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Erschienen in: Experimental Brain Research 3/2008

01.05.2008 | Research Article

Endpoint accuracy for a small and a large hand muscle in young and old adults during rapid, goal-directed isometric contractions

verfasst von: Brach Poston, Joel A. Enoka, Roger M. Enoka

Erschienen in: Experimental Brain Research | Ausgabe 3/2008

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Abstract

The minimum variance theory proposes that stronger (larger) muscles produce less variable trajectories compared with weaker (smaller) muscles and thus can accomplish more accurate contractions. The purpose of the study was to determine the influence of muscle size and trajectory variability on the endpoint accuracy of goal-directed isometric contractions. Twelve young (25 ± 5 years) and 12 old adults (76 ± 6 years) performed 100 trials with each of two muscles in both hands. Subjects were instructed to match the peak of a force trajectory to a target force by controlling either the abduction (first dorsal interosseus muscle; FDI) or adduction force (second palmar interosseus muscle; SPI) exerted by the index finger of each hand. The time to peak force was 150 ms and the peak force required was 25% of the maximal force that could be achieved in 150 ms. Endpoint accuracy and variability in force and time along with intramuscular EMG activity of the agonist muscle (FDI and SPI) involved in each task were quantified for each set of 100 trials. The MVC force was less for the SPI muscle, and the force endpoint error and variance were greater in the SPI muscle compared with the FDI muscle. Conversely, endpoint measures that included timing were similar for the two muscles. Trajectory variability was greater for the FDI muscle, but did not influence endpoint error for either muscle. The young and old adults had similar strength values, but the old adults were less accurate and more variable than the young subjects. Nonetheless, the accuracy and variability displayed by the old adults for the two muscles was the same as that observed for the young adults. The force accuracy and variability findings are consistent with the predictions of the minimum variance theory that motor-output variability is inversely related to muscle size, strength, and motor unit number.
Literatur
Zurück zum Zitat Berardelli A, Hallett M, Rothwell JC, Agostino R, Manfredi M, Thompson PD, Marsden CD (1996) Single-joint rapid arm movements in normal subjects and in patients with motor disorders. Brain 119:661–674PubMedCrossRef Berardelli A, Hallett M, Rothwell JC, Agostino R, Manfredi M, Thompson PD, Marsden CD (1996) Single-joint rapid arm movements in normal subjects and in patients with motor disorders. Brain 119:661–674PubMedCrossRef
Zurück zum Zitat Bernhard CG, Bohm E, Petersen I (1953) New investigations on the pyramidal system in Macaca mulatta. Experientia 9:111–112PubMedCrossRef Bernhard CG, Bohm E, Petersen I (1953) New investigations on the pyramidal system in Macaca mulatta. Experientia 9:111–112PubMedCrossRef
Zurück zum Zitat Brouwer B, Ashby P (1990) Corticospinal projections to upper and lower limb spinal motoneurons in man. Electroencephalogr Clin Neurophysiol 76:509–519PubMedCrossRef Brouwer B, Ashby P (1990) Corticospinal projections to upper and lower limb spinal motoneurons in man. Electroencephalogr Clin Neurophysiol 76:509–519PubMedCrossRef
Zurück zum Zitat Burnett RA, Laidlaw DH, Enoka RM (2000) Coactivation of the antagonist muscle does not covary with steadiness in old adults. J Appl Physiol 89:61–71PubMed Burnett RA, Laidlaw DH, Enoka RM (2000) Coactivation of the antagonist muscle does not covary with steadiness in old adults. J Appl Physiol 89:61–71PubMed
Zurück zum Zitat Carpentier A, Duchateau J, Hainaut K (2001) Motor unit behaviour and contractile changes during fatigue in the human first dorsal interosseus. J Physiol 534:903–912PubMedCrossRef Carpentier A, Duchateau J, Hainaut K (2001) Motor unit behaviour and contractile changes during fatigue in the human first dorsal interosseus. J Physiol 534:903–912PubMedCrossRef
Zurück zum Zitat Chao EYS, An KN, Cooney WP III, Linscheid RL (1989) Biomechanics of the hand. a basic research study. World Scientific Publishing, Teaneack Chao EYS, An KN, Cooney WP III, Linscheid RL (1989) Biomechanics of the hand. a basic research study. World Scientific Publishing, Teaneack
Zurück zum Zitat Christou EA, Grossman M, Carlton LG (2002) Modeling variability of force during isometric contractions of the quadriceps femoris. J Mot Behav 34:67–81PubMed Christou EA, Grossman M, Carlton LG (2002) Modeling variability of force during isometric contractions of the quadriceps femoris. J Mot Behav 34:67–81PubMed
Zurück zum Zitat Christou EA, Shinohara M, Enoka RM (2003a) Fluctuations in acceleration during voluntary contractions lead to greater impairment of movement accuracy in old adults. J Appl Physiol 95:373–384PubMed Christou EA, Shinohara M, Enoka RM (2003a) Fluctuations in acceleration during voluntary contractions lead to greater impairment of movement accuracy in old adults. J Appl Physiol 95:373–384PubMed
Zurück zum Zitat Christou EA, Zelent M, Carlton LG (2003b) Force control is greater in the upper compared with the lower extremity. J Mot Behav 35:322–324PubMed Christou EA, Zelent M, Carlton LG (2003b) Force control is greater in the upper compared with the lower extremity. J Mot Behav 35:322–324PubMed
Zurück zum Zitat Christou EA, Enoka JA, Poston B, Enoka RM (2005)a End-point variability contributes to the impaired end-point accuracy in older adults. Soc Neurosci (Abstr) 757.1 Christou EA, Enoka JA, Poston B, Enoka RM (2005)a End-point variability contributes to the impaired end-point accuracy in older adults. Soc Neurosci (Abstr) 757.1
Zurück zum Zitat Christou EA, Poston B, Enoka JA, Enoka RM (2007) Different neural adjustments improve endpoint accuracy with practice in young and old adults. J Neurophysiol 97:3340–3350PubMedCrossRef Christou EA, Poston B, Enoka JA, Enoka RM (2007) Different neural adjustments improve endpoint accuracy with practice in young and old adults. J Neurophysiol 97:3340–3350PubMedCrossRef
Zurück zum Zitat Darling WG, Cooke JD (1987) Changes in the variability of movement trajectories with practice. J Mot Behav 19:291–309PubMed Darling WG, Cooke JD (1987) Changes in the variability of movement trajectories with practice. J Mot Behav 19:291–309PubMed
Zurück zum Zitat Darling WG, Cooke JD, Brown SH (1989) Control of simple arm movements in elderly humans. Neurobiol Aging 10:149–157PubMedCrossRef Darling WG, Cooke JD, Brown SH (1989) Control of simple arm movements in elderly humans. Neurobiol Aging 10:149–157PubMedCrossRef
Zurück zum Zitat Datta AK, Stephens JA (1990) Synchronization of motor unit activity during voluntary contraction in man. J Physiol 422:397–419PubMed Datta AK, Stephens JA (1990) Synchronization of motor unit activity during voluntary contraction in man. J Physiol 422:397–419PubMed
Zurück zum Zitat De Luca CJ, LeFever RS, McCue MP, Xenakis AP (1982) Behaviour of human motor units in different muscles during linearly varying contractions. J Physiol 329:113–128PubMed De Luca CJ, LeFever RS, McCue MP, Xenakis AP (1982) Behaviour of human motor units in different muscles during linearly varying contractions. J Physiol 329:113–128PubMed
Zurück zum Zitat Desmedt JE, Godaux E (1978) Ballistic contractions in fast or slow human muscles: discharge patterns of single motor units. J Physiol 285:185–196PubMed Desmedt JE, Godaux E (1978) Ballistic contractions in fast or slow human muscles: discharge patterns of single motor units. J Physiol 285:185–196PubMed
Zurück zum Zitat Enoka RM, Fuglevand AJ (2001) Motor unit physiology: some unresolved issues. Muscle Nerve 24:4–17PubMedCrossRef Enoka RM, Fuglevand AJ (2001) Motor unit physiology: some unresolved issues. Muscle Nerve 24:4–17PubMedCrossRef
Zurück zum Zitat Feinstein B, Lindegard B, Nyman E, Wohlfart G (1955) Morphologic studies of motor units in normal human muscles. Acta Anat (Basel) 23:127–142 Feinstein B, Lindegard B, Nyman E, Wohlfart G (1955) Morphologic studies of motor units in normal human muscles. Acta Anat (Basel) 23:127–142
Zurück zum Zitat Fitts PM (1954) The information capacity of the human motor system in controlling the amplitude of movement. J Exp Psychol 47:381–391PubMedCrossRef Fitts PM (1954) The information capacity of the human motor system in controlling the amplitude of movement. J Exp Psychol 47:381–391PubMedCrossRef
Zurück zum Zitat Gottlieb GL (2001) Influence of strategy on muscle activity during impact movements. J Mot Behav 33:235–242PubMed Gottlieb GL (2001) Influence of strategy on muscle activity during impact movements. J Mot Behav 33:235–242PubMed
Zurück zum Zitat Gribble PL, Mullin LI, Cothros N, Mattar A (2003) Role of cocontraction in arm movement accuracy. J Neurophysiol 89:2396–2405PubMedCrossRef Gribble PL, Mullin LI, Cothros N, Mattar A (2003) Role of cocontraction in arm movement accuracy. J Neurophysiol 89:2396–2405PubMedCrossRef
Zurück zum Zitat Hamilton AF, Wolpert DM (2002) Controlling the statistics of action: obstacle avoidance. J Neurophysiol 87:2434–2440PubMed Hamilton AF, Wolpert DM (2002) Controlling the statistics of action: obstacle avoidance. J Neurophysiol 87:2434–2440PubMed
Zurück zum Zitat Hamilton AF, Jones KE, Wolpert DM (2004) The scaling of motor noise with muscle size and motor unit number. Exp Brain Res 157:417–430PubMedCrossRef Hamilton AF, Jones KE, Wolpert DM (2004) The scaling of motor noise with muscle size and motor unit number. Exp Brain Res 157:417–430PubMedCrossRef
Zurück zum Zitat Harris CM, Wolpert DM (1998) Signal-dependent noise determines motor planning. Nature 394:780–784PubMedCrossRef Harris CM, Wolpert DM (1998) Signal-dependent noise determines motor planning. Nature 394:780–784PubMedCrossRef
Zurück zum Zitat Hodges PW, Bui BH (1996) A comparison of computer-based methods for the determination of onset of muscle contraction using electromyography. Electroencephalogr Clin Neurophysiol 101:511–519PubMedCrossRef Hodges PW, Bui BH (1996) A comparison of computer-based methods for the determination of onset of muscle contraction using electromyography. Electroencephalogr Clin Neurophysiol 101:511–519PubMedCrossRef
Zurück zum Zitat Jacobson MD, Raab R, Fazeli BM, Abrams RA, Botte MJ, Lieber RL (1992) Architectural design of the human intrinsic hand muscles. J Hand Surg [Am] 17:804–809CrossRef Jacobson MD, Raab R, Fazeli BM, Abrams RA, Botte MJ, Lieber RL (1992) Architectural design of the human intrinsic hand muscles. J Hand Surg [Am] 17:804–809CrossRef
Zurück zum Zitat Jenny AB, Inukai J (1983) Principles of motor organization of the monkey cervical spinal cord. J Neurosci 3:567–575PubMed Jenny AB, Inukai J (1983) Principles of motor organization of the monkey cervical spinal cord. J Neurosci 3:567–575PubMed
Zurück zum Zitat Jones KE, Hamilton AF, Wolpert DM (2002) Sources of signal-dependent noise during isometric force production. J Neurophysiol 88:1533–1544PubMedCrossRef Jones KE, Hamilton AF, Wolpert DM (2002) Sources of signal-dependent noise during isometric force production. J Neurophysiol 88:1533–1544PubMedCrossRef
Zurück zum Zitat Keen DA, Yue GH, Enoka RM (1994) Training-related enhancement in the control of motor output in elderly humans. J Appl Physiol 77:2648–2658PubMed Keen DA, Yue GH, Enoka RM (1994) Training-related enhancement in the control of motor output in elderly humans. J Appl Physiol 77:2648–2658PubMed
Zurück zum Zitat Kern DS, Semmler JG, Enoka RM (2001) Long-term activity in upper- and lower-limb muscles of humans. J Appl Physiol 91:2224–2232PubMed Kern DS, Semmler JG, Enoka RM (2001) Long-term activity in upper- and lower-limb muscles of humans. J Appl Physiol 91:2224–2232PubMed
Zurück zum Zitat Kossev A, Elek JM, Wohlfarth K, Schubert M, Dengler R, Wolf W (1994) Assessment of human motor unit twitches—a comparison of spike-triggered averaging and intramuscular microstimulation. Electroencephalogr Clin Neurophysiol 93:100–105PubMedCrossRef Kossev A, Elek JM, Wohlfarth K, Schubert M, Dengler R, Wolf W (1994) Assessment of human motor unit twitches—a comparison of spike-triggered averaging and intramuscular microstimulation. Electroencephalogr Clin Neurophysiol 93:100–105PubMedCrossRef
Zurück zum Zitat Krakauer J, Ghez C (2000) Voluntary movement. In: Kandel E, Schwartz J, Jessell T (eds) Principles of neural science, 4th edn. McGraw-Hill, New York, pp 756–781 Krakauer J, Ghez C (2000) Voluntary movement. In: Kandel E, Schwartz J, Jessell T (eds) Principles of neural science, 4th edn. McGraw-Hill, New York, pp 756–781
Zurück zum Zitat Kukulka CG, Clamann HP (1981) Comparison of the recruitment and discharge properties of motor units in human brachial biceps and adductor pollicis during isometric contractions. Brain Res 219:45–55PubMedCrossRef Kukulka CG, Clamann HP (1981) Comparison of the recruitment and discharge properties of motor units in human brachial biceps and adductor pollicis during isometric contractions. Brain Res 219:45–55PubMedCrossRef
Zurück zum Zitat Langolf GD, Chaffin DB, Foulke JA (1976) An investigation of Fitts’ law using a wide range of movement amplitudes. J Motor Behav 8:113–128 Langolf GD, Chaffin DB, Foulke JA (1976) An investigation of Fitts’ law using a wide range of movement amplitudes. J Motor Behav 8:113–128
Zurück zum Zitat Lemon RN (1993) The G. L. Brown Prize Lecture. Cortical control of the primate hand. Exp Physiol 78:263–301PubMed Lemon RN (1993) The G. L. Brown Prize Lecture. Cortical control of the primate hand. Exp Physiol 78:263–301PubMed
Zurück zum Zitat Li ZM, Pfaeffle HJ, Sotereanos DG, Goitz RJ, Woo SL (2003) Multi-directional strength and force envelope of the index finger. Clin Biomech 18:908–915CrossRef Li ZM, Pfaeffle HJ, Sotereanos DG, Goitz RJ, Woo SL (2003) Multi-directional strength and force envelope of the index finger. Clin Biomech 18:908–915CrossRef
Zurück zum Zitat Marsden CD, Obeso JA, Rothwell JC (1983) The function of the antagonist muscle during fast limb movements in man. J Physiol 335:1–13PubMed Marsden CD, Obeso JA, Rothwell JC (1983) The function of the antagonist muscle during fast limb movements in man. J Physiol 335:1–13PubMed
Zurück zum Zitat McComas AJ (1998) ISEK Congress Keynote Lecture: motor units: how many, how large, what kind? J Electromyogr Kinesiol 8:391–402PubMedCrossRef McComas AJ (1998) ISEK Congress Keynote Lecture: motor units: how many, how large, what kind? J Electromyogr Kinesiol 8:391–402PubMedCrossRef
Zurück zum Zitat Muller H, Sternad D (2004) Decomposition of variability in the execution of goal-oriented tasks: three components of skill improvement. J Exp Psychol Hum Percept Perform 30:212–233PubMedCrossRef Muller H, Sternad D (2004) Decomposition of variability in the execution of goal-oriented tasks: three components of skill improvement. J Exp Psychol Hum Percept Perform 30:212–233PubMedCrossRef
Zurück zum Zitat Newell KM, Carlton LG (1985) On the relationship between peak force and peak force variability in isometric tasks. J Mot Behav 17:230–241PubMed Newell KM, Carlton LG (1985) On the relationship between peak force and peak force variability in isometric tasks. J Mot Behav 17:230–241PubMed
Zurück zum Zitat Newell KM, Slifkin AB (1998) The nature of movement variability. In: Piek JJ (ed) Motor behavior and human skill. Human Kinetics, Champaign, pp 143–60 Newell KM, Slifkin AB (1998) The nature of movement variability. In: Piek JJ (ed) Motor behavior and human skill. Human Kinetics, Champaign, pp 143–60
Zurück zum Zitat Newell KM, Carlton LG, Hancock PA (1984) Kinetic analysis of response variability. Psychol Bull 96:133–151CrossRef Newell KM, Carlton LG, Hancock PA (1984) Kinetic analysis of response variability. Psychol Bull 96:133–151CrossRef
Zurück zum Zitat Oldfield RC (1971) The assessment and analysis of handedness: the Edinburgh inventory. Neuropsychologia 9:97–113PubMedCrossRef Oldfield RC (1971) The assessment and analysis of handedness: the Edinburgh inventory. Neuropsychologia 9:97–113PubMedCrossRef
Zurück zum Zitat Plamondon R, Alimi AM (1997) Speed/accuracy trade-offs in target-directed movements. Behav Brain Sci 20:279–303; Discussion 303–249PubMed Plamondon R, Alimi AM (1997) Speed/accuracy trade-offs in target-directed movements. Behav Brain Sci 20:279–303; Discussion 303–249PubMed
Zurück zum Zitat Pohl PS, Winstein CJ, Fisher BE (1996) The locus of age-related movement slowing: sensory processing in continuous goal-directed aiming. J Gerontol B Psychol Sci Soc Sci 51:P94–102PubMed Pohl PS, Winstein CJ, Fisher BE (1996) The locus of age-related movement slowing: sensory processing in continuous goal-directed aiming. J Gerontol B Psychol Sci Soc Sci 51:P94–102PubMed
Zurück zum Zitat Poston B, Enoka JA, Christou EA, Enoka RM (2005) The minimum variance theory fails to predict end-point accuracy during slow goal-directed, isometric contractions. Soc Neurosci (Abstr) 990.21 Poston B, Enoka JA, Christou EA, Enoka RM (2005) The minimum variance theory fails to predict end-point accuracy during slow goal-directed, isometric contractions. Soc Neurosci (Abstr) 990.21
Zurück zum Zitat Poston B, Enoka JA, Wiseman C, Acosta E, Enoka RM (2006) End-point accuracy is similar for two hand muscles of different sizes during rapid isometric contractions. Soc Neurosci (Abstr) 742.10 Poston B, Enoka JA, Wiseman C, Acosta E, Enoka RM (2006) End-point accuracy is similar for two hand muscles of different sizes during rapid isometric contractions. Soc Neurosci (Abstr) 742.10
Zurück zum Zitat Poston B, Enoka JA, Enoka RM (2007) Practice and endpoint accuracy with the left and right hands of old adults: the right hemisphere aging model. Muscle Nerve (in press) Poston B, Enoka JA, Enoka RM (2007) Practice and endpoint accuracy with the left and right hands of old adults: the right hemisphere aging model. Muscle Nerve (in press)
Zurück zum Zitat Sainburg RL (2005) Handedness: differential specializations for control of trajectory and position. Exerc Sport Sci Rev 33:206–13PubMedCrossRef Sainburg RL (2005) Handedness: differential specializations for control of trajectory and position. Exerc Sport Sci Rev 33:206–13PubMedCrossRef
Zurück zum Zitat Shadmehr R, Wise SP (2005) The computational neurobiology of pointing and reaching. MIT Press, Cambridge Shadmehr R, Wise SP (2005) The computational neurobiology of pointing and reaching. MIT Press, Cambridge
Zurück zum Zitat Shinohara M, Keenan KG, Enoka RM (2003) Contralateral activity in a homologous hand muscle during voluntary contractions is greater in old adults. J Appl Physiol 94:966–974PubMed Shinohara M, Keenan KG, Enoka RM (2003) Contralateral activity in a homologous hand muscle during voluntary contractions is greater in old adults. J Appl Physiol 94:966–974PubMed
Zurück zum Zitat Shinohara M, Keenan KG, Enoka RM (2005) Fluctuations in motor output during steady contractions are weakly related across contraction types and between hands. Muscle Nerve 31:741–750PubMedCrossRef Shinohara M, Keenan KG, Enoka RM (2005) Fluctuations in motor output during steady contractions are weakly related across contraction types and between hands. Muscle Nerve 31:741–750PubMedCrossRef
Zurück zum Zitat Slifkin AB, Newell KM (1999) Noise, information transmission and force variability. J Exp Psychol Hum Percep Perf 25:837–851CrossRef Slifkin AB, Newell KM (1999) Noise, information transmission and force variability. J Exp Psychol Hum Percep Perf 25:837–851CrossRef
Zurück zum Zitat Slifkin AB, Newell KM (2000) Variability and noise in continuous force production. J Mot Behav 32:141–150PubMedCrossRef Slifkin AB, Newell KM (2000) Variability and noise in continuous force production. J Mot Behav 32:141–150PubMedCrossRef
Zurück zum Zitat Sosnoff JJ, Newell KM (2006) Are age-related increases in force variability due to decrements in strength? Exp Brain Res 174:86–94PubMedCrossRef Sosnoff JJ, Newell KM (2006) Are age-related increases in force variability due to decrements in strength? Exp Brain Res 174:86–94PubMedCrossRef
Zurück zum Zitat Tanaka H, Krakauer JW, Quin N (2006) An optimization principle for determining movement duration. J Neurophysiol 95: 3875–3886PubMedCrossRef Tanaka H, Krakauer JW, Quin N (2006) An optimization principle for determining movement duration. J Neurophysiol 95: 3875–3886PubMedCrossRef
Zurück zum Zitat Thomas CK, Ross BH, Calancie B (1987) Human motor-unit recruitment during isometric contractions and repeated dynamic movements. J Neurophysiol 57:311–324PubMed Thomas CK, Ross BH, Calancie B (1987) Human motor-unit recruitment during isometric contractions and repeated dynamic movements. J Neurophysiol 57:311–324PubMed
Zurück zum Zitat Tracy BL, Mehoudar PD, Ortega JD (2006) The amplitude of force variability is correlated in the knee extensor and elbow flexor muscles. Exp Brain Res 176:448–464PubMedCrossRef Tracy BL, Mehoudar PD, Ortega JD (2006) The amplitude of force variability is correlated in the knee extensor and elbow flexor muscles. Exp Brain Res 176:448–464PubMedCrossRef
Zurück zum Zitat Van Cutsem M, Duchateau J, Hainaut K (1998) Changes in single motor unit behaviour contribute to the increase in contraction speed after dynamic training. J Physiol 513:295–305PubMedCrossRef Van Cutsem M, Duchateau J, Hainaut K (1998) Changes in single motor unit behaviour contribute to the increase in contraction speed after dynamic training. J Physiol 513:295–305PubMedCrossRef
Zurück zum Zitat van Beers RJ, Haggard P, Wolpert DM (2004) The role of execution noise in movement variability. J Neurophysiol 91:1050–1063PubMedCrossRef van Beers RJ, Haggard P, Wolpert DM (2004) The role of execution noise in movement variability. J Neurophysiol 91:1050–1063PubMedCrossRef
Zurück zum Zitat Walker N, Philbin DA, Fisk AD (1997) Age-related differences in movement control: adjusting submovement structure to optimize performance. J Gerontol B Psychol Sci Soc Sci 52:P40–52PubMed Walker N, Philbin DA, Fisk AD (1997) Age-related differences in movement control: adjusting submovement structure to optimize performance. J Gerontol B Psychol Sci Soc Sci 52:P40–52PubMed
Zurück zum Zitat Waters P, Strick PL (1981) Influence of “strategy” on muscle activity during ballistic movements. Brain Res 207:189–194PubMedCrossRef Waters P, Strick PL (1981) Influence of “strategy” on muscle activity during ballistic movements. Brain Res 207:189–194PubMedCrossRef
Zurück zum Zitat Wierzbicka MM, Wiegner AW (1996) Accuracy of motor responses in subjects with and without control of antagonist muscle. J Neurophysiol 75:2533–2541PubMed Wierzbicka MM, Wiegner AW (1996) Accuracy of motor responses in subjects with and without control of antagonist muscle. J Neurophysiol 75:2533–2541PubMed
Metadaten
Titel
Endpoint accuracy for a small and a large hand muscle in young and old adults during rapid, goal-directed isometric contractions
verfasst von
Brach Poston
Joel A. Enoka
Roger M. Enoka
Publikationsdatum
01.05.2008
Verlag
Springer-Verlag
Erschienen in
Experimental Brain Research / Ausgabe 3/2008
Print ISSN: 0014-4819
Elektronische ISSN: 1432-1106
DOI
https://doi.org/10.1007/s00221-008-1309-9

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