I am a clinician neuroscientist studying the physiology and pathophysiology of how the human brain, spinal cord and muscles produce voluntary and automatic movements.
Proprioception is how we sense the position of our joints, the movements of our joints, and the forces generated by our muscles. Disturbances of proprioception can cause major disruption of all movements and postures. We will undertake novel studies of how signals generated in the brain which command our movements contribute to all key aspects of proprioception. Finally we will unravel how the brain builds up the overall 'scheme' of our body which we need to make any accurate movement.
This is a study of the senses which arise from our muscles and which tell us where our different body parts are, at any point in time. These senses, collectively called proprioception, are also involved in the automatic, unconscious control of our muscles. So, ultimately, they allow us to stand and to move freely with precision and confidence, even in the dark. One of these senses, the sense of effort or of heaviness, is believed to be generated within the brain. It intensifies when we become fa ....This is a study of the senses which arise from our muscles and which tell us where our different body parts are, at any point in time. These senses, collectively called proprioception, are also involved in the automatic, unconscious control of our muscles. So, ultimately, they allow us to stand and to move freely with precision and confidence, even in the dark. One of these senses, the sense of effort or of heaviness, is believed to be generated within the brain. It intensifies when we become fatigued. These experiments will be concerned with finding out more about how this works. We have a method that uses magnetic stimulation of the brain to change its control of our muscles. Using it we will learn how this sense is generated. When we close our eyes and move our limbs we realise that we know exactly where they are at any point in time. It remains uncertain exactly how this information is generated within the nervous system. One idea, arising from some recent experiments which we want to test, is that as we move the limb, the skin over the moving parts is stretched and stretch-sensitive nerve endings in the skin provide us with information about the movement. Alternatively, perhaps it is the effort we exert to maintain limb position against the force of gravity which tells us where the limb is. In another recent study we have found that when a muscle has become painful from excessive exercise or from some local strain injury, our ability to control the muscle and so move the limb is no longer as effective. We want to study the underlying nervous mechanisms responsible for the changes in movement control. Are they designed to spare the muscle while it recovers from injury? How are they brought about? All of this work is important for a better understanding of ourselves, for a better clinical diagnosis when something goes wrong and for improved treatment of diseased or injured muscles.Read moreRead less
Bilateral Movement Therapy In Post-stroke Hemiparesis
Funder
National Health and Medical Research Council
Funding Amount
$265,993.00
Summary
Stroke is the leading cause of long-term disability in adults in Australia, accounting for approximately 25% of all disability. A common motor disability resulting from stroke is hemiparesis, weakness or paralysis on one side of the body. This disability severely impairs an individual's capacity to perform activities of daily living, making them dependent on relatives and health professionals for daily care. By developing effective interventions to treat stroke-induced hemiparesis both the disab ....Stroke is the leading cause of long-term disability in adults in Australia, accounting for approximately 25% of all disability. A common motor disability resulting from stroke is hemiparesis, weakness or paralysis on one side of the body. This disability severely impairs an individual's capacity to perform activities of daily living, making them dependent on relatives and health professionals for daily care. By developing effective interventions to treat stroke-induced hemiparesis both the disability caused by stroke and the associated personal and financial costs will be lessened. A number of interventions focusing on the affected side (unilateral), including active movements and muscle stimulation are being investigated as possible treatments for stroke-induced hemiparesis. Recent evidence suggests that involving the unaffected side simultaneously (bilateral therapies) could be effective, and may provide addtional benefits over unilateral therapies. The aim of this research is to thoroughly examine the effectiveness of bilateral therapies by incorporating them into established interventions. The findings from these studies will aid in the development and refinement of movement therapies aimed at promoting recovery from stroke-induced hemiparesis.Read moreRead less
Signalling Of Muscle Force By Golgi Tendon Organs During Exercise And Fatigue
Funder
National Health and Medical Research Council
Funding Amount
$181,320.00
Summary
It is a common experience for objects being carried to feel heavier and tasks needing muscular effort to become more difficult as one becomes tired and the muscles fatigue during exertion. The sensation of muscle force depends on two factors. One, a sense of the effort required to perform a task, is generated in the central nervous system and. The other, a sense of the force actually developed by the muscles, is generated in the muscles themselves by signals from sensory receptors called Golgi t ....It is a common experience for objects being carried to feel heavier and tasks needing muscular effort to become more difficult as one becomes tired and the muscles fatigue during exertion. The sensation of muscle force depends on two factors. One, a sense of the effort required to perform a task, is generated in the central nervous system and. The other, a sense of the force actually developed by the muscles, is generated in the muscles themselves by signals from sensory receptors called Golgi tendon organs. The sensation of muscle force and the heaviness of objects results from a combination of both senses, but the contribution of each is unknown. The aim of the project is to determine whether the disturbance of force sense in fatigued muscles results from changes in the way tendon organs signal the actual force developed by the muscles. This will be important for understanding how force sense is disturbed following exercise and in disease states, and for understanding the normal way muscle force is sensed in everyday situations. Disturbances of force sense after exercise will be documented in human subjects by asking them to generate what they perceive to be equal forces in both arms or legs, before and after one limb only is exercised. Errors in force estimation will show up as mismatches between the two limbs. The difficulty with human experiments is that the signals generated by tendon organs cannot be measured directly, but only inferred, perhaps wrongly. This difficulty will be overcome by measuring tendon organ activity directly in anaesthetised animals, where the muscles will be electrically stimulated to perform exercise similar to that in the human experiments. A change in tendon organ signalling will be taken to mean that similar changes in humans could be responsible for disturbances of force sense. In further experiments, the mechanism of the changes will be explored.Read moreRead less
I am a neurophysiologist who examines the neural control of movement and the interaction of sensation and movement in human subjects. I study cortical and motoneuronal events during exercise and muscle fatigue. I also study proprioception i.e. the sensati
Changes In Motor Control And Kinaesthetic Sensations After Eccentric Exercise.
Funder
National Health and Medical Research Council
Funding Amount
$287,250.00
Summary
It is a well-known observation that after a period of intense exercise we are unsteady on our feet and are clumsy when attempting to make precision movements. Such impressions are particularly marked after eccentric exercise, during which the contracting muscles are forcibly lengthened. Activities such as walking downhill, skiing and horse riding involve eccentric exercise. The debilitating consequences of this kind of exercise are attributed, not just to the post-exercise effects of fatigue, bu ....It is a well-known observation that after a period of intense exercise we are unsteady on our feet and are clumsy when attempting to make precision movements. Such impressions are particularly marked after eccentric exercise, during which the contracting muscles are forcibly lengthened. Activities such as walking downhill, skiing and horse riding involve eccentric exercise. The debilitating consequences of this kind of exercise are attributed, not just to the post-exercise effects of fatigue, but to loss of muscle force from damage to fibres. Eccentric exercise also leads to longer term effects. The breakdown of the damaged tissue leads to sensations of stiffness and soreness the next day. This application proposes experiments aimed at studying a number of effects of eccentric exercise on motor control, and establishing the muscle, spinal and brain levels at which they occur. Three studies are planned. In the first, the question will be explored whether we are less able to use the motor areas of our brains to execute voluntary contractions after exercise. So fatigue is not just a matter of exhausted muscles but perhaps also exhausted brains. We will use brain and spinal cord stimulation to explore this point. Then we plan to listen to single motor units, the basic elements of muscle control, to try to understand the mechanism by which the brain minimises the debilitating effects of fatigue. Finally we want to examine subjects' ability to locate their limbs in space as a means of providing a basis for the clumsiness we experience after intense exercise. These are all important issues relevant to clinical medicine and rehabilitation as well as sports science and exercise.Read moreRead less