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A loud auditory stimulus overcomes voluntary movement limitation in cervical dystonia
Patients with cervical dystonia (CD) present with an impaired performance of voluntary neck movements, which are usually slow and limited. We hypothesized that such abnormality could involve defective preparation for task execution. Therefore, we examined motor preparation in CD patients using the S...
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Published in: | PloS one 2012-10, Vol.7 (10), p.e46586-e46586 |
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description | Patients with cervical dystonia (CD) present with an impaired performance of voluntary neck movements, which are usually slow and limited. We hypothesized that such abnormality could involve defective preparation for task execution. Therefore, we examined motor preparation in CD patients using the StartReact method. In this test, a startling auditory stimulus (SAS) is delivered unexpectedly at the time of the imperative signal (IS) in a reaction time task to cause a faster execution of the prepared motor programme. We expected that CD patients would show an abnormal StartReact phenomenon.
Fifteen CD patients and 15 age matched control subjects (CS) were asked to perform a rotational movement (RM) to either side as quick as possible immediately after IS perception (a low intensity electrical stimulus to the II finger). In randomly interspersed test trials (25%) a 130 dB SAS was delivered simultaneously with the IS. We recorded RMs in the horizontal plane with a high speed video camera (2.38 ms per frame) in synchronization with the IS. The RM kinematic-parameters (latency, velocity, duration and amplitude) were analyzed using video-editing software and screen protractor. Patients were asked to rate the difficulty of their RMs in a numerical rating scale.
In control trials, CD patients executed slower RMs (repeated measures ANOVA, p |
doi_str_mv | 10.1371/journal.pone.0046586 |
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Fifteen CD patients and 15 age matched control subjects (CS) were asked to perform a rotational movement (RM) to either side as quick as possible immediately after IS perception (a low intensity electrical stimulus to the II finger). In randomly interspersed test trials (25%) a 130 dB SAS was delivered simultaneously with the IS. We recorded RMs in the horizontal plane with a high speed video camera (2.38 ms per frame) in synchronization with the IS. The RM kinematic-parameters (latency, velocity, duration and amplitude) were analyzed using video-editing software and screen protractor. Patients were asked to rate the difficulty of their RMs in a numerical rating scale.
In control trials, CD patients executed slower RMs (repeated measures ANOVA, p<0.10(-5)), and reached a smaller final head position angle relative to the midline (p<0.05), than CS. In test trials, SAS improved all RMs in both groups (p<0.10(-14)). In addition, patients were more likely to reach beyond their baseline RM than CS (χ(2), p<0.001) and rated their performance better than in control trials (t-test, p<0.01).
We found improvement of kinematic parameters and subjective perception of motor performance in CD patients with StartReact testing. Our results suggest that CD patients reach an adequate level of motor preparation before task execution.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0046586</identifier><identifier>PMID: 23091598</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acoustic Stimulation ; Adult ; Aged ; Analysis ; Auditory defects ; Biology ; Brain research ; Care and treatment ; Case-Control Studies ; Clinical trials ; Dystonia ; Electrical stimuli ; Electromyography ; Female ; Head Movements ; Humans ; Kinematics ; Latency ; Loudness Perception ; Male ; Medicine ; Middle Aged ; Motor neurons ; Motor task performance ; Movement disorders ; Muscles ; Músculs ; Neck ; Neurologia ; Neurology ; Neurosciences ; Parkinson's disease ; Patients ; Perception ; Psychomotor Performance ; Reaction Time ; Reaction time task ; Synchronism ; Synchronization ; Test procedures ; Torticollis - physiopathology ; Trastorns motors ; Variance analysis ; Young Adult</subject><ispartof>PloS one, 2012-10, Vol.7 (10), p.e46586-e46586</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>Serranová et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>cc-by (c) Serranová, Tereza et al., 2012 info:eu-repo/semantics/openAccess <a href="http://creativecommons.org/licenses/by/3.0/es">http://creativecommons.org/licenses/by/3.0/es</a></rights><rights>2012 Serranová et al 2012 Serranová et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c599t-8fae201802b20a53c7227d936db59fee20165e36a067c29515cf5e716997e2293</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1326560305/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1326560305?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25730,27900,27901,36988,36989,44565,53765,53767,75095</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23091598$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Serranová, Tereza</creatorcontrib><creatorcontrib>Jech, Robert</creatorcontrib><creatorcontrib>Martí, Maria José</creatorcontrib><creatorcontrib>Modreanu, Raluca</creatorcontrib><creatorcontrib>Valldeoriola, Francesc</creatorcontrib><creatorcontrib>Sieger, Tomáš</creatorcontrib><creatorcontrib>Růžička, Evžen</creatorcontrib><creatorcontrib>Valls-Solé, Josep</creatorcontrib><title>A loud auditory stimulus overcomes voluntary movement limitation in cervical dystonia</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Patients with cervical dystonia (CD) present with an impaired performance of voluntary neck movements, which are usually slow and limited. We hypothesized that such abnormality could involve defective preparation for task execution. Therefore, we examined motor preparation in CD patients using the StartReact method. In this test, a startling auditory stimulus (SAS) is delivered unexpectedly at the time of the imperative signal (IS) in a reaction time task to cause a faster execution of the prepared motor programme. We expected that CD patients would show an abnormal StartReact phenomenon.
Fifteen CD patients and 15 age matched control subjects (CS) were asked to perform a rotational movement (RM) to either side as quick as possible immediately after IS perception (a low intensity electrical stimulus to the II finger). In randomly interspersed test trials (25%) a 130 dB SAS was delivered simultaneously with the IS. We recorded RMs in the horizontal plane with a high speed video camera (2.38 ms per frame) in synchronization with the IS. The RM kinematic-parameters (latency, velocity, duration and amplitude) were analyzed using video-editing software and screen protractor. Patients were asked to rate the difficulty of their RMs in a numerical rating scale.
In control trials, CD patients executed slower RMs (repeated measures ANOVA, p<0.10(-5)), and reached a smaller final head position angle relative to the midline (p<0.05), than CS. In test trials, SAS improved all RMs in both groups (p<0.10(-14)). In addition, patients were more likely to reach beyond their baseline RM than CS (χ(2), p<0.001) and rated their performance better than in control trials (t-test, p<0.01).
We found improvement of kinematic parameters and subjective perception of motor performance in CD patients with StartReact testing. Our results suggest that CD patients reach an adequate level of motor preparation before task execution.</description><subject>Acoustic Stimulation</subject><subject>Adult</subject><subject>Aged</subject><subject>Analysis</subject><subject>Auditory defects</subject><subject>Biology</subject><subject>Brain research</subject><subject>Care and treatment</subject><subject>Case-Control Studies</subject><subject>Clinical trials</subject><subject>Dystonia</subject><subject>Electrical stimuli</subject><subject>Electromyography</subject><subject>Female</subject><subject>Head Movements</subject><subject>Humans</subject><subject>Kinematics</subject><subject>Latency</subject><subject>Loudness Perception</subject><subject>Male</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Motor neurons</subject><subject>Motor task performance</subject><subject>Movement disorders</subject><subject>Muscles</subject><subject>Músculs</subject><subject>Neck</subject><subject>Neurologia</subject><subject>Neurology</subject><subject>Neurosciences</subject><subject>Parkinson's disease</subject><subject>Patients</subject><subject>Perception</subject><subject>Psychomotor Performance</subject><subject>Reaction Time</subject><subject>Reaction time task</subject><subject>Synchronism</subject><subject>Synchronization</subject><subject>Test procedures</subject><subject>Torticollis - 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Academic</collection><collection>Recercat</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Serranová, Tereza</au><au>Jech, Robert</au><au>Martí, Maria José</au><au>Modreanu, Raluca</au><au>Valldeoriola, Francesc</au><au>Sieger, Tomáš</au><au>Růžička, Evžen</au><au>Valls-Solé, Josep</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A loud auditory stimulus overcomes voluntary movement limitation in cervical dystonia</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2012-10-16</date><risdate>2012</risdate><volume>7</volume><issue>10</issue><spage>e46586</spage><epage>e46586</epage><pages>e46586-e46586</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Patients with cervical dystonia (CD) present with an impaired performance of voluntary neck movements, which are usually slow and limited. We hypothesized that such abnormality could involve defective preparation for task execution. Therefore, we examined motor preparation in CD patients using the StartReact method. In this test, a startling auditory stimulus (SAS) is delivered unexpectedly at the time of the imperative signal (IS) in a reaction time task to cause a faster execution of the prepared motor programme. We expected that CD patients would show an abnormal StartReact phenomenon.
Fifteen CD patients and 15 age matched control subjects (CS) were asked to perform a rotational movement (RM) to either side as quick as possible immediately after IS perception (a low intensity electrical stimulus to the II finger). In randomly interspersed test trials (25%) a 130 dB SAS was delivered simultaneously with the IS. We recorded RMs in the horizontal plane with a high speed video camera (2.38 ms per frame) in synchronization with the IS. The RM kinematic-parameters (latency, velocity, duration and amplitude) were analyzed using video-editing software and screen protractor. Patients were asked to rate the difficulty of their RMs in a numerical rating scale.
In control trials, CD patients executed slower RMs (repeated measures ANOVA, p<0.10(-5)), and reached a smaller final head position angle relative to the midline (p<0.05), than CS. In test trials, SAS improved all RMs in both groups (p<0.10(-14)). In addition, patients were more likely to reach beyond their baseline RM than CS (χ(2), p<0.001) and rated their performance better than in control trials (t-test, p<0.01).
We found improvement of kinematic parameters and subjective perception of motor performance in CD patients with StartReact testing. Our results suggest that CD patients reach an adequate level of motor preparation before task execution.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23091598</pmid><doi>10.1371/journal.pone.0046586</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Acoustic Stimulation Adult Aged Analysis Auditory defects Biology Brain research Care and treatment Case-Control Studies Clinical trials Dystonia Electrical stimuli Electromyography Female Head Movements Humans Kinematics Latency Loudness Perception Male Medicine Middle Aged Motor neurons Motor task performance Movement disorders Muscles Músculs Neck Neurologia Neurology Neurosciences Parkinson's disease Patients Perception Psychomotor Performance Reaction Time Reaction time task Synchronism Synchronization Test procedures Torticollis - physiopathology Trastorns motors Variance analysis Young Adult |
title | A loud auditory stimulus overcomes voluntary movement limitation in cervical dystonia |
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