Reshaping Movement Distributions With Limit-Push Robotic Training.

High-cost situations need to be avoided. However, occasionally, cost may only be learned by experience. Here, we tested whether an artificially induced unstable and invisible high-cost region, a "limit-push" force field, might reshape people's motion distributions. Healthy and neurologically impaired (chronic stroke) populations attempted 600 interceptions of a projectile while holding a robot handle that could render forces to the hand. The "limit-push," in the middle of the study, pushed the hand outward unless the hand stayed within a box-shaped region. Both healthy and some stroke survivors adapted through selection of safer actions, avoiding the high-cost regions (outside the box); they stayed more inside and even kept a greater distance from the box's boundaries. This was supported by other measures that showed subjects distributed their hand movements within the box more uniformly. These effects lasted a very short time after returning to the no-force condition. Although most robotic teaching approaches focus on shifting the mean, this limit-push treatment demonstrates how both mean and variance might be reshaped in motor training and neurorehabilitation.