Somatosensory contribution to motor learning due to facial skin deformation.

Motor learning is dependent on kinesthetic information that is obtained both from cutaneous afferents and from muscle receptors. In human arm movement, information from these two kinds of afferents is largely correlated. The facial skin offers a unique situation in which there are plentiful cutaneous afferents and essentially no muscle receptors and, accordingly, experimental manipulations involving the facial skin may be used to assess the possible role of cutaneous afferents in motor learning. We focus here on the information for motor learning provided by the deformation of the facial skin and the motion of the lips in the context of speech. We used a robotic device to slightly stretch the facial skin lateral to the side of the mouth in the period immediately preceding movement. We found that facial skin stretch increased lip protrusion in a progressive manner over the course of a series of training trials. The learning was manifest in a changed pattern of lip movement, when measured after learning in the absence of load. The newly acquired motor plan generalized partially to another speech task that involved a lip movement of different amplitude. Control tests indicated that the primary source of the observed adaptation was sensory input from cutaneous afferents. The progressive increase in lip protrusion over the course of training fits with the basic idea that change in sensory input is attributed to motor performance error. Sensory input, which in the present study precedes the target movement, is credited to the target-related motion, even though the skin stretch is released prior to movement initiation. This supports the idea that the nervous system generates motor commands on the assumption that sensory input and kinematic error are in register.

RCT Entities:   Population Interventions Outcomes