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These cross-rhythmic events are achieved with various means: through reinterpretation or displacement of meter, through syncopation of the left-hand-part accompanimental ostinato or through hypermetric friction (Examples 6 to 9). In contrast, patients with midline cerebellar disorders, such as anterior lobe atrophy, often show hypermetric postural responses in which each EMG burst is too large and too long, resulting in falls in the direction opposite to the direction of perturbation. 16) For example, her delay in stepping backward with posterior perturbations may be due to an initial hypermetric (or exaggerated) response to the perturbation(14) (which presumably would occur in the tibialis anterior muscles), causing her COG to move anteriorly. |
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