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      Upper limb joint coordination preserves hand kinematics after a traumatic brachial plexus injury

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          Abstract

          Background

          Traumatic brachial plexus injury (TBPI) causes a sensorimotor deficit in upper limb (UL) movements.

          Objective

          Our aim was to investigate the arm–forearm coordination of both the injured and uninjured UL of TBPI subjects.

          Methods

          TBPI participants ( n = 13) and controls ( n = 10) matched in age, gender, and anthropometric characteristics were recruited. Kinematics from the shoulder, elbow, wrist, and index finger markers were collected, while upstanding participants transported a cup to their mouth and returned the UL to a starting position. The UL coordination was measured through the relative phase (RP) between arm and forearm phase angles and analyzed as a function of the hand kinematics.

          Results

          For all participants, the hand transport had a shorter time to peak velocity ( p < 0.01) compared to the return. Also, for the control and the uninjured TBPI UL, the RP showed a coordination pattern that favored forearm movements in the peak velocity of the transport phase ( p < 0.001). TBPI participants' injured UL showed a longer movement duration in comparison to controls ( p < 0.05), but no differences in peak velocity, time to peak velocity, and trajectory length, indicating preserved hand kinematics. The RP of the injured UL revealed altered coordination in favor of arm movements compared to controls and the uninjured UL ( p < 0.001). Finally, TBPI participants' uninjured UL showed altered control of arm and forearm phase angles during the deceleration of hand movements compared to controls ( p < 0.05).

          Conclusion

          These results suggest that UL coordination is reorganized after a TBPI so as to preserve hand kinematics.

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          Most cited references85

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          The assessment and analysis of handedness: The Edinburgh inventory

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            Human volition: towards a neuroscience of will.

            The capacity for voluntary action is seen as essential to human nature. Yet neuroscience and behaviourist psychology have traditionally dismissed the topic as unscientific, perhaps because the mechanisms that cause actions have long been unclear. However, new research has identified networks of brain areas, including the pre-supplementary motor area, the anterior prefrontal cortex and the parietal cortex, that underlie voluntary action. These areas generate information for forthcoming actions, and also cause the distinctive conscious experience of intending to act and then controlling one's own actions. Volition consists of a series of decisions regarding whether to act, what action to perform and when to perform it. Neuroscientific accounts of voluntary action may inform debates about the nature of individual responsibility.
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              Intention, action planning, and decision making in parietal-frontal circuits.

              The posterior parietal cortex and frontal cortical areas to which it connects are responsible for sensorimotor transformations. This review covers new research on four components of this transformation process: planning, decision making, forward state estimation, and relative-coordinate representations. These sensorimotor functions can be harnessed for neural prosthetic operations by decoding intended goals (planning) and trajectories (forward state estimation) of movements as well as higher cortical functions related to decision making and potentially the coordination of multiple body parts (relative-coordinate representations).
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                Author and article information

                Contributors
                Journal
                Front Hum Neurosci
                Front Hum Neurosci
                Front. Hum. Neurosci.
                Frontiers in Human Neuroscience
                Frontiers Media S.A.
                1662-5161
                06 October 2022
                2022
                : 16
                : 944638
                Affiliations
                [1] 1Laboratório de Neurobiologia do Movimento, Instituto de Biofísica Carlos Chagas Filho – Universidade Federal do Rio de Janeiro , Rio de Janeiro, Brazil
                [2] 2Núcleo de Pesquisa em Neurociências e Reabilitação, Instituto de Neurologia Deolindo Couto – Universidade Federal do Rio de Janeiro , Rio de Janeiro, Brazil
                [3] 3Departamento de Ciências do Movimento Humano, Instituto Saúde e Sociedade, Universidade Federal de São Paulo , São Paulo, Brazil
                Author notes

                Edited by: Julie Duque, Université Catholique de Louvain, Belgium

                Reviewed by: Andreas Kalckert, University of Skövde, Sweden; Benedicte Schepens, Université Catholique de Louvain, Belgium

                *Correspondence: Claudia D. Vargas cdvargas@ 123456biof.ufrj.br

                This article was submitted to Motor Neuroscience, a section of the journal Frontiers in Human Neuroscience

                Article
                10.3389/fnhum.2022.944638
                9583840
                36277047
                7580e882-3556-45d0-9992-f8b1970c2ca1
                Copyright © 2022 Lustosa, Silva, Carvalho and Vargas.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 15 May 2022
                : 07 September 2022
                Page count
                Figures: 5, Tables: 2, Equations: 1, References: 85, Pages: 18, Words: 12497
                Categories
                Human Neuroscience
                Original Research

                Neurosciences
                kinematic analysis,relative phase,motor planning,brachial plexus,uninjured limb,upper limb,motor coordination,peripheral nerve injury

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