Biomedical subjects

Nicolas Vuillerme

Publications and source records attributed to Nicolas Vuillerme.

17 recordsLinked to original sources

PubMed2006

Controlling posture using a plantar pressure-based, tongue-placed tactile biofeedback system.

The present paper introduces an original biofeedback system for improving human balance control, whose underlying principle consists in providing additional sensory information related to foot sole pressure distribution to the user through a tongue-placed tactile output device. To assess the effect of this biofeedback system on postural control during quiet standing, ten young healthy adults were asked to stand as immobile as possible with their eyes closed in two conditions of No-biofeedback and Biofeedback. Centre of foot pressure (CoP) displacements were recorded using a force platform. Results showed reduced CoP displacements in the Biofeedback relative to the No-biofeedback condition. The present findings evidenced the ability of the central nervous system to efficiently integrate an artificial plantar-based, tongue-placed tactile biofeedback for controlling control posture during quiet standing.

Adult↗

PubMed2006

Differential integration of kinaesthetic signals to postural control.

The purpose of the present experiment was to identify whether non-visual sensory cues involved in the maintenance of balance control could be weighted differently from one subject to another in condition during which kinaesthetic signals, stemming from the ankle proprioceptors and plantar pressure somatosensory sensors, were altered. A large population of blindfolded healthy young university students (n = 140) were asked to sway as little as possible on: (1) a firm support (Firm condition) and (2) an unstable support used to impair the exploitation of the kinematic ankle proprioceptive and plantar pressure somatosensation (Foam condition). Centre of foot pressure (CoP) displacements were recorded using a force platform. Analyses of the surface area, range, and mean velocity of the CoP displacements showed significant negative correlations between the postural sway observed in the Firm condition and the increase in postural sway observed in the Foam condition. In other words, the alteration of ankle proprioception had a greater destabilising effect in subjects exhibiting the smallest CoP displacements when standing in a normal proprioception condition. The present findings suggest that the exploitation of the kinaesthetic relationships to postural control varied from one subject to another, hence evidencing the need to introduce differential approach to assess the general impact of preferential modes of spatial referencing in postural control.

Adult↗

PubMed2006

Improving human ankle joint position sense using an artificial tongue-placed tactile biofeedback.

Proprioception is comprised of sensory input from several sources including muscle spindles, joint capsule, ligaments and skin. The purpose of the present experiment was to investigate whether the central nervous system was able to integrate an artificial biofeedback delivered through electrotactile stimulation of the tongue to improve proprioceptive acuity at the ankle joint. To address this objective, nine young healthy adults were asked to perform an active ankle-matching task with and without biofeedback. The underlying principle of the biofeedback consisted of supplying subjects with supplementary information about the position of their matching ankle position relative to their reference ankle position through a tongue-placed tactile output device (Tongue Display Unit). Measures of the overall accuracy and the variability of the positioning were determined using the absolute error and the variable error, respectively. Results showed more accurate and more consistent matching performances with than without biofeedback, as indicated by decreased absolute and variable errors, respectively. These findings suggested that the central nervous system was able to take advantage of an artificial tongue-placed tactile biofeedback to improve the position sense at the ankle joint.

Adult↗

PubMed2006

Effects of a high-intensity swim test on kinematic parameters in high-level athletes.

The present study aimed to investigate the effects of a high-intensity swim test among top-level swimmers on (i) the spatial and temporal parameters of both the stroke and the 3-D fingertip pattern and (ii) the mechanical, muscular, and physiological parameters. Ten male international swimmers performed a 4 x 50 m swim at maximal intensity. Isometric arm flexion force with the elbow at 90 degrees (F90 degrees ), EMG signals of right musculus biceps brachii and triceps brachii and blood lactate concentrations were recorded before and after the swim test. Kinematic stroke (stroke length, rate, and velocity) and spatiotemporal parameters of the fingertip trajectory were measured by two underwater cameras during the first and last 50 m swims. After the swim test, F90 degrees and mean power frequencies of the EMG decreased significantly when blood lactate concentration increased significantly, attesting the reaching of fatigue. From the first to the last 50 m, stroke rate, stroke velocity, and temporal parameters of the fingertip trajectory exhibited significant increases although stroke length and spatial fingertip trajectory remained unchanged. General and individual adaptations were observed among the top-level swimmers studied. The present findings could be useful for coaches in evaluating fatigue effects on the technical parameters of swimming.

Adaptation, Physiological↗

PubMed2005

How performing a mental arithmetic task modify the regulation of centre of foot pressure displacements during bipedal quiet standing.

We investigated the effect of performing a mental arithmetic task with two levels of difficulty on the regulation of centre of foot pressure (COP) displacements during bipedal quiet standing in young healthy individuals. There was also a control condition in which no concurrent task was required. A space-time-domain analysis showed decreased COP displacements, along the antero-posterior axis, when participants concurrently performed the most difficult mental arithmetic task. Frequency-domain and stabilogram-diffusion analyses further suggested these decreased COP displacements to be associated with an increased stiffness and a reduction of the exploratory behaviours in the short term, respectively.

Adult↗

PubMed2005

Balance, aging, and osteoporosis: effects of cognitive exercises combined with physiotherapy.

OBJECTIVE: To evaluate whether performing cognitive tasks while exercising influenced the effects of an exercise program designed to reduce the risk of falling in elderly women with osteoporosis. METHODS: We included 68 osteoporotic women older than 70 years of age (mean age, 73.5 years+/-1.6) who followed a program of 12 sessions of balance, coordination, and ambulation exercises designed to lessen the risk of falling. The patients were divided into two groups based on proximity to the study centers. The groups were randomly allocated to the exercise program alone (N=31, single-task group) or to the same program combined with cognitive tasks performed while exercising (N=37, dual-task group). Timed up-and-go tests and one-leg balance (OLB) tests were done at baseline, at the end of the exercise program, and 3 months after the end of the exercise program. RESULTS: In both groups, the exercise program produced significant improvements in up-and-go and OLB times. Additional improvements occurred over the first 3 months following the program. Adding cognitive exercises did not provide added efficacy. CONCLUSIONS: Balance was improved after the exercise sessions. The improvements were clinically significant and increased over time.

Accidental Falls↗

PubMed2005

Attentional demands associated with the use of a light fingertip touch for postural control during quiet standing.

The purpose of the present experiment was to investigate whether and how using a light fingertip touch for postural control during quiet standing requires additional attentional demands. Nine young healthy university students were asked to respond as rapidly as possible to an unpredictable auditory stimulus while maintaining stable seated and upright postures in three sensory conditions: vision, no-vision and no-vision/touch. Touch condition involved a gentle light touch with the right index finger on a nearby surface at waist height. Center of foot pressure (CoP) displacements were recorded using a force platform. Reaction times (RTs) values were used as an index of the attentional demand necessary for calibrating the postural system. Results showed decreased CoP displacements in both the vision and no-vision/touch conditions relative to the no-vision condition. More interestingly, a longer RT in the no-vision/touch than in the vision and no-vision conditions was observed. The present findings suggest that the ability to use a light fingertip touch as a source of sensory information to improve postural control during quiet standing is attention demanding.

Adult↗

PubMed2005

The magnitude of the effect of calf muscles fatigue on postural control during bipedal quiet standing with vision depends on the eye-visual target distance.

The purpose of the present experiment was to investigate whether, with vision, the magnitude of the effect of calf muscles fatigue on postural control during bipedal quiet standing depends on the eye-visual target distance. Twelve young university students were asked to stand upright as immobile as possible in three visual conditions (No vision, Vision 1m and Vision 4m) executed in two conditions of No fatigue and Fatigue of the calf muscles. Centre of foot pressure displacements were recorded using a force platform. Similar increased variances of the centre of foot pressure displacements were observed in the fatigue relative to the No fatigue condition for both the No vision and Vision 4m conditions. Interestingly, in the vision 1m condition, fatigue yielded: (1) a similar increased variance of the centre of foot pressure displacements to those observed in the No vision and Vision 4m conditions along the medio-lateral axis and (2) a weaker destabilising effect relative to the No vision and Vision 4m conditions along the antero-posterior axis. These results evidence that the ability to use visual information for postural control during bipedal quiet standing following calf muscles fatigue is dependent on the eye-visual target distance. More largely, in the context of the multisensory control of balance, the present findings suggest that the efficiency of the sensory reweighting of visual sensory cues as the neuro-muscular constraints acting on the subject change is critically linked with the quality of the information the visual system obtains.

Adult↗

PubMed2005

How attentional focus on body sway affects postural control during quiet standing.

The purpose of this study was to investigate how attentional focus on body sway affects postural control during quiet standing. To address this issue, sixteen young healthy adults were asked to stand upright as immobile as possible on a force platform in both Control and Attention conditions. In the latter condition, participants were instructed to deliberately focus their attention on their body sways and to increase their active intervention into postural control. The critical analysis was focused on elementary motions computed from the centre of pressure (CoP) trajectories: (1) the vertical projection of the centre of gravity (CoG(v)) and (2) the difference between CoP and CoG(v) (CoP-CoG(v)). The former is recognised as an index of performance in this postural task, whilst the latter constitutes a fair expression of the ankle joint stiffness and is linked to the level of neuromuscular activity of the lower limb muscles required for controlling posture. A frequency-domain analysis showed increased amplitudes and frequencies of CoP-CoG(v) motions in the Attention relative to the Control condition, whereas non-significant changes were observed for the CoG(v) motions. Altogether, the present findings suggest that attentional focus on body sway, induced by the instructions, promoted the use of less automatic control process and hampered the efficiency for controlling posture during quiet standing.

Adult↗

PubMed2005

Postural control during quiet standing following cervical muscular fatigue: effects of changes in sensory inputs.

The purpose of the present experiment was to investigate the effects of cervical muscular fatigue on postural control during quiet standing under different conditions of reliability and/or availability of somatosensory inputs from the plantar soles and the ankles and visual information. To this aim, 14 young healthy adults were asked to sway as little as possible in three sensory conditions (No vision, No vision-Foam support and Vision) executed in two conditions of No fatigue and Fatigue of the scapula elevator muscles. Centre of foot pressure (CoP) displacements were recorded using a force platform. Results showed that (1) the cervical muscular fatigue yielded increased CoP displacements in the absence of vision, (2) this effect was more accentuated when somatosensation was degraded by standing on a foam surface and (3) the availability of vision allowed the individuals to suppress this destabilising effect. On the whole, these findings not only stress the importance of intact cervical neuromuscular function on postural control during quiet standing, but also suggest a reweigthing of sensory cues in balance control following cervical muscular fatigue by increasing the reliance on the somatosensory inputs from the plantar soles and the ankles and visual information.

Adult↗

PubMed2005

Effects of head extension on undisturbed upright stance control in humans.

The purpose of the present experiment was to investigate whether and how the head extended posture, commonly encountered in many routine activities, affects undisturbed upright stance control mechanisms in humans. Sixteen young healthy adults stood feet together, with their eyes closed and were asked to sway as little as possible in two Neutral and Extended head conditions. Centre of pressure (CP) displacements, recorded using a force platform, were used to compute the motions of the vertical projection of the centre of gravity (CG(v)) and those of the difference CP - CG(v). A time-domain analysis shows increased mean velocity and surface covered by the trajectory of both elementary motions in the Extended head condition. A frequency analysis also reveals increased root mean squares on the CP - CG(v) motions, suggesting increased muscular activity in the Extended head condition. Furthermore, similar changes occur on CG(v) motions. Finally, modelling these trajectories as a fractional Brownian motion process demonstrates increased spatial transition point co-ordinates at which the corrective process is initiated and a more deterministic control mechanism in this corrective process involving CG(v) motions in the Extended head position. Together, the present findings suggest that head extension position yields a reorganisation of the control mechanisms for maintaining undisturbed upright stance.

Adult↗

PubMed2004

Attentional demand for regulating postural sway: the effect of expertise in gymnastics.

A dual-task paradigm was used to investigate whether the expertise in motor skills requiring a fine postural control can modify the attentional demand necessary for regulating postural sway. Seven expert gymnasts and seven experts in other non-gymnastic sports were asked to respond as rapidly as possible to an unpredictable auditory stimulus while maintaining stable seated and in three upright postures of increasing difficulty: bipedal, unipedal, and unipedal on an unstable support (i.e. a 7 cm thick foam surface). RT values were used as an index of the attentional demand necessary for performing the postural tasks. Results showed that the attentional demand necessary for regulating postural sway increased as the postural task increased in difficulty. Interestingly, this effect was smaller for the gymnasts during unipedal stance. These findings suggest a decreased dependency on attentional processes for regulating postural sway during unipedal stance in gymnasts with respect to non-gymnasts.

Adolescent↗

PubMed2004

Mirror versus stationary cross feedback in controlling the center of foot pressure displacement in quiet standing in elderly subjects.

OBJECTIVE: To investigate the effect of mirror feedback on postural control during quiet standing in elderly adults. DESIGN: Before and after intervention trials. SETTING: Pneumology center in France. PARTICIPANTS: Eleven elderly adults (mean age, 70.7+/-4.6 y; mean body weight, 64.5+/-15.0 kg; mean height, 161.4+/-12.0 cm). INTERVENTIONS: Participants were asked to stand upright, as immobile as possible, in 2 eyes-open and mirror-feedback conditions. The latter experimental condition consisted of supplying the subjects with their frontal reflection by positioning a mirror in front of them. MAIN OUTCOME MEASURES: Foot center of pressure (COP) displacements in the mediolateral (ML) and anteroposterior (AP) directions were recorded using a force platform. RESULTS: The mirror-feedback condition had different effects on postural sway, depending on the direction: range, variability, and maximal instantaneous speed of the COP displacements decreased in the ML direction, whereas these effects remained unchanged in the AP direction. CONCLUSIONS: This study provided evidence that mirror feedback may put elderly adults at lower risk of falling.

Aged↗

PubMed2003

Effect of light finger touch on postural sway after lower-limb muscular fatigue.

OBJECTIVE: To investigate whether a light finger touch can compensate for the increased postural sway induced by lower-limb muscular fatigue. DESIGN: Before-after trials. SETTING: General community. PARTICIPANTS: Nine healthy university students (mean age, 23.8+/-2.6y; mean body weight, 72.7+/-6.9 kg; mean height, 177.2+/-7.5 cm). INTERVENTIONS: Participants stood with their feet together and eyes closed. They were asked to sway as little as possible in 4 conditions: no fatigue/no touch, no fatigue/touch, fatigue/no touch, and fatigue/touch. Calf muscle fatigue was induced by having participants stand on their toes until exhaustion. Touch conditions involved a gentle light touch with the right index finger on a nearby surface at waist height. MAIN OUTCOME MEASURES: Center of pressure displacements were recorded by using a force platform. RESULTS: Light finger touch resulted in decreased postural sway in the no-fatigue and fatigue conditions. Interestingly, this stabilizing effect was more accentuated in the fatigue condition. CONCLUSIONS: Results suggest that the contribution of the haptic cues from the finger for regulating postural sway increases after muscular fatigue. These findings could have implications in clinical and rehabilitative areas.

Adult↗

PubMed2002

Postural sway under muscle vibration and muscle fatigue in humans.

Separate studies have demonstrated that vibration and fatigue of ankle muscles alter postural control. The purpose of the present experiment was to investigate the effect of ankle muscle vibration on the regulation of postural sway in bipedal stance following ankle muscle fatigue. Center of foot pressure displacements were recorded using a force platform. Results showed a similar increase in postural sway under muscle fatigue as well as under muscle vibration. Interestingly, under muscle fatigue muscle vibration did not induce a further increase in postural sway. Two hypotheses could, at least, account for this observation: (1). fatigued muscles are less sensitive to muscle vibration and (2). the central nervous system relies less upon proprioceptive information originating from fatigued muscles for regulating postural sway.

Adult↗

PubMed2002

Veering in human locomotion: modulatory effect of attention.

Without visual information, human subjects are not able to maintain displacement in a straight line. This tendency to depart from linearity during locomotion is called veering. The purpose of the present experiment was to investigate the extent to which attention could modulate navigation in the absence of visual information. Blindfolded locomotion on linear pathways was assessed under three different conditions. The Distraction condition was intended to divert participants' attention from the walking task, whereas in the Concentration condition, participants deliberately focused on the task. There was also a Control condition in which no particular instruction was provided. Results showed that subjects veered in all conditions. Furthermore, more accurate performances were observed in the Distraction condition compared to the Control condition, while the Concentration condition led to larger deviations.

Adult↗

PubMed2002

Attentional demands and postural sway: the effect of the calf muscles fatigue.

PURPOSE: The purpose of the present experiment was to investigate whether the calf muscle fatigue affects postural sway in bipedal stance and requires additional attentional demands. METHODS: Nine healthy university students had to respond as rapidly as possible to an unpredictable auditory stimulus while maintaining stable seated and upright postures with their eyes closed in two conditions of no-fatigue and fatigue of the calf muscles. Center of foot pressure (COP) displacements were recorded using a force platform. Reaction times (RTs) values were used as an index of the attentional demand necessary for regulating postural sway. RESULTS: Fatigue yielded a significant anterior shift of mean position of the COP and increased range, mean speed, and dispersion of COP displacements. An increased attentional demand for regulating postural sway also was observed with fatigue. CONCLUSIONS: These results suggest that muscular fatigue may put the individuals at higher risk of falling, especially when engaging in concurrent tasks.

Adult↗