Biomedical subjects

Paul M Kennedy

Publications and source records attributed to Paul M Kennedy.

9 recordsLinked to original sources

PubMed2006

Long-term intermittent hypoxia increases sympathetic activity and chemosensitivity during acute hypoxia in humans.

We determined the effects of 10 daily exposures of intermittent hypoxia (IH; 1 h day(-1); oxyhaemoglobin saturation = 80%) on muscle sympathetic nerve activity (MSNA, peroneal nerve) and the hypoxic ventilatory response (HVR) before, during and after an acute 20 min isocapnic hypoxic exposure. We also assessed the potential parallel modulation of the ventilatory and sympathetic systems following IH. Healthy young men (n = 11; 25 +/- 1 years) served as subjects and pre- and post-IH measures of MSNA were obtained on six subjects. The IH intervention caused HVR to significantly increase (pre-IH = 0.30 +/- 0.03; post-IH = 0.61 +/- 0.12 l min(-1) %S(aO(2)) (-1)). During the 20 min hypoxic exposure sympathetic activity was significantly greater than baseline and remained above baseline after withdrawal of the hypoxic stimulus, even though oxyhaemoglobin saturation had normalized and ventilation and blood pressure had returned to baseline levels. When compared to the pre-IH trial, burst frequency increased (P < 0.01), total MSNA trended towards higher values (P = 0.06), and there was no effect on burst amplitude (P = 0.82) during the post-IH trial. Following IH the rise in MSNA burst frequency was strongly related to the change in HVR (r = 0.79, P < 0.05) suggesting that these sympathetic and ventilatory responses may have common central control.

Adult↗

PubMed2005

Identifying visual-vestibular contributions during target-directed locomotion.

The purpose of this experiment was to examine the potential interaction between visual and vestibular inputs as participants walked towards 1 of 3 targets located on a barrier 5m away. Visual and vestibular inputs were perturbed with displacing prisms and galvanic vestibular stimulation (GVS), respectively. For each target there were three vision conditions (no prisms, prisms left, and prisms right), and three GVS conditions (no GVS, anode left, and anode right). Participants were instructed to start with eyes closed, and to open the eyes at heel contact of the first step. GVS and target illumination were triggered by the first heel contact. This ensured that the upcoming visual condition and target were unknown and that both sensory perturbations occurred simultaneously. Lateral displacement was determined every 40 cm. Irrespective of target or direction, GVS or prism perturbation alone resulted in similar lateral deviations. When combined, the GVS and prism perturbations that had similar singular effects led to significantly larger deviations in the direction of the perturbations. The deviations were approximately equal to the sum of the single deviations indicating that the combined effects were additive. Conflicting GVS and prism perturbations led to significantly smaller deviations that were close to zero, indicating that opposite perturbations cancelled each other. These results show that when both visual and vestibular information remain important during task performance, the nervous system integrates the inputs equally.

Adult↗

PubMed2005

Assessing vestibular contributions during changes in gait trajectory.

Displacing prisms and galvanic stimulation were used to examine visual-vestibular interactions during target-directed gait. Participants walked towards a wall 6 m away. After taking four steps, a target on the wall, located directly in front or to the right of the participant, was illuminated. Participants continued walking towards the target. Galvanic vestibular stimulation was triggered at either gait initiation, a step before the potential turn, or at target illumination. Although the visual and vestibular perturbations significantly altered gait trajectory, the greatest interaction occurred when galvanic stimulation was triggered one step before the target appeared. This implies an increase in the weighting of vestibular inputs just before turning to prepare for the potential change in direction.

Adult↗

PubMed2004

Galvanic vestibular stimulation alters the onset of motor unit discharge.

We have previously shown that galvanic vestibular stimulation (GVS) can modulate the amplitude of the passive soleus H-reflex. This study examined whether the response resulted from a general change in excitability of the motoneuron pool or a specific modulation of individual motor units (MUs). Subjects performed slow isometric plantarflexor actions in a prone lying and kneeling position until the discharge of a single gastrocnemius MU was detected. During randomly selected trials, a 1-mA bipolar, binaural galvanic stimulus was triggered just prior to the start of plantarflexor activity. With the knee extended and the medial gastrocnemius (MG) at a long muscle length, GVS did not have an effect on MU activity. However, when the knee was flexed and the MG muscle was shortened, GVS significantly modified the onset of activation and the initial firing frequency of MUs. This may reflect a change in the gain of the presynaptic inhibitory mechanisms that act on the motoneuron pool once a muscle reaches a shortened, nonoptimal force-producing length. Thus, GVS may provide an important research tool for activating descending vestibulospinal pathways that act on lower-limb motoneurons and may be applied to test the integrity of the spinal cord.

Adult↗

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↗

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

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↗

PubMedDate not supplied

Vestibulospinal influences on lower limb motoneurons.

Galvanic vestibular stimulation (GVS) is a research tool used to activate the vestibular system in human subjects. When a low-intensity stimulus (1-4 mA) is delivered percutaneously to the vestibular nerve, a transient electromyographic response is observed a short time later in lower limb muscles. Typically, galvanically evoked responses are present when the test muscle is actively engaged in controlling standing balance. However, there is evidence to suggest that GVS may be able to modulate the activity of lower limb muscles when subjects are not in a free-standing situation. The purpose of this review is to examine 2 studies from our laboratory that examined the effects of GVS on the lower limb motoneuron pool. For instance, a monopolar monaural galvanic stimulus modified the amplitude of the ipsilateral soleus H-reflex. Furthermore, bipolar binaural GVS significantly altered the onset of activation and the initial firing frequency of gastrocnemius motor units. The following paper examines the effects of GVS on muscles that are not being used to maintain balance. We propose that GVS is modulating motor output by influencing the activity of presynaptic inhibitory mechanisms that act on the motoneuron pool.

H-Reflex↗