Liebermann, D. G., Buchman, A. S., & Franks, I. M. (2006). Enhancement of motor rehabilitation through the use of information technologies. Clin Biomech (Bristol, Avon), 21(1), 8–20.
Abstract: The recent development of information technologies has dramatically increased the tools available for facilitating motor rehabilitation. This review focuses on technologies which can be used to augment movement-related information both to patients as well as to their therapists. A brief outline of the motor system emphasizes the role of spinal motor neurons in the control of voluntary movement and rehabilitative efforts. Technologies which induce passive motion to stimulate spinal motor output as well as technologies that stimulate active voluntary movements are discussed. Finally, we review technologies and notational methods that can be used to quantify and assess the quality of movement for evaluating the efficacy of motor rehabilitation efforts. We conclude that stronger evidence is necessary to determine the applicability of the wide range of technologies now available to clinical rehabilitation efforts.
|
Liebermann, D. G., Biess, A., Friedman, J., Gielen, C. C. A. M., & Flash, T. (2006). Intrinsic joint kinematic planning. I: reassessing the Listing's law constraint in the control of three-dimensional arm movements. Exp Brain Res, 171(2), 139–154.
Abstract: This study tested the validity of the assumption that intrinsic kinematic constraints, such as Listing's law, can account for the geometric features of three-dimensional arm movements. In principle, if the arm joints follow a Listing's constraint, the hand paths may be predicted. Four individuals performed 'extended arm', 'radial', 'frontal plane', and 'random mixed' movements to visual targets to test Listing's law assumption. Three-dimensional rotation vectors of the upper arm and forearm were calculated from three-dimensional marker data. Data fitting techniques were used to test Donders' and Listing's laws. The coefficient values obtained from fitting rotation vectors to the surfaces described by a second-order equation were analyzed. The results showed that the coefficients that represent curvature and twist of the surfaces were often not significantly different from zero, particularly not during randomly mixed and extended arm movements. These coefficients for forearm rotations were larger compared to those for the upper arm segment rotations. The mean thickness of the rotation surfaces ranged between approximately 1.7 degrees and 4.7 degrees for the rotation vectors of the upper arm segment and approximately 2.6 degrees and 7.5 degrees for those of the forearm. During frontal plane movements, forearm rotations showed large twist scores while upper arm segment rotations showed large curvatures, although the thickness of the surfaces remained low. The curvatures, but not the thicknesses of the surfaces, were larger for large versus small amplitude radial movements. In conclusion, when examining the surfaces obtained for the different movement types, the rotation vectors may lie within manifolds that are anywhere between curved or twisted manifolds. However, a two-dimensional thick surface may roughly represent a global arm constraint. Our findings suggest that Listing's law is implemented for some types of arm movement, such as pointing to targets with the extended arm and during radial reaching movements.
|
Liebermann, D. G., Berman, S., Weiss, P. L. T., & Levin, M. F. (2012). Kinematics of reaching movements in a 2-d virtual environment in adults with and without stroke. IEEE Trans Neural Syst Rehabil Eng, 20(6), 778–787.
Abstract: Virtual reality environments are increasingly being used for upper limb rehabilitation in poststroke patients. Our goal was to determine if arm reaching movements made in a 2-D video-capture virtual reality environment are similar to those made in a comparable physical environment. We compared arm and trunk kinematics for reaches made with the right, dominant arm to three targets (14 trials per target) in both environments by 16 adults with right poststroke hemiparesis and by eight healthy age-matched controls. Movement kinematics were recorded with a three-camera optoelectronic system at 100 samples/s. Reaching movements made by both control and stroke subjects were affected by viewing the targets in the video-capture 2-D virtual environment. Movements were slower, shorter, less straight, less accurate and involved smaller ranges of shoulder and elbow joint excursions for target reaches in the virtual environment compared to the physical environment in all subjects. Thus, there was a decrease in the overall movement quality for movements made in the 2-D virtual environment. This suggests that 2-D video-capture virtual reality environments should be used with caution when the goal of the rehabilitation program is to improve the quality of movement patterns of the upper limb.
|
Liebermann, D. G., Berman, S., Weingarden H., Levin, M. F., & Weiss, P. L. (2009). Kinematic features of arm and trunk movements in stroke patients and age-matched healthy controls during reaching in virtual and physical environments. In Virtual Rehabilitation International Conference (pp. 179–184).
Abstract: Motor performance of stroke patients and healthy individuals was compared in terms of selected kinematic features of arm and trunk movements while subjects reached for visual targets in virtual (VR) and physical (PH) environments. In PH, the targets were placed at an extended arm distance, while in VR comparably placed virtual targets were presented via GestureTek's IREX system. Our goal was to obtain further insights into research methods related to VR-based rehabilitation. Eight right-hemiparetic stroke patients (age =46-87 years) and 8 healthy adults (age =51-73 years) completed 84 reaching movements in VR and PH environments while seated. The results showed that arm and trunk movements differed in the two environments in patients and to a lesser extent in healthy individuals. Arm motion of patients became jerkier in VR, with larger paths and longer movement durations, and presented greater arm torsion (i.e., larger elbow rotations around the hand-shoulder axis). Interestingly, patients also showed a significant reduction of compensatory trunk movements during VR reaching. The findings indicate that when targets were perceived to be beyond hand reach, stroke patients may be less able to estimate 3D virtual target locations obtained from the 2D TV planar displays. This was not the case for healthy participants.
|
Liebermann, D. G., Ben-David, J., Schweitzer, N., Apter, Y., & Parush, A. (1995). A field study of braking reactions during driving I: Triggering and modulation. Ergonomics, 38(9), 1894–1902.
Abstract: The present experiment was carried out to explore the response of driving subjects to emergency braking. The field trial consisted of driving behind a leading vehicle while the following drivers' responses were recorded by telemetry. A group of 51 individuals performed a series of trials at two driving speeds (60 and 80km/h), two following distances (6 and 12 m), and two braking conditions (real and dummy braking). Not all of these subjects completed all conditions or the minimum number of trials. The dependent variables were the total braking time (TBT) and its subcomponents: braking reaction time (BRT), and accelerator-to-brake movement time (MT). These data were analysed in three separate three-way ANOVAs with repeated measures on all factors. The results showed that when subjects were not aware of the forthcoming braking, the distance and braking conditions had major effects on all dependent variables. At the shorter following distance drivers reacted and moved faster. Similarly, when the brakes were real compared with dummy (i.e. brake lights only) drivers reacted faster. In addition, drivers reacted to onset of brake lights in 83% of the cases when dummy braking was applied, compared with 97% when real brakes were applied. Speed of driving did not show any significant effects and did not appear to influence the cognitive or attentional set to anticipate an emergency manoeuvre. These findings suggest that changes in angular velocity during optic expansion of the leading vehicle may be used as a cue to modulate braking movement, while onset of brake lights alone may be enough to trigger a ‘ballistic’ preventive response.
|