Biomedical subjects

B Amblard

Publications and source records attributed to B Amblard.

At least 19 recordsLinked to original sources

PubMed2001

Voluntary head stabilisation in space during oscillatory trunk movements in the frontal plane performed before, during and after a prolonged period of weightlessness.

The ability to voluntarily stabilise the head in space exhibited by two subjects during lateral rhythmic oscillations of the trunk has been investigated before, during and after a prolonged period of microgravity (microG) exposure. In flight acquisitions were performed onboard the Core Module of the Russian Space Station MIR as part of the T4 "Human Posture in Microgravity" experiment of the 179-days ESA-RKA mission EUROMIR-95. Data collection and kinematic analysis were performed by means of a space-qualified version of the automatic motion analyser ELITE. Head stabilisation in space strategy was estimated by means of the head anchoring index and cross-correlation analysis. Results show that head orientation may be well stabilised about the roll axis both with and without the presence of visual information. This was true despite the expected reduction in vestibular efficiency and muscular proprioception occurring in-flight. In one subject, however, vision was found to improve head stabilisation in space post-flight, presumably to recover from the postural deficiency induced by the long-term microG exposure. Head stability during trunk movements was achieved with either over-compensatory (out-of-phase), under-compensatory (in-phase) or mixed movement strategies, as was attested by the analysis of cross-correlation functions between head and shoulder movements. In weightlessness, vision occlusion seemed to influence the choice of the strategies to be used as well as the reduction of movement variability. The feedforward nature of compensatory head movements suggests that head stabilisation could be based in weightlessness on the internal postural body scheme, supposed to be adapted to the weightless environment within 5 months of microG exposure.

Adaptation, Biological↗

PubMed2001

Transcutaneous electric nerve stimulation reduces neglect-related postural instability after stroke.

OBJECTIVE: To test the existence of a neglect-related component of postural imbalance in some stroke patients to determine whether neglect patients (1) show worse postural control compared with nonneglect patients and healthy subjects and (2) have latent postural capacities that could be unmasked by an appropriate somatosensory manipulation. DESIGN: Intervention study with and without transcutaneous electric nerve stimulation (TENS). SETTING: Rehabilitation center research laboratory. PARTICIPANTS: Twenty-two stroke patients (mean age, 58.3 +/- 2.5yr; average days since stroke, 83.2d) and 14 age-matched healthy subjects. Stroke patients were subdivided into 3 groups: 6 with spatial neglect and 16 without (8 with left lesion, 8 with right lesion). INTERVENTIONS: All participants were subjected to a dynamic balance task, performed while sitting for 8 seconds on a laterally rocking platform. Seated on this mobile support, they were asked to maintain actively an erect posture, sitting as still as possible. In patients, TENS was applied on the contralesional side of the neck during the postural task. An effective stimulation (intensity corresponding to the threshold of perception, TENS+) was compared with a placebo stimulation (.01 x threshold of perception, TENS-). MAIN OUTCOME MEASURES: Postural performance in each trial was monitored by using 2 criteria: the number of aborted trials caused by loss of balance, and the angular dispersion of the support oscillations in roll. The latter criterion, which increased with body instability, was defined as 2 standard deviations of the angular distribution. RESULTS: Patients showing neglect displayed pronounced postural instability compared with other patients and controls. Although dramatic postural instability in the neglect patients was spectacularly and systematically reduced with TENS, no effect was observed in patients without neglect. CONCLUSION: This is among the first studies to provide clinical evidence supporting the "postural body scheme" concept.

Adult↗

PubMed2000

The polymodal sensory cortex is crucial for controlling lateral postural stability: evidence from stroke patients.

In modern literature, internal models are considered as a general neural process for resolving sensory ambiguities, synthesising information from disparate sensory modalities, and combining efferent and afferent information. The polymodal sensory cortex, especially the temporoparietal junction (TPJ), is thought to be a nodal point of the network underlying these properties. According to this view, a pronounced disruption of the TPJ functioning should dramatically impair body balance. Surprisingly, little attention has been paid to this possible relationship, which was the subject of investigation in this study. Twenty-two brain-damaged patients and 14 healthy subjects were subjected to a self-regulated lateral balance task, performed while sitting for 8 s on a rocking platform. Their lateral body balance was analysed both with and without vision (darkness). Support displacements in the frontal plane were recorded by means of an accelerometer. Two criteria were taken into account to evaluate body stability in each trial: the number of aborted trials due to balance loss and the angular dispersion of the supporting surface. Lesions involving the temporoparietal junction were found to markedly increase body instability, both with and without vision. Therefore, the temporoparietal junction plays a pivotal role in lateral body stabilisation, irrespective of the sensory condition in which the task is performed. This suggests that body stability is controlled throughout internal model(s).

Adult↗

PubMed2000

Development of postural adjustment during gait initiation: kinematic and EMG analysis.

The authors studied the development of postural adjustments associated with the initiation of gait in children by using kinematic and electromyographic (EMG) analysis. Participants (N = 28) included infants with 1-4 and 9-17 months of walking experience, children 4-5 years of age, and adults. Anticipatory postural adjustments (APA) were present in the youngest age groups, including a clear anticipatory lateral tilt of the pelvis and the stance leg, which enabled the child to unload the opposite leg shortly before its swing phase. An anticipatory activation of the hip abductor of the leg in stance phase prior to heel-off was found, suggesting pelvis stabilization. APA did not appear consistently until 4-5 years of age. A decrease in segmental oscillations occurred across the ages, indicating better control of intersegmental coordination in the frontal and sagittal planes during the postural phase of gait initiation. Young walkers presented APA involving movements of both the upper and the lower parts of the body, whereas, like adults, 4- to 5-year-olds were able to laterally shift only the pelvis and the stance leg. The oldest children and the adults also showed lower activation levels of hip and knee muscles but higher activation at the ankle level. Those kinematic and EMG results taken together suggest a clear developmental sequence from an en bloc operation of the body through an articulated operation with maturation, walking experience, or both.

Biomechanical Phenomena↗

PubMed1999

Strategies of segmental stabilization during gait in Parkinson's disease.

This study compared the postural strategies adopted by patients with Parkinson's disease (PD; n = 16) during locomotion to those of elderly controls (n = 16). We focused mainly on the head and trunk stabilization modes in sagittal and frontal planes. Subjects were asked to walk at their natural speed on an uniformly gray, flat ground. Gait data were recorded before and 1 h after L-dopa intake and were analyzed by an automatic motion analyser (Elite system). The modes of segmental stabilization adopted by each group were determined by means of the anchoring index, associated with cross-correlation functions between angular movements of pairs of segments. The major findings were: (a) PD patients generally had shorter step length, greater step width, and slower gait velocity than the healthy elderly. (b) No difference in angular dispersion of any anatomical segment studied was observed between the two groups. (c) PD patients had adopted a strategy of head stabilization on the shoulder ("en bloc" functioning of the head-shoulder unit) about the roll axis only. (d) PD patients displayed head and shoulder angular movements around the roll axis that were more correlated than those of controls, confirming their more en bloc functioning. (e) Shoulder and hip were equally stabilized in space in the two groups around the roll axis. (f) There was no difference between the two groups about the pitch axis where an en bloc functioning of the whole trunk was shown. These results are discussed with respect to the similarities observed between the visuo-locomotor PD performances and those of children.

Acceleration↗

PubMed1999

Visual control of locomotion in Parkinson's disease.

The effect of placing parallel lines on the walking surface on parkinsonian gait was evaluated. To identify the kind of visual cues (static or dynamic) required for the control of locomotion, we tested two visual conditions: normal lighting and stroboscopic illumination (three flashes/s), the latter acting to suppress dynamic visual cues completely. Sixteen subjects with idiopathic Parkinson's disease (nine males, seven females; mean age 68.8 years) and the same number of age-matched controls (seven males; nine females, mean age 67.5 years) were studied. During the baseline phase, Parkinson's disease patients walked with a short-stepped, slow velocity pattern. The double limb support duration was increased and the step cadence was reduced relative to normal. Under normal lighting, visual cues from the lines on the walking surface induced a significant improvement in gait velocity and stride length in Parkinson's disease patients. With stroboscopic illumination and without lines, both groups reduced their stride length and velocity but the changes were significant only in the Parkinson's disease group, indicating greater dependence on dynamic visual information. When stroboscopic light was used with stripes on the floor, the improvement in gait due to the stripes was suppressed in parkinsonian patients. These results demonstrate that the perceived motion of stripes, induced by the patient's walking, is essential to improve the gait parameters and thus favour the hypothesis of a specific visual-motor pathway which is particularly responsive to rapidly moving targets. Previous studies have proposed a cerebellar circuit, allowing the visual stimuli to by-pass the damaged basal ganglia.

Aged↗

PubMed1998

Biased postural vertical in humans with hemispheric cerebral lesions.

This study was aimed at demonstrating the existence of a biased postural vertical in humans with a recent cerebral lesion. The postural vertical of patients and controls was analysed comparatively using a self-regulated balancing task, performed in sitting posture. Patients displayed a quite constant (19/22) contralesional tilt of the postural vertical (mean -2.6 degrees), varying with the severity of their spatial neglect and hemianaethesia. Eight of them showed a pathological contralesional bias (mean -5.5 degrees) as compared to normals. This result indicates an asymmetric process of somatic graviceptive information due to some cerebral lesions. When patients were subjected to a transcutaneous electrical stimulation applied onto the contralesional side of the neck, body verticality was especially improved in those who showed a pathological bias in the postural vertical. This effect could thus be due to a reduced distortion in the egocentric co-ordinate system for spatial information processing.

Cerebral Cortex↗

PubMed1998

Body orientation and control of coordinated movements in microgravity.

The present paper focuses on the organization of posture and movement under normal and microgravity conditions. Two reference values subserving the control of erect posture and the performance of movements are analyzed. The first is 'geometrical' in nature and corresponds to the orientation of a body segment with respect to the external world. The second reference value, which involves the mass and inertia of the body segments, is the position of the centre of mass with respect to the foot support area. The reorganization of these parameters which occurs under microgravity is discussed in the framework of a hierarchical model of posture. Suggestions are made for training procedures which could be used to prevent loss of balance from occurring in astronauts on landing after long space flights.

Humans↗

PubMed1997

Effect of physical training on head-hip co-ordinated movements during unperturbed stance.

A cross-correlation analysis between head and hip lateral accelerations has been used to analyse the effects of sport training (in experts in judo or classical dance as compared to controls) on postural strategies during unperturbed stance. Subjects were standing in the sharpened Romberg position on either a hard or foam rubber support. The main results were: (1) several non-visual and ankle-like strategies (head-hip movements in the same sense) were used by both groups on both supports; (2) two types of lateral hip strategies (head-hip movements in opposite sense) were seen in controls on soft support only, and were mainly modulated by vision. Training appears to result in a shift from a visual to a proprioceptive dominance in the regulation of postural control in unperturbed stance.

Adolescent↗

PubMed1997

Hemispheric asymmetry in the visual contribution to postural control in healthy adults.

This study was carried out in order to test the hypothesis of a right hemisphere dominance in the visual control of body balance. Eight healthy adults were subjected to a self-regulated lateral balance task, performed while sitting on a rocking platform. Four visual conditions were tested: open eyes with normal vision, closed eyes in the dark, left visual field-right hemisphere and right visual field-left hemisphere. Head and support displacements in the roll plane were recorded by means of an optoelectronic system. Two main results emerged from this study: (1) head stabilization in space was much more efficient in the left visual field-right hemisphere condition than in the three other visual conditions, and (2) although vision played an important role in the body stability whatever the anatomical level, there was no right hemisphere dominance at the pelvic level. A clear right hemisphere dominance was thus demonstrated as regards the visual contribution to head stabilization in space.

Adult↗

PubMed1997

Voluntary head stabilization in space during oscillatory trunk movements in the frontal plane performed in weightlessness.

The ability voluntarily to stabilize the head in space during lateral rhythmic oscillations (0.59+/-0.09 Hz) of the trunk has been investigated during microgravity (microG) and normal gravity (nG) conditions (parabolic flights). Five healthy young subjects, who gave informed consent, were examined. The movements were performed with eyes open or eyes closed, during phases of either microG or nG. The main result was that head orientation with respect to vertical may be stabilized about the roll axis under microG with, as well as without vision, despite the reduction in vestibular afferent and muscle proprioceptive inputs. Moreover, the absence of head stabilization about the yaw axis confirms that the degrees of freedom of the neck can be independently controlled, as was previously reported. These results seem to indicate that voluntary head stabilization does not depend crucially upon static vestibular afferents. Head stabilization in space may in fact be organized on the basis of either dynamic vestibular afferents or a short-term memorized postural body schema.

Acoustic Stimulation↗

PubMed1997

Selection of spatial frame of reference and postural control variability.

The present paper addresses the question of the possible links between perceptive visual field dependence-independence and the visual contribution to postural control. In our differential approach, visual field dependent (FD) and independent (FI) subjects were selected on the basis of their score in the Rod and Frame Test (subjective vertical). The hypothesis that we have tested is that the FD subjects use mainly visual cues for estimating not only their subjective vertical but also their body orientation and stability. Moreover, we have postulated that these subjects use mainly dynamic visual cues to control their postural stability. In the postural test, the selected subjects were instructed to stand in the sharpened Romberg position in darkness and under normal or stroboscopic illumination, in front of either a vertical or a tilted frame. Lateral head and body orientation and stability were measured. We found that: (1) all subjects leaned slightly towards the tilted frame (postural frame effect), and this was obtained on the basis of the static visual cues alone; (2) FD subjects were less stable than FI subjects, and their stability required the use of dynamic visual cues, mainly extracted from the vertical frame. In FI subjects, static visual cues may act as a complementary regulation, enhancing stability even with a strobe tilted frame. We thus demonstrate that visual field dependence interacts with the visual contribution to postural control.

Adult↗

PubMed1996

Is the regulation of the center of mass maintained during leg movement under microgravity conditions?

1. Investigations on stance regulation have already suggested that the body's center of mass is the variable controlled by the CNS to maintain equilibrium. The aim of this study was to determine how the center of mass of the body is regulated when leg movements are made under different gravitoinertial force conditions. 2. Kinematic and electromyographic (EMG) recordings were made during both straight-and-level flight (earth-normal gravity condition, nG) and periods of weightlessness in parabolic flight (microgravity condition, microG). The standing subjects were restrained to the floor (kept from floating away in microG) and were instructed to raise one leg laterally to an angle of 45 degrees as fast as possible. 3. Two modes of center of mass (CM) control were identified during leg movement in nG: a "shift mode" and a "stabilization mode." The shift mode served to transfer the CM toward the supporting side before the leg raising, and it preceded the phase of single limb support. The stabilization mode took place after the CM shift was completed and was aimed at stabilizing the CM during raising of the leg. In this phase, the movement of the raising leg is counterbalanced by a lateral inclination of the trunk in the opposite direction. As a consequence, CM position did not change with respect to the position reached before the leg raising, and its projection on the ground remained within the support area delineated by the stance foot. 4. Under microG, the CM position did not change before the leg raising. Moreover, gastrocnemius medialis activity observed in the moving leg under nG, preceding the initiation of the body weight transfer toward the supporting leg, was greatly reduced. While the leg is raising, the simultaneous and opposite lateral trunk movement was still present in microG. 5. Results suggest that the body weight transfer corresponding to the shift mode, might depend on the gravity constraints, whereas the stabilization mode, which remains unchanged in microG, might be a motor stereotype that does not depend on the gravity conditions.

Adult↗

PubMed1996

Visual factors in the child's gait: effects on locomotor skills.

This kinematic study investigated the effects of visual factors on the angular oscillations of the head and trunk during various locomotor tasks in 3- to 8-yr.-old children and adults. The oscillations of the head under normal vision were limited and changed little across ages. Oscillations of both head and trunk about the roll axis were the most sensitive to difficulty in maintaining lateral equilibrium. On narrow supports, the lateral oscillations of the trunk increased between the ages of 3 and 6 years, with a maximum amplitude at the latter age and then decreased up to adulthood, suggesting a transition phase around the age of 6 years. Visual restriction had little effect on the control of angular oscillations of the head in children or adults. On a narrow support in darkness, adults increased oscillations of the trunk but reduced oscillations of the head. It can be concluded that, regardless of the age, control of locomotor equilibrium aims at limiting the angular oscillations of the head. Vision seems to contribute little to stabilization of the head.

Adult↗

PubMed1996

Visuo-vestibular integration in the development of posture and gait.

This paper will mainly review recent data on the visual and/or vestibular contributions to the development of posture and gait in humans. Some animal data will also be reported in the attempt of clarifying the functional role of both these sensory inputs. Because it carries the visual and vestibular sensors, the privileged role played by the head in the control of balance will be particularly emphasized. An hypothetic scheme will be proposed for the time course of the early visuovestibular integration, which simply assumes that it roughly follows the descending, cephalo-caudal progression with age of the infants' ability to control postural muscles (101).

Animals↗

PubMed1994

Cross-correlation analysis of the lateral hip strategy in unperturbed stance.

Subjects standing heel-to-toe on either hard ground or soft support were instructed to stand upright keeping optimal balance. Lateral accelerometric measurements at head, hip and ankle levels were subjected to conjugate cross-correlations analysis in order to determine the co-ordinated movements or strategies. The results strongly suggest that there exists a hip lateral strategy which is very similar to the hip strategy previously described in fore-aft body oscillations. This lateral hip strategy was only observed when the greatest body oscillations were observed, namely on the soft supporting surface, and its descending sequence of co-ordinated movements is consistent with the idea of a top-down organization of postural control during movement or difficult stance conditions.

Acceleration↗

PubMed1994

A statistical approach to sensorimotor strategies: conjugate cross-correlations.

A simple method, based on cross-correlation functions (CCFs) between two time series of kinematic or physiological measurements, is proposed for the analysis of multisegmental movements. Special emphasis is placed on measuring accelerations. When the movements of two body segments are coordinated but consistently time lagged, their CCF displays a peak at the corresponding time abscissa. The reproducible positions of the peaks reflect biomechanical or physiological constraints. Several significantly large peaks can be observed in a CCF. It is possible to identify coordinated movements involving more than two segments by applying simple rules of compatibility between the time lags and between the signs of the correlation peaks. With the method proposed, it is possible to determine the signs of relative variation and the time lags of the successive statistically correlated segmental movements. This is particularly useful in the case of both continuous and periodic sensorimotor control, where classical poststimulus methods cannot be applied. Unlike the classical poststimulus methods, this method does not require a time origin, and it is not necessary to monitor the muscles or even to specify exactly which ones are involved. The method is also applicable to experiments involving a time origin (e.g., and applied perturbation), although in this case it is less accurate than the averaging technique. Individual postural strategies can be identified, which suggests some interesting potential applications of the method to clinical studies.

Journal Article↗

PubMed1993

Ontogenesis of head stabilization in space during locomotion in children: influence of visual cues.

The main purpose of this study was to investigate the development of the head stabilization in space strategy (HSSS) during various locomotor tasks in 3- to 8-year-old children and adults. The contribution of visual factors to the HSSS was also examined by applying peripheral visual restriction, stroboscopic visual motion cue restriction, and darkness. The kinematics of the head and trunk rotations (pitch, yaw, and roll) were analyzed by means of an optical TV-image processor (ELITE system). For each of the three angular components, an appropriate "head anchoring index" was defined in order to compare the HSSS with a head stabilization on the trunk strategy. Head-trunk correlation rates were also calculated for each angular component in order to evaluate the head-trunk stiffness. The development of head-trunk coordinations during locomotion under normal vision can be said to involve at least three main periods. The first period occurs from the age of 3 to 6 years, when the HSSS is adopted only while walking on the flat ground. While walking on narrow supports, children in this age-group rather tend to increase the head-trunk stiffness, especially at 6 years of age. The second period includes 7- to 8-year-old children. Children of this age become able to adopt the HSSS while walking on narrow supports. During this period, the HSSS is associated with a large decrease in the head-trunk correlations. Lastly, in adulthood the HSSS is commonly adopted but specifically involves the roll component associated with the lateral body oscillations while walking. Vision was found to have little influence on children's HSSS while walking, whatever their age. Moreover, darkness induces an increase in the efficiency of the HSSS in adults. This confirms that the HSSS is the most appropriate strategy available for dealing with an increase in the level of equilibrium difficulty and may reflect a "top-down" organization of the postural control while walking. These results also suggest that the HSSS may be mainly of vestibular origin and presumably serves to facilitate the visual input processing, particularly that of the motion and peripheral visual cues which are involved in the control of body equilibrium during locomotion.

Adult↗