App - Deafferentation
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APP 6: Chronic Deafferentation (I.W. And C. F) and Integration
I’ve uploaded parts of a BBC documentary on Ian Waterman. This is the ONLY
person alive who is deafferented AND can walk. He is absolutely amazing. These
two segments last about 30 minutes. It is fascinating to hear him talk about how
he taught himself to move, and how he worked and worked to try to make his
actions look "normal." However, he does not do this in a normal manner. He must
use CONTROLLED PROCESSING all the time.
Watch the video, work through
the questions below (these answers need not be submitted, but working
through them will help you complete the last question – the last question
(on the next page) will be the answer that will be assessed. and submit
online by 11:30 Thursday eve. Bring a hard copy of your work on Friday to
class.
Background: IW and CF – both became deafferented after being infected by a virus, attacking their
dorsal root ganglia. IW has sensation in neck; CF has no sensation from the neck down.
IW became deafferented at age 19 – and decided not to be dependent upon his mother for the remainder
of his life. Thus, he worked for two years almost exclusively to regain motor control. IW’s movement
ability is similar to an Olympic athlete – he has honed and continues to constantly work at maintaining
his skill level.
CF became deafferented at approximately age 45. He could still carry on in his business from home at
his present level of disability, and has a wife who helps to care for him. Thus, motivation, desire and age
(?) may be working against a recovery similar to IW’s (and possibly lack of proprioception in his neck)
During video note:
CF can maintain posture on hands and knees
CF can walk with the aid of a therapist
CF can button (but note placement of fingers) and connect paper clips (note use of fingers)
IW can walk unaided – how??? What strategies does he use?
IW can connect paper clips
IW can move arm/hand without the jerkiness
Questions to discuss
What kind of closed loop control does IW utilize?
What kind of open loop control does IW utilize?
What has IW mastered to accomplish his motor control?
How does he manage to move the way he moves?
What do IW’s accomplishments tell us about central representation?
Integrate vision and vestibular function into the discussion
–
What is the role of optic flow? feedforward vision? visual feedback? tau?
How well do you think IW could catch a ball? What are specific limitations?
How do we use vision for catching? How do we use proprioception?
You only need to submit your answer to this question
What has IW mastered to accomplish motor control – i.e., how does he manage to move the way
he moves?
Address closed-loop control, open loop control, attention, and central representation in a
couple of paragraphs.
No more than 1 page double-spaced. Underline any key terms from above that
you use.
Ian is an astounding case of deafferentation. To be able to actually appear “normal” and move his
muscles and appendages with what appears to be ease is actually quite a taxing ordeal that takes more
attention than one could imagine. If we think about what open and closed loop control are first, we can
better understand how Ian has mastered motor control.
Open loop control
is ballistic and fast. It also runs in a preset way. Ian has lost this control over his body.
Instead, Ian has to constantly rely on closed-loop control
. His movements are slower and are feedback-
dependent all the time. If he doesn’t get that visual feedback for his body, he is unable to successfully
perform a simple task like going grocery shopping as shown in the video.
Though I mentioned that Ian may have lost his open loop control for simple motor skills, having his
eyesight unhindered could maybe allow his brain to work in a preset way with practice and time. A sort
of plasticity if you will where the brain needs to activate different neurons in order to keep that focus.
It appears Ian has gained control over his body because of his high attention demand. Because he has
lost that open-looped control, he must rely on thinking about every movement, all the time, in order to
have an appearance of proprioception. Kinesthesis is out of the picture for Ian as he has to rely on his
vision in order to move. Without it, as mentioned, above, Ian is unable to perform simple motor
functions. This is demonstrated towards the end of the video when he was asked to gesture without
looking at his hands. The impulse was there, yet the execution was lacking.
Because Ian has his vision to rely on, the focus demand is beyond what most people can imagine. In the
video, they state that to be able to control every movement manually and without any automaticity takes
almost an obsessiveness of focus and determination. This focus and conscious thought is an extreme use
of controlled processing (“attention”)
. Because of the need to perform serial movements to complete a
task, One could argue that Wicken’s theory is more accurate than Kahneman’s since Wicken argues that
there are multiple pools of attention. If there was one attention pool being used like Kahneman argues,
then Ian would be drained easily. Though the attention demands are still incomprehensible to most
people, having multiple pools of attention would allow Ian to dip his brain into those different pools at a
time rather than stealing from one pot for all movements.
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