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We examined the systematic variation in shoulder and elbow torque, as well as movement kinematics, for horizontal-plane arm movements with direction reversals performed by normal individuals and individuals with Down syndrome. Eight neurologically normal individuals and eight individuals with Down syndrome performed horizontal, planar reversal movements to four different target locations. The four locations of the targets were chosen such that there is a systematic increase in elbow interaction torque for each of the four different target locations. This systematic increase in interaction torque has previously been shown to lead to progressively larger movement reversal errors, and trajectories that do not show a sharp reversal of direction, for movements to and from the target in patients who have proprioceptive abnormalities. We computed joint torques at the elbow and shoulder and found a high correlation between elbow and shoulder torque for the neurologically normal subjects. The ratio of joint torques varied systematically with target location. These findings extend previously reported findings of a linear synergy between shoulder and elbow joints for a variety of point-to-point movements. There was also a correlation between elbow and shoulder torque in individuals with Down syndrome, but the magnitude of the correlation was less. The ratio of joint torques changed systematically with target direction in individuals with Down syndrome but was slightly different from the ratio observed for neurologically normal individuals. The difference in the ratio was caused by the generation of proportionately more elbow torque than shoulder torque. The fingertip path of individuals with Down syndrome showed a sharp reversal in moving toward and then away from the target. In this respect, they were similar to neurologically normal individuals but dissimilar to individuals with proprioceptive deficits. Finally, we observed that individuals with Down syndrome spend proportionately more time in the vicinity of the target than normal individuals. Collectively these results show that there is a systematic relationship between joint torques at the elbow and shoulder. This relationship is present for reversal movements and is also present in individuals with Down syndrome.

We examined the patterns of joint kinematics and torques in two kinds of sagittal plane reaching movements. One consisted of movements from a fixed initial position with the arm partially outstretched, to different targets, equidistant from the initial position and located according to the hours of a clock. The other series added movements from different initial positions and directions and >40-80 cm distances. Dynamic muscle torque was calculated by inverse dynamic equations with the gravitational components removed. In making movements in almost every direction, the dynamic components of the muscle torques at both the elbow and shoulder were related almost linearly to each other. Both were similarly shaped, biphasic, almost synchronous and symmetrical pulses. These findings are consistent with our previously reported observations, which we termed a linear synergy. The relative scaling of the two joint torques changes continuously and regularly with movement direction. This was confirmed by calculating a vector defined by the dynamic components of the shoulder and elbow torques. The vector rotates smoothly about an ellipse in intrinsic, joint torque space as the direction of hand motion rotates about a circle in extrinsic Cartesian space. This confirms a second implication of linear synergy that the scaling constant between the linearly related joint torques is directionally dependent. Multiple linear regression showed that the torque at each joint scales as a simple linear function of the angular displacement at both joints, in spite of the complex nonlinear dynamics of multijoint movement. The coefficients of this function are independent of the initial arm position and movement distance and are the same for all subjects. This is an unanticipated finding. We discuss these observations in terms of the hypothesis that voluntary, multiple degrees of freedom, rapid reaching movements may use rule-based, feed-forward control of dynamic joint torque. Rule-based control of joint torque with separate dynamic and static controllers is an alternative to models such as those based on the equilibrium point hypotheses that rely on a positionally based controller to produce both dynamic and static torque components. It is also an alternative to feed-forward models that directly solve the problems of inverse dynamics. Our experimental findings are not necessarily incompatible with any of the alternative models, but they describe new, additional findings for which we need to account. The rules are chosen by the nervous system according to features of the kinematic task to couple muscle contraction at the shoulder and elbow in a linear synergy. Speed and load control preserves the relative magnitudes of the dynamic torques while directional control is accomplished by modulating them in a differential manner. This control system operates in parallel with a positional control system that solves the problems of postural stability.