| Records |
| Author |
Dempsey-Jones, H.; Wesselink, D.B.; Friedman, J.; Makin, T.R. |
| Title |
Organized Toe Maps in Extreme Foot Users |
Type |
Journal Article |
| Year |
2019 |
Publication  |
Cell Reports |
Abbreviated Journal |
Cell Reports |
| Volume |
28 |
Issue |
11 |
Pages |
2748-2756.e4 |
| Keywords |
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| Abstract |
Although the fine-grained features of topographic maps in the somatosensory cortex can be shaped by everyday experience, it is unknown whether behavior can support the expression of somatotopic maps where they do not typically occur. Unlike the fingers, represented in all primates, individuated toe maps have only been found in non-human primates. Using 1-mm resolution fMRI, we identify organized toe maps in two individuals born without either upper limb who use their feet to substitute missing hand function and even support their profession as foot artists. We demonstrate that the ordering and structure of the artists’ toe representation mimics typical hand representation. We further reveal “hand-like” features of activity patterns, not only in the foot area but also similarly in the missing hand area. We suggest humans may have an innate capacity for forming additional topographic maps that can be expressed with appropriate experience. |
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Elsevier |
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2211-1247 |
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doi: 10.1016/j.celrep.2019.08.027 |
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no |
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99 |
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| Author |
Banina, M.C.; Molad, R.; Solomon, J.S.; Berman, S.; Soroker, N.; Frenkel-Toledo, S.; Liebermann, D.G.; Levin, M.F. |
| Title |
Exercise intensity of the upper limb can be enhanced using a virtual rehabilitation system |
Type |
Journal Article |
| Year |
2020 |
Publication |
Disability and Rehabilitation. Assistive Technology |
Abbreviated Journal |
Disabil Rehabil Assist Technol |
| Volume |
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Issue |
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Pages |
1-7 |
| Keywords |
Stroke; difficulty; exercise therapy; intensity; personalized exercise; upper limb; virtual reality |
| Abstract |
Purpose: Motor recovery of the upper limb (UL) is related to exercise intensity, defined as movement repetitions divided by minutes in active therapy, and task difficulty. However, the degree to which UL training in virtual reality (VR) applications deliver intense and challenging exercise and whether these factors are considered in different centres for people with different sensorimotor impairment levels is not evidenced. We determined if (1) a VR programme can deliver high UL exercise intensity in people with sub-acute stroke across different environments and (2) exercise intensity and difficulty differed among patients with different levels of UL sensorimotor impairment.Methods: Participants with sub-acute stroke (<6 months) with Fugl-Meyer scores ranging from 14 to 57, completed 10 approximately 50-min UL training sessions using three unilateral and one bilateral VR activity over 2 weeks in centres located in three countries. Training time, number of movement repetitions, and success rates were extracted from game activity logs. Exercise intensity was calculated for each participant, related to UL impairment, and compared between centres.Results: Exercise intensity was high and was progressed similarly in all centres. Participants had most difficulty with bilateral and lateral reaching activities. Exercise intensity was not, while success rate of only one unilateral activity was related to UL severity.Conclusion: The level of intensity attained with this VR exercise programme was higher than that reported in current stroke therapy practice. Although progression through different activity levels was similar between centres, clearer guidelines for exercise progression should be provided by the VR application.Implications for rehabilitationVR rehabilitation systems can be used to deliver intensive exercise programmes.VR rehabilitation systems need to be designed with measurable progressions through difficulty levels. |
| Address |
Center for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Feil and Oberfeld Research Centre, Jewish Rehabilitation Hospital, Laval, Canada |
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English |
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| ISSN |
1748-3107 |
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| Notes |
PMID:32421460 |
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no |
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Serial |
106 |
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| Author |
Frenkel-Toledo, S.; Yamanaka, J.; Friedman, J.; Feldman, A.G.; Levin, M.F. |
| Title |
Referent control of anticipatory grip force during reaching in stroke: an experimental and modeling study |
Type |
Journal Article |
| Year |
2019 |
Publication |
Experimental Brain Research |
Abbreviated Journal |
Exp Brain Res |
| Volume |
237 |
Issue |
7 |
Pages |
1655-1672 |
| Keywords |
Anticipatory grip force; Referent control; Stroke |
| Abstract |
To evaluate normal and impaired control of anticipatory grip force (GF) modulation, we compared GF production during horizontal arm movements in healthy and post-stroke subjects, and, based on a physiologically feasible dynamic model, determined referent control variables underlying the GF-arm motion coordination in each group. 63% of 13 healthy and 48% of 13 stroke subjects produced low sustained initial force (< 10 N) and increased GF prior to arm movement. Movement-related GF increases were higher during fast compared to self-paced arm extension movements only in the healthy group. Differences in the patterns of anticipatory GF increases before the arm movement onset between groups occurred during fast extension arm movement only. In the stroke group, longer delays between the onset of GF change and elbow motion were related to clinical upper limb deficits. Simulations showed that GFs could emerge from the difference between the actual and the referent hand aperture (Ra) specified by the CNS. Similarly, arm movement could result from changes in the referent elbow position (Re) and could be affected by the co-activation (C) command. A subgroup of stroke subjects, who increased GF before arm movement, could specify different patterns of the referent variables while reproducing the healthy typical pattern of GF-arm coordination. Stroke subjects, who increased GF after arm movement onset, also used different referent strategies than controls. Thus, altered anticipatory GF behavior in stroke subjects may be explained by deficits in referent control. |
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English |
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0014-4819 |
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| Notes |
PMID:30976821 |
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no |
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Serial |
98 |
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| Author |
Mimouni-Bloch, A.; Shaklai, S.; Levin, M.; Ingber, M.; Karolitsky, T.; Grunbaum, S.; Friedman, J. |
| Title |
Developmental and acquired brain injury have opposite effects on finger coordination in children |
Type |
Journal Article |
| Year |
2023 |
Publication |
Frontiers in Human Neuroscience |
Abbreviated Journal |
Front. Hum. Neurosci. |
| Volume |
17 |
Issue |
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Pages |
1083304 |
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1662-5161 |
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no |
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119 |
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| Author |
Geller, N.; Moringen, A.; Friedman, J. |
| Title |
Learning juggling by gradually increasing difficulty vs. learning the complete skill results in different learning patterns |
Type |
Journal Article |
| Year |
2023 |
Publication |
Frontiers in Psychology |
Abbreviated Journal |
Front Psychol |
| Volume |
14 |
Issue |
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Pages |
1284053 |
| Keywords |
coordination; difficulty; juggling; learning strategies; motor learning |
| Abstract |
Motor learning is central to sports, medicine, and other health professions as it entails learning through practice. To achieve proficiency in a complex motor task, many hours of practice are required. Therefore, finding ways to speed up the learning process is important. This study examines the impact of different training approaches on learning three-ball cascade juggling. Participants were assigned to one of two groups: practicing by gradually increasing difficulty and elements of the juggling movement (“learning in parts”) or training on the complete skill from the start (“all-at-once”). Results revealed that although the all-at-once group in the early stages of learning showed greater improvement in performance, the “learning in parts” group managed to catch up, even over a relatively short period of time. The lack of difference in performance between the groups at the end of the training session suggests that the choice of training regime (between all-at-once and learning in parts), at least in the short term, can be selected based on other factors such as the learner's preference, practical considerations, and cognitive style. |
| Address |
Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel |
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English |
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1664-1078 |
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| Notes |
PMID:38022928; PMCID:PMC10679398 |
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no |
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Serial |
120 |
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