schack T. Is end-state comfort represented in memory? In: Ohlert J, Kleinert J, eds. Sport Vereint: Psychologie und Bewegung in Gesellschaft. 43. Jahrestagung der Arbeitsgemeinschaft für Sportpsychologie (asp). Schriften der Deutschen Vereinigung für Sportwissenschaft. Vol 210. Hamburg: Czwalina; 2011: 114