Biomedical subjects

J Timothy Inglis

Publications and source records attributed to J Timothy Inglis.

At least 37 records · Page 2Linked to original sources

PubMed2004

Modulation of ankle muscle postural reflexes in stroke: influence of weight-bearing load.

OBJECTIVE: Given the known sensorimotor deficits and asymmetric weight-bearing posture in stroke, the aim of this study was to determine whether stroke affects the modulation of standing postural reflexes with varying weight-bearing load. METHODS: Ten individuals with chronic stroke and 10 healthy older adult controls were exposed to unexpected forward and backward platform translations while standing. Three different stance conditions were imposed: increased weight-bearing load, decreased weight-bearing load, and self-selected stance. Surface electromyography from bilateral ankle dorsiflexors (tibialis anterior) and extensors (gastrocnemius) were recorded and the magnitude of background muscle activity (prior to the platform translation) and postural reflex onset latency and magnitude (75 ms following reflex onset) were determined. RESULTS: Load modulation of ankle extensors was found in controls and individuals with stroke. Although controls demonstrated modulation of ankle dorsiflexors to different loads, individuals with stroke did not show this modulation. Further, load did not change the onset latency of postural reflexes of the individuals with stroke. CONCLUSIONS: The delayed paretic muscle onset latencies in conjunction with impaired modulation of ankle dorsiflexor postural reflexes may contribute to the instability and frequent falls observed among individuals with stroke. SIGNIFICANCE: The results provide some insight into standing postural reflexes following stroke.

Aged↗

PubMed2004

Prepared movements are elicited early by startle.

A startle stimulus has been shown to elicit a ballistic response in a reaction time (RT) task at very short latencies without involvement of the cerebral cortex (J. Valls-Sole, J. C. Rothwell, F. Gooulard, G. Cossu, & E. Munoz, 1999). The present authors examined the nature of the startle response. A simple RT task was used in which 8 participants performed arm extension movements to 3 target distances (20 degrees, 40 degrees, and 60 degrees ) in a blocked design. An unpredictable startling acoustic stimulus (124 dB) replaced the imperative stimulus in certain trials. The authors verified the presence of a startle response independent from the prepared response by observing electromyographic (EMG) activity in sternocleidomastoid and orbicularis oculi muscles. Findings indicated that when the participant was startled, the intended voluntary response was produced at significantly shorter response latencies. Furthermore, the kinematic variables of the observed response during startle trials for all 3 target distances were mostly unchanged. The EMG characteristics of the responses were not modified, indicating that the response produced was indeed the prepared and intended response.

Adult↗

PubMed2004

Gradation of Neck Muscle Responses and Head/Neck Kinematics to Acceleration and Speed Change in Rear-end Collisions.

Recent epidemiological evidence shows that the potential for whiplash injury varies with both the average acceleration and speed change of a rear-end collision. The goal of this study was to examine the gradation of neck muscle responses and the head and neck kinematics to rear-end collision pulses in which the acceleration and speed change were independently varied. Thirty subjects (15F, 15M) underwent 36 consecutive rear-end collisions consisting of three different average accelerations (ā = 0.5, 0.9 and 1.3 g) and three different speed changes (Deltav = 0.25, 0.50 and 0.75 m/s). Onset and amplitude of the sternocleidomastoid (SCM) and cervical paraspinal (PARA) muscle responses were measured using surface electromyography. Kinematic measures included linear and angular accelerations and displacements of the head and torso. The results showed that the amplitude of the muscle and kinematics responses was graded to both collision acceleration and speed change. The magnitude of early peaks in the head/neck kinematics correlated more strongly with collision acceleration (r(2) = 0.63 to 0.69), whereas the magnitude of later kinematic peaks correlated more strongly with collision speed change (r(2) = 0.59 to 0.95). Onset of the SCM muscle response correlated only weakly with collision acceleration and speed change (r(2) </= 0.07). A collision pulse descriptor obtained by multiplying average acceleration and speed change (āDeltav) yielded the strongest and most consistent correlations with neck muscle (r(2) = 0.48 to 0.58) and head/neck kinematic responses (r(2) = 0.78 to 0.94). This measure of collision severity is also consistent with the recent epidemiological evidence that whiplash symptom intensity and duration increases with both average acceleration and speed change.

Journal Article↗

PubMed2003

Relative contributions of visual and vestibular information on the trajectory of human gait.

Seven healthy individuals were recruited to examine the interaction between visual and vestibular information on locomotor trajectory during walking. Subjects wore goggles that either contained a clear lens or a prism that displaced the visual scene either 20 degrees to the left or right. A 5-s bipolar, binaural galvanic stimulus (GVS) was also applied at three times the subject's individual threshold (ranged between 1.2 to 1.5 mA). Subjects stood with their eyes closed and walked forward at a casual pace. At first heel contact, subjects opened their eyes and triggered the galvanic stimulus by foot switches positioned underneath a board. Reflective markers were placed bilaterally on the shoulders as the walking trajectory was captured using a camera mounted on the ceiling above the testing area. Twelve conditions were randomly assigned that combined four visual conditions (eyes closed, eyes open, left prism, right prism) and three GVS conditions (no GVS, GVS anode left, GVS anode right). As subjects walked forward, there was a tendency to deviate in the direction of the prisms. During GVS trials, subjects deviated towards the anode while walking, with the greatest deviations occurring with the eyes closed. However, when GVS was presented with the prisms, subjects always deviated to the side of the prisms, regardless of the position of the anode. Furthermore, the visual-vestibular conditions produced a larger lateral deviation than those observed in the prisms-only trials. This suggests that the nervous system examines the sensory inputs and takes into account the most reliable and relevant sensory input.

Adult↗

PubMed2003

Startle response is dishabituated during a reaction time task.

Recent experiments pairing a startling stimulus with a simple reaction time (RT) task have shown that when participants are startled, a prepared movement may be triggered earlier in comparison to voluntary initiation (Carlsen et al. 2003, in press; Siegmund et al. 2001; Valls-Solé et al. 1999). The use of this paradigm in experiments may provide new insights into processes that control rapid voluntary actions. However, because the startle response habituates with repeated exposure to the startling stimulus, its use in experiments may be limited. Previously Brown et al. (1991) and later Siegmund et al. (2001) noted that individuals habituate to a startling stimulus at different rates depending on the required activity level of the participant in the task. The present experiment was designed to determine the rate at which participants habituate to a startle during the completion of a RT task. Participants completed 100 trials in which an active wrist extension to a target was performed as fast as possible following an auditory tone. An unexpected 124 dB auditory startle stimulus accompanied the imperative stimulus in 20 of these trials. For the duration of the experiment, startle response electromyographic (EMG) activity continued to be produced in the sternocleidomastoid muscle (SCM) indicating that habituation was not complete after 20 startle trials. Furthermore RT in the startle condition was significantly shorter than control RT. However, findings indicate that when a measurable EMG burst in the SCM was present, RT was significantly shorter than when no SCM burst was present.

Acoustic Stimulation↗

PubMed2003

Awareness affects the response of human subjects exposed to a single whiplash-like perturbation.

STUDY DESIGN: Human subjects were exposed experimentally to a single whiplash-like perturbation. OBJECTIVE: To determine how awareness of the presence and timing of a whiplash-like perturbation affects the onset and amplitude of the neck muscle response and the peak magnitude of head and neck kinematics. SUMMARY OF BACKGROUND DATA: Although most whiplash injuries are sustained in rear-end collisions, which occur without warning, most studies of whiplash injury have used subjects aware of the imminent perturbation. METHODS: Seated subjects (35 women and 31 men) underwent a single forward horizontal perturbation (peak acceleration, 1.5 g). Surface electromyography measured the sternocleidomastoid and cervical paraspinal muscle activity. Three awareness conditions were tested: a countdown for subjects alerted to their perturbation, a perturbation without an alert for subjects who expected it within 60 seconds, and an unexpected perturbation for surprised subjects who were deceived. RESULTS: The muscle and kinematic responses of aware (alerted and unalerted) subjects were not significantly different. Sternocleidomastoid activation occurred 7 ms later in surprised subjects than in aware subjects (P < 0.0002). Cervical paraspinal amplitudes were 260% larger and angular head accelerations in flexion were 180% larger in surprised male subjects than in alerted male subjects. Surprised female subjects exhibited a 25% larger head retraction and a 30% lower forward acceleration of the mastoid process than aware female subjects. CONCLUSIONS: The larger retractions observed in surprised females likely produce larger tissue strains and may increase injury potential. Aware human subjects may not replicate the muscle response, kinematic response, or whiplash injury potential of unprepared occupants in real collisions.

Acceleration↗

PubMed2003

Rapid neck muscle adaptation alters the head kinematics of aware and unaware subjects undergoing multiple whiplash-like perturbations.

To examine whether habituation confounds the study of whiplash injury using human subjects, we quantified changes in the magnitude and temporal development of the neck muscle electromyogram and peak linear and angular head/torso kinematics of subjects exposed to sequential whiplash-like perturbations. Forty-four seated subjects (23F, 21M) underwent 11 consecutive forward horizontal perturbations (peak sled acceleration=1.5 g). Electromyographic (EMG) activity was recorded over the sternocleidomastoid (SCM) and cervical paraspinal (PARA) muscles with surface electrodes, and head and torso kinematics were measured using linear and angular accelerometers and a 3D motion analysis system. EMG onset occurred at reflex latencies (67-75 ms in SCM) and did not vary with repeated perturbations. EMG amplitude was significantly attenuated by the second perturbation in PARA muscles and by the third perturbation in SCM muscles. The mean decrement in EMG amplitude between the first trial and the mean of the last five trials was between 41% and 64%. Related kinematic changes ranged from a 21% increase in head extension angle to a 29% decrease in forward acceleration at the forehead, and were also significantly different by the second exposure in some variables. Although a wider range of perturbation intensities and inter-perturbation intervals need to be studied, the significant changes observed in both muscle and kinematic variables by the second perturbation indicated that habituation was a potential confounder of whiplash injury studies using repeated perturbations of human subjects.

Acceleration↗

PubMed2003

Biomechanical changes elicited by an anterior cruciate ligament deficiency during steady rate cycling.

OBJECTIVES: To identify any changes to lower limb biomechanics during steady rate cycling as a result of an anterior cruciate ligament deficiency. DESIGN: Comparative study in which healthy and anterior cruciate ligament injured individuals underwent biomechanical analysis during stationary cycling. BACKGROUND: Individuals with an anterior cruciate ligament deficiency often exhibit reductions in the magnitude of quadriceps muscle activity and subsequent knee joint extensor moments during walking. It is not known whether these compensations are present during cycling, an exercise frequently used to retrain anterior cruciate ligament injured individuals. METHODS: Ten healthy and 10 unilateral anterior cruciate ligament deficient individuals participated. All participants were required to cycle for approximately 30 s at each of six different cycling intensities while lower limb EMG, kinetics, and kinematics were collected bilaterally. Before riding, participants performed submaximal isometric contractions to generate normalizing data. RESULTS: In addition to reduced quadriceps activation and net knee joint extensor moments, the anterior cruciate ligament deficient limbs exhibited decreases in linear impulse of the resultant pedal force, knee joint flexor moments, hip and ankle extensor moments, and muscle activity from gluteus maximus. These decreases were counteracted by an increase in output from the anterior cruciate ligament intact limb. CONCLUSION: Anterior cruciate ligament injured individuals exhibited a limb attenuation strategy during cycling activities. RELEVANCE: This study reports lower limb kinetic and electromyographic data from anterior cruciate ligament deficient individuals during stationary cycling, and shows that these individuals exhibit a limb attenuation strategy on the very leg that is undergoing rehabilitation.

Adult↗

PubMed2003

Postural and movement adaptations by individuals with a unilateral below-knee amputation during gait initiation.

The present study examined the compensatory strategies adopted by individuals with a unilateral below-knee amputation (BKA) during gait initiation. Eleven individuals with a unilateral BKA and 11 able-bodied subjects initiated gait at three step length conditions (+0, +25 and +50% of preferred step length). A lead-limb condition was also introduced, such that all participants were required to initiate gait with both their left and right limbs. For all step length and lead-limb conditions, it was found that individuals with a unilateral BKA required more time to initiate gait, as compared with the able-bodied. This increase in movement duration was attributed to the stability and movement limitations of the prosthetic limb. On the other hand, by prolonging the task duration, these individuals were also able to employ a 'horizontal impulse' strategy, whereby they could create a similar magnitude of horizontal impulse as the able-bodied without the need to apply a large magnitude of peak antero-posterior (A-P) force.

Adaptation, Physiological↗

PubMed2003

Regional variation and changes with ageing in vibrotactile sensitivity in the human footsole.

Recently there has been indirect evidence suggesting that age-related elevation in footsole vibration detection may be associated with balance and gait dysfunction. As a first step in investigating this dysfunction, the current study determined by how much plantar vibration sensation decreases as a function of age, and if change is dependent on frequency and location of vibration application. Vibration thresholds were assessed at 4 frequencies (25-400 Hz), at 55 locations, and in young and older participants. Results showed there were 3 regions of sensitivity on the footsole: the ball/medial arch, the lateral border of the foot and heel, and the toes. Thresholds for fast-adapting type I receptor (FAI)-mediated frequencies were age invariant; however, thresholds for fast-adapting type II receptor (FAII)-mediated frequencies increased with age. These changes may be one of many factors contributing to age-related changes in gait.

Adult↗

PubMed2002

Altered triggering of a prepared movement by a startling stimulus.

An experiment is reported that investigated the effects of an auditory startling stimulus on a compound movement task. Previous findings have shown that, in a targeting task, a secondary movement can be initiated based on the proprioceptive information provided by a primary movement. Studies involving the presentation of a startling stimulus have shown that in reaction time (RT) tasks, prepared ballistic movements could be released early when participants are startled. In the present study we sought to determine whether the secondary component in an ongoing movement task, once prepared, could also be triggered by a startling stimulus. Participants performed a slow active elbow extension (22 degrees /s), opening their hand when the arm passed 55 degrees of extension from the starting point. An unexpected 124 dB startle stimulus was presented 5, 25, or 45 degrees into the movement. Findings showed that, when participants were startled, the secondary component was triggered despite incongruent kinesthetic information. However, this only occurred when the startle was presented late in the primary movement. This suggests that the secondary movement was not prepared prior to task initiation, but was "loaded" into lower brain structures at some point during the movement in preparation to be triggered by the CNS. This occurred late in the movement sequence, but >/=400 ms prior to reaching the target. These findings indicate that, in addition to ballistic RT tasks, a startle can be used to probe response preparation in ongoing compound movement tasks.

Adult↗

PubMed2002

Visual-vestibular interactions in postural control during the execution of a dynamic task.

The purpose of this experiment was to determine the interaction between visual and vestibular information during the transition from quiet standing to the completion of a forward step. Six subjects were asked to take one step forward at the sound of an audio tone, with their eyes open or closed, and terminate the step in a standing position. During stimulation trials, galvanic vestibular stimulation (GVS) was delivered 1500 ms before the auditory cue. GVS was delivered at an intensity three-fold that of each subject's quiet stance threshold with either stimulus right, left or no stimulation. Force data were collected from three forceplates for the calculation of centre of pressure (CoP), and kinematic data were used to calculate centre of mass (CoM) and body trajectories. In quiet stance all subjects responded to the GVS perturbation by demonstrating upper body segment roll and whole body sway towards the anode electrode. Unexpectedly, in the presence of vision during quiet stance, the upper body roll response was not attenuated, even though the CoP sway patterns were reduced when vision was available. During the initiation phase of the step, despite ongoing GVS stimulation, there were no significant effects seen in CoM, CoP or upper body roll responses. During step execution, however, both CoM displacement and upper body roll demonstrated significant effects and both responses were significantly reduced when subjects' eyes were open. Analysis of the medio-lateral CoP integrals also indicated a strong stimulation effect between conditions late in the execution phase, which were largely attenuated with vision. The results suggest that the importance of visual and vestibular information varies depending on the phase of the task. In addition, the different integration between visual and vestibular input during quiet standing suggests a dual role for vestibular information. We propose that vestibular information in quiet standing has a role in maintaining whole body postural stability, as well as playing an integral role in the alignment of the body segments in preparation for proper movement execution. Vision was demonstrated to differentially attenuate these responses based on the phase of the task. Thus, visual and vestibular information appear to be integrated differently across the different phases of a forward-stepping task.

Acoustic Stimulation↗

PubMed2002

The effect of perturbation acceleration and advance warning on the neck postural responses of seated subjects.

The muscle and kinematic responses of subjects exposed to postural perturbations have been shown to vary with platform acceleration when this acceleration was covaried with platform velocity or displacement. The purpose of the current study was to isolate platform acceleration and examine its effect on the neck muscle response and head kinematics of seated subjects exposed to anterior perturbations. Thirty-six subjects (20 females, 16 males) underwent two blocks of 36 perturbations. Three different perturbations with peak accelerations of 7.7, 14.7, and 21.7 m/s(2) up to a common velocity of 0.5 m/s were used. In one block, subjects received an audible warning corresponding to the platform acceleration magnitude, and in the other block, no advance warning was given. Onset and amplitude of the sternocleidomastoid and cervical paraspinal muscle responses were measured using surface electromyography. Kinematic measures included linear and angular accelerations and displacements of the head. The results showed no differences in either the preperturbation posture or the muscle or kinematic responses between the warned and unwarned trials. Significant differences were observed in the onset and amplitude of the muscle and kinematic variables with perturbation acceleration, although these response differences were not linearly graded with perturbation acceleration. Gradation of muscle activation times has not been previously observed in postural perturbation studies, and their gradation with platform acceleration in the current study suggested that platform acceleration was a strong regulator of the reflex muscle response in postural perturbations.

Acceleration↗

PubMed2002

Distribution and behaviour of glabrous cutaneous receptors in the human foot sole.

To document the activity of cutaneous mechanoreceptors in the glabrous skin of the foot sole, tungsten microelectrodes were inserted through the popliteal fossa and into the tibial nerve of thirteen healthy human subjects. A total of 104 cutaneous mechanoreceptors were identified in the glabrous skin of the foot. This sample consisted of 15 slow adapting type I (14 %), 16 slow adapting type II (15 %), 59 fast adapting type I (57 %), and 14 fast adapting type II units (14 %). The location of the receptors and the outline of the receptive fields were determined by using nylon monofilaments perpendicularly applied against the surface of the skin. This revealed that the receptors were widely distributed without an accumulation of receptors in the toes. There were also larger receptive fields predominantly isolated on the plantar surface of the metatarsal-tarsal region of the foot sole. Furthermore, with the foot in an unloaded position, there was no background discharge activity in any of the cutaneous receptors in the absence of intentionally applied stimulation. These findings suggest that skin receptors in the foot sole behave differently from those receptors found on the glabrous skin of the hand. This may reflect the role of foot sole skin receptors in standing balance and movement control.

Adult↗

PubMed2002

Vestibular contributions across the execution of a voluntary forward step.

This work addressed the influence of information arising from the vestibular system on the dynamic control of a forward step. Six subjects performed the stepping task with their eyes closed under three conditions of bipolar, binaural galvanic vestibular stimulation (GVS), including (1) no GVS, (2) GVS with the anode electrode on the side of the swing limb, and (3) GVS with the anode electrode on the side of the stance limb. GVS was delivered 1,500 ms prior to a cue to step. Ground reaction forces were collected from three force platforms and movement was recorded from IRED markers placed bilaterally on the body. The results showed that, following slight deviations caused by GVS onset, the step initiation behaviour was unaffected, but lateral deviations were found during the latter, more dynamic, phases of stepping for centre of mass trajectories, time integrals of the centre of pressure displacement and upper body roll. These findings showed that vestibular information is used differently across the execution of a step without vision. While the initiation phase is run in a feedforward manner without vestibular influence, vestibular information appears to be upregulated during the more dynamic phases. Also, the level of up-regulation may be different across step execution.

Adaptation, Physiological↗

PubMed2002

The role of cutaneous receptors in the foot.

Cutaneous receptors in the foot sole appear to contribute to the control of human stance and locomotion. Two approaches were undertaken to establish the characteristics of the receptors in the sole. Psychophysical vibrotactile thresholds (range 25-400 Hz) were determined across the unloaded sole in young and elderly subjects. Thresholds were lower in the ball and arch of the sole, than in the heel and toe regions. Elderly subjects demonstrated significantly elevated thresholds for high-frequency vibration. Secondly, microneurographic recordings were made from skin afferents of the unloaded sole in young subjects. Results indicated that while similar types of cutaneous receptors exist in the sole of the foot and hand, there appear to be differences in receptor density and distribution. Our results demonstrate that cutaneous afferent inputs from the foot sole provide useful information for the control of posture and locomotion.

Adult↗

PubMed2002

Interaction effects of galvanic vestibular stimulation and head position on the soleus H reflex in humans.

OBJECTIVES: The objective of this study is to measure the influence of galvanic vestibular stimulation and head-on-body alignment on the soleus H-reflex in prone human subjects. METHODS: We studied changes in the amplitude of the right soleus H-reflex to monopolar monaural galvanic stimulation in 10 healthy prone lying subjects. Trials were randomly administered according to head position (left or right) and stimulus polarity (anode or cathode). We also investigated the influence of the conditioning stimuli by examining the amplitude of the H-reflex based on head position without galvanic stimulation. A one-way and two-way repeated measures analysis of variance were used to compare the mean amplitudes of the test and conditioned H-reflexes. RESULTS: The greatest facilitation was observed when the head was turned to the left and coupled with cathodal stimulation. The largest inhibitory effect was found when the head was turned to the right and paired with anodal stimulation. However, when head left was paired with anodal stimulation or head right was coupled with cathodal stimulation, only minimal changes in amplitude were observed. CONCLUSIONS: The results demonstrate that there is an interaction between head position and galvanic stimulus polarity when measuring the excitability of the soleus motoneuron pool in prone lying subjects.

Adult↗

PubMed2002

Position sensitivity of human muscle spindles: single afferent and population representations.

The representation of joint position at rest and during movement was investigated in 44 muscle spindle primary afferents originating from the extensor carpi radialis brevis (ECRb) and extensor digitorum (ED) of normal human subjects. Position sensitivity was estimated for each afferent, and 43 of 44 were position sensitive. In each trial, six sequential ramp-and-hold movements (2-6 degrees, 2 degrees/s, total 24 degrees) flexed the relaxed wrist, beginning from the angle at which the afferent was just recruited. Joint position was represented by three specific features of afferent firing patterns: the steady-state firing rate during the 4-s hold period between ramps, the initial burst at the beginning of each ramp, and the ramp increase in firing rate later in the movement. The position sensitivity of the initial burst (1.27 +/- 0.90 pps/degree, mean +/- SD) was several times higher than that of the hold period (0.40 +/- 0.30 pps/degree) and not different from that of the ramp increase in firing rate (1.36 +/- 0.68 pps/degree). The wrist position sensitivities of ECRb and ED afferents were equivalent, as were their recruitment angles and angular ranges of position sensitivity. Muscle spindle afferents, both individually and as a population, were shown to represent static joint position via the hold rate and the initial burst. Afferents were recruited over the entire 110 degree range of wrist positions investigated; however, the angular range over which each feature represented joint position was extremely limited (approximately 15 degrees). The population response, based on the summed activity of the 43 afferents, was monotonically related to joint position, and it was strongly influenced by the afferent recruitment pattern, but less so by the position sensitivities of the individual afferents.

Adult↗