Steinhart, S., Weiss, P. L., & Friedman, J. (2021). Proximal and distal movement patterns during a graphomotor task in typically developing children and children with handwriting problems. J Neuroeng Rehabil, 18(1), 178.
Abstract: BACKGROUND: Therapists specializing in handwriting difficulties in children often address motor problems including both proximal and distal movements in the upper extremity. Kinematic measures can be used to investigate various aspects of handwriting. This study examined differences in movement patterns in proximal and distal joints of the upper extremity during graphomotor tasks between typically developing children with and without handwriting problems. Additionally, it explored relationships between movement patterns, speed, and legibility of writing. METHODS: Forty-one children, aged 7-11 years, were assessed with the Aleph Aleph Ktav Yad Hebrew Handwriting assessment and the Beery Test of Visual Motor Integration and, based on their scores, were divided into a research group (with handwriting difficulties) and a control group (without handwriting difficulties). Upper extremity joint movement patterns were analyzed with a motion capture system. Differences in the quality of shapes traced and copied on a graphics tablet positioned horizontally and vertically were compared. Between-group differences and relationships with speed and legibility were analyzed. RESULTS: In both groups, there was greater movement in the distal compared to the proximal joints, greater movement when performing the task in a horizontal compared to a vertical plane, and greater movement when tracing than copying. Joint movements in the arm executed scaled-down versions of the shapes being drawn. While the amount of joint displacement was similar between groups, children in the research group showed greater dissimilarity between the drawn shape and the shape produced by the proximal joints. Finally, the drawing measure on the tablet was a significant predictor of legibility, speed of writing, visual motor integration and motor coordination, whereas the dissimilarity measure of joint movement was a significant predictor of speed of writing and motor coordination. CONCLUSIONS: This study provides support for the role of the distal upper extremity joints in the writing process and some guidance to assist clinicians in devising treatment strategies for movement-related handwriting problems. While we observed differences in proximal joint movements between the children with and without handwriting difficulties, the extent to which they are responsible for the differences in drawing quality remains to be determined. Further studies should use a similar methodology to examine additional tasks such as drawing shapes of varying sizes.
|
Friedman, J., Latash, M. L., & Zatsiorsky, V. M. (2011). Directional variability of the isometric force vector produced by the hand in multi-joint planar tasks. Journal of Motor Behavior, 43(6), 451–463.
Abstract: Numerous studies have examined control of force magnitude, but relatively little research has considered force direction control. In this study, subjects applied isometric forces to a handle and we compared within-trial variability when producing force in different directions. The standard deviation (SD) of the force parallel to the prescribed direction of force production increased linearly with the targeted force level, as did the SD of the force perpendicular to the instructed direction. In contrast, the SD of the angle of force production decreased with increased force level. In the four (of eight) instructed force directions where the endpoint force was generated due to a joint torque in only one joint (either the shoulder or elbow) the principal component axes in force space were well aligned with the prescribed direction of force production. In the other directions, the variance was approximately equal along the two force axes. The variance explained by the first principal component was significantly larger in torque space compared to the force space, and mostly corresponded to positive correlation between the joint torques. Such coordinated changes suggest that the torque variability was mainly due to the variability of the common drive to the muscles serving two joints, although this statement needs to be supported by direct studies of muscle activation in the future.
|
Kaufman-Cohen, Y., Portnoy, S., Levanon, Y., & Friedman, J. (2019). Does Object Height Affect the Dart Throwing Motion Angle during Seated Activities of Daily Living? J Mot Behav, , 1–10.
Abstract: Complex wrist motions are needed to complete various daily activities. Analyzing the multidimensional motion of the wrist is crucial for understanding our functional movement. Several studies have shown that numerous activities of daily livings (ADLs) are performed using an oblique plane of wrist motion from radial-extension to ulnar-flexion, named the Dart Throwing Motion (DTM) plane. To the best of our knowledge, the DTM plane angle performed during ADLs has not been compared between different heights (e.g. table, shoulder and head height), as is common when performing day-to-day tasks. In this study, we compared DTM plane angles when performing different ADLs at three different heights and examined the relationship between DTM plane angles and limb position. We found that height had a significant effect on the DTM plane angles – the mean DTM plane angle was greater at the lower level compared to the mid and higher levels. A significant effect of shoulder orientation on mean DTM plane angles was shown in the sagittal and coronal planes. Our findings support the importance of training daily tasks at different heights during rehabilitation following wrist injuries, in order to explore a large range of DTM angles, to accommodate needs of common ADLs.
|
Friedman, J., Brown, S., & Finkbeiner, M. (2013). Linking cognitive and reaching trajectories via intermittent movement control. Journal of Mathematical Psychology, 57(3-4), 140–151.
Abstract: Theories of decision-making have traditionally been constrained by reaction time data. A limitation of reaction time data, particularly for studying the temporal dynamics of cognitive processing, is that they index only the endpoint of the decision making process. Recently, physical reaching trajectories have been used as proxies for underlying mental trajectories through decision space. We suggest that this approach has been oversimplified: while it is possible for the motor control system to access the current state of the evidence accumulation process, this access is intermittent. Instead, we demonstrate how a model of arm movements that assumes intermittent, not continuous, access to the decision process is sufficient to describe the effects of stimulus quality and viewing time in curved reaching movements.
|
|
Kaufman-Cohen, Y., Levanon, Y., Friedman, J., Yaniv, Y., & Portnoy, S. (2020). Home exercise in the dart-throwing motion plane after distal radius fractures: A Pilot Randomized Controlled Trial. Journal of Hand Therapy, .
|
