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Biomedical subjects

Serge Le Bozec

Publications and source records attributed to Serge Le Bozec.

4 recordsLinked to original sources

Does postural chain muscular stiffness reduce postural steadiness in a sitting posture?

This study investigated the effect of postural chain muscular stiffening on postural steadiness when it is rhythmically perturbed by respiration. It consisted of an analysis of centre of pressure (CP) displacements when constant sub-maximum pushing efforts were performed in a sitting posture. Muscular stiffness, assessed by surface electromyography (iEMG), was imposed at two controlled levels, using two intensities of pushing effort (20% and 40% of the maximum voluntary contraction: 20MVC and 40MVC). Lumbo-pelvic mobility was varied using two different support areas at the seat contact (100% and 30% of the ischio-femoral length: 100BP and 30BP). Respiratory disturbance to posture was varied using two respiratory rate conditions (quiet breathing (QB), which is the spontaneous rate, and fast breathing (FB) at a rate imposed by a metronome). The results demonstrated that an increased push effort was associated to a higher iEMG level, and induced greater mean deviation (X (p)) and sway path (SP) of antero-posterior CP displacements. It was concluded that postural muscle stiffness reduces postural steadiness. It was suggested that it could be related to a weaker compensation of respiratory disturbance to body posture.

Adult↗

Does postural chain mobility influence muscular control in sitting ramp pushes?

This study was conducted under the hypothesis that voluntary movement involves a perturbation of body balance and that a counter-perturbation has to be developed to limit the perturbation effects, which is a condition necessary to perform the movement efficiently. The stabilising action is produced in body segments that constitute the "postural" chain, and the voluntary movement by the segments said to constitute the "focal" chain. In order to deepen the understanding of how the postural chain contributes to the motor act, isometric transient efforts were considered. Seven adults in a sitting posture were instructed to exert bilateral horizontal pushes on a dynamometric bar, as rapidly as possible, up to their maximal force (Fx). Two sitting conditions were considered: full ischio-femoral contact (100 BP) and one-third ischio-femoral contact (30 BP), the latter being known to yield greater pelvis and spine mobility, that is greater postural mobility. Each session consisted of ten maximal pushes for each sitting condition. In order to explore the influence of postural mobility on muscular control and push force, surface EMGs of 14 postural and focal muscles were recorded. In addition, reaction forces (Rx) and displacement (Xp) of the centre of pressure (along the anteroposterior axis) were measured, as well as iliac crest acceleration (xh and zh, along the anteroposterior and vertical axes, respectively). The results showed that push force varied abruptly during the task ramp effort. When the ischio-femoral contact was limited, push force was enhanced, as well as the rate of push force rise (Fx/Deltat, Deltat being the force rise duration), suggesting a greater perturbation to balance. Also, there were significant increases in the Rx reaction forces, indicating body segment acceleration: "dynamic" phenomena occurred in the articulated body chain in response to increases in Fx. In addition, even though muscular contraction was isometric, postural EMGs, as well as focal EMGs, were phasic, a feature which characterises transient force exertion. The Rx reaction forces were associated with backward displacement of the centre of pressure, Xp. The centre of pressure displacement was interpreted as a backward pelvis rotation, an interpretation which was confirmed by backward and upward iliac crest accelerations. When ischio-femoral contact was reduced, the backward pelvis rotation was significantly increased, resulting from an increased pelvis and spine mobility. Distinct focal and postural EMG sequences were found to be associated with the effort. Two different sets of muscles were observed when considering recruitment order, the focal and the postural muscles. The ankle muscles were activated before the pelvis, the back and the scapular girdle, with the upper limb muscles activated only after the onset of the primum movens of push action (serratus anterior): the activation process followed a distal to proximal progression order. Moreover, the postural EMG sequence was anticipatory, that is there were anticipatory postural adjustments (APAs). Modifying the ischio-femoral contact did not induce a change in either the postural muscle set or in the recruitment order. There were significant increases in the level of activation (integrated EMG) of the postural muscles when ischio-femoral contact was reduced. They did not result from an increase in EMG duration but only from a modulation of EMG amplitude, suggesting that postural control for different ischio-femoral contacts involves adapting the motor program according to the postural requirements, rather than changing the postural strategy. Moreover, as APA amplitude was increased when ischio-femoral contact was reduced, it could be assumed that the postural chain is programmed in relation to postural chain mobility. In addition, the increase in postural EMGs was interpreted as an increased counter-perturbation opposed to an increased push force. It is concluded that greater mobility of the postural chain favours a greater dynamic counter-perturbat chain favours a greater dynamic counter-perturbation, which, in turn, allows the development of a greater push force; the ability to develop such a counter-perturbation (termed PKC: posturo-kinetic capacity) is enhanced when postural chain mobility is greater. Postural chain mobility appears to be a task parameter, and postural control appears to involve adapting the motor program according to the postural requirements, rather than changing the postural strategy.

Biomechanical Phenomena↗

Do bimanual isometric push efforts in humans stop as a consequence of postural muscle exhaustion?

The purpose of this study was to explore whether global efforts stop as a consequence of postural muscle exhaustion. To this end, seated adults were asked to exert 75% maximal voluntary contractions bimanual push efforts until exhaustion. A dynamometer was used to measure the horizontal force exerted on a bar (Fx) and a custom-designed force plate measured the antero-posterior displacement of the centre of pressure (Xp). Electromyograms were picked up by bipolar surface electrodes from the primum movens (serratus anterior) and four postural muscles (trapezius superior, erectores spinae, rectus abdominis, rectus femoris). Root mean square and mean power frequency were calculated over 2-s intervals and compared to corresponding Fx and Xp values. It was shown that the effort stops as a consequence of exhaustion of postural muscles (rectus abdominis and rectus femoris), and not of the primum movens. It is concluded that postural muscles make a major contribution to global efforts, in that they allow compliance to biomechanical requirements, that is, to preserve the distance between the centre of pressure and the centre of gravity, which must be proportional to the external force.

Arm↗

Postural dynamics in maximal isometric ramp efforts.

Aglobal biomechanical model of transient push efforts is proposed where transient efforts are taken into consideration, with the aim to examine in greater depth the postural adjustments associated with voluntary efforts. In this context, the push effort is considered as a perturbation of balance, and the other reaction forces as a counter-perturbation which is necessary for the task to be performed efficiently. The subjects were asked to exert maximal horizontal two-handed isometric pushes on a dynamometric bar, as rapidly as possible. They were seated on a custom-designed device which measured global and partitive dynamic quantities. The results showed that the horizontal reaction forces and the horizontal displacement of the centre of pressure increased quasi-proportionally with the perturbation. In addition, it was established that vertical reaction forces increased at seat level whereas they decreased at foot level, resulting in minor vertical acceleration and displacement of the centre of gravity. On the contrary, the anteroposterior reaction forces increased both at foot and at seat levels. Based on a detailed examination of the various terms of the model, it is concluded that transient muscular effort induces dynamics of the postural chain. These observations support the view that there is a postural counter-perturbation which is associated with motor activity. More generally, the model helped to specify the effect of postural dynamic phenomena. It makes it possible to stress the importance of adherence at the contact level between the subject and the seat in the course of transient efforts.

Humans↗