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The Journal of Neuroscience, March 1, 2003, 23(5):1981
Sensorimotor Memory For Fingertip Forces: Evidence For A
Task-Independent Motor Memory
Barbara M.
Quaney,
Diane L.
Rotella,
Clayton
Peterson, and
Kelly J.
Cole
Department of Exercise Science, The University of Iowa, Iowa City,
Iowa 52241
 |
ABSTRACT |
When repetitively lifting an object with randomly varying
mechanical properties, the fingertip forces reflect the previous lift.
We examined the specificity of this "sensorimotor memory" by
observing the effects of an isolated pinch on the subsequent lift of a
known object. In this case, the pinch force was unrelated to the
fingertip forces necessary to grip the object efficiently. The peak
grip force used to lift the test object (4 N weight) depended on the
preceding task. Compared with repetitively lifting the 4 N test object,
the peak grip force was 2 N greater when a lift of the same object was
preceded by a lift in which a hidden mass was attached to the object to
increase the weight to 8 N. This 2 N increase in grip force also
occurred when subjects lifted the 4 N test object after pinching a
force transducer with a force of 8 N. Thus, similar grip forces were
stored in sensorimotor memory for both tasks, and reflected subjects'
use of 7.9 ± 1.1 N to lift the 8 N object. Similar effects
occurred when the preceding pinch or lift was performed with the
opposite hand. The peak lift force was unaffected by the isolated
pinch, suggesting that a generalized increase in fingertip and limb
forces did not occur. We conclude that the sensorimotor memory is not
specific for lifting an object. It is doubtful that this particular
memory stores the physical properties of objects or reflects a forward
internal model for predictively controlling fingertip forces.
Key words:
grip force; memory; prediction; internal model; grasping; feedforward control
 |
Introduction |
We scale our fingertip forces
predictively to handle objects with a secure, economical grip
(Johansson, 1996
). Several processes are at work. Visual analysis of
the object size and shape appear to produce well scaled forces through
visuomotor transformations, which may not involve memory except perhaps
for information about density (Gordon et al., 1991b
; Jenmalm and
Johansson, 1997
; Jenmalm et al., 2000
). We also use associative
processes to link the identity of an object with the necessary
fingertip forces (Gordon et al., 1993
; Dubrowski et al., 1999
; Cole and
Rotella, 2002
). This memory representation is learned within a few
lifts of the object and maintained in long-term memory, as reflected in
our capacity to program the forces accurately 24 hr later (Gordon et
al., 1993
).
There is another memory process that influences fingertip forces when
objects are lifted repetitively. Random changes in weight or surface
texture cause us to scale our fingertip forces according to the
previous lift. Johansson and coworkers (Johansson and Westling, 1984
,
1988
; Jenmalm and Johansson, 1997
) referred to this phenomenon as a
"sensorimotor memory". This memory competes with visuomotor and
associative memory mechanisms for scaling fingertip forces, indicating
that it is a separate process (Gordon et al., 1991a
; Salimi et al.,
2000b
; Cole and Rotella, 2002
). This sensorimotor memory was manifest
as a force "error" of 10-15% compared with the force the subject
would use during repetitive lifts of an object with constant mechanical
properties (Cole and Rotella, 2002
). This memory effect also is
observed when the previous lift is performed with the opposite hand
(Gordon et al., 1994
).
Understanding the memory processes underlying anticipatory programming
for fingertip forces enhances our knowledge of successful grasping
during object manipulation. Therefore, we sought to determine whether
this sensorimotor memory is restricted to the task of repetitively
lifting an object, in part to address whether the content of this
memory reflects the physical properties of the object, such as the
weight. Here, we studied the effects of an isolated pinch on the
fingertip forces subsequently used to lift a known object, either with
the same or the opposite hand. Subjects intermittently pinched (but did
not lift) a standard pinch force transducer before lifting the test
object. Neither the pinch forces exerted against the transducer nor the
physical properties of the transducer were relevant to the task of
specifying the fingertip forces for the subsequent lift of the familiar
object. Findings of a strong effect from the preceding pinch when
lifting a familiar object would be inconsistent with a task-specific
memory or a memory that stores the mechanical properties of objects.
 |
Materials and Methods |
Subjects. Twenty-one young, healthy,
right-hand-dominant adults voluntarily participated in three
experiments. Ten subjects (three males, seven females; 19-32 years of
age) participated in the first two experiments, in which we studied the
dominant hand. Eleven additional subjects (five males, six females;
20-34 years of age) volunteered for the final experiment, in which the contralateral hand was also studied. Subjects had no history of previous upper-limb injury and possessed normal grip strength and range
of motion. They were unaware of the purpose of these experiments and
had not previously participated in experiments within this laboratory.
Informed consent was obtained from subjects according to the
Declaration of Helsinki. The University of Iowa Human Subjects Internal
Review Board approved the experiments.
Apparatus. The novel object that subjects lifted (test
object) has been described previously (Forssberg et al., 1991
) (Fig. 1). It had two parallel Plexiglas grip
surfaces (35 × 35 mm) that were oriented vertically and separated
by a distance of 2.2 cm. The grip surfaces were covered with black #320
grit sandpaper. Load cells embedded in the object measured the force
normal to the grip surfaces (grip force), and the vertical tangential
force (lift force) separately for the thumb and index finger. The
linearity, repeatability, and hysteresis of the test object were
computed to be ±0.8%, ±1.86%, and ±1.1%, respectively, of full
scale. An accelerometer (SenSyn Model SXL010G; Sunnyvale, CA)
affixed to the object measured vertical acceleration. Rigid shrouds in
the vertical and horizontal planes of the object prevented the
subject's fingertips from hooking around the edges of the grip
surfaces. Inserting various weights into a cavity within the object
changed the total weight of the test object.

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Figure 1.
Novel test object. Subjects grasped and lifted the
test object at the black, sandpaper-covered vertical surfaces using the
thumb and index finger.
|
|
A mechanical pinch force transducer with an analog dial gauge (model
PG-60; B&L Engineering, Santa Fe Springs, CA) was used for the
task involving pinching to various force levels. The range of available
force measurements was from 0 to 28 kg (accuracy, ±1%). The weight,
shape, and frictional surfaces of the pinch transducer were completely
different from the mechanical properties of the test object (see
above). During the experiment, subjects merely pinched the transducer
without lifting it.
Procedure. Subjects washed their hands with soap and water
and then sat in front of the testing table. The test object was positioned on the adjustable table so that reaching for the object required only minimal shoulder flexion without internal rotation, external rotation, or abduction. During the lifting trials, subjects grasped the test object using a precision grip with the thumb and index
finger, with the wrist in slight extension. The test object was lifted
using primarily elbow flexion while maintaining a neutral forearm
position (neither supinated nor pronated). Subjects lifted the test
object ~5-8 cm from the table, held it stationary in the air for
~5 sec, and then lowered the object back to the table.
Each subject rested their right forearm on the testing table to perform
the pinches. The experimenter held the pinch transducer while subjects
used their right thumb and index finger to squeeze the distal tips of
the transducer to the desired force level and maintained this force for
7 sec. Therefore, subjects performed all pinches without lifting the
pinch transducer. Subjects performed these right-handed pinches with
the wrist slightly extended and the forearm in a supinated position.
The first experiment examined the fingertip forces applied while
lifting a 4 N object when immediately preceded by a lift of either the
4 or 8 N object. Subjects lifted the object with the right thumb and
index finger using a precision grip. Between each lift, the test object
weight was changed to 2, 4, or 8 N in a pseudorandom order. Subjects
were unaware of the weight of the test object before lifting it from
the table. Repeated lifts of the test object when the weight was
4 N were embedded within this pseudorandom order. Each subject
performed a total of 47 lifts of the test object with these weights.
Seven lifts of each of the following were analyzed in the statistical
model: (1) lifts of the test object at the 4 N weight when immediately
preceded by a lift of the 8 N weight, and (2) lifts of the test object at the 4 N weight when preceded by another 4 N weight.
In the second experiment, we examined the fingertip forces exerted when
lifting the 4 N test object after performing the 8 N pinch task. The
weight of the test object remained constant at 4 N throughout this
experiment. After the first lift in this experiment, subjects then had
prior knowledge of the object weight for each of the subsequent lifts
and were aware that the mass within the hidden cavity of the object was
not changed. Using their right thumb and index finger, each subject
randomly pinched the pinch force transducer to a sustained force of 2, 4, or 8 N between lifts of the 4 N test object. Within 10 sec after
each pinch, subjects grasped and lifted the 4 N test object with their right thumb and index finger in the manner described in the first experiment. Each subject performed a total of 45 lifts of the 4 N test
object. We analyzed the fingertip forces for seven lifts of the 4 N
test object when immediately preceded by either an 8 N pinch or another
4 N lift.
In the final experiment, we tested whether a pinch to 8 N with their
right (dominant) thumb and index finger influenced the fingertip forces
when subjects lifted the 2 N test object with their left (nondominant)
thumb and index finger. The following tasks preceded the left-handed
lifts of the 2 N test object: (1) right-handed lifts of the test object
(2 or 8 N) in a pseudorandom order and (2) right-handed pinches of the
pinch force transducer to either 2 or 8 N. A total of 128 trials were
performed in this experiment. Seven trials of each of the following
types were analyzed: (1) left-handed lift of the 2 N test object when
preceded by the right-handed lift of the 8 N object, (2) left-handed
lift of the 2 N test object when preceded by the right-handed 8 N
pinch, (3) left-handed lift of the 2 N test object when preceded by
another lift of the 2 N object with the left hand, and (4) right-handed lift of the 2 N test object when preceded by either an 8 N lift or an 8 N pinch with the right hand.
Data collection and analysis. Force and accelerometer
signals were collected and analyzed using a personal computer with
DataPac 2000 software (Run Technologies, Laguna Hills,
CA). All signals were sampled with an analog-to-digital converter at 16 bit resolution. The grip force, load force, and acceleration of the
test object were sampled at a rate of 400 samples/sec. Grip force was
calculated as the mean of the normal force measured at the index finger
and thumb (normalfinger + normalthumb)/2. The vertical load force signals
were summed at both digits to provide the lift force
(tangentialfinger + tangentialthumb). The accelerometer signal was
used to determine the onset of vertical motion to detect when the test
object had lifted from the table, as well as peak acceleration. The
peak grip and lift forces were measured after lift-off of the object for each trial (Fig. 2).

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Figure 2.
Single representative trials of a typical subject
lifting the 4 N test object. Peak grip and lift forces (vertical
lines) occur after the object has been lifted from the support
surface.
|
|
The order of the pinch and lift experiments was counterbalanced across
subjects. The trials were averaged within each subject and compared
between conditions using repeated-measures ANOVA for the factors
group × preceding action (pinch 8 N, lift 8 N, lift 4 N, lift 2 N). Tukey's honest significant difference tests were used for
post hoc analyses. Values reported are group means ± SEM.
 |
Results |
Lifting the object when the weight was 8 N yielded a peak grip
force (7.9 ± 1.1 N) that was comparable with the 8 N pinch target
force. This result confirms that the target force on the pinch trials
was appropriate for comparing the facilitative effects of pinching
versus lifting the 8 N object.
The peak grip force used to lift the 4 N test object with the right
hand depended on the weight of the object on the preceding lift, which
replicates the often-reported sensorimotor memory (Fig.
3). An isolated pinch to 8 N yielded a
peak grip force on the subsequent lift of the 4 N object that also was
substantially greater (7.6 ± 0.5 N) than the force used on
repeated lifts of the 4 N object (5.3 ± 0.5 N). The size of the
effect from a preceding pinch was comparable with that observed when a
lift of the 4 N object was immediately preceded by a lift of the 8 N
object (7.4 ± 0.8 N). To compare these results statistically, we
subtracted the peak grip force for a lift of the 4 N test object when
preceded by another 4 N lift from the peak grip force for a lift of the 4 N test object when preceded by an 8 N pinch (2.3 ± 0.5 N). We also calculated the difference between the lifts of the 4 N test object
when preceded by an 8 N lift and repeated lifts of the 4 N object
(2.1 ± 0.5 N). These values were not different
(F(2,8) = 0.09; p = 0.77). All 10 subjects studied in the first two experiments programmed
higher peak grip forces when the 8 N pinch preceded a lift of the 4 N
object compared with repeatedly lifting the 4 N object.

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Figure 3.
The peak grip force when lifting the 4 N test
object depends on the preceding action. A, Fingertip
force records of single trials from a typical subject for lifts of the
4 N test object when preceded by an 8 N pinch (thin
line), a lift of the 8 N test object (dashed
line), or another 4 N lift of the test object (thick
line). B, Average peak grip forces for the group
across conditions (lines indicate SEM), when a lift of
the 4 N object was preceded by an 8 N lift (white), an 8 N pinch (gray), or a 4 N lift
(black). Average peak grip forces were significantly
greater for lifts of the 4 N test object when preceded by 8 N pinches
and 8 N lifts compared with repeated 4 N lifts. *p < 0.001.
|
|
The increased grip force during lifts of the 4 N object when preceded
by either an 8 N pinch or an 8 N lift persisted into the static phase
of the task, when the object was held stationary above the table (Fig.
3A). A few seconds after the peak grip force was achieved,
the grip force averaged 5.8 N after an 8 N pinch and 5.7 N after a lift
of the 8 N object (p > 0.86). These values were
less than the peak grip forces described previously (~7.5 N) but were
greater than the static phase grip force when the 4 N object was lifted
repeatedly (4.8 N; p < 0.01). Therefore, a complete
adjustment to the altered object weight requires more than one lift of
the light object (Johansson and Westling, 1988
); likewise, more than
one lift of the light object after a pinch to 8 N is required to
eliminate the effects of the pinch. This suggests that similar
mechanisms are at work for the sensorimotor memory and the effects
after a pinch.
Pinching or lifting with the right hand affected the peak grip forces
used on the subsequent lift of the 2 N object with the left hand (Fig.
4). The peak grip forces for a
left-handed lift of the 2 N test object when preceded by an 8 N lift
with the right hand (8.6 ± 0.7 N) or an 8 N pinch with the right
hand (7.4 ± 0.6 N) were significantly greater compared with a
lift of the 2 N test object when preceded by another 2 N lift (5.7 ± 0.4 N) (F(20,20) = 14.7;
p = 0.001). The size of the effect on the peak grip
force for the left-handed 2 N lift of the object when preceded by a
right-handed 8 N lift (2.9 ± 0.6 N) was greater than the 2 N lift
of the object with the left hand when preceded by a right-handed 8 N
pinch (1.7 ± 0.3 N) and was nearly significant
(F(1,10) = 4.83; p = 0.053).

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Figure 4.
Preceding actions performed with the right hand
affected fingertip force programming for a subsequent lift using the
left hand. A, Fingertip force records of single trials
for a typical subject for lifts of the 2 N object when preceded by
either 8 N pinches or 8 N object lifts (with the same or opposite
hand), or repeated left-handed lifts of the 2 N object.
B, Bar graphs of the peak grip force across subjects for
lifts of the 2 N test object when preceded by 8 N pinches or 8 N lifts
using either the right or the left hand [R8L (R), 8 N
right-handed lift precedes a 2 N lift with the right hand; R8P
(L), right-handed 8 N pinch precedes a 2 N lift with the left
hand, etc.]. Regardless of the hand performing the preceding action,
average peak grip forces were significantly greater
(*p < 0.001) when the left-handed 2 N lift was
preceded by either an 8 N pinch or 8 N lift, compared with repeated
lifts of the 2 N object with the left hand.
|
|
The effects of the isolated pinch on the next lift of the 4 N test
object with the same hand were not simply generalized increases in
force at the fingertips. The isolated pinch affected only the grip
force and not the peak lift force used to lift the 4 N object vertically (Fig. 5). When comparing the
three conditions with repeated-measures ANOVA, there was a significant
main effect for the peak lift forces, as expected when lifting
identical-appearing objects of different weights in random order
(Johansson and Westling, 1988
). The simple effects for the peak lift
force when a right-handed 8 N pinch preceded a right-handed lift of the
4 N test object (4.8 ± 0.1 N) were not different from lifts of
the 4 N test object when preceded by another 4 N lift (4.7 ± 0.1 N; p = 0.24) with the right hand. However, both of
these peak lift forces were significantly different from the peak lift
force when the 8 N lift preceded the 4 N lift (6.1 ± 0.17;
F(2,8) = 10.89; p < 0.001). The peak lift force rates were similar between lifts of the 4 N
object when preceded by an 8 N pinch (37.6 ± 13.7 N/sec) and a 4 N lift (36.1 ± 16.6 N/sec), whereas peak lift force rates were
greater when preceded by an 8 N lift (41.2 ± 17.8 N/sec).
Likewise, the effect of a pinch or an object lift with the hand
opposite to the subsequent lift was restricted to the grip force. There
was no difference in the peak lift force when a left-hand lift of the 2 N test object was preceded by another left-hand lift of the 2 N test
object (2.7 ± 0.1 N) or an 8 N pinch with the right hand
(2.8 ± 0.1 N) (F(2,20) = 1.99;
p = 0.16).

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Figure 5.
Peak lift force when a lift of the 4 N test object
was preceded by an 8 N lift (white), 8 N pinch
(gray), or another 4 N lift
(black). An 8 N pinch preceding a 4 N lift had no
effect on the peak lift force. However, an 8 N lift preceding a 4 N
lift produced significantly greater peak lift forces
(*p < 0.001) compared with repeated 4 N
lifts.
|
|
Finally, the effect of pinching was robust across individual trials for
each subject. There was a relatively small difference in the peak grip
force when lifting the object with the right hand after the first 8 N
pinch (8.9 ± 2.9 N) compared with the last 8 N pinch (7.6 ± 1.8 N) (t(1,9) = 1.9;
p < 0.09). This same effect was also observed when
lifting the object with the opposite hand used to perform the pinches.
The peak grip force for the 2 N lift after the first 8 N pinch trial
(7.7 ± 2.7 N) was similar to the lift after the last 8 N pinch
(7.6 ± 2.1 N) (t(1,10) = 0.1;
p < 0.97).
 |
Discussion |
A preceding action significantly affects the peak grip force when
handling objects. This well known phenomenon occurs when subjects lift
an object that randomly varies in mechanical properties from lift to
lift. This same effect on the peak grip force is observed when the
subsequent lift is performed with the hand ipsilateral or contralateral
to the preceding target lift (Johansson and Westling, 1988
; Forssberg
et al., 1992
; Gordon et al., 1994
; Salimi et al., 2000b
). Fingertip
forces are programmed according to the requirements of the preceding
lift, particularly when visual cues are not available during sequential
lifts of an object (Johansson and Westling, 1988
; Jenmalm and
Johansson, 1997
). This same result occurs when significant visual
geometric cues are unavailable to indicate the mechanical properties of
the object, such as the center of mass (Salimi et al., 2000a
,b
). Witney
et al. (2001)
extended these fundamental observations using an
apparatus that mimicked pulling an object with one hand while
restraining the object with the other hand. They demonstrated that the
fingertip forces depended strongly on the most recent preceding trial
and more weakly on the second and third preceding trials.
Here, we demonstrate a similar effect when subjects simply pinched an
unrelated object before lifting the familiar test object with known
mechanical properties. Neither the target pinch forces nor the
mechanical properties of the pinch force transducer were relevant to
programming the fingertip forces for the subsequent lift of the test
object. The effect of the pinches on the peak grip force for the
subsequent lift of the lightweight test object did not diminish over
the course of the experiments. Furthermore, a strong pinch influenced
only the grip forces and not the lift forces when subsequently lifting
the test object. This finding demonstrates that the pinch did not
simply facilitate upper-limb forces in a nonspecific manner. These
effects were observed regardless of the hand performing the preceding pinch.
The memory used to predict the motor commands needed to handle objects
has been interpreted to reflect forward and inverse internal models
(Flanagan and Wing, 1993
, 1995
; Kawato, 1999
; Witney et al., 2001
).
When viewed simply, the results from the present experiment are
inconsistent with an internal model that uses the mechanical properties
of an object for predicting fingertip forces. These models allow us to
predict the consequences of our motor commands by causally relating the
motor commands to the actual outcomes using efferent copy
(Massion, 1992
; Wolpert et al., 1995
; Blakemore et al., 1998
). Forward
models require representations of both our body and the external world.
When viewed in this way, the sensorimotor memory studied here appears
to represent the most recent motor action, rather than directly
representing the external world, such as the mechanical properties of
the test object (Flanagan and Wing, 1993
). However, other memory
representations used to set fingertip forces predictively, as discussed
below, may reflect internal models that operate using object properties.
Our experiment demonstrated the effect of a pinch on the grip component
for the subsequent lift of a familiar object. Generalizing our results
to memory mechanisms that predictively scale other forces during a grip
and lift task must be done with caution. Rather than a single memory
representation of the fingertip forces for lifting objects that
participates in an internal model, our results may fit more complex
views of predictive force generation. One alternative explanation may
be that different force scaling mechanisms are used for the gripping
and lifting components of the task. Perhaps we use an object-based
memory when lifting an object but an action-based memory when pinching,
given that object properties such as load are unavailable or
irrelevant. It is also possible that our observation of the grip force
information transferring between the unrelated tasks reflects multiple
mechanisms for scaling fingertip forces. There may be a more general
mechanism for scaling grip forces that uses a simple mechanism for
scaling in relation to parameters such as friction at the gripped
surfaces. Furthermore, although our experimental results cannot
directly address this issue, scaling for the object load may be under
more direct control of mechanisms based on internal models.
The utility of a memory of the previous motor action may be useful in
learning motor actions in daily life given that truly unpredictable
variations in the external world are seldom encountered. A similar
phenomenon was reported recently for reaching with the arm against a
viscous force field that varied in amplitude unpredictably across
trials (Scheidt et al., 2001
). Despite the random variation in
perturbation amplitude across trials, subjects produced arm movements
that reflected the preceding trial. Thus, when external conditions
(force fields, object properties) vary randomly, our upper-limb forces
reflect the previous motor action. In more predictable environments, a
similar one-trial sensorimotor effect on the fingertip forces used to
handle objects is substantially blunted. This is observed after
subjects learn to identify and associate other cues with the external
conditions for successfully predicting the needed motor commands, such
as visually identifying a familiar object (Gordon et al., 1991a
; Cole
and Rotella, 2002
), when geometric cues about object size are available
(Gordon et al., 1991a
), or when sensory information is incompatible
with the ongoing action (Blakemore et al., 1998
). As noted previously,
this persistence of the sensorimotor memory effect, although reduced in
size, suggests that this memory is independent of other associative
mechanisms that help to predict and generate the required fingertip
forces. Other recent work has also suggested that several memory
representations may underlie our ability to perform the complex motor
act of gripping and lifting an object (Edin et al., 1992
; Burstedt et
al., 1997
; Salimi et al., 2000a
,b
).
There is evidence that the trial-to-trial sensorimotor memory decays
rapidly with time, also supporting the view that this memory may be
independent of other mechanisms for predictively scaling fingertip
forces. According to a recent report, the sensorimotor memory for the
friction at the gripped surfaces begins to decay within 10 sec of
releasing the object, based on the drifting of the grip force on the
subsequent trial. In contrast, the associative memory for friction
based on object color persists 24 hr later (Sinnaeve et al., 2002
).
Likewise, in a separate experiment, we first had subjects lift a novel
object using self-selected grip forces. They returned 4 hr later to
once again repetitively lift the same object by generating a pinch
grasp that far exceeded the weight of the object. During testing on the
following day, subjects predictively generated grip forces that matched
the weight of the object. Therefore, the sensorimotor memory acquired
from a strong pinch apparently decays over 24 hr and does not produce lasting interference effects (Quaney and Cole, 2002
).
It is unclear whether the grip force effects attributable to an
unrelated pinch action could be replicated by a more generalized exertion of muscular force before lifting the test object. Previous data from our laboratory demonstrate that fingertip forces are slightly
increased when grasping an object with one hand while simultaneously
performing rapid knee extensions (Werremeyer and Cole, 1997
). It is not
known whether this effect persists after a delay, such as performing a
strong voluntary contraction of an unrelated muscle group before
lifting a familiar object.
Our observation that the memory transfers across hands for both a
preceding pinch and lift indicates the participation of the cerebral
cortex, with information most likely transferred via the corpus
callosum, based on reports from a patient with callosal agenesis
(Gordon et al., 1994
). The strong one-trial effect exceeds expectations
for mediation through the primary motor cortex (Classen et al., 1998
).
The cerebellum has been suggested as a critical site for constructing
and manipulating forward internal models based on functional imaging
studies in humans (Imamizu et al., 2000
; Ito, 2000
).
We conclude that multiple memories underlie our ability to predictively
generate fingertip forces to manipulate an object. The so-called
sensorimotor memory may be based on the motor commands used to handle
an object rather than on the mechanical properties of the object. It
does not appear to be specific to handling objects, but may reflect a
fundamental memory or forward model for learning actions in a
stochastic environment.
 |
FOOTNOTES |
Received Aug. 16, 2002; revised Nov. 25, 2002; accepted Dec. 18, 2002.
This work was supported by National Institutes of Health-National
Institute on Aging Grant R01 AG12557. We thank Dr. Randolph Nudo for
his helpful comments on this manuscript.
Correspondence should be addressed to Dr. Barbara Quaney, University of
Kansas Medical Center 170A Landon Center on Aging, 3599 Rainbow
Boulevard, Kansas City, KS 66160. E-mail: bquaney{at}kumc.edu.
 |
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