SlideShare a Scribd company logo
1 of 1
ACKNOWLEDGEMENTS
067. Heightened attention to proprioceptive feedback is not sufficient for long-latency
reflex modulation during arm posture. E.H.E. Walker
1,4
R. Ruiz-Torres
2
L.E. Miller
1,2,3
E.J. Perreault
1,3,4
1Biomedical Engineering, 2Physiology, 3Physical Medicine and Rehabilitation, Northwestern University, Evanston (Chicago), IL
4Sensory Motor Performance Program, Rehabilitation Institute of Chicago, Chicago, IL
INTRODUCTION
This work was done in conjunction with
Northwestern University and the Sensory
Motor Performance Program and was
supported in part by the NSF grant 0932263
and NIH grant NS053813-08. The authors
would like to thank Timothy Haswell for his
help with the experimental setup.
CONCLUSIONS
METHODS
3 Attention
Conditions:
• Proprioceptive
(bumps)
• Visual
(dots)
• Control
(none)
3 Measurements:
• Stretch reflexes (20% perturbation trials)
• H-reflexes (electrical stimulation of median nerve)
• SEPs - Somatosensory Evoked Potentials (C3’ ref Fpz’)
• Stretch reflexes are important
for postural stability in the arm.
• Long-latency stretch reflexes
become more sensitive in
unstable environments.
• It is not clear what factors drive long-latency reflex
modulation as seen in different environments.
• Hypothesis: Heightened attention to proprioceptive
feedback drives this type of reflex modulation.
more stable
less stable
Perreault et al. 2008, J Neurophysiology:
Adaptive stimulus intensities ensured selective attention
Stretch reflexes were not significantly influenced by attention
H-reflexes and SEPs were not significantly influenced by attention
Post-hoc Power Analysis
• The output of reflex loops, sensitivity of spinal circuitry,
and the strength of ascending sensory information are
not affected by attention in this task.
• Attention alone is insufficient to accomplish long-
latency reflex modulation during posture.
• Engagement with novel environmental dynamics may
be key to long-latency reflex modulation.
BGA: F≤1.56 p≥0.24
SLR : F≤2.58 p≥0.11
LLR1: F≤0.46 p≥0.64
LLR2: F≤1.91 p≥0.20
• ANOVA with alpha = 0.05 and sample size = 9
• Estimated effect size = 1.5 to 4.0
• Based on Perreault et al. 2008, Shemmell et al. 2009,
Krutky et al. 2010
• Statistical power ≥ 87%
1
0.98
0.96
0.94
0.92
0.90
0.88
Power(1–βerrprob)
1.5 2 2.5 3.53 4
Effect size
In each trial, the subject attends to a stimulus as directed on the screen.
Dots move more/less randomly. Bump force gets smaller/larger. Direction discrimination maintained at 70-80%
No significant differences at a level of α=0.05 in any time window or any muscle.Stretch reflexes were evoked by perturbations.
Equal BGA and M-wave ensures matched stimulations.
No signif. difference in sensitivity of spinal circuits (p=0.32).
No signif. difference in ascending sensory signals (p=0.85).
H-reflexes and SEPs were evoked by median nerve stimulation.
ms
ms

More Related Content

What's hot

Webinar interventions Dr Abdallah Allam
Webinar interventions Dr Abdallah Allam Webinar interventions Dr Abdallah Allam
Webinar interventions Dr Abdallah Allam Abdallah Allam
 
Magnets - Not Drugs: TMS IMMH San Antonio 2014
Magnets - Not Drugs: TMS   IMMH San Antonio 2014Magnets - Not Drugs: TMS   IMMH San Antonio 2014
Magnets - Not Drugs: TMS IMMH San Antonio 2014Louis Cady, MD
 
Medications for low back pain
Medications for low back painMedications for low back pain
Medications for low back painSpinePlus
 
Intro to Transcranial Direct Curent Stimulation (tDCS)
Intro to Transcranial Direct Curent Stimulation (tDCS)Intro to Transcranial Direct Curent Stimulation (tDCS)
Intro to Transcranial Direct Curent Stimulation (tDCS)Daniel Stevenson
 
Frontiers in nerve surgery sept 2019 chiengmai v6
Frontiers in nerve surgery sept 2019 chiengmai v6Frontiers in nerve surgery sept 2019 chiengmai v6
Frontiers in nerve surgery sept 2019 chiengmai v6Vaikunthan Rajaratnam
 
Accelerated rehabilitation after lumbar discectomy
Accelerated rehabilitation after lumbar discectomyAccelerated rehabilitation after lumbar discectomy
Accelerated rehabilitation after lumbar discectomySpinePlus
 
Current state of intra operative cerebral monitors
Current state of intra operative cerebral monitorsCurrent state of intra operative cerebral monitors
Current state of intra operative cerebral monitorsLouis Delacretaz
 
The Science of Neuromodulation and Neuromodulation Therapies
The Science of Neuromodulation and Neuromodulation Therapies The Science of Neuromodulation and Neuromodulation Therapies
The Science of Neuromodulation and Neuromodulation Therapies Eyad Kishawi
 
SFVA Brain Injury Rehabilitation Research 11-23-15
SFVA Brain Injury Rehabilitation Research 11-23-15SFVA Brain Injury Rehabilitation Research 11-23-15
SFVA Brain Injury Rehabilitation Research 11-23-15Charles Mayer
 
Hartlepowerpoint
HartlepowerpointHartlepowerpoint
Hartlepowerpointphartle
 
An Introduction to Neuromodulation
An Introduction to NeuromodulationAn Introduction to Neuromodulation
An Introduction to NeuromodulationDr. Brian Klagges
 
Kari final
Kari finalKari final
Kari finalchiefhgh
 
Non-operative treatment for common back conditions
Non-operative treatment for common back conditions Non-operative treatment for common back conditions
Non-operative treatment for common back conditions SpinePlus
 
Constrained induced movement therapy
Constrained induced movement therapyConstrained induced movement therapy
Constrained induced movement therapychhavi007
 
Abnormality: Biological treatments AS
Abnormality: Biological treatments ASAbnormality: Biological treatments AS
Abnormality: Biological treatments ASJill Jan
 
Role of mirror therapy in neurological conditions
Role of mirror therapy in neurological conditionsRole of mirror therapy in neurological conditions
Role of mirror therapy in neurological conditionsRuchika Gupta
 

What's hot (20)

Webinar interventions Dr Abdallah Allam
Webinar interventions Dr Abdallah Allam Webinar interventions Dr Abdallah Allam
Webinar interventions Dr Abdallah Allam
 
Magnets - Not Drugs: TMS IMMH San Antonio 2014
Magnets - Not Drugs: TMS   IMMH San Antonio 2014Magnets - Not Drugs: TMS   IMMH San Antonio 2014
Magnets - Not Drugs: TMS IMMH San Antonio 2014
 
Medications for low back pain
Medications for low back painMedications for low back pain
Medications for low back pain
 
Intro to Transcranial Direct Curent Stimulation (tDCS)
Intro to Transcranial Direct Curent Stimulation (tDCS)Intro to Transcranial Direct Curent Stimulation (tDCS)
Intro to Transcranial Direct Curent Stimulation (tDCS)
 
Frontiers in nerve surgery sept 2019 chiengmai v6
Frontiers in nerve surgery sept 2019 chiengmai v6Frontiers in nerve surgery sept 2019 chiengmai v6
Frontiers in nerve surgery sept 2019 chiengmai v6
 
Frontiers in nerve surgery.
Frontiers in nerve surgery.  Frontiers in nerve surgery.
Frontiers in nerve surgery.
 
Accelerated rehabilitation after lumbar discectomy
Accelerated rehabilitation after lumbar discectomyAccelerated rehabilitation after lumbar discectomy
Accelerated rehabilitation after lumbar discectomy
 
Current state of intra operative cerebral monitors
Current state of intra operative cerebral monitorsCurrent state of intra operative cerebral monitors
Current state of intra operative cerebral monitors
 
The Science of Neuromodulation and Neuromodulation Therapies
The Science of Neuromodulation and Neuromodulation Therapies The Science of Neuromodulation and Neuromodulation Therapies
The Science of Neuromodulation and Neuromodulation Therapies
 
SFVA Brain Injury Rehabilitation Research 11-23-15
SFVA Brain Injury Rehabilitation Research 11-23-15SFVA Brain Injury Rehabilitation Research 11-23-15
SFVA Brain Injury Rehabilitation Research 11-23-15
 
Hartlepowerpoint
HartlepowerpointHartlepowerpoint
Hartlepowerpoint
 
Brain stimulation therapies
Brain stimulation therapiesBrain stimulation therapies
Brain stimulation therapies
 
Main
MainMain
Main
 
An Introduction to Neuromodulation
An Introduction to NeuromodulationAn Introduction to Neuromodulation
An Introduction to Neuromodulation
 
Kari final
Kari finalKari final
Kari final
 
Non-operative treatment for common back conditions
Non-operative treatment for common back conditions Non-operative treatment for common back conditions
Non-operative treatment for common back conditions
 
Constrained induced movement therapy
Constrained induced movement therapyConstrained induced movement therapy
Constrained induced movement therapy
 
Abnormality: Biological treatments AS
Abnormality: Biological treatments ASAbnormality: Biological treatments AS
Abnormality: Biological treatments AS
 
Role of mirror therapy in neurological conditions
Role of mirror therapy in neurological conditionsRole of mirror therapy in neurological conditions
Role of mirror therapy in neurological conditions
 
MTR
MTRMTR
MTR
 

Similar to Elise Walker SfN 2015

Kate Toland - Poster Neuro Conference Sept 2015 MK
Kate Toland - Poster Neuro Conference Sept 2015 MKKate Toland - Poster Neuro Conference Sept 2015 MK
Kate Toland - Poster Neuro Conference Sept 2015 MKKate Toland
 
neurodynamic-testing-and-neural-mobilization.pdf
neurodynamic-testing-and-neural-mobilization.pdfneurodynamic-testing-and-neural-mobilization.pdf
neurodynamic-testing-and-neural-mobilization.pdfmupt77
 
Anesthesiology And Intraoperative Neurophysiological Monitoring
Anesthesiology And Intraoperative Neurophysiological Monitoring Anesthesiology And Intraoperative Neurophysiological Monitoring
Anesthesiology And Intraoperative Neurophysiological Monitoring Anurag Tewari MD
 
Neurophysiotherapy techniques.pptx
Neurophysiotherapy techniques.pptxNeurophysiotherapy techniques.pptx
Neurophysiotherapy techniques.pptxDr.Hetshree Bhavsar
 
NZSSD - Conference 2012 Poster - ESWT and DPN
NZSSD - Conference 2012 Poster - ESWT and DPNNZSSD - Conference 2012 Poster - ESWT and DPN
NZSSD - Conference 2012 Poster - ESWT and DPNKenneth Craig
 
Harnessing EEG Methods to Improve Basic and Translational Research for CNS Di...
Harnessing EEG Methods to Improve Basic and Translational Research for CNS Di...Harnessing EEG Methods to Improve Basic and Translational Research for CNS Di...
Harnessing EEG Methods to Improve Basic and Translational Research for CNS Di...InsideScientific
 
2020 11 1_sleep_net
2020 11 1_sleep_net2020 11 1_sleep_net
2020 11 1_sleep_netJAEMINJEONG5
 
Responsive Neurostimulation (RNS) for Intractable Epilepsy
Responsive Neurostimulation (RNS) for Intractable EpilepsyResponsive Neurostimulation (RNS) for Intractable Epilepsy
Responsive Neurostimulation (RNS) for Intractable EpilepsyAllina Health
 
Machine learning applications in clinical brain computer interfacing
Machine learning applications in clinical brain computer interfacingMachine learning applications in clinical brain computer interfacing
Machine learning applications in clinical brain computer interfacingJenny Midwinter
 
Intraoperative Monitoring for Brain and Spinal Cord Tumors
Intraoperative Monitoring for Brain and Spinal Cord TumorsIntraoperative Monitoring for Brain and Spinal Cord Tumors
Intraoperative Monitoring for Brain and Spinal Cord TumorsDhaval Shukla
 
Motor neuron disease
Motor neuron diseaseMotor neuron disease
Motor neuron diseaseNeurologyKota
 
Study of Sensory Nerve Conduction Abnormalities in Hypothyroid Patients
Study of Sensory Nerve Conduction Abnormalities in Hypothyroid PatientsStudy of Sensory Nerve Conduction Abnormalities in Hypothyroid Patients
Study of Sensory Nerve Conduction Abnormalities in Hypothyroid PatientsAI Publications
 
Pre-Treatment Characteristics of Sleepy and Non-Sleepy Patients with Obstruct...
Pre-Treatment Characteristics of Sleepy and Non-Sleepy Patients with Obstruct...Pre-Treatment Characteristics of Sleepy and Non-Sleepy Patients with Obstruct...
Pre-Treatment Characteristics of Sleepy and Non-Sleepy Patients with Obstruct...Leonard Davis Institute of Health Economics
 
StefaniaButaPoster_48X36_3col_black
StefaniaButaPoster_48X36_3col_blackStefaniaButaPoster_48X36_3col_black
StefaniaButaPoster_48X36_3col_blackCandice Jaimungal
 

Similar to Elise Walker SfN 2015 (20)

Kate Toland - Poster Neuro Conference Sept 2015 MK
Kate Toland - Poster Neuro Conference Sept 2015 MKKate Toland - Poster Neuro Conference Sept 2015 MK
Kate Toland - Poster Neuro Conference Sept 2015 MK
 
neurodynamic-testing-and-neural-mobilization.pdf
neurodynamic-testing-and-neural-mobilization.pdfneurodynamic-testing-and-neural-mobilization.pdf
neurodynamic-testing-and-neural-mobilization.pdf
 
Anesthesiology And Intraoperative Neurophysiological Monitoring
Anesthesiology And Intraoperative Neurophysiological Monitoring Anesthesiology And Intraoperative Neurophysiological Monitoring
Anesthesiology And Intraoperative Neurophysiological Monitoring
 
Neurophysiotherapy techniques.pptx
Neurophysiotherapy techniques.pptxNeurophysiotherapy techniques.pptx
Neurophysiotherapy techniques.pptx
 
NZSSD - Conference 2012 Poster - ESWT and DPN
NZSSD - Conference 2012 Poster - ESWT and DPNNZSSD - Conference 2012 Poster - ESWT and DPN
NZSSD - Conference 2012 Poster - ESWT and DPN
 
Harnessing EEG Methods to Improve Basic and Translational Research for CNS Di...
Harnessing EEG Methods to Improve Basic and Translational Research for CNS Di...Harnessing EEG Methods to Improve Basic and Translational Research for CNS Di...
Harnessing EEG Methods to Improve Basic and Translational Research for CNS Di...
 
2020 11 1_sleep_net
2020 11 1_sleep_net2020 11 1_sleep_net
2020 11 1_sleep_net
 
Rns 27
Rns 27Rns 27
Rns 27
 
Responsive Neurostimulation (RNS) for Intractable Epilepsy
Responsive Neurostimulation (RNS) for Intractable EpilepsyResponsive Neurostimulation (RNS) for Intractable Epilepsy
Responsive Neurostimulation (RNS) for Intractable Epilepsy
 
Machine learning applications in clinical brain computer interfacing
Machine learning applications in clinical brain computer interfacingMachine learning applications in clinical brain computer interfacing
Machine learning applications in clinical brain computer interfacing
 
Advance fMRI (Fast fMRI)
Advance fMRI (Fast fMRI)Advance fMRI (Fast fMRI)
Advance fMRI (Fast fMRI)
 
Epilepsy and anaesthesia
Epilepsy and anaesthesiaEpilepsy and anaesthesia
Epilepsy and anaesthesia
 
Nds
NdsNds
Nds
 
Intraoperative Monitoring for Brain and Spinal Cord Tumors
Intraoperative Monitoring for Brain and Spinal Cord TumorsIntraoperative Monitoring for Brain and Spinal Cord Tumors
Intraoperative Monitoring for Brain and Spinal Cord Tumors
 
Motor neuron disease
Motor neuron diseaseMotor neuron disease
Motor neuron disease
 
Photic2014
Photic2014Photic2014
Photic2014
 
Study of Sensory Nerve Conduction Abnormalities in Hypothyroid Patients
Study of Sensory Nerve Conduction Abnormalities in Hypothyroid PatientsStudy of Sensory Nerve Conduction Abnormalities in Hypothyroid Patients
Study of Sensory Nerve Conduction Abnormalities in Hypothyroid Patients
 
Pre-Treatment Characteristics of Sleepy and Non-Sleepy Patients with Obstruct...
Pre-Treatment Characteristics of Sleepy and Non-Sleepy Patients with Obstruct...Pre-Treatment Characteristics of Sleepy and Non-Sleepy Patients with Obstruct...
Pre-Treatment Characteristics of Sleepy and Non-Sleepy Patients with Obstruct...
 
StefaniaButaPoster_48X36_3col_black
StefaniaButaPoster_48X36_3col_blackStefaniaButaPoster_48X36_3col_black
StefaniaButaPoster_48X36_3col_black
 
ROTN Poster
ROTN PosterROTN Poster
ROTN Poster
 

Elise Walker SfN 2015

  • 1. ACKNOWLEDGEMENTS 067. Heightened attention to proprioceptive feedback is not sufficient for long-latency reflex modulation during arm posture. E.H.E. Walker 1,4 R. Ruiz-Torres 2 L.E. Miller 1,2,3 E.J. Perreault 1,3,4 1Biomedical Engineering, 2Physiology, 3Physical Medicine and Rehabilitation, Northwestern University, Evanston (Chicago), IL 4Sensory Motor Performance Program, Rehabilitation Institute of Chicago, Chicago, IL INTRODUCTION This work was done in conjunction with Northwestern University and the Sensory Motor Performance Program and was supported in part by the NSF grant 0932263 and NIH grant NS053813-08. The authors would like to thank Timothy Haswell for his help with the experimental setup. CONCLUSIONS METHODS 3 Attention Conditions: • Proprioceptive (bumps) • Visual (dots) • Control (none) 3 Measurements: • Stretch reflexes (20% perturbation trials) • H-reflexes (electrical stimulation of median nerve) • SEPs - Somatosensory Evoked Potentials (C3’ ref Fpz’) • Stretch reflexes are important for postural stability in the arm. • Long-latency stretch reflexes become more sensitive in unstable environments. • It is not clear what factors drive long-latency reflex modulation as seen in different environments. • Hypothesis: Heightened attention to proprioceptive feedback drives this type of reflex modulation. more stable less stable Perreault et al. 2008, J Neurophysiology: Adaptive stimulus intensities ensured selective attention Stretch reflexes were not significantly influenced by attention H-reflexes and SEPs were not significantly influenced by attention Post-hoc Power Analysis • The output of reflex loops, sensitivity of spinal circuitry, and the strength of ascending sensory information are not affected by attention in this task. • Attention alone is insufficient to accomplish long- latency reflex modulation during posture. • Engagement with novel environmental dynamics may be key to long-latency reflex modulation. BGA: F≤1.56 p≥0.24 SLR : F≤2.58 p≥0.11 LLR1: F≤0.46 p≥0.64 LLR2: F≤1.91 p≥0.20 • ANOVA with alpha = 0.05 and sample size = 9 • Estimated effect size = 1.5 to 4.0 • Based on Perreault et al. 2008, Shemmell et al. 2009, Krutky et al. 2010 • Statistical power ≥ 87% 1 0.98 0.96 0.94 0.92 0.90 0.88 Power(1–βerrprob) 1.5 2 2.5 3.53 4 Effect size In each trial, the subject attends to a stimulus as directed on the screen. Dots move more/less randomly. Bump force gets smaller/larger. Direction discrimination maintained at 70-80% No significant differences at a level of α=0.05 in any time window or any muscle.Stretch reflexes were evoked by perturbations. Equal BGA and M-wave ensures matched stimulations. No signif. difference in sensitivity of spinal circuits (p=0.32). No signif. difference in ascending sensory signals (p=0.85). H-reflexes and SEPs were evoked by median nerve stimulation. ms ms