Correo Electrónico
DNINFOA - SIA
Bibliotecas
Convocatorias
Identidad U.N.
Publicado
Variations in glenohumeral movement control when implementing an auditory feedback system: A pilot study
Variaciones en el control del movimiento glenohumeral al implementar un sistema de retroalimentación auditiva: un estudio piloto
Palabras clave:
Motor Activity, Feedback Sensory, Psychomotor Performance (en)Actividad motora, Retroalimentación sensorial, Desempeño psicomotor (es)
Descargas
Introduction: Human motor control requires a learning process and it can be trained by means of various sensory feedback sources.
Objective: To determine variations in glenohumeral movement control by learning in young adults exposed to an auditory feedback system while they perform object translation tasks classified by difficulty level.
Materials and methods: The study involved 45 volunteers of both sexes (22 women), aged between 18 and 32 years. Glenohumeral movement control was measured by means of the root mean square (RMS) of the accelerometry signal, while task execution speed (TES) was measured using an accelerometer during the execution of the task according to its difficulty (easy, moderate and hard) in four stages of randomized intervention (control, pre-exposure, exposure-with auditory feedback, and post-exposure).
Results: Statistically significant differences (p<0.001) were found between the pre-exposure and exposure stages and between pre-exposure and post-exposure stages. A significant increase (p <0.001) in TES was identified between the pre-exposure and exposure stages for tasks classified as easy and hard, respectively.
Conclusion: The use of an auditory feedback system in young adults without pathologies enhanced learning and glenohumeral movement control without reducing TES. This effect was maintained after the feedback, so the use of this type of feedback system in healthy individuals could result in a useful strategy for the training of motor control of the shoulder.
Introducción. El control del movimiento humano requiere de un proceso de aprendizaje y puede ser entrenado por medio de la retroalimentación proveniente de diversas fuentes sensoriales.
Objetivo. Determinar variaciones en el control del movimiento glenohumeral por aprendizaje en adultos jóvenes sometidos a un sistema de retroalimentación auditiva, mientras realizan tareas de traslación de objetos clasificadas por nivel de dificultad.
Materiales y métodos. Participaron 45 voluntarios de ambos sexos (22 mujeres) entre 18 y 32 años. El control del movimiento glenohumeral se midió por medio de la raíz media cuadrática de acelerometría, mientras que para la velocidad de ejecución de la tarea (VE) se usó un acelerómetro durante la ejecución de tareas según dificultad (fácil, moderado y difícil) en cuatro etapas aleatorizadas de intervención (control, pre-exposición, exposición con retroalimentación auditiva y post-exposición).
Resultados. Se encontraron diferencias significativas (p<0.001) entre las etapas pre-exposición y exposición, y entre pre-exposición y post-exposición. Se identificó un aumento significativo de la VE entre pre-exposición y exposición para tareas con clasificación fácil y difícil.
Conclusión. El uso de un sistema de retroalimentación auditiva en adultos jóvenes sin patologías podría favorecer el aprendizaje y el control del movimiento glenohumeral sin disminuir la VE, resultado que se mantiene luego de la retroalimentación, por lo que el uso de un sistema de retroalimentación auditiva en individuos sanos podría resultar en una estrategia útil para el entrenamiento del control motriz del hombro.
Descargas
Citas
Lalazar H, Vaadia E. Neural basis of sensorimotor learning: modifying internal models. Curr Opin Neurobiol. 2008;18(6):573-81. http://doi.org/d3472d.
Vogt K, Pirrò D, Kobenz I, Höldrich R, Eckel G. PhysioSonic - Evaluated movement sonification as auditory feedback in physiotherapy. In: International Conference on Auditory Display. Copenhague: Springer, Berlin, Heidelberg; 2009. 103-20.
Boyer EO, Colin-Malagon L, Bevilacqua F, Susini P, Hanneton S. Continuous sound feedback in tracking tasks. In: Multisensory Motor Behavior: Impact of Sound. Hannover: Leibniz Universität Hannover; 2013.
Shea CH, Wulf G. Enhancing motor learning through external-focus instructions and feedback. Hum Mov Sci. 1999;18(4):553-71. http://doi.org/ftmjrc.
Rosati G, Oscari F, Spagnol S, Avanzini F, Masiero S. Effect of task-related continuous auditory feedback during learning of tracking motion exercises. J Neuroeng Rehabil. 2012;9:79. http://doi.org/c385.
Boyer EO, Babayan BM, Bevilacqua F, Noisternig M, Warusfel O, Roby-Brami A, et al. From ear to hand: the role of the auditory-motor loop in pointing to an auditory source. Front Comput Neurosci. 2013;7:26. http://doi.org/c386.
Portnoy S, Halaby O, Dekel-Chen D, Dierick F. Effect of an auditory feedback substitution, tactilo-kinesthetic, or visual feedback on kinematics of pouring water from kettle into cup. Appl Ergon. 2015;51:44-9. http://doi.org/c387.
Körver RJ, Senden R, Heyligers IC, Grimm B. Objective outcome evaluation using inertial sensors in subacromial impingement syndrome: a five-year follow-up study. Physiol Meas. 2014;35(4):677-86. http://doi.org/c388.
Körver RJ, Heyligers IC, Samijo SK, Grimm B. Inertia based functional scoring of the shoulder in clinical practice. Physiol Meas. 2014;35(2):167-76. http://doi.org/c389.
Godfrey A, Conway R, Meagher D, ÓLaighin G. Direct measurement of human movement by accelerometry. Med Eng Phys. 2008;30(10):1364-86. http://doi.org/ffd33d.
Hurd WJ, Morrow MM, Miller EJ, Adams RA, Sperling JW, Kaufman KR. Novel approaches to objectively assess shoulder function. J Shoulder Elbow Surg. 2014;23(10):251-5. http://doi.org/f2t8ft.
Cope E. Estimating Human Movement Using a Three Axis Accelerometer. A Qualifying Examination Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy [tesis doctoral]. Arizona: Arizona State University; 2009.
Dahlqvist C, Hansson GÄ, Forsman M. Validity of a small low-cost triaxial accelerometer with integrated logger for uncomplicated measurements of postures and movements of head, upper back and upper arms. Appl Ergon. 2016;55:108-16. http://doi.org/f3vg98.
Lindsay TR, Yaggie JA, McGregor SJ. A wireless accelerometer node for reliable and valid measurement of lumbar accelerations during treadmill running. Sports Biomech. 2016;15(1):11-22. http://doi.org/c39b.
Huang HY, Chen WC, Cheng WC, Lai YT, Lin JJ. RT3 accelerometer shoulder activity: discrimination of activity levels by the RT3 accelerometer for the assessment of shoulder physical activity (SPA). Man Ther. 2011;16(2):172-6. http://doi.org/bjv69p.
Mitacc-Meza M. Topicos de estadistica descriptiva y probabilidad. Lima: Thales; 1996.
Tanoue H, Mitsuhashi T, Sako S, Goto R, Nakai T, Inaba R. Effects of a dynamic chair on pelvic mobility, fatigue, and work efficiency during work performed while sitting: a comparison of dynamic sitting and static sitting. J Phys Ther Sci. 2016;28(6):1759-63. http://doi.org/c39c.
Schütte KH, Aeles J, De Beéck TO, Van der Zwaard BC, Venter R, Vanwanseele B. Surface effects on dynamic stability and loading during outdoor running using wireless trunk accelerometry. Gait Posture. 2016;48:220-5. http://doi.org/f8xrnn.
Hulley SB, Cummings SR, Browner WS, Grady DG, Newman TB. Designing Clinical Research. 3rd ed. Filadelfia: Lippincott, Williams & Wilkins; 2007.
Asociación Médica Mundial. Declaración de Helsinki de la Asociación Médica Mundial. Principios éticos para las investigaciones médicas en seres humanos. Fortaleza: 64.a Asamblea General de la AMM; 2013 [cited 2019 Apr 5]. Available from: https://goo.gl/hvf7l1.
Coley B, Jolles BM, Farron A, Bourgeois A, Nussbaumer F, Pichonnaz C, et al. Outcome evaluation in shoulder surgery using 3D kinematics sensors. Gait Posture. 2007;25(4):523-32. http://doi.org/cqm7km.
Van Hees VT, Gorzelniak L, Dean León EC, Eder M, Pias M, Taherian S, et al. Separating Movement and gravity components in an acceleration signal and implications for the assessment of human daily physical activity. PLoS One. 2013;8(4):1-10. http://doi.org/f2z3xs.
Cook KF, Roddey TS, Gartsman GM, Olson SL. Development and psychometric evaluation of the Flexilevel Scale of Shoulder Function. Med Care. 2003;41(7):823-35.
World Health Organization (WHO). Obesity: preventing and managing the global epidemic. WHO; 2000 [cited 2017 Sep 7]. Available from: https://bit.ly/2TXBxvj.
Sugamoto K, Harada T, Machida A, Inui H, Miyamoto T, Takeuchi E, et al. Scapulohumeral rhythm: relationship between motion velocity and rhythm. Clin Orthop Relat Res. 2002;401:119-24. http://doi.org/cwcmcd.
Laursen B, Jensen BR, Sjøgaard G. Effect of speed and precision demands on human shoulder muscle electromyography during a repetitive task. Eur J Appl Physiol Occup Physiol. 1998;78(6):544-8. http://doi.org/c7mn7c.
Aviv AJ, Sapp B, Blaze M, Smith JM. Practicality of accelerometer side channels on smartphones. In: Annual Computer Security Applications Conference. Orlando: ACSAC; 2012. 41-50.
Licencia
Derechos de autor 2019 Revista de la Facultad de Medicina
Esta obra está bajo una licencia Creative Commons Reconocimiento 3.0 Unported.
-
