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Postural maintenance during fast forward bending: a model simulation experiment determines the "reduced trajectory".

A recent article by Crenna et al. (1987) has shown that fast, forward bending movements are accompanied by a backwards motion of the hips and lower limbs. The ongoing research presented in this brief note expands upon the experimental data described by Crenna and colleagues, concerning the postural activities associated with rapid forward bending in standing man. Our primary experimental tool is the computer simulation method, with the standing subject being represented by a double-joint system: the trunk is modeled as a rigid link mechanically coupled (via a "hip" joint) to the lower body link fixed to the ground (via an "ankle" joint). Each of the two joints in this system is independently controlled by a neurological control model for single joint movements, consisting of an idealized pair of antagonistic muscles (flexor and extensor), their common load, and proprioception from the muscle spindles. This model thereby integrates descending commands with proprioceptive feedback in controlling the joint movements. Our early simulation experiments determine a "reduced trajectory", that is, the physical perturbation to the postural system, due to the voluntary movement, in the absence of any stabilizing activities. These simulation experiments clearly show that an important component of the backward movements in the hips and lower limbs during forward bending is indeed due to the mechanical (physical) coupling between the upper and lower body segments and thus not solely a consequence of the anticipatory postural muscle activity. Simulations also predict that any postural activities in the hips and lower limbs should be a two-fold process: first, some preprogrammed, descending control to the lower body would be required to actively enhance the passive, backwards motion (this is consistent with, though not strictly identical to, the hypothesis of Crenna and colleagues); secondly, there must be a subsequent activation in the anterior muscles of the lower body in order to arrest this backwards motion, since otherwise the uncountered momentum would carry the body backward to the floor in less than half a second after the upper body movement has terminated.

Computer Simulation↗

Templates and anchors: neuromechanical hypotheses of legged locomotion on land.

Locomotion results from complex, high-dimensional, non-linear, dynamically coupled interactions between an organism and its environment. Fortunately, simple models we call templates have been and can be made to resolve the redundancy of multiple legs, joints and muscles by seeking synergies and symmetries. A template is the simplest model (least number of variables and parameters) that exhibits a targeted behavior. For example, diverse species that differ in skeletal type, leg number and posture run in a stable manner like sagittal- and horizontal-plane spring-mass systems. Templates suggest control strategies that can be tested against empirical data. Templates must be grounded in more detailed morphological and physiological models to ask specific questions about multiple legs, the joint torques that actuate them, the recruitment of muscles that produce those torques and the neural networks that activate the ensemble. We term these more elaborate models anchors. They introduce representations of specific biological details whose mechanism of coordination is of interest. Since mechanisms require controls, anchors incorporate specific hypotheses concerning the manner in which unnecessary motion or energy from legs, joints and muscles is removed, leaving behind the behavior of the body in the low-degree-of-freedom template. Locating the origin of control is a challenge because neural and mechanical systems are dynamically coupled and both play a role. The control of slow, variable-frequency locomotion appears to be dominated by the nervous system, whereas during rapid, rhythmic locomotion, the control may reside more within the mechanical system. Anchored templates of many-legged, sprawled-postured animals suggest that passive, dynamic self-stabilization from a feedforward, tuned mechanical system can reject rapid perturbations and simplify control. Future progress would benefit from the creation of a field embracing comparative neuromechanics.

Animals↗

Responses of reticulospinal neurons in intact lamprey to vestibular and visual inputs.

A lamprey maintains the dorsal-side-up orientation due to the activity of postural control system driven by vestibular input. Visual input can affect the body orientation: illumination of one eye evokes ipsilateral roll tilt. An important element of the postural network is the reticulospinal (RS) neurons transmitting commands from the brain stem to the spinal cord. Here we describe responses to vestibular and visual stimuli in RS neurons of the intact lamprey. We recorded activity from the axons of larger RS neurons with six extracellular electrodes chronically implanted on the surface of the spinal cord. From these multielectrode recordings of mass activity, discharges in individual axons were extracted by means of a spike-sorting program, and the axon position in the spinal cord and its conduction velocity were determined. Vestibular stimulation was performed by rotating the animal around its longitudinal axis in steps of 45 degrees through 360 degrees. Nonpatterned visual stimulation was performed by unilateral eye illumination. All RS neurons were classified into two groups depending on their pattern of response to vestibular and visual stimuli; the groups also differed in the axon position in the spinal cord and its conduction velocity. Each group consisted of two symmetrical, left and right, subgroups. In group 1 neurons, rotation of the animal evoked both dynamic and static responses; these responses were much larger when rotation was directed toward the contralateral labyrinth, and the dynamic responses to stepwise rotation occurred at any initial orientation of the animal, but they were more pronounced within the angular zone of 0-135 degrees. The zone of static responses approximately coincided with the zone of pronounced dynamic responses. The group 1 neurons received excitatory input from the ipsilateral eye and inhibitory input from the contralateral eye. When vestibular stimulation was combined with illumination of the ipsilateral eye, both dynamic and static vestibular responses were augmented. Contralateral eye illumination caused a decrease of both types of responses. Group 2 neurons responded dynamically to rotation in both directions throughout 360 degrees. They received excitatory inputs from both eyes. Axons of the group 2 neurons had higher conduction velocity and were located more medially in the spinal cord as compared with the group 1 neurons. We suggest that the reticulospinal neurons of group 1 constitute an essential part of the postural network in the lamprey. They transmit orientation-dependent command signals to the spinal cord causing postural corrections. The role of these neurons is discussed in relation to the model of the roll control system formulated in our previous studies.

Action Potentials↗

Generation of reaching movements: plausibility and implications of the equilibrium trajectory hypothesis.

According to the 'equilibrium trajectory' hypothesis, the generation of multi-joint arm movements by the CNS involves the gradual shifting of the hand equilibrium position between the movement end points. This work presents a model which suggests that reaching movements are explicitly planned in terms of spatially and temporally invariant hand equilibrium trajectories. Implementing the model in computer simulations, and using stiffness parameters which were measured during arm posture, arm trajectories were simulated and compared to measured trajectories. The success of the predicted behavior in capturing the fine kinematic details of measured movements supports the validity of the proposed model for biological trajectory control.

Biomechanical Phenomena↗

Beta innervation and recurrent inhibition: a hypothesis for manipulatory and postural control.

The innervation of muscle spindles by skeletofusimotor (beta) axons in functionally different muscles of the cat forelimb has been correlated with the neural circuitry of the respective motor nuclei, morphological characteristics of their motoneurones and the innervated muscle fibres. In long digt extensor muscles a high degree of beta-innervation (more than 70%) and of fast contracting muscle fibres (more than 70% IIB fibres) correlates with specific projections of their Ia muscle spindle afferents, with the absence of a recurrent inhibitory system, with cell body diameters in the range of small alpha-motoneurones and with a short duration of their after-hyperpolarisations. In contrast, the investigated elbow muscles display a low degree of beta-innervation (41-47%) irrespective of their fibre type composition, their Ia afferent fibres show a divergent projection pattern and their motor nuclei a distinct recurrent inhibitory system. We suggest that for the distal muscles the specific combination of these different characteristics serves the control of manipulative movements, whereas for the proximal muscles the contrasting characteristics serve the control of posture and locomotion. This hypothesis is discussed in view of the phylogenetic development of motor control.

Animals↗

Anal sphincter lacerations and upright delivery postures--a risk analysis from a randomized controlled trial.

OBJECTIVE: To evaluate obstetric sphincter lacerations after a kneeling or sitting position at second stage of labor in a multivariate risk analysis model. MATERIALS AND METHODS: Two hundred and seventy-one primiparous women with normal pregnancies and spontaneous labor were randomized, 138 to a kneeling position and 133 to a sitting position. Medical data were retrieved from delivery charts and partograms. Risk factors were tested in a multivariate logistic regression model in a stepwise manner. RESULTS: The trial was completed by 106 subjects in the kneeling group and 112 subjects in the sitting group. There were no significant differences with regard to duration of second stage of labor or pre-trial maternal characteristics between the two groups. Obstetrical sphincter tears did not differ significantly between the two groups but an intact perineum was more common in the kneeling group (p<0.03) and episiotomy (mediolateral) was more common in the sitting group (p<0.05). Three grade IV sphincter lacerations occurred in the sitting group compared to none in the kneeling group (NS). Multivariate risk analysis indicated that prolonged duration of second stage of labor and episiotomy were associated with an increased risk of third- or fourth-degree sphincter tears (p<0.01 and p<0.05, respectively). Delivery posture, maternal age, fetal weight, use of oxytocin, and use of epidural analgesia did not increase the risk of obstetrical anal sphincter lacerations in the two upright postures. CONCLUSION: Obstetrical anal sphincter lacerations did not differ significantly between a kneeling or sitting upright delivery posture. Episiotomy was more common after a sitting delivery posture, which may be associated with an increased risk of anal sphincter lacerations. Upright delivery postures may be encouraged in healthy women with normal, full-term pregnancy.

Adult↗

The stabilometric evaluation of the erect stance. Energy-based optimal control in a numerical model.

AIM: This paper proposes an anthropomorphic model developed in a virtual context, useful to simulate the maintenance of the erect stance. Such a model can be built through a suitable software which can identify the geometry of the articular parts and place mechanical constraints (e.g. joints, spherical links, etc.) between the single elements. METHODS: Our approach can be described as the assembly of rigid parts linked at the joints. The control is given by internal torques at the joints and driven by strategy for the balance aimed to the least amount of total muscular energy spent. The anthropomorphic model proposed underlines and solves the typical problems of a system characterized by a multiple number of degree of freedom placed in erect stance and perturbed by phenomena of endogenous and exogenous nature. This model is developed via the coupling of 2 separate bi-dimensional models, one representing the sagittal plane and the other the frontal plane. The numerical tests were validated through experimental tests in a group of healthy volunteers. For this purpose we employed a stabilometric platform (force-plate) to record the statokinesigram (SKG) on the rest surface. RESULTS: The shapes of the stabilometric plots show a good spatial similarity between the experimental and simulated SKG. Both SKGs present a good range in the frontal plane with concentration of points in some areas (or attractors) in the experimental SKG, but not in the simulated one. The tests also showed a postural oscillation at low frequency (= 0.02Hz), probably due to the differential tiredness of groups of muscles or because of a delayed action of the neurological control. CONCLUSIONS: On the numerical simulations, we claim the suitability of the antropomorphic model for a general description of the maintenance of the erect stance. Despite the simplification, with our approach it is possible to simulate some of the main characteristics of the postural act. In particular, the length and the areas of the simulated SKG's are comparable with those of the experimental tests.

Journal Article↗

Widespread access to predictive models in the motor system: a short review.

Recent behavioural and computational studies suggest that access to internal predictive models of arm and object dynamics is widespread in the sensorimotor system. Several systems, including those responsible for oculomotor and skeletomotor control, perceptual processing, postural control and mental imagery, are able to access predictions of the motion of the arm. A capacity to make and use predictions of object dynamics is similarly widespread. Here, we review recent studies looking at the predictive capacity of the central nervous system which reveal pervasive access to forward models of the environment.

Brain↗

Compatibility of postural behavior induced by two aspects of visual feedback: time delay and scale display.

Fourteen healthy adults were tested to assess the potential influence on stance maintenance of two parts of the visual feedback technique (display scale and time delay). The task consisted in their keeping a spot on the screen representing their center of pressure, CoP (i.e. successive points of application of the ground reaction forces detected by the force platform on which they were standing) to a minimum size. The analysis focused on elementary motions computed from the complex CoP trajectories, that is the horizontal motion of the center of gravity (CoG(h)) and the difference between the CoP and the vertical projection of the center of gravity (CoP-CoG(v)). The former is recognized as the main variable in postural control, and several interesting features can be extracted from the latter. The results indicate that setting a delay and increasing the display scale induce substantial reductions in CoP-CoG(v) and CoG(h) displacements, respectively. Interestingly, when the two effects are combined, these single effects cohabit quite happily. Fractional Brownian motion modeling of these trajectories revealed clearly that, in each case, these effects originate principally from poor or improved control, respectively. This feature confirms that these elementary motions are involved differently in the postural system and that study of the complex CoP might not be of great interest. By generating opposing but complementary trends, the visual feedback technique should thus be perceived as a promising tool for inducing particular postural behavior in healthy and disabled individuals.

Adult↗

Comment: a schema for the interactions between motor programs and sensory input.

In this overview we utilize and extend a model, originally developed for "command interneuron" control of the generation of motor programs, to discuss the roles sensory inputs play in movement control. To provide a conceptual framework, we present a modular schematic of the motor control and sensory processing apparatus of an hypothetical nervous system. In the schematic, "subroutines" (basic units of motor programs) are seen as "playing out" through switching and sequencing networks to "driver neurons." The "driver neurons" then activate motoneurons to execute the programmed movements. Five modes of interaction between motor programs and sensory input are considered using examples from invertebrate and vertebrate neuronal circuitry. These modes of interaction occur at the following locations: (1) the "program selector," to initiate a motor program; (2) the "motor subroutine directory," advancing the program to the next subroutine; (3) the "driver neurons" and motoneurons, where the "gain" of subroutine instructions can be modulated; (4) the "motor programmer," which monitors programs in progress and provides for program development and updating; and (5) the "driver neurons" themselves, which control sensory processing by "selecting" the appropriate sensory inputs for the program in progress. Mode 5 is illustrated in more detail through a consideration of the modification of stretch receptor input by "extensor" and "flexor" command interneurones in the circuitry controlling postural movements of the crayfish abdomen.

Humans↗

Synthesis of standing-up trajectories using dynamic optimization.

Dynamic optimization as a tool to compute standing-up trajectories was investigated. Sit-to-stand manoeuvres in five intact persons and five trans-femoral amputees were measured. Movements and ground reaction forces acting on the body were recorded. A five-segment 3D dynamic model of standing-up was developed. In each particular subject, the optimization criterion which yielded trajectories that best resemble the measured standing-up movement was determined. Since the intact persons used considerably different criteria in choosing the standing-up trajectories than the amputees, the optimal trajectories were computed by minimizing cost functionals (CF) with distinctive structures for each group of individuals. In intact persons, a unique cost functional was found which yielded realistic standing-up manoeuvres. In amputees, subject-specific sets of parameters indicating slightly different preferences in optimizing the effort of particular muscle groups were used.

Adult↗

Characteristics of the sleep of men in simulated space flights.

A study of the sleep of men in simulated space flight has shown that, during different effects (diminished motor activity, noise, rotation), monotony and time of the exposure is the general pathogenetic factor producing sleep disturbances. The monotony factor was responsible for typical changes in sleep function (difficulty involved in falling asleep, disturbed continuity of sleep as a process, decline in the depth, etc.), whose degree was related not only to the professional importance of the experiment but also to the individual intolerance to the main exposure. In these cases, the action of somnogenic mechanisms developed against the background of the action of analyzers (vestibular, accoustic, proprioceptive) that were under load and whose excitation during hypokinesia, noise, and rotation, especially in poorly adapted people, led to cumulation and was expressed in the phenomenon of spontaneous awakening. In addition to that, the genesis of dyssomnia, particularly during bedrest and water immersion, included hemodynamic disturbances induced by blood redistribution due to the recumbent position and monotonous motor activity. The psychosomatic feelings (congestion, edema, irresistible desire to stand up and stretch) brought about emotional strain which was later enhanced by the duration of the exposure.

Acoustic Stimulation↗

Stereotypy and motor control: differences in the postural stability dynamics of persons with stereotyped and dyskinetic movement disorders.

We examined whether dynamic measures of postural stability differentiated persons with stereotyped movement disorder from persons with dyskinetic movement disorder. Participants from three groups (stereotypy, dyskinesia, control) were given a goal-oriented postural stability task, and performance was measured using a force platform and computerized posturographic techniques. The results showed that both movement disorder groups differed from the control group in the posture task. Further, the stereotypy and dyskinesia groups demonstrated markedly different postural movement profiles. The postural motion of the stereotypy group was characterized by greater amplitude and variability but lower complexity than the dyskinesia group. These results provide support for a motor control model of stereotypy.

Adult↗

Biomechanical analysis of sit-to-stand transfer in healthy and paraplegic subjects.

OBJECTIVE: An experimental study of the sit-to-stand transfer in healthy adults with/without arm-support and in paraplegic patients with/without electrical stimulation of the quadriceps muscles was performed. The study was aimed to compare the joint torques, momentum transfer hypothesis, and stability of the sit-to-stand transfer in the healthy and paraplegic subjects. METHODS: A planar 3-linkage rigid body model was used to compute the body-segmental linear momentum and the reaction forces and torques at the joints from measured data. RESULTS: In healthy subjects the arm-support enlarged the support base of the body and thus, increased the postural stability. Strong arm-assistance reduced the maximum hip and knee joint torques by more than 50%. It was observed that the healthy participants rising with arm-support used momentum transfer to facilitate the transition from sitting to standing. The paraplegic participants did not apply the momentum transfer strategy and the sit-to-stand transfer was accomplished in a quasi-static manner. Stimulating the quadriceps, the legs could participate partly in the movement dynamics. CONCLUSION: Our results indicate that some significant differences exist between the maneuver applied by the paraplegic patients to stand up and the strategies used by the healthy adults rising with arm-support. RELEVANCE: Analysis of the biomechanical factors underlying the sit-to-stand activity is essential in the design of competent closed-loop neuroprosthesis controllers which assist paraplegic patients during rising.

Adult↗

Influence of visual feedback on successive control mechanisms in upright quiet stance in humans assessed by fractional Brownian motion modelling.

An up-to-date way to model the centre of pressure (CP) trajectories may consist in using fractional Brownian motion (fBm). By doing so, one may note that standing still is in fact controlled by two separate and successive mechanisms. The point raised in this study concerns the nature of these control mechanisms and their level of interaction. Following this idea, visual feedback (VFB), which is known to affect postural control by significantly decreasing sway magnitudes, was used. Twelve healthy adults, instructed to stand as still as possible, were tested under this VFB protocol (via a PC screen). In order to model the CP trajectories as fBm, variograms (mean square distances, MSD, expressed as a function of increasing time intervals deltat) were bi-logarithmically plotted. The main visual effect of VFB on these variograms concerns longest latency scaling regimes which reveal less stochastic and consequently more accurate control (P < 0.05 and P < 0.01 for X and Y components, respectively). An increase in the MSD of the transition point, which corresponds to the switch between the two control mechanisms, is also noted (P < 0.05). Overall, evidence is provided from this data that long latency scaling regimes do operate through a feedback process. Interestingly, this improved determinism in feedback control in turn induces a similar effect on the control operating over the shortest deltat. Thus, by privileging a control strategy based on feedback mechanisms, VFB in turn would make the subjects quicker in their initial displacement in order to reach a position capable of initiating a feedback mechanism.

Adult↗

Reevaluating the theoretical model underlying the neurodevelopmental theory. A literature review.

The purpose of this paper is to evaluate the foundations of prevalent physical therapy technique based on the current research on motor control. The conceptual framework of the neurodevelopmental theory, as described in the writings of the Bobaths, is presented. Their explanations of central nervous system disorders and recommendations for intervention are based upon a unidirectional model of the nervous system in which postural and voluntary motion become two separate and distinct entities. Systems theory is an alternative model of nervous system structure. In systems theory, the organism is a circular network of interacting yet autonomous subsystems, rather than a vertical structure of descending controls. Relevant research that supports the systems viewpoint is discussed and applied to the theories in the neurodevelopmental approach. Thus, another model is offered for understanding the functioning of the central nervous system when it is intact and when it is in a pathological state.

Animals↗

Organizing sensory information for postural control in altered sensory environments.

Healthy human subjects can maintain adequate balance despite distorted somatosensory or visual feedback or vestibular feedback distorted by a peripheral vestibular disorder. Although it is not precisely known how this sensorimotor integration task is achieved, the nervous system coordinates information from multiple sensory systems to produce motor commands differently in different sensory environments. These different ways of coordinating sensory information and motor commands can be thought of as "sensorimotor states". The way the nervous system distributes the monitoring of postural sway among states is analysed in this paper as a logical structure of transitions between states. The form of the transition structure is specified and distinguished from a finite state machine. The hypothesis that the nervous system could use a transition structure to maintain balance is tested by developing transition structures which are consistent with a set of experimental observations of postural control in healthy subjects and three groups of patients with peripheral vestibular disease.

Humans↗

Somatic versus vestibular gravity reception in man.

In order to assess the effect of extravestibular gravity receptors on perception and control of body position against that of the otoliths, the subject (S) is exposed to gravitoinertial forces along the spinal (Z) axis on a tiltable board and on a sled centrifuge. It turns out that (1) both effects, on average, are equally strong, although with considerable variance between Ss; (2) the centroid of the mass(es) governing the somatic receptors lies near the centroid of the body; and (3) somatic gravity reception contains two distinctly different systems. Both appear unimpaired in paraplegic Ss with total bilateral sensory loss (TSL) from the 5th to the 1st lumbar spinal segment. One, the truncal system, is eliminated with TSL from the 11th thoracic segment upwards. Yet another is still functioning with TSL up to and including the 6th cervical segment, with the same effectiveness throughout this range. Hence it must be mediated by vagal or, less likely, sympathetic afference, that is, probably, by the influence of gravity on the cardiovascular system. That the afference of the truncal system appears to enter the cord at the last two thoracic segments supports earlier conjectures about a supererogatory static function of the kidneys. In fact, on the tiltable board, 7 bilaterally nephrectomized Ss behaved like paraplegics with TSL between T11 and C6, yet differed significantly in the predicted direction from the normal controls.

Gravitation↗