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Chapter 2. Prehension

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256 THE PHASES OF PREHENSION<br />

mechanoreceptive afferent information shown in Table 6.3 could be<br />

from the joint and muscle mechanoreceptors in addition to the<br />

cutaneous mechanoreceptors of primary interest to Johansson &<br />

Westling (1988a,b; Westling & Johansson, 1987).<br />

The tactile afferent information from glabrous skin has been<br />

suggested as functional input for a neurally interfaced control system<br />

for the restoration of upper limb motor functions in quadriplegia or<br />

hemiplegia (Hoffer & Haugland, 1992). Such a closed loop control<br />

system could be used in combination with Functional Electrical<br />

Stimulation in paralyzed humans for transitions in these phases as<br />

humans make and break physical contacts with objects and supporting<br />

surfaces in the environment.<br />

Johansson and Westling (1988b) reported EMG for elbow, wrist<br />

and hand muscles during the loading, transitional, and unloading<br />

phases of their lifting trials. These are shown in Figure 6.20. Several<br />

points are of interest here. First, note that during the loading phase in<br />

‘adequately programmed trials’ (those mals where the weight to be<br />

lifted had been experienced in previous trials), all 4 pairs of antagonist<br />

muscles contracted together, ‘providing the appropriate stiffness of the<br />

armhand system’. Second, although lifting (change in position of the<br />

object) may be due to motion about the elbow or wrist, none of the<br />

EMG values seemed to correlate with the motion of lifting the object.<br />

Third, on ‘erroneously programmed trials’ (e.g., lifts preceded by a<br />

heavier weight), termination of the loading phase was triggered by<br />

sensory signal related to the moment of lift off, associated with<br />

functional adjustments in EMG. When the lift occurred earlier than<br />

expected for the grip forces produced (i.e., lifts preceded by a heavier<br />

weight), somatosensory signals elicited by the start of movement<br />

triggered changes in the EMG of the intrinsic hand muscles in 100-1 10<br />

ms and of the wrist and elbow muscles 20 ms earlier. For lifts<br />

erroneously programmed for a lighter weight (lift off doesn’t occur<br />

when expected), the load forces are especially discontinuous, until the<br />

required load force is achieved. For the unloading phase, contact with<br />

the table triggered changes in the EMG of intrinsic hand muscles in<br />

60-70 ms, and again 20 ms earlier for wrist and elbow muscles.<br />

Johansson and Westling attributed these changes associated with<br />

breaking and making contact with the table primarily to FA11 units<br />

(Pacinian corpuscles), contrasting them with musculotendinous<br />

receptors. Pacinian corpuscles in the interphalangeal joints might be<br />

considered as possible candidates for this function.<br />

For more detailed analyses of EMG activities during the dynamic<br />

phases of applying forces, we refer the reader to excellent references

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