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Author Steinhart, S.; Weiss, P.L.; Friedman, J. pdf  url
doi  openurl
  Title Proximal and distal movement patterns during a graphomotor task in typically developing children and children with handwriting problems Type Journal Article
  Year 2021 Publication Journal of Neuroengineering and Rehabilitation Abbreviated Journal J Neuroeng Rehabil  
  Volume 18 Issue 1 Pages 178  
  Keywords Arm; Biomechanical Phenomena; Child; *Handwriting; Humans; Motor Skills; *Movement; Upper Extremity; Distal joints; Handwriting; Motor control; Movement analysis; Proximal; Stability  
  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.  
  Address (down) Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel. jason@tau.ac.il  
  Corporate Author Thesis  
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  Language English Summary Language Original Title  
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  Series Volume Series Issue Edition  
  ISSN 1743-0003 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:34930334; PMCID:PMC8690895 Approved no  
  Call Number Serial 118  
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Author Raveh, E.; Portnoy, S.; Friedman, J. pdf  url
doi  openurl
  Title Adding vibrotactile feedback to a myoelectric-controlled hand improves performance when online visual feedback is disturbed Type Journal Article
  Year 2018 Publication Human Movement Science Abbreviated Journal Hum Mov Sci  
  Volume 58 Issue Pages 32-40  
  Keywords Myoelectric prostheses; Sensorimotor control; Upper limb amputation; Visual feedback  
  Abstract We investigated whether adding vibrotactile feedback to a myoelectric-controlled hand, when visual feedback is disturbed, can improve performance during a functional test. For this purpose, able-bodied subjects, activating a myoelectric-controlled hand attached to their right hand performed the modified Box & Blocks test, grasping and manipulating wooden blocks over a partition. This was performed in 3 conditions, using a repeated-measures design: in full light, in a dark room where visual feedback was disturbed and no auditory feedback – one time with the addition of tactile feedback provided during object grasping and manipulation, and one time without any tactile feedback. The average time needed to transfer one block was measured, and an infrared camera was used to give information on the number of grasping errors during performance of the test. Our results show that when vibrotactile feedback was provided, performance time was reduced significantly, compared with when no vibrotactile feedback was available. Furthermore, the accuracy of grasping and manipulation was improved, reflected by significantly fewer errors during test performance. In conclusion, adding vibrotactile feedback to a myoelectric-controlled hand has positive effects on functional performance when visual feedback is disturbed. This may have applications to current myoelectric-controlled hands, as adding tactile feedback may help prosthesis users to improve their functional ability during daily life activities in different environments, particularly when limited visual feedback is available or desirable.  
  Address (down) Physical Therapy Department, Sackler Faculty of Medicine, Tel Aviv University, Israel. Electronic address: jason@post.tau.ac.il  
  Corporate Author Thesis  
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  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0167-9457 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:29353091 Approved no  
  Call Number Serial 88  
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Author Portnoy, S.; Rosenberg, L.; Alazraki, T.; Elyakim, E.; Friedman, J. pdf  url
doi  openurl
  Title Differences in Muscle Activity Patterns and Graphical Product Quality in Children Copying and Tracing Activities on Horizontal or Vertical Surfaces Type Journal Article
  Year 2015 Publication Journal of Electromyography and Kinesiology Abbreviated Journal Journal of Electromyography and Kinesiology  
  Volume 25 Issue 3 Pages 540�547  
  Keywords Motor equivalence; Electromyography; Tablet; Occupational Therapy; Muscle fatigue; Motor control  
  Abstract The observation that a given task, e.g. producing a signature, looks similar when created by different motor commands and different muscles groups is known as motor equivalence. Relatively little data exists regarding the characteristics of motor equivalence in children. In this study, we compared the level of performance when performing a tracing task and copying figures in two common postures: while sitting at a desk and while standing in front of a wall, among preschool children. In addition, we compared muscle activity patterns in both postures. Specifically, we compared the movements of 35 five- to six-year old children, recording the same movements of copying figures and path tracing on an electronic tablet in both a horizontal orientation, while sitting, and a vertical orientation, while standing. Different muscle activation patterns were observed between the postures, however no significant difference in the performance level was found, providing evidence of motor equivalence at this young age. The study presents a straightforward method of assessing motor equivalence that can be extended to other stages of development as well as motor disorders.  
  Address (down)  
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  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1050-6411 ISBN Medium  
  Area Expedition Conference  
  Notes Approved no  
  Call Number Serial 77  
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Author Noy, L.; Weiser, N.; Friedman, J. pdf  url
doi  openurl
  Title Synchrony in Joint Action Is Directed by Each Participant's Motor Control System Type Journal Article
  Year 2017 Publication Frontiers in Psychology Abbreviated Journal Front. Psychol.  
  Volume 8 Issue Pages 531  
  Keywords visuomotor tracking; mirror game; intermittent control; joint action; motor control  
  Abstract In this work, we ask how the probability of achieving synchrony in joint action is affected by the choice of motion parameters of each individual. We use the mirror game paradigm to study how changes in leader�s motion parameters, specifically frequency and peak velocity, affect the probability of entering the state of co-confidence (CC) motion: a dyadic state of synchronized, smooth and co-predictive motions. In order to systematically study this question, we used a one-person version of the mirror game, where the participant mirrored piece-wise rhythmic movements produced by a computer on a graphics tablet. We systematically varied the frequency and peak velocity of the movements to determine how these parameters affect the likelihood of synchronized joint action. To assess synchrony in the mirror game we used the previously developed marker of co-confident (CC) motions: smooth, jitter-less and synchronized motions indicative of co-predicative control. We found that when mirroring movements with low frequencies (i.e., long duration movements), the participants never showed CC, and as the frequency of the stimuli increased, the probability of observing CC also increased. This finding is discussed in the framework of motor control studies showing an upper limit on the duration of smooth motion. We confirmed the relationship between motion parameters and the probability to perform CC with three sets of data of open-ended two-player mirror games. These findings demonstrate that when performing movements together, there are optimal movement frequencies to use in order to maximize the possibility of entering a state of synchronized joint action. It also shows that the ability to perform synchronized joint action is constrained by the properties of our motor control systems.  
  Address (down)  
  Corporate Author Thesis  
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  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1664-1078 ISBN Medium  
  Area Expedition Conference  
  Notes Approved no  
  Call Number Serial 84  
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