UNIVERSITY OF MALTA LIFE SCIENCE RESEARCH SEMINARS Web: http://events.um.edu.mt/scisem/ Email: scisem@um.edu.mt Abstract form Title: Sensory-Motor control of the upper limb: effects of chronic pain Presenter: Dr. Victoria Galea, PhD Contact address: Associate Professor School of Rehabilitation Science, McMaster University Tel: 001 905 525 9140 #22189 Fax: 001 905 524 0069 Email: galeav@mcmaster.ca Presentation date: Monday, November 5th, 2007 Abstract Natural limb movements are shaped and controlled with input from the peripheral exteroand proprioceptors. Although ongoing sensory feedback is particularly important for reaching and aiming tasks, in fact any controlled movement is affected by the interaction of the information fed back from the peripheral nervous system with ongoing monitoring and predictive control from sub-cortical areas of the brain such as the cerebellum. In this presentation I will briefly review sensory-motor connections between the central nervous system and upper limb. In addition I will present current thinking on Internal Models of Motor Control that form the basis of our research on both typical and disordered motor control of the upper limb. Specifically I will outline current work being conducted by our team of researchers (HaNSA) to deal with the problems of functional compromise of the body due to problems in the neck. We routinely observe disruptions in the neurological coordination of the shoulder and elbow during functional reach and grasp tasks in patients with moderate to severe chronic neck pain. In many cases the deficits we observe are beyond what could be attributed to strength deficits or sensory impairment. We propose that differences in motor programming and in interactions of the motor periphery and central processes characterize an “apraxia- like” condition which leads to considerable disability and deterioration in quality of life. Recommended reading Wolpert DM, Miall RC, Kawato M. Internal models in the cerebellum. Trends in Cognitive Sciences. 2(9):338-347, 1998