Reaching-to-Eat in Humans Post-Stroke: Fluctuating Components Within a Constant Pattern

Reaching movements of the arm and hand become automatic early in development and are used throughout one's life span. Studies on skilled reaching have focused on the kinematic aspects and have advanced our knowledge of the individual motor components of reaching. It has also been shown that motor behaviors are organized in terms of ethologically relevant actions, rather than by motor components. Thus, it is important to analyze how the motor components of reaching are performed within the overall action as a whole. The objective of the present study was to examine the motor components of reaching-to-eat within the context of the overall behavior in stroke participants. Results show that reaching-to-eat involves the whole body to produce isolated actions of the limb and changes after stroke in three fundamental ways: abnormal use of nonkinematic aspects of movement, body-limb disintegration, and a disruption in the temporal aspect of the phases of reaching-to-eat. The movements within the behavior can reorganize, possibly a reflection of dynamic interactions between behavioral compensation and neuroplasticity, while the overall performance of the behavior remains the same. Such subtle flexibility may be part of the process of recovery.