Perception & Cognition
PRACTICAL KINESTHESIA II. Sensory stimulation
Revised from J.S.Longstaff (1996 & 2003)
Summary
Kinesthesia. II. Sensory stimulation
At the stimulation level kinesthetic, raw sensory data arise throughout the body from receptors in:
- muscles,
- tendons,
- joints,
- skin,
- vestibular apparatus,
- eyes,
- ears, and
- from 'central feedback' of interior knowledge of motor commands (efference).
Types of Kinesthetic Raw Data
Various sensory receptors and an internal knowledge of motor commands contribute data which is derived into kinesthetic perceptions. This section will briefly review the functioning of each type of receptor, the stimulation which it responds to, and the type(s) of information the receptors provide. Evidence for an internal knowledge of motor commands (referred to here as efferent data) is also noted.
A fundamental characteristic of receptor function is the rate of adaptation of a sensory receptor response to a stimulus which is steady and continual (Sherrick and Cholewaik, 1986, p. 111-6). These are classified as generally two types: 1) Quickly adapting receptors stop responding to a continual stimulus very soon are are therefore efficient in sensing rapidly changing stimulation such as quick movements; 2) Slowly adapting receptors maintain their response to a continual stimulus for a long period and are therefore efficient in sensing continuous, unchanging stimulation such as a maintained bodily position.
Muscle Spindles; Primary and Secondary Endings.
Muscles are composed of hundreds of individual long slender muscle fibres which connect to tendon filaments at either end which in turn attach to bones. The large main muscle fibres are referred to as extrafusal fibres and produce the muscles strength from their force of contraction.
Modified muscle fibres of the sensory spindle organs are referred to as intrafusal fibers and are arranged in parallel to the longer, thicker extrafusal fibres. This arrangement allows the intrafusal fibres to shorten and lengthen together with the extrafusal fibres but without carrying any of the burden of force. A muscle spindle receptor, within the thin intrafusal fibres, has two types of sensory endings known as primary and secondary.
Secondary spindle endings increase their response linearly as the muscle length increases throughout the range of the muscle (Matthews and Stein, 1969) and so they function analogously to slowly adapting receptors. The secondary spindles provide data about the overall length of the muscle but are not sensitive to small quick changes in the muscle length (Rothwell, 1987, pp. 76-87).
Primary spindle endings are sensitive to much smaller muscle length increases but their response does not increase regularly with muscle length (Matthews and Stein, 1969). Rothwell (1987, pp. 77-79, 86-87, 97) reviews how primary endings are thought to respond to cross-bridges which link parallel intrafusal fibres. The cross-bridges are stiff, when the fibres slide apart (as the muscle lengthens) beyond some critical point the cross-bridges break and reform at the new muscle length. Because of this they are sensitive to very small changes in muscle length (motion) and then quickly return to a static level of response once the new length is arrived at. This pattern of response occurs irrespective of the overall muscle length. They are so sensitive to muscle length changes that they may even respond to arterial pulse or respiratory movements. However, the response of the primary endings to static positions is low, only 10 per cent of spindles show any discharge at all at a comfortable rest position of the hand (p. 97). This behaviour of quick responses to small stimuli changes, followed with an immediate return to a neutral response level is analogous with quickly adapting receptors.
From these patterns of responses, it is believed that the primary endings sense velocity of muscle change-of-length and muscle length, while the secondary endings sense only muscle length (Clark and Horch, 1986; Rothwell, 1987, pp. 74-104).
Tendon Receptors.
Slowly adapting Golgi tendon organs are located at muscle-tendon junctions and are composed of a capsule enclosing several tendon filaments. These are attached end-to-end with muscle fibres and tendon filaments (in series) and this arrangement allows the Golgi tendon organs to respond to muscle-tendon tension regardless of muscle length. Muscle length and tension are separate, for example in an isometric contraction the muscles contract (increased muscle-tension) but limbs do not move (identical muscle-length). Golgi tendon organs have been shown to increase their response to increases in muscle tension very accurately (Crago et al., 1982).
Two other types of receptors in muscles and tendons seem to be of a lesser importance and have not been widely studied. Paciniform corpuscles are mostly found near the Golgi tendon organs are are sensitive to vibrations. Free nerve endings are found throughout the muscle and tendon structures and seem to be sensitive to mechanical pressure and pain stimulation (Clark and Horch, 1986; Rothwell, 1987, pp. 74-104).
Joint receptors.
Slow adapting Golgi sensory receptors (similar to Golgi tendon organs), are found in the ligaments which connect bone to bone and form the outer layer of the joint capsule. Slow adapting Ruffini receptors and quick adapting paciniform corpuscles, similar to those found in skin, are also found in the tendon material of the joint capsule. Free nerve endings are found throughout the joint connective tissue (McCloskey, 1978, pp. 766-767).
The functioning of joint receptors is debated by physiologists (for reviews see Clark and Horch, 1986; and McCloskey, 1978). Skoglunds (1956) findings that cat knee joint receptors are selectively activated by certain positions of joint angle led most researchers to believe that the slow adapting Golgi and Ruffini receptors within the ligaments around the joint respond to being stretched. Contrary to this other researchers (Burgess and Clark, 1969; Clark, 1975; Clark and Burgess, 1975; Grigg, 1975) found that most cat knee joint receptors respond only to extreme joint angles. Still other researchers (Carli et al., 1979) found that cat hip joint receptors responded at all angles with the same increasing rate of response with increased flexion or extension of the joint.
The cat knee has also been shown to respond sensitively to pressure into the joint capsule, leading some researchers (Clark, 1975; Clark and Burgess, 1975) to hypothesise a pressure response (rather than a stretch response) for joint receptors. The quickly adapting paciniform corpuscles probably respond to high speed vibrations as they do in the skin. (General references for joint receptors; Clark and Horch, 1986; Rothwell, 1987, pp. 74-104.)
Skin Receptors.
Free nerve endings are close to hair follicles and stimulated by movements of bodily hairs (resulting from bodily moves or external forces). Slow adapting Merkel disks are close to the surface of the skin, respond only to vertical skin pressure (ie. pressure into the body, not lateral stretch of the skin), and may maintain their response to a constant pressure for up to ten minutes. Quickly adapting Meissner corpuscles are also close to the surface of the skin and sensitive to pressure but will cease responding in seconds.
Slow adapting Ruffini sensory endings are deeper in the skin and demonstrate a directional specific response to stretching of the skin. One direction of stretch will elicit a response, but a stretch at a right angle to that direction will elicit no response (Knibestol, 1975). Quick adapting Pacinian corpuscles are also deep in the skin and respond to stimuli in an area almost as large as the whole palm in some cases (Rothwell, 1987, p. 99). Its sensory ending is surrounded by concentric rings which eliminate low frequency vibration and so they respond only to rapid vibrations. (General references for skin receptors; Clark and Horch, 1986; and Rothwell, 1987, pp. 74-104.)
Receptors in skin provide kinesthetic data about the stretching and bending of the skin during movement and within poses. Skin kinesthesia may be especially important in areas of dense skin receptor populations such as the hands, feet, face, and mouth (Moberg, 1983; see below).
Vestibular Receptors (Labyrinth).
The vestibular system is the non-auditory part of the inner ear. There is one vestibular system for each ear (bilateral). Each system is composed of two parts, the otolith organs and the semi-circular canals. Both the otolith organs and the canals consist of chambers filled with a think endolymph fluid. When the head moves through space the inertia of the heavy endolymph fluid causes it to lag behind the movement and thus push against a gelatinous membrane connected to tiny hairs which are connected to nerve endings. When a steady velocity is reached the endolymph fluid stabilises in its chambers and so the sensory response stops. Because of this, the vestibular system responds to accelerating or decelerating changes in speed but not to constant speed.
The otolith organs consist of two sack-shaped chambers, the utricle and the saccule, each filled with endolymph fluid. The hairs connected to nerve fibres are arranged on the floor of the utricle and around the wall of the saccule. Because of this symmetrical arrangement of hairs a rotary acceleration around a vertical axis passing through the head causes opposing forces in the otoliths which cancel each other out and therefore cause no sensation. A linear acceleration through space will cause the endolymph to push unevenly on the hairs and elicit a sensory response. The nerves of the otolith organ also have a constant discharge which continually indicates the direction of gravity.
The semi-circular canals consist of three ring-shaped chambers, each forming a compete circuit of endolymph fluid approximately 3-4mm in diameter. The three canals are oriented at approximate 90° angles from each other so that one canal is roughly parallel to the frontal, medial, and horizontal planes of the body. This mutually perpendicular arrangement allows rotation around any axis to be registered in at least one of the canals, however there is little response from purely linear motion.
In each canal there is one cupula which is the gelatinous projection into the endolymph fluid which is connected to the sensory hairs. When the head undergoes a rotary acceleration the inertia of the heavy endolymph fluid causes it to lag behind the motion and push against the cupula which elicits the sensory response. If the rotary speed is constant after a short time the fluid will stabilise in the canals and the nerves will stop responding. If the motion is then abruptly decelerated the fluid will continue moving and push against the cupula in the opposite direction. This can cause the sensation of turning in the opposite direction accompanied by post rotary nystagmus (see below). (General references for vestibular receptors; Kapit and Elson, 1977; Howard, 1986.)
Visual Receptors.
The visual-motor system plays an important part in kinesthesia by sensing visual field motion and vision of the body moving (general references; Hood and Finkelstein, 1986; Hallett, 1986; Westheimer, 1986).
Each eye is roughly spherical. At the front of the eye the cornea bulges forward which serves to gather electromagnetic light rays into itself and thus expand the visual field.* The light which is collected by the cornea passes through the adjustable opening of the pupil and into the oval shaped lens.
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* The visual field consists of the spatial range of electromagnetic radiation reaching the retina at any one moment. This is also known as the visual array or the optic array.
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The retina is a layer of photo-sensitive sensory receptor cells covering the interior surface of the eye. There are two types of visual receptor cells, approximately 120 million rods and 6.5 million cones in each eye. Cones occur in high density in the central fovea region of the retina (more than 140,000 / mm2), low density in the peripheral region of the retina (less than 10,000 / mm2) and are sensitive to high intensity light (daylight brightness), colour vision, and fine detail. Rods occur in low density in the central fovea region (virtually 0), high density in the peripheral region of the retina (from 50,000-160,000 / mm2) and are sensitive to low intensity light (night-light brightness).
The fovea is a small area on the retina which contains a high density of cone photoreceptors. This is the retinal location where visual stimuli can be seen in greatest detail and so is where visual images fall when a person fixates her vision on a point in space. The size of the fovea can encompass stimuli which fills approximately 0.5° of visual angle,* or about the same visual angle occupied by a view of the moon from earth (Westheimer, 1986, p. 4.6).
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* Visual angle refers to the amount of space filled by an object within the visual field, measured in angular degrees with the angles vertex at the centre of the eye (Sedgwick, 1986).
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Monocular focus, also called accommodation, is accomplished by the ciliary muscle adjusting circumferential tension around the lens, thus allowing the lens to bend the light rays in variable amounts. This adjustment of the lens shape takes approximately 0.6 sec. to complete. The lens accommodation bends the diverging light rays and converges them onto the retina at the back of the eye. When diverging light rays from a single point in space are converged by the lens into a single point on the retina, than this point is in monocular focus.
Binocular focus, also called vergence, is the only type of eye movement when the eyes do not follow parallel pathways. To keep a stimulus in binocular focus (ie. its image falling on the fovea of each eye) the two eyes either rotate closer together or farther apart in response to a stimulus moving closer or farther from the observer respectively.
Two types of data can be distinguished which contribute to visual kinesthesia. These can be referred to as visual field motion and vision-of-the-body moving.
- Visual field motion.
Early analysis of kinesthesia from visual field motion (Gibson, 1958; 1966) discussed how the visual field will appear to move across the retina when an organism travels or turns through space. Patterns of visual field motion, or optical flow become associated with the self-motion which usually produces them. For example, when travelling forward the entire visual field will expand and appear to move past on the sides while the point travelled toward remains in the centre of the visual field while gradually becoming larger (G. J. Andersen, 1986; Gibson, 1966).
Other cues within the visual array will add to the details available about the visual field motion (Sedgwick, 1986). Motion parallax refers to how visual stimuli close to the observer move across the visual field faster than visual stimuli far from the observer. Occlusion refers to how visual stimuli farther from the observer will sometimes disappear behind visual stimuli closer to the observer.
Visual nystagmus will also occur when the visual field flows across the retina. This is a basic orienting reflex which helps stabilise the perception of the visual world when the head is in motion. There are two phases of nystagmus which alternate slow phase, fast phase, slow phase etc.
During the slow phase of nystagmus the eyes remain fixated on a location in the exterior environment while the head is in motion. Thus, in the slow phase the eyes are rotating in the head in the opposite direction as the rotation of the head. This stabilises the perception of the exterior environment while the body is in motion.
During the fast phase of nystagmus the eyes quickly catch-up with the head, re-centering the eye in its socket and fixating on a new location in the exterior environment. Thus, in the fast phase the eyes are rotating in the same direction as the head motion.
When the body turns around the vertical axis the visual field flows across the retina right-to-left (or vice versa) and horizontal nystagmus occurs with the eyes also moving right and left. When the body rotates around the lateral axis (eg. somersaults) the visual field flows across the retina top-to-bottom (or vice versa) and vertical nystagmus occurs with the eyes also rotating up and down (also called dolls eye reflex). When the body rotates around the sagittal axis (eg. cartwheels) the visual field rotates around the retina clockwise or counter clockwise and torsional nystagmus occurs with the eyes also torqueing clockwise or counter clockwise. (General reference for nystagmus; Hallett, 1986.)
The motor commands for the eye movements will effect the characteristics of the nystagmus. Focusing and fixating on objects in the visual field results in less frequent, higher speed and larger distance quick phases of nystagmus than non-focused staring (Honrubia et al., 1968). When the eyes have a visual fixation goal the sequence of motion is as follows:
- The eyes begin moving 20 msec before the head begins moving.
- The eyes reach the target before the head reaches the target.
- The head completes its movement to the target while the eyes remain stable and fixated at the target via a compensatory reverse motion relative to the head.
When there is not a visual fixation goal for the eye movement (eg. in a dark room) then the eyes respond to, rather than guiding the movement. The sequence of motion is as follows:
- The head begins moving while the eyes begin slow phase of nystagmus in the opposite direction, remaining stable in the environment.
- The head continues moving while the eyes alternate slow and fast phases of nystagmus.
- The head completes its movement to a new position.
- The eyes catch-up to the head with the nystagmus fast phase.
This reveals how eye motion can function to guide the body movement or the eye motion can occur as a reflex response in reaction to body movement (Bizzi, 1974; Howard, 1986). In dance practice a similar technique is used known as spotting in which the eyes [are] focused at a definite point while the body is turning (Grant, 1982, p. 84):
[Spotting] is a term given to the movement of the head and focusing of the eyes in pirouettes [and other turning movements] . . . In these turns the dancer chooses a spot in front and as the turn is made away from the spot, the head is the last to leave and the first to arrive as the body completes the turn. This rapid movement . . . prevents the dancer from becoming dizzy. (Grant, 1982, p. 113)
Though the description of spotting often focuses on the use of the head, spotting is essentially an eye fixation which is maintained until the last possible moment during a turn. Then the eyes lead the movement around the turn and back to the same fixation point. This helps stabilise the perception of the exterior environment.
Nystagmus elicited by visual field motion is referred to as optokinetic nystagmus but nystagmus can also be elicited by audio, vestibular, or somatic sensations. The occurrence of nystagmus from a variety of stimuli, and the accompanying perception of self-motion, adds to evidence for sensory convergence which posits that afferent signals from different sensory receptors converge together within the nervous system (Bles, 1981; DiZio and Lackner, 1986).
During vestibular nystagmus (vestibulo-ocular reflex) stimulation from the vestibular canals and otolith organs elicits visual nystagmus (even in the absence of visual stimuli). Extrinsic eye muscles and vestibular canals are directly linked. Electrical stimulation to each of the six vestibular canals excites one of the corresponding six eye muscles which is responsible for moving the eye in the same plane of orientation as that canal (Hallett, 1986, p. 10.13).
The quality of vestibular nystagmus, and so kinesthetic perception, depends on types of visual fixation which are used while the body is rotating. Focusing on, or imagining, stationary objects in the environment results in a nystagmus slow phase of equal velocity as head movement speed. Non-focus in darkness results in slower slow phase speed than head movement speed. An imagined focus on an object moving along with the subject (imagined visual tracking) results in even slower phase speed, and focusing on a real object moving along with the subject (eg. focusing on your hand in front of your face while turning) virtually eliminates vestibular nystagmus completely (Barr et al., 1976).
When a subject rotates at a constant velocity after about 20 seconds the vestibular fluid stabilises and therefore stops stimulating the nervous system. If there is no visual field motion (eg. eyes are closed) then the nystagmus may stop. If bodily rotation decelerates the vestibular fluid will keep moving and therefore stimulate the nervous system just as if the body was rotating in the opposite direction. This deceleration elicits post rotary nystagmus where the body may have stopped turning yet the visual field appears to be rotating and nystagmus is occurring. The direction of this nystagmus may reverse several times while the vestibular fluid is gradually stabilising. Similar effects may be caused by alcohol consumption (Howard, 1986, p. 11.14).
A source of sound which rotates around a stationary subject will also elicit a nystagmus reflex and perceptions of self-rotation (Lackner, 1977b). This is termed audio nystagmus.
Various types of somatic stimulation will also elicit perceptions of self-motion accompanied with the nystagmus reflex and so are termed arthrokinetic nystagmus. For example nystagmus and (illusory) perceptions of self-motion have been shown to occur when a hand is placed on a circular wall which rotates around a (blindfolded and stationary) subject (resulting in shoulder articulation) (Brandt and Buchelle, 1977), or when blindfolded subjects walk in place (ie. stationary) on a circular conveyer belt (resulting in spinal, hip, knee, and ankle articulations) (Bles, 1981).
Nystagmus is a visual reflex which contributes to the perception of the orientation of the body relative to a stable exterior environment while the body is moving. It also assists rapid scanning. When the eyes scan across an environment then slow/fast nystagmus phases will reflexively occur. If the eye movement was continuous (no nystagmus) then the visual image would be blurred. Smooth eye movements (continual smooth eye motion with no nystagmus) will only occur during voluntary tracking, that is, maintaining a fixation on a smoothly moving stimulus. When the background is visually distinctive then nystagmus will still tend to occur. Tracking the moving stimulus against a black background will allow most success in completely inhibiting the nystagmus reflex (Hallett, 1986).
- Vision of the body moving.
Sensory data from the vision of ones own body is also a dominate source of information contributing to kinesthesia. We know our body positions and movements because we can see them. This source of data is overlooked in most discussions of kinesthesia, perhaps because it would be considered visual-spatial information. Since the vision of the body provides data about body moves and poses it can properly be considered to be kinesthetic.
Indeed, information from the vision of the body appears to be given more perceptual reliability. For example, somatic sensory data can be intentionally ignored but data from the vision of the body cannot be ignored and thus will dominate the spatial memory (Klein and Posner, 1974; Reeve et al., 1986). Greater amounts of vision of the body results in more accurate recall of body poses, regardless of greater or lesser amounts of somatic sensory data (Adams et al., 1977). Visual spatial data typically tends to dominate the perception of kinesthetic spatial data (see Longstaff, 1996, Apx. IV.12). The perception and learning of limb positions and movements is also possible even when all somatic nerves have been severed (in monkeys) and vision of the body together with efferent data (see below) are the only sources of kinesthetic information (Taub and Berman, 1968).
Audio Receptors.
The structure of the outer ear truly begins with the body itself. As sound approaches the ears it may bounce off, or be shadowed by the shoulder and the head. The neck and entire body allow the position of the ears to be rapidly and precisely shifted. The bilateral positioning allows two separate samples of the incoming auditory stimuli.
The outer ear proper begins with the outermost, visible, cartilaginous part termed the auricle (or pinna). Its expanded shape serves to collect sound waves and channel them into the narrow auditory canal which guides the waves to the tympanic membrane (ear drum).
The middle ear consists of three tiny bones forming a linkage which transfers and amplifies the vibration from the tympanic membrane to the inner ear. The bony linkage may also be vibrated directly through the bones of the skull (eg. the sound of clicking you own teeth together).
The vibrations are transferred to the thick lymphic fluid within the spiral-shaped cochlea of the inner ear. The vibrations create waves in the lymphic fluid which move up the cochlea and stimulate tiny hairs on its interior surface which are connected to nerve endings. Stimulation of hairs at the base of the cochleas spiral produces a perception of high pitch and stimulation towards the tip of the spiral produces a perception of low pitch. (General references for audio receptors; Kapit and Elson, 1977; Scharf and Buus, 1986; Scharf and Houtsma, 1986.)
Similar to the processes of visual kinesthesia, two types of audio information can be distinguished. These can be termed audio field motion and audition of the body moving.
- Audio field motion.
Analogous to visual field motion, when an organism travels or rotates through space the surrounding sounds of the stable environment will be in motion relative to the organisms ears. This audio field motion contributes to the subjects perception of self-motion and a stable environment. Audio field motion is an important kinesthetic cue and can create illusions of self-motion and accompanying nystagmus by rotating a sound around a blindfolded, stationary subject (Lackner, 1977b).
- Audition of the body.
Our use of sensory data from the audition of the body is included in Gibsons (1966, p. 37) concept of auditory proprioception and its importance can be practically experienced by attempting a kinesthetic task with plugged ears. Body movements can be heard internally through the bones and externally through the outer ear. We also hear the effects of our movements (eg. the sound of each key tapping on a typewriter). This auditory feedback provides data regarding the bodily movements.
Efferent Data.
A mechanism is hypothesised whereby we have an internal knowledge of the motor commands which have been initiated. This is sometimes termed efference (efferent commands as opposed to afferent feedback). It might be considered that efferent data is fundamentally different than the peripheral sensory feedback of other types of kinesthetic data. However, efference can be considered to be a central or internal feedback loop which serves as a motor memory storage system operating without the requirement of peripheral feedback (Kelso, 1977b, p. 34). This central feedback is thought to be available to establish a stronger memory representation together with other peripheral kinesthetic feedback (Larish et al., 1979). Efferent data provides useful information about the bodys movements and positions and so is a vital contributor to kinesthesia.
One source of evidence for the existence of efferent data is that monkeys who have had their somatic nerves surgically severed can still learn and perform gross limb movement and positioning tasks (eg. walking, climbing up a wire cage, reaching and grasping for food) (Taub and Berman, 1968; Taub et al., 1973; Bossom, 1974) or be trained to point at visual targets without sight of the limb (Bossom and Ommaya, 1968; Taub et al., 1975) (though accuracy for fine movements such as grasping small objects did not develop normally). After more time these monkeys were able to execute normal gross movement while also blindfolded or with the reaching hand out of view. In addition, monkeys with surgical somatic deafferentiation of forelimbs and blinding on the day of birth still learned to use the limbs for gross tasks such as supporting weight, walking, linking forearms (though more learning time was required overall and reaching toward objects could not develop) (Taub et al., 1973). Since sources of somatic information have been eliminated it is hypothesised that efferent information, and also sometimes vision of the body, is used to perceive body movements and positions.
Efference is also indicated by research which demonstrates that subjects actively produced movements to end-positions of their own choice can be recalled better than if the experimenter manipulates the subjects passive arm. Presumably efferent data is produced when the movements and positions are generated actively by the subject and this data is available to derive an accurate perception (see active versus passive limb positioning; Longstaff, 1996, Apx. II.43).
Other evidence comes from the reaction time required to correct an error in an executed movement. The time required to perceive, process, and react has been measured at 190-260 msec for visual feedback (Keele and Posner, 1968) or 108-169 msec for somatic feedback (Higgins and Angel, 1970). However, movement errors can be corrected as fast as 83 msec from the moment of initiation (Higgins and Angel, 1970). This rapid ability to correct ones own movement errors is therefore attributed to a knowledge of efferent data rather than sensory feedback.
Two theories about the nature of the interior knowledge of motor commands are termed efference copy and corollary discharge. Corollary discharge (Teuber, 1974) posits that a copy of motor commands is sent to perceptual centers where it influences the interpretation of the raw sensory data. Efference copy (Jones, 1972; 1973; Von Holst, 1954) posits that a copy of the motor commands are saved for future executions of the same movement and to compare to other kinesthetic data (eg. from joints and muscles). Clark and Horch (1986, p. 13.57) illustrate the two theories with diagrams. Kelso (1977b) compares efferent copy with corollary discharge in a linear positioning task and found that simply forming the motor plan in ones mind did not result in as accurate kinesthetic memory as when also actively executing the motor plan. This indicates that the most useful efferent discharge (p. 34) or efferent information (p. 42) is generated by actually executing the motor plan, rather than simply reading an efferent copy of the commands without having executed them. For the purposes of this study this difference is not critical. The knowledge of motor commands can be generally referred to as efferent data of efferent information.
REFERENCES AT:
http://www.laban-analyses.org/jeffrey/1996_phd_thesis/phd_references.htm
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