Abstract:
:Previous work has highlighted the role of haptic feedback for manual dexterity, in particular for the control of precision grip forces between the index finger and thumb. It is unclear how fine motor skills involving more than just two digits might be affected, especially given that loss of sensation from the hand affects many neurological patients, and impacts on everyday actions. To assess the functional consequences of haptic deficits on multi-digit grasp of objects, we studied the ability of three rare individuals with permanent large-fibre sensory loss involving the entire upper limb. All three reported difficulties in everyday manual actions (ABILHAND questionnaire). Their performance in a reach-grasp-lift task was compared to that of healthy controls. Twenty objects of varying shape, mass, opacity and compliance were used. In the reach-to-grasp phase, we found slower movement, larger grip aperture and less dynamic modulation of grip aperture in deafferented participants compared to controls. Hand posture during the lift phase also differed; deafferented participants often adopted hand postures that may have facilitated visual guidance, and/or reduced control complexity. For example, they would extend fingers that were not in contact with the object, or fold these fingers into the palm of the hand. Variability in hand postures was increased in deafferented participants, particularly for smaller objects. Our findings provide new insights into how the complex control required for whole hand actions is compromised by loss of haptic feedback, whose contribution is, thus, highlighted.
journal_name
Exp Brain Resjournal_title
Experimental brain researchauthors
Miall RC,Rosenthal O,Ørstavik K,Cole JD,Sarlegna FRdoi
10.1007/s00221-019-05583-2subject
Has Abstractpub_date
2019-09-01 00:00:00pages
2167-2184issue
9eissn
0014-4819issn
1432-1106pii
10.1007/s00221-019-05583-2journal_volume
237pub_type
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pub_type: 杂志文章
doi:10.1007/s00221-003-1749-1
更新日期:2004-02-01 00:00:00
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更新日期:2007-05-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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