Reaching and Manipulation Flashcards

1
Q

Whats the degree of freedom in the upper limb?

A

including shoulder and the trunk:
37
just the hand up to the wrist:
21 + 3 = 24

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2
Q

What are some of the variables that changes with time during reaching?

A
  • grip size
  • hand movement velocity

size of max grip is proportional to size of object.
fingers begin to stretch and grip size increase rapidly to maximum then reduced to match object size.

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3
Q

What is essential for successful grasping?

A
  • hand must be adapted to correct shape, size, and use of object
  • finger movements must be timed appropriorately so that they can close on the object.
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4
Q

How vision play a role in grasping?

A
  • activate the proper schemas and specify the composition of the fingers for grasping.
  • determine the relative positions of the hand and the object to the grasped, so that forces during the lift can be applied.
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5
Q

What is the neural control of reach and grasp?

A

using the visual pathways

  1. dorsal pathways (vision for action) - spatial location
  2. ventral pathways (vision for perception) - discrimination of visual shapes and object

posterior parietal cortex (PPC) involved in integrating info and plan action (shaping hand for grasp)

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6
Q

Which descending pathways are responsible for reach and grasp?

A

Reaching movement - midbrain & brainstem

Grasping - pyramidal pathways (corticospinal)

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7
Q

What is the role of cerebellum in reaching and grasping ?

A

controlling hand movement during grasping and regulating the amount of force required.

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8
Q

What happens if there is lesion in the posterior parietal cortex and anterior parietal lobe respectively?

A

PPC - difficulty in reaching in the correct/planned direction
APL - difficulty with in-hand manipulation skills.

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9
Q

What can lead to abnormal reaching and grasping movements?

A
  • visual deficits and object localization (including neglect)
  • problems with eye-hand-head coordination
  • impairment of reach (poor coordination)
  • problems with grasp
  • apraxia
  • compensatory trunk movements.
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