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The Journal of Neurophysiology Vol. 87 No. 5 May 2002, pp. 2421-2433
Copyright ©2002 by the American Physiological Society
The Smith-Kettlewell Eye Research Institute, San Francisco, California 94115-1813
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ABSTRACT |
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Miller, Joel M., Christopher J. Bockisch, and Dmitri S. Pavlovski. Missing Lateral Rectus Force and Absence of Medial Rectus Co-Contraction in Ocular Convergence. J. Neurophysiol. 87: 2421-2433, 2002. For a given position of the eye in the orbit, most abducens motoneurons (LRMNs) fire at higher rates in converged gaze than when convergence is relaxed, implying that lateral rectus (LR) muscle force will be higher for a given eye position in convergence. If medial rectus (MR) muscle force balances LR force, it too would be higher in convergence, that is, LRMN recording studies predict horizontal rectus co-contraction in convergence. Three trained rhesus monkeys with binocular eye coils and custom muscle force transducers (MFTs) on LR and MR of one eye alternately fixated near (approximately 7 cm) and far (200 cm) targets with vergence movements of 20-30°. Tonic muscle forces were also measured during conjugate fixation of far targets over a 30 × 30° field. MFT characteristics and effects on oculomotility were assessed. Contrary to predictions, we found small (<1 g) decreases in both LR and MR forces in convergence, for those gaze positions that were used in the brain stem recording studies. This missing LR force paradox (higher LRMN firing rates in convergence but lower LR forces) suggests that motoneurons or muscle fibers contribute differently to oculorotary forces in converged and unconverged states, violating the final common path hypothesis. The absence of MR co-contraction is consistent with, and supports, the missing LR force finding. Resolution of the missing LR force paradox might involve nonlinear interactions among muscle fibers, mechanical specialization of muscle fibers and other articulations of the peripheral oculomotor apparatus, or extranuclear contributions to muscle innervation.
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INTRODUCTION |
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The part of the oculomotor plant
that includes the motoneurons and extraocular muscles has been called
the final common path (FCP) (Robinson 1968
,
1975a
), following Sherrington (Brodal 1981
), to
emphasize that signals from the various supernuclear control centers
lose their identities in a single, homogeneous channel. The
oculomotor plant hypothesis further supposes that a simple, machine-like relationship between ensemble motoneuron firing rate and
instantaneous eye position (jointly determined by linear relationships between motoneuron discharge rate and conjugate eye position, and the
pattern of motoneuron recruitment) holds for all types of eye movement
(Keller and Robinson 1971
, 1972
; Robinson
1981
; Skavenski and Robinson 1973
), that
structures from the motoneurons on out to the eyeball are controlled as
opposed to being parts of the controller. Accordingly, the oculomotor
plant is described by a simple transfer function (Robinson
1981
).
Studies of vergence eye movement have already disproved the oculomotor
plant hypothesis by showing that for a given position of the eye in the
orbit, mean abducens motoneuron (LRMN) firing rates are higher in
converged or near gaze than in unconverged or far gaze. Mays and
Porter (1984)
recorded in the abducens nuclei of monkeys and
found that nearly all abducens neurons (presumably including both LRMNs
and abducens internuclear neurons or AINs) decreased firing in
ipsilateral adduction, but that the mean decrease in convergent
adduction was only 62% of that in conjugate adduction. Because
vergence signal strength varied, it was possible that cells with the
weakest vergence signals formed a pool of AINs, and the others, a pool
of LRMNs, with the latter carrying equal vergence and conjugate
signals. Gamlin et al. (1989)
disproved the pool
hypothesis by comparing identified AINs with undistinguished abducens
neurons. For a given ipsilateral eye position, regardless of whether it
was convergent or conjugate, neurons in both classes had similar firing
rates. The mean firing rate decrease in convergent adduction was
approximately 50% of that in conjugate adduction, similar to the
difference found in the Mays and Porter study. Zhou and King
(1998)
recorded directly from VIth nerve rootlets and found
that 66% of LRMNs were modulated with monocular movement of either
eye. In particular, many LRMNs increased firing with adduction of the
contralateral eye, although the ipsilateral eye was stable. The finding
that for a given eye-position LRMNs fire at higher rates in convergence
means that the relationship between motoneuron firing rate and eye
position depends on which supernuclear eye movement subsystem
determines the firing rate, a clear violation of the oculomotor plant hypothesis.
Nevertheless, the studies of Mays and Porter (1984)
,
Gamlin et al. (1989)
and Zhou and King
(1998)
do not refute the FCP hypothesis. Even if there is no
fixed relationship between firing rate and eye position, there still
might be a fixed relationship between firing rate and muscle force (at
a given muscle length). However, in that case, the brain stem recording
studies clearly predict that LR forces will be higher in converged than
in unconverged gaze for a given eye position. Further, if the higher LR
abducting forces were balanced by higher MR adducting forces, overall
horizontal rectus co-contraction would result. Some
electromyograph (EMG) studies suggest that there is co-contraction in
convergence (Tamler and Jampolsky 1967
; Tamler et
al. 1958
), whereas others do not (Breinin 1957
),
presumably because of variability of motor unit sampling, small sample
sizes, and instability of EMG electrode placement. An alternative to MR
co-contraction is for cyclovertical eye muscles to provide adducting
forces to balance the excess LR force predicted in convergence. In any
case, the prediction of higher LR forces in convergence is an
inescapable consequence of the results of the brain stem recording
studies in conjunction with the FCP hypothesis.
The studies of Mays and Porter (1984)
and Gamlin
et al. (1989)
sought to clarify a seeming inelegance of
oculomotor system design: that vergence innervation to the MRs might
need to cancel inappropriate innervation from AINs via the medial
longitudinal fasciculus. A finding that abducens neurons behaved the
same in version and vergence would have confirmed the "wasteful"
design but been otherwise unproblematic. Instead, the results of these studies, and also those of Zhou and King (1998)
, lead to
problems accounting for LR as well as MR forces, and in combination
with the results of the present experiments lead to a serious paradox.
In the present study, we measure LR and MR forces in converged and unconverged gaze and find that there are no convergence-related force increases at gaze positions used in the brain stem recording studies. Our finding of missing LR force, supported by the absence of MR co-contraction, casts the FCP hypothesis into doubt, implying that even the relationship between motoneuron firing rate and muscle force is under supernuclear control.
Parts of this work have been previously presented in abstract form
(Miller 1998
; Miller et al. 1999a
).
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METHODS |
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Muscle force measurement
LR and MR muscle forces were measured with muscle force
transducers (MFTs) of our design, an early version of which is
described elsewhere (Miller and Robins 1992
). The device
measures total oculorotary muscle force at the tendon (see Animal
preparation), minimally disturbs extraocular mechanics (see
Binocular coordination and saccade dynamics), and is not
subject to such sampling errors as are inevitable when recording
motoneurons or EMGs. The version of the device used in the current
experiments is less subject to failure (and so, more cost-effective)
and has even less impact on range of gaze (see Binocular
coordination and saccade dynamics). There is no exposed wiring
near the lead exit, a region susceptible to intrusion of body fluids,
and protective coatings of low-viscosity epoxy resin are applied
beneath a Parylene-C envelope. Reliability of the new devices has been
very good. The new device is smaller (approximately 1/3 the area) and
interferes less with eye rotation. Its 6-mm width approximates the
width of a Macaque rectus muscle (Miller and Robins
1987
), although consequently its central aperture narrows the
enclosed tendon by about 33%. Narrowing the tendon decreases its
resistance to sideways bending, but this is probably helpful because it
tends to offset the effects of connective tissue that grows to bind the
tendon to the MFT, increasing resistance to sideways bending. In any
case, the convergence data of the present study were collected near
level gaze and would not be affected by abnormal horizontal rectus
sideways bending. It might be thought that insinuation of connective
tissue during healing would unload the MFT, preventing it from bending
under changes in muscle tension. However, the steel MFT frame is far
stiffer than surrounding connective tissue, which tends to make the
later mechanically invisible. Nevertheless we also express critical force comparisons as equivalent conjugate eye rotations, which scales
them to compensate for possible changes in transducer sensitivity with
implantation. In any case, all that is essential in the present study
is that MFT sensitivity be sufficient to show force differences across
experimental conditions. Except as noted, we always compare forces in
converged and unconverged positions taken within a few seconds of each other.
MFT frames (Fig. 1) were photochemically etched from 0.25-mm-thick, half-hard, type 304L stainless steel sheet and electropolished (Elcon, San Jose, CA). Frame tabs were bent upward to form bearings for a 27-gauge hypodermic tubing cross-rod. U-shaped silicon strain gauges, solder pads, Formvar-coated wiring, and lead wires were mounted (Modern Machine and Tool, Newport News, VA). Lead wires were Teflon insulated 40 gauge, 10 strand stainless steel (Bioflex AS-631, from Cooner Wire, Chatsworth, CA), fitted with silicone rubber sleeves and tied down to the frame with soft 34-gauge stainless steel wire (not shown). Completed frames were coated and heat-cured with AE-15 epoxy (Measurements Group, Raleigh, NC). Parylene-C was then vapor-deposited to a thickness of 0.015 mm (Specialty Coating Systems, Ontario, CA). Detailed fabrication instructions are available at www.eidactics.com/Projects/EOMF_proj/MFT_Fabrication.
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Each MFT was calibrated before implantation and after excision. The MFT was connected to a strain gauge amplifier (Model 2120A, Measurements Group), and excitation of 2.0 v applied. A length of Mylar tape was threaded through the MFT, as a muscle would be, and static loads applied to measure sensitivity and hysteresis. Typical sensitivity functions are shown in Fig. 2. All devices had very similar sensitivities and negligible hysteresis. Sensitivity changed less than 5% from before implantation to after excision. Sensitivity creep was negligible, averaging approximately 1% for a 50-g load over 20 min. For reasons that are not clear (see RESULTS and DISCUSSION), force signals show more drift in vivo than on the bench. Accordingly, our experiments were designed to compare pairs of force samples collected within a few seconds of each other as will be discussed.
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Animal preparation
Three Macaca mulatta served in these studies. Our
protocols were approved by the Institutional Animal Care and Use
Committee of California Pacific Medical Center, and followed the Guide
for the Care and Use of Laboratory Animals (National Research
Council 1996
). Surgery was performed under aseptic conditions.
General anesthesia was induced with ketamine and maintained with
isoflurane gas supervised by a veterinary anesthesiologist. Analgesics
and antibiotics were administered postsurgically. In the first of two
surgeries, we implanted scleral search coils (Robinson
1963
) in both eyes using the method of Judge et al.
(1980)
, except that we sutured coils to the sclera to prevent
slip, using 7-0 dacron on a spatula needle. After training monkeys to
fixate targets for juice reward, we implanted MFTs on the LR and MR of
one eye (Fig. 3). Each rectus muscle was
exposed, a traction suture was passed under the muscle just posterior
to the insertion, and the transducer, with cross tube removed, was
placed face-up on the muscle. While holding the MFT down with forceps
designed to engage its "tie-down" holes, the muscle was tented-up
through the aperture of the frame by pulling the traction suture, and
the cross tube was pushed through the bearing holes in the four tabs
and under the muscle. Thus the MFT was installed so as to engage the
branch of the muscle insertion that rotates the eye but not the
capsular insertion (Bonnet 1841
), or
pulley insertion, which is involved in anterior-posterior
pulley movement (Demer 2002
; Demer et al. 2000
). Nonabsorbable sutures were placed through the
tie-down holes and the muscle margins to stabilize the MFT squarely on the muscle, 2 or 3 mm posterior to the insertion.
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Demer et al. (2000)
have shown in humans that about 12 mm
separate the scleral and pulley insertions of the MR, suggesting that
there is sufficient space for our 5.5 mm wide MFT to be placed 2-3 mm
posterior to the MR insertion in monkey, without interfering with any
mechanically important structures. It would be desirable to verify this
with careful dissection or imaging of both LR and MR in monkey, but we
have not done so. Nevertheless, we can demonstrate that dual MFTs, and
the surgery needed to implant them, had little impact on extraocular
mechanics (see Binocular coordination and saccade dynamics).
Lead wires were positioned in a pocket blunt dissected into the fascia,
as shown in Fig. 3 and were brought out of the orbit under the skin of
the brow and scalp to an acrylic head plate. In one monkey,
ERL, we inadvertently disinserted the LR while exposing it.
Fortunately, we were able to locate the muscle, slip the MFT with
cross-tube onto it, and suture the tendon to its original insertion.
The eye with MFTs will be referred to herein as the instrumented
eye.
Other instrumentation
Miller and Robins (1992)
describe the calibration
of eye coils and measurement of tonic forces using custom software on a Masscomp MC-5500 lab computer, also used here. A LabVIEW program (National Instruments, Austin, TX) on a Macintosh 8100 computer (Apple
Computer, Cupertino, CA) controlled vergence experiments, sequencing
visual targets, sampling eye position and muscle force at 250 Hz, and
delivering juice rewards for accurate binocular fixation. Visual
targets were red light-emitting diodes (LEDs), adjusted to have similar
brightnesses. The near target was a single miniature red LED suspended
by its leads such that it could be precisely positioned in the
monkey's frontal plane and masked to subtend a visual angle similar to
that of the far LEDs. For "aligned" near and far targets, a
vertical misalignment of a fraction of a degree assured that the far
target was visible by the aligned eye.
Data collection and analysis
Each experimental session began and ended with eye-position calibration. One eye was occluded with an opaque paddle, suspended just in front of the eye, targets were sequentially lit in random order, and the monkey was manually rewarded. An array of 45 targets in 10° steps over a ±30° vertical and horizontal field with the 4 corner targets omitted was presented three times (see Fig. 5). The occluder was switched to the other eye and the procedure repeated. We also measured muscle force when the instrumented eye was fixating to assess saccade dynamics and for tonic muscle force data. For tonic forces, we calculated the median of seven 250-Hz samples before and after the reward was delivered.
In most of our vergence experiments the monkey alternately fixated near
(approximately 7 cm) and far (200 cm) targets, arranged to require
asymmetric vergence, by which we mean the case in which near
and far targets are aligned with the instrumented eye (Fig. 4). To the degree that asymmetric
vergence stimuli bring the aligned eye to the same position in near and
far gaze, they allow muscle force changes related to convergence state
to be isolated, and eliminate any MFT artifacts that might depend on
the position of the instrumented globe in the orbit. Physically
aligning near and far targets with the instrumented eye does not, of
course, guarantee that the monkey's eye will be in the same average
positions during voluntary fixations of the two targets. Therefore in
asymmetric vergence sessions we presented the near target, not only at
the position in which it was aligned with the far target and the
instrumented eye (the aligned near target, as shown in Fig.
4), but also at horizontal positions about 4° to the left and 4° to
the right of the aligned near target (left and right offset
near targets, not shown in Fig. 4). With the aligned near target, many
individual trials had the eye in the same position in converged and
unconverged states (e.g., Figs. 9A and 10A). From
full, unselected data sets collected with aligned as well as offset
near targets, it was possible to estimate by interpolation muscle
forces for an eye that was precisely aligned in far and near fixation
(Figs. 9B and 10B). In most sessions, the far
target was fixated at about 3° adduction for the instrumented eye.
Vergence movements were 20-30°, depending on near target position
and interocular distance. The monkey received a reward for fixating
each target and, to encourage steady gaze, another for maintaining
fixation for a random time of 1.5-3.0 s. We averaged eye position and
force during the final 600 ms of the fixation period to allow fixation
to stabilize and to avoid the pulse and slide components of
saccade-related muscle forces (Miller and Robins 1992
).
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We define convergence force as an increment in muscle force
related to convergence in excess of the force that maintains a given
eye position with convergence relaxed. Thus the motoneuron studies
predict positive convergence forces. We suppose that converged gaze and
unconverged gaze are states with characteristic muscle forces. In
contrast, it is possible to imagine that the path taken to a particular
gaze position is critical so that a test of the co-contraction
prediction would require that we compare forces immediately before and
after a pure vergence movement. Path dependence would be unusual in the
oculomotor system, as exemplified by Donder's Law (Donders
1870
) and the near-absence of hysteresis in saccades (Goldstein and Robinson 1986
). Nevertheless, to check
this possibility, with one monkey, ERL, we elicited
symmetric vergence movements and compared forces immediately before and after.
In one monkey, ERL, we also elicited asymmetric vergence
with the horizontal position of the aligned targets varied over about ±12° (Fig. 4). In each experimental session, blocks of
30
successful far and near fixations were run with each of the aligned and
offset near targets.
LR and MR force signals showed small, apparently random, uncorrelated drifts during and between experiments. We suspect these slowly varying forces are physiologic, because of the high stability of MFTs outside the body (see Fig. 2) and because gradual intrusion of body fluids would, in our experience, result in roughly monotonic signal changes, followed by device failure. To eliminate any effects of slow drift in MFT signals on the main asymmetric vergence data, we computed force differences for successive near-far fixations. For the symmetric vergence data, we compared successive fixations separated by a smooth vergence movement. For the asymmetric vergence data in which we varied near and far target positions over a 24° horizontal range, we included a reference fixation target at 200 cm in the mid-sagittal plane (0° far target in Fig. 4), which the monkey fixated several times each minute. In these experiments, forces are expressed relative to those fixating the reference target. The same target was the referent during our measurements of tonic muscle forces in conjugate gaze at different horizontal and vertical target positions.
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RESULTS |
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Binocular coordination and saccade dynamics
In addition to their coils, eyes in which we measured muscle forces were burdened with two MFTs and their lead wires. Impairment of normal extraocular mechanics would be problematic for symmetric vergence studies, in which instrumented eye position is different in converged and unconverged fixations. In contrast, our asymmetric vergence results are insensitive to artifacts related to eye position to the degree that the measured eye was in the same average position during far and near fixation (e.g., Figs. 9A and 10A) or that residual misalignments were removed by calculation (e.g., Figs. 9B and 10B).
Nevertheless, we first show that the MFTs did not significantly disturb the eye's static mechanics. The effect of MFT implantation on static binocular alignment was assessed by recording binocular eye positions as the monkey fixated monocularly the array of 45 LEDs, before and after implantation. Implantation might cause scarring or otherwise restrict the implanted eye so that the most sensitive test for misalignment would be to measure following eye (covered eye) positions with the implanted eye fixating (in clinical terms, we would thereby measure the "secondary deviation").
For vertical gaze components, we adopt the convention that positions above straight ahead, supraductions, are positive. For horizontal gaze components, we show positions right of straight ahead as positive where we represent both eyes together (as in Figs. 4, 5, 9A, and 10A). Otherwise, we show abducted (AB) positions as positive, and adducted (AD) positions as negative.
Figure 5 shows representative alignment data, each point being an average of samples from at least three fixations on a given day, averaged over 2 days before MFT implants and over 4 days after. The small misalignments in the left panel are characteristic of normal phoria, manifest when the two eyes are visually disassociated, although it is not possible to assert that eye coil implantation was not contributory. Two effects of MFT implantation are apparent. First, after implantation, the monkey had difficulty fixating the upper-right (30°, 20°) point, as is shown in the figure by the absent data point. Second, implantation slightly stiffened the left, implanted, orbit in adduction. This is shown by the column of eye positions near 30° right. That is, before MFT implantation, the covered eye did not turn quite as far to the right as the fixating eye, whereas after MFT implantation the covered eye turned farther right, relative to the fixating eye. This suggests that the fixating eye had become slightly stiffer in adduction, requiring stronger innervation to reach 30° right; supplied to the following eye, this stronger innervation caused it to rotate too far to the right. We interpret such misalignments as changes in stiffness rather than innervational adaptations because most of the monkeys' time was spent in normal, binocularly viewed visual surroundings, so that adaptation would tend to reduce misalignments or restore the preimplant pattern. As Fig. 5 makes clear, implantation-related misalignments were only seen in extreme right gaze. In the region of our vergence measurements, ±20° horizontal and vertical, misalignments were no greater than before implantation. Similar results were obtained in the other animals.
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The conclusions of the present study concern only tonic gaze positions and forces. Nevertheless, measurements of saccadic eye movements and associated dynamic forces are of general interest and provide additional indications of the effects of MFT implants on motility. Figure 6 shows randomly selected records of saccades before and after implantation.
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In no monkey did we find clear differences in sharpness or overshoot of
saccades, from before to after implantation. In one monkey,
MLS, we calculated the main sequence characteristics of predominantly horizontal saccades (vertical change in eye position less
than 10% of the horizontal change), with sizes 5
35°. We found that
MFT implantation had a modest effect on dynamics: overall, peak
velocity declined 10% (8% for abducting and 12% for adducting saccades), and saccade duration increased 17% (18% for abducting and
17% for adducting saccades).
In summary, MFT implantation resulted in small binocular misalignments and restriction but only in extreme gaze, probably due to increased stiffness of the implanted eye, and modest damping of saccades, presumably due to increased viscosity. But no monkey had binocular misalignments in the range of eye positions used in our vergence studies, and tonic muscle forces measured over the field of gaze varied as expected (see Tonic muscle forces). There was no evidence in any animal that MFT implantation resulted in any eye movement abnormality in the oculomotor range relevant to our experiments.
It is worth noting that monkeys in the present study were able to
fixate over a ±30°× ±30° field, compared with ±20 × ±20° for monkeys with the earlier version of the device
(Miller and Robins 1992
). This may be a direct result of
the smaller size of the current implant, which is less likely to
interfere with extraocular mechanics, or a result of decreased
scarring, secondary to the smaller implant. The new devices were also
more reliable, routinely performing well for
4-5 mo after implantation.
Tonic muscle forces
We first measured tonic muscle forces in conjugate gaze for eye
positions ranging ±30° horizontally and vertically in 10° steps.
Tonic forces in monkeys MRL and MLS were similar.
In monkey ERL, however, LR forces began to rise in extreme
adduction, which may have been related to scarring, secondary to repair
of the tendon inadvertently cut and repaired during device
implantation. Figure 7A shows
average LR forces for three monkeys, with ERL's LR data at
30° horizontal omitted from the average. LR forces ranged over 10.5 g. Figure 7B shows that MR forces varied over 16.5 g, and
tended to decrease as the eye turned upward. Force increased at a
higher rate in abduction for LR and adduction for MR, presumably
reflecting recruitment of motor units.
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Figure 8 re-plots the average tonic data
to show the antagonistic relationship of MR and LR forces. There is no
clear dependence on vertical eye position, particularly in the central
20°. Except for large MR forces (30° adduction), relative MR and LR
forces fall close to the line with slope
1.
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Asymmetric vergence
Figure 9A shows eye
position and muscle force as monkey MRL, with MFTs on the
right eye made asymmetric vergence movements. The top traces
show left and right eye positions. Apart from the so-called
counter-productive horizontal saccades early in the refixation movement
(Enright 1992
), the right eye is stable throughout. Muscle forces are shown in the bottom two traces of Fig.
9A. Convergence is associated with a small muscle force
decrease, easily seen in the LR trace. Figure
10A shows a similar pattern
for monkey MLS with MFTs on the left eye.
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Figures 9B and 10B show representative daily summaries for monkeys MRL and MLS, respectively. For each muscle in the instrumented eye, we plot convergence force, the excess force at a given eye position that is due to the eye being in a state of convergence, against horizontal misalignment, the horizontal difference in fixation of the near compared with the far target. For asymmetric vergence, convergence force is equal to the force fixating the near target minus that fixating the far target. Because convergence force is a difference of two forces it should be unaffected by any variations or abnormalities in overall muscle force or its measurement. The three clusters of points for each muscle correspond to the left offset, aligned, and right offset near targets, respectively (see METHODS). Lines fitted to the LR points, and separately to the MR points, cross the y axis (i.e., x = 0) at convergence forces estimating perfect near-far alignment. When misalignment is zero, convergence forces are seen to be slightly negative for both LR and MR.
The closed symbols (
,
,
) in Fig.
11 summarize the asymmetric vergence
data for three monkeys, with each point being the mean of 250-300
vergence movements made in one data-collection session. In every
session, mean LR and MR convergence forces were negative. Across
monkeys and sessions, mean LR convergence force was
0.49 g and MR
convergence force
0.13 g.
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Convergence force as a function of eye position
Convergence-related muscle force for a given vergence angle could change as a function of eye position, e.g., muscles might co-contract in some eye positions but not others. To check this possibility, we extended our findings in one monkey, ERL, measuring LR and MR forces over an eye-position range of 25°, holding the asymmetric vergence angle at 19.5 ± 2°.
Medial rectus convergence forces were negative for all eye positions tested (Fig. 12). Lateral rectus convergence forces were negative and similar to MR convergence forces except in abduction where they became positive.
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Symmetric vergence
Estimating convergence force for symmetric vergence is less direct than for asymmetric vergence because it is necessary to subtract the forces related to the difference between orbital positions of the instrumented eye at far and near fixations. We estimated these forces using tonic force data for each monkey (similar to the mean tonic force data of Fig. 7).
Forces associated with symmetric convergence can be calculated from the
data underlying Fig. 12, although all of the convergence movements in
these experimental sessions were asymmetric as we have described. We
extracted and analyzed far and near fixation forces in which left and
right eyes were in approximately symmetric positions. Referring to Fig.
4, fixation of the 0° far target closely approximated symmetric far
gaze with mean eye positions of 1.0 and
0.4° for instrumented and
uninstrumented eyes, respectively. Fixation of the
9 and
12° near
targets closely approximated symmetric near gaze, with mean eye
positions of
10.6 and
10.8° for instrumented and uninstrumented
eyes, respectively (recall that Fig. 4 is not to scale). Mean near
forces exceeded mean far forces by
0.68 g for LR and 1.26 g for MR.
From the tonic force data for ERL, the conjugate change in
instrumented eye gaze from 1.0 to
10.6° was estimated to account
for changes of
0.24 g in LR and 1.60 g in MR. Subtracting these
values, we calculate convergence forces of
0.46 g for LR and
0.34 g
for MR. These calculated symmetric convergence forces are
shown as a plus sign (+) in Fig. 11, where they can be seen to be
similar to the asymmetric convergence forces.
Finally, we collected six sessions of actual symmetric vergence
movements in monkey ERL. The instrumented eye adducted an average of 9.7° during convergence. Mean near forces exceeded mean
far forces by
0.90 g for LR and 0.87 g for MR. Conjugate change in
instrumented eye gaze of 9.7° would account for changes of
0.20 g
in LR and 1.33 g in MR, and subtracting these values, we calculate
convergence forces of
0.70 g for LR and
0.46 g for MR. These data,
similar to our other convergence force data, are shown with a cross
(×) in Fig. 11.
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DISCUSSION |
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MFT performance
Our unique MFT chronically measures forces at physiologically
varying muscle lengths. The current device is more reliable than the
earlier version described by Miller and Robins (1992)
and allows a wider range of gaze with only small binocular
misalignments at the edges and with saccade dynamics close to normal.
Concerning the general utility of MFTs, it is difficult to eliminate
the possibility that innervational adaptation (Optican and
Robinson 1980
) masked other abnormalities caused by
implantation. However, for the purposes of the present study, any
adaptations tending to restore normal oculomotor function would seem to
clarify, rather than obscure, the effects of our experimental manipulations.
If EOMs slide through mid-orbital pulleys as the eye rotates
(Miller 1989
), how is it possible that an eye encumbered
with MFTs on both oculorotary horizontal muscle tendons can rotate almost entirely unimpaired through a 60° horizontal range (Fig. 5)?
The answer is provided by Demer et al. (Demer
2002
; Demer et al. 2000
), who have demonstrated that
horizontal rectus pulleys move anteriorly and posteriorly in precise
coordination with eye rotation, thereby maintaining a constant
separation between scleral insertion and pulley in which an MFT can
comfortably reside.
Tonic forces
Over a ±30 × ±30° field of gaze, tonic LR force varied
over a range of 10.5 g, and tonic MR force over 16.5 g. Within the central ±20°, reciprocal changes in MR and LR forces were observed (Miller and Robins 1992
). Vertical eye position had only
small effects on horizontal rectus forces, confirming our earlier findings.
For horizontal gaze between primary position and 30° into the
muscle's field of action, we measured tonic LR forces averaging 180 mg/°, and tonic MR forces averaging 323 mg/°. Collins et al. (1975)
used transducers implanted in series with disinserted
human muscles and found mean MR forces averaging 467 mg/° over this range. Thus fixation forces in monkey EOM appear to be about two-thirds those in humans. However, out of their fields of action, where muscles
are stretched by their antagonists, human and monkey EOMs are
qualitatively different: human EOM forces drop and then rise, whereas
monkey EOM forces decrease approximately linearly, to
30°
(Miller and Robins 1992
). This difference is not due to
different measurement techniques: we have collected intraoperative
human data similar to Collins', but using MFTs similar to those we use in monkey (unpublished data). It appears that the fibroelastic tissue
in monkey EOM does not stiffen rapidly with stretch as does that in
human EOM (Miller and Robinson 1984
). This is an issue
very much in need of further study.
In the present study, we treated drift in LR and MR force signals as noise, controlled by experimental design in most of our data and by analytic methods in the rest. However, as discussed in the preceding text, we have reason to suspect that these slowly varying forces are physiologic. They might reflect oculomotor system instabilities and so require an account of eye-position stability. Force variation could conceivably have a function, such as varying intraocular pressure to aid fluid circulation.
Symmetric and asymmetric vergence
The abducens motonucleus studies of Mays and Porter
(1984)
and Gamlin et al. (1989)
predict higher
horizontal rectus forces for a given eye position in symmetric
convergence because the reduction in LRMN firing rate for a given
convergent gaze change is about half that for an equally adducting
conjugate gaze change. From Fig. 7, we expect 11° conjugate adduction
to be associated with 2 g decrease in LR force. This predicts that
11° convergent adduction would be associated with a force decrease
about half this size, which implies positive convergence forces of 1 g
for LR, and the same for MR, if the latter provides mechanical
equilibrium. However, convergence angles in the present study are more
than five times larger than in the preceding cited studies, so that we
must expect larger effects of convergence state on LRMN gain. The
prediction, then, is that 22° symmetric convergence should be
associated with positive convergence forces of
1 g per muscle, but
probably much more. In this region, 1 g per muscle corresponds to
5° of conjugate gaze.
We extracted from our asymmetric vergence data, near and far fixations
in which left and right eyes were in approximately symmetric positions
and, contrary to the predictions above, calculated negative convergence
forces of about
0.5 g for both LR and MR. We ran 22° symmetric
vergence trials to test if smooth vergence movement traversing near and
far fixations was critical and again found negative convergence forces
of about
0.5 g for both LR and MR (Fig. 11). The similarity of the
two results supports our assumption that vergence state, rather than
vergence movement, is the critical variable.
There is good evidence that convergence-related innervation is
delivered equally to both eyes in asymmetric vergence (Allen and
Carter 1967
; Rashbass and Westheimer 1961
;
Steffen et al. 2000
), so because of its methodologic
superiority, we collected most of our data in this paradigm. Our
asymmetric vergence results can be compared with the results of
Zhou and King (1998)
, who had monkeys perform an
asymmetric vergence task of about 20° and found modulated firing in
many LRMNs when the ipsilateral eye was stationary. In a sample of 136 LRMNs, the mean ratio of firing rate to eye position was 3.3 spikes per
s/° for the ipsilateral eye and 1.1 spikes per s/° for the
contralateral eye. This implies that 22° asymmetric convergence would
innervate the LR of the stationary ipsilateral eye at a level
appropriate to a rightward movement of about 7.3°. From Fig. 7, this
corresponds to an increase in muscle force of 1.5 g. However, the
aligned eye in asymmetric vergence is not turned rightward, with
consequent shortening of the LR, as was the eye in the conjugate gaze
measurements of Fig. 7. We would, therefore measure an additional
elastic force in the LR of the stationary eye. Passive LR
elasticity in the neighborhood of primary position has been measured to
be about 0.2 g/° in both monkey (Fuchs and Luschei
1971
) and human (Robinson et al. 1969
). Thus
elastic force would add 1.5 g to the increased force we would expect to
measure in the monkey LR in asymmetric convergence, for a total
predicted asymmetric convergence force of 3.0 g. If we further believed
that this abducting force was balanced by the MR, we would predict
similar MR convergence force. In contrast to these predictions, and
consistent with our symmetric vergence results, our asymmetric vergence
data, comprising more than 5,000 pairs of converged and unconverged eye
positions in three monkeys, show that convergent positions averaging
22° are associated with negative convergence forces of about
0.5 g
for LR and
0.12 g for MR. That is, we find 3.5 g of LR force to be
"missing," and consistent with this find not even a hint of MR
co-contraction.
The similarity of the asymmetric and symmetric vergence results, particularly those for LR, for which the motonucleus studies make direct predictions, supports our assumption that the two paradigms are similar in the effect of vergence state on muscle force. Overall, our measurements consistently fail to confirm even the sign of the convergence force predicted by the motonucleus studies and the FCP hypothesis and find a force discrepancy equivalent to about 7.3° of conjugate rotation.
In one monkey, we held convergence angle constant and varied eye
position (Fig. 12). MR convergence force was always negative. LR
convergence force was negative for all adducted eye positions and
5° in abduction. MR convergence force was near constant, whereas LR
convergence force increased in abduction, resulting in an imbalance of
0.6 g in 15° abduction that was presumably balanced by cyclovertical
muscles, such as the superior oblique (Mays et al. 1991
)
or by adjustments in the positions of rectus muscle pulleys
(Demer et al. 2000
; Miller 1989
). Because
these data were collected in only one monkey, they are certainly in need of confirmation. In any case, the finding of positive LR convergence forces in abduction does not mitigate the conflict between
the motonucleus recordings and muscle force measurements because the
eyes were never abducted in the motonucleus studies and convergence
forces in straight and adducted gaze positions were always negative.
Missing LR force
Mays and Porter (1984)
, Gamlin et al.
(1989)
and Zhou and King (1998)
found that LRMNs
fire at higher rates in convergence than in distant fixation for a
given ipsilateral eye position. Certainly, from the FCP hypothesis, one
would then expect to measure positive LR convergence forces. In
contrast, mean convergence forces were
1/2 g for LR and
1/10 g for
MR (data of Fig. 11). Thus our findings clearly contradict the
prediction that LR forces are higher in convergence.
If the motor-nucleus recording studies and the present physiologic muscle-force measurements are both correct, then LRMN firing rates do not predict LR muscle forces. Together, these findings violate the fundamental notion of an oculomotor FCP in which commands from various supernuclear subsystems combine anonymously to produce muscle force. How can such a basic discrepancy be explained? We see several directions in which an explanation might be sought.
Motoneuron sampling bias
Gamlin et al.'s (1989)
conclusion that LRMNs have
higher firing rates in convergence is an inference based on
measurements of identified AINs and sampling of a large population of
unidentified abducens cells, presumably including representative
numbers of both motor and internuclear neurons. There are several ways
in which LRMNs that strongly decreased their firing rates in
convergence might have been undersampled. Conjugate movements are
typically used to position recording electrodes, so vergence-related
neurons that were silent during conjugate movements would be missed
(Mays et al. 1986
). Smaller motoneurons are more likely
to be undersampled (Lemon 1984
), and motoneuron size
might be correlated with muscle properties like contraction velocity
and tension production (Barmack 1977
). However, abducens
neuron size is relatively uniformly distributed (Keller and
Robinson 1972
), so there is not likely to be a large population
of unsampled cells.
Büttner-Ennever et al. (1998)
have discovered
outer motoneurons that surround the classical inner
motoneurons of the abducens, oculomotor, and trochlear nuclei, and
receive different premotor inputs. Although their function has not been
demonstrated, outer motoneurons appear to multiply-innervate slow EOM
fibers, and it is possible that this auxiliary motor system could help
reconcile overall LRMN firing with muscle force.
Recruitment order
Oculorotary muscle force increases because of increases in
motoneuron firing rate and recruitment of additional motor units. The
firing rate of each motoneuron is a linear function of conjugate eye
position with characteristic threshold and slope (Robinson 1970
). However, it appears as though the vergence system drives abducens motoneurons somewhat differently than the conjugate gaze system. King et al. (1994)
have shown that as vergence
angle increases, abducens motoneurons began firing further in
adduction, that is, abducens thresholds decrease. This mechanism could
underlie vergence-related increases in LRMN firing rates, but does not
account for the missing LR muscle forces.
Muscle pulleys
Rectus muscle pulleys deflect EOMs and serve as functional origins
with respect to their pulling directions (Miller 1989
). Demer builds on this basic notion by proposing at least three distinct
active pulley hypotheses (APH), which describe modes in
which pulley position might be controlled by smooth and striated muscles to suit extraocular mechanics to different eye-movement regimens (Demer et al. 2000
). Pulley movement could
affect the relationship of motoneuron activity to oculorotary muscle
force in two ways. First, some motoneurons might alter their activities without directly affecting oculorotary forces because they innervate EOM fibers that are connected to pulleys, rather than to the eye. Second, oculorotary forces could change without changes in the activities of oculorotary motoneurons because pulley movements had
altered muscle paths and lengths. EOM force is a function of muscle
length as well as innervation because muscle length affects both the
contractile force component (there is an optimal length for force
generation) and the elastic force component (force increases with
length) (Miller and Robinson 1984
; Robinson
1975b
).
Demer's main APH proposes that orbital EOM fibers with their capsular
or pulley insertions control the anterior-posterior location of each
horizontal rectus muscle pulley independently of the global
fibers with their scleral insertions, which control horizontal eye
position. Such differential control of pulley and eye positions by
independently moving orbital and global layers of a single EOM could
account for the switch from Listing's Law kinematics, characteristic
of saccades and pursuit, to non-Listing kinematics, characteristic of
the vestibuloocular reflex. If an orbital-pulley system was independent
of a global-scleral system, changes in firing rates of motoneurons
serving the orbital layer would lead to little or no change in
oculorotary muscle force, and as explained in Animal
preparation, MFTs measure only oculorotary force. Thus if the
motoneurons showing increased activity in convergence innervated
orbital fibers, Demer's differential control hypothesis would help resolve the missing force paradox. However, differential control has not yet been convincingly demonstrated and, in any case, is
supposed to function mainly in connection with the vestibuloocular reflex (Demer et al. 2000
) and only as an ancillary
mechanism in convergence (see following text). Misslisch and
Tweed (2001)
have argued that differential control is neither
necessary nor sufficient to account for VOR kinematics, and Demer no
longer advocates this application of the differential control idea
(Demer 2002
).
A second APH is that an EOM's pulley insertion, moving
together with its scleral insertion, provides
anterior-posterior pulley movements necessary to maintain Listing's
Law in tertiary gaze. Pulley movements that follow eye rotations in
this way explain why pulleys do not obstruct extreme eye rotations,
particularly when muscles are encumbered with MFTs, as we have
discussed. Demer (2002)
has shown that horizontal rectus
pulleys, located by visualizing with magnetic resonance imaging the
muscle path inflections they produce in supraduction and
infraduction, were found to translate in accurate coordination with
horizontal eye position, thereby supporting the coordinated
control hypothesis. Coordinated control might be relevant to the
missing force paradox, if orbital-pulley and global-scleral systems
were mechanically independent, as in differential control, and
coordination was effected by matching innervations to the two EOM
layers. However, coordinated control is more parsimoniously explained
by dual insertion of an undifferentiated muscle so that demonstration
of coordinated control does not demonstrate the mechanism necessary to
account for our missing forces.
A third APH hypothesis (Clark et al. 2000
; Demer
et al. 2000
) is that peribulbar smooth muscle,
perhaps aided by differential MR orbital fiber activity, moves vertical
rectus pulleys nasally to tilt Listing's plane temporally in both
eyes, as occurs in convergence (Bruno and van den Berg
1997
; Mok et al. 1992
; Steffen et al.
2000
). Such hybrid control might help account for
missing MR forces, but only to the degree that independent MR orbital fiber activity is found to increase with convergence, which is currently unknown. It could not account for missing LR forces.
Motor unit specialization
Rectus muscle fibers are not homogenous but can be classified into
at least six groups (Porter et al. 1995
; Spencer
and Porter 1988
). Motoneuron sensitivity to vergence varies
(Gamlin et al. 1989
), and if motoneurons with high
vergence sensitivities innervated weak muscle fibers, ensemble firing
rate could increase in convergence without increasing muscle force.
Extraocular motoneurons with high firing rate versus eye-position
slopes tend to be associated with weak muscles (Barmack
1977
; Goldberg et al. 1998
), perhaps supporting
the fine control needed for binocular coordination.
Muscle fiber coupling
Goldberg et al. (1997)
used motor nerve stimulation
in cat to show that 25% of lateral rectus motor units contributed only 50% of their twitch force to an aggregate of nerve-activated units. This means that the force exerted by a motor unit at the tendon depends
on the activity of other motor units. They also showed that 1/3 width
LR myectomy reduced the whole muscle twitch tension by only 5%. This
means that there is substantial mechanical cross-coupling among muscle fibers.
Such findings of mechanical, and possibly innervational, interactions among muscle fibers make the notion of parallel, independent muscle fibers untenable and might underlie complex relationships between innervation and force. Serial connections among fibers (e.g., fibers inserting into each other) would make the tendon force produced by shortening one fiber depend on the contractile state of fibers in series with it. Fibrous cross-couplings among fibers could result in force shunting, such that shortening of one fiber would render shortening of another ineffective in generating force at the tendon. Such mechanisms could underlie cases of high firing rates with low muscle forces. Variation in recruitment order would not only have direct effects on muscle force but also indirect effects on the forces produced by other motor units, including those whose recruitment order is unaltered. We think it is critical that Goldberg et al.'s findings be replicated and extended to primate EOMs.
Absence of co-contraction and cyclovertical muscles
If one believes that there is an increase in LR force with no change in eye position, it is natural to predict a corresponding increase in MR force, although it is possible that other muscle forces balance the LR. Our LR force results, of course, remove the need to find large balancing forces in convergence, but showing that no such balancing forces exist provides additional evidence for the correctness of our LR force results.
Mays et al. (1991)
found that trochlear motoneuron
activity in monkeys decreased during convergence and that the magnitude of this decrease was significantly greater than that seen with conjugate adduction. Steffen et al. (2000)
studied
asymmetric vergence in normal humans and found that both aligned and
unaligned eyes showed convergence-related changes in Listing's plane
similar to those that occur with paralysis of the superior oblique
muscle (SO). Mays et al. (1991)
went on to hypothesize
that SO relaxation in convergence reduces the eye's total abducting
force, helping the MR overcome an insufficiently relaxed LR. Could SO
relaxation in convergence help the MR overcome an insufficiently
relaxed LR or reduce LR muscle force itself? We constructed a rough
model of monkey extraocular static mechanics, based on a model of human extraocular biomechanics (Miller et al. 1999b
) and mean
values of extraocular geometry measured in 1 M radiata and 3 M mulata eyes (Miller and Robins 1987
). This model suggests that,
as a consequence of extraocular geometry, only about 20% of SO force abducts the eye, so that a convergence-related reduction in SO abduction could move the eye no more than 1/3 of what would be required
to stretch an un-relaxed LR. The model also estimates the SO depressing
force to be four times its abducting force; Mays et al.
(1991)
report a factor of only 1.5. In either case, significant
vertical forces would occur as a side effect of substantial SO
relaxation and would need to be balanced by still other muscle forces.
According to our model, 70% of SO force incyclorotates the eye in monkey. Thus relaxing the SO would excyclorotate the eye, giving the superior rectus muscle (SR) an abducting action, and the inferior rectus muscle (IR) an adducting action. Thus in downgaze, where the IR dominates, the vertical recti would provide a net adducting force. However, in upgaze, where the SR dominates, the vertical recti would provide a net abducting force. Thus the indirect mechanical effects of SO relaxation aid adduction only in downgaze. Excyclorotation due to SO relaxation would also influence LR force if it affected LR path length. However, cyclorotation would almost certainly increase LR path length, thereby increasing total LR tension in convergence, an effect opposite to what is needed to account for the forces we have measured.
In summary, cyclovertical muscles do not appear suited to a major role
in supplementing adduction. Arguments involving cyclorotation and globe
translation suggest that the negative convergence forces we measured
are even more discrepant from predictions. Cyclorotation due to SO
relaxation in convergence would increase LR path length, thereby
increasing LR force. Enright (1980)
found in humans that (monocular) near fixation is associated with small temporal globe translations, which also increase horizontal rectus path lengths and forces.
It is popular to speculate that co-contraction accounts for effects of convergence on symptoms of oculomotor pathology, such as its suppression of congenital nystagmus. The logic of these speculations is sometimes unclear; but in any case, our finding that there is no co-contraction in convergence should turn speculation in more promising directions.
Reconsidering the final common path
Sherrington's concept of the FCP originally referred to
motoneurons in the ventral horns of the spinal cord and to cranial motor nuclei, which receive impulses from many sources, including sensory fibers, cortical cells, and brain stem nuclei, and provide all
innervation to the skeletal musculature (Brodal 1981
).
Oculomotor physiologists had distinguished several types of eye
movement, and anatomists had discovered several types of EOM fibers, so it seemed possible that each oculomotor subsystem drove a specialized subset of muscle fibers. Fast and slow fiber types, for instance, might
have been driven by separate populations of motoneurons, controlled by
saccadic and pursuit subsystems, respectively (Jampel 1967
).
Early studies sought, but did not find, motoneurons that respond
exclusively to fast or slow movements (Fuchs and Luschei 1970
; Keller and Robinson 1972
; Robinson
1970
; Schiller 1970
). The notion of multiple
parallel systems was therefore abandoned, and the oculomotor nuclei,
their cranial nerves, and extraocular muscles were taken to compose an
FCP, in which innervations from the several supernuclear oculomotor
subsystems combined anonymously (Robinson 1968
). The
present findings suggest that the powerful and fruitful simplification
afforded by the FCP hypothesis must now be abandoned.
It is not unusual for a new measuring device to yield surprising data.
Oculomotor physiologists typically measure neural activity in
connection with eye movement but have never had an effective way to
measure the muscle forces presumed to result from that neural activity
and to cause that movement. Muscle forces contain information about
oculomotor control signals that is lost to eye-position measurements.
Most importantly, eye rotation loses half of the degrees of freedom in
EOM innervations. The present experiments were based on the ability of
MFT measurements to distinguish the activity of individual muscles in
an "antagonistic pair." A second advantage of muscle force
measurements may become important in future work: because eye position
is low-pass filtered by the viscous orbit, muscle force measurements
better reflect the high-frequency behavior of motoneurons
(Miller and Robins 1992
).
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ACKNOWLEDGMENTS |
|---|
The authors thank E. K. Schmidt of Smith-Kettlewell for help in surgery and in running the experiments and T. Haslwanter of the University Hospital in Zurich, E. L. Keller of Smith-Kettlewell, R. J. Leigh of the Veterans Affairs Medical Center in Cleveland, and J. L. Demer of the Jules Stein Eye Institute in Los Angeles for thoughtful discussions and comments on the manuscript.
This work was supported by the Smith-Kettlewell Eye Research Institute, National Eye Institute (NEI) Consortium Grant EY-08313 to J. L. Demer and J. M. Miller, and NEI Grant EY-13443 to J. M. Miller.
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FOOTNOTES |
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Address for reprint requests: J. M. Miller, Smith-Kettlewell Institute, 2318 Fillmore St., San Francisco, CA 94115-1813 (E-mail: jmm{at}eidactics.com).
Received 10 July 2001; accepted in final form 28 December 2001.
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REFERENCES |
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